Tag Archives: implant dentist

Will a Maryland bridge work for two teeth?

I have two teeth that will need to be treated. They are next to each outhr. I’ve been researching and have seen that a Maryland bridge is an option for a missing tooth. Will it work for two teeth, instead of just one?

-Jeff in Indiana

In some instances, a Maryland bridge will work for two teeth. But it will not work for more than that. That said, you still need to be careful in this case because of the extra stressed placed on the bridge. It would be most appropriate for two teeth on the bottom that are small in size.

When considering a dental bridge, the force and stress exerted to it is important to factor in. The vertical force doubles when there is more than one tooth on a bridge.

Additionally, there is another factor that should be taken into account, as well. The bridge will flex more when there is an additional false tooth it is supporting. The longer the span of the restoration, the more it will flex, which in turn stresses the abutments.

Typically, a Maryland bridge is bonded to the inside of a tooth. And even with only one tooth, some dentists feel that you’d be taking a chance with the Maryland bridge.

So, use this information when you consult with your dentist. Try not to feel pressured and be sure to explore all the acceptable options that may work for your specific situation and budgetary constraints. You may also be interested in evaluating the pros and cons of a dental implant vs a dental bridge. It may be in your best interest to meet with multiple dentists to best compare your options. Thank you for your question.

This post is sponsored by Cleveland dentist Hylan Dental Care.

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

Dolores,

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.

Clear Choice is the cheapest estimate. Is this a red flag?

I went into Clear Choice and they dropped their price $30,000 after hearing I was on a fixed income. As amazing as this sounds, I have to wonder if I should beware. This price is literally half price when compared to all the other implant dentists that I have consulted with. I’m only in my sixties and my teeth are deteriorating.

-Phillip in North Carolina

Phillip,

It sounds like you have done a good job of exploring your options and seeking several opinions on your case. The main Clear Choice complaints revolve around the sales tactics used. Generally speaking, the doctors are qualified and will take care of you. So if feel a level of trust and have done your research, that is a huge cost savings.

That said, you need to ensure that all of these implant dentists are pricing the same services. There is such a large variance in treatment plans and philosophies when it comes to replacing teeth. Clear Choice has the reputation of removing all your remaining teeth and placing all-on-4’s. Is that what they are recommending for you? You do have a right to be suspicious with such a drastic drop in fees. Either they were overselling to begin with or they may have changed the treatment plan. If you have any doubt or concern, it’s likely for a reason. So, it can’t hurt to take their estimate and go back to the other implant dentists you’ve seen previously to see if they can compare in fees with this most recent treatment plan.

The big discrepancy here is whether or not, all of these quotes are planning to extract the remaining teeth or not. Have you expressed that you would like all your teeth removed since they are already falling apart? I think you will have a better handle on your options after ensuring that you are indeed comparing apples to apples.

Thank you for your question.

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

Whitney,

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.

What is the best way to fix teeth that have broken off?

I am wondering what the options are for my mother. Her two front teeth are broken. The roots are still in her gums. Are a dental bridge or partial denture her only choices? Or would it be a possibility to get root canals topped with crowns?

– Sherri in California

Sherri,

It is difficult to make specific recommendations for your mother, without having seen her case in person. Generally speaking, root canals are possible. It all depends on exactly how much of her natural tooth structure is remaining. A post may be required with the root canal to support the porcelain crown that goes on top.

Many dentists will recommend dental implants to replace missing teeth, because they are a permanent solution. So, you may have to look around for a dentist that is interested in trying to save what’s left of those teeth. It would be wise to find an implant dentist in your area that is experienced in dealing with traumatized teeth. Discuss your interest in saving the roots and be prepared to talk through the possible treatment plans. Dental implants are now considered the standard of care in similar situations. Sometimes, a post may end up fracturing the root. Then, there will be additional issues. So, it may be in your best interest to see a couple different dentists and listen to their treatment plans.

A dental bridge or partial denture may also be options worth exploring. It all depends on your budget, the philosophy of the dentist, and your mother’s desired results. Sorry that the answer isn’t completely straightforward. With broken teeth, there are many factors to be considered.

