Tag Archives: bone grafting

Why Should I Get the More Expensive Implants?

I need a third opinion. I have three teeth that need dental implants up front, then another tooth in the back. I went to comfort dental and they suggested mini implants up front, to save me a lot of money and a partial denture in the back. They told me they’d last ten years. I went to get a second opinion and he strongly disagreed. He said I needed traditional implants up front and a bridge in the back. He said the adjacent teeth to the back tooth needed crowns anyway, so a bridge makes more sense. So, which procedure should I do? Comfort Dental’s plan saves me tons of money, so I’d really need a good reason to spend so much more money.

Charles M. – Washington

Charles,

I understand why you’d want a reason to spend more money. I can give you one, too. Mini implants are not used to support a crown. They’re mainly used to stabilize a denture. Saying they’d last ten years is way too optimistic. But, let’s dream and say they do. Then what? You won’t have enough bone structure to place new ones. You’d have to have bone grafting done and then get new implants placed. Why not do it right the first time? Otherwise, your “affordable dental implants” aren’t so affordable.

As for the bridge, I agree with that as well. If the adjacent teeth need crowns, a bridge is your most logical option.

Comfort Dental is a cooperation. They mostly recruit new dentists fresh out of dental school. They often use this type of employment to practice and gain experience before they go into private practice. That is something else to consider.

This blog is brought to you by Dr. Brad Hylan.

Why Did My Bone Grafting Not Work?

I decided to get a dental implant to replace a missing tooth. I felt my family dentist would be adequate for the job. He’s performed over fifty successful procedures. He did tell me ahead of time I needed to have bone grafting done because there wasn’t enough healthy bone to support the implant. He’s always showed himself to be a man of integrity. I felt safe. Well, after doing my bone grafting, he went in to do the implant procedure and decided the bone was still too thin. He told me it wouldn’t be safe to follow through with the implant and I should get a dental bridge instead. Really?! After having the bone grafting done, I still am not getting my implant. He gave me my money back, but I still feel cheated. Would this have happened with a dental implant specialist?

Margaret S. – New Hampshire

Margaret,

The short answer is no, this likely wouldn’t have happened with an expert on dental implants. While technically, there isn’t such a thing as a dental implant specialists, some dentists invest a large amount of time into training, so they’re essentially experts. They would have done the bone grafting properly.

However, You’re being a tad hard on your dentist. He’s obviously done this procedure successfully many times. It sounds like bone grafting was new to him, but he’s working toward building up the skills necessary to help all his patients. Learning starts somewhere and there are many failures before successes.

He also had the integrity to let you know he didn’t do the grafting successfully. A less honest dentist would have just placed the implant anyway, knowing it would eventually fail and you’d have to start over. Your dentist not only told you not to go through with it, but gave you your money back on work that he did with a good faith effort. He won’t get his lab or surgical fees back from the hospital. He took a loss.

A dental bridge is an equally viable solution to a situation such as yours.

This blog is brought to you by Dr. Brad Hylan.

Clear Choice was Pushy and Immovable

I went for a consultation to Clear Choice after several months of trying to get my dentures tolerable. They quoted me $59,000. That’s a lot of money and I could get traditional dental implants for less than that. When I told them that they insisted I wasn’t factoring in bone grafting. That’s true, but only because I don’t need bone grafting. My existing bone structure is fine.

During their sales pitch, it became increasingly clear that dental implants were a better option for me than Clear Choice’s all-on-four procedure. I mentioned that but they weren’t willing to let me off the hook. They kept hammering away at me. I said if they’d consider coming down on the price, we might talk, but they were steadfast about that huge priced tag.

At one point, I just said I needed to go. As I stood up, they implied I was intentionally not caring about my teeth and tried to waste their time. That was it. I’ll never go back.

Can I Super Glue My Dentures In?

My dentures refuse to stay in. They slip all the time. Would it be okay for me to super glue them in? I know I won’t be able to take them out, but that’s the point. They wouldn’t come out. I just wanted to check in case it was poisonous or something.

Marc G. – San Antonio

Marc,

I’m assuming you’re just kidding with me out of frustration. I know that you’re in a pickle with your dentures, but super glue is a horrible idea. It’s extremely dangerous for you to do that. You will cause yourself a tremendous amount of pain.

The reason your dentures are slipping is likely because of bone loss. When you remove your teeth, your body recognizes that you no longer have tooth roots and begins reabsorbing the minerals in your jawbone to use elsewhere throughout your body. Eventually, there’s not enough bone structure to support your denture. That’s why they slip and slide.

