Comparing Dental Bridges and Dental Implants

restorative dentist midtown new yorkDentistry has made leaps in technology such that patients with missing or damaged teeth now have several effective treatment options available to replace their missing teeth and restore the functionality of their smiles. Although dental bridges are the long established and currently less expensive option for replacing missing teeth and restoring your smile, dental implants are fast outpacing them in popularity. But what is the difference between a dental bridge vs. implant? And which tooth replacement option is right for you?

Most dentists including Dr. Brad Gorsky in Manhattan, NY prefer implants due to their strength, durability and ease of care. However, a number of factors need to be taken into consideration, including if your tooth loss is recent or happened years ago.

Practical Reasons for Both

In the past, a dental bridge was the best available treatment for a missing tooth or multiple missing teeth. A dental bridge replaces the missing tooth with a crown, a cap that is designed to resemble a tooth, that is held in place by two adjacent teeth which are also crowned in the process. However, the preparation for mounting the crown involves removing most of the enamel from the adjacent teeth in order to attach the bridge that will hold the crown in place. With dental implants, Dr. Gorsky will install the base of the implant directly into the jaw bone resulting in a prosthetic tooth that is stronger and permanent.

If the neighboring teeth have numerous fillings or are suffering from severe tooth decay, a dental bridge may be the preferred option since the crowns that will support the bridge (known as abutments in dental terminology) can also resolve the issues with these damaged teeth. If the missing tooth or teeth were lost some years ago, the gum and bone tissues that once supported them may have eroded and procedures to strengthen these tissues — such as bone grafts- may be necessary before placement. The advantages and disadvantages to both procedures can ultimately be elaborated on by Dr. Gorsky at a consultation.

Your Oral Care Routine

Your ability to perform routine daily oral care will be easier with an implant. Dental bridges are cemented in the mouth, and involve at least three crowns permanently connected together to fill the space of the missing tooth. This design can make brushing and flossing difficult, so it is important to be thorough when cleaning.

Flossing can be particularly challenging as it will require an additional step to thread the floss under the false tooth in order to prevent gum disease from getting a foothold. Implants replace teeth individually without altering your neighboring teeth. You can brush and floss around an implant just like you would your natural teeth, making routine oral hygiene much easier and more effective.


Dental implants last you longer than bridges — possibly a lifetime. Due to the fact that the implant screws are made of titanium, the implants themselves are immune to decay. The titanium naturally bonds with your jaw bone tissue through a natural process called osseointegration. However, while the implant itself is resistant to decay, you must still care for your gums and surrounding teeth or you may still be at risk of implant failure.

On the other hand, the average life of a dental bridge, is only about 10 years at which point the entire bridge will need to be replaced due to normal wear and tear. Also, because a portion of your living natural teeth are beneath the crowns that support the bridge, tooth decay and gum disease will continue to be concerns.

Cost Comparison

Dental bridges may be less expensive initially but, since they will probably need to be replaced several times over the rest of your life, they may cost you more in the long run. Implants – from initial preparation to final placement – are more expensive, but the implant itself will last for decades if properly maintained. Additionally, many dental insurance providers will pay for the crown of your implant to be replaced.

Dental Implants in Manhattan, NY

Whichever treatment you and your dentist decide is best for you is better than being than living with the embarrassment and difficulty that accompany life with missing teeth. Although bridges are the established and initially more affordable tooth restoration method, dental implants are becoming more and more popular due to their durability and ease of care.

If you are considering dental implants, you will want to see a trusted dentist in your area for the procedure. Dr. Brad Gorsky of Manhattan, NY is a skilled professional with over 20 years in practice. For a consultation with Dr. Gorsky about dental implants or any other dental concern, please call 212.235.1769 or  schedule a consultation online today!