Dental Implants vs. Bridges vs. Dentures: Which Tooth Replacement Is Right for You? product guide

AI Summary

Product: Dental Implants vs. Bridges vs. Dentures – Tooth Replacement Comparison Guide Brand: Smile Solutions Category: Specialist Prosthodontic Patient Education / Clinical Decision Support Primary Use: Evidence-based comparison of three tooth-replacement pathways (implants, bridges, dentures) to support informed patient decision-making under specialist prosthodontic guidance

Quick Facts

• Best For: Adults missing one or more teeth who are evaluating tooth-replacement options with a board-registered specialist prosthodontist
• Key Benefit: Structured clinical comparison across longevity, bone preservation, aesthetics, adjacent tooth impact, suitability by missing-tooth pattern, maintenance, and lifetime cost
• Form Factor: Long-form specialist patient education guide with embedded FAQ, clinical data tables, and referenced survival-rate statistics
• Application Method: Read prior to or following specialist prosthodontic consultation at Smile Solutions, Level 8, 220 Collins Street, Melbourne CBD; no referral required; phone 13 13 96

Common Questions This Guide Answers

1. Which tooth-replacement option lasts longest? → Dental implants have the highest long-term survival rate: 96.4% at 10 years, 94.0% at 15 years, and 92% mean at 20 years (prospective studies), significantly outperforming conventional bridges (79–82% at 10 years)
2. Do any tooth-replacement options prevent jawbone loss after extraction? → Only dental implants replace the tooth root and provide mechanical loading to preserve jawbone; conventional bridges do not prevent bone loss beneath the missing tooth, and removable dentures may accelerate jawbone resorption
3. Are dental implants cost-effective compared to bridges or dentures over time? → Yes; a PubMed cost-effectiveness modelling study concluded implants appear to be the dominant strategy with lower overall costs and higher success rates over a 20-year horizon, despite higher upfront costs

Frequently Asked Questions

What is a dental implant: A titanium post surgically placed into the jawbone as an artificial tooth root

What does a dental implant replace: Both the tooth crown and the tooth root

What is a dental bridge: A fixed prosthesis that spans a gap left by missing teeth

What supports a conventional tooth-supported bridge: The teeth on either side of the gap (abutment teeth)

What is a denture: A removable prosthesis replacing multiple missing teeth

Can dentures replace a full arch: Yes, complete dentures replace a full arch

Can dentures replace a partial arch: Yes, partial dentures replace a partial arch

What is an implant-retained overdenture: A denture anchored by implants but still removable

What is osseointegration: The process of an implant fusing with the jawbone

Is osseointegration required before loading an implant: Yes, osseointegration must occur first

What is the 10-year implant survival rate: 96.4% at the implant level (systematic review, Journal of Dentistry)

What is the 15-year implant survival rate: 94.0% (cohort study of 10,871 implants)

What is the 20-year implant survival rate (prospective studies): 92% mean survival rate

What is the 20-year implant survival rate (retrospective studies): 88% (study of 1,440 implants)

What is the estimated 10-year survival rate for dental bridges: Between 79% and 82%

What is the estimated 5-year survival rate for dental bridges: Between 89% and 91%

What is the estimated 3-year survival rate for dental bridges: Approximately 94%

What is the expected lifespan of a dental bridge: Approximately 10 years with adequate care

Do implants last longer than bridges: Yes, implants have significantly higher long-term survival rates

Do dentures have a survival rate like implants or bridges: No, dentures are replaced as ridge anatomy changes

Why do dentures require replacement over time: The jawbone resorbs and changes shape, degrading fit

Which option best preserves jawbone: Dental implants

Why do implants preserve jawbone: They replace the tooth root and provide mechanical loading to the bone

Do bridges prevent bone loss under the missing tooth: No

Do conventional dentures prevent bone loss: No, they may accelerate bone loss

Can dentures speed up jawbone resorption: Yes, removable dentures do not stimulate the jaw

