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Medical Forum / General / Dentistry / July 2006

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robcobb - 23 Jul 2006 21:40 GMT
I had a back molar removed two days ago and now I am going to need an
implant. I have no coverage. Is there any plan that covers implants..or is
that considered a cosmetic surgical procedure. Also, is it too late to join
a plan (if there is any plan that covers implants?) I need to know if any
plan would accept me if there is any plan that does cover implants..... I
was told that no plan short of a medical plan would cover an implant.. I
should also mention at this time that I need a plan that won't bust my balls
for having a pre existing condition. My tooth has already been extracted...
Is there a dental or modeical plan out there that would accept me for
already having a pre existing condition... knowing that I need an implant ?
Or should I just go any pay the $4000 it will cost out of pocket ?  I could
probably live without a tooth for a while... I don't think the other teeth
will shift...  any suggestions would be helpful. thanks in advance of any
replies.
Joel344 - 24 Jul 2006 00:10 GMT
Nope, no plan. Start savin' your dough ... no ciggies etc

--
Joel34
clifffreeling@yahoo.com - 24 Jul 2006 20:48 GMT
> I had a back molar removed two days ago and now I am going to need an
> implant. I have no coverage. Is there any plan that covers implants..or is
[quoted text clipped - 10 lines]
> will shift...  any suggestions would be helpful. thanks in advance of any
> replies.

Do you really need the implant, or is the dentist just telling you
this?
A root canal was suggested to me last year when I went to the dentist
after many, many years of not visiting one.   The tooth was in upper
jaw and not at all visible to people.   I elected to have it pulled
instead
and don't miss the tooth at all.  This tooth had a small abscess and
was
beginning to hurt some.  I have great teeth, gums and bone.  My dentist
was astounded.   He said my frequent brushing and genes were probably
the reason.

-----
Kill ratio of Palestinian children to Israeli children 5.7-to-1,
Israel's favor.
Kill ratio of all Palestinians to Israelis: over 3-to-1.
---------
http://www.lrb.co.uk/v28/n06/print/mear01_.html
----------
"Don't worry about American pressure on Israel. We,
the Jewish people, control America, and the Americans know it."
 ---Israeli Prime Minister Ariel Sharon, 2001
Signature

Cliff

robcobb - 24 Jul 2006 23:52 GMT
>> I had a back molar removed two days ago and now I am going to need an
>> implant. I have no coverage. Is there any plan that covers implants..or
[quoted text clipped - 29 lines]
> was astounded.   He said my frequent brushing and genes were probably
> the reason.

I suppose the dentist COULD be just telling me that I need an implant......
all my other teeth are healthy as I suppose yours are. The dentist was
astounded at my other healthy teeth as well. The tooth that is missing is
the lower (bottom) left side.. not the last tooth but the one next to it. It
would feel strange to not have it replaced..... If I don't I imagine the two
teeth next to the missing one will shift in some manner at SOME point..So I
am thinking replace it with something before it is too late..... Am I crazy
for thinking that?  I never had braces.. My teeth were the one thing about
me that was pretty good all my life  .. Why?  You think I should just leave
it empty ?
clifffreeling@yahoo.com - 25 Jul 2006 13:28 GMT
> I suppose the dentist COULD be just telling me that I need an implant......
> all my other teeth are healthy as I suppose yours are. The dentist was
[quoted text clipped - 6 lines]
> me that was pretty good all my life  .. Why?  You think I should just leave
> it empty ?

Well, I can only give my unprofessional opinion.  I am no dentist, and
I can't really decide for you, but I feel quite sure if it were me, I'd
forget the implant.   For one thing, I never liked the whole idea of
screwing false teeth into my bone; sounded like potentially opening
up a whole new set of problems.  As far as the shifting of teeth
because
of the vacancy; I've always said so what?   I had a large molar pulled
when I was a kid, and there was a little shifting in the subsequent
years....big deal.  I just have more room in the area, making the
couple of shifted teeth easier to clean.   I never could tell that they
were weakened in any way from shifting.   I haven't noticed any
shifting from the extraction last year.  Don't sweat it.

