find out where and how many implants he will be placing in your mouth.
are you missing all your teeth or some of them? if some, then list
where and how they were lost. in addition, what kind of bone graft was
performed and with what material? also, how long has it been allowed
to mature and do you plan to on any further bone or tissue grafts?
these are just some of the questions one needs to know.
implant locations where and how many? for example, four on top and four
on bottom? etc.
i have been demo'ed this method and know about it.
i have not had any patients requesting it.
my prefered method for patients totally missing all their teeth is to
place the implants (after any bone and soft tissue grafts have healed
and matured) and allow them to integrate (rest) for the time determined
by the placement surgeon. after the healing time, i have the surgeon
place special attachments onto the implants and i fabricate teeth on
top of them. whether they are permanent or removable is up to the
patient and the fee they are willing to pay.
the patient never goes without teeth as i fabricate them traditional
dentures that are altered to alow the implants to heal.
hope this helps. i rarely give teeth advice on the net but you seem
confused, allowing others to dictate your treatment, so i just wanted
to clarify some things for you.
> find out where and how many implants he will be placing in your mouth.
> are you missing all your teeth or some of them? if some, then list
[quoted text clipped - 24 lines]
> confused, allowing others to dictate your treatment, so i just wanted
> to clarify some things for you.
===============================================================
I'm not letting others dictate my treatment. I just asked if anyone
would provide their experience or feedback. From what I'm told this is
really very new. So, there is some risk. Where I live only 2 surgeons
do this. Mine and one other.
I lost my top teeth .. All 8 would be on top.
The original plan was to allow the grafts to heal then proceed with the
implants, then later the abutments.
The grafts look good so far. Had x-rays a couple of weeks ago. He is
happy to let me wait as long as I want. He said the bone only gets
better.
I'm shooting for September, which would be a year. He took bone from my
tibia.
He just started doing this a few months ago. I haven't committed to it
yet, but there is quite a bit to like about it. It's quicker, less
invasive, and less expensive.
Again, I am concerned about the new teeth being made in another
country.
I don't think most dentists will care for it either. Can't blame them.
I see my dentist next month, and plan to talk to him.
bergzy - 29 May 2005 00:42 GMT
this is not really a new idea as a few implant companies have tried
this idea before.
it is my opinion that this wasnt possible until recently as with the
new accuracy in scanning and milling that we now have today.
if your dentist is using the nobel biocare procera scanning system and
it is scanned and produced in sweden...there is usually no problems.
my lab uses sweden and new jersey scanning centres for fabricating a
crtical part of a 'ceramic' crown.
8 implants for your top sounds pretty good and if they have integrated
properly should provide you years of function and aesthetics.
if you are going with a fixed bridge for your top. one important thing
to keep in mind that keeping your implants clean daily is really
important. if it is hard to clean underneath, it makes it so that it
is difficult to get everything out and 'most' people tend to eventually
get lax about it.
if you are getting individual units (single teeth that you can
individually floss) then make sure that your dentist try to minimize
any black triangles that may form. these are either the easiest things
to do or can be very difficult.
i was at an international implant symposium a few years ago with
doctors showing their latest fixed bridge implant work. looked great
but also looked like a nightmare for the patient to keep clean.
it will be up to you and your dentist to come up with game plan on how
to deal with these topics.