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THE FOUNDATION OF EXCELLENCE

What’s better: a dental implant or a bridge? – Part 3/3 – Kanata implant crown Dunrobin

July 29, 2021

Dental bridge

What’s better: a dental implant or a bridge?

Keywords: denture, missing teeth, best option for missing teeth, loose dentures, best replacement for missing tooth, dental implant, implant crown, implant bridge, implant denture, implant tooth

In the third part of this dental implant blog series, we will cover in more detail which option is more advisable and why, how to choose between an implant or a bridge, and other options to consider. First part here. Second part here.

The most important thing you can do to ensure you find the right treatment for your missing tooth is to talk to your dentist about what options may be right for you. Your trusted dentist can carefully weigh all of the specific considerations of your situation to make the right recommendation for you.

Dental bridges vs dental implants
Dental bridges vs dental implants

How to choose between an implant and a bridge?

Kanata implant bridge Dunrobin

A dentist can advise you about the best tooth replacement for your situation. The best option for you depends on how many teeth you are missing, your overall health, and your budget.

Investment

The cost of a dental bridge is usually lower at first, but it may need to be replaced in the future. Implants, from preparation to final placement, may seem more expensive, but over time they can be more cost-effective. Fortunately, many dental insurance providers pay for a portion of, or all of, the steps involved. In addition, implant treatment can be more flexible, allowing patients to budget the cost in stages. After extraction, for example, a bone graft is sometimes needed. This graft typically has to heal for several months before implant placement, at which point osseointegration can take anywhere from three to six months before the process is complete.

Practical reasons

In the past, a bridge was often the only choice, and it still involves more than just the missing tooth. The adjacent teeth need to be prepared by removing much of the enamel in order to fabricate the bridge. With dental implants, however, the dentist replaces only the individual tooth for a result that is stronger and permanent. That said, a dental bridge may still be your best option if the neighbouring teeth have large fillings and may need crowns or caps in the future. Also, if the tooth or teeth have been missing for a long time, the gum and bone may have receded and additional procedures may be required before an implant can be placed. The advantages and disadvantages of both procedures should be discussed with your dentist.

Overall health

Dental implants contribute to good dental, oral, and bone health. The jawbone plays a very important role in the procedure because it is needed to support the implants. In some cases, bone loss can be treated with bone grafts. This is often recommended when dental implants would be your best option to help avoid further bone loss.

Dental implants may be a limited option for people with medical conditions that slow down healing, such as diabetes, leukemia, smoking, alcoholism, uncontrolled gum disease, or severe bone loss.

Oral care routine

Your ability to keep your mouth healthy will usually be easier with an implant. Dental bridges are cemented, or fixed, in the mouth and involve at least three crowns connected together to fill the space of the missing tooth. This design creates challenges when brushing and flossing, so extra oral hygiene instruction and meticulous home care are important. When flossing, an additional step is needed to thread the floss under the false tooth. More specialized toothbrushes may also be helpful. In contrast, implants can replace teeth individually without affecting other teeth, making regular home care more manageable. You can brush and floss around an implant much like a natural tooth.

Lifespan

The long lifespan associated with dental implants makes many patients over the age of 40 good candidates for this procedure. Implants may need attention or restoration over time, but they are often expected to last many years. Bridges, while possibly more affordable at first, often need to be replaced every 5 to 7 years, and sometimes may last up to 10 years with proper care and maintenance.

Aesthetics

What about aesthetics? There is not always a simple answer, but your dentist or prosthodontist will be able to advise you. Often, the implant will provide the most pleasing result, as your dentist can make the final tooth look very similar to your natural enamel. Sometimes, an implant can be placed immediately after a tooth extraction, preserving the natural level of bone and improving the final appearance of the dental work.

Other options instead of bridges or implants

Dunrobin implant bridge Kanata

Bridges and implants are not the only options for replacing a lost tooth. Partial dentures and space maintainers may also be used.

Partial dentures

Partial dentures are usually made of plastic and metal. They fill gaps caused by one or several missing teeth.

Partial dentures often resemble your natural teeth and clip to your healthy teeth to stay in place. A dentist may recommend a denture when the teeth surrounding your missing tooth are not healthy enough to support a bridge.

Although they are generally cheaper than bridges or implants, they usually are not as comfortable or stable because they are removable appliances. They may also interfere with eating or speaking and need to be cleaned often.

