 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Dentistry / February 2005Orphaned baby tooth has abcess - would like some advice
I am 39 and my remaining baby tooth (which has been dead and turning blue for the last 20 years) has developed an abcess and will be getting pulled out next week. There is no permanent tooth behind it. My dentist told me I basically have 2 options: an implant or a bridge. It seems to me that a bridge would be the better long term option, as well as a lot cheaper. I am unemployed and have no insurance. This is a lower tooth that has 4 teeth on its side in front (maybe it is the first baby molar?) One question I have is how long after getting this baby tooth should I wait before getting a bridge put in? My dentist said that 3 months should go by. I will be visting Ukraine in a month or so, and figure that I will get a bridge put in there, as it seems that the cost of a bridge in the USA is about $5K, whereas the cost there is about $300, thereby making it worth the trip. Thanks >I am 39 and my remaining baby tooth (which has been dead and turning blue >for [quoted text clipped - 5 lines] > would be > the better long term option, as well as a lot cheaper. Nope and nope. Implants have a better 10-year prognosis than bridges. Since you're only 39, you'll probably end up replacing that bridge two more times in your lifetime. The implant may never need replacing. Ergo, the implant may actually cost less. > I am unemployed and > have no insurance. This is a lower tooth that has 4 teeth on its side in [quoted text clipped - 9 lines] > $5K, whereas the cost there is about $300, thereby making it worth the > trip. A three-unit bridge in the states should cost $2-3k...not $5k. But I'd sooner pay $5k for a bridge here than $300 for a bridge there. >>I am 39 and my remaining baby tooth (which has been dead and turning blue >>for >> the last 20 years) has developed an abcess and will be getting pulled out This is known as BLUE BABY tooth SYNDROME ...... >> next >> week. There is no permanent tooth behind it. My dentist told me I [quoted text clipped - 7 lines] >times in your lifetime. The implant may never need replacing. Ergo, the >implant may actually cost less. Yes, and chopping good teeth may be problematic. Besides, a small space can be filled with an IMTEC implant (cheap and quick). >> I am unemployed and >> have no insurance. This is a lower tooth that has 4 teeth on its side in [quoted text clipped - 12 lines] >A three-unit bridge in the states should cost $2-3k...not $5k. But I'd >sooner pay $5k for a bridge here than $300 for a bridge there. > Nope and nope. Implants have a better 10-year prognosis than bridges. > Since you're only 39, you'll probably end up replacing that bridge two more > times in your lifetime. The implant may never need replacing. Ergo, the > implant may actually cost less. If the teeth are in good shape on either side of the gap, there is even more reason to consider an implant. Fawks > it seems that the cost of a bridge in the USA is about > $5K What is a typical cost these days for a single unit and its implant? It is really more than a three-unit bridge? Particularly when you are risking root canals to the abutment teeth? Vaughn >> it seems that the cost of a bridge in the USA is about >> $5K [quoted text clipped - 4 lines] > >Vaughn Its often less. Around here, several dentists charge $1200 for the surgical portion plus another $1,000 for the crown. One guy, a very well qualified guy in New Jersey charges $825 for a Nobel BioCare implant (the crown or bridgework is extra). How much extra,,,,, he does not say! > I will be visting Ukraine in a month or so, and figure that I will get a > bridge put in there, as it seems that the cost of a bridge in the USA is about > $5K, whereas the cost there is about $300, thereby making it worth the trip. Implants are more stable and more bioacceptable. IOW: the implants will last longer. Try to get one where the crown is screwed on as opposed to cemented. Even if you can't afford to do it all now, get the implant placed, and crown it later. If you can find a dentist/surgeon who has experience in doing the extraction and placing the implant immediately (providing the abces can be cleaned out properly) that would be the best. I see alot of tourists with Eastern European dental problems.... believe me: you DON'T wanna go there, unless you see a Western trained dentist, in which case the fees will be the same as where you are now. SP  SignatureNot a real Addy, yet >Try to get one where the crown is screwed on as opposed to > cemented. Why? >>Try to get one where the crown is screwed on as opposed to >> cemented. > >Why? Because. -- W_B wubbabubbazG@RBAGEyahoo.com Take out the G'RBAGE > >>Try to get one where the crown is screwed on as opposed to > >> cemented. > > > >Why? > > > Because. The Local Implant Guy says he always tries to place the implant so that the abutment can be cemented to facilitate both insertion of the crown and removal, should the need arise. This means angling the implant to the labial up front. According to him, that the referring generalist should have to slog through the reduction of a titanium oxide abuttment is nothing but unnecessary bullshit, and such and endeavor favors nobody but the surgeon. EVERY subsequent phase of the prostho process is more $$$ needlessly. All your profit is eaten up by the lab. Seeing as how he is a generalist speciallizing in implants (and so he has seen the whole process many times), I'd think he knows what is about. He also knows Branemark personally. So, take this as food for thought. Cheers SP