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Medical Forum / General / Dentistry / August 2005Mini Implant Dentures Puzzle Test Heist
So, here's my initial breakdown of the elements of my situation. Target: Mini implant retained upper and lower full dentures. $1,500.00 each, upper and lower. Total $3,000.00 ( idea being that MetLife Insurance will pay 50% for much of the procedure , materials, etc . so, theoretically , each implant retained denture would actually be $ 3000.00 . Total $6,000.00 ) consult / x rays extractions ( lower : 10 real teeth , upper : 3 teeth broken off around gum line , front bridge five teeth. ) mini implants ( to stabilize / retain dentures : 2 bottom, 4 top... or: 2 and 2 .. or 4 bottom, 6 top ? ) Temporay dentures ? or ( because of the minis ) immediate dentures. Dentures ? What quality for what price ? MetLife Dental Insurance. In " network " doctors supposedly contract to charge less for procedures materials etc MetLife will cover seem to cover some amount of initial x ray and consult ( consult price of one dentist that was $200.00 overall with panoflex etc went down to $30.00 when they realized I was with Met Life. $ 50.00 deductible ... so: $80.00 consult etc x rays ) 50% percent extract 50% anesthia 50 % ( must submit for a pre estimate ) oral surgery Here it getas interesting: Metlife will not cover implant -placed where a tooth was missing ( long time ago extracted ) as that's considered a " pre existing condition ", but where a tooth is extracted and an implant placed ... then they cover 50 %. I'm in the Westchester County Ny area, north of NYC. Marty ( voicelit ) Insurance coverage and fees are often a shell game. (like you're going to extract teeth without anesthesia?, but maybe you mean some kind of sedation) I will not comment further on fees or 'coverage'. Assuming the remaining teeth should be extracted, I would simply place full, immediate, temporary dentures on both arches. If you adapt wonderfully to both plates, then screw the implants. If you adapt wonderfully to the upper denture but not the lower, screw the upper implants. There is nothing about a mini implant that can't be added after full denture construction. (they are temporary also). JMO, Fawks Sorry, anesthesia is covered also: 50 %. For some reason, I thought the mini implants would make even the earliest phase of getting use to dentures a little more tolerable. The pull of chewing etc.. maybe even speech problems ? What do you think of the price / cost possibilities ? Marty ( voicelit ) Hey Marty! I am wondering if some of those lower teeth are salvageable and could make for a "natural implant? Here is what I mean. I have taken a patient with two lower cuspids (canines, stomach teeth, strong roots) that have already had root canal treatment. Next I have sawn them off at the gum line, using a high speed turbine diamond. Then I insert a specialized post with a ball joint on top. These are mass produced and are not expenisve at all. Then a lower denture is fitted and retained over the ball joint by means of a neoprene ring. The ring lasts a couple of years and eventually needs replacing, but its a quick in-office half hour procedure. No implant! Joel Marty wrote, Sorry, anesthesia is covered also: 50 %. For some reason, I thought the mini implants would make even the earliest phase of getting use to dentures a little more tolerable. The pull of chewing etc.. maybe even speech problems ? What do you think of the price / cost possibilities ? Marty ( voicelit )  SignatureJoel344 This is not an implant. This is a retaining structure placed over an into a natural root. It has the added benefit of reducing ridg atrophy. Ridge atrophy (shrinking) is the nemesis of the older dentur patient. Joel . [image: http://tinypic.com/b6d6rd.jpg] . http://tinypic.com/b6d6rd.jp -- Joel34 Lower is 2 much worked on decrepid molars. 7 or 8 of the very front teeth, very wrecked : one probably with a small abcess at the moment , tiny : seem to have been worn down , I think from over brushing: baking soda , all kinds of stuff . Wonder why all the recent dentist have glanced at the X-Rays and said they have to come out. Last guy, though, did ask if I wanted them out or to save them. Saying it would be more expensive to save them . But he meant bridge work not to use them for an over denture. There's even teeth in the top. More like post and core type things, and three broken off at the gum line. But a person can't " work with " a dentist, or even find an interested flexable dentist to help re-imagine a solution. It's just catch as catch can. Still don't understand why you don't just be my dentist ? Or point me in the direction of someone you know . I can come down to the Philly area and get the work done. Got friends down there and a Mom in Williamstown , Nj. Marty ( voicelit ) Hey Marty! It could happen. But not right away. We have just built a new place and we are getting our staff together. There are two implant dentists (periodontists) but we have to get ourselves operating first! I am wondering if you could save big money with some consumer-purchased dental insurance? Normally, this is not a way to save money, but some very reputable dental insurance companies such as Delta Dental, have fees for everything if covered or if not covered. The $1,500 upper and $1,500 lower denture fees sounds a bit high, or were you figuring in some extractions too? Yes fixing teeth is more expansive than yanking them, but yanking is not always a good plan. SELECTIVELY fixing some, to retain a partial denture or overdenture is a very good thought and it could end up saving you money if it eliminates implants. More later .... a just got back from a very busy day ... Joel voicelit Wrote: > Lower is 2 much worked on decrepid molars. 7 or 8 of the very front > teeth, very wrecked : one probably with a small abcess at the moment [quoted text clipped - 18 lines] > > Marty ( voicelit ) SignatureJoel344 I meant $1,500 each overall: extractions, anesthesia, mini implants, denture , etc. I've got MetLife insurance. Covers 50% of most things if using a dentist in their network. Marty How are the lower front teeth ....? Joe -- Joel34 Lower : 2 molars ,much worked on decrepid . 7 or 8 of the very front bottom teeth, all there ( not broken off or anything ) : one probably with a small abcess at the moment ; tiny : seem to have been worn down , I think from over brushing: baking soda , all kinds of stuff ... just little pointy nubs. Parents just never had me brush or anything while I was growing up. Grew up in th " Fairmount "area, near the Art Museum. Was ( kinda still is.. ) a working class catholic mostly Irish neighborhood. When I first got my teeth fixed when I was around 18 ( Mighta been a guy named DeVan , around 18th and Spruce ) , the dentist said that it was a shame, that I had been blessed with the kind of geneticly strong teeth that with the minimum of care would have stood up to anything. Had tons of them taken out at that time, full palate immediate sort of overdenture thing , something removeable ( still have ) for the lower. Read Homer's Odyssey aloud every night, year or so later I was performing with patti Smith at the old Middle Earth Books ( 12th Pine ) then Manning Street Theatre ( 16th and Lombard ). Many years later in the mid eighties I was in some film and got my top teeth capped. Except for the front, those caps have fallen out. Went and saw this guy : Dr Jeffery Koos up in Stratford Ct. He said I had oral, jaw bone density to die for. Perfect for implants. Marty ( voicelit ) Seriously, natural teeth especially lower anterior teeth are VERY VALUABLE teeth. They preserve the bone! It is often a mistake ripping them out. Why not take a photo of them and post it and get some feedback from many responsible and helpful dentists? We are expert at telling people what we thing about saving/ not saving teeth. Very often fixing them up a bit, without fabricating 43 crowns is do-able. Joel M. Eichen DDS SignatureJoel344 |
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