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Medical Forum / General / Dentistry / November 2006Implants, maybe?
Teeth 18 and 19 both had root canals and crowns about 10 years ago. Last year, 19 cracked below the gum line and had to be extracted (that was fun). Last month, 18 abcessed (even more fun) and was pulled as well. What to do now? I've been told I have bone loss in that same area. If bone is grafted, do I have a pretty good chance of gaining enough strength to hold implants? If I leave the space empty, is 17 next? My preference would be to make the best choice, in terms of the long run, even if it means greater expense. >Teeth 18 and 19 both had root canals and crowns about 10 years ago. >Last year, 19 cracked below the gum line and had to be extracted (that [quoted text clipped - 5 lines] >be to make the best choice, in terms of the long run, even if it means >greater expense. Good questions. The main thing is the anatomy of the area and the ammount of remanining bone. It may or may not need to be grafted. In the long term implants are probably your best solution but as you said there is some expense. Get a consult with a surgeon, if you have x-rays that you can post that would give us more to go on. As an temporary measure if you cannot get implants right away you may consider an interim partial denture (commonly called a 'flipper') this would keep teeth from shifting while you saving up for the implants. As far as #17 goes, would need to see a picture to even venture a guess. Best wishes, > As an temporary measure if you cannot get implants right away > you may consider an interim partial denture (commonly called a 'flipper') Can this sort of device be made to replace 2 and 4 when 3 is present (1 is gone as well)? I'm asking what are probably really dumb questions now so I don't make the dentist laugh too hard while he's working on me. (Implants aren't feasible, even if I were really well-off and well-insured, and 3 is going to require pins, a crown and lot of luck).  Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: aripee at inanna . com >>As an temporary measure if you cannot get implants right away >>you may consider an interim partial denture (commonly called a 'flipper') [quoted text clipped - 4 lines] > (Implants aren't feasible, even if I were really well-off and > well-insured, and 3 is going to require pins, a crown and lot of luck). Certainly. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > >>As an temporary measure if you cannot get implants right away > >>you may consider an interim partial denture (commonly called a 'flipper') [quoted text clipped - 6 lines] > > Certainly. Yay! Thank you. Saving the remaining 24 are the first priority, but so nice to know there may be an option I can afford to replace a few of the missing! Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: aripee at inanna . com >> As an temporary measure if you cannot get implants right away >> you may consider an interim partial denture (commonly called a 'flipper') [quoted text clipped - 4 lines] >(Implants aren't feasible, even if I were really well-off and >well-insured, and 3 is going to require pins, a crown and lot of luck). Sure, a partial can be made to fit almost any situation. > >> As an temporary measure if you cannot get implants right away > >> you may consider an interim partial denture (commonly called a 'flipper') [quoted text clipped - 6 lines] > > Sure, a partial can be made to fit almost any situation. Thanks for the information. As I posted earlier, preserving the remaining 24 is my first priority, but it's nice to know there may be options I can afford for replacing some of my missing teeth. ... well, they're not really missing; I have them in a drawer, but you know what I mean ... Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: aripee at inanna . com >> >> As an temporary measure if you cannot get implants right away >> >> you may consider an interim partial denture (commonly called a 'flipper') [quoted text clipped - 13 lines] >... well, they're not really missing; I have them in a drawer, but you >know what I mean ... Saving them in a jar eh ? ;-) But seriously saving your remaining teeth is the first order of business. Have you had a cleaning recently ? Gum disease is actually the most common cause for tooth loss in adults. Of course your mileage did vary. Don't have any hard statistics but would bet fractured roots come in a close second. Best wishes, > >Thanks for the information. As I posted earlier, preserving the > >remaining 24 is my first priority, but it's nice to know there may be [quoted text clipped - 10 lines] > did vary. Don't have any hard statistics but would bet fractured roots > come in a close second. My current dentition is the result of bad genes, poverty, grinding and poor-quality dental work. Other than the four impacted wisdom teeth, one was lost due to a fractured root (which should have a more spectacular name to indicate how much it hurts); another a failed root canal (had I been able to treat it sooner, it may have survived) and two were lost after their fillings 'blew out.' Those fillings were placed by the same dentist, and it's not my opinion that the work was badly done - it's the opinion of the dentists and oral surgeons who later had to clean up the mess! I have a cleaning (etc) scheduled; since I just had #15 extracted, I wanted to give my mouth a chance to settle a bit before being gone after with the sharp pointy things. Signature"Did Father shoot him? I will eat Grandfather for dinner." - Helen Keller, on learning of the death of her grandfather email: aripee at inanna . com > Teeth 18 and 19 both had root canals and crowns about 10 years ago. > Last year, 19 cracked below the gum line and had to be extracted (that [quoted text clipped - 5 lines] > be to make the best choice, in terms of the long run, even if it means > greater expense. If implants can be placed, this will help to retain what bone you have. I'm not a surgeon, so I don't know how much bone can be reasonably grafted, nor how much is needed in your case. My recommendation is to see an oral/maxillofacial surgeon. Sometimes a routine panoramic x-ray is enough to see what's going on. Sometimes a CAT scan is required. Steve |
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