Single dental implant vs. implanted bridge…?
I’ve had a lot of work on my mouth, and to fully set up the scenario I need to describe two work areas in my mouth.
Area 1: An upper incisor. Has had surgery to remove gum overgrowth twice, has been chipped and patched (patched twice), has had a root canal, two temporary crowns, and one permanent crown. One root canal was post-crown. In a car accident it was mildly chipped, but this is not an issue as it is barely noticeable and the chip does not extend to what’s left of the tooth. I’ve been told it may, MAY possibly eventually need a third and final root canal.
Area 2: Lower teeth directly under the incisor in question. The aforementioned car accident knocked out the tooth directly under the crown. At the time, I was not informed that a dental implant was a possibility and was given a bridge. I do not like the feeling of the bridge and have been told it may eventually need fillings where the root is slightly exposed at the front.
The tooth that has had the crown I want to eventually pull and have an implant place in because it’s had such extensive work that I really am frustrated with it and want to get it over with. The bridged teeth I want to pull as well; I don’t want to go through the hassle of having two crowns, so I would like the entire device pulled and have a bridge implanted.
I know that, as far as healing procedures go, implants are the best option, and I know what the procedure, costs, and fail / success rates are. Knowing that insurance will likely cover very small or no cost of the procedure, I can afford to do one at a time (and, cosmetically, I would only want to do one at a time). I will be able to afford to get the second procedure, but in perhaps two or three years.
My question is this: which do you recommend I replace first: the tooth that has had exhaustive work done but is more or less stable, or the teeth that have not had very much work done, but that my dentist called attention to in order to “watch and observe the progress of?”
I meant to say that I have had two root canals on the tooth and that the crown (not the tooth) was chipped.
My instincts as a medical student are to replace the bridge first (given the nature of my study, I’m sure you can see why I must get one and then the other).
Ooh, that really sucks for you and really makes me kinda mad that they’d cut down two (presumably) healthy teeth to do a bridge like that! grr.
I just re-did a case on a guy who, 15 years ago, lost upper central incisors playing footbal; was told if he did implants he couldn’t play anymore which is B.S., but whatever. So they cut down the other two incisors AND both upper canines (eye teeth) to hold this bridge on. SOME margin of the four abutments is bound to fail and he had two leaking, so i have to replace the whole thing. $ 6000. I mean, the money is nice, i’m not gonna lie, but in principle it psses me off….
ok, on to your case. first of all, if you haven’t already, get away from the guy/gal who did the bridge w/o discussing the implant.
now you want to make really sure that you despise this bridge because you can do three thigns to replace it:
1 – cut the middle (“bridged”) tooth out (this is called the “pontic” which you cna search for if you need a picture…). leave the abutments (the crowned teeth on either side of the missing tooth) alone and place a single implant w/a single crown in the space. you’d still have to worry a bit about decay/recession on the natural teeth and my impression is you’re not inclined this way, but you WOULD be able to floss normally (ie, no threaders w/ fishline etc!)
2 – remove the bridge w/ both supporting teeth. place two implants and bridge them together w/ another bridge. this is the same as what you have now, but with implants instead of teeth holding it in. advantage – no root fillings to worry about; disadvantage – will still FEEL like a bridge, in the sense that you can maybe detect air (or catch food) under the pontic tooth.
3 – remove the bridge, both supporting teeth, place THREE implants and each one gets a crown. This treatment will look and feel MOST like your natural teeth. you can floss normally, you won’t have a pontic, etc. disadvantage….one more implant probably tacks $ 2000 or so onto the total of your dental fee.
My suggestion, to be honest, is to not worry about either procedure until you’re done w/ medical school and you have some kind of stable income! I mean, you’re saying, “I can’t afford both at once…” I have honestly well-off patients who would have a tough time affording one at a time over five years! But maybe you have other income, financial resources etc.
if you want to send me another email w/ your email, feel free and we can exchange info “normally.”….. hope I’m helping!
Dental Implant vs. Bridge?
I’ve had a tooth pulled, lower left, one of the large molars. The denstist gave me two options; either a dental implant or a bridge, of course the dental implant cost more. The quote I was given was Dental Implant: $ 3, 717.90 (Total cost for the entire procedure) Bridge: $ 2,844.00 (Total Cost for whole thing) This includes their 10% discount and I have NO INS. and it’s for only 1 tooth-large morlar in the lower left back). I’ve also heard of CareCredit, is this excellent, do they go by how much you make per year? I have a deep dread of dentist and am very araid of either procedure.
If its at the back of your mouth….I’d stay away from both. No one sees it back there.
If you are only missing one tooth in your mouth – and an invisible one at that, I can’t imagine any reason other than the dentist’s bank balance why he would suggest either an implant or a bridge.
Billions of people go through life missing more than one tooth. Live with it.
You can sign on to AmeriPlan on a month-by-month basis, and your prexisitng condition would be discounted. You can find a provider in your area and also find the associated fee schedule/discount schedule so you will know what you’ll pay. You can check out their website ay www.reducedcosts.info.
