Medical Forum / General / Dentistry / June 2007
Implant Experiences
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Cavaliers - 13 Jun 2007 18:31 GMT Can anyone tell me of their personal implant experiences?
Newbie - 13 Jun 2007 19:38 GMT >Can anyone tell me of their personal implant experiences? Yep I have one replacing #9. Had to have a bone graft, with goretex membrane placement.
Implant was placed ~2 -3 months after extraction.
Healing took about 6 mo. and had a complication, Infection around membrane, had 2nd surgery to remove it.
Implant uncovered at ~6 mos.
Had a crown placed ~2 yrs later due to time constraints, and a search for the right buddy to do it.
Would I do it again ?
Certainly.
JimSocal - 13 Jun 2007 22:13 GMT >Can anyone tell me of their personal implant experiences? I just finished my 2 years of waiting, many appointments, tests, etc, to get 4 implants. I still have 2 more to get but I have been planning on writing a little essay/diary about my experience.
I hope to do so soon, watch for it here. Meanwhile, use google groups to look in the archives and see my posts about my implant experiences.
ahuangdds2@gmail.com - 14 Jun 2007 12:45 GMT > >Can anyone tell me of their personal implant experiences? > [quoted text clipped - 5 lines] > Meanwhile, use google groups to look in the archives and see my posts > about my implant experiences. I have an implant place on #12 immediately. 6 months later it has to come out because it failed to integrated. I waited four more month to have another one place, and this time I have a sinus lift. Another 8 months before restoration. It is fairly new.....completed last year. Even it take 4 surgeries and almost two years........I'll do it again without regrats..........Because implant is the best option for me to replace missing teeth........
JimSocal - 17 Jun 2007 20:40 GMT >> >Can anyone tell me of their personal implant experiences? >> [quoted text clipped - 13 lines] >without regrats..........Because implant is the best option for me to >replace missing teeth........ Yes, overall I would agree that it is the best option if you can afford it. However, sometimes I think it is over-prescribed. A friend of mine was missing just two teeth, molars towards the rear, and he could easily have gotten a bridge there but instead he went for implants. He is very pleased with them, but if it were me, I would choose a bridge by an experienced dentist.
In general (though admittedly I have not HAD a bridge, but I know people who do), I don't think an implant is all that much better than a bridge. I still get food stuck in my implant bridge, just like my wife gets in her regular bridge, and the regular bridge is much cheaper and easier to install and can be easily re-made and re-installed if necessary.
I think implants are good if you need quite a few teeth replaced and if you do not need a sinus lift or bone graft or that type of thing, which in my opinion (I'm not a dentist!) makes the procedure more risky and certainly more painful.
The one thing I am telling people is that implants aren't always as great a solution as many dentists (who want to sell you implants) will tell you they are. My friend loves his. I, on the other hand, am lukewarm towards mine. While they do enable me to chew, whereas I could not chew before in those areas of my mouth, they cause so much food to get caught against and under them, they are a total pain in the a.s every single time I eat anything. Yet the opinions have been that there is nothing wrong with my implants, "That is just the way they are sometimes".
So, I like to advise people that an implant - especially an implant bridge - may not be that much better than a regular bridge, in some ways. So weigh the decision carefully before deciding on implants especially if money is an issue and you aren't a big fan of long, (potentially) painful dental sessions and waiting a year or more with lots of appointments, before getting a tooth or teeth in there.
That said, I would probably do it again if I had to decide again, because in my case, I had nothing to bridge to (no back tooth to butt a bridge against) so an implant bridge was my only option and I needed 3 teeth there.
My one implant on the other side, though, I'm not so sure about. Maybe that one could have been handled just as well with a regular bridge.
The upper 2 I will be getting crowned in a couple months are the same as the lower bridge: I have nothing there to bridge to, so an implant bridge is my only good option.
ahuangdds2@gmail.com - 17 Jun 2007 21:33 GMT > On Thu, 14 Jun 2007 11:45:47 -0000, "ahuangd...@gmail.com" > [quoted text clipped - 68 lines] > > - Show quoted text - Jim: My philosophy on dental implant is: 1. Dentist's job is to save teeth, if the tooth can be save. I will not recommended extraction and replace with an implant. Especially I don't see any single root titanium implant going to be better than a 3 root natural tooth. 2. Implant is an excellent option for replacing no teeth. but it is not for everyone. Money, lifestyle, and patients general health always play a big part. 3. Implant is always superior than a bridge. What do you rather have....a one tooth problem or a three tooth problem? 4. The skill and experience of the surgeon and restorative dentist mean everything in dentistry. Not every dentist can place and restore implant properly. If you plan to have implants make sure you find the right person or team of dentist. 5. Dental implant take time and money. Sometime it can fail....You want to find a dentist who will explain in detail what each step involved and the risk involved. Don't take a sale person's advice. When someone over promised, they often failed to delivery.