-----
Kill ratio of Palestinian children to Israeli children 5.7-to-1,
Israel's favor.
Kill ratio of all Palestinians to Israelis: over 3-to-1.
---------
http://www.lrb.co.uk/v28/n06/print/mear01_.html
----------
"Don't worry about American pressure on Israel. We,
the Jewish people, control America, and the Americans know it."
 ---Israeli Prime Minister Ariel Sharon, 2001
Signature

Cliff

robcobb - 25 Jul 2006 20:30 GMT
>> I suppose the dentist COULD be just telling me that I need an
>> implant......
[quoted text clipped - 26 lines]
> were weakened in any way from shifting.   I haven't noticed any
> shifting from the extraction last year.  Don't sweat it.

I wouldn't mind hearing the opinion of anyone else on the matter.. Any
dentists out there? I have until the 8th of august to decide what to do.. as
that is my appointment for consultation with the periodontist to check out
the space for the implant...... I am not even sure if I have enough bone
under the missing tooth to drill an implant into...... looks pretty empty to
me.....
Steven Bornfeld - 26 Jul 2006 01:05 GMT
>>>I suppose the dentist COULD be just telling me that I need an
>>>implant......
[quoted text clipped - 33 lines]
> under the missing tooth to drill an implant into...... looks pretty empty to
> me.....

    You must of course have adequate bone to place an implant fixture.
    You should look at the options for replacement.  I forget which tooth
this is.  There are circumstances where replacement is less important,
but overall you are much better replacing teeth where feasible than
leaving a space.  The outcomes depend very much on your particular
situation, which obviously your own dentist is in a much better position
to discuss.

Steve
robcobb - 26 Jul 2006 02:31 GMT
>>>>I suppose the dentist COULD be just telling me that I need an
>>>>implant......
[quoted text clipped - 43 lines]
>
> Steve

the tooth that was extracted is the lower left side..not the last tooth but
the one next to it from the back of the mouth... I dont see any bone below
the missing space... then again I am still in the healing stage from the
extraction.... I would think that any back tooth should be replaced ... I
will take your advice though and spend the $80 for the consult with the
periodontist. I am sure he will advise to replce the tooth with an
implant... But like you said I am not sure if there is enough bone to
replace it with....  I hope there is.. I don't see any.... but I don't know
anything about teeth.... there might be below the redness....some bone ??
Steven Bornfeld - 26 Jul 2006 03:52 GMT
> the tooth that was extracted is the lower left side..not the last tooth but
> the one next to it from the back of the mouth... I dont see any bone below
[quoted text clipped - 5 lines]
> replace it with....  I hope there is.. I don't see any.... but I don't know
> anything about teeth.... there might be below the redness....some bone ??

    You can't tell how much bone is present by looking.  X-rays will give
you a hint.  In some circumstances a CAT is advisable.
    If there is inadequate bone it can be augmented by grafting. This will
of course increase the complexity and expense of treatment. The lower
molar area is usually a good area for implants, but the major nerve
running through the jaw must be avoidable.
    Time is important--bone in the area will be lost over the next several
months in the area of the extraction, so don't take too much time making
your decision.

Steve
robcobb - 26 Jul 2006 12:40 GMT
>> the tooth that was extracted is the lower left side..not the last tooth
>> but the one next to it from the back of the mouth... I dont see any bone
[quoted text clipped - 18 lines]
>
> Steve

Yes, I have a consult on the 8th of august...... I'll leave it to the
periodontist to NOT hit the nerve running through my jaw.... and to give me
his professional opinion .. I hope hes a good doctor...
Steven Bornfeld - 26 Jul 2006 23:29 GMT
> Yes, I have a consult on the 8th of august...... I'll leave it to the
> periodontist to NOT hit the nerve running through my jaw.... and to give me
> his professional opinion .. I hope hes a good doctor...

    I hope you're not going to this periodontist cold.  Hopefully you know
others who have been treated by him and can give you a strong
recommendation.

Good luck,
Steve
robcobb - 27 Jul 2006 04:30 GMT
>> Yes, I have a consult on the 8th of august...... I'll leave it to the
>> periodontist to NOT hit the nerve running through my jaw.... and to give
[quoted text clipped - 6 lines]
> Good luck,
> Steve

It's the same office that removed my tooth last friday..... It won't be the
same doctor.... The periodontist is someone I have never met....  The office
seemed respectable..... but what do I know????  Anyway.. on 8/8/06   I have
an appointment for a consult only.. I suppose he will tell me if I have
enough bone to drill a stint into...etc...   Is there a way I can check on
the doctor before even going for a consult.. I was going to base my opinion
on him after meeting him.....  I really have no idea about any of his past
mistakes.. if there are any....I don't know anyone that has gone to him
before.... I will be going there "cold"  ...  should I be worried ?  I am
usually a good judge of character.. but I am sure everyone thinks that
way....
Ann - 29 Jul 2006 10:38 GMT
>> I suppose the dentist COULD be just telling me that I need an implant......
>> all my other teeth are healthy as I suppose yours are. The dentist was
[quoted text clipped - 19 lines]
>were weakened in any way from shifting.   I haven't noticed any
>shifting from the extraction last year.  Don't sweat it.

