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Medical Forum / General / Dentistry / November 2005

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Tooth implant

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song writer - 15 Nov 2005 05:47 GMT
After I get my tooth extracted I have to have either a bridge or tooth
implant. Why doesn't insurance cover tooth implants? What should I expect
with a tooth implant?  Are there problems that might arise from such a
procedure?
Thank
Amatus Cremona - 15 Nov 2005 13:20 GMT
> Why doesn't insurance cover tooth implants? What should I expect
> with a tooth implant?  Are there problems that might arise from such a
> procedure?

1)  What is covered and what is not covered is determined solely by the
contract signed by the employer (or trade union, business association,
etc.).  It is determined by the amount of premium they are willing to pay.
Anything can be a covered benefit at any level of reimbursement if the group
is willing to pay for the premium.

2)  With an implant, expect to pay at least $3K for one tooth (total
treatment from surgeon and dentist).  Expect good function on the tooth when
done.

3)  Problems which could arise are the same ones that could arise from any
minor dental surgery and restoration.  Nothing unusual.  These are no big
deal.

Signature

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Amatus

/

> After I get my tooth extracted I have to have either a bridge or tooth
> implant. Why doesn't insurance cover tooth implants? What should I expect
> with a tooth implant?  Are there problems that might arise from such a
> procedure?
> Thank
JimSocal - 18 Nov 2005 18:49 GMT
>After I get my tooth extracted I have to have either a bridge or tooth
>implant. Why doesn't insurance cover tooth implants? What should I expect
>with a tooth implant?  Are there problems that might arise from such a
>procedure?
>Thank
If you can afford it, get the implant, as there should be no fitting
problems or damage to other teeth as a result of a bridge. My wife has
a bridge (2 teeth gap I think) and she hates it. On the other hand,
one CAN get a good bridge which may be better than my wife's and not
bother you.

You might consider doing what I'm doing, which is to go to a major
dental school to get the implant. The oral surgery is done by students
who are already practicing dentists, and under strict supervision. You
will save about 50% at most schools.
amanda - 18 Nov 2005 23:58 GMT
> >After I get my tooth extracted I have to have either a bridge or tooth
> >implant. Why doesn't insurance cover tooth implants? What should I expect
[quoted text clipped - 11 lines]
> who are already practicing dentists, and under strict supervision. You
> will save about 50% at most schools.

Would the result be as good as private practise?

Since late summer 2003, I have been helping a relative (who has very
limited Enlgish + poor on basic dental care knwoeldge unitl she got to
this country started wanting prettier teeth) with serious issues.   She
had her 4 front teeth (was loose due to childhood accident) removed in
January 2003 and was on partial - she belived the dentist was chreating
her but I think there was some miscommunication since the American lady
helping her was  doing a poor job.  She just waited for me as I was
moving to this state.

Her teeth has rotated due to bone loss, the dentist I found for her,
after cleaning, root planing, cavity fiiling, leaving the crown work
and wisdom teeth removal for later, required her to put the brace on
(at an orthodontists) before getting implant done (at a surgeon
office).  He wasn't going to work with her unless she does brace work.
These were all discussed during consultation but she was a pain in the
a*s wanting to avoid the brace stage, and wants to get to the
destination quickly.

The plan was to coordinate with the surgeon for the dental implant.
But, from the beginning, she was concern about dental implant being
permanent, ie. it would go to the grave with the rest of her body.  But
I kept telling her about the benefit.

In recent months, she has changed her mind and decided to do bridge.
Her family who was helping her financially also decided that she should
not do implant due to cost.

Since it involve financial reason, I kind of gave up pushing about the
implant  as the stress level of helping these relatives who don't
appreciate and take me for granted had worn me out.  She is a visitor
and has no dental insurance. The bill is footed by older siblings.

The coordinating with the dentist (verey good dentist) she goes to for
her bridge work has recenlty started.

She has been on brace for 2 years and about to get off the brace.

Since I have put so much effort in this project and don't like the idea
of neighbor teeth getting damaged for bridge work, I am extremely
interested in dental implant at 50% of market rate at a dental school.
I know that it would be a lot of more work for me to take her and do
the talking.  But I would like to try convincing her and make
arrangment for her though I am not sure whether her dentist would be
pleased about this.