Thank you for your question.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Affordable Dental Implants Doctor Ruined My Smile

I saw an ad for affordable dental implants and the doctor seemed to check out with my online searches. My lower two front teeth were loose and had been for some time. It seemed to me they weren’t going to get better and implants were my only viable option, if I wanted something to function like my real teeth. I went in and got an estimate from the affordable dental implants doctor and he priced out the surgery and placement of the posts/implants, the abutments, and the crowns for two teeth. He also suggested that I get extractions done right then and there, as well as something called “bone beads” to help me heal, which insurance did not cover. After six months of healing and no teeth, I went back for the surgery and he said he couldn’t do it without more procedures. He says I still don’t have enough bone and that I need gum treatments. I’m not sure what to do at this point, but I’m starting to wonder if I should have had those teeth removed at all and the cost seems to keep rising. I still have no teeth. My smile is ruined! How should I proceed?

-Joshua in North Carolina

Dear Joshua,

There are a couple of warning bells that go off when reading your message about affordable dental implants. First off, it sounds like the reason your teeth were loose was never addressed. This is a huge concern. If it was due to periodontal disease, you wouldn’t have been a candidate for implants. That would have needed to have been brought under control first and would explain the need for additional “gum treatments” now. The doctor should have discussed this with you from the start. There’s no telling if the teeth that were extracted could have been saved now that they’re gone, though the lack of information given to you is a huge concern.

Going forward, you probably do need other treatments before you can undergo the surgery and have your dental implants last. It’s a good idea to consult with another dentist before you do anything else, just to make sure you’re getting the right treatments. There’s also no reason why you shouldn’t have been offered some form of temporary replacement teeth. It’s typical for an office to offer to create a flipper or partial denture, to prevent the other teeth from drifting, help maintain adequate space, for aesthetics, and so you can eat easier. This is still an option now. Book a consultation with another dentist or perhaps even two, to see where you stand.

This post is sponsored Cleveland dentist Hylan Dental Care

Feeling guilty about seeing a different dentist for affordable dental implants.

I have been very interested in getting dental implants to replace my missing teeth. But I keep putting them off because I cannot afford them. So, I have been looking all over trying to find more affordable dental implants than what my current dentist offers. I recently came across an implant dentist in a surrounding suburb that works with people that have budget issues and offers relatively affordable dental implants. Am I cheating on my regular dentist? I feel so bad about it. I don’t want him to refuse to treat me when he finds out I had the implants done elsewhere.

-Gene in Ohio

Gene,

You are in no way solely obligated to receive every dental treatment from your current dentist, just because you have been seeing him for routine care. That said, just be sure the dentist across town that is offering affordable dental implants isn’t cutting corners and offering a substandard product.

Dental implant fees vary from one practice to another. But theoretically, most implant dentists rates will be fairly comparable. So if there is a huge difference in fees, you need to dig a little deeper and find out more about it. Affordable dental implants mean different things to different dentists, as well as different things to different patients. For example, you may not be comparing apples to apples. Your dentist may be pricing traditional dental implants and the new dentist may be quoting mini implants. Or the dental implant brand and products may be a factor in the discretion. Be sure that the affordable implant dentist isn’t getting parts from overseas or choosing less quality materials. Parts can vary by hundreds of dollars.

Ultimately, dental implants need to be done by a dentist that you trust. That is hands down the most important factor. If you get a good deal and then the dental implants fall out, become loose or get infected, it will end up costing you much more in the long run.

So, don’t feel bad. Just proceed with extreme caution.

This post is sponsored by Cleveland dentist Hylan Dental Care.

 

Need someone to fix my dental implants!

I have been considering dental implants for years. But my budget has been holding me back. When I found the all-on-4 method, I knew it wasn’t entirely dental implants, but I figured I’d be better off than I was. The office was great and assured me they do this all the time and I will be well taken care of. Well, when one of the dental implants failed, I was in a world of hurt. Now, they are telling me I need bone grafting done and that is why it failed. They are making me pay over again and not covering any of the re-do cost. There’s no way I can afford this and now I’m halfway through the process and feel completely stuck. What do I do?