I agree.  I have lost two teeth, one is the same one as this guy is
talking about which I lost a couple of years ago after a failed root
canal.  Lost the other one years ago and don't see any problems with
having not replaced it.  Neither gap shows and eating is unaffected.
I think people obsess too much about replacing lost teeth.  It isn't
always necessary.

Ann
robcobb - 29 Jul 2006 14:21 GMT
>>> I suppose the dentist COULD be just telling me that I need an
>>> implant......
[quoted text clipped - 36 lines]
>
> Ann

I am not sure if I should just leave it and not replace the lost tooth... It
is one of the back teeth ..... I do't think I could get used to chewing food
without it there. If it were a front tooth I may consider taking your advice
and not replacing it... but a back molar ???  I am an adult now and any
shifting would be permanent.... I'm not obsessing about the lost tooth,
however, I think an implant would be best.... Ann, are you saying you lost a
back molar and never had it replaced?  how long did it take to get used to
not having a tooth there and how long until it stopped hurting after the
tooth was removed that you were able eat without a funny empty tooth feeling
there?
Ann - 29 Jul 2006 18:26 GMT
>>>> I suppose the dentist COULD be just telling me that I need an
>>>> implant......
[quoted text clipped - 47 lines]
>tooth was removed that you were able eat without a funny empty tooth feeling
>there?

Maybe you should replace the tooth because it obviously bothers you.
it never occurred to me to replace either tooth.  I just don't have
the money.  If I lost a front tooth I would have a problem as I would
want to replace it for aesthetic reasons.

Of course it's tender when the tooth is first removed and you have to
eat on the other side but after a few weeks it's just forgotten.  I
don't notice that it isn't there.  Actually one tooth is missing from
bottom left and the other from top right so if anyone ought to notice
when eating it's me, and I just don't.
robcobb - 30 Jul 2006 04:08 GMT
>>>>> I suppose the dentist COULD be just telling me that I need an
>>>>> implant......
[quoted text clipped - 64 lines]
> bottom left and the other from top right so if anyone ought to notice
> when eating it's me, and I just don't.

I was told that if I wait too long.. like 5 or 6 months..The tooth would be
near impossible, or at the very least, difficult to replace. Is there any
truth to this? Something about the bone beneath the gum settling further
than if it were taken care of sooner than later. If you wanted to have any
of your lost teeth replaced now. Would it be more difficult than if you took
care of it a month after the tooth was extracted?
Sdores - 25 Jul 2006 22:41 GMT
The biggest problem with a tooth missing is cleaning it.  I have crohn's
disease and unfortunately have lost most of my teeth but I have one section
with only one tooth missing and now need repairs (I hope).  I went with a
bridge.  I have an appt for some more repairs to my upper denture, the teeth
I have and my bridge broke so that will need to be replaced.  Good luck with
your decision.  UM MOM Susan

>I had a back molar removed two days ago and now I am going to need an
>implant. I have no coverage. Is there any plan that covers implants..or is
[quoted text clipped - 10 lines]
>other teeth will shift...  any suggestions would be helpful. thanks in
>advance of any replies.
Jan - 29 Jul 2006 17:11 GMT
> The biggest problem with a tooth missing is cleaning it.  I have crohn's
> disease and unfortunately have lost most of my teeth but I have one section
> with only one tooth missing and now need repairs (I hope).  I went with a
> bridge.  I have an appt for some more repairs to my upper denture, the teeth
> I have and my bridge broke so that will need to be replaced.  Good luck with
> your decision.  UM MOM Susan

Cleaning a missing tooth...

Where?  In the trash can.

DUH.

