Dental implants - how to quiz the dentist
Discussion
Hi,
I have a dentist appointment to investigate options for an implant.
I've read earlier queries about how much, what they cost etc so confident i understand the likely costs and processes.
Thing is, what should I be asking the dentist in question to be sure they're right for the task. Its already bern intimated by his junior that if it's a more difficult job then an expert from Harley Street visits instead. Can't help but think i should just see said expert from the outset. I've not met the senior partner before and this surgery has only ever pulled a wisdom tooth for me before.
Have seen peterpeter's earlier posts about BACD. Is that guarantee enough?
By way of background, a tooth broke about 12 years ago and a crown was fitted. A crack occured between it and the base of the tooth at the gum line. I now have an abcess and signs of infection from an xray on one of the roots. Im told the options are 1) extract and leave the gap, 2) have a single denture 3) pay for specialist to look at option for repair and replace crown ( although original looks to be fixed in such a way that removal will likely make replacement a non option and cost over £1k or 4) an implant at £2-2.5k.
Any advice from the resident dental professionals would be welcome.
Cheers
I have a dentist appointment to investigate options for an implant.
I've read earlier queries about how much, what they cost etc so confident i understand the likely costs and processes.
Thing is, what should I be asking the dentist in question to be sure they're right for the task. Its already bern intimated by his junior that if it's a more difficult job then an expert from Harley Street visits instead. Can't help but think i should just see said expert from the outset. I've not met the senior partner before and this surgery has only ever pulled a wisdom tooth for me before.
Have seen peterpeter's earlier posts about BACD. Is that guarantee enough?
By way of background, a tooth broke about 12 years ago and a crown was fitted. A crack occured between it and the base of the tooth at the gum line. I now have an abcess and signs of infection from an xray on one of the roots. Im told the options are 1) extract and leave the gap, 2) have a single denture 3) pay for specialist to look at option for repair and replace crown ( although original looks to be fixed in such a way that removal will likely make replacement a non option and cost over £1k or 4) an implant at £2-2.5k.
Any advice from the resident dental professionals would be welcome.
Cheers
Thanks for replying driller, hoped you'd be along shortly based on earlier threads.
Abcess has a fissure (dentist classed it as chronic?) which i assume is why it drains itself a day or so after it comes back again. From the centre it's 5th from front lower right. Teeth either side are good and they were keen to avoid using one or both to create a bridge.
Edit- the implant suggestion makes sense long term - just not sure on choosing the right dentist.
Abcess has a fissure (dentist classed it as chronic?) which i assume is why it drains itself a day or so after it comes back again. From the centre it's 5th from front lower right. Teeth either side are good and they were keen to avoid using one or both to create a bridge.
Edit- the implant suggestion makes sense long term - just not sure on choosing the right dentist.
Edited by 'Yadi on Wednesday 5th September 15:20
:-). I havent signed up with anyone yet.
There is a bone graft listed - not sure if this is because the infection in the root is making the bone density look a likely problem.
I have a breakdown of the estimate. The bulk of the extra grand seems to be "stage 2 implant exposure abutment" , then "implant stent" and then the bone
Graft. The stage 1 implant placement and implant based restoration stage 3 cost £1250 each. Other costs are molar extraction and panoral image.
He did say he may not need some of the stages but best i was prepared for total costs over 8 months
There is a bone graft listed - not sure if this is because the infection in the root is making the bone density look a likely problem.
I have a breakdown of the estimate. The bulk of the extra grand seems to be "stage 2 implant exposure abutment" , then "implant stent" and then the bone
Graft. The stage 1 implant placement and implant based restoration stage 3 cost £1250 each. Other costs are molar extraction and panoral image.
He did say he may not need some of the stages but best i was prepared for total costs over 8 months
Unfortunately don't have access to any of those :-)
Looking like at least 3 visits - extraction, implant after infection cleaned up and then a final one to fit the crown part. I assume the bone graft material goes in as a 4th between extraction and implant if its required.
That'd mean 3 holidays in France then ? :-)
Looking like at least 3 visits - extraction, implant after infection cleaned up and then a final one to fit the crown part. I assume the bone graft material goes in as a 4th between extraction and implant if its required.
That'd mean 3 holidays in France then ? :-)
Driller said:
You're looking at more than four visits probably. In that position, if bone augmentation was needed, I would do it using a membrane at the same time as placing the implant so that would save an appointment.
Otherwise you'd be looking at something like the following:
App 1: Extraction with or without temporary denture (probably not worth it here).
Wait 2 months.
App 2: Radiograph to check bone/healing situation
If all ok, CT scan of point of interest.
App 3: Implant placement 1 or 2 stage with or without bone augmentation.
Wait 3 months for osseointegration
(At this point if a 2 stage implant procedure was performed an extra appointment is needed here to place a healing abutment)
App 4: Impressions + shade
(Optional try in appointment not absolutely necessary)
App 5: Crown placement.
TBH if a bone graft is needed I would recommend you have a two stage implant procedure done, that way there is no risk of any force being placed on the healing abutment whilst the implant is osseointegrating.
Thanks again driller Otherