Lost a tooth: what are the options?
When a tooth is missing, there are three common solutions: a dental implant, a fixed bridge, or a removable partial denture. The most common comparison is implant versus bridge, because both are fixed and look like natural teeth. This guide was written under the supervision of Dr. Banan Alhawamdeh.
What is a bridge?
A bridge is three or more joined crowns: two crowns on the teeth either side of the gap, carrying a false tooth in the middle. So a bridge needs the neighbouring teeth to be prepared for crowns, even if they're healthy.
What is an implant?
An implant is an artificial root of titanium or zirconia placed in the bone where the tooth was lost, with a crown fitted on top. It replaces the missing tooth on its own, without touching the neighbouring teeth. See types of dental implants.
Comparison
| Dental implant | Fixed bridge | |
|---|---|---|
| Neighbouring teeth | Untouched | Prepared and crowned |
| Bone at the gap | Preserved | May shrink over time |
| Treatment time | Longer (several months to integrate) | Shorter (weeks) |
| Surgery | Yes, usually minor | No |
| Cleaning | Like a natural tooth | Needs special tools under the bridge |
| Lifespan | Very long with care | Long, but can be affected by decay in the supporting teeth |
| Upfront cost | Usually higher | Usually lower |
When an implant is the better choice
- When the neighbouring teeth are healthy, so there's no need to prepare them.
- When you want to preserve bone and appearance long term.
- When there's enough bone, or it can be rebuilt with a graft.
When a bridge makes sense
- When the neighbouring teeth need crowns anyway because of large fillings or root canal treatment.
- When health or bone conditions don't allow an implant.
- When time matters and a quicker solution is preferred.
The role of the gums
Whether you choose an implant or a bridge, healthy gums are a condition for success; inflammation around a bridge or implant is a leading cause of failure. That's why our planning starts with assessing the gums and bone. See periodontitis.
Frequently asked questions
Which lasts longer, a bridge or an implant?
Both last many years with care, but an implant doesn't depend on neighbouring teeth, so it isn't affected by their decay or problems.
Can a bridge be fitted on implants?
Yes. When several adjacent teeth are missing, a bridge can be supported by two or more implants instead of one implant per tooth.
What happens if I leave the gap?
Neighbouring teeth may tilt into the gap, the opposing tooth may over-erupt, and the bone shrinks over time, making replacement harder later.
Choose the right option with your dentist
At Dr. Banan Alhawamdeh's clinic in Sweifieh we assess your teeth, gums and bone and explain the options clearly. Read also implant cost and dentures, or book an appointment.