Tag Archives: tooth replacement

Why is there a Disparity in Clear Choice Reviews?

I’ve been reading Clear Choice reviews and I’m not sure what to make of them. I’m hoping to get a little advice. I’ve had a bridge on my lower left side for 40 years—if that tells you anything about my age. Ha! It was replaced once about 20 years ago and has served me well, but at my last check up the doc told me it was done for. One of the teeth holding it up has decay and it can’t be saved. The doc gave me a list of options. He was really pushing for one or two dental implants to replace the teeth or redo the bridge, but he also said I could go with a partial denture—yuck! I’m not that old yet! Or, he can make a really long bridge, but he’s not really crazy about the idea or sure about how long it will last. In my research, I came across some Clear Choice reviews. Some people seem really happy with what they had done and other people experienced nightmares. Shouldn’t it be consistent with the same outfit? Any idea why there’s a disparity? I was considering having a consult with them just so I can say I was diligent, but I’ll steer clear if there’s something happening there.

Many Thanks,

Gloria in Minnesota

Dear Gloria,

Clear Choice reviews are a mixed bag because the experiences people have are not consistent. When they do well, people are naturally satisfied, but when they don’t do well, it can wreak havoc on someone’s whole life.

The biggest problem people seem to have is that they handle dental care in a standardized fashion, almost like an assembly line. It’s tough to get quality results if people aren’t treated like the unique individuals they are. Your teeth are one-of-a-kind, just like your fingerprints, so your treatment should be chosen based on what’s best for you.

If you’re simply trying to be diligent, you may have a better experience if you seek out an individual practitioner, rather than a chain. Naturally, you’ll want to check out the doctor’s reputation before scheduling as well. However, it sounds like you have a good relationship with your current dentist and that you trust him. If this is the case, there’s probably no need to get a second opinion. You’re already in an office that treats you well and that will see you through, even after the dental implants procedure is done. That’s something certain chain offices can’t touch.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Will dental implants eliminate pain?

My mom has a lot of physical problems after a stroke. She is disabled and requires a lot of assistance with daily tasks. When she started complaining of a toothache, we knew we needed to get her in. She avoids the dentist at all costs. So we know her teeth aren’t in the best shape. We decided to take her into a local dental school to see what was going on. Well, we were shocked when we learned she is missing  a tooth. They think that the pain is being caused from her top teeth coming down into the gap and literally irritating her jawbone.

It sounds like it also may be time to consider dentures because she needs many more teeth pulled. She wants to know if dental implants will take care of her problem where the most recent missing tooth was discovered? Will that work? Or would it be better to extract the top tooth that is coming down and causing her pain when she bites?

-Gena in Texas


Thank you for your question. Unfortunately, without actually seeing your mother’s case or studying the notes, it’s difficult to make recommendations.

As you have seen with your mom, teeth need their opposing biting partners to remain strong and healthy. So, when there is a tooth that is gone, the opposite one will not experience biting force. Sometimes it will protrude or shift around. When the tooth was originally lost, that would have been the ideal time to consider a dental implant to replace it. At this point it time, it’s not so straightforward.

In order to have successful dental implants, the patient must have otherwise healthy mouth. The risk is that the dental implant wouldn’t heal properly. If she has any signs of gum disease, she may not be a dental implant candidate. The implant would be at risk for infection and may end up causing her even more discomfort.

It would be wise for her to seek a consultation with an experienced implant dentist. She will need to have a full diagnosis and evaluation to best determine the correct treatment plan. It is possible that dental implants would be beneficial as part of her overall treatment plan, but possibly not in the area you are referencing. Before pulling all the teeth and getting dentures, the viability should be determined of each tooth. The quick fix would be to extract the tooth that is causing her discomfort while biting. But she may end up having more problems in the long run. It may be time to seek a second opinion beyond that of a dental school.

This post is sponsored by Cleveland dentist Hylan Dental Care.

Why can’t my teenage daughter get a dental implant?

My daughter has grown up with a missing tooth. She is a teenager now and you can definitely see it when she laughs or smiles. It breaks my heart that she is self conscious about it. It wasn’t knocked out or anything, her permanent tooth never came in. She desperately wants to get it fixed with a false tooth. When we talked about it with our dentist, he told her no. He said she may not be done growing. I want to do what’s right and best for her. But I cannot seem to help her move past this. She is devastated and embarrassed and won’t take no for an answer. Can I try a different dentist?

