Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Dentistry / May 2006

Tip: Looking for answers? Try searching our database.

Implant Questions

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
MGlory - 11 May 2006 18:50 GMT
I hope there are some dentist on this site that actually do implants, if so I
would love to hear from you!!

I am considering an implant vs a bridge.

A little history:

I am in my mid 40's and just lost a baby tooth that held on all this time.
The tooth was a top eye tooth.

I have researched what would be the best options under normal circumstances
but...  Here is the deal with my teeth.

My adult eye tooth is still in my gums and is situated parallel to the bone
above the other teeth.  So...  the questions are:

Would the adult have to be pulled so that the implant post could be put into
the bone?

If so, what kind of risk does that involve for the roots of the teeth near
where it is laying?

Could the tooth have fused to the bone, since they have been laying next to
each other for that many years?

What kind of extra procedure would this mandate?

What kind of extra cost?

Should I just go for the bridge to avoid messing with the tooth that has been
laying there for 40 years without a problem?

Thanks so much!!

MGlory
Mark & Steven Bornfeld - 11 May 2006 19:20 GMT
> I hope there are some dentist on this site that actually do implants, if so I
> would love to hear from you!!
[quoted text clipped - 31 lines]
>
> MGlory

    All good questions.  Unfortunately, tough to answer most of them
without an exam and x-rays.
    It is almost certain that any impacted tooth would have to be removed
prior to placing an implant fixture.  There is a substantial chance some
kind of bone and/or tissue grafting would be necessary, but this would
have to be assessed by the surgeon.
    Removing the impacted tooth MAY be risky to the adjacent teeth.  Our
regular oral surgeon Dave hopefully will check in an say just how
frequently removal of impacted canines is risky.  I'm sure it very much
depends upon its location.
    The decision to have a bridge is not without its downside too, of
course.  If the adjacent teeth are in good shape it's a shame to prepare
them for crowns just to serve as abutment (holding) teeth.  And lateral
incisors aren't usually great abutment teeth--it's sometimes advisable
to enlist the aid of one or both of the central incisors as well.
    Your dentist and a trusted oral surgeon need to get together with you
to lay out all the potential risks; there is no one right answer in this
general situation, but in your PARTICULAR situation there may be factors
that make one treatment plan obviously the better choice.

Good luck,
Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

MGlory - 11 May 2006 20:54 GMT
Thank you Steve, I appreciat all the good advice and do hope that Dave will
chime in also.

My regular dentist specializes in Cosmetic Denistry and I have the name of an
oral surgeon's whom a friend used for an implant.  How unsual would it be to
ask both to get together ,considering they  do not know each other?  And
would I expect that they would both want to charge consultation fees?
MGlory

>> I hope there are some dentist on this site that actually do implants, if so I
>> would love to hear from you!!
[quoted text clipped - 24 lines]
>Good luck,
>Steve
Mark & Steven Bornfeld - 11 May 2006 21:30 GMT
> Thank you Steve, I appreciat all the good advice and do hope that Dave will
> chime in also.
[quoted text clipped - 4 lines]
> would I expect that they would both want to charge consultation fees?
> MGlory

    This depends upon your location.  While I respect a strong referral
that a patient has received elsewhere and try to respect it, you are
sometimes better with a restorative dentist and surgeon who know each
other and their way of operating.  Remember that both will have a hand
in the process; the surgeon in placement of the implant fixture and any
necessary grafting; the restorative dentist in placement of the abutment
and crown (the abutment is the interface between the fixture and the crown).
    With single-tooth replacements things are usually pretty routine.
However, because of the impacted tooth and the fact that the implant
will be near the front of your mouth, it is important that the surgeon
and restorative dentist are on the same page with this, as there are
potential cosmetic pitfalls.
    Generally, if a patient prefers to work with a particular specialist,
unless I have a particular reason to object, I will go along.
    Yes, you should expect to be charged a consultation fee by both
dentists, though of course individual office policies may differ.
    BTW, there is no recognized specialty in "cosmetic dentistry".  There
are academies, study clubs, and lots of lectures out there, and there
are well-known experts who cater to "the stars", but IMO no one should
present themselves as a specialist in cosmetic dentistry.

Steve

>>>I hope there are some dentist on this site that actually do implants, if so I
>>>would love to hear from you!!
[quoted text clipped - 25 lines]
>>Good luck,
>>Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Dave King - 12 May 2006 15:31 GMT
>I hope there are some dentist on this site that actually do implants, if so I
>would love to hear from you!!
[quoted text clipped - 14 lines]
>Would the adult have to be pulled so that the implant post could be put into
>the bone?

Tough to say without seeing you or your xrays. Impacted teeth can
promote other problems like cyst formation and root resorption of
adjacent teeth, not to mention if it is in the way of implant
placement.

>If so, what kind of risk does that involve for the roots of the teeth near
>where it is laying?
>
>Could the tooth have fused to the bone, since they have been laying next to
>each other for that many years?

Doubtful.

>What kind of extra procedure would this mandate?

Depending on your exam, remove the canine then proceed with implant
placement 12-16 weeks later.

>What kind of extra cost?
>
[quoted text clipped - 4 lines]
>
>MGlory
bubbles - 16 May 2006 05:26 GMT
Hi,

If your dentist thinks that you are a good candidate for a dental
implant then I would go for that.  I had three done and I love them!!
There is actually a great website with some good info with lots of
pictures on dental implants and dental implant procedures.  The main
site is www.netdds.net, form which you can navigate to the "Implant
Dentistry content pages" (there are a lot!), but maybe start with this
one:http://www.netdds.net/ContentPages/content_implants_diig.html

Good luck,

Fred
Alexander Vasserman DDS - 16 May 2006 07:50 GMT
One problem you may need to address if the restorative dentist does not
know the surgeon, is that they could be using different implant
systems. For cosmetic reasons the restorative dentist may want one type
of implant manufacturer and your surgeon may not have the surgical kit
for that implant. In other words somebody would have to buy the other
system and work with an unfamiliar system either way you would be the
test subject.

Another thing you may want to consider is Orthodontics to place your
canine tooth into position a consultation with an orthodontist might
also be on your due diligence list.
Mark & Steven Bornfeld - 16 May 2006 18:19 GMT
> One problem you may need to address if the restorative dentist does not
> know the surgeon, is that they could be using different implant
[quoted text clipped - 7 lines]
> canine tooth into position a consultation with an orthodontist might
> also be on your due diligence list.

    Good points.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.