I’m going to suggest a much healthier alternative. You could have some bone grafting done to build up your bone structure, then get dental implants. Implants anchor your tooth replacements to your jawbone. It’s like having your own natural teeth back… and they won’t go anywhere.

This blog is brought to you by Dr. Brad Hylan.

Choosing the Right Solution for Affordable Implant Treatment

I have a missing upper molar and two canine teeth that need replacing. One place I went wants to do mini implants to replace them. They told me it would keep cost down and last ten years.  They’re very affordable. The other dentist suggested instead to replace my canine teeth with regular dental implants and on the missing molar to do a bridge because the teeth next to them are broken and having problems.  This is a more expensive option. The two plans are so different, I’m having a hard time choosing and don’t want to get sucked into the wrong one, simply based on math.

Emely R. – PA

Emely,

I’m glad you’re not making decisions simply based on the “best deal”. Sometimes what you think are affordable dental implants end up being what costs you the most, in both health and dollars.

If I were in your place, I’d go with the recommendation of the second dentist. Here’s why.

Mini implants, though more affordable, are not meant to be single tooth replacements. They’re designed to secure a denture. They don’t usually last ten years. But, let’s say you luck out and they make the full promised ten years. Then what?  You don’t just replace them with new implants. They fail when there’s not enough bone structure to support them anymore. In order to replace them, you’d have to have bone grafting done, which is quite expensive.

If you start with full-sized implants, you have a 98% chance of success, depending on who does the procedure.

The bridge is also a good idea, because it addresses the needs of the adjacent teeth.

This blog is brought to you by Dr. Brad Hylan.

Can You Get Implants After You’ve Had Dentures for Years?

I’ve had dentures for most of my adult life. I’ve always been embarrassed about my smile. I’ve just gotten to the point where I’d like a pretty one. Is it too late? Can I get dental implants if I’ve had dentures for years?

Emmy Lou T. – North Carolina

Emmy Lou,

You can have a beautiful smile no matter what stage of life you’re in. In fact, with the right dentist, you could have had beautiful dentures. However, switching to dental implants is always a good idea.

Because you’ve had dentures for so long, you’ll likely need bone grafting done to make sure there is enough bone structure to integrate the implants.

After the bone grafting, you can have implants placed. As you go forward, make sure you see the general dentist first. Don’t rush to the oral surgeon. Many patients think that is the first step, but it’s the general dentist who determines the proper placement of the implants. If you go to the surgeon first, they’ll likely be placed in the wrong position.

As a beautiful smile is one of your goals, it will be important that you find a dentist that can do beautiful work. I’d ask your dentist to show you some samples of the smiles he’s done, so you can be sure that he or she can give you the results you’re looking for.

This blog is brought to you by Dr. Brad Hylan.

 

How Important Are Dental Implant Abutments?

I’ve been quoted two widely varying prices in dental implants. When I inquired about the price difference, the more expensive dentist said he does custom abutments and the other dentist uses prefabricated ones. How important are the abutments? Do they really need to be custom made?

Emily S. – Utah

Emily,

First, it would help you to know what abutments are. The implant itself goes into your jawbone to serve as the tooth root. Next, the abutment is placed on top to serve as a means of securing the crown to the implant.

Prefabricated abutments come in only a few sizes. This can lead to problems in placing the crown properly. If the space is too tight with the abutment, it can be quite difficult for the dentist to get all the left-over cement off. If that doesn’t get removed, it can lead to infection, which often leads to dental implant failure.

Yes, it will cost less to get the prefabricated abutments. But, that increases the risk of procedural failure. You may feel the price difference is worth the risk. You also may have no problems with the abutments. Just be aware that if you do, the entire procedure will have to be re-done, with the added procedure of bone grafting, because the surrounding bone will no longer be sufficient to integrate the implant with the bone.

You’ll need to weigh these risks and determine what is more of a priority.

This blog is brought to you by Dr. Brad Hylan.

Help an implant broke off my All-on-Four!

I feel helpless and angry. It’s not a good combination. I knew it was time to replace my teeth and I went into my dentist for a denture. He totally talked me into dental implants and further pushed be into an All-on-4. He told me there were many benefits over dentures, like they would be stronger and get me feeling back to my old self again. I spent a lot of money on this treatment and had every confidence it would do what I was told it would. Well, it’s only been a couple of weeks and one already broke off! When I called in irate, he agreed to fix it. But now he’s trying to convince me I need bone grafting before getting the new dental implant. Am I stuck? I honestly wish I never did it. I wish I could go back in time and have stayed with my original denture plan. Do I have any grounds for a refund?

-Gerald in Nebraska

Gerald,

Well, let’s first apologize on behalf of the dentist. It sure doesn’t sound like the dentist that placed the All-on-4 has done that at least. Some dentists have a high success rate with the All-on-4 technique, while others will never use it.