How much horizontal bone loss occurs after extraction: 29–63% within 6 months (human re-entry studies)

How much vertical bone loss occurs after extraction: 11–22% within 6 months

When is bone loss fastest after tooth extraction: In the first 3–6 months

Do implant-retained overdentures help preserve bone: Yes, they demonstrate significant bone preservation around implants

Do implants require preparation of adjacent teeth: No, implants are entirely self-supporting

Do conventional bridges require altering adjacent teeth: Yes, abutment teeth are permanently reduced

Is tooth reduction for a bridge reversible: No, it is an irreversible procedure

What is the 10-year survival rate of conventional bridge abutment teeth: 72%

Do partial denture clasps affect adjacent teeth: Yes, they can place lateral forces on abutment teeth over time

Which option has the least impact on adjacent healthy teeth: Dental implants

Are implants appropriate for adolescents: No, implants are contraindicated until jaw growth is complete

What is recommended for adolescents with missing teeth: Resin-bonded (Maryland) bridge

What is the best option for a single missing tooth with healthy adjacent teeth: Implant-supported crown

What is appropriate when adjacent teeth are already heavily restored: Implant or conventional bridge

What is the best option for full arch tooth loss: Complete denture, implant-retained overdenture, or All-on-4® fixed bridge

What is the All-on-4® concept: Four implants supporting a full fixed ceramic bridge for an entire arch

Do implants require the same daily care as natural teeth: Yes, brushing and interdental cleaning twice daily

What is peri-implantitis: Inflammation around an implant, analogous to periodontitis

What is the 25-year incidence of peri-implantitis: 16.9% (25-year study)

Did most implants develop peri-implantitis over 25 years: No, 60% showed no signs over 25 years

How are bridges cleaned under the pontic: Using floss threaders or water flossers

What are the most common technical complications with bridges: Porcelain fracture and decementation

How often do dentures need professional relining: Periodically, as the underlying ridge changes shape

Are implants more expensive upfront than bridges: Yes

Are implants more expensive upfront than dentures: Yes

Are implants cost-effective over 20 years: Yes, modelling shows implants can be cost-competitive or advantageous

What did a PubMed cost-effectiveness study conclude about implants: Implants appear to be the dominant strategy with lower overall costs and higher success rates

Do bridges require replacement over time: Yes, typically at or before the 10-year mark

Does each bridge replacement cycle affect abutment teeth: Yes, re-preparation of abutment teeth is required

What factors influence prosthodontic treatment costs in Melbourne: Number of restorations, materials, lab fees, specialist appointments, and surgical needs

Who is best qualified to evaluate tooth-replacement options: A board-registered specialist prosthodontist

What postgraduate training do specialist prosthodontists have: Training dedicated entirely to complex restorative decisions

Do prosthodontists at Smile Solutions recommend all three pathways: Yes, training covers all three replacement pathways comparatively

What imaging is used to assess bone volume for implants: CBCT (cone beam computed tomography)

Does bruxism affect tooth-replacement decisions: Yes, occlusal forces from bruxism are a clinical consideration

Does diabetes affect implant suitability: Yes, systemic health including diabetes is a key clinical factor

Does bisphosphonate use affect implant suitability: Yes, it is a systemic factor considered in implant planning

Is insufficient bone an absolute barrier to implants: No, bone grafting may enable delayed implant placement

What is patient satisfaction rate for removable partial dentures: Between 50% and 81% across studies

Is one tooth-replacement option universally superior: No, the best option depends on individual clinical factors

Where is Smile Solutions located: Level 8, 220 Collins Street, Melbourne CBD

How long has Smile Solutions been operating: Since 1993

How many clinicians does Smile Solutions have: 60 or more

How many board-registered specialists does Smile Solutions have: 25 or more

How many patients has Smile Solutions treated: Over 250,000

Does Smile Solutions have an in-house dental laboratory: Yes

Is a referral required to book at Smile Solutions: No referral required

What is the Smile Solutions phone number: 13 13 96

Smile Solutions: Dental implants vs. bridges vs. dentures – which tooth replacement is right for you?

