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Medical Forum / General / Dentistry / August 2005Implant or Bridge Front Tooth
Here is my situation.... I am 54 years old and some 35 years ago I was in an automobile accident and snapped off my left front tooth (9) and dislodged my right front tooth (8). I had a gold post and cap put into the remaining portion of tooth 9 and a root canal and oral surgery on tooth (8). Since then, I have had 2 additional root canals on (8). Now the time has come that I must loose my right front tooth (8) due to resorbtion. While it is very tight, I have had significant bone loss. My oral surgeon would like to do an implant however, it will take almost a year, and about $10,000 plus.... some speculation due to the bone loss, even after grafting is complete. I am looking for suggestions about a bridge as my other surrounding teeth are very healthy. rfbnh@msn.com > Here is my situation.... I am 54 years old and some 35 years ago I was in an > automobile accident and snapped off my left front tooth (9) and dislodged my [quoted text clipped - 14 lines] > > rfbnh@msn.com $10K plus--for a single tooth? You sure about that? Steve  SignatureCut the nonsense to reply Yes... between $7600 - $9700 (not including the actual crown) from the oral surgeon. Needless to say I am looking around for alternatives, hence the newsgroup in addition. >> Here is my situation.... I am 54 years old and some 35 years ago I was in >> an automobile accident and snapped off my left front tooth (9) and [quoted text clipped - 18 lines] > > Steve > Yes... between $7600 - $9700 (not including the actual crown) from the oral > surgeon. Yikes. I broke one front tooth and chipped the other more than 20 years ago. Had two crowns until the dead one developed a cyst/split and had to be extracted earlier this year. Got a three tooth bridge done. I'm in Belgium but my dentist trained in Germany where standards are quite high. Costs were roughly 350 Euro for the Extraction and a temporary 1 tooth plate (not recommended), then about a month later I got a permanant bridge and fitting for around 1700 Euro. So total was around 2000 Euro or about USD 2500. The results look good - better than before. The feeling like you have somthing stuck between your teeth or that they are stuck together (they are!) lasted about two months so be prepared for it to take awhile to go. Colin Price in this part of the USA would be $3K-$4K for one tooth with some grafting of the site. $10K sounds high for any part of the USA. Could you give us a break-down of the entire treatment plan? Perhaps more work is scheduled than I an anticipating? Are they planning to do both front teeth? Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >> Yes... between $7600 - $9700 (not including the actual crown) from the [quoted text clipped - 21 lines] > > Colin > Price in this part of the USA would be $3K-$4K for one tooth with some > grafting of the site. $10K sounds high for any part of the USA. Could you > give us a break-down of the entire treatment plan? Perhaps more work is > scheduled than I an anticipating? Are they planning to do both front teeth? I'm sure you intend that that $3-4K includes the restoration as well. I'm assuming there must be something we're not hearing. I doubt that Dennis Tarnow in NY gets that for a tooth. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 I think we confuse the patient too much if we break the fee up into surgical phase and restoration. Patients seem to just want the total figure. Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... >> Price in this part of the USA would be $3K-$4K for one tooth with some >> grafting of the site. $10K sounds high for any part of the USA. Could [quoted text clipped - 7 lines] > > Steve > I think we confuse the patient too much if we break the fee up into surgical > phase and restoration. Patients seem to just want the total figure. Just making clear what YOU meant. As far as total fee, I agree in principle. However, I make it clear that I cannot tell the patient what the surgeon's fee will be, esp. if grafting is expected. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 agree fully I was figuring total cost ranges Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >> I think we confuse the patient too much if we break the fee up into [quoted text clipped - 7 lines] > > Steve The costs are as follows: 1st Surgical Visit - Extract Tooth #8 Routine $ 155.00 Surgical 395.00 Socket Graft to #8 Area 500.00 Local Anesthesia 0.00 Surgical Tray 52.00 - 72.00 Total for 1st Visit $707.00-$967.00 ____________________________________ 2nd Surgical Visit - Minimum of 3 months later Block bone graft from lower jaw to upper jaw (depending on size of graft and location of donor site) $ 2,500 - 3,000 PRP (auto-transfusion of platelet rich plasma) 495.00 Local Anesthesia 0.00 IV Sedation (Optional) 850.00 Surgical Tray 240.00 - 348.00 Total for 2nd Visit $ 3,235 - $4,693 ____________________________________ 3rd Surgical Visit - 4 months after 2nd visit Remove bone graft fixation screws No Charge Place 1 dental implant in upper jaw $ 1,500.00 Local Anesthesia 0.00 Surgical Tray 120.00 Total for 2nd Visit $ 1,620.00 ____________________________________ 4th Surgical Visit - (3 months after 3rd) Uncover