There could be a couple factors at play. One of which is that the dentist simply didn’t have the skill required to be successful. Dental implants take extensive training beyond dental school. If an All-on-4 is placed incorrectly, the pressure that it endures will simply not hold up. The angle, the surgery, the quality of the products all come into play too. This may be one reason for the failed All-on-4.

Another reason it may have failed is due to the quality of the product. Some implant dentists try to cut corners on cost and utilize sub-standard materials. Now, this is in no way accusing the dentist of using faulty materials. Simply put, some are much higher quality than others. Others feel very strongly that the All-on-4 technique isn’t strong enough.

Bone grafting  from the same dentist doesn’t sound like the best plan either. If bone grafting was required, you should have known prior to the treatment being done. You may be best served by visiting another more experienced implant dentist or at least seeking a second opinion on the matter. A refund is not likely. Although, it never hurt to ask. If, in the second opinion with a new dentist there is anything that is abnormal, he may be able to support you in your quest for a refund. Best of luck! And again, sorry that you are having to deal with this.

This post is sponsored by Cleveland dentist Hylan Dental Care.

How to choose an implant dentist?

I don’t know where to start. I lost a tooth a few years ago and I know I want to replace it with a dental implant. But I never moved forward with it because it was too expensive. Well, I kept seeing these ads for a more affordable dental implant option and I have even started seeing them in the coupons mailed to my house. I think I will try out one of those but I have no idea how to choose the right implant dentist? Do you have any advice? Are there any red flags I should look out for?

-Jerry in Louisiana

Jerry,

You can’t believe everything you see in the ads and use them as a valid comparison, especially when it comes to dental implants. The featured price is usually for the cheapest option and it very well may not include everything that you need to have done for a successful dental implant placement. Here is an example. For dental implants, oral surgery is required. Some dentists don’t do the surgery themselves, so the fee could be only for the restorative crown in the ad to lure in new patients. Also, since a few years have passed since you lost your tooth, you may have had some bone loss. If this is the case, you  might require bone grafting, which is likely not included. So first, you need to make sure you are comparing apples to apples regarding what services will be performed. Then, you need to beware of dentist that cut corners by offering sub-standard materials. They may show a low price, but when the patient has problems in the future it ends up being more expensive in the long run to fix the problems. So be on the lookout for that too.

Dental implants are the best replacement option for a missing tooth. Don’t select an implant dentist based on fees. When choosing an implant dentist, you need to ultimately find one that you trust. Do your research to find one that can show you many examples and testimonials of cases that are similar to yours. Ask about their success rate, as well as their training and credentials. You can seek second opinions between dentists which is a great idea. Just make sure you are comparing similar products and services. Also, keep in mind that implant dentistry is not a regulated field within dentistry so any dentist can claim to place them.

When comparing the fees, different offices use different billing codes. Be clear on which services are provided in the dentist’s office versus services provided elsewhere like at the oral surgeon’s office. If the codes don’t match up between dentists, they may be pricing different services. Then, be sure to find out why that particular dentist is offering something different.

Hopefully this will give you some pointers as you move forward.

This post is sponsored by Cleveland dentist Hylan Dental Care.

 

How long will it take to recover from getting dental implants?

I have been putting off having dental implant surgery for a couple months. I finally have it scheduled for next week. But this is right before my vacation the following week. Is that going to be long enough of a recovery from the surgery? I don’t want my vacation to be ruined because I feel lousy. Do you think that one week is enough time?

-Paul in Nevada

Paul,

It is difficult to answer a questions like this because you didn’t really provide that much information about your case. For example, how many implants are you having placed? What are the locations of the implant posts? Are they in the front or back of the mouth? Is there any bone grafting that will be required? In addition to those factors, everyone deals with the placement of dental implants differently. So recovery time varies from case to case.

If you are just having one dental implant placed, you really won’t notice too much interference with your normal daily activities. In fact, you may be up for work the next day. Now, if you are getting an entire arch of teeth replaced and require tooth extractions, this is much more invasive of a procedure. You will likely be on pain medication and will be dealing with some pain and swelling. The more teeth that are impacted, the more soreness and pain you can expect.

If you are traveling out of town for vacation, you may want to reconsider. If for some reason you have some sort of dental emergency, you will likely want to get into see the implant dentist that did the work. Unfortunately, there are too many variables in play to provide a definitive response to your question. Talk to your doctor about your plans and ask his opinion about your post operative care and recovery time. Together you can make the right decision for your individualized needs. Good luck!

This post is sponsored by Cleveland dentist Hylan Dental Care.