-Geoff in Texas

Geoff,

All-on-four dental implants is quite popular when people are looking for more affordable dental implants alternative. It doesn’t sound like your dentist covered the possible risks involved. Dental implants usually have a very high success rate, assuming the implant dentist has placed them properly. But, not everyone is a candidate. The all-on-four has many factors that may lessen their success rate. They aren’t as strong and can place a lot of stress on the implants, causing failure because of the angle they are implanted. Unfortunately, you are not in a very good situation.

There are many alternatives to traditional dental implants that you may have been better suited for. For example, mini implants are less expensive because they are much smaller and the surgery to place them is much simpler. But you may have been able to afford more of the mini implants to help secure your denture. The bone was likely compromised with the all-on-4 because of the steep angle of the implants. It may be time to go to an implant dentist that will make it right, yet will work with you on payment plans. But now, you need some healing time before anything can be done.

Hopefully your willingness to share your story, will help someone else avoid such a disaster situation. It isn’t right that the all-on-4 implant dentist has placed you in this situation. Sadly, it happens more than you might think. It is in your best interest to cut your losses and seek a second opinion. Sorry you are having to deal with this.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Need the cheapest and fastest fix to a broken tooth.

My front tooth broke off clean right at the gumline. I need it fixed fast and as cheap as possible. I am not paying for dental implants.

-Mike in Florida

Mike,

Well, the cheapest and fastest way to fix a broken front tooth is called Superglue. But come on. That’s not what you want. A cheap repair will only last a day or two at most.

You didn’t ask for it to look good either. In which case, having a dentist rebuild the tooth with dental bonding would be a quick, cheap fix. But it would look terrible.

So, lets change your thinking. Sometimes the cheapest fix ends up being much more expensive and more painful in the long run. You should be considering something that looks nice, that’s durable, and long-lasting.

A dental crown is a possibility if the tooth still has the root intact. But this would mean there is a lot of stress being placed on this tooth. It isn’t out of the realm of possibilities, but may not be the best fit. A root canal treatment on the remnant of the tooth would be a good treatment, then having a post placed to add strength to the remaining tooth. A carbon fiber post or fiberglass would work better because there is some flexibility with the stress it will endure. A metal post won’t remedy the stress and may end up fracturing the root. Two posts are better than on in this case.

It sounds like you are not interested in dental implants. Although implants are more expensive, they truly are the best alternative. They are a permanent fix that looks, feels, and functions just like your natural tooth.

You need to get into the dentist to have the situation evaluated. If cost is a concern, be upfront. Discuss your options. Consider phasing treatment out over time or setting up an affordable payment plan. Cheaper isn’t always best, especially when we are talking dental care.

This post is sponsored by Cleveland dentist Hylan Dental Care.

 

Is the Encore bridge old fashioned?

Awhile back my dentist was telling me about an Encore bridge. We’ve moved and I can’t find anyone in the Atlanta area to tell me more about it. Is it outdated and not used anymore?

-Victoria in Georgia

Victoria,

The Encore dental bridge wasn’t widely used or accepted for individuals missing teeth. Not too many patients had successful outcomes because it is very difficult to get all the steps done correctly. It wasn’t as strong as other alternatives and it truly wasn’t the best option when compared to other treatments.

It is still available. But you should look into a the zirconia Maryland bridge. This is a very popular option and is much more aesthetically-pleasing. Zirconia is a very durable ceramic material that looks life-like. Patients have had many successful outcomes, when compared to the Encore.

What is the more important than the type or brand of restoration you choose, is selecting the right dentist. Make sure your implant dentist has placed other successful bridges that are similar to your case. You don’t want to walk into any dentist and tell them you want this type of bridge. Be confident that they have experience in both implant dentistry and cosmetic dentistry. Some dentists may make the assumption that this procedure doesn’t require tooth preparation. So, an expert cosmetic dentist would have a better all-encompassing understanding of the bonding materials and technologies to make this a success. Since it isn’t run of the mill, you may want to even ask upfront, if the restoration fails, could you be refunded. Best of luck and thank you for your question.

This post is sponsored by Cleveland dentist Hylan Dental Care.