Replacing a missing tooth: implant, bridge or denture?
Short answer
There are three main ways to replace a missing tooth: a dental implant, a bridge or a partial denture. An implant replaces the root and does not involve the neighbouring teeth, a bridge is fixed to the teeth either side of the gap, and a partial denture is removable. The right choice depends on your bone, the neighbouring teeth, your health and your budget, so talk it through with your dentist.
The three options compared
| Implant | Bridge | Partial denture | |
|---|---|---|---|
| Fixed or removable | Fixed | Fixed | Removable |
| Neighbouring teeth | Not involved | Usually crowned or bonded | Clasps rest on them |
| Surgery | Yes | No | No |
| Treatment time | Longer, with healing time | Shorter | Shorter |
| Supports the jawbone | Yes | No | No |
A missing front tooth
For a front tooth, appearance matters most. An implant crown can look very natural when there is enough bone and gum. A Maryland bridge, bonded to the back of the neighbouring teeth, is a conservative option when those teeth are healthy. Read what is a dental bridge for the types of bridge.
Implant or denture?
A partial denture is the simplest and usually the most affordable way to replace one or more teeth, but it is removable and covers part of the mouth. An implant is fixed and feels more like a natural tooth. Where several teeth are missing, implants can also hold a denture in place. See implant-supported dentures.
Comparing cost
Costs vary by clinic and case. A partial denture usually costs the least up front. An implant usually costs more up front than a bridge, but it does not rely on the neighbouring teeth. Ask your dentist to quote the options side by side, and read what affects dental implant cost.
Is a dental implant worth it?
For many people an implant is a good long-term choice because it is fixed, leaves the neighbouring teeth alone and helps preserve the jawbone. It is not right for everyone: it needs surgery, enough bone and good general health. Your dentist can explain whether it suits you.
Frequently asked questions
Is an implant better than a bridge?
Neither is better in every case. An implant leaves the neighbouring teeth untouched and supports the bone, while a bridge avoids surgery and is usually quicker. Your dentist will recommend what suits your mouth.
Which is cheaper, an implant or a bridge?
It varies by clinic and case. Ask your dentist to quote both options side by side.
Can I have a partial denture while waiting for an implant?
Often yes. A temporary partial denture can fill the gap while the implant heals.