Tag Archives: Dentures

What Are Affordable Options When Teeth Just Start Falling Out?

I don’t know what to do for my Great Aunt. She’s almost 90 years old and the last time we visited her two of her teeth just fell out. I feel like her dental care is being overlooked. I’m willing to help her with it but I don’t know what to do. Are there any affordable options for her?

Benson L. – Colorado


It sounds like your aunt has very advanced gum disease. This is going to impact what type of treatments you can do. Normally, a dental bridge would be fine for a couple of missing teeth but with such advanced gum issues it will spell the imminent demise of the teeth the bridge is anchored to.

The top of the line tooth replacement is dental implants, but you asked for something affordable. There are some affordable dental implants, but they work more with things like snap-on dentures. Either way, her gums would need to be healthy.

Your best option in this situation is to get her dentures. Usually they have a huge drawback of losing jawbone, but at your Great Aunt’s age, that will not be a serious issue.

It’s a great thing she has you looking out for her because it doesn’t sound like many people have been. If she’s a candidate for sedation dentistry, this might be a good idea. If she hasn’t been to the dentist in a while, it could be scary for her. Plus, she likely needs a lot of work and this will make it easier for her.

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

Can This Gorgeous Granny Get Dental Implants?

I’ve always been called the gorgeous granny in my neighborhood, but lately I’ve felt anything but. I have dentures. Several years ago, I had them re-done in order to update my smile. They’re still pretty, but lately they’ve not fit well and my face has started looking what I can only describe as reduced or sckwunched. I’ve been told dental implants can fix that. Am I too old? I’d really like to feel like the gorgeous granny again?

Eva M. – Chicago


I love your title. I can only hope other women have your confidence as they get through life. What you’re experiencing is quite common. It’s called facial collapse. When your teeth are removed, your body recognizes the roots are gone and interprets that you no longer need that jawbone to retain the roots. Because of that, it redistributes the minerals in your jawbone to use elsewhere throughout your body. As far as running a body goes, it’s remarkably efficient. As far as an attractive jawline, not so much. Unfortunately, it will only get worse unless you take some major steps now.

It’s not too late for you to get dental implants, however, you’ll need to take some preliminary measures first. You’ve had dentures a long time, so it’s likely you don’t have enough jawbone left to retain the dental implants. It doesn’t mean you can’t get them, but you will need some bone grafting done first. Once you’ve built back up your jawbone, you can have them implants placed.

There are many advantages to implants, but a fantastic one is you’ll never have to worry about facial collapse again. Your body interprets the implant as a tooth root and keeps the minerals for your jawbone in place.

Because you’re the gorgeous granny, make sure whoever does your dental implants is also a skilled cosmetic dentist. Look at some of their before and after results for porcelain veneers and all-porcelain crowns. If you think those are gorgeous, they can likely give you a beautiful implant crown.

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.

Why Did My “Affordable Dental Implant” Really Fall Out?

Can you help me figure out what is really going on? I’m losing confidence in my implant dentist. I went to him because he was the most affordable implant dentist in my area. I was so excited to get them. It was a dream I thought could never happen. I saved for years to get these. Now one of them has fallen out. The dentist said it’s because I waited too long to get them and I don’t have enough bone anymore. He warned the others might fall out too. He acted like this was my fault. I’m wondering if he shouldn’t have warned me about this beforehand? Am I being unfair?

Liz R. – Richmond, Virginia


Not only are you being completely fair, I think you should ask for a refund. It’s the dentist’s job to make sure you have enough bone structure to retain the implants, not yours. When he first examined you for dental implants, he should have examined you for both gum disease and bone resorption. Either of these conditions is contraindicative for dental implants.

You said you’ve been saving up for dental implants for a while. I’m not sure if your dentist warned you about this. Based on what you’ve said I doubt it. When you first lost your teeth, your body recognized you didn’t have any tooth roots and began reabsorbing the minerals in your jawbone to use elsewhere. This causes your jawbone to shrink. After a few years, you no longer have enough bone to support implants or dentures.

Unfortunately, in order to get dental implants, you’re going to need to have bone grafting done. Otherwise, the new implants will fall out. Not even dentures will stay in when you don’t have enough bone. I know this is not the news you wanted to hear.

