Implant or bridge - what you always wanted to know ...

What you always wanted to know about bridges and implants: Dr. med. Dr. Manfred Nilius answers the most frequently asked questions on the topic.

When is an implant particularly useful?

With the help of an implant, a firm anchoring is also possible there, where no natural is available. The advantage: The grinding of healthy teeth is superfluous, because the implants are fixed directly in the jaw and not on the tooth walls like a bridge.

In which cases is a bridge still the better solution?

A bridge is the first choice, even if both neighboring teeth are attacked. Because in this case, they are optically supplied with no additional costs.

When should one do without an implant in principle?

In diabetes, leukemia, heart disease or severe immune system disorders implants are recommended only limited. The same applies to certain drugs or drug addiction. In these cases, a conversation with the family doctor is necessary before.

What are the specific disadvantages of both methods?

Implants: As a rule, the costs are higher than with conventional bridges. In addition, it must be drilled into the jawbone, albeit minimally invasively. In the upper jaw pay attention to the paranasal sinus. In the lateral lower jaw area it is important to preserve the sensory nerves.

Bridges: These are often perceived by patients as foreign bodies. They can slip and wobble and do not provide as tight a fit as the implants anchored in the bone. Often, a great deal of tooth substance has to be sacrificed to make a beautiful new crown. In bridges with a metal framework, the dark crown margin often shimmers through the mucous membrane.

Are there risks?

Implants: Wound healing disorders can occur. For smokers, the success rate of currently about 98.8 percent is significantly reduced. Serious risks are unknown.

Bridge: tooth nerve damage with subsequent nerve removal and tooth discoloration. Loss of the tooth and thus loss of the entire bridge. Hygiene problems under the bridge members (cleaning difficult).

Can implants trigger allergies?

Instead of conventional materials such as gold and steel, increasingly "gentler" materials such as "zirconium oxide" ceramics are being used for the implant structure. This is the problem of not rarely occurring metal intolerance of the (treatment) table. And also visually speaks for the new alternative: The previously common with implants gray shimmer is guaranteed no longer an issue.

How long do modern implants and bridges last?

Implants: With proper care, they last a lifetime.

Bridges: 15 years or more.

How is the denture "anchored"?

Implants: A scalpel is superfluous in modern methods. Instead of cutting the mucous membranes, implantologists punch holes. Brand new is the "corkscrew method". Special laser technology and a corkscrew-like thread allow the implant to be anchored with a single, only two millimeter tiny hole. The advantage for the patient: The wound heals faster, swelling and pain are significantly reduced.

Bridges: In addition to a bridge member that spans the gap, two anchor crowns are placed on the teeth left and right of the gap as a holder.

Is an implant possible even with low bone substance?

As a rule, the jawbone of a tooth space provides sufficient substance for an implant with ceramic structure. If this is not the case, then the missing bone can be built up with artificial substitutes and / or endogenous tissue.

How much does the denture cost?

Implants: The implant costs 1, 500 to 2, 500 euros, plus the structure and crown.
Bridges: from 1, 500 euros.

Does the cashier pay part of the costs?

Yes, there is a fixed allowance, but only for the crown. The costs of implantation are usually not subsidized by health insurances.

What should I pay attention to when choosing a doctor?

If one decides in favor of an implant, then the oral surgeon or dentist should be able to present a training as implantologist.

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