Space maintainers

Space maintainers may be an option if you cannot afford to replace your tooth right away. They are usually built from metal pieces that prevent the teeth on either side of your missing tooth from shifting. These are commonly used in children to allow adult teeth to emerge unobstructed, or to keep the space of missing teeth open. This helps keep the surrounding teeth from tipping into the space, but it does not prevent bone loss.

Your dentist will want to provide you with the right solution that is as conservative as possible while still providing years of continued use. https://marchwooddental.com/wp-content/uploads/2017/10/movedo-freelancer-feature-03-scaled-1-3.jpg Kanata can help you address missing teeth and develop a treatment plan that is tailored to your needs. Schedule an appointment with an experienced dentist today.

In our next article following this series, we will cover situations when an implant is recommended and what to expect from the procedure. See you in the next article.

https://marchwooddental.com/wp-content/uploads/2017/10/movedo-freelancer-feature-03-scaled-1-3.jpg Clinic specializes in dental implant crowns and aesthetic treatments, focusing on the oral and dental health of patients in Kanata, Dunrobin, Carleton Place, Almonte, Carp, and all of West Ottawa. We offer many treatment options and alternatives using advanced technology to maintain the quality of our service.

Contact us and schedule your appointment at https://marchwooddental.com/wp-content/uploads/2017/10/movedo-freelancer-feature-03-scaled-1-3.jpg Clinic, serving Kanata, Dunrobin, Carleton Place, Almonte, Carp, and all of West Ottawa today. Follow us on Facebook and Instagram for more information.

The Clinic

MARCHWOOD DENTAL Clinic

In 2005, Dr. Bahram Mostaghaci and Dr. Bill Henry met while instructing students at Algonquin College’s advanced restorative hygiene program. Their instant chemistry and philosophy for providing patient-centric dentistry soon led to a professional partnership.

 

Together as partners they established Marchwood Dental on a beautiful property at the corner of Halton Terrace and March Road. The existing Richardson homestead on the property was completely redesigned in 2006, becoming what is now our showcase dental practice.

 

After a ten-year partnership, Dr. Mostaghaci became sole owner in 2016. Dr. Henry continued to work until his eventual retirement in 2025. We are lucky to have a highly caring and talented team of associate dentists who continue to implement our original vision and office philosophy. As always, we remain committed to being on the cutting edge of innovative dental technology, within the heart of Kanata North’s renowned hi-tech hub, while treating all our patients like family.

OUR
GALLERY

The details make the Difference

01

Invisalign Orthodontics

Teatment to align tipped lateral incisor

After

Before

Treatment to align overlapped lateral incisor

After

Before

Treatment to align crowding on lower front teeth

After

Before

02

Implant Crown

Replace missing tooth

After

Before

03

Implant-retained Denture

Increase stability, esthetics, chewing power and comfort

After

Before

04

Ceramic Crown

Repair fractured front tooth

After

Before

05

Composite bonding

Improve aesthetics of four front teeth

After

Before

Close spacing and improve symmetry of lateral incisors

After

Before

Improve shade, alignment and overall aesthetics of front teeth

After

Before

After

Before

DENTAL IMPLANTS

Dental Implants

Dental implants are used to replace missing teeth by supporting a natural-looking restoration. The implant itself is a small titanium post that is placed where the tooth root would normally be, creating a stable foundation for a crown, bridge, or denture.

 

Over time, the surrounding bone and gum tissue can heal around the implant, helping hold it securely in place. Because the implant replaces the missing tooth root, it can restore function without relying on neighbouring healthy teeth for support.

 

Implants may be used to replace a single missing tooth, several missing teeth, or to help improve the retention of full dentures. Treatment suitability depends on each patient’s oral health, bone structure, and overall clinical needs.

VENEERS

Veneers, Bonding & Whitening

Veneers, bonding, and whitening are cosmetic dental options that may help improve the appearance of the smile. These treatments can be considered for concerns such as tooth colour, minor spacing, uneven edges, or the shape of visible front teeth.

 

Professional whitening uses custom-fitted trays and whitening gel that patients can use on a schedule recommended by the dental team. This option may help brighten natural teeth when staining or discolouration is the main concern.

 

Veneers and bonding can be used to adjust the shade, shape, or overall appearance of selected teeth. The best option depends on the patient’s goals, tooth structure, oral health, and the level of change being considered.