SignatureNot a real Addy, yet >> >>Try to get one where the crown is screwed on as opposed to >> >> cemented. [quoted text clipped - 6 lines] > the abutment can be cemented to facilitate both insertion of the crown > and removal, should the need arise. Maybe I read your first suggestion wrong. Do you favor cementable or screw-retained implant prostheses? > This means angling the implant to > the labial up front. If you angle a screw-retained implant towards the labial in the anterior region, you'll have a screw hole coming out the facial. This is an indication for a cementable crown and abutment. An indication for a screw-retained crown is where the gingiva cuff is so deep that you'd never be able to get all of the cement out of the sulcus. >According to him, that the referring generalist > should have to slog through the reduction of a titanium oxide abuttment > is nothing but unnecessary bullshit, I never do this. I let the lab do it for me. >and such and endeavor favors nobody > but the surgeon. EVERY subsequent phase of the prostho process is more > $$$ needlessly. All your profit is eaten up by the lab. It takes less than 30 minutes to snap an implant impression...and another 20-30 to deliver it. The lab bill is a little bit more ($100-200 or so), but you more than make up for it on the time savings. > Seeing as how he is a generalist speciallizing in implants (and so he > has seen the whole process many times), I'd think he knows what is > about. He also knows Branemark personally. So, take this as food for > thought. I really like Branemark's new Replace Select, but if I'm concerned about placement/alignment, I avoid the Easy Abutment and have the lab fabricate a custom abutment. ITI's system is nice in the posterior region, but the surgeon's don't like it as much because they have to be extremely precise with the depth of placement (crown margin is on the implant, not the abutment). Calcitek/Sulzer/Centerpulse/Zimmer is the one I learned on. Good system, but a couple of more steps than the other two. And I seem to see bone loss to the first or second thread...but then it stops. I've only restored 3i and Biohorizons one time each. The Pipe wrote: >NOYB <noyb@noyb.com> answered: > > The Local Implant Guy says he always tries to place the implant so that > > the abutment can be cemented to facilitate both insertion of the crown > > and removal, should the need arise. > > Maybe I read your first suggestion wrong. Do you favor cementable or > screw-retained implant prostheses? Ho!!! I wrote that bass-ackwards.... Sorry... must be the ADD... Screw-retained... > > This means angling the implant to > > the labial up front. > > If you angle a screw-retained implant towards the labial in the anterior > region, you'll have a screw hole coming out the facial. This is an > indication for a cementable crown and abutment. 100% correct. I got this bass-ackwards... You want to angle the implant toward the palatine and the crown towards the labial so you can hide the crew and covering on the palatine (lingual) side. >An indication for a > screw-retained crown is where the gingiva cuff is so deep that you'd never > be able to get all of the cement out of the sulcus. 100% correct: the Local Implant Guy says that there is NEVER a situation where you can control the cement. Remember you don't have a periodontal ligamnet nor a sulcus to limit the penetration of the cement. There will always be traces of cement around the collar and this causes inflammation. The hydraulic forces placed on the cement as you push the crown down onto the abuttment is enough to damage this fragile area. > >According to him, that the referring generalist > > should have to slog through the reduction of a titanium oxide abuttment > > is nothing but unnecessary bullshit, > > I never do this. I let the lab do it for me. Up here, as soon as you mention implants, the lab fee practically doubles. > >and such and endeavor favors nobody > > but the surgeon. EVERY subsequent phase of the prostho process is more [quoted text clipped - 20 lines] > but a couple of more steps than the other two. And I seem to see bone loss > to the first or second thread...but then it stops. This is good to know. Most of the young upstart generalists who are advertising that they will place implants for the dentists are pushing this system. The Sudimplant (France) may put and end to this loss ( it has a zircon collar that apparently forms a better 'attachment' to the gingiva). > I've only restored 3i and Biohorizons one time each. You've still done more that I have up here amoungst the idle Quebecois... Cheers SP SignatureNot a real Addy, yet > The Pipe wrote: > [quoted text clipped - 81 lines] > You've still done more that I have up here amoungst the idle > Quebecois... Living in Florida, I get to see dentistry from all over the world. What's really interesting is that I get to see so many different techniques to tackle the same problems. I saw an implant-retained spark erosion denture the other day that was absolutely rock solid 10 years after placement. It was made so well, that I called the dentist in Indiana who made it to get the lab's name and number...and then had the dentist give me a crash course on its fabrication. I get to see what works, and what doesn't...without having to go through the trial and error process myself. The down side? I have to keep basic parts in stock for about 20 different precision attachment systems, and at least 5 different implant systems...and I still get patients coming in weekly with something I haven't seen before.
|
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.