Dental Implants and Fixed Bridges: Options for Replacing Missing Teeth

Lost a tooth recently? Do you have a few that could use replacing? Don’t worry — you’re not alone. 

Tooth loss in adults is more common than you think. Nearly 70% of people aged 35-44 experience tooth loss. Although it happens somewhat frequently, that doesn’t mean people with tooth loss don’t have concerns. 

Whether from an accident or through extraction, tooth loss can affect your appearance and more importantly, how your mouth functions. This is where dental implants and fixed bridgework come in.

If you’re about to have a permanent tooth extracted, understanding your treatment options is critical. Fortunately, in this day and age, you have many options to replace those teeth. You can get a fixed bridge, a removable dental appliance (either a full denture or a partial denture) or an implant

In this blog, we’ll focus on fixed bridges vs dental implants. Both solutions have their pros and cons — here’s what to know.

[Related: Are Veneers Right For You?]

Dental Implants

A dental implant is a fixed artificial tooth. Implant surgery is a procedure that replaces tooth roots with screw-like metal posts and replaces damaged or missing teeth with artificial teeth. These artificial teeth look and function much like the real ones. 

Implants can offer a welcome alternative to bridgework or ill-fitting dentures. You can get implants for a single tooth, for a few teeth or as anchors for full dentures for better stability and security.

Dental Implant Procedure

An implant is actually a root replacement. However, unlike the root of a tooth, the implant actually fuses to the jawbone and has an attached, permanent crown. The implant takes the place of the tooth’s underlying structure and prevents deterioration of the area around the missing root. 

Placing a dental implant does require surgery, which may make some patients nervous. This procedure is usually an outpatient surgery performed in stages. In some cases, the dentist may perform all stages at once.. 

What will the actual procedure be like? 

• If the damaged tooth is still there, the dentist will extract it.
• The jawbone will be prepared for surgery, which may include bone grafting to:
  • Fill space in the socket.
  • Increase bone width, height, or density for the implant.
• The dentist will place the implant and insert an abutment screw to:
  • Keep the area clean.
  • Assist in the healing process.

• A temporary tooth replacement will usually be placed for aesthetics during the healing stage.

[Related: How to Deal With Minor and Major Tooth Pain]

Dental Implant Healing and Post-Procedure

After a dental implant procedure, you can expect some soreness and possibly minor bleeding. 

Everyone feels pain and heals differently, so your healing process and experience may be wholly unlike someone else’s experience. Nevertheless, most of the time you can manage any pain with over-the-counter pain relievers such as ibuprofen. 

Soon, bone should grow around the implanted metal. Implants function and look just like natural teeth, and they should last a lifetime. 

Why Choose a Dental Implant?

How do you know whether a dental implant is the right choice for you? Here are a few facts about implants: 

• They’re made of titanium. This allows the implant to integrate with the jawbone because the body doesn’t recognize it as a foreign object. 
• The success rate of implants is close to 98%. 
• Implants can replace missing teeth without altering or affecting any adjacent teeth.
• They’re very stable because they fuse with the jawbone. 
• To make things even better, implants have the natural look and feel of natural teeth. 

All of these are major reasons patients often opt for dental implants. 

Fixed Dental Bridges

A fixed dental bridge is another option for replacing missing teeth. Dental bridges fill the gap using artificial teeth on a fixed prosthesis. 

The dentist will place crowns on the teeth on both sides of the missing tooth to serve as an “anchor” for the middle replacement tooth. They’ll then permanently affix the prosthesis in place, which fills the gap and supports where you’ve lost one or multiple teeth.

[Related: What Is an Apicoectomy?]

Dental Bridge Procedure

• The procedure is a straightforward restorative treatment.
• The dentist will attach the bridge using a cap that fits over the teeth on each side.
• If there is only one supporting tooth, the cap will cover that side and extend over the gap—this is called a cantilever bridge.

To prepare the anchor teeth:

• The dentist will administer local anesthetic.
• The teeth will be filed into the proper shape.
• A dental lab will take impressions to construct the custom bridge.
• If the natural teeth are too weak, dental implants may be necessary for support.

A temporary bridge may be placed to protect the shaped teeth while the permanent one is being made.

During the final appointment:

• Local anesthetic will be administered for comfort.
• The temporary bridge will be removed.
• The area will be cleaned.
• The permanent bridge will be cemented into place.

Dental Bridge Healing and Post-Procedure

It will take approximately one to two weeks for the new bridge to settle completely. In the meantime, avoid very hot and very cold foods, and gargle warm saltwater for irritation. Follow your dentist’s specific instructions for healing — they’ve customized those instructions for your unique situation. 

Fixed dental bridges aren’t “permanent” in the traditional sense. In fact, fixed dental bridges are considered permanent because patients can’t remove them. With proper care, your bridge can last up to a decade. 

Continue to perform daily dental care (brushing and flossing twice a day), and avoid sticky foods and hard candies. Ensure you see your dentist for regular cleanings as well.

[Related: Guide to Crown Lengthening]

Why Choose Dental Bridgework?

People have several reasons for choosing dental bridgework for missing teeth. 

For one, fixed bridges are strong and durable, and they feel and look very similar to natural teeth. They can also rebalance your bite and make chewing more comfortable. 

Additionally, dental bridgework is long-lasting and more cost-effective than implants. You’ll have fewer appointments, and the healing and adjustment period is quick and virtually painless.

Contact Cascadia Dental Specialists

As you can see, there are many pros and cons for both procedures. When it comes to fixed bridges vs dental implants,  the best thing to do is to contact your dentist for further information.

Contact our experienced dental hygienists at Cascadia Dental Specialists today for a consultation and a deeper explanation on fixed bridges or the dental implant procedure.

Fill out our online form, contact us at (425) 644-7444 or send us an email at info@cascadiadental.com. 

We look forward to hearing from you!