It sounds like this particular dentist wasn’t really offering affordable dental implants. He was offering a quick solution that wasn’t really viable. There are more ethical dentists who will work with you. Many of them have payment plans. Some of them even have interest-free payment plans.

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

How to Spot the Difference Between Fake and Genuine Clear Choice Reviews

I’ve been trying to compare a bunch of Clear Choice reviews and testimonials from other local offices. I’m looking to be free of my upper denture after having it for about five years and I’m pretty sure I want to go the route of an implant-supported denture for stability and comfort. The next step comes in with trying to find the right dentist to do it and getting some estimates, but I’d rather not waste anybody’s time by going someplace that isn’t going to provide good care. I don’t know anyone who has had this procedure done, so I can’t get referrals from anyone, which means I’m more or less at the mercy of the net. The problem is, as I look over all these Clear Choice reviews, they’re all over the place. I can’t help but wonder if some of them are trumped up or fake. I know this happens on places like Amazon, but I don’t know if it has made its way into things like dentistry. Are there any things I can look for that may help me determine if something is valid?

Thank you,
Erin – Illinois

Dear Erin,

The reality is that Clear Choice reviews are going to be all over the place. Some people have good experiences, but when it goes bad, it goes really, really bad. This seems to be more because of their model than anything else. They do one main type of treatment and push it hard. Their sales techniques and cookie cutter methodology obviously can’t work for everyone.

Be sure to look at all dental implant and implant supported options. Don’t limit yourself to Clear Choice.

As far as spotting fake Clear Choice reviews (or any others for that matter), it’s really hard for people to tell. There are some computer programs that swear they can do it, but even those aren’t great. However, you may be able to identify them by looking out for the following:

1) Focus on people, not actions, or lots of generalizations. For example, if someone just keeps saying “I liked the dentist” repeatedly, it’s a red flag. Real testimonials tend to focus on the procedures performed and how they went. The person writing can tell you exactly what was good or bad, not just say “The dentist did a good job with my implant.”

2) We wary of large amounts of technical language. Testimonials that include things like the clinical names of teeth (bicuspid, first molar, etc.), those that use medical language to describe parts of the mouth (anterior, posterior, mesial, distal), or ones that sound like the info is coming from a manual (35% tooth whitening gel, fine polishing disc, etc.) Some patients are well informed and that’s great, but real patients don’t usually distinguish between different types of similar materials/ equipment and almost never use dental terminology to describe landmarks in their mouth. Use your own judgment with these.

3. No other reviews. If you’re on a platform where it’s common to have reviews of all sorts, like Yelp, be wary of the ones who never rate anything else or those who only give 5-star ratings to everyone.

4. Improbable or overexcited claims. For example, “THIS DENTIST IS AWESOME!!!” or “One visit with this dentist and all my dental problems were fixed.”

While there’s no fail-safe method for detecting fibs, these tips can help sort out the suspicious reviews.

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

Do Dental Implants Work for Teeth Falling Out?

I’ve heard that dental implants are the best option to replace missing teeth, but we have kind of a unique situation here. My mom didn’t lose her teeth to decay or have them extracted… they just seem to be falling out. She’s 79 and this started about six months ago. We thought one was a fluke. Now she’s had four fall out and the last two were only a few weeks apart. We’ve been trying to decide how to replace them best. I was originally thinking bridges would work, but they seem to be falling out so quick that I don’t know how long a bridge would last. Dental implants seem to be the better option, but if that’s the case, she’ll need a mouth full of them over time and I’m not sure she’s up for all that. Any suggestions?

Greg – Georgia

Dear Greg,

Dental implants are a great option when someone has healthy teeth and gums, but it sounds like your mom has some pretty serious periodontal disease going on. When periodontal disease advances to the point where teeth are falling out, it’s likely affecting her entire mouth. If it goes untreated, she will probably continue losing teeth.

Your first goal should be to see what you can do about restoring her oral health, or at least improving it some. Perhaps a deep cleaning, followed up by more regular professional cleanings can help her maintain what she still has. It’s unclear why she’s struggling so. As parents age, they do tend to have dexterity issues and certain medications can dry out the mouth and cause dental problems. A consultation with the dentist and hygienist about this can provide you with some insights on tips for home care and how to go about improving the condition of her teeth and gums.

