An implant replaces the root of the missing tooth, and the neighboring teeth are left untouched. The bridge rests on the neighboring teeth, which need to be trimmed. That’s why for us the implant is the first choice. Whether we place it right away or first add bone and treat the gums, the examination will show.
What is the difference between an implant and a bridge
The implant is a small titanium screw. Insert it into the bone instead of the root and it supports a new crown. The bridge spans the gap and rests on the teeth next to it. Those need to be trimmed.
That’s why an implant is our first choice. It doesn’t require help from neighboring teeth. And the bone around it doesn’t shrink, because the implant actively stimulates the bone. Before placement, we always check the bone and gums and, if needed, prepare them first.
Implant or bridge: how do you decide based on what?
The bone and gums decide the most. We also consider the neighboring teeth:
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Urgent. If they are inflamed, we first treat them <\/t1> and stabilize them. Then we place the implant.
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Neighboring teeth. If they’re healthy, it’s a shame to trim them for a bridge. An implant leaves them untouched.
What if I have little bone?
Then the bone can be filled. If you need a quick solution, a bridge may come to mind. However, the long-term solution is an implant. What is possible in your case will be shown by a 3D scan. In some cases, 3D navigation <\/t1> can also be used: we place the implant according to a surgical guide that we prepare in advance on the computer.
When do we postpone the implant?
When the gums are inflamed. We can handle that too: first we stabilize the gums with treatment and place the implant a bit later. Similarly with a lack of bone: we first add it. The actual placement of the implant is a quick step. You can find the whole process on the page treatment <\/t1> with implants.
How we do it
At ArtDentistic, we don’t just look at the gap. We examine your entire bite, gums, and even your bite. Then I’ll explain what options you have and why we recommend this exact approach. From the scan to check-ups, you’ll be guided by the same doctor <\/t1>.
How much does it cost?
You won’t find prices in the price list <\/t1>. I’ll tell you the total amount after the examination, once I know whether we need to add bone or treat the gums. Consultation. Not sure what’s more suitable for you? Send us a short description via the contact form <\/t2>. We’ll get back to you within 24 hours and arrange a consultation in Bratislava. Write which tooth is missing and for how long, what you’ve already been offered, and which gums are bleeding. <\/t3>The implant stands or falls with healthy gums. <\/t4>Read when bleeding gums aren’t a trivial matter <\/t5>.<\/t6>
Frequently asked questions
Is it better to get an implant or a bridge?
We recommend an implant. We clean the neighboring teeth, and in the long run it’s a more lasting solution. A bridge comes into consideration as a faster option, for example when there’s little bone and you don’t want to augment it.
How long does a dental implant last?
With healthy gums, good daily oral hygiene, and regular check-ups, it can last for many years. The biggest risk is inflammation around the implant.
Does it hurt to place an implant?
No. The procedure is done under local anesthesia. Afterward, you may feel discomfort for a few days. We’ll discuss the process with you in advance.
Can I get an implant if I have periodontitis?
Yes, but only once the gum inflammation has been treated and is under control. Periodontitis in the past increases the risk of inflammation around the implant, so regular check-ups are important after treatment.
Does the tooth need to be replaced right after extraction?
In an ideal case, yes, because after extraction the bone shrinks, especially in the first few months. If you’re considering replacement, it’s best to discuss it before the extraction.
Article author: Dr. Libor Michna, MSc. Perio, MSc. Impl. Implantologist and periodontologist, ArtDentistic, Bratislava.
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