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?
Can I get an implant if the tooth was lost years ago?
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