People need to be careful when making a bridge vs implant decision - especially elderly people who may not have enough bone in their jaw.
Also, the failure rate for implants is higher for diabetics & there is a risk of infection for anyone. Implants are very invasive & costly, with no guarantee of success.
If a dentist pushes an implant, I'd leave. Many dentists push implants over a bridge because of the much-higher profit.
My experience I posted about in July 2019:
I had some decay under a tooth that was part of a bridge. The dentist immediately tried to sell me on an implant, ($6,000.00) instead of replacing the bridge ($3,000.00). He was quite determined to convince me to get an implant, telling me the bridge would definitely fail after a short time, then I'll need an implant, anyway. I said, "Well, this bridge has been OK for 16 years; & it didn't "fail," it only needs to be replaced to do a root canal under one of the support teeth, am I correct?"
He replied, "Well....yes....technically; but an implant would be better." I also mentioned (what he already knew), "I have diabetes; I read that diabetics should not have implants unless there are no other options, due to the higher risk of failure due to infection."
He replied, "Naw....that's pretty rare."
I said, "I'll do some more research & get back to you."
I contacted my previous (retired) dentist & asked if an implant would be a good idea for me & I also asked her why my dentist was trying so hard to convince me to get the implant.
She explained that the time & work involved with both an implant and a bridge is about the same, but the profit is double. And she also explained how drastic & invasive an implant procedure is - cutting open the gum, drilling the implant into the bone, sewing the gum flap closed, waiting 6 months for bone to grow into the implant, then re-cutting the gum flap & installing the crown. And the risk of infection is, indeed higher for diabetics - & of course, there is no guarantee with any patient.
Easy to see why "Dental Implant Centers" have sprung up everywhere - half-hour TV ads devoted to them.
I decided on the bridge & my dentist, at first, seemed OK with it, but after he was halfway through the drilling & grinding, he started again on his hard sell for the implant. At that point, I wanted to leave & change dentists, but I thought it wouldn't be a wise idea because the area was already exposed - ground down to very small posts, so I figured I wouldn't see him again after the bridge was completed.
After the permanent bridge was cemented, I got home & was eating a piece of toast (still partially numb). When I swallowed, I started choking; it felt like I was swallowing pieces of broken glass. I looked in my mouth & saw that there was a gap between my top & bottom molars on that side. The bridge was obviously too short & the dentist had to have seen that because he checked the fit several times before cementing it. Apparently, he wanted to teach me a lesson about not listening to him & getting the implant. And he likely thought I would then have him do the implant.
I filed a complaint with The Dental Board, sent them photos, & saw a different dentist to re-do the bridge. He asked me: "Who did that bridge?.....it's the worst I've ever seen in my 20 years." When I gave him the dentist's name, he later spoke to him. The original dentist called me & offered me a $3,000.00 refund & sign a release, which I accepted. I had to wait a year (chewing only on the right side) for the area to heal before replacing the bridge. My new dentist re-did the bridge & it's been fine for the past 14 years.
I'm not saying no one should ever get dental implants; in some cases, it's a good idea. But (as with any MD), do some research before you automatically follow their advice. And keep in mind that a dentist's advice is frequently profit motivated.
There's a reason we see TV ads for dental implants showing older people eating apples & corn on the cob. The agency paying for the ad is not going to show you the whole picture.