Since you have to eat I would get the problem fixed. your health is worth it.
first remember you lost 4 roots and need a supportive structure to accommodate the load once applied to apply the load to the other teeth is not how much pressure they were made for the best answer is gold only due to the low wear and long term of this material if your a smoker your risk is high it wont inti grate or bond to your bone to start with if your not i would get the implant also evaluate the 2 roots in front and 4 in back of it all indicates implant excellent luck excellent question, the back teeth behind are putting pressure forward and you need to also remember the upper teeth all touch the tooth below so not to replace something to the arch will disturb the whole of both arches and time is of your immediate concern.to not react is in my opinion is just a long term disaster that is guaranteed to happen
Dental implant VS bridge?
My dentist said I have bone loss therefore a bridge is the way to go, I can afford an implant, I despise to mess with two healthy teeth (front) to get the bridge, is there any other way I could get something similar to an implant?
Question your dentist about a Maryland Bridge. Only the backs of the teeth are prepared to accept the bridge. The bridge is held in place with two metal wings. The wings are not visible from the front.
I am a fan of implants, a bridge will affect healthy teeth nearby. I had bone implant and even a sinus lift done recently, before undergoing the implant, it is expensive and long but worth the wait. your dentist needs to send you to a specialist for the implant and he will determine if there is enough bone and what is required, mine sent me to a special X-ray lab etc to determine bone density (x-ray was $ 100)
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dental question bridge vs implant?
front tooth needs to be extracted #9 and #8 had been broken years ago and bonded so would it be best to get an implant on 9 and crown on 8 or should i get a bridge which would have 3 teeth involved 8,9,10
tooth 10 is healthy but both 8 and 10 would have to be crowned with a fake tooth in between.
it would be a 3 tooth unit where as an implant and a crown wouldn’t affect a healthy tooth
my dentist not compulsory i get the bridge since we already have to crown #8 anyways
please help me make my choice
Thank you for your helpful in rank. It has certainly helped me. Would you still get an implant if you had to have a sinus lift? How common are those? I also heard that an implant can last from 15 years to a lifetime so I am wondering what would have to be done if the implant didn’t last a lifetime. Would they have to completely reinstall it or just replace the crown?
Implant #9 and crown #8- leave #10 alone (healthy teeth should be left alone when you can- especially in the front of your mouth)
The reasons I recommend an implant over a bridge are-
1. implants are the most natural (I know sounds weird) tooth substitution. The body is very accepting of them and over 20 yrs they have a 90% retention rate vs. bridge 25%.
2. If something were to go incorrect with #9 it is a single tooth and you can deal with a single tooth much better than having to recrown/reconstruct 3 front teeth.
3. Implants are MUCH simpler to clean around and keep the surrounding bone and gum tissue healthy. Bridges can be hard to completely floss under and patients tend to get some level of periodontal disease around the teeth that support the bridge (in your case #8, #10).
4. Implants retain the level of jawbone- bridges do not. If you choose to get a bridge you will continue to lose bone where the missing tooth is (making what is called a bony defect). It can change the fullness of your bone structure in the upper lip area. If you choose to have an implant placed after a bridge you will need to have a bone grafting material place to ‘bulk up’ the remaining bone.
5. You can do #8 and #9 at the same time and get the same color of crown making it look very natural. You wont have to shave down a noteworthy part of a healthy tooth (#10) to support a bridge. I despise to tell you that even at the best cosmetic dentist a bridge NEVER looks as natural as an implant (and we’re talking your front teeth…)
Implants are more expensive than bridges (usually around $ 3200 implant post/abutment/crown). And then you’d still pay for #8 to be crowned.
Bridges can be less expensive… so if cost is your ONLY concern, go with the bridge.
A lot of in rank, I realize. Bottomline- if it were my front teeth I would certainly go with an implant on #9 and crown #8. Leave #10 healthy and pleased for a lifetime.
Excellent luck!
**sinus lifts are really common… although not for #9. The sinus lifts are generally done in the molar areas (where the sinus will drop into the space of a missing tooth). Did your dentist recommend a sinus lift for your implant of #9?
If something were to go incorrect with the implant, unfortunately it’s usually the implanted post (it will start to have infection or be loose, lose the supporting bone around it). They will really replace the post (and can use the same abutment and crown). VERY rare. You will need to take very excellent care of an implant hygiene wise. Floss every day and brush the gumline very well… see your dentist for all follow up visits. They are an EXCELLENT dental restoration. Hope that helped 
Which one should you prefer dental implant or dental bridge? Learn why you should opt for dental implants? Which dental solution is more reliable and worth the expense. Find out more about alternate dental solutions at www.centralparkperio.com When a tooth is lost and needs to be replaced, two viable options exist. The first is to drill down the teeth on either side of the missing tooth and fabricate what is known as fixed prosthetic bridge or to insert a root-formed, dental implant. In order to make a bridge, the enamel on the abutment teeth needs to be removed. This puts the teeth in jeopardy by making them more vulnerable to dental decay (caries) and possibly the need for a root canal. The more viable alternative is to inerst a titanium dental implant, which is predictable, esthetic, and will outlast a bridge.
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