Alternatives to dental implant-supported tooth replacements

Leave a gap

Lowest initial cost option but may be aesthetically unsightly, depending on position in the mouth
May impair ability to chew, smile and speak normally
Bone in the gap shrinks (withers) due to resorption by the body as a consequence of not being used, and as a result the gum drops in as well
Bone shrinkage can contribute to instability and lateral movement of the adjacent teeth
The opposite tooth/teeth in the other arch (jaw) will ‘erupt’ out of alignment due to the absence of masticatory (biting) force in the gap
Teeth on either side can ‘drift’ as they are not held securely by a tooth. This can lead to food trapping and decay, this can create a ‘domino’ effect on many teeth

Initial outlay less than an implant-supported restoration, but the bridge will need to be replaced from time to time due to wear and tear and to maintain good aesthetics
Bridge can come loose leading to decay on the supporting teeth
Adjacent teeth (often perfectly healthy) need to be filed down to attach the bridge
Additional stress on supporting teeth may contribute to their early failure
Bone shrinks beneath bridge due to lack of use, leaving an unsightly gap which can trap food
Bone shrinkage beneath the bridge can contribute to instability of the adjacent teeth

Initial outlay less than an implant-supported restoration
Pressure on the gums beneath the denture reduces the blood supply which can increase the rate of bone shrinkage through resorption (withering)
Needs to be regularly replaced or relined
May need denture adhesive to prevent movement
Bone shrinks beneath denture due to lack of use
Can be uncomfortable to wear, very often poorly tolerated
May have significantly impaired speech, chewing and confidence
Can be embarrassing and lead to levels of low self-esteem
Often reported as not being ‘part of one’
Lower dentures often so uncomfortable and loose only worn as a necessity

Initial outlay less than an implant-supported restoration, but will require replacement from time to time
Bone shrinks beneath denture due to lack of use
Can impair normal speech, eating and confidence
Fixing attachments (clasps) can damage adjacent teeth

ALWAYS DISCUSS THE TREATMENT OPTIONS FOR YOUR CASE WITH A COMPETENT DENTIST

Page compiled with assistance from Dr Dermot McNulty