implant & place healing abutment $ 295.00 If dentist asks us to select, try-in & provide him with final abutment 200.00 Local Anesthesia 0.00 Surgical tray 24.00 - 40.00 Total for 4th Visit $ 3,235 - $4,693 ____________________________________ 5th Surgical Visit - (Only if needed) Alloderm soft tissue graft $ 1,150.00 PRP 495.00 Local Anesthesia 0.00 Surgical tray 132.00 Total for 5th Visit $ 1,777.00 ____________________________________ > The costs are as follows: > [quoted text clipped - 77 lines] > > ____________________________________ Unbundling of charges--wow. Do surgeons generally charge for "surgical tray" separate from procedure? How about the electric for the overhead light? Seriously, the only thing which makes this somewhat more comprehensible is the "block bone graft from the lower jaw to upper jaw". Calling for this procedure alone IMO demands a second opinion. It may be necessary--esp. if the areas of tooth loss involved early trauma, cysts, tumors, etc. But obviously I'd avoid the second surgical site if at all possible. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > Unbundling of charges--wow. Do surgeons generally charge for "surgical >tray" separate from procedure? How about the electric for the overhead [quoted text clipped - 7 lines] > >Steve Think they left out the "surcharge for surgical masks and gloves" I agree with you. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com Agreed Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > >> The costs are as follows: [quoted text clipped - 89 lines] > > Steve Nearly $13750 for a single tooth? I'm embarrassed for my profession... That's absurd. And I thought $4k for a single tooth was expensive. Get another opinion. I would be that you could hop on a plane to see one of the pre-eminent implant docs in World (Garber, Boozer, Misch, etc) and get it done for cheaper. Where are you located? > The costs are as follows: > [quoted text clipped - 77 lines] > > ____________________________________ Thank you for your opinion... I really thought the cost was out of line and I am setting up a second opinion. It is sad whereas, on the outside this tooth is strong and virtually problem free. The area of resorbtion was found through x-rays about 18 mos ago at my dentist. I am located in Concord, NH only a stone's throw from Boston. Thanks again! Why not have you or your dentist post the x-ray right here? Then you will get better ideas of what to do. If at smd, simply put [ i m g ] before and [ / i m g ] after the url of the picture. WITHOUT any spaces. I left in spaces so the image tags will not be rendered. If at DentalCom, just "attach" the film. Joel RFB Wrote: > Thank you for your opinion... I really thought the cost was out of line > and [quoted text clipped - 8 lines] > > Thanks again! SignatureJoel344 I don't know where you live, but if you live close to a dental school, consider going there for your treatment. The costs will be CONSIDERABLY less than at a private dentist, and the work will be done as good as it could be done anywhere -- if not better! Everything will be checked and re-checked to make sure it's done properly, and probably the implant itself will be done by a professor, or if not, by an oral surgery resident with a professor assisting. Also, they can tell you their prognosis, and also if you don't do the implant, they can offer other options as well. Good luck! > Here is my situation.... I am 54 years old and some 35 years ago I was in an > automobile accident and snapped off my left front tooth (9) and dislodged my [quoted text clipped - 14 lines] > > rfbnh@msn.com It is a fallacy to believe that dental schools are less expensive than regular dentists. I went to Loma Linda because I needed 8 implants plus 2 sinus lifts. They wanted $ 24,000. The work was going to be performed by residents, not the professor. They would not even give me a firm figure until I paid an initial $ 500 for a "model". Several local implantologists in San Diego offered to do the same work for $ 20,000. Beware of Dental Schools SignatureJames >I don't know where you live, but if you live close to a dental school, > consider going there for your treatment. The costs will be CONSIDERABLY [quoted text clipped - 30 lines] >> >> rfbnh@msn.com Hello, I suggest that u go for the implant.It is better and safer.though the cost is more but it worth it in the end.Doing bridge on anterior teeth will create problems for u later in life bcos,ur dentist will need to trim the adjacent teeth or etch them for proper anchorage. that is all from me opeey. > Hello, > I suggest that u go for the implant.It is better and safer.though the [quoted text clipped - 3 lines] > that is all from me > opeey. I agree with the idea of getting the implant. But $10-14k for a single tooth is way out of line. >> Hello, >> I suggest that u go for the implant.It is better and safer.though the [quoted text clipped - 6 lines] >I agree with the idea of getting the implant. But $10-14k for a single >tooth is way out of line. Agreed. Cost of implant plus crown fixture should be somewhat comparable to the cost of a 3-unit porcelain bridge. Maybe just a few hundred more expensive, not thousands. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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