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Dental implants - are they better than natural teeth?
Bjarni E Pjetursson1,2, Kristin Heimisdottir3
1Division of Reconstructive Dentistry, Faculty of Odontology, University of Iceland, Reykjavik, Iceland.
European Journal of Oral Sciences
|September 5, 2018
Summary
Natural teeth offer superior long-term survival compared to dental implants. This review compares survival rates and discusses factors influencing implant success, emphasizing implants replace missing teeth, not natural ones.
Area of Science:
- Dentistry
- Oral Surgery
- Periodontology
Background:
- Patient access to online dental information is increasing.
- Information on dental implants is abundant, while data on natural teeth survival is limited.
- This review compares the survival rates of natural teeth and dental implants.
Purpose of the Study:
- To review research on the survival rates of natural teeth and dental implants.
- To discuss factors influencing implant survival rates and common misconceptions in implant dentistry.
- To present a classification system for treatment planning of natural teeth.
Main Methods:
- Literature review of studies on natural tooth and dental implant survival.
- Analysis of factors affecting implant survival rates.
- Development of a classification system for natural teeth (secure, doubtful, irrational to treat).
Main Results:
- Healthy, well-maintained natural teeth exhibit higher survival rates than dental implants.
- Multiple risk factors can decrease the survival probability of natural teeth.
- Dental implants, while effective, carry risks of biological and technical complications.
Conclusions:
- Dental implants are a valuable treatment for missing teeth but should not be considered a replacement for natural teeth.
- A classification system can aid in treatment planning for natural teeth.
- Understanding survival rates and risks is crucial for informed patient decisions regarding dental implants versus natural tooth preservation.
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