> >I had a back molar removed two days ago and now I am going to need an
> >implant. I have no coverage. Is there any plan that covers implants..or is
[quoted text clipped - 10 lines]
> >other teeth will shift...  any suggestions would be helpful. thanks in
> >advance of any replies.
Steve Richfie1d - 28 Jul 2006 07:21 GMT
robcobb,

> Or should I just go any pay the $4000 it will cost out of pocket ?

That is ~$2,700 in Mexico and less in Asia.

Steve Richfie1d
robcobb - 28 Jul 2006 12:34 GMT
> robcobb,
>
[quoted text clipped - 3 lines]
>
> Steve Richfie1d

yea I think I'll pay an extra $1000 and have the procedure done around the
block from where I live >>>
mr_ravi_patil@yahoo.com - 30 Jul 2006 05:06 GMT
> I had a back molar removed two days ago and now I am going to need an
> implant. I have no coverage. Is there any plan that covers implants..or is
[quoted text clipped - 10 lines]
> will shift...  any suggestions would be helpful. thanks in advance of any
> replies.

$4000 for an implant?

Where are you getting this figure?

I thought it could be done for as little as $2000 in the U.S.
mr_ravi_patil@yahoo.com - 30 Jul 2006 05:45 GMT
I had the same tooth (bottom left middle molar) removed 2 weeks ago.

I didn't know what to expect but so far I am not having any problems
chewing and I don't seem to miss it (but still too early to tell).

The only reason I am considering implant  is shifting/eruption of
neighboring teeth.

I think implant is a 2 step process with the first step being
implementation of the metal screws and then the actual tooth months
later.

My insurance does not cover implants. If the procedures are billed
seperately,  I was considering getting the screws first and the tooth
later, if it is possible to wait a year or two.

Hopefully the costs of implants will come down as more people have
them.

Also, like you, I am not sure of dentist bias; they are in the business
of selling implants so how can they  give credible advice on whether
you need one?

I guess the fact that they are not covered by the overwhelming number
of dental insurance plans indicates that implants are a cosmetic
procedure.

> I had a back molar removed two days ago and now I am going to need an
> implant. I have no coverage. Is there any plan that covers implants..or is
[quoted text clipped - 10 lines]
> will shift...  any suggestions would be helpful. thanks in advance of any
> replies.
robcobb - 30 Jul 2006 16:20 GMT
>I had the same tooth (bottom left middle molar) removed 2 weeks ago.
>
> I didn't know what to expect but so far I am not having any problems
> chewing and I don't seem to miss it (but still too early to tell).

Not having problems chewing ? When I eat I get food caught in the empty
space.... feels weird.. and since it's only been a week for me.. I still
feel a little raw..... I try to chew on the other (right) side of my mouth.

> The only reason I am considering implant  is shifting/eruption of
> neighboring teeth.

Same

> I think implant is a 2 step process with the first step being
> implementation of the metal screws and then the actual tooth months
> later.

If you wait too long I was told it gets more difficult to place an implant..
something about it being more difficult to get to the bone..... Is there any
truth to this?

> My insurance does not cover implants. If the procedures are billed
> seperately,  I was considering getting the screws first and the tooth
> later, if it is possible to wait a year or two.

good question. I don't thnk any dental plan covers implants as it is
considered a cosmetic procedure... you believe that sh.t ? a crown is
covered by insurance but you have to shave away part of the good teeth that
surround the missing tooth..... I don't have dental insurance anyway.. but..
An implant is considered cosmetic?   f.cking insurance companies suck.. I am
glad I don't have a dental plan.... apparently they suck anyway.

> Hopefully the costs of implants will come down as more people have
> them.

doubtful... imlants have been around for a while and people get them all the
time....regardless, it doesn't help us out as we both need them now....

> Also, like you, I am not sure of dentist bias; they are in the business
> of selling implants so how can they  give credible advice on whether
> you need one?

They can't...those greedy bastards.... Credible advice might cost them a
customer.

> I guess the fact that they are not covered by the overwhelming number
> of dental insurance plans indicates that implants are a cosmetic
> procedure.

Umm   ya.. makes me wonder why anyone would even bother to get dental
insurance. Also, for the record... I don't think ANY dental plan covers
implants.... if there is one it would probably be so ecpensive you wouldn't
bother.

>> I had a back molar removed two days ago and now I am going to need an
>> implant. I have no coverage. Is there any plan that covers implants..or
[quoted text clipped - 17 lines]
>> will shift...  any suggestions would be helpful. thanks in advance of any
>> replies.
 
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