First off, I'll give a bit of background info on myself: I'm 24 and my
teeth are generally very healthy (only 1 filling currently). I had my
1st molar on the top left of my mouth filled when I was younger.
Somehow during this procedure the roots were damaged which ended up
causing a lot of pain. Long story short, I had a root canal, but my
mother never took me back to get the tooth crowned so it sat filled for
a number of years. It's something that I should have had taken care of
myself later, but that's hindsight. Anyways, about 5 months ago the
tooth cracked and I had to have it extracted.
Now, naturally at this age my self esteem with a tooth missing has gone
down the tubes (it's not visible from the front, but it's still a
missing tooth). My dentist recommended a fixed bridge to replace it,
but I absolutely hate the idea of virtually destroying two good teeth
to put in a replacement. He seemed to brush off the implant option
without much discussion.
Having read online though, the implant option seems great to me. Both
seem to be about the same cost (my dentist quoted $2100 for the bridge,
which seems to be right at or just under what an implant would cost),
and I'd get to keep from grinding my other teeth.
It's not nessessarily an indicator, but I did note that my dentist
could do the bridge himself whilst I'd have to go elsewhere to get the
implant done. Not really accusing him of it, but I have wondered if
perhaps he might advocate the bridge more for this reason.
Basically, I'm just asking some advice regarding the situation. I have
made up my mind to call a local dental surgeon tommorow and set up an
appointment to discuss the same thing, but figured it couldn't hurt to
get some extra opinions as well.
Thank you for any responses.
Mike
PS The email address for this account is no longer valid, so please
respond on-list.
Steven Bornfeld - 08 May 2006 02:45 GMT
> First off, I'll give a bit of background info on myself: I'm 24 and my
> teeth are generally very healthy (only 1 filling currently). I had my
[quoted text clipped - 34 lines]
> PS The email address for this account is no longer valid, so please
> respond on-list.
Most of the time, implants have compelling advantages over a bridge
where the teeth surrounding the missing tooth are in good shape. You
need to have enough bone in the right place. If you're otherwise
healthy, I would consider an implant, even if it means getting a consult
at another dentist.
$2100 for an implant, abutment and crown is a very low fee in most
areas of the country. Upper first molars also frequently will require
bone grafting and even a sinus lift, which increases the complexity and
expense. Make sure you're getting the full story.
Steve
Sally - 11 May 2006 16:19 GMT
You got that right. My implant went from a quoted price of $3500 to
$7000 after they got finished adding up bone grafts, gums, and all the
rest they could stick on the bill.
> $2100 for an implant, abutment and crown is a very low fee in most
> areas of the country. Upper first molars also frequently will require
> bone grafting and even a sinus lift, which increases the complexity and
> expense. Make sure you're getting the full story.
>
> Steve
Mark & Steven Bornfeld - 11 May 2006 17:26 GMT
> You got that right. My implant went from a quoted price of $3500 to
> $7000 after they got finished adding up bone grafts, gums, and all the
[quoted text clipped - 6 lines]
>>
>> Steve
The rub is " gums, and all the rest they could stick on the bill".
$3500 is a pretty normal fee. We'd have to know about the rest to know
if it's reasonable.
Steve

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
pubbievoter@yahoo.com - 09 May 2006 02:57 GMT
Take it from a patient who knows...implants beat fixed bridges by a
country mile. I have 4 implants (two lower right quadrant, two upper
left quadrant) which replaced two previous fixed bridges
On one of my bridges, the bone had resorbed significantly under the
pontic and my periodontist had to restore the bone and the gum. With
implants, you don't have this problem as any of the dentists on this
site can explain.
The important thing on implants is to get someone who is highly
competent. All 4 of my implants were placed by periodontists. The
crowns were placed by general dentists. I'm very happy with the
results.
pubbievoter@yahoo.com - 09 May 2006 03:10 GMT
Just to clarify, in my situation, both sets of implants replaced a
pontic and one of the abutment teeth, while the other abutment tooth
(from each bridge) was left in place.
Steven Bornfeld - 09 May 2006 04:27 GMT
> Take it from a patient who knows...implants beat fixed bridges by a
> country mile. I have 4 implants (two lower right quadrant, two upper
[quoted text clipped - 4 lines]
> implants, you don't have this problem as any of the dentists on this
> site can explain.
Let's say you don't as routinely have the problem. If the implant
fails, you have a significant problem.
Steve
> The important thing on implants is to get someone who is highly
> competent. All 4 of my implants were placed by periodontists. The
> crowns were placed by general dentists. I'm very happy with the
> results.
pubbievoter@yahoo.com - 09 May 2006 20:42 GMT
Yeah, but Doc, implants have a what, 95% chance of succeeding? Those
are pretty good odds! Bridges fail too, right?
Mark & Steven Bornfeld - 09 May 2006 22:22 GMT
> Yeah, but Doc, implants have a what, 95% chance of succeeding? Those
> are pretty good odds! Bridges fail too, right?
I think you have to take that 95% with a large grain of epsom salt.
The numbers change drastically depending on your criteria for success.
I wouldn't put the numbers that high.
And no, I'm not being a retrogrouch here. Implants are a wonderful,
very useful procedure. What they are NOT is a panacea.
I think like any new sexy technology, it has been overused. As long as
you know the limitations and dangers, they are wonderful. I think that
proclaiming the end of traditional crown and bridge (yes, they fail too)
is way premature.
Steve

Signature
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Joel344 - 09 May 2006 04:10 GMT
PS ~ Implants can fail too
--
Joel34
oN - 09 May 2006 07:14 GMT
> First off, I'll give a bit of background info on myself: I'm 24 and my
> teeth are generally very healthy (only 1 filling currently). I had my
[quoted text clipped - 34 lines]
> PS The email address for this account is no longer valid, so please
> respond on-list.
Ortodontics, maybe.
All the best,
Proka