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Medical Forum / General / Dentistry / May 2006

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Thinking of doing a implant instead a bridge... are onlays necessary?

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Mommy2006 - 30 May 2006 20:12 GMT
I have 1 missing tooth and since my insurance does not cover the bridge and I
have to pay all of it out of pocket, I am considering doing an implant.  I
have a bridge now in the front, that is alot of work to keep clean.  Lots of
flossing and using other brushes daily.  Would a single tooth implant be
easier to keep clean, than a bridge?  Also, the dentist said that he may have
to do cerec onlays on the surrounding teeth, is this normal and necessary.
What reason would there be for having to "bother" these perfectly good teeth?
I just want to make sure this is a "necessary" procedure.  What questions do
I need to ask regarding this?  Another reason for me doing an implant as
opposed to the bridge is that I prefer to not touch the good teeth in my
mouth.  Please help, I need to make a decision regarding this soon.  THANKS!
Mark & Steven Bornfeld - 30 May 2006 20:48 GMT
> I have 1 missing tooth and since my insurance does not cover the bridge and I
> have to pay all of it out of pocket, I am considering doing an implant.  I
[quoted text clipped - 7 lines]
> opposed to the bridge is that I prefer to not touch the good teeth in my
> mouth.  Please help, I need to make a decision regarding this soon.  THANKS!

    If the adjacent teeth are in good shape and there is no anatomical
reason not to get an implant, an implant should be considered.
IOW, the dentist should be able to tell you why he thinks a bridge is a
better option.
    If bridges are done (I didn't know you could now make a Cerec bridge)
the holding (abutment) teeth should be onlayed.

Steve

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

JimSocal - 30 May 2006 22:56 GMT
>I have 1 missing tooth and since my insurance does not cover the bridge and I
>have to pay all of it out of pocket, I am considering doing an implant.  I
[quoted text clipped - 7 lines]
>opposed to the bridge is that I prefer to not touch the good teeth in my
>mouth.  Please help, I need to make a decision regarding this soon.  THANKS!

I am not a dentist. But I am getting 5 implants this next month, via
the graduate student program at a dental school.

Implants are by and large a better option, IF you can afford it. My
wife's bridge is constantly a problem, hard to clean, uncomfortable,
causes bad breath, etc.. she hates it.

Implants can cost upwards of $3-4k per tooth, if you shop around you
might find a better deal, but then, quality is a concern, too. I had
no choice, I just could not afford to get 5 implants anywhere except a
dental school. My friend just had 2 at a well-recommended oral
surgeon's office, and it cost him 3/4 of what I am paying for 5. He is
happy with them, though.

Also, it takes about 3-6 months to get the implants and then wait for
the crowns to be added, in most cases. There are quicker types but the
dental school says they are not a great option. Also, your dentist may
require extras like stents and CT scans before the xrays (as mine did)
and this may cost another $700-1000. Then, if you need a bone graft or
sinus lift, that will cost more...

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