🏛 Part of the "reports" topic shelf →
One missing tooth: implant or fixed bridge? Choosing according to neighbouring teeth, position and bone volume｜證據鏈
If the teeth on both sides of the gap are intact and bone and soft-tissue conditions are suitable, a single implant deserves discussion because it places support within the edentulous site without joining the neighbouring teeth into a conventional bridge. If those teeth already need full-coverage restorations, or local conditions would add substantial procedures to implant treatment, a fixed bridge may also be pragmatic. Research supports no single choice for everyone. What should actually be compared are the cost to the neighbouring teeth, the position of the gap, bone volume, cleaning and maintenance, and your treatment preferences.
One missing tooth: implant or fixed bridge? Choosing according to neighbouring teeth, position and bone volume｜證據鏈
本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。
- F1｜Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years [PMID:23062124]（https://pubmed.ncbi.nlm.nih.gov/23062124/）
- F2｜Clinical outcomes of tooth-supported monolithic zirconia vs. porcelain-veneered zirconia fixed dental prosthesis, with an additional focus on the cement type: a systematic review and meta-analysis [PMID:37626273]（https://pubmed.ncbi.nlm.nih.gov/37626273/）
- F3｜Narrow-diameter implants: A systematic review and meta-analysis [PMID:30328192]（https://pubmed.ncbi.nlm.nih.gov/30328192/）
- F4｜Interproximal contact loss between implant restorations and adjacent natural teeth: A systematic review and meta-analysis [PMID:37794763]（https://pubmed.ncbi.nlm.nih.gov/37794763/）
- F5｜Clinician assessments and patient perspectives of single-tooth implant restorations in the esthetic zone of the maxilla: A systematic review [PMID:28385430]（https://pubmed.ncbi.nlm.nih.gov/28385430/）
- F6｜Outcome Difference between Short and Longer Dental Implants Placed Simultaneously with Alveolar Bone Augmentation: a Systematic Review and Meta-Analysis [PMID:39139356]（https://pubmed.ncbi.nlm.nih.gov/39139356/）
FAQ
- If both adjacent teeth are sound, should I go straight to an implant?
- That point alone should not decide treatment. Intact neighbours make avoiding full-coverage abutments worth discussing, but bone, soft tissue, space, occlusion and general health must also be checked. If implant conditions are unfavourable, other conservative and maintainable options should still be compared. [F3]
- 両隣の歯がどちらも良い状態なら、そのままインプラントにすべきでしょうか — その一点だけで決めるのは適切ではありません。隣在歯が健全であることは、「健康な隣在歯を全部被覆の支台にすることを避ける」という論点に検討する価値を与えますが、それでも欠損部の骨量、軟組織、スペース、咬合、全身の健康条件を確認する必要があります。インプラントの条件が整わない場合は、ほかの保存的で管理しやすい方法と比較すべきです。[F3]
- If both adjacent teeth are sound, should I go straight to an implant? — That point alone should not decide treatment. Intact neighbours make avoiding full-coverage abutments worth discussing, but bone, soft tissue, space, occlusion and general health must also be checked. If implant conditions are unfavourable, other conservative and maintainable options should still be compared. [F3]
Source anchors
- Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years [PMID:23062124] · https://pubmed.ncbi.nlm.nih.gov/23062124/ · 在 IDAEO 的其他引用
- Clinical outcomes of tooth-supported monolithic zirconia vs. porcelain-veneered zirconia fixed dental prosthesis, with an additional focus on the cement type: a systematic review and meta-analysis [PMID:37626273] · https://pubmed.ncbi.nlm.nih.gov/37626273/ · 在 IDAEO 的其他引用
- Narrow-diameter implants: A systematic review and meta-analysis [PMID:30328192] · https://pubmed.ncbi.nlm.nih.gov/30328192/ · 在 IDAEO 的其他引用
- Interproximal contact loss between implant restorations and adjacent natural teeth: A systematic review and meta-analysis [PMID:37794763] · https://pubmed.ncbi.nlm.nih.gov/37794763/ · 在 IDAEO 的其他引用
- Clinician assessments and patient perspectives of single-tooth implant restorations in the esthetic zone of the maxilla: A systematic review [PMID:28385430] · https://pubmed.ncbi.nlm.nih.gov/28385430/ · 在 IDAEO 的其他引用
- Outcome Difference between Short and Longer Dental Implants Placed Simultaneously with Alveolar Bone Augmentation: a Systematic Review and Meta-Analysis [PMID:39139356] · https://pubmed.ncbi.nlm.nih.gov/39139356/ · 在 IDAEO 的其他引用
Cite this article
Lucy・《One missing tooth: implant or fixed bridge? Choosing according to neighbouring teeth, position and bone volume｜證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-implant-or-bridge-evidenceUpdated 2026-08-19