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    Old 08-02-2004, 06:05 PM   #1
    Skyla
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    Implant question?

    What I'm confused about is what happens if you have an implant bridge, and something happens to it, like it cracks, or gets worn. Then won't the whole bridge have to be replaced? The prost & the peri I consulted with really confused me. I'm looking at replaceing my front teeth, and my back molars on top. He said if I lost one of the remaining teeth down the line, he would have to remake the whole thing. So his most recommanded treatment would be to pull the whole top, because he can't say how long they will last. Ok the front I could see since its all one unit, but it wouldn't be attached to the back molars. I don't see why If I lost one or two down the line I couldn't just put in a single implant.

     
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    Old 08-02-2004, 06:59 PM   #2
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    Re: Implant question?

    You could possibly just put in a single implant if you were to loose the other tooth, but there are several factors that will play a role. Going on and pulling the tooth would certainly be cheaper than waiting to see how long it will last and then having another implant done. Of course, you could always talk to your doc and see if he can place the implants so that the bridge could be replaced if you lost the tooth without having another surgery. If it is very probable that you are going to lose the tooth, then it would probably be easier and more cost effective to go on and pull the tooth and replace it with the unit. This of course is a very personal decision - and has a lot to do with the condition of your teeth, gums, and bone.

    Good luck with your upcoming surgery!

     
    Old 08-02-2004, 07:56 PM   #3
    Skyla
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    Re: Implant question?

    Kikki sorry If I didn't explain, it would mean pulling 6 additional teeth and 20 grand more up front. If its an all in one unit and one or 2 crowns go will the whole thing have to be redone?

    Thanks for the luck...But nothing is set yet...

     
    Old 08-02-2004, 08:49 PM   #4
    brwneyez9
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    Re: Implant question?

    If you are planning of doing a bridge on an implant and sometime down the like the procelin breaks then yes the whole bridge would need to be replaced. A bridge is one unit if one breaks you can not take that one crown off and replace it, the whole thing would need to be redone. Now remember yes crowns are made of procelin, but they are hand made and are stronger then you think. People chew and grind on these everyday and they last 10,15,20 years plus. Everyone is different and you don't know when one is going to break and you could go and they will never break. That is just something that may or may not happen. I know a guy who had a bridge on for 20 plus years not one thing wrong with the bridge it's self, but he had gotten recurrent decay under the bridge(which you won't have to worry about because implants can't decay) and had to have it removed.If it weren't for the decay then he wouldn't of need the bridge to come off. It was in great shape.I hope i answered that question for you. good luck with your treatment. Like i said before i think implants if you can afford it are the best way to go. You will be really happy with that treatment. Let me know if i didn't answer you question the right way.Yes you could get a single implant later.

    Last edited by brwneyez9; 08-02-2004 at 08:49 PM.

     
    Old 08-02-2004, 09:26 PM   #5
    Skyla
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    Re: Implant question?

    Thank you brwneyez9...So if a person were to get an overdenture and one broke the whole thing would have to replaced?...My pros charges 22grand for an overdenture. Do you know if u can replace a full arch with single implants not fused. Might be cheaper for me to save the 6 then.. Also do you know the difference between screwed in implants, and cemented? My pros says he likes screwed in better.

     
    Old 08-02-2004, 10:32 PM   #6
    lateeth
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    Re: Implant question?

    Hi Skyla, not answering this question because i know nothing about any of this stuff. Just wanted to see how you were doing. Did you decide which dentist to go with? It sounds like you are still not sure how many teeth to lose. I would try to keep as many as possible if they still work and the dentist thinks they have a good survival possibility. Maybe you can get something temporary until you see the outcome of your other teeth. I know this is very different from what you are talking about but my dentist did a temp filling in a tooth which needs a crown so that i will have a year to see whether or not that tooth will be pulled before spending the money on the crown. A friend of mine who has a denture said she had a temp denture for quite a few months before getting the permanent one. Can you do something much less costly and longish term temporary until you see about the other teeth and how it feels with them still in?
    Good luck to you. You have a lot of hard decisions to make.

     
    Old 08-02-2004, 11:05 PM   #7
    Skyla
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    Re: Implant question?

