You’re missing a tooth. Maybe it’s been a while, or maybe it just happened. Either way, you’re now facing a decision: how do you replace it? At Greenway Dental Care, we hear this question often from patients in Fayetteville, Springdale, and Johnson. Two of the most common solutions are dental bridges and dental implants. Both are excellent options, but they work very differently.
Let’s break down the pros and cons so you can choose with confidence with Dr. Keech.

What Is a Dental Bridge?
Think of a bridge exactly how it sounds: it literally “bridges” the gap where teeth are missing. A traditional bridge uses the healthy teeth on either side of the gap as anchors. We place dental crowns on those anchor teeth, and the artificial tooth (or teeth) sits in between. We cement the whole thing into place as one solid piece.
Pros of a bridge:
- Faster process: Usually completed in just two or three visits over a few weeks.
- Less invasive: No surgery is required. We simply prepare the anchor teeth and place the bridge.
- Lower upfront cost: Bridges are generally less expensive than implants initially.
Cons of a bridge:
- Affects healthy teeth: We have to shave down adjacent teeth to place crowns, permanently altering them.
- Shorter lifespan: Bridges typically last 10 to 15 years and may need replacement.
- Bone loss: The jawbone where the tooth is missing can shrink over time because there’s no root to stimulate it.
- Harder to clean: You need special floss to clean underneath and around the bridge.
What Is a Dental Implant?
A dental implant replaces the entire tooth, root and all. We surgically place a small titanium post into your jawbone. Over a few months, that post fuses with the bone (a process called osseointegration). Then we attach a custom-made crown.
Pros of an implant:
- Preserves bone: The implant stimulates your jawbone, preventing shrinkage and maintaining your facial structure.
- Doesn’t affect adjacent teeth: We don’t have to alter your healthy neighboring teeth.
- Long-lasting: With good care, implants can last 20 years or more, often a lifetime.
- Feels natural: Implants function just like your own teeth. You can chew, speak, and smile with confidence.
Cons of an implant:
- Longer process: It takes several months from start to finish, including healing time.
- Requires surgery: Some patients are nervous about the surgical aspect, though we may use sedation options to keep you comfortable.
- Higher upfront cost: Implants cost more upfront, but many consider it a worthwhile investment for longevity.
Which One Is Right for You?
The best choice depends on your unique situation.
A bridge might be better if:
- You want a quicker, less expensive solution.
- The adjacent teeth already have large fillings or crowns and need work anyway.
- You prefer to avoid surgery.
An implant might be better if:
- You want the longest-lasting solution.
- You prefer not to alter your healthy adjacent teeth.
- You’re willing to invest more time and money upfront for a permanent fix.
What About an Implant-Supported Bridge?
We also offer this option for patients missing multiple teeth in a row. Instead of a crown on each end, implants support the bridge. It combines implant stability with a bridge design.
Making the Decision with Dr. Keech
There’s no single “right” answer for everyone. What works for your neighbor in Fayetteville might not be the best fit for you. That’s why Dr. Keech takes the time to understand your dental health, your goals, and your budget.
During your consultation, we’ll:
- Examine your teeth, gums, and jawbone.
- Take digital X-rays to check bone density and tooth health.
- Discuss your lifestyle and preferences.
- Explain the costs, timeline, and expected outcomes for both options.
We’ll never pressure you into a decision. Our goal is to equip you with the information you need to feel confident about your choice.
Our Eco-Friendly Approach
Whether you choose a bridge or an implant, our commitment to sustainability remains the same. We use digital impressions (no messy, wasteful molds) and paperless charting to minimize waste. We even do treatment planning digitally, so you can see exactly what we’re recommending on the screen.
Ready to Explore Your Options?
If you’re missing a tooth and not sure what to do next, we’d love to help. Call Greenway Dental Care at (479) 217-3178 or request an appointment online. We’ll walk you through your options, answer all your questions, and help you find the solution that’s right for you. No pressure, just honest guidance.
