Can the tooth still be saved despite the damage?
Root canal treatment
As long as enough healthy structure remains for a crown, saving the tooth is almost always the more conservative choice. What's possible there is under Root Canal Treatment.
Services · Tooth Replacement
Fixed Tooth Replacement
Firmly anchored, cared for like your own tooth.
Whether a single tooth is badly damaged, a gap needs closing, or several teeth are missing: fixed tooth replacement stays in your mouth permanently and is cared for like a natural tooth. We work out together which restoration fits your situation.
of 14 services
CrownsBridgesImplants
A tooth that's missing, or no longer worth saving
Maybe a tooth is too damaged for a filling to carry it anymore. Maybe one is already missing: after an extraction, an accident, or simply time. Maybe it's several. However different the starting point, the question behind it is usually the same: what now?
Tooth loss has many causes: genetics, a gum disease you've since overcome, phases of life where other things came first. It's far more common than the closed mouths of everyday life suggest. With us, you don't have to explain anything. How it got to this point doesn't matter. What matters is the best path from here. If that leads to a removable solution rather than a fixed one, you'll find those options under Removable Tooth Replacement.
How it would work for you
- Findings & planning.
We show you what we see and discuss together which restoration fits your situation.
- Cost plan & application.
We prepare the treatment and cost plan and submit it to your insurer, we handle that for you.
- The first step depends on the path.
For a crown or bridge, we prepare the tooth and take a scan. For an implant, our oral surgery partner places the artificial root.
- The interim.
A temporary protects the tooth until the final restoration is ready; with an implant, a healing period comes on top.
- Fitting & check-up.
Precise fitting, checking the bite, and a follow-up in the first weeks to confirm everything sits right.
Nothing comes out, nothing shifts while you chew.Fixed tooth replacement should feel like a tooth of your own.
What it costs
What tooth replacement costs depends above all on which restoration fits your situation, a crown, a bridge, or a restoration on an implant, and how many teeth are affected.
For tooth replacement, public insurance doesn't pay a share of the bill, it pays a fixed subsidy based on the finding, regardless of which restoration you choose. With an unbroken record of regular check-ups, this subsidy increases; in cases of financial hardship, it doubles. An implant almost always counts as a different type of restoration: insurance pays the subsidy for the standard solution, and you cover the rest.
Before we begin, we prepare a complete treatment and cost plan: with the findings, the planned restoration and all expected costs, submitted to your insurer. If an interim restoration needs to be made until the final one is ready, it's in the plan from the start too, no item added later.
What this means for you specifically, we work out during your consultation.
When something else is a better fit
For a single gap, the key question is: bridge or implant? A bridge relies on the neighbouring teeth, which are prepared for it even if they're healthy. An implant stands on its own in the gap and leaves them untouched. If the neighbouring teeth are still healthy, we usually talk about the implant first for that reason. If they're already crowned or need treatment anyway, a bridge is often the natural solution, with no healthy tooth sacrificed for it.
Are the teeth crooked?
Aligners
A restoration sits better on a straight foundation. For larger misalignments, it's worth correcting tooth position first. More under Aligners.
Are many teeth missing, or is there no stable abutment?
Removable tooth replacement
Where a fixed solution can't find secure support, a removable restoration isn't a second-best option, it's the right one. The options are under Removable Tooth Replacement.
Which of these questions applies to you, we work out together in your consultation, not in a rush.
Whether fixed tooth replacement is the right path for you or something else, we'll work that out together.
Zahngesundheit verstehen, Entscheidung leben.
Bridge or implant: the single gap compared
For a single missing tooth, two proven, fixed paths are open to you. The difference lies in what they ask of the neighbouring teeth, not in which one is "better".
Bridge
Proven, relies on support
- Holds
- Via the prepared neighbouring teeth as abutments
- Requires
- Healthy, load-bearing abutment teeth
- Fits when
- the neighbouring teeth are already crowned or need treatment anyway
Implant
Stands on its own, leaves neighbours untouched
- Holds
- Via an artificial root in the jawbone, standing on its own in the gap
- Requires
- Sufficient jawbone, healed gums
- Fits when
- the neighbouring teeth are still healthy and untreated
If you'd like to know more
Crown, or pull the tooth?
If there's enough load-bearing structure left, keeping your own tooth with a crown is almost always the better choice, it preserves the bone and is the more conservative solution. Extraction only becomes an option once the tooth can no longer be sensibly saved.
Does preparing the tooth or placing the implant hurt?
Both are done under local anaesthetic and are usually low on pain. After an implant is placed, some wound soreness is normal once the anaesthetic wears off, usually well managed with an over-the-counter painkiller for a day or two.
Am I without teeth in between?
Usually not. A temporary protects the prepared tooth, and if a tooth needs to be extracted, an interim denture can be made in advance and fitted right afterwards. This interim restoration is part of the treatment plan and is in the cost plan from the start.
Am I too old for an implant?
Age on its own isn't a reason to rule it out. What matters is your general health and how well the replacement can be cared for afterwards, which we discuss during your consultation.
How long does treatment take, and how many appointments are there?
A crown or bridge usually needs two appointments about a week apart. With an implant, add planning, the surgical appointment with our partner, a healing period of a few weeks to months, and the final restoration with us.
How long does a crown, a bridge or an implant last?
All three are among the more durable restorations, as long as oral hygiene, regular check-ups and, for an implant, not smoking, are kept up. A bridge lasts only as long as its abutment teeth, which is why cleaning underneath the bridge unit deserves particular attention.