I would really appreciate it if any of you can give me some contact
information of the dental school(s)?   (I moved to this state 2 years
ago). We are in Sacramento, CA about 2 hours from San Fracisco. We are
close to UC davis too but I don't believe they have a dental school.

Thanks.
amanda - 19 Nov 2005 05:16 GMT
amanda wrote:  Never mind what i asked.  She is not interested in
implant.  She believes that she is not supposed to die with artificial
things in her body.
Alexander Vasserman DDS - 19 Nov 2005 06:39 GMT
> amanda wrote:  Never mind what i asked.  She is not interested in
> implant.  She believes that she is not supposed to die with artificial
> things in her body.

So if she develops osteoporosis and fractures her hip she prefers
amputation and a wheel chair?????? vs an artificial hip implant???
and what about crowns, bridges and fillings they are artificial
prosthetics as well???
If she does not want to die with these things just ask to have them
removed before the funeral. Does she think that there is a conspiracy
to use the implant as an omni-directional antenna???

As far as implant vs bridge that depends on a lot of factors and an
implant could fail (small percentage if done correctly, high percentage
if done incorrectly) and may need to be redone. But that does not mean
it is not a good option for her.
The Webby - 19 Nov 2005 15:38 GMT
> > amanda wrote:  Never mind what i asked.  She is not interested in
> > implant.  She believes that she is not supposed to die with artificial
[quoted text clipped - 7 lines]
> removed before the funeral. Does she think that there is a conspiracy
> to use the implant as an omni-directional antenna???

I would think that the issue would be at the moment of death, not at the
moment living people have a funeral service.

If it is about "at the moment of death" when life ceases as we know it,
a belief such as this one is all about how the person lived up until the
moment of death.  If "artificial things in her body" are forbidden at
death, I would think they would certainly have been forbidden in life.

But ... I don't know what this belief is all about and that's why I
asked about it in another post to the thread just before I read this
post by Dr. Vasserman.

> As far as implant vs bridge that depends on a lot of factors and an
> implant could fail (small percentage if done correctly, high percentage
> if done incorrectly) and may need to be redone. But that does not mean
> it is not a good option for her.

I say, a clear understanding of the definition "artificial things" is
required in order to turn to the next page of this discussion.  

Just my two-bits,
Webby
amanda - 20 Nov 2005 05:36 GMT
> > > amanda wrote:  Never mind what i asked.  She is not interested in
> > > implant.  She believes that she is not supposed to die with artificial
[quoted text clipped - 27 lines]
> I say, a clear understanding of the definition "artificial things" is
> required in order to turn to the next page of this discussion.

First I'll admit that the person I have been referring to as a
relative is my fraternal twin sister.  Now, I will give my opinion on
what she considers artificial.  She is sooooooo illogical in everything
she does in her life, that my pointing out to her about the fillings in
her cavities and  the 3 crowns she will be putting in regardless of
implant or bridge, would only be met with an ignorant answer just to
win the conversation since that's the only thing she can win:)- If
there is a God, this God is very mean for putting me to be a twin with
a person whose goal in life is to prove to the family that their
expectation of her (as a loser) will be met. Sorry for my choice of
word of "loser". I am only using it because I can't find a suitable
word after watching her for the past 2 years after I had not seen her
(except during visits back home) since my very early 20s.

BTW, she is a good candidate for implant.  The surgeon whom we were
going to use - his practise is across from the office of her primary
care dentist  - already took a look at her before she put the brace on.

The main reason I undertook this project that came with having to
babysit a lot more than I realized was that I didn't want to see her
misery with her front teeth issue when we get old when she would no
longer be a candidate for implant. It seems that I have no way to
excape from seeing her misery - she will never be able to bite with
front teeth if she put bridge which has been the way she had lived most
of her life already.

I have tried my best and will have a clear conscience to just sit and
watch when she complains about the bridge not allowing her to function
as the natural teeth:)-

> Just my two-bits,
> Webby
Ann - 20 Nov 2005 10:34 GMT
>> > > amanda wrote:  Never mind what i asked.  She is not interested in
>> > > implant.  She believes that she is not supposed to die with artificial
[quoted text clipped - 57 lines]
>watch when she complains about the bridge not allowing her to function
>as the natural teeth:)-

Maybe she's just plain scared of the implant procedure.  I know I
would be.

