Which Is Better in Sri Lanka?
When a tooth is missing, patients in Sri Lanka are usually offered two main options:
Dental Bridge
But which one is better?
The answer depends on:
Bone condition
Budget
Long-term goals
Adjacent teeth condition
Overall oral health
In this article, we will compare both options clinically, financially, and long-term — using global research and Cayo Dental’s treatment approach.
What Is a Dental Implant?
A dental implant is a titanium post placed into the jawbone. After healing (usually 3–6 months at Cayo Dental), a crown is attached to replace the missing tooth.
The implant functions like an artificial tooth root.
What Is a Dental Bridge?
A bridge replaces a missing tooth by:
- Shaving down the two adjacent teeth
- Attaching an artificial tooth in between
- Placing crowns on them
It “bridges” the gap using neighboring teeth for support.
Implant vs Bridge – Direct Comparison
| Factor | Dental Implant | Dental Bridge |
|---|---|---|
| Requires surgery | Yes | No |
| Affects adjacent teeth | No | Yes (teeth must be trimmed) |
| Preserves jawbone | Yes | No |
| Longevity | 10–20+ years | 7–10 years average |
| Maintenance | Like natural tooth | Harder to clean under bridge |
| Risk of bone loss | Low | Higher over time |
| Healing time | 3–6 months | 1–2 weeks |
| Long-term cost | Often lower | May require replacement |
Bone Preservation – The Hidden Difference
When a tooth is removed:
The jawbone in that area slowly shrinks.
An implant stimulates the bone, preventing shrinkage.
A bridge does not replace the root, so bone resorption continues underneath.
Over years, this may cause:
- Gum recession
- Bridge loosening
- Aesthetic problems
This is one of the biggest long-term differences.
Longevity Comparison
According to research indexed in PubMed:
- Dental implants often survive 10–20+ years
Bridges may require replacement after 7–10 years
This means bridges may need multiple replacements over time.
At Cayo Dental, implant crown placement is typically done after 3–6 months healing, ensuring stable integration before loading.
Cost Comparison in Sri Lanka
Bridges often appear cheaper initially.
However:
If a bridge lasts 8 years and must be replaced twice over 20 years, total cost may exceed a single implant.
Additionally, if a supporting tooth under a bridge fails, more complex treatment may be needed.
Implants protect neighboring teeth.
Bridges rely on them.
When Is a Bridge Better?
A bridge may be recommended when:
- The patient does not want surgery
- Adjacent teeth already require crowns
- Bone volume is insufficient and grafting is not preferred
- Medical conditions make surgery risky
At Cayo Dental, case selection is done using CBCT planning before recommending implants.
Approximately 20% of implant cases require bone grafting. If grafting is declined, alternative restorative options like bridges may be considered.
Risk Factors That Influence Decision
At Cayo Dental patient profiles show:
smokers
0
%
diabetic patients
0
%
These conditions may influence healing after implant surgery.
However, controlled diabetic patients and moderate smokers can still achieve successful outcomes under proper protocol.
Surgical vs Non-Surgical Consideration
Implants involve minor surgery under local anesthesia.
Bridges do not involve surgery — but they permanently alter healthy adjacent teeth.
This is a critical long-term consideration.
Once healthy teeth are shaved for a bridge, that structure cannot be restored.
Cleaning & Maintenance
This is the most important distinction.
Implants:
- Clean like a natural tooth
- Require brushing + flossing
- 6-month review recommended
Bridges:
- Require special floss threaders
- Harder to clean underneath
- Higher plaque retention risk
Poor cleaning increases gum disease risk around bridges.
Cayo Dental Clinical Comparison
| Clinical Area | Bridge | Implant at Cayo |
|---|---|---|
| Bone preservation | ❌ | ✅ |
| Adjacent tooth damage | Yes | No |
| Digital 3D planning | Not required | CBCT-based planning |
| Healing period | Minimal | 3–6 months |
| Long-term stability | Moderate | High |
| 6-month review protocol | General | Structured review |
Cayo Dental emphasizes long-term stability when recommending implants.
However, treatment is always personalized.
Frequently Asked Questions
Is implant surgery painful?
Most patients report mild discomfort only.
Which lasts longer?
Implants generally last longer than bridges.
Are implants always better?
Not always. Case selection matters.
Can smokers get implants?
Yes, but risk is higher and counseling is required.
Is a bridge cheaper?
Initially yes. Long-term cost may differ.
Final Verdict – Which Is Better?
If long-term durability, bone preservation, and adjacent tooth protection are priorities:
Dental implants are often superior.
- If surgery is not preferred or adjacent teeth already need crowns:
A bridge may be suitable.
The decision should be based on:
- Clinical evaluation
- Bone assessment
- Medical condition
- Long-term goals
At Cayo Dental, both options are explained transparently so patients can make informed decisions.