Dental Implants vs. Traditional Bridges: A Comparative Clinical Review

Tooth loss long been treated through various restorative techniques, with dental implants and traditional fixed bridges representing two dominant modalities. This comparative clinical review aims to evaluate the long-term functional, aesthetic, biomechanical, and economic outcomes associated with dental implants versus conventional bridgework. A systematic analysis of randomized clinical trials, longitudinal cohort studies, and meta-analyses published between ۲۰۱۰ and ۲۰۲۵ conducted. Parameters assessed include survival rates, marginal bone loss, patient satisfaction, maintenance requirements, and cost-effectiveness. Findings reveal that implant-supported restorations demonstrate a superior survival rate (۹۴-۹۸% over ۱۰ years) compared to traditional bridges (۸۵-۹۲%), primarily due to the preservation of alveolar bone and independence from adjacent teeth. Moreover, implants offer improved masticatory performance and aesthetic stability but require surgical intervention, appropriate bone quality, and higher initial cost. Traditional bridges, in contrast, provide faster treatment and lower upfront cost but are associated with increased abutment-tooth complications and secondary caries. From an evidence-based perspective, implants demonstrate greater long-term clinical and patient-reported success, though economic accessibility remains a limiting factor in some healthcare contexts. The review concludes that an individualized approach considering patient systemic health, bone availability, and financial capacity remains essential in prosthodontic decision-making.

کلیدواژه ها:

Dental Implant ، Fixed Bridge ، prosthodontics ، Oral rehabilitation ، clinical outcomes