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Guide

Implant or bridge for a missing tooth?

Both give you a fixed tooth that doesn't come out. The difference is what holds it — and what happens to the teeth beside it.

Medically reviewed by Dr. Rodolfo Rodriguez, DMD · Updated

How each works

  • A dental implant is a post placed in the jawbone, with a crown on top. It stands on its own.
  • A bridge is a false tooth held by crowns on the teeth on either side of the gap, so those teeth are shaped for crowns.

The teeth next to the gap

When the teeth beside the gap are healthy and untouched, an implant is often the more conservative choice, because it leaves them alone. When those teeth already have large fillings or need crowns anyway, a bridge can make sense.

The bone

An implant carries chewing forces into the jaw, which helps preserve the bone where the tooth was. Under a bridge, that bone slowly shrinks.

Time and visits

A bridge is usually quicker: two visits, with a temporary in between. An implant needs a few months to bond with the bone before its crown is made. Sometimes an implant can be placed the same day a tooth is removed; other times the site needs to heal or be grafted first.

Cleaning

An implant crown is brushed and flossed like a natural tooth. A bridge needs cleaning underneath, with a floss threader or a water flosser, and the teeth holding it can still decay at the edges of their crowns.

How long they last

With good care, implants are designed to last many years. Bridges last well too, but are more likely to need replacing over time, often because of a problem with one of the teeth holding them.

How to choose

What matters is the health of the neighboring teeth, how much bone you have, your general health and your preference. When your health and bone allow it, we recommend an implant. An exam and a 3D CBCT scan taken here in the office make the choice clear. Options for replacing missing teeth compares every option.

FAQs

Is an implant more expensive than a bridge?
An implant usually costs more up front. Because a bridge means crowning two or more teeth, compare the full plans, not one number. You get a written plan with the total, and financing is available; see Insurance & membership.
Can I get an implant if the tooth was lost years ago?
Often, yes. The bone shrinks after a tooth is lost, so you may need a graft first. The 3D scan shows exactly what is there.

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