As far as replacing the missing teeth go, dental implants are out because of her periodontal disease. Her teeth probably aren’t stable enough to hold bridges either. That leaves some kind of partial denture as the best option. Given how weak her teeth already are, it’s a good idea to avoid the type of denture that has metal clasps to attach it to remaining teeth. Those are the most common, but some dentists will make another kind that works more like a traditional denture, but with cutouts for her remaining teeth. That way, they don’t have any additional strain on them that might cause her to lose them sooner and, when she does lose other teeth, the dentist can just add a new false tooth to the partial.

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

Will all-on-4 work for me?

I have been trying to figure out what to do because I’m fed up with my dentures. In my research so far, I am intrigued by the all-on-4 dental implants procedure, for many reasons. I understand that it will help stabilize my dentures and it’s a lot more affordable than a mouth full of dental implants. But I have one huge setback. I have a metal allergy. When I mentioned this to the dentist, he didn’t even flinch. He said it was not a big deal. I am still not sure about it. I will suffer greatly if come in contact with metal of any kind. I don’t want to go through the investment and inconvenience of the procedure failing. I typically break out into a terrible rash. How do I know he is right? Do I just take his word for it?

-Dolores in Missouri


Your implant dentist is correct in that the all-on-4 dental implants should be fine. Most “metal allergies” are actually sensitivities. Now, of course, anything is possible, so continue asking questions until you are completely confident in the dentist’s understanding of your individual situation. But most people with sensitivities don’t typically react to all metals. For example, nickel is a big one to steer clear of. Also, any triggers that you may react to must be avoided. So be clear on precisely what metals may set you off.

Titanium or a titanium alloy is what you need to be comfortable with, since it what is most commonly used in dental implants. It is possible that the alloy contains some nickel. Your dentist will be able to give you the complete rundown of the composition of his recommended implants. It will be available through the manufacturer.

If you still are not comfortable that you will not react to titanium, it would be in your best interest to meet with an allergist to get a full diagnosis. You will be able to find out what your triggers are and what to steer clear of, so you can provide that information to your implant dentist. Good luck!

This post is sponsored by Cleveland dentist Hylan Dental Care.

My mom is freaking out because she had another tooth fall out.

I don’t know what to do for my mother. She has always liked the way she looked and as she gets older, things have changed. Now, she’s having issues with her teeth, which is really freaking her out. She has had a partial denture for a couple missing teeth and another one fell out near that location. Then, in a completely different area of her mouth, another one just fell out last night. Obviously her oral health is slipping, so we aren’t sure if a bridge will cut it. Budget is also an issue. Any pointers or advice so I can help calm her down and put her mind at ease?

-Whitney in Indiana


Of course, it is difficult to give specific recommendations without having seen your mother in person. That said, when teeth begin to fall out, it is a symptom of advanced gum disease.

So, if that is indeed what is happening for your mother, a dental bridge will not be the ideal treatment plan because it isn’t likely that she really has any solid teeth left that would be able to support this type of treatment.

If budget weren’t an issue, dental implants would absolutely be the treatment recommendation. Dental implants are the standard of care to replace missing teeth because they function like natural teeth and are lifelike. They prevent bone loss around the implant site and are a permanent solution. But, a full mouth restoration with dental implants would cost tens of thousands of dollars.

At this point, keeping in mind that there are budgetary constraints, your mother may better candidate for complete dentures. This would entail extracting the remaining teeth. The major downside of this plan is that when the teeth are gone, bone loss will occur. If you’ve seen images of elderly with sunken in faces, that is what would end up happening to her as the years go by. The condition is known as facial collapse and if she’s concerned about her appearance, she will not like that. Although, depending on her age, it still may be the best option for her.

If she’s not ready to go to the extreme of having all of the remaining teeth extracted, there is another type of partial denture called a Cu-Sil partial. This type of appliance is similar to a complete denture, but it allows the natural teeth to poke through and they help secure it in place. It will provide more stability than a complete removable denture. But if she truly does have advanced gum disease, it may not be the right fit.  Although, as other teeth fall out, the Cu-Sil partial can accommodate the occurrence with an artificial tooth replacement onto the appliance.