    Hi lateeth,
    I'm stressed and confused but thanks for asking. I had alot of questions and wrote my peri over a week ago still have not heard back. This last question is important to me. The pros said If I lost one down the road he would have to remake the whole thing. I really don't get this as it wouldn't be attached to the front teeth. I don't see why if one went I couldn't just replace it with one implant. But now I'm even thinking if I went the other way and pulled the whole top, got an overdenture, and one broke the whole thing would have to be redone. The pros gets 22grand for the whole top, which is 20 grand more then if I where to keep the 6. Thats between the pros and the peri costs. I really can't afford to replace the whole thing say if it goes in 10 years. But I could come up with 4 grand to replace one. Hope I didn't confuse you.

    As for going with a partial, I have a terrible gag reflex. And since I have bone & gum loss I believe if I'm gonna go the implant route its better to do it sonner then later. Plus the longer this goes on the more scared I'm getting,

    I have an appt with another peri who is an all in-one this week, and also a local dentist.

    I hope you are feeling better, and glad to see your treatment is moving along.

     
    Old 08-03-2004, 01:19 AM   #8
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    Re: Implant question?

    Skyla~
    Sorry - I read your post too quickly! 6 teeth are an entirely different story! Unfortunately, they have yet to develop a bridge that can be repaired instead of replaced if something happens to it. An entire arch can be replaced with single implants, though that is a lot of surgery and trauma. One option would be to divide the arch into quarters or thirds: maybe molars and premolars as each a grouping, and cuspids and incisors as a group and have three or for bridges anchored with two or three implants each. That way, you can save the teeth you have now and replace them with a bridge if the need arises with no disturbance of your other implant work. I actually know someone who did something quite similar to this. Replaced the incisors and cuspids with a bridge with three implants and then later had to have the premolars and molars on the left side pulled and replaced them with a bridge with 3 implants. Worth looking in to? Implants are SO expensive (though worth it) that it is good that you are researching you options and not just doing what one doctor says he thinks you should do!

    Good luck with all of this!!!

     
    Old 08-03-2004, 03:30 PM   #9
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    Re: Implant question?

    IF you do single unit implants and then get crowns on each one the yes you could replace just that one. Like kikki said when you do a bridge it is all one piece and they don't have a way yet to replace just the part that breaks. With a bridge you would have to replace the whole unit.

     
    Old 08-03-2004, 10:13 PM   #10
    Skyla
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    Re: Implant question?

    Ok 1st peri said he would recommend pulling the whole top as he doesn't know how long the 6 would last and it would cost more in the long run because the whole top would have to be redone. He said I could keep the 6 tho if I wanted and would do the front 4 which would take 4 months, and the back molars 9 months.

    Ok 1st peri said he would recommend pulling the whole top as he doesn't know how long the 6 would last and it would cost more in the long run because the whole top would have to be redone. He said I could keep the 6 tho if I wanted and would do the front 4 which would take 4 months, and the back molars 9 months.

    Well went to the all in one...Seems he's not a peri, even tho he does peri surgery. They do general denisty, cosmetics, and he has a 2 year degree in pros. There main thing is implants. So now I'm confused which is better to use.
    This guy didn't even give me the option of keeping the 6...He said it wouldn't be worth it and right now I have enough bone in the front but if I kept the 6 it would jealopize the rest. He said I need sinus lifts on both sides.

    He said it would be a waste of money to put anything into it, but if I wasn't ready he would take care of the bottom, and keep doing cleanings on the top.

    He said he can understand how hard this is for me, since its not like pulling an infected tooth, or having a root canal on a tooth that hurts. He said the most important thing is weather I go with him or someone else is that I trust them 100%.

    He said my problem is heredity. He also said he thinks it would be to tramatic for me to wear anything removeable. He recommended a 2 to 3 year plan where he would make a temp bridge useing the better 6 teeth. for support. them placeing 10 implants, for a perm restoration not an overdenture.

    So I asked him if a crown cracks if there attached and he said it could be fixed, without redoing the whole thing. I asked him about individual crowns, and he said yes that can be done but its not nessacary.