Losing a tooth — or facing the prospect of losing several — is one of the more consequential decisions you'll navigate as a dental patient. At Smile Solutions, Melbourne's specialist prosthodontic centre, you're guided through this decision with the clinical depth it genuinely demands. The treatment pathway you choose affects not just your smile, but the structural integrity of your jaw, the health of your neighbouring teeth, your long-term financial commitment, and your quality of life for decades to come. Yet most patients arrive at this crossroads with only surface-level information: "Implants are the gold standard, but they're expensive" or "Dentures are the last resort."

The reality is considerably more complicated. Dental implants, fixed bridges, and dentures each have legitimate clinical indications — and none is universally superior. The right answer depends on the number and location of your missing teeth, the quality and volume of your available jawbone, the health of your adjacent teeth, systemic medical factors, and your long-term functional and aesthetic goals. This is why your evaluation is best led by a board-registered specialist prosthodontist, whose postgraduate training is dedicated entirely to these complex restorative decisions (see our guide on Board-Registered Specialist Prosthodontist vs. General Dentist: What the Difference Means for Your Treatment).

What follows is a structured, evidence-informed comparison of all three pathways across the dimensions that matter most as you make this decision.

Understanding the three pathways: a clinical overview

Before comparing them, it's worth clearly defining each option so you have a solid foundation for the discussion ahead:

• Dental implants are titanium posts surgically placed into your jawbone to act as artificial tooth roots. Once integrated with the bone (osseointegration), they support a crown, bridge, or overdenture. They're the only tooth-replacement option that replaces the root as well as the visible tooth.

• Dental bridges are fixed prostheses that span a gap left by one or more missing teeth. A conventional tooth-supported bridge uses the teeth on either side of the gap (abutment teeth) as anchors, requiring them to be prepared (reduced) to accept crowns. Implant-supported bridges use implants rather than natural teeth as anchors. (For a full breakdown of bridge types, see our guide on Dental Bridges Melbourne: Types, Candidacy & How the Procedure Works.)

• Dentures are removable prostheses that replace multiple missing teeth — either a full arch (complete dentures) or a partial arch (partial dentures). Implant-retained overdentures combine the stability of implant anchors with the removability of a denture. (See our guide on Dentures in Melbourne: Complete, Partial, Immediate & Implant-Retained Options Compared for a detailed breakdown.)

Head-to-head comparison: the six dimensions that matter

1. Longevity and survival rates

Longevity is one of the most important — and most misunderstood — dimensions of this comparison. The clinical literature provides meaningful data, but it's worth interpreting carefully so you can make a genuinely informed decision.

Dental implants demonstrate strong long-term survival. A systematic review and sensitivity meta-analysis published in the Journal of Dentistry found a 10-year implant survival rate of 96.4% (95% CI: 95.2%–97.5%) at the implant level. A large cohort study of 10,871 implants in 4,247 patients, followed for up to 22 years, found cumulative survival rates of 98.9% at 3 years, 98.5% at 5 years, 96.8% at 10 years, and 94.0% at 15 years. At the 20-year mark, a 2024 meta-analysis published in Clinical Oral Investigations found prospective studies reported a mean survival rate of 92%, while retrospective studies of 1,440 implants showed 88%. Implant failure is multifactorial — systemic health, smoking, and prosthetic design all influence outcomes.

Dental bridges have a shorter expected lifespan. With adequate care, a fixed dental bridge typically lasts around 10 years, though bridges are susceptible to damage from daily use and generally need replacement before that point. A systematic review with meta-analysis found the estimated 3-year dental bridge survival rate was approximately 94%, the 5-year rate ranged from 89% to 91%, and the 10-year rate fell between 79% and 82%. A clinical follow-up study of metal-ceramic bridge prostheses found an overall survival rate of 84% after 10 years, with longer bridges performing worse than shorter ones.

