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Medical Forum / General / Dentistry / October 2007two questions bone graft and cementing
First off I have really bad teeth. Poor dental habits (or I should say no dental habits) instilled when I was younger and a heavy meth habit in my late teen, and stopping dental work midway due to costs or switching insurance = really bad teeth (I'm now early 30) anywho. My insurance was recently switched from a PPO to a DMO and in an odd sort of way it's good 'cause I finally got a major work done that I've been fighting to get done for the last two years with the PPO. however I'm kind of concerned that my DMO dentist is trying to up sell me on something I don't need. One of the things I've been putting off is getting extractions done and bridge work. Two PPO dentists I've had had the same game plan... but neither mentioned bone grafts... now this DMO wants me to get bone grafts (at $800 out of pocket per extraction, insurance doesn't cover it.) When I did an internet search I only got results relating to bone graphs and in relattion to implants... however the DMO wants me to get partial dentures (they don't want to deal with the bridges)... so are they just trying to upsell me, or should i really get a bone graft done? 2nd question/concern. I just got my permanent front crowns on today (the thing I've been fighting with the PPO for a few years, popped off, re cemented, popped off, re cemented, then a flipper was worn until my insurance would finally agree to do something, which never happened they would always make up some sort excuse, like they didn't like the x-ray or the x-ray wasn't sent). My dentist decided to make a joint crown instead of two separate crowns for strength. In the dry fitting it fitted great... now a few hours later it doesn't seem to feel right. if i wrap my upper lit around my front teeth it seem to move ever so slightly, when i bite down it seem to move ever so slightly forward. and I don't know if it the crown itself, or if the teeth loosened during the cementing due to the pressure exerted on it. how long should I wait before I call them back? > My dentist decided to make > a joint crown instead of two separate crowns for strength. In the dry [quoted text clipped - 4 lines] > teeth loosened during the cementing due to the pressure exerted on > it. how long should I wait before I call them back? It sounds like the bite might be a little off. Try calling the dentist and book in to have it checked. If the back surface is a little too thick or is a high due to the thickness of cement they used, it might just need a little adjustment. The teeth shouldn't have loosened any upon cementation. It might be that they are in traumatic occlusion making them a little mobile. Or they might have been a little loose to begin with and you didn't notice it until they were joined together. It's hard to say. Do you grind your teeth at night? Zzzdentist www.dentalminds.com On Oct 12, 8:09 pm, Zzzdent...@dentalminds.com wrote: > > My dentist decided to make > > a joint crown instead of two separate crowns for strength. In the dry [quoted text clipped - 15 lines] > notice it until they were joined together. It's hard to say. Do you > grind your teeth at night? there is no bite. she made sure that top and bottom didn't touch 'cause that's what caused them to pop off in the first place. Now after a few hour from the initial post they seem more "normal" but still not right. and yes I do grind at night. > First off I have really bad teeth. Poor dental habits (or I should > say no dental habits) instilled when I was younger and a heavy meth [quoted text clipped - 33 lines] > teeth loosened during the cementing due to the pressure exerted on > it. how long should I wait before I call them back? Bone graft- Many dentist believe in extraction and placing bone graft immediately for ridge preservation. If the procedure is performed correctly.....You can preserved a ridge in a short period of time, and an dental implant can be placed at a later day without expensive bone regeneration procedures. If you know you do not plan to have dental implant in the future, and the money is an issue for you. Dentist can extract the teeth, perform alveolarplasty surgery( Bone augmentation) and make you a partial. The bone graft may be necessary in certain cases.....It is difficult to give any comment without seeing you. DMO insurance is really no insurance. It is hard to get quality care with the DMO program......It is possible...but difficult. Best wishes........Albert in dallas Most DMO offices will attempt to bait-and-switch you to services not covered by the plan. It is how they can stay in business. Otherwise, what they do is try to avoid treating you at all.  