Dental Implants: Q&A

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Dental Implant Bridge vs Crown?

Apologies for using Irish/Canadian dental numbering but here's the question: Terrible teeth with multiple fillings & root canal treatments. After many failed crowns I had 14 (upper rt 4) implanted 2yrs ago-final crown only 9 months ago. 15 was extracted & bridged with a cantilever off 16 but the 6 is heavily filled, missing palatal side & has a sinus to gum. Oral surgeon wants to extract 6 and bridge 16 to 14. I'm terrified about longevity & will require sinus graft. Is it best option?

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10 Doctor Answers | Asked by Corkgirl in Toronto, ON

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Dental implants are superior to bridges

It would be helpful to know the exact teeth that are being questioned and see a current X-ray and scheme of your occlusion (bite). These diagnostics are important in the best treatment alternative and recommendations. Generally, it is best to use implants to support crowns and bridges and avoid combining them with natural teeth. Please feel free to send your X-ray for a more precise and relevant advice.

H. Ryan Kazemi, DMD

1 review

Bethesda Oral & Maxillofacial Surgeon

www.facialart.com

Bridges or Implants

Today, it's often better and less expensive long term to have successful implants rather than complicated dentistry on questionable teeth. Dentists usually try not to combine implants and teeth with bridges, but I have seen cases where this was successful. A second opinion would be a good idea here since it's impossible to be more specific without an exam and x-rays.

Paul D. Kantor, DDS

16 reviews

Cleveland Cosmetic Dentist

Implants vs Bridges

I almost always recommend going with the implant over a bridge. In the case where aesthetics are concerned, a bridge can be more predictable. As for longevity, I believe the implant will likely win. Most implant decisions boil down to cost, so if you can afford it (and wait for the tooth to come) I would say go with the implant.

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Dental Implant or Bridge?

Every situation where one has to fill the missing tooth space is unique and needs a number of considerations addressed to find the right answer. You sound like you have had ongoing trouble with failing crowns (that problem may need to be addressed separately by your dentist). In your situation, if the teeth are strong enough, a bridge is still a good solution. It's a relatively fast process-like the crown making process that you have had before. IF you are having on-going... more

Implants offer best long term results

Anytime a cantilever is involved, the potential for failure of that cantilever is significantly higher than any other restorative treatment option we can offer to patients. Based on the fact that 16 is heavily filled, missing the palatal side, AND is currently being used as a cantilever, I agree with your oral surgeon that bridging 16 to 14 is the best option, assuming that placing an implant in 15 is not an option. Sinus lifts/grafts are fairly routine and in the... more

Implant supported bridges are among the best treatments

Chewing forces on teeth with many fillings and a history of failing restorations leads to tooth loss. Implants are among the most predictable and longest lasting treatments. The advice of your surgeon is exactly how I would advise.

Dental Implants, dental bridges, All-on-4

These are challenging questions to answer without knowing more information. Even knowing your age will help. Why did all the other work fail? Bite problems? TMJ? Grinding? Generally speaking, dental implants are an excellent treatment choice in cases of missing teeth or to replace very badly broken down teeth. The challenge that implant dentists face is whether to restore the badly broken down tooth and hope it will last a reasonable amount of time or recommend a dental implant... more

Implant Bridge vs Crown

Hello, Only with a complete clinical exam and full mouth X-ray and I could give you a good answer. Thank you, Dr. Barba

Implant concerns..

With this type of treatment we cant really give you a well defined consultation. For this type of case you would need to be in a dental chair so we can check the bite,,oral health,,periodontal issues and bone density. Sinus lifts are normal as a pretreatment for implants..Get a second opinion,that would be best..

Implants vs Bridges

Your question has many facets but in general, it is always preferable to save natuaral teeth if they have a good long-term prognosis. If they do not, implants and implant bridges have a hight success rate.

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