I'm a periolase dentist now.......I used to place more implant in the past, But I tried to save as many teeth as I can now. It is so easy to extract, but it is so hard to replace what is missing. If any one looking for replacing missing teeth in their mouth......I always recommend 1. implant, 2. bridge if it possible. 3. Partial. Albert
JimSocal - 18 Jun 2007 06:38 GMT >Jim: [edit]
>3. Implant is always superior than a bridge. What do you rather >have....a one tooth problem or a three tooth problem? Please explain.
>4. The skill and experience of the surgeon and restorative dentist >mean everything in dentistry. Not every dentist can place and restore >implant properly. If you plan to have implants make sure you find the >right person or team of dentist. So far, I've been told mine were done as well as they could be done. I don't know if I can believe that or not, but that is what I'm being told.
>5. Dental implant take time and money. Sometime it can fail....You >want to find a dentist who will explain in detail what each step >involved and the risk involved. Don't take a sale person's advice. >When someone over promised, they often failed to delivery. I think EVERYONE I ever talked to (not just the surgeon who did my implants) led me to believe that an implant would feel and act like a natural tooth. This simply is not true, at least not always. In my case, the implants all cause food to get stuck to, and under them, not at all like my natural teeth. I never had this problem with my natural teeth. Well, okay, once in a great while. But not almost EVERY time I eat! This is all I'm saying: that implant surgeons should tell it like it is: "There may be some issues with food being stuck to and around the implant, moreso than your natural teeth."
>I'm a periolase dentist now.......I used to place more implant in the >past, But I tried to save as many teeth as I can now. It is so easy to >extract, but it is so hard to replace what is missing. If any one >looking for replacing missing teeth in their mouth......I always >recommend 1. implant, 2. bridge if it possible. 3. Partial. Yes, I had missing teeth, and in my case, as I said before, I really had no other option. There were no back teeth to anchor a regular bridge with. So it was implants or nothing. I chose implants and I do not really regret it. It's just that I wish everyone had been more upfront about the issues of food being stuck under and around them.
And, yes, I have discussed this with 2 dentists, and they say "That's just the way they are, sometimes." NOW they tell me.
ahuangdds2@gmail.com - 18 Jun 2007 12:52 GMT > On Sun, 17 Jun 2007 20:33:46 -0000, "ahuangd...@gmail.com" > [quoted text clipped - 44 lines] > And, yes, I have discussed this with 2 dentists, and they say "That's > just the way they are, sometimes." NOW they tell me. Jim: 1. Implant is better than bridge...Why you want a one tooth problem rather than a 3 tooth problem. In cases of one missing teeth. I always recommend implant. You will have to removed a lots of tooth structures on adjacent teeth to make a bridge. What happen if the adjacent teeth now need root canal? or it might wealken the adjacent teeth that result in fracture and result in extraction. 2. Implants are man made device to replace God's design.....Have you see anything man have made that is better than God's creation? 3. You never know the final result or outcome until it is completed regardless who the dentist is. But as I have stated in my earlier post......Don't take a sale person's advice.....Do your own research. Most patient have no idea about implant concept or protocol. Find someone who have a good experience for the source of referrals. 4. Jim.....In your case......Your other choice is partial.......and partial can't even compare to implants. I hope I answered your question. Albert
le huart - 18 Jun 2007 00:55 GMT Perhaps you should have had 3 individual implants instead of an implant bridge. More cost, but more like the natural.
JimSocal - 18 Jun 2007 06:32 GMT >Perhaps you should have had 3 individual implants instead of an implant >bridge. More cost, but more like the natural. Yes, perhaps. In fact, I thought that was the plan, but somewhere along the line it became a bridge. Money was not the problem, I would have had the 3 implants, but this is what they recommended and what I got. Now that I have the implant bridge, I think 3 implants might have been better.
robertphillips1820@yahoo.co.uk - 18 Jun 2007 09:48 GMT > Can anyone tell me of their personal implant experiences? Great... until they fail as mine did for no obvious reason. My oral surgeon told me that the profession is increasingly seeing failing and failed implants in the longer-term, which are perhaps showing-up now because implants have been more commonly placed in recent years.
