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Medical Forum / General / Dentistry / November 2005Implant questions
Looks like I need an implant for #15. I'm a bit confused on the timelines to do this. Assuming no complications what could I expect from removal, implant, temp crown to perm crown? I plan to visit a few surgeons - what are the questions to ask (besides how much ;) ? I'm in Bay Area, Calif, if you'd like to guesstimate costs I'd also appreciate. Thanks in adavace, any insights much appreciated! alan > Looks like I need an implant for #15. I'm a bit confused on > the timelines to do this. Assuming no complications what could [quoted text clipped - 7 lines] > > alan extract + bone graft + (maybe sinus lift) depending on the graft material used 6months-1year(worst case) Place implant wait 4 months Place crown (2 weeks) >> Looks like I need an implant for #15. I'm a bit confused on >> the timelines to do this. Assuming no complications what could [quoted text clipped - 6 lines] >Place implant wait 4 months >Place crown (2 weeks) What's confusing is searching the net I see talk of immediate implants. My dentist (not a surgeon) suggested this: Extract + Graft socket Place implant - 6 mo. Place crown (temp) - 8 mo. Place crown (perm) - 3 mo. So what's the wisdom and why the large time differences? Is there a conventional rule-of-thumb? Thanks in advance. alan >>>Looks like I need an implant for #15. I'm a bit confused on >>> the timelines to do this. Assuming no complications what could [quoted text clipped - 20 lines] > > alan There are differences depending upon the inclination of the surgeon (a more cautious surgeon will tend to wait longer before stage 2 surgery--exposure of the fixture and placement of the healing cap), the location, whether a bone graft is placed, etc. Some surgeons are doing immediate loading on implants right now and claiming good results. There is a powerful incentive to lessen the waiting time, but I'm not ready to recommend it to my patients. Incidentally, one surgeon I know who advocates immediate loading as needed has in my experience relatively high failure rate whether loading immediately or not. Steve  Signature{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fcharset0 Arial;}} {\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\f0\fs20 Remove "nospam" to reply\par } Alan by doing immediate placement and immediate loading we have to be very picky about where and into what type of bone this implant is going in. There are also challenges to have enough bone around a 5mm diameter implant which is the oe you want to have for a second molar. a second molar #15 has 3 roots in a tridop configuration, imagine removing the tooth and then trying to drill a hole 5mm in diameter in the centre of the tripod. As you can imagine you will not have a very good thickness of bone for a 5 mm diameter implant and furthermore you will not be able to torque screw the implant at 35nm and have stability. And if you load an unstable implant especially a 7.5 or 10mm in length since you can not place a longer one due to the proximity of the sinus floor, you will have failure. imagine chewing on a loose implant, it will never have bone grow around it because its moving all the time. Yes there are areas in the mouth where you can place 16mm long implants that are torqued at 35nm and are solid as a rock. Usually these areas did not have teeth in them for a very long time meaning there are no holes from the roots in this bone. In your case the time frame is what I said and I would not change it you are gambling with very expensive non reusable parts and expensive surgery. In the long run it is not worth it. time goes by so fast you will not even notice. so chill out dude and let the body do its healing thing, don't be a michael jackson with his nose jobs(he could not wait for the swelling to go down as he was told before he had someone else get in there and cut some more). I just want to say thanks! for the excellent info, really, really appreciate the time explaining this. And yes, I plan to go slow. alan 6 mo. At our implant shop, we have a periodontal specialist ~ surgeon ~ university trained, and restorative dentists all under one roof ~ its the way to go. Its coordinated care. Surgical aspect is ~ $1,000 and the restorative crown is around $850. Custom abutment, if needed adds to the cost. We are a Zimmer shop. Joely > Looks like I need an implant for #15. I'm a bit confused on > the timelines to do this. Assuming no complications what could [quoted text clipped - 7 lines] > > alan >We are a Zimmer shop. What's a Zimmer shop? TIA --G >>We are a Zimmer shop. > >What's a Zimmer shop? > >TIA >--G It's where you get your Zimmer fixed or buy a new one. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >>>We are a Zimmer shop. >> [quoted text clipped - 4 lines] > >It's where you get your Zimmer fixed or buy a new one. Zimmer is a car, right? > >>>We are a Zimmer shop. > >> [quoted text clipped - 6 lines] > > Zimmer is a car, right? JOelY! I wish I had a sense of humor tonite. I cannot think of a good one.. but it is good to see you posting. It is like a big relief to see you posting again! ':-) Sue I thought Zimmer had more to do with tailor shops.. no I guess I must have been thinking about a zipper. >JOelY! > [quoted text clipped - 6 lines] >I thought Zimmer had more to do with tailor shops.. no I guess I must >have been thinking about a zipper. REPLY, Sue wrote, > I guess I must >have been thinking about a zipper. REPLY Sue, Sue, Sue. Its zipless that many are thinking about ... from the generation of Erica Jong! This is a little obtuse, but I think you will catch on! http://www.salon.com/sex/feature/2003/06/14/jong/index_np.html >>JOelY! >> [quoted text clipped - 24 lines] > >http://www.salon.com/sex/feature/2003/06/14/jong/index_np.html Sexual harrassment? Actually I think there is a sewing machine made by a company called Zimmer. No .. I guess that is Singer. I really don't know why, but I kept thinking of zipper ... which made me think about sewing. I really hated putting in zippers. First off, you need to put a special "foot" onto the sewing machine... but