ORTHODONTICS

Invisalign Orthodontics

Invisalign orthodontics uses a series of clear, removable aligners to gradually guide teeth into a better position. For many patients, it offers a discreet alternative to traditional metal braces and wires.

 

The aligners are designed to fit comfortably over the teeth and can be removed for eating, brushing, and flossing. Because they are clear, they are less noticeable during daily life, work, school, and social activities.

 

Invisalign may help improve the appearance of the smile while also supporting better oral health when alignment concerns affect cleaning or gum health. Suitability depends on each patient’s teeth, bite, and treatment goals.

EXTRACTIONS

Extractions & Bone Grafting

Tooth extractions may be recommended when a tooth cannot be restored or when removal is needed to protect overall oral health. At Marchwood Dental, treatment planning focuses on making the process as comfortable and controlled as possible.

 

After a tooth is removed, the surrounding jawbone can gradually shrink in the area where the tooth is missing. This bone loss may affect nearby teeth, chewing function, appearance, and future restorative options.

 

Bone grafting may be recommended to help preserve or rebuild bone in areas where support is needed. Suitability depends on the patient’s oral health, the condition of the bone, and the type of restoration being considered.

ROOT CANAL

Root Canal Therapy

Root canal therapy is used when the inside of a tooth becomes infected or inflamed. This can happen because of deep decay, a crack, trauma, or another dental issue that allows bacteria to reach the inner tissue of the tooth.

 

The procedure removes the infected or damaged tissue from inside the tooth, then cleans, shapes, and seals the area. The goal is to relieve discomfort, address the source of infection, and help preserve the natural tooth when possible.

 

Root canal treatment is a common dental procedure and is often more manageable than many patients expect. Suitability depends on the condition of the tooth, the surrounding bone, and the patient’s overall oral health.

Crowns & Inlays

Single-Visit Crowns & Inlays

Single-visit crowns and inlays allow patients to receive custom ceramic restorations without needing multiple appointments. Using CAD/CAM technology, Marchwood Dental can design and fabricate porcelain inlays, onlays, and crowns in the office during the same visit.

This process uses digital scanning to help create restorations that are shaped to fit the tooth accurately and comfortably. It can be used to restore teeth that are weakened, damaged, worn, or affected by decay, depending on the patient’s needs and clinical situation.

Marchwood Dental has three CAD/CAM scanners available, allowing the team to provide this service efficiently for multiple patients. The goal is to restore strength, function, and appearance while reducing the need for temporary restorations and return visits when same-day treatment is appropriate.

FILLINGS

White Resin Fillings

White resin fillings are used to repair teeth affected by decay, small fractures, chips, or worn enamel. Tooth enamel is strong, but it can still be damaged by sugar, acidic foods and drinks, grinding, nail-biting, or using teeth in ways they were not meant to be used.

 

White resin, also called composite resin, bonds directly to the tooth structure. This allows the dentist to repair smaller or shallower areas while preserving as much healthy tooth structure as possible.

 

Composite resin is available in a variety of shades, allowing the filling to be matched closely to the natural tooth colour. It is commonly used for conservative dental restorations where both function and appearance are important.

PREVENTIVE HYGIENE

Preventive Hygiene

Preventive hygiene helps protect the teeth, gums, and supporting bone through regular cleanings and home care guidance. Plaque can be removed with brushing and flossing, but once it hardens into tartar, it must be removed by a dental hygienist using professional scaling instruments.

 

When plaque and tartar are left untreated, they can contribute to gum inflammation, bleeding, soreness, and more serious gum disease. Regular hygiene appointments help remove buildup, monitor gum health, and support early attention to changes before they become more difficult to manage.

 

Good oral hygiene is also important for patients with dental implants, Invisalign, orthodontic appliances, or other restorations. Daily brushing, flossing, and regular professional cleanings all play an important role in maintaining long-term oral health.

SCREENING

Oral Cancer Screening

Oral cancer screening is an important part of routine dental care. During an exam, the dentist and dental hygienist look for unusual changes in the lips, tongue, cheeks, gums, and other areas of the mouth.

 

Screening may include checking for lumps, unusual growths, red or white patches, swelling, bleeding, pain, numbness, or changes in the soft tissues. These signs do not always mean cancer is present, but they should be assessed by a dental professional.

 

Regular screening helps support early attention to changes that may otherwise go unnoticed. At Marchwood Dental, oral cancer screening is included as part of the preventive care provided during routine dental visits.

