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Individual Teeth vs Bonded Teeth for Implants?

Question:

Lisa asks:

I have had implants placed for 4 and 5 by a periodontist. I am trying to decide between having two "bonded" teeth, which my dentist states is more stable, but I am afraid would be more difficult to keep clean, versus individual teeth, which I believe would be cosmetically better and would permit me to floss between the teeth.

I would prefer "individual" teeth, but my dentists comments made me concerned that the longevity of the implants may be less due to the lesser stability.

Is there any difference between the longevity of implants comparing two "individual" teeth versus two "bonded" teeth for restoration?

Answer:
Answered by: Dr. Jeffrey Brook

Massapequa, NY

Hi Lisa,

There is no specific answer to this question as there are multiple variables that need to be considered prior to deciding whether to splint (bond) the crowns of two implants together or not splint them together.

These factors include the diameter and length of the implants, quality of bone around the implants, distribution of and number of teeth in your mouth, occlusal forces, tooth alignment, and etc., etc., etc.

If there is sufficient space between the two implants and the two crowns, plaque control should be reasonably easy using an interproximal tooth brush or floss threaders.

I would heed your dentist's advice as he or she considered of all the above factors which contribute to the health and longevity of your implants before the suggestion to splint the implants was made. Lastly, remember, there is no one who wants your implants to remain healthy and viable for many years more than your dentist does (except for you, of course!)

Good luck.
Dr. Brook



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