Bridges vs Implants: Best Options for Missing Teeth Near Wisdom Tooth

Should I get a dental bridge or dental implants for the two missing teeth in front of my wisdom teeth?

I have two missing teeth in front of my wisdom tooth, which were connected by a bridge of four teeth.
Now, due to periodontal treatment, all my crowns have been removed.
However, the doctor does not recommend making another four-tooth bridge, stating that the failure rate is high and it would require additional costs later.
Instead, he suggests orthodontically moving the wisdom tooth to the front position to support a three-tooth bridge, which would have lower load-bearing capacity.
This option costs around $50,000 and may take about a year, which could be challenging.
Alternatively, I could consider getting two dental implants.
Both options would likely have a longer lifespan than a long bridge.
I am confused about why moving a single tooth would be so expensive.
The doctor strongly recommends implants, but the cost for two exceeds my budget, especially since I may need crowns for 18 teeth in total.
Which option would be better? My uncle and his friends have had implants and reportedly experience frequent inflammation and infections years later, leading to regrets.
What should I do? I really want to go back to the four-tooth bridge; is it really not durable? I used it for ten years before.

Yong, 40~49 year old female. Ask Date: 2018/10/20

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Yong,
Hello! (Due to the treatment of periodontal disease, all dentures and crowns have been removed.) Basically, teeth affected by periodontal disease are not suitable for use as abutments unless the treatment is successful (and the teeth are stable).
Otherwise, they may need to be sacrificed for dental implants or removable dentures.
Please communicate more with your physician! Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/10/20

More Info

When considering the best options for replacing missing teeth, particularly in the context of your wisdom tooth area, both dental bridges and implants have their pros and cons. Let's break down the two options based on your situation and the concerns you've raised.

Dental Bridges:
A dental bridge involves creating a prosthetic tooth (or teeth) that is anchored to the adjacent natural teeth. In your case, the bridge would span the gap left by the two missing teeth. While bridges can be a quick and effective solution, they do have some drawbacks.
1. Longevity and Durability: Bridges typically last around 5 to 15 years, depending on factors like oral hygiene and the health of the supporting teeth. You mentioned that your previous bridge lasted about ten years, which is a reasonable lifespan. However, the longevity can be affected by the health of the adjacent teeth, which may require additional treatment over time.

2. Impact on Adjacent Teeth: The process of placing a bridge requires the adjacent teeth to be filed down to accommodate the crowns that will support the bridge. This can potentially compromise the health of those teeth, leading to further dental issues down the line.

3. Cost and Time: While the initial cost of a bridge may seem lower than implants, it's essential to consider the long-term costs associated with potential replacements or repairs. Additionally, the time required for treatment can vary, but it is generally quicker than implants.

Dental Implants:
Dental implants involve surgically placing a titanium post into the jawbone, which serves as a root for a crown. This option has become increasingly popular due to its durability and the fact that it does not require altering adjacent teeth.

1. Longevity: Implants can last a lifetime with proper care, making them a more cost-effective solution in the long run. However, they do require a healthy jawbone to support the implant, and in some cases, bone grafting may be necessary.

2. Infection and Complications: You mentioned concerns about infections and complications with implants. While it’s true that some patients experience issues, many of these can be mitigated with proper oral hygiene and regular dental check-ups. It's important to choose a skilled oral surgeon or dentist for the procedure to minimize risks.

3. Cost: Implants can be more expensive upfront compared to bridges. However, considering their longevity, they may save you money over time. It's worth discussing payment plans or financing options with your dental provider.

Conclusion:
Given your situation, the decision between a bridge and implants should consider several factors: your budget, the health of your adjacent teeth, your long-term dental goals, and your comfort with the procedures.
If your primary concern is immediate cost and you have had success with bridges in the past, a bridge might be a suitable option. However, if you are looking for a long-term solution and are willing to invest more upfront, implants could be the better choice.

It's crucial to have an open discussion with your dentist about your concerns, including the potential for complications with implants and the longevity of bridges. They can provide personalized advice based on your dental health and preferences. Additionally, seeking a second opinion from another dental professional may also help clarify your options and ensure you make the best decision for your oral health.

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