NITROUS OXIDE

Nitrous Oxide Sedation

Nitrous oxide, often called laughing gas, may be used to help anxious patients feel more relaxed during dental care. It is administered during the appointment and is intended to provide temporary comfort support while treatment is being completed.

 

This option may be helpful for patients who feel nervous about dental visits, specific procedures, or sitting in the dental chair for treatment. At Marchwood Dental, patients are encouraged to speak openly with the team about dental anxiety so appropriate comfort options can be discussed.

 

All dentists at the Kanata clinic have obtained advanced training to provide nitrous oxide sedation for patients who require it. Suitability depends on the patient’s health history, level of anxiety, and the type of dental treatment being planned.

GUM GRAFTING

Gum Grafting

Gum grafting may be recommended when gum tissue has receded and the tooth root has become exposed. Recession can be linked to factors such as brushing too aggressively, gum disease, misaligned teeth, grinding, or orthodontic movement.

 

Exposed root surfaces may lead to sensitivity, a higher risk of decay, and changes in the support around the tooth. A gum graft is used to help cover affected areas and support healthier gum tissue where additional protection is needed.

 

The procedure involves placing grafting material at the affected site, followed by at-home care and follow-up appointments. Suitability depends on the amount of recession, the condition of the gums, and the patient’s overall oral health.

GUARDS

Nightguards & Sports Guards

Nightguards may be recommended for patients who clench or grind their teeth, a habit also known as bruxism. A custom-fitted nightguard helps reduce the pressure placed on the teeth, jaw joints, and facial muscles during sleep.

 

The process involves taking a digital scan of the teeth so the appliance can be made to fit the patient’s mouth accurately. Once the nightguard is fabricated, the dentist checks the fit and provides guidance on proper use and care.

 

Custom sports guards are designed to help protect the teeth during activities where impact or injury may occur. They can be made in different colours and thicknesses, depending on the patient’s needs, sport, and comfort preferences.

Contact us with questions or
Book an Appointment

Doctor
Keith Josephson

About Dr. Josephson
We are proud to have the accomplished Dr. Josephson on the Marchwood Dental team. Keith is originally from St. John’s, Newfoundland, completing his undergraduate degree in Biochemistry at Mount Allison University (2001) in New Brunswick, graduating with first class honours distinction. Keith completed his dentistry degree at Dalhousie University (2005) in Nova Scotia. While there he received the Charles Bell Memorial Prize for second highest academic standing, the Dr. William W. Woodbury Prize for excellence in orthodontics, and the Quintessence Award for achievement in research. He was honoured by his peers as valedictorian of his graduating class. Keith has been practicing in Ottawa since 2013, where he now calls home. He has continued to further his dental education at the Kois Center, the prestigious dental continuing education institute in Seattle, known for its scientific and evidence-based approach. More recently he has completed the extensive implant surgery residency at the Dagher Institute. Keith’s philosophy around dentistry is to emphasize communication with patients to ensure they play an active role in making informed decisions about their care. In his free time, Keith enjoys doing CrossFit, golfing, running, skiing, live music, and spending time with his family. Keith also has a passion for travel, food and wine, and was once an avid rugby player playing provincially for his home province of Newfoundland.
Qualifications & Training:
  • Treatment Planning and Digital Implementation: Kois Center. Seattle, WA (2012)
  • Functional Occlusion – Science Driven Management: Kois Center. Seattle, WA (2013)
  • Managing the Restorative/Periodontal Interface and Advanced Functional Occlusion: Kois Center. Seattle, WA (2015-2019)
  • Restorative Biomechanics: Kois Center. Seattle, WA (2016)
  • Implant Restorations: Fixed and Removable: Kois Institute. Seattle, WA (2018)
  • Advanced Functional Occlusion – Complex Restorative Management: Kois Center. Seattle, WA (2019)
  • Immediate Implant Therapy in Esthetic Zone: Ottawa, ON (2023)
  • Bone Ridge Preservation and Horizontal Bone Grafting: Straumann, Dr. Gauthier. Chelsea, QC (2024)
  • Medically-related Osteonecrosis Diagnosis and Management: Ottawa, ON (2024)
  • TMD (Temporomandibular Joint Disorder) Management: Ottawa, ON (2025)
  • Implant Placement Mini-Residency: Dagher Institute, Hawkesbury, ON (2025)