beofre that, you need to find and purchase this special "foot." It was really a pain in the butt and took a long time (IMHO). But especially if you happen to put it in upside down (the zipper), uggh. Then you had to rip it out and start all over. But the worst part is by the time I finished that quarter in Home Ec (7th grade) and had completed making my dress, I had grown out of it already. What a waist. Btw, Zippers should be banned. Too much metal and too close to the body. As a conductor and attractor of extraneous radiofreqency energy, voltage is applied directly to the body... at LEAST 350 mV. This allows for interruption of cellular activities via the voltage-gated channels. And this is why we are seeing a higher infertility rate today versus yester-year. HOWEVER, the clothing industry has come to the rescue. The AMA has stock in Ambercrombie and unbeknownst to most of the world, Gucci has a subsidiary that supplies all the major hospital garb. So the AMA and Ambercrombie are really "tight." Trying to make the world a better place. (wink, wink) Anyway, Result: Fewer zippers. More buttons. We are now seeng men's button down jeans. Seriously. They now are making jeans (for men) that button! But mostly just the gay men buy them, so this has not reduced infertility. What a drag. They will have to start thinking up some other ideas. Too bad Zuba pants did not last. But did you know that the first buttons were actually made out of natural material? (sea shells) This was well before the zipper was invented. And this is the truth. The rest is made up, of course. Except for not fitting into the dress that I made in Home Ec class. Too bad the growth pattern did not keep progressing though. I could have used a bit more help. Oh well. -Sue Joel, I just opened that link. That is sick. Is Erica Jong related to Howard Stern? Lucille Ball was a better comedian than either one of those two. JMHO, Sue Now I have to get back to work. No more of this obtuseness! Stop making me laugh!! PS to Jim. Yes I think there is sexual harrassment going on everywhere. But I am not sure who is doing the harrassing half the time... men or women. OK. I am off now for the rest of the day. I have to stay focused on work. BTW, I asked my husband again about his implant experience. He said it was not that bad.... he barely remembers it anymore. So maybe gettting 5 or 6 at once is not so bad. Take Care. [clip] > OK. I am off now for the rest of the day. I have to stay focused on > work. BTW, I asked my husband again about his implant experience. He > said it was not that bad.... he barely remembers it anymore. So maybe > gettting 5 or 6 at once is not so bad. Take Care. Sue, is the work you do related to dentistry? I can't remember reading what your special area of interest is. Thanks, Webby > [clip] > [quoted text clipped - 8 lines] > Thanks, > Webby Webby, I am not involved with dental implants, but this subject interests me because I work for a company that makes implantable medical devices. We also helped to develop BMP (bone morphogenic protein) now used in spinal surgery (eliminates the need for autograft that traditional surgery requires). BMP is currently being investigated for use in dental applications, but we (as a company) are not directly involved in this application. My interest in dentistry was initiated when I was doing some volunteer work (2004). I was working part time (on a volunteer basis) with two women employed by the MDentalAssoc. (MN). One of these women left the MDA and moved to WS. The other quit working full time (as communications director) when she adopted her first child. She is still involved but not directly. She recently adopted a second child and is working freelance on several projects (mostly related to dentistry, but not all). The MDA then hired someone fulltime to cover the work that I was doing for free. (I had written a database in Excel for these two women to use for a special project as neither wanted to use Microsoft Access). I am sure the MDA has since switched to Access or some other more powerful dbase app. though. :-) Anyway my true interest (as far as dentistry goes) lies in patient education and public health. I am hoping to get more involved in this when I retire. I may go for my masters in public health or epidemiology as I am nearing the end of my primary career. My husband is trying to talk me out of it. lol He thinks I should remained focused on education directly related to my primary career. I am trying to decide which I would rather take on. The good thing is, at least my hubby is not afraid of the time comittment that either one will take!!! But the funny thing is... sometimes your spouse has a truer idea than oneself... about what makes the other tick. Sometimes listening is best... Sometimes they can see things that you cannot. Hope this makes sense to you. Writing this very quickly, Sue >[clip] > [quoted text clipped - 5 lines] >Sue, is the work you do related to dentistry? I can't remember reading >what your special area of interest is. She is a grape tester ......... measuring fluoride levels ....... >Thanks, >Webby >Joel, > >I just opened that link. That is sick. Is Erica Jong related to Howard >Stern? Actually it was considered pretty good literature around 1974 ..... >Lucille Ball was a better comedian than either one of those two. >JMHO, [quoted text clipped - 5 lines] >everywhere. But I am not sure who is doing the harrassing half the >time... men or women. Its the women ... .they start everything ........ >OK. I am off now for the rest of the day. I have to stay focused on >work. BTW, I asked my husband again about his implant experience. He >said it was not that bad.... he barely remembers it anymore. So maybe >gettting 5 or 6 at once is not so bad. Take Care. >Actually I think there is a sewing machine made by a company called >Zimmer. No .. I guess that is Singer. [quoted text clipped - 3 lines] > >I really hated putting in zippers. You and Erica jong .... > First off, you need to put a >special "foot" onto the sewing machine... but beofre that, you need to [quoted text clipped - 42 lines] > >-Sue |
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