Dental implants are a highly recommended and durable solution for replacing missing teeth, renowned for their stability and natural feel. The information presented in this blog post is grounded in established dental knowledge and is continuously informed by ongoing research in the field of tooth replacement. However, they aren’t the only path to a complete and confident smile. Many individuals explore alternatives to dental implants for various reasons. Perhaps the cost is a concern, a medical condition makes implants less suitable, or there’s a preference to avoid surgery. Whatever the reason, it’s important to know that excellent tooth replacement options exist. Whatever the reason, it’s important to know that excellent tooth replacement options exist.

At Maltepe Dental Clinic in Istanbul, we understand that every patient has unique needs and circumstances. That’s why we offer a comprehensive range of dental implant alternatives, ensuring everyone can find a solution that restores their smile and oral health. In this blog post, we will explore 7 effective alternatives to dental implants, outlining their benefits, considerations, and suitability, helping you make an informed decision about your tooth replacement journey.

What are the 7 Alternatives To Dental Implants?

Here are the 7 alternative options for dental implants:

• 1. Dental Bridge
• 2. Implant-Supported Bridge
• 3. Resin-Bonded Bridge
• 4. Dentures
• 5. Dental Flipper
• 6. Root Canal Treatment
• 7. Gum Disease Treatment

1. Dental Bridges: A Fixed Alternative for Missing Teeth

Dental bridges are a fixed (non-removable) solution to replace one or more missing teeth. A traditional bridge works by anchoring a false tooth (pontic) to the adjacent natural teeth (abutment teeth), which are crowned for support.

Types of Dental Bridges:

• Traditional Bridges: The most common type, involving crowns on abutment teeth and a pontic in between.
• Cantilever Bridges: Used when there are abutment teeth only on one side of the missing tooth gap.
• Maryland Bridges (Resin-Bonded Bridges): See section 3 below.

Pros of Dental Bridges:

• Fixed Solution: Bridges are permanently cemented in place, providing more stability than removable dentures.
• Natural Look and Feel: Bridges can be made to closely match the appearance of natural teeth.
• Restores Chewing Function: Effectively fills gaps, restoring the ability to chew and speak properly.
• More Affordable than Implants: Dental bridges typically represent a mid-range cost option, being more affordable than dental implants.
• Less invasive than dental implants

Cons of Dental Bridges:

• Requires Healthy Abutment Teeth: Relies on healthy adjacent teeth for support, which need to be prepared (shaved down) for crowns.
• Potential Stress on Abutment Teeth: Abutment teeth bear extra load.
• Not as Long-Lasting as Implants: May need replacement sooner than dental implants.
• Bone Loss: Similar to dentures, bridges do not prevent bone loss in the jaw at the site of the missing tooth.

Suitability
Dental bridges are often ideal for those missing one or a few consecutive teeth when there are healthy adjacent teeth to support the bridge.

While dental bridges have been in use for a long time, their effectiveness is supported by evidence. A comprehensive Cochrane review of long-term studies found that tooth-supported bridges show acceptable survival rates, with approximately 80% lasting for 10 years and 70% after 15 years [Pjetursson et al., 2015]¹.

To learn more about the pros and cons of dental implants compared to dental bridges, see our blog post: ‘Which One is Better: Dental Implant or Bridge?‘

2. Implant-Supported Bridges: Combining Bridges with Implant Stability

Implant-supported bridges offer a stronger and more stable alternative to traditional bridges by utilizing dental implants for support instead of relying solely on adjacent natural teeth. Implants are surgically placed into the jawbone, and then a bridge is attached to these implants to fill the missing tooth gap.

Pros of Implant-Supported Bridges:

• Increased Stability and Support: Implants provide superior stability and support compared to traditional bridges, as they are anchored in the bone.
• Preserve Adjacent Teeth: This does not require altering or stressing adjacent natural teeth like traditional bridges.
• Bone Preservation: Implants help stimulate and preserve jawbone, preventing bone loss in the area of the missing teeth.
• Long-lasting: Implants are highly durable and long-lasting, making implant-supported bridges a robust long-term solution.

Cons of Implant-Supported Bridges:

• More Expensive than Traditional Bridges: Involves the cost of dental implants, making them more expensive than traditional bridges (though often less than individual implants for each missing tooth if multiple teeth are being replaced with a bridge).
• Surgical Procedure: Requires implant surgery, which carries associated risks and healing time.
• Treatment Time: The overall treatment process can take longer than traditional bridges due to the implant placement and healing phase.

Suitability: Implant-supported bridges are a good option for patients missing multiple teeth who desire a fixed, stable, and long-lasting solution and are willing to undergo implant surgery.

