Dental Implants
13 years ago
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Comments (0)Has anyone had this surgery? It's needed so that my dentist can implant artificial bone and in 6 months, dental implants....See MoreHave you had a dental implant and crown?
Comments (34)IdaClaire, I am in the dental profession and want assure you that implants are the "standard of care" now, meaning that if a single tooth needs to be replaced it might be your best option. I work at a dental school in Boston 2 days/week, where we see patients who travel many miles for the discounted fee at a dental school. However, since you have a dentist you trust and you also trust her judgement in referring you to a good oral surgeon, you can go forward with confidence. You are correct in that implants are a good option vs. bridge when "virgin" teeth are involved. Re: Springroz's comment on the cost " What I do not understand is why insurance covered most of the endo, but almost NONE of the crown....as if you had a choice to do the crown!" Your insurance company will pay up to the maximum allowed per calendar year. That is it. So if you had endodontic treatment on a tooth or teeth you may have used all your benefits for the year. Therefore the crown would not be covered in full. Anyone with dental insurance can request that a pre-treatment estimate of all costs be sent to the insurance company before beginning treatment. The ins.co will send you a determination of benefits. This way, you know up front what the ins.co. will cover and what you will have to pay out of pocket. If you want to maximize you benefits, you may be able to have the implant done now and the crown done in January or later....See MoreDental Implants.........
Comments (19)All on 4 or implants in a day is a way to place two implants on the lower, two on the upper and make dentures that anchor on to those. It's a very specific procedure and it is typically for patients who have been without teeth in the implant sites, have adequate bone in those sites, are free of infection and meet a number of criteria that make such a procedure possible. You can also have an implant restored in a day (although not with the permanent crown) either in a spot where you have been missing a tooth and there is adequate bone, or if you have a tooth that can be removed leaving enough bone to place the implant in the socket and achieve primary stability enough that it can be loaded immediately with an abutment and a single (usually temporary crown). Both of these situations are referred to as immediate loading. I will not place implants for immediate loading. I also don't do immediate placement into extraction sites, because I only do guided surgery where the placement is pre planned on a CT scan ahead of time and a guide is fabricated to place the size and position that has been planned. (It is possible to do this for immediate. but one needs their own CBCT scanner and a fabrication method for the guide onsite). I will refer people to others for extraction and immediate placement, but I never recommend immediate loading. The failure rate goes up. I have only seen a couple All-on-Four cases in person and the were both failing. I am going to say something that may seem mean, but this needs to be put into perspective. If you had 6 teeth that needed to be removed and these teeth were infected, this did not occur in a day. Teeth are not inanimate objects that happen to be in your mouth. They are living tissues. You had a chronic infection and a chronic disease, periodontitis, (whatever the origin) that took some time to develop. Why would you expect this condition to be cured in a day? Please be patient. I am not judging or assuming anything about how the condition developed. I treat some very advanced disease and I know there are many factors that may lead a patient to end up with hopeless teeth. But it really isn't realistic to expect a chronic condition to be treated overnight. You also have to be aware that once you have the implants, they are a part of your body and they need to be maintained. On one hand implants are very successful. On the other hand fully two thirds of implants have been found over time to have some sort of inflammatory process around them....See MoreAll on 4 dental implants?
Comments (14)This is wayyyyy more than I'd planned to share here or online-- as honestly, I am still dealing with the emotions around it all... but i am part way through getting bone implants and full upper all-on-4 implants. My situation is different -- my teeth were fine. I never had a root canal, caps or tooth breakage. I have severe bone deterioration -- likely due to a number of causes but genetics didn't do me any favors (mom got dentures in her late 30s). I am about 1/2 way through the process. I had tooth extraction and a large number of bone grafts in Oct. I will be getting the implants in a few weeks. They need to bond with the bone grafts and heal-- i should have the snap in all-on-4 denture in June/July timeframe (in the in between here I have a temporary denture-- which I HATE but my sisters tell me it looks great (and at least one of them would not LIE to me). I don't know that individual implants are even done for a whole upper but it wasn't an option for me. There was an option for a permanent (vs removable) prosthetic but it was MUCH more expensive (approaching 80K) and there were some downsides (including some hygeine-related challenges) that concerned me. I opted for the all-on-4 approach which is going to end up being more in the 18K range -- only about 1/4 of which is covered by insurance. I could have opted to do a partial or limited implants to start-- but honestly, my bone loss didn't improve with preventative efforts and it was escalating so I sucked it up and pressed forward with the whole upper. It would have been much more expensive to chase the bone loss-- and would have been years of major dental work. Eventually, I will need to do the same on the lower jaw also. I would have much preferred to have had a beautiful, healthy mouth but since I do not, I am so far pretty ok with where I am going. The process wasn't fun but it wasn't the worst surgery Ive had. The pain wasn't horrible-- in fact, my eye surgeries were much worse. Eating was an issue-- but it wasn't horrible and I made it through. I have a severe lactose intolerance so much of what they recommend you eat was off the table for me. Thank god for Rita's Italian Ice-- as I lived on that and scrambled eggs for the first 2-3 weeks. I had my surgery at the end of October and by Thanksgiving I could eat very finely cut turkey and many of the sides. I only just graduated to apples (sliced-- not biting into it whole) and yesterday I had steak! Probably shared more than you need just yet-- but I am hoping my experience helps you to make a decision. Now that I have openly shared this online-- feel free to ask any questions. Again, i am only part way through the process but the first part is the scariest and the most emotional (at least it was for me). I skipped over some of the challenges-- all with the temporary denture-- but would be happy to address them if you go this route....See More- 13 years ago
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marilyn_cOriginal Author