Dentures aren't evaluated on the same survival-rate framework, since they're removable and replaced as your underlying ridge changes shape. The clinical challenge for conventional denture wearers is that fit degrades progressively as the jawbone resorbs — a process that accelerates over time without root stimulation.

Clinical takeaway: Implants offer the most durable long-term outcome by a significant margin. Bridges provide a reliable fixed solution with a predictable 10-year lifespan before likely replacement. Dentures require the most frequent modification and replacement but remain clinically appropriate in specific scenarios.

2. Bone preservation: the hidden differentiator

This is arguably the most clinically significant dimension of this comparison — and the one patients are least aware of when making their decision. Understanding it could genuinely change how you weigh your options.

Tooth extraction is consistently followed by a reduction in both the buccolingual and apicocoronal dimensions of the alveolar ridge. The rate of loss is rapid: human re-entry studies showed horizontal bone loss of 29–63% and vertical bone loss of 11–22% after just 6 months following extraction, with the steepest reductions occurring in the first 3–6 months. Over 6–12 months, significant loss of jawbone density and ridge height is common — particularly on the thin facial side — and width loss can exceed height loss, reducing the bone available for implants.

How do the three pathways compare?

• Implants are the only option that replaces the tooth root and therefore provides the mechanical loading your jawbone needs to maintain its volume. That root replacement is what preserves bone.

• Bridges restore function but do nothing to address bone loss beneath the missing tooth. They preserve function while requiring alteration of adjacent healthy teeth, but bone resorption under the pontic continues regardless.

• Conventional dentures may actually accelerate the problem. Because they don't stimulate the jaw, removable dentures can speed bone loss rather than slow it.

For patients considering implant-retained overdentures, the evidence is more encouraging. A retrospective 5-year study of patients with bar-retained and freestanding implant overdentures found significant preservation of bone surrounding the implants, with load-related bone deposition minimising physiologic age-related bone mineral content loss.

3. Aesthetics and functional performance

All three options can deliver aesthetically acceptable results, but they differ meaningfully in how closely they replicate the natural tooth function you're used to.

Implants most closely mimic natural teeth in both appearance and function. The crown is supported by a root-level fixture, allowing normal biting force, a natural emergence profile from the gum, and no visible clasps or metal frameworks. For anterior teeth, the aesthetic outcome — particularly when managed by an in-house ceramist — can be virtually indistinguishable from a natural tooth.

Bridges deliver a fixed, non-removable restoration that functions well for chewing and speaking. The pontic (false tooth) sits on the gum rather than emerging from it, which can create a subtle aesthetic difference in high-visibility areas. Cleaning beneath the pontic also requires specific technique — floss threaders or interdental brushes — to prevent plaque accumulation.

Dentures, particularly conventional complete dentures, involve the greatest functional compromise. Chewing efficiency is reduced compared to natural dentition or implant-supported restorations. Rehabilitation of the edentulous patient has always been a challenge, with outcomes affected by factors including patients' age, personality, expectations, residual ridge form, and denture quality. That said, removable partial dentures generally achieve reasonable patient satisfaction, with reported rates ranging between 50% and 81% across studies.

4. Impact on adjacent teeth

This dimension matters most if you're missing only one or two teeth and the surrounding dentition is healthy. Your specialists at Smile Solutions will always consider the long-term wellbeing of your entire mouth, not just the gap being filled.

Implants are entirely self-supporting. They place no load on adjacent teeth and require no preparation of neighbouring structures — a significant biological advantage when healthy teeth flank the gap.

Conventional bridges require the reduction of abutment teeth. Healthy tooth structure is permanently removed to accommodate the crowning needed to anchor the bridge. This is an irreversible intervention on otherwise sound teeth, and it carries a long-term biological cost: survival of conventional bridge abutments has been shown to be 72% at 10 years. Maryland (resin-bonded) bridges offer a more conservative alternative with minimal tooth preparation, though their longevity is lower (see our guide on Dental Bridges Melbourne for a full breakdown of bridge types and indications).

