Is a Dental Bridge Suitable for Missing Teeth with Implants? - Dentistry

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Is this situation suitable for a dental bridge? What are the risks involved?


In a situation where one side has a natural tooth and the other side has a dental implant, is it suitable to use a dental bridge? Is there a higher risk of future tooth fracture? What is the doctor's recommendation? Thank you!

JK, 50~59 year old female. Ask Date: 2020/05/06

Dr. Lin Jiayong reply Dentistry


Hello: It is important to consider the condition of the bone surrounding the edentulous area as well as the condition of the natural teeth themselves, so it is best to discuss this with the surgeon.
Thank you!

Reply Date: 2020/05/06

More Info


When considering whether a dental bridge is suitable for a situation where one side has a natural tooth and the other side has an implant, several factors must be taken into account. The primary considerations include the condition of the surrounding teeth, the health of the gums and bone structure, and the overall dental health of the patient.

Firstly, a dental bridge typically requires healthy teeth on either side of the gap to serve as anchors. In your case, with one side being a natural tooth and the other an implant, the bridge can technically be placed, but it is crucial to evaluate the health and stability of the natural tooth. If the natural tooth is strong and healthy, it can potentially support a bridge. However, if there are any underlying issues, such as gum disease or decay, this could compromise the success of the bridge.

Secondly, the condition of the bone surrounding the implant is vital. If the bone is healthy and has integrated well with the implant, it can provide a stable foundation for the bridge. However, if there is bone loss or instability around the implant, this could lead to complications down the line. The risk of fracture or failure of the bridge may increase if the supporting structures are not robust.

Moreover, the alignment and occlusion (bite) must be considered. If the natural tooth and implant are not properly aligned, placing a bridge could lead to uneven pressure during chewing, which may increase the risk of damage to the natural tooth or the implant.

In terms of longevity, dental bridges can last several years, but they do require good oral hygiene and regular dental check-ups to ensure they remain in good condition. The presence of an implant on one side and a natural tooth on the other may complicate cleaning and maintenance, as the bridge can create areas that are difficult to access, potentially leading to plaque buildup and gum disease.

Given these considerations, it is advisable to consult with your dentist or a specialist in prosthodontics. They can conduct a thorough examination, including X-rays, to assess the health of your natural tooth, the condition of the implant, and the surrounding bone structure. They can also discuss alternative options, such as a partial denture or additional implants, which may provide a more stable and long-term solution.

In conclusion, while a dental bridge can be placed in your situation, it is essential to evaluate the health of the natural tooth and the implant thoroughly. The decision should be made collaboratively with your dental care provider, considering all factors to ensure the best outcome for your dental health. Regular follow-ups and maintaining excellent oral hygiene will be critical to the success of whichever option you choose.

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