To learn more about dental bridges, see our blog post: ‘Dental Bridge: Definition, Types, Who Needs It, Cost and Treatment‘

3. Resin-Bonded Bridges (Maryland Bridges): A Minimally Invasive Tooth Replacement Option

Resin-bonded bridges, also known as Maryland bridges, are a more conservative type of bridge. They are often used to replace a missing front tooth. Instead of crowns, resin-bonded bridges use metal or ceramic “wings” bonded to the adjacent teeth’ back surfaces, supporting the pontic.

• Pros of Resin-Bonded Bridges:
  • Minimally Invasive: Requires less alteration of the abutment teeth compared to traditional bridges. Sometimes, minimal to no tooth preparation is needed.
  • More Affordable than Traditional Bridges and Implants: Resin-bonded bridges are often less expensive and significantly less expensive than implants.
  • Faster Procedure: This can typically be completed in fewer dental visits than traditional bridges or implants.
• Cons of Resin-Bonded Bridges:
  • Less Strong than Traditional Bridges: This may not be as durable as traditional bridges, especially for back teeth or areas with heavy bite force.
  • Bonding Can Fail: The bonding to abutment teeth can sometimes fail, requiring re-bonding or alternative solutions.
  • Appearance: The metal or ceramic wings can sometimes be visible through the abutment teeth, especially in certain lighting.
  • Suitability Limited: Best suited for replacing single front teeth and where bite forces are not excessive.
• Suitability: Resin-bonded bridges are often a good option for replacing a single missing front tooth, especially in teenagers or young adults, as a temporary or more conservative solution.

Resin-bonded bridges are recognized for their minimally invasive nature. A systematic review in the Journal of Dentistry highlights them as a cost-effective option, especially for front teeth, though noting potential long-term mechanical complications [Dermata et al., 2017]².

4. Dentures: A Cost-Effective and Removable Dental Implant Alternative Dentures

Dentures are one of the oldest and most widely recognized solutions for replacing missing teeth. They are removable appliances designed to replace either a full arch of teeth (complete dentures) or several teeth (partial dentures). Dentures rest on the gums and are custom-made to fit the individual’s mouth.

• Types of Dentures:
  • Complete Dentures: Replace all teeth in an upper or lower jaw or both.
  • Partial Dentures: Fill gaps when some natural teeth remain, often secured with clasps to existing teeth.
  • Implant-Supported Dentures: While we are discussing alternatives to implants, it’s worth noting that dentures can also be supported by implants for increased stability. However, traditional dentures are a standalone alternative.
• Pros of Dentures:
  • Affordability: Dentures are generally considered one of the most affordable tooth replacement options, significantly less expensive than dental implants.
  • Non-Surgical: No surgery is required for traditional dentures, making them a less invasive option.
  • Versatile: Suitable for replacing multiple teeth or entire arches.
  • Improved Facial Aesthetics: Dentures can provide support for facial muscles, improving facial contours and appearance.
• Cons of Dentures:
  • Stability: Can be less stable than implants, potentially slipping or shifting, especially lower dentures.
  • Maintenance: Require daily cleaning and removal at night.
  • Comfort: May take time to get used to and can sometimes cause initial discomfort or irritation.
  • Bone Loss: Unlike dental implants, do not prevent bone loss in the jaw.
• Suitability: Dentures can be a good solution for individuals missing many or all teeth on an arch, those seeking a more affordable option, or those for whom surgery is contraindicated.

Research supports the ongoing role of conventional dentures. A 2021 systematic review in the Journal of Prosthodontic Research concluded that conventional dentures remain a viable and cost-effective option, particularly in settings where resources are limited [Elsharkawy & ElShenawy, 2021]³.

To learn more about different types of dentures, see our blog post: ‘Different Types Of Dentures: Which One Is Right For You?‘

5. Flipper Tooth (Removable Partial Denture – Temporary): A Short-Term Aesthetic Fix

A “flipper tooth” is a type of removable partial denture, typically made of acrylic, designed as a temporary and immediate solution for replacing one or a few missing teeth, especially in the front. They are often used while waiting for a more permanent solution like an implant or bridge.

• Pros of Flipper Teeth:
  • Quick and Easy Solution: This can be fabricated and delivered quickly, providing immediate tooth replacement.
  • Affordable: Generally less expensive than other tooth replacement options.
  • Aesthetic Improvement: Primarily designed to restore appearance in the short term, especially for missing front teeth.
  • No Preparation of Adjacent Teeth: This does not require altering adjacent teeth.
• Cons of Flipper Teeth:
  • Not Very Stable or Functional: Primarily for aesthetics; not designed for heavy chewing and can be less stable.
  • Bulky and Can Be Uncomfortable: Often thicker acrylic base for strength, which can feel bulky and less comfortable for some.
  • Fragile: Typically made of acrylic, which can be more prone to breakage than other denture materials.
  • Short-Term Solution: Not intended for long-term use and should be replaced with a more permanent option.
• Suitability: Flipper teeth are best suited as a temporary aesthetic solution for missing teeth, particularly front teeth, while waiting for a more permanent tooth replacement option or as a very short-term solution.