Hopefully this information was helpful. It would be wise to meet with a couple different dentists to obtain multiple treatment plans. Good luck!

This post is sponsored by Cleveland dentist Hylan Dental Care.

Will my health insurance cover dental implants?

I have some serious problems with my teeth and existing dental work. It’s time for dental implants. I’m missing several teeth in back and I have a dental bridge that’s over 30 years old. I would love to get one of those dentures that is permanently placed with implants for my entire upper arch of teeth. Also, I have gum disease, so I am currently getting scaling and root planing. I was interested in a partial dental appliance, but I ended up gagging when I tried it. I also hated that I couldn’t eat normally with it.

I was wondering if I could have this dental work covered by my medical insurance? I think it would be considered a medical condition, since I am in such terrible shape.

-Betsy in Washington


Dental implants have many benefits over other treatments like the removable partial denture you have mentioned. Gagging isn’t something that is talked about too often, but it is not uncommon for denture-wearers or for partial dentures. Dental implants are surgically placed into the jaw bone, so there is no extra hardware in your mouth. If you have a heightened gag reflex, having anything with a plate will not be ideal.

It sounds like you recognize the pros of choosing dental implants. Unfortunately, it is not likely that your health insurance would cover the treatment. Many times people will pose the question and pursue the thinking that their teeth are indeed affecting their overall general health. So, it is understandable that you would request that your medical insurance cover the fees.

But, almost all medical insurance plans have exclusions. Dental problems, issues and conditions are almost always excluded from your health coverage. Although this may feel unfair, if it was included, even a small cavity could be considered affecting your overall health. There are some instances where medical insurance would cover dental problems or damage that occurred from an accident. For example, if you broke a tooth during a fall, it is possible that your medical insurance would cover that cost. But other than that, you are likely going to have to personally cover the cost. Some dental insurances will help offset the cost of dental implants, but even many dental insurance exclude dental implants because there are lesser expensive alternatives available.

You may be interested in discussing more affordable options with your implant dentist. Many will work with you on an affordable payment plan or you may possibly be interested in financing the treatment plan. Thank you for your question.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Have Low Sinuses- How Do I Find the Best Implant Dentist?

I need to have a single tooth replaced and I saw an implant dentist about it close to a year ago now. He had me go through all kinds of tests, including a CT scan, and then surmised that it wouldn’t be an easy process for me. Apparently, my sinuses are lower than they are for most people, so the implant dentist wanted me to have some kind of surgery to lift it up higher, and then have bone grafting on top of that. All the preliminary work would have taken about a year and cost a mint- and that’s before we even get to the point where I can have the implant placed. A good friend of mine says that’s nonsense, that a good doctor can go through without all the preliminary work. How do I go about finding the best implant dentist, given my unique situation, so I can avoid having the extra stuff done?


Margo in New Mexico

Dear Margo,

It’s not really about finding an implant dentist who will go forward without the additional steps. Any doctor can do that. The problem is, any doctor can perforate your sinuses, too. If that happens, you’re  probably going to wind up having to start from scratch again and might have infections, pain, and other problems. If the doctor you saw had you go through the tests and the CT scan, and still determined that it was too risky to go forward without the sinus lift, then it’s really a bad idea to go forward with the traditional course of treatment.

You have a couple of options. One, of course, is to keep searching until you find someone who will do it the way you want it done. This is a choice you’re likely to regret. Alternatively, you can search for someone who does “mini implants.” They’re the same concept, but smaller. Many doctors use these for patients who wear dentures, to help keep the dentures in place better, but they don’t always use them for single teeth. You might want to seek someone out who already uses the minis and have a consultation, but don’t put pressure on the doctor either way. Give him the opportunity to propose the best solution for you. If the mini is an option that can save you the time and effort of the sinus lift, a dentist who places them on a regular basis will be able to tell fairly easily.

There is a possibility that you still won’t have enough bone and will still need the additional procedures, but at least you’ll be able to go forward knowing that you’ve checked with an expert implant dentist and are being offered the best solutions for your situation.

This post is sponsored by Cleveland dentist Hylan Dental Care.