-Karen in Wisconsin


I don’t have to tell you how tough teenagers can be. Especially, one that is having a cosmetic issue they are convinced is the solution to her problem. Your dentist diagnosed the situation properly. It is important that your daughter’s jaw is completely done growing for the dental implant to be successful. If the dental implant is placed too early, it will not expand as the jaw grows. Then, your daughter may potentially have serious problems down the road.

A dental implant is indeed the best treatment to replace a missing tooth. It just sounds like the timing isn’t quite right yet. She does have other options in the meantime. Have you discussed any other treatments with your dentist? A partial denture or dental bridge are possibilities for the short term. But a dental bridge will require preparing the two adjacent teeth and may not be best in the long run.

Ask your dentist for a consultation to see what he recommends for the time being. He is the most familiar with your child’s case and specific issues.

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


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.


Two front teeth knocked out. Why is dental insurance calling dental implants cosmetic?

My two front teeth were knocked out in an ATV accident. When I went to the dentist, he recommended I get dental implants. He warned me that my dental insurance wouldn’t cover much of the fees. But I still think it’s the best treatment since I’m so young. The insurance company’s response is that dental implants are cosmetic. What is that supposed to mean? I mean missing two front teeth is more than a cosmetic issue in my opinion. This is nuts!

– Daniel in Oregon


You are correct that having teeth missing is definitely a functional issue. Here’s the deal with the cosmetic reference. The insurance company knows they need to be replaced, but they don’t always cover the best solution. If there is a lesser expensive treatment option that will meet the functional requirements, that is what they will help cover. They may cover the cost of a less expensive alternative, like a partial denture. Or they may cover a small portion of the implants. Although dental implants are the ideal treatment, that’s not the case in the eyes of your dental insurance. That is why they are referring to them as cosmetic.

A side note though, you need to get this taken care of sooner than later. If you put it off for any amount of time, the surrounding teeth may begin to slide into the empty space and there may be other complications.

Make sure your implant dentist is submitting a preauthorization or what is called a predetermination of benefits from the dental insurance company.  Dental implants are a major procedure so it would be in your best interest to get the insurance companies official determination on what they will or won’t cover. That way you can plan accordingly. The dentist may also be able to submit information stating the importance of the dental implants which may help your cause. Good luck!

This post is sponsored by Cleveland dentist Hylan Dental Care.

My dental implant is darker than my other teeth and whitening isn’t working.

It has been a couple of years since I had my dental implant placed to replace a missing tooth. It used to match the surrounding teeth in my mouth but now it is getting much darker. I have been whitening my teeth but nothing is happening to the color of the implant. It continues to be much darker than my other teeth. Do you know if there is a different teeth whitening product I can use to fix it?

– Rhonda in Illinois


Sorry to hear that you aren’t happy with the look of your dental implant. Unfortunately, there really isn’t any tooth whitening agent or whitening system that is a simple solution to your issue. Typically, it is always good to have your teeth whitened prior to getting a dental implant or a  porcelain restoration. That is mainly because porcelain will not whiten. But it also shouldn’t change color either because it is highly stain resistant.

Since there is discoloration occurring with your dental implant, it is possible that the seal wasn’t properly executed. So the color wasn’t sealed in which means that the porcelain is susceptible to stains. A dentist can darken a crown, but lightening it is not an option. Take home whitening products will also not work, even though the surrounding teeth may appear lighter. But continuing with the at home whitening systems will only make the implant appear darker, since the surrounding teeth are lightening.

It’s unfortunate that your dental office didn’t discuss this matter with you prior to getting the implant placed. At this point, in order to achieve a uniform color for all your teeth, the porcelain crown (which sits on top of the implant) will need to be replaced. If you decide that you would like to move forward with that, then you should give your surrounding teeth a couple of weeks to stabilize so the color can be matched. It would also be wise to consult with a cosmetic dentist this time around. The porcelain crown can be made to match your surrounding teeth perfectly and an experienced cosmetic dentist will be able to create a beautiful restoration.

Sorry that there isn’t a quick fix out there at the moment. Hopefully this post explains what has happened.

This post is sponsored by Cleveland dentist Hylan Dental Care.