    He said crowns are 1000,00 which is 1000.00 less then what the other prost. charges. There seems to be a difference in how this guy and my current prost do things. This guy cements the crowns on, the other likes screws. I have no idea about the cost of anything else, I have an appt for that next week.

    As far as peri's go, my current peri office super big on sanitizing everything, this office didn't seem like that, not that it was dirty...things like in my current peris office even the lights are covered with plastic and b4 another person comes in the plastic is changed. Make sense since the peri often touchs the light with his gloves.


    So now I'm confused which is better to use. One that will let me keep 6 or one pulling them. I like the idea of not haveing to wear a denture or a partial, but it also adds alot of time to the plan, not sure my nerves will hold out LOL.

     
    Old 08-04-2004, 02:38 PM   #11
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    Re: Implant question?

    I guess i really don't understand your treatment. I don't understand what that dentist wants to do. Are you doing implants for a denture or are you doing in implants and then doing a bridge or two, or all single crowns. I am sorry i am confused on the treatment. Who are the two dentist you are seeing.Sounds like they both are general dentist and one has the extra degree in perio. How are the crowns so much money. That is crazy. Where i am from they range from $750.00-950.00. I think maybe you should look into a specialist like an oral surgeon or a periodonitis. Someone thats all they do. find someone you can trust.It sounds like you don't trust this guy that you are seeing.

     
    Old 08-04-2004, 05:00 PM   #12
    Skyla
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    Re: Implant question?

    I'm sorry brwneyz9 I might not be makeing sense as I've gotten little sleep and I'm stressed.

    The 1st is a periodonist and a seperate prost team. Between the 2 of them it comes out to 4,000.00 an implant. The peri charges 2,000.00 and the prost charges 2,0000.00 for a crown. If I keep 6 teeth this would involve a bridge in the front using 2 implants. and replaceing 1 or 2 molars on each side. If I went with pulling them all that would be atleast 8 maybe 10 implants and over 20 grand more for fixed implant bridges.

    Here is what the 1st peri said:
    The periodonist gave me 2 options, 1st recommendation was to pull my whole upper, even tho my 6 teeth can be saved now(both my eye teeth and all 4 of my bi-cupids).
    He said that because he can't say how long these would last, it would be cheaper for me in the long run because if one failed I would have to replace them all.

    The 2nd option is pull my front incisors make a bridge, keep both eye teeth and bi-cupids. Replace the molars. This option would involve 4 implants, so it be more affordable to me The peri then sent me to a prostadontist who said if I lost one of the remaining teeth down the line, he would have to remake the whole thing. So his most recommanded treatment would be to pull the whole top, because he can't say how long they will last. , but I don't understand why the whole thing would have to be remade as the front and back molars would not be attached. I don't see why If I lost one or two down the line I couldn't just put in a single implant.

    As far as I can tell their great Dr's but problem with this team is they don't seem to be communicateing with one another and kept deferring me back and fourth to get my answers. There have also been differences of opinions which have left me with more questions and more confusion. I wrote this peri over a week ago as I wanted to get things cleared up and he hasn't returned my email as of yet. To be fair both these Dr's spent a great deal of time with me, but being new to this, and in shock over it I didn't know what questions to even ask.

    So I decided to go for a 2nd opinion. I went to a guy who specializes in implants. He said the only way he would do them is to pull the whole top. If I couldn't afford it now, he would pull the front and put in a partcial and just keep cleaning the rest. But my options for a fixed restortation go down as more bone loss would occur. He would put in 10 implants for this. He charges 1000.00 for crown which is 1000.00 less then the 1st prost. He hasn't given me a total yet and I'm not sure I could afford to do a full restortation.

    I have a dental phobia to begin with, along with a terrible gag reflex so I am scared of what I am facing. I knew nothing about implants up until 2 months ago, I only knew one person who had them, and over the years one by one fell out. Had she had pulled them all she would have had to have a denture instead of partcials. So pulling them all scares me more incase they fail. The 1st peri understood this. The 2nd guy said if I pull the whole top I have a 99% chance they will take, now I never heard those odds.

    I hope this didn't confuse you more

     
    Old 08-04-2004, 10:33 PM   #13
    lateeth
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    Re: Implant question?