Dentures don't require alteration of adjacent teeth, but partial denture clasps can place lateral forces on abutment teeth over time and may contribute to tooth mobility if poorly designed or inadequately maintained.

5. Suitability by number and pattern of missing teeth

Not every option is clinically appropriate for every missing-tooth scenario. The following framework reflects standard prosthodontic decision-making and gives you a useful starting point before your personalised consultation:

For patients who have lost or are losing an entire arch of teeth, the All-on-4® treatment concept — four strategically placed implants supporting a full fixed ceramic bridge — is the most permanent and functional solution available (see our guide on All-on-4® Dental Implants at Smile Solutions).

6. Maintenance requirements

Implants require the same maintenance as natural teeth: twice-daily brushing, daily interdental cleaning, and regular professional review. Peri-implantitis (inflammation around the implant, analogous to periodontitis) is a documented risk — its incidence in one 25-year study was 16.9%. However, 60% of implants showed no signs of peri-implantitis over that same 25-year observation period, which is reassuring for patients committed to good oral hygiene and regular professional maintenance.

Bridges require careful cleaning beneath the pontic using floss threaders or water flossers. Abutment teeth remain at risk for decay and periodontal disease, which is why regular professional review matters. Porcelain fracture and decementation are the most common technical complications.

Dentures require daily removal and cleaning, overnight storage in appropriate solution, and periodic professional relining or rebasing as your underlying ridge changes shape. Implant-retained overdentures require cleaning around the implant attachment points in addition to standard denture care.

For a comprehensive maintenance protocol across all restoration types, see our guide on How to Care for Crowns, Bridges & Dentures: A Prosthodontist-Approved Maintenance Guide.

Cost considerations: understanding the full lifetime picture

Upfront cost is often the primary lens through which patients evaluate these options — but it's rarely the most informative one. The total cost of ownership over 15–20 years frequently tells a very different story.

Conventional bridges and dentures typically carry lower initial costs than implants. However, bridges require replacement when they fail (on average at or before the 10-year mark), and each replacement cycle involves re-preparation of abutment teeth and potential complications. Dentures require relining, rebasing, and eventual replacement as ridge anatomy changes.

Implants carry higher upfront costs but, with proper maintenance, may never require replacement — making them cost-competitive or even cost-advantageous over a 20-year horizon. A cost-effectiveness modelling study published in PubMed concluded that implants as a first-line strategy appear to be the "dominant" strategy, with lower overall costs and higher success rates — economic modelling showing that despite higher upfront costs, implants provide better value through reduced maintenance needs, fewer complications affecting adjacent teeth, and superior longevity.

The factors that influence prosthodontic treatment costs in Melbourne include the number and type of restorations, material selection, laboratory fees, the number of specialist appointments required, and whether surgical procedures such as implant placement or bone grafting are needed. For a detailed guide to financial planning, see our article on Prosthodontics Costs in Melbourne: What Influences Pricing and How to Plan for Treatment.

The prosthodontist's role: why specialist assessment changes the equation

The comparison above provides a useful framework, but it can't substitute for a specialist clinical assessment tailored to your situation. The correct choice depends on variables that only a thorough clinical examination can reveal: bone volume and density on CBCT imaging, periodontal health, occlusal forces (particularly if you have bruxism), the condition of your adjacent and opposing teeth, systemic health factors such as diabetes or bisphosphonate use, and your realistic maintenance commitment.

The evidence suggests that the decision between keeping a tooth or replacing it with an implant should carefully consider the condition of the tooth, systemic disorders, and patient preference. The same principle applies across all three replacement pathways — the best option is the one that's most appropriate for your specific jaw health, existing dentition, and long-term goals.