Signature/ Amatus / > First off I have really bad teeth. Poor dental habits (or I should > say no dental habits) instilled when I was younger and a heavy meth [quoted text clipped - 33 lines] > teeth loosened during the cementing due to the pressure exerted on > it. how long should I wait before I call them back? > Most DMO offices will attempt to bait-and-switch you to services not covered > by the plan. It is how they can stay in business. Otherwise, what they do > is try to avoid treating you at all. I would have said "ok" to the bone graft except the receptionist person told me something that just didn't make any sense. First he was telling me that with the bone graph the ridge would be even, and that was starting to sell me. Then he said that without the bone graft, food and bacteria can get into the socket and infect my mouth. With the bone graft there is no hole and therefor no way for the food and bacteria to get in there... and this is the kicker..., he said that old sockets will continue to get food and bacteria in it, which is probably why my back molar hurts. This is when I questioned wither I actually need it. My back molar hurt because it had a temp. metal crown on it from when I was a teenager. and the molar just beneath it had a post but no crown, and I grind my teeth, after years of grinding a created a hole in the metal crown, which caused food and crap to get in their. but because it was metal and just reflected xrays dentists didnt not see it until one day my face swelled and my old temp crown popped off. and lo' a huge cavity. I explained this and he said... no sh.t... well the extracted area in front of it probably added to the problem!!!! I have not seen you in person and cannot comment specifically. However, if you have certain types of periodontal defects, grafting can be a huge improvement. If you are getting some type of denture, grafting can help for a while. If you are having an extraction, placing some grafting material into the socket can help preserve bone. Part of the story you relate (and it may just be your interpretation of facts not presented perfectly) do not make sense. Like the part about it causing pain the way you tell it. Again, it may be entirely due to your doing your best to assimilate the facts you are given, but they were not given clear enough, so you are telling us something wrong. Signature/ Amatus / >> Most DMO offices will attempt to bait-and-switch you to services not >> covered [quoted text clipped - 23 lines] > I explained this and he said... no sh.t... well the extracted area > in front of it probably added to the problem!!!! > Part of the story you relate (and it may just be your interpretation of > facts not presented perfectly) do not make sense. Like the part about it > causing pain the way you tell it. Again, it may be entirely due to your > doing your best to assimilate the facts you are given, but they were not > given clear enough, so you are telling us something wrong. Which part? Him telling me it would prevent infection? This is how he tried to sell me, I'm not making it up, nor am I interpreting what is said incorrectly. He said the bone graft will fill up the socket so bacteria and food particles could not go in. At $800 per tooth that a high price to pay when I can just get a prescription of Amoxicillan for $10. Or him telling me that an old extraction location that didn't have a bone graft can cause and contribute pain and problems with surrounding teeth? If it that scenario that doesn't make sense same here. He *did* tell me this and told me that the molar that became infected/ abscessed was caused by the old extraction location in front of the tooth. This is when I rolled my eyes and said "what ever" and told him that is got infected because there as a breach in the crown NOT because the old extraction location. He back peddled and stammered and I realized he was trying sell me on something I might not need and would tell me any bullshit story to make the sale. I told him I need to do research before I agree to that part of the procedure. So I'm trying to do the research. I need four extractions and at $800 per tooth for a bone graft I want make sure this is needed and not just an upsell. Four extraction without a bone graft would cost me a sum total of $0 out of pocket. (another thing that made bells go off, when I said I didn't have $3,200 in my medical savings account, let alone $800 he tried to sell me on their "capital one loan program" ...) -- > Or him telling me that an old extraction location that didn't have a > bone graft can cause and contribute pain and problems with surrounding > teeth? If it that scenario that doesn't make sense same here. He > *did* tell me this and told me that the molar that became infected/ > abscessed was caused by the old extraction location in front of the > tooth. > > Part of the story you relate (and it may just be your interpretation of > > facts not presented perfectly) do not make sense. Like the part about it [quoted text clipped - 29 lines] > $3,200 in my medical savings account, let alone $800 he tried to sell > me on their "capital one loan program" ...) Patient has the right to choose what ever procedure he need at any given time. But I will not recommend any treatment to be perform, if you have already lost faith with your assigned provider. Obviously, you do not trust this dentist at this point. I think it is time to find a different provider and maybe a different insurance coverage. Best wishes............. |
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