I'm sure others can give better indications for average life expectancies, but don't believe they're necessarily a life-long solution as many will tell you. Even with perfect oral hygiene, and no obvious other complications they can still fail even after a number of years of successful integration, and when they do go, they can quickly cause a lot of damage.
My personal opinion is that implants are somewhat oversold. They're perhaps no worse than other restorative solutions, and perhaps better if adjacent teeth are healthy and intact, but just be aware that they're not without problems of their own.
JimSocal - 19 Jun 2007 05:28 GMT >> Can anyone tell me of their personal implant experiences? > [quoted text clipped - 14 lines] >if adjacent teeth are healthy and intact, but just be aware that >they're not without problems of their own. For the cost and time involved in doing them, they should not fail very dang often. If they do, then I'd say Avoid Implants! The only real advantage I can see in many cases is if they don't fail.
le huart - 19 Jun 2007 12:36 GMT It's been 20 years since Straumann came to USA and at least 5 years before that, that Niznick was doing his Core-Vent thing and Branemark had their product on the market for lower over dentures. In dental school 1975-1980, and in 1 yr AEGD, implants were considered a very dangerous thing, and anyone placing them was for sure going to end up facing lawsuits for disfiguring patients and creating great harm. So far, technology of implant surfaces has evolved and the doomsday predictions have not arrived. The only problems I see on a daily basis with implants are a financial one and challenges to place implants in areas that have been bone resorbed/damaged through tooth extraction/periodontal bone loss.
Now we see the original Branemark/Niznik protocol pretty much abandoned with trans-mucosal one stage placement and early loading providing predictable outcomes. In the early '80s, at Harvard, Paul Schnitmann routinely buried 5 Core Vent fixtures in the lower anterior mandible, with the thought that if 2 proceeded to integtrate, he could still restore the case. And, the manufacturerers, at least Straumann and Nobel, will replace every implant that fails (or drops on the floor!) because the success rates are so high, and late failures are unusual. Late failure articles are not common in the literature.
Yes we cannot ethically guarantee a treatment, but with implants and implant manufacturer backup, we can come pretty close with implants.
Mark & Steven Bornfeld - 19 Jun 2007 14:26 GMT > It's been 20 years since Straumann came to USA and at least 5 years > before that, that Niznick was doing his Core-Vent thing and Branemark [quoted text clipped - 20 lines] > Yes we cannot ethically guarantee a treatment, but with implants and > implant manufacturer backup, we can come pretty close with implants. I've seen enough fixtures fail that I don't feel close to "guaranteeing" anything. Yes, the success rate is high. Case selection is still important.
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
Newbie - 19 Jun 2007 15:20 GMT >> implant manufacturer backup, we can come pretty close with implants. > [quoted text clipped - 3 lines] > >Steve Had one perfesser who would guarantee anything...
... until you walked out the door :-)
It is illegal in many states to guarantee dental treatment.
Dartos - 19 Jun 2007 19:46 GMT The '5 step warranty'.
:-) D
>>>implant manufacturer backup, we can come pretty close with implants. >> [quoted text clipped - 9 lines] > > It is illegal in many states to guarantee dental treatment. Mark & Steven Bornfeld - 19 Jun 2007 19:49 GMT > The '5 step warranty'. > > :-) > D Is that like "Six Degrees of Kevin Bacon"?
Steve
>>>> implant manufacturer backup, we can come pretty close with implants. >>> [quoted text clipped - 9 lines] >> >> It is illegal in many states to guarantee dental treatment.
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
Newbie - 19 Jun 2007 20:42 GMT >> The '5 step warranty'. >> [quoted text clipped - 4 lines] > >Steve Hehe.
Dude ! He's not kosher. <rotflmao>
>>>>> implant manufacturer backup, we can come pretty close with implants. >>>> [quoted text clipped - 9 lines] >>> >>> It is illegal in many states to guarantee dental treatment. don warner saklad - 20 Jun 2007 07:10 GMT . The two new crowns do not feel right... on the two implants after the sinus lift.
. The two new crowns feel kind of thicker compared to the rear molars in the rear upper left.
. The two new crowns feel displaced differently relative to the arc of the upper teeth over my tongue.
. Chewing feels hampered and uncomfortable!
. My upper right 5 teeth shifted with the 2 new crowns!... so that now I can not get the fine floss in between the teeth.
a. Would that shift change my occlusion with the lower?...
b. What are other consequences of the sift?...
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