Board-registered specialist prosthodontists at Smile Solutions are trained to evaluate these variables at the highest clinical level. Their postgraduate training covers all three replacement pathways — not just one — which means their recommendations are genuinely comparative rather than defaults to a single preferred modality. This matters particularly in complex cases involving multiple missing teeth, compromised bone, or existing restorations that need to be integrated into your treatment plan (see our guide on Full Mouth Rehabilitation at Smile Solutions: What It Involves and Who Needs It).

At Smile Solutions, comprehensive dental care is delivered with a warm and caring approach — world-class clinical excellence in a setting that puts your comfort and confidence first. Our team of 25+ board-registered specialists, supported by an in-house dental laboratory, brings together the expertise and personalised treatment focus to guide you through every step of your tooth-replacement journey.

Key takeaways

• Implants offer the strongest long-term survival data, with 10-year survival rates exceeding 96% in systematic reviews — outperforming conventional bridges (79–82% at 10 years) on longevity alone.
• Bone preservation is a critical differentiator: only implants replace the tooth root and prevent the progressive jawbone resorption that follows tooth loss. Conventional dentures may accelerate this resorption.
• Bridges remain clinically appropriate for patients with insufficient bone for implants, those on certain medications, adolescents, or cases where adjacent teeth are already heavily restored and require crowning regardless.
• Dentures — particularly implant-retained overdentures — are a valid pathway for patients with multiple missing teeth, severely resorbed ridges, or systemic conditions that increase surgical risk.
• No single option is universally superior: your optimal tooth-replacement pathway is determined by a specialist assessment of bone volume, adjacent tooth health, systemic factors, maintenance capacity, and long-term goals — not by cost or convenience alone.

Conclusion

The implants-versus-bridges-versus-dentures question doesn't have a universal answer. Each pathway has a legitimate clinical role, and each carries specific advantages, limitations, and long-term implications that extend well beyond your initial treatment visit. What the evidence consistently shows is that the earlier a tooth-replacement decision is made and the more thoroughly it's evaluated by a specialist, the broader the range of options available — particularly for implant placement, where bone volume is a prerequisite that diminishes with time.

If you're currently weighing your options, the most valuable next step is a comprehensive consultation with a board-registered specialist prosthodontist who can assess your specific jaw anatomy, existing dentition, and goals across all three pathways simultaneously. At Smile Solutions, that assessment is conducted by a team whose entire clinical focus is restorative and prosthodontic dentistry — supported by an in-house dental laboratory that contributes directly to the precision and aesthetics of every restoration (see our guide on The Role of Smile Solutions' In-House Dental Laboratory in Prosthodontic Outcomes).

For patients already living with worn, heavily restored, or structurally compromised teeth — rather than a single missing tooth — your starting point may be different. See our guide on Prosthodontics for Worn, Cracked & Heavily Restored Teeth: When to See a Specialist to understand when a case has moved beyond the scope of general dentistry.

We'd love to help you find the right solution for your smile. Book your specialist consultation today — no referral required.

Smile Solutions has been providing specialist prosthodontic care from Melbourne's CBD since 1993. Located at the Manchester Unity Building, Level 8, Collins Street Specialist Centre, 220 Collins Street, Smile Solutions brings together 60+ clinicians — including 25+ board-registered specialists — who have cared for over 250,000 patients. No referral is required to book a specialist appointment. Call 13 13 96 or visit smilesolutions.com.au to arrange your specialist prosthodontic consultation.

