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advice bridge or implant

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Old 05-10-2006, 02:45 AM   #1
Join Date: Mar 2006
Location: ny ny
Posts: 4
17judy HB User
advice bridge or implant

Hi everyone,
I went for a few consultations with dentists and I get more confused.My lower teeth are looking bad. I have bone lose ,shifting teeth, and a missing tooth a dark filled tooth , and crown thats too short etc. I need to have 2-4 lower front teeth extracted . I am getting $12,000 quote for 9 unit bridge and one or two dentists mentioned implants which is several thousand more. I have no ins. but am willing to make an investment but I want it to last, so I would like to make the best decison and need some advice. History age 55 I have at least 50% bone lose where the front teeth need to be extracted I have full upper dentures,I was on lots of medication previously which caused burning mouth , dry mouth ,shrinking gums had few infections with extraction and abysess also have been eating after nightime brushing I think I am doing better though.I am afraid of getting implants and afraid of not since many say they are so great. Is it resonable to get the bridge ..does the whole unit have to be removed if one of the supporting teeth fail? I have been putting off making a decision and just keep making appts for consultations.
Any advice would be appreciated.

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Old 05-10-2006, 08:53 AM   #2
Join Date: Apr 2006
Location: Montreal
Posts: 106
JenniferE HB User
Re: advice bridge or implant

Whether or not a bridge is an option will depend on how healthy the supporting teeth are. How long it will last, will depend greatly on your oral hygiene. If any of the supporting teeth fail, the bridge will need removed.

Did the dentist mention anything about a partial denture?

With the implants, the surgeon may need to build-up the bone tissue first to allow for enough support for the implants.

Did the dentist mention about consulting a periodontist (gum specialist) first before beginning any of these treatments?

Old 05-11-2006, 04:22 PM   #3
Senior Veteran
Join Date: Apr 2004
Location: Rockland County, NY
Posts: 3,232
Thelma-Louise HB UserThelma-Louise HB UserThelma-Louise HB User
Re: advice bridge or implant

When I was in my early thirties I went the route of implants and bridges - it was costly but I thought it was worth the investment at the time. After 15 yrs of continued bone loss (despite frequent perio cleanings & rigorous treatments) I developed tmj and recently had the implants removed. It did buy me many years of "normal" teeth and I was pretty happy with them - but I wonder if it may have caused the tmj I now have. Also, at the time the dr told me an implant will last forever but that is not always true - for whatever reason, my bone loss could not be stopped as I aged and an infected implant is just as painful if not more so than an infected tooth.

Old 05-11-2006, 04:35 PM   #4
Junior Member
Join Date: Sep 2005
Location: Boston, MA
Posts: 41
pengdent HB User
Re: advice bridge or implant

Do you live close to a dental school? Their cost is usually significantly cheaper. Also you can be seen in the specialty department where many of the students are licensed dentists getting a specialty degree. You can try local community health clinics as well. Some even have a sliding scale.
If not, I agree with the above post and question if a partial lower denture is an option for you.
Did the specialists include to total price for the implants, ie how many implants total would you need, adjunctive procedures like bone grafting, ridge augmentation, or connective tissue grafting. What type of implant system are they using and how long for the treatment is completed?

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