Ann
amanda - 21 Nov 2005 21:22 GMT
[..]

> Maybe she's just plain scared of the implant procedure.  I know I
> would be.

Who knows? I am exhausted. Can't wait to finish this project I started
2 years ago.

> Ann
The Webby - 20 Nov 2005 15:58 GMT
[cut]

> I have tried my best and will have a clear conscience to just sit and
> watch when she complains about the bridge not allowing her to function
> as the natural teeth:)-

It's her choice to make about her dental needs.  If the dentist has
offered a bridge as a reasonable option to meet her needs, and she
chooses that option, you have to realize that she is living her life not
yours.

Webby
amanda - 21 Nov 2005 21:57 GMT
> [cut]
>
[quoted text clipped - 3 lines]
>
> It's her choice to make about her dental needs.

But she had little to no knowledge and still  probably do not seem to
realize the extent of the  benefit she will get from the implant. Good
in a away as it is a *big* job doing all this for her.

> If the dentist has offered a bridge as a reasonable option to meet her needs.

When we went to him, we told our plan to do the implant.  He's aware
how she was a pain in the a*s for me for not wanting to do the brace
step and just wanted the implant done - it's like the repeated
explantion, not just translation was just a waste.   I got so exhausted
that I finally informed the dentist what she's demanding.  The dentist
had to tell her that he would not keep her as a patient if she insists
on doing implant without the brace step.

Now that she wants to do the bridge, I think that the whole costly
brace work ($5500 including the retainer when the brace if off) is a
waste of time and money. Am I wrong to assume that?

> and she chooses that option,

The probem is all the option she has chosen in her life on her own got
her nowhere:)-

>you have to realize that she is living her life not yours.

Rather, it is like I am being forced to live her life (aside from mine
with my own stress) because I get to deal with every crisis of hers
here. So far, I had done it at big expense - big because it's not just
time expense but having to deal with her abuse that seems to stem from
feeling bad and getting resentful, I guess form having depend on me.

I'll let her live with the conseqeuces of her choice.  In another word,
I am going to ignore it when she comes tell me that she wants to do the
impant.  

> Webby
W_B - 21 Nov 2005 17:40 GMT
>If
>there is a God, this God is very mean for putting me to be a twin with
>a person whose goal in life is to prove to the family that their
>expectation of her (as a loser) will be met. Sorry for my choice of
>word of "loser".

That's why god made bullets.
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
amanda - 21 Nov 2005 22:06 GMT
> >If
> >there is a God, this God is very mean for putting me to be a twin with
[quoted text clipped - 3 lines]
>
> That's why god made bullets.

But I need something that would evaporate the corpse:)-

> --
>
> W_B
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com
The Webby - 19 Nov 2005 15:29 GMT
> amanda wrote:  Never mind what i asked.  She is not interested in
> implant.  She believes that she is not supposed to die with artificial
> things in her body.

Is this just something she came up with on her own or is this "belief"
common within a group of like-mided people who base this in cultural or
religious rules about how to live?

Clearly, "artificial things" would need to be defined in depth so as to
avoid the risk of dying with "artificial things" in ones body.

Please understand that I am serious in my questions.

Webby
W_B - 21 Nov 2005 17:22 GMT
>Please understand that I am serious in my questions.
>
>Webby

No you're not.  8^]]
--

W_B
Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
amanda - 21 Nov 2005 22:04 GMT
> > amanda wrote:  Never mind what i asked.  She is not interested in
> > implant.  She believes that she is not supposed to die with artificial
[quoted text clipped - 3 lines]
> common within a group of like-mided people who base this in cultural or
> religious rules about how to live?

Well, it's not that she is thoroughly informed about the religion we
were brought up with since she hardly read history. What she has is the
superstition she learned from the people who are like her, i.e listen
to the religious leader who says this is in the holy book.

> Clearly, "artificial things" would need to be defined in depth so as to
> avoid the risk of dying with "artificial things" in ones body.

I know but she is not at that level to even contemplate that.  She is
just stuck with the lines she has been fed.

> Please understand that I am serious in my questions.

I do.

If I ask her to think about it in the way we are discusisng here, she
will just scream
"I don't want it, I don't want it" implying that the discussing is
closed, ie. don't talk to me with logic:)-

> Webby
 
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