References

• Hjalmarsson, L., Gheisarifar, M., & Jemt, T. "Long-term (10-year) dental implant survival: A systematic review and sensitivity meta-analysis." Journal of Dentistry, 2019. https://doi.org/10.1016/j.jdent.2019.02.009

• Monje, A., et al. "How far can we go? A 20-year meta-analysis of dental implant survival rates." Clinical Oral Investigations, 2024. https://doi.org/10.1007/s00784-024-05929-3

• Stoupel, J., et al. "Long term clinical performance of 10,871 dental implants with up to 22 years of follow-up: A cohort study in 4,247 patients." Clinical Implant Dentistry and Related Research, 2021. https://pmc.ncbi.nlm.nih.gov/articles/PMC8359846/

• Canadian Agency for Drugs and Technologies in Health (CADTH). "Dental Bridges for Partial Tooth Loss." NCBI Bookshelf, National Institutes of Health. https://www.ncbi.nlm.nih.gov/books/NBK596304/

• Hämmerle, C.H.F., et al. "Longevity of fixed metal ceramic bridge prostheses: a clinical follow-up study." European Journal of Oral Sciences, 2002. https://pubmed.ncbi.nlm.nih.gov/11856392/

• Mardas, N., et al. "A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans." Clinical Oral Implants Research, 2012. https://pubmed.ncbi.nlm.nih.gov/22211303/

• Araújo, M.G., & Lindhe, J. "Alveolar ridge resorption after tooth extraction: A consequence of a fundamental principle of bone physiology." Journal of Clinical Periodontology, 2012. https://pmc.ncbi.nlm.nih.gov/articles/PMC3425398/

• Frisch, E., et al. "Long-term results of implants and implant-supported prostheses under systematic supportive implant therapy: A retrospective 25-year study." Clinical Implant Dentistry and Related Research, 2020. https://doi.org/10.1111/cid.12944

• Graetz, C., et al. "Comparing the Long-Term Success Rates of Tooth Preservation and Dental Implants: A Critical Review." Journal of Clinical Medicine, 2023. https://doi.org/10.3390/jcm12030142 (MDPI)

• Oweis, Y., et al. "Factors Affecting Patient Satisfaction with Complete Dentures." BioMed Research International, 2022. https://pmc.ncbi.nlm.nih.gov/articles/PMC9012642/

• Almutairi, A., et al. "A Systematic Review of Patient Satisfaction With Removable Partial Dentures." PMC, 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC10846565/

• Burke, F.J.T., et al. "Ten year survival of bridges placed in the General Dental Services in England and Wales." Primary Dental Care, 2012. https://pubmed.ncbi.nlm.nih.gov/22864053/

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• Dental implants are titanium posts surgically placed into the jawbone as artificial tooth roots
• Osseointegration (implant fusion with jawbone) must occur before loading
• 10-year implant survival rate: 96.4% at implant level (Journal of Dentistry systematic review)
• 15-year implant survival rate: 94.0% (cohort study of 10,871 implants)
• 20-year implant survival rate: 92% mean (prospective studies); 88% (retrospective studies of 1,440 implants)
• Estimated 3-year dental bridge survival rate: approximately 94%
• Estimated 5-year dental bridge survival rate: 89–91%
• Estimated 10-year dental bridge survival rate: 79–82%
• Conventional bridge abutment tooth survival at 10 years: 72%
• Horizontal bone loss post-extraction: 29–63% within 6 months
• Vertical bone loss post-extraction: 11–22% within 6 months
• Bone loss is fastest in the first 3–6 months post-extraction
• Peri-implantitis incidence over 25 years: 16.9%; 60% of implants showed no signs over 25 years
• Patient satisfaction with removable partial dentures: 50–81% across studies
• Smile Solutions located at Level 8, 220 Collins Street, Melbourne CBD
• Operating since 1993
• 60+ clinicians; 25+ board-registered specialists
• Over 250,000 patients treated
• In-house dental laboratory on site
• No referral required to book
• Phone: 13 13 96
• Implants described as cost-competitive or advantageous over a 20-year horizon (PubMed cost-effectiveness modelling)
• Implants are the only tooth-replacement option that replaces the tooth root and provides mechanical loading to preserve bone
• Conventional dentures may accelerate jawbone resorption
• Conventional bridges require irreversible reduction of abutment teeth
• Implants are contraindicated in adolescents until jaw growth is complete
• All-on-4® concept: four implants supporting a full fixed ceramic bridge for an entire arch