My bridge on teeth # 11 to14 broke. thinking to do crowns on # 11 &14 now and implant on the missing teeth #12 & 13 few months later. feedback please.

Crown & Bridge: It is a good idea to have implants especially if you still have good amount of bone- and hopefully, there's no need for a sinus lift. It is fine to get crowns on 11 and 14 first to make it sure these teeth are protected. Good implants needs time to integrate to the bone. You need to have an intermediate partial for the meantime so you won't be smiling without your 11 & 12.

Good idea: Implants are teh best choice in tooth replacement.

Best thing to do!: Bridges, as you've seen, do not last forever. At your age, if you did another bridge, chances are very good that you will need at least one more 4-tooth or larger bridge in the future. For the long-term cost, you actually will save money w/ implants. They are also easier to clean around. The more plaque (bacteria) you remove daily, the healthier you are! spend a little more up front and save big!

Good plan: See a prosthodontist for an evaluation before proceeding. The plan is a good one, but you must evaluate teeth 11, and 14 for support and stability, and the bone #12, 13 for implant treatment. Sometimes we must remove other teeth to get best implant result due to bone in this area. Good to plan for best long term result. Good luck !

Stage it: Have your dentist make a temporary bridge from 11-14 so that you have something to wear while the dental implants are healing. Then all four crowns can be made at the same time so that the fit and color is consistent.

Good idea, but..: It is a good idea to be thinking that way long term. Before starting you should consult with an oral surgeon as to if there is enough bone present in the areas you wish to have the implants placed. If the bridge has been there a long time it is possible that there will not be substantial bone in the area to complete the implant process without the use of a bone graft of some kind.

Great thought here!: What is not often discussed is the bone loss that happens gradually over time in areas where a tooth has been missing. Dental implants can preserve the bone structure when put into active use in your mouth. Sort of you use it or you lose it idea. You may have boneloss under the area where your bridge "floated" the missing teeth. This needs to carefully evaluated prior to implant treatment.

Restore all together: What do you plan on doing with the open space for #12 and 13 while you wait to do the implants? Do the implants and place a temporary fixed bridge from #11-14 with dilute permanent cement. When you are ready to restore the implants, you can restore #11 and 14 at the same time. I would complete all treatment in less than a year for a successful result. Make sure to have the $$$ before you start.

Implants are best: Implants are always the best and most conservative option. Implants help you retain your bone, where as fixed bridges and removable dentures don't. Also, implants are self-anchoring, you won't need to rely on adjacent teeth for retention. But they are the most expensive option.

Yes.: Waiting few mounts is usually not a problem, longer waits may cause extrusion of opposing dentition and drifting of #14. This can be avoided by wearing a night guard.

Good idea: If implants are an option, they are usually a better choice. You can have a temporary retainer with teeth fabricated between the time you have the other crowns done and the implants are ready to restore.

Smart choice!: Yes, if your bridge already failed, you should try another option. Individual replacement of teeth is the ideal option. You will be able to have better hygiene and will preserve your bone structure in that area.( bone reabsorve in abcense of teeth roots).

I would wait: It might be safer to have a provisional (temporary) bridge put in place until implants are ready to restore. This will allow your bite to remain stable, and will leave you the alternative of a new bridge if the implants are not successful.

The best idea for yo: Big question to consider would be why did it break? But hands down implant is the best choice bridge 11-14 was a long span bridge anyways hope this helps.

Perfectly acceptable: Perfectly acceptable as long as there is enough high quality of bone to support impalnts.

Why did it break?: It is important to know why the bridge broke before you decide. Was it very old? Do you have a very hard bite? Was it defective? The answers to these will lead you in the proper direction.

Lots of good advise!: You have gotten a lot of good advise from the other doctors who have responded to you question. I certainly agree with them all, but as you weigh your options, are you a straightforward candidate for implants in the #12 & #13 position or do you require a sinus lift/grafting in addition? A lab processed temporary bridge while your dental professional evaluates and presents your best options!

Better than partial: Dental implants are going to be the best option for most people to replace missing teeth.

Great idea: Implants are always a better option than a long span bridge. Hopefully you have enough bone to place them. If not, it will be worthwhile to have bone augmentation surgery.

good idea: Implants are rapidly becoming the standard of care for missing teeth since they simulate the original dentition.