I've been talking to work buddies who have had a bridge put in and those that have had an implant. It seems like an implant is the way to go. My concern is the two adjacent teeth to the one that was lost are in great health, so why grind them down to take the crowns and bridge? It just seems like all around the implant is the better way to go. I can't really see any down side to doing it. My pops actually had his ENTIRE set of teeth replaced with implants. He's 89 and says best money he's ever spent. My tooth in question is #19, that big fat lower molar on the left that is your work horse for chewing. How does cleaning a bridge vs. an implant work? It also seems like a bridge needs more cleaning to get up underneath the bridge. Guys with a bridge and implant also say they don't really notice it and feels like regular teeth.