6. Root Canal Treatment

Root canal treatment is a less invasive and more affordable alternative to dental implants. Root canal treatment is a dental procedure that is used to treat an infected or inflamed tooth. The procedure involves removing the infected or inflamed tissue from the inside of the tooth, cleaning and disinfecting the tooth, and then filling it with a rubber-like material.

Once a tooth has been treated with a root canal, it is still possible to save it. The tooth may need to be crowned to protect it, but it can continue to function normally.

Benefits of root canal treatment as an alternative to dental implants:

• Less invasive: Root canal treatment is a less invasive procedure than dental implant surgery.
• More affordable: Root canal treatment is more affordable than dental implants.
• Preserve the natural tooth: Root canal treatment allows you to keep your natural tooth.

Drawbacks of root canal treatment as an alternative to dental implants:

• Not as durable as dental implants: Teeth that have been treated with a root canal are not as durable as dental implants. They may be more likely to break or chip.
• May require more maintenance: Teeth that have been treated with a root canal may require more maintenance than dental implants. They may need to be recrowned periodically.

7. Gum Disease Treatment

Gum disease is a common infection of the gums that can lead to tooth loss. It is caused by a buildup of plaque and bacteria on the teeth and gums. If not treated, gum disease can damage the gums, bones, and ligaments that support the teeth.

As an effective preventive way, gum disease treatment is a good alternative for those not yet suffering from significant teeth loss. Regenerative care given to gums can save teeth from further damage. Of course, any treatment given to gums will not eliminate the existing cosmetic or functional problems with your teeth, but it will stop the infection from spreading throughout the body.

Summary

Selecting the best alternative to dental implants depends on your individual needs, oral health, budget, and preferences. At Maltepe Dental Clinic in Istanbul, our experienced dental team can thoroughly evaluate your situation and discuss each of these alternatives in detail. We will help you understand the pros and cons of each option, considering factors like cost, longevity, aesthetics, and function to guide you toward the most suitable tooth replacement solution for your confident and healthy smile.

Ready to explore your dental implant alternative options? Schedule a consultation with Maltepe Dental Clinic today! 

Frequently Asked Questions About Dental Implant Alternatives

Q: What is the most affordable alternative to dental implants?
A: Generally, dentures, especially complete dentures, are considered the most affordable tooth replacement option. Partial dentures and resin-bonded bridges also tend to be more budget-friendly than dental implants.

Q: Which dental implant alternative is the most durable and long-lasting?
A: While not as durable as dental implants themselves, implant-supported bridges and traditional dental bridges are generally more long-lasting than removable options like dentures. Implant-supported bridges, in particular, offer excellent longevity due to implant support.

Q: Can I get dental implant alternatives if I have bone loss?
A: Many dental implant alternatives are suitable even with some bone loss. Dentures and bridges do not rely on bone integration. For significant bone loss, implant-supported dentures or bridges might still be considered, sometimes with bone grafting procedures if necessary.

Q: How long do dental implant alternatives last?
A: Longevity varies significantly. Dentures may last 5-10 years or more with good care, bridges typically 5-15 years (traditional bridges potentially longer than resin-bonded). Implant-supported bridges and implants themselves have the potential to last for decades with proper maintenance. Flipper teeth and immediate dentures are short-term solutions.

Q: What are the maintenance requirements for dental implant alternatives?
A: Maintenance varies. Dentures require daily cleaning and removal at night. Bridges require diligent oral hygiene, including special tools to clean under the bridge. Implant-supported bridges require maintenance similar to natural teeth and implants. Your dentist will provide specific care instructions for your chosen alternative.

SOURCE:

1. Pjetursson, B. E., Sailer, I., Makarouna, M., Zwahlen, M., Jung, R. E., & Weber, C. V. (2015). All-ceramic and metal-ceramic tooth-supported fixed dental prostheses (FDPs) for single and multiple missing teeth. Cochrane Database of Systematic Reviews, (9), CD009576. Research Organization: University of Bern, Switzerland; University of Geneva, Switzerland; University of Zurich, Switzerland (Multi-institutional study) ↩︎
2. Dermata, A., Bürgers, R., & Hahnel, S. (2017). Clinical performance of resin-bonded bridges—A systematic review and meta-analysis. Journal of Dentistry, 60, 1-14. Research Organization: University of Münster, Germany ↩︎
3. Elsharkawy, I., & ElShenawy, M. (2021). Conventional complete dentures versus implant-retained overdentures: A systematic review and meta-analysis of patient-reported outcomes, clinical and economic aspects. Journal of Prosthodontic Research, 66(1), 1-9. ↩︎