    Hi Skyla, your story sounds kindof scary to me too. Why the big difference in the cost of a crown? And i never heard from my dentist that an implant might fail if not all your teeth are pulled??? The main difficulty i have been told about implants is if you do not have enough bone(which they can try to regrow) or infection. Growing bone doesn't work if there is infection. So if the teeth they are not pulling are infected this could be a problem for implants, but they are a problem anyway if they are infected and the infection needs to be cured. The other problem on the top is the sinus problem which i think you mentioned before, but that problem can be there whether it is one tooth or all of them getting implants.
    Anyway, here in the big city of LA, a crown is about $800-1200, even in Beverly Hills. New York can get pricey from what i have heard but(at least for cosmetic stuff, i don't know about dental stuff) some people go across to new jersey where prices are less or to somewhere out of manhattan. It shouldn't be a difference of $1,000 in the same town. That doesn't sound right. the implant part here seems to cost between $1200-$2200(the titanium screw part) without the bone treatment if needed. $2200 was in beverly hills by the way from an oral surgeon who is more expensive on everything.
    I know you are really scared, and that is normal considering what you are needing to do but i also don't think you should go with someone you are uncomfortable with. The more comfortable you feel with the plan and the dentist, the less scared you will be and the less likely you will be after it is done to wonder whether you made the right choice.

     
    Old 08-04-2004, 11:53 PM   #14
    Skyla
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    Re: Implant question?

    Hi lateeh,

    My story is scarey to me to LOL

    "Why the big difference in the cost of a crown?"

    I guess because one is a specialaist, and the other one isn't. I might get a nicer effect from the specialist. I had no idea what they went for, the 1st peri did say in the beginning that if he was to high he could send me someplace else but he was goo, and things would go smoother useing him. Well things haven't gone smooth. Now that I know he's double that's really something to think about, as he would also have to replace any that went. I am also not in NYC, I'm on Long Island where things are high but not like the city.

    "And i never heard from my dentist that an implant might fail if not all your teeth are pulled???"
    Did I say that someplace? The 2nd all-in one guy, said he wouldn't do the implants if I kept the 6 because of my age they won't last my lifetime and it wouldn't be worth putting anything in to them. He also did a pana-a ronic xray and showed me how much bone loss there was. He said with the amount of bone loss I have it's heredity. I don't know if they got worse in the 3 months, but to me they seem worse. They ache now, which could be due to all the clenching I have done. He also said that right now he can put them under the gum instead of an over-denture that sits on the gum, this was a big concern of mine because of my high smile you would see the space. The 1st peri said, that I had to be aware that this might not be able to be done, and they wouldn't know till into the treatment. So who to believe.

    The 1st one said if I kept the 6, it would cost me more in the long run. Last nights appt was a let down, as I was hoping for better news not worse. I thought keeping the 6 would buy me more time to save, and give them some chance. I was set on keeping the 6, but now with 2 dr's telling me the same thing I need to rethink this. Either do it all now and get it over with, or have to replace somewhere down the line. I know I can't afford to do the whole top, useing the 1st team. I don't know what the 2nd guys price is. So I guess cost will also have to decide.

    "I know you are really scared, and that is normal considering what you are needing to do but i also don't think you should go with someone you are uncomfortable with. The more comfortable you feel with the plan and the dentist, the less scared you will be and the less likely you will be after it is done to wonder whether you made the right choice."

    I agree with this, but also remember time is something I don't have on my side. I'm afraid my front tooth will fall out. Where I'm upset how the 1st peri handled things, and the fact he has not written me back. I do think he might be the better doc, plus he is a peri which the other is not. He does have my husband as a patient so I don't think he would lie as he would loose 2 customers. But comfortable right now no, unless this can be resolved. The 2nd guy is promiseing me 99% success, and the restoration I would prefer. Plus hes cheaper on the crown. But do I trust what he's saying I dunno? I guess my next meeting with him will have to decide.

     
    Old 08-05-2004, 06:23 AM   #15
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    Re: Implant question?

    has anyone any experience of implants in upper jaw with fixed teeth, not sure what this is called. I should be finished with my treatment in Sept.
    Bernice

    Last edited by bernicetynan; 08-05-2004 at 06:25 AM.

     
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