Implants: the 'holy grail' or the solution of last resort?

Abstract

Dentists today have an increasing number of ways to restore chewing function lost due to missing teeth. The loss of chewing function has many more consequences than one might initially think. Oral function concerns not only chewing but also proprioception and osseoperception, and it influences brain function too. With this in mind, preserving natural teeth is important, and it is unwise to choose implants in the first instance if a compromised tooth can be saved with some effort or chewing function can be restored with bridges on natural teeth. Options differ on this question: should implants be considered the 'holy grail' or a last resort? Conventional bridgework is still a very relevant treatment option that affects the dynamics of the masticatory system less than implant-supported constructions and also requires less maintenance. A self-critical attitude on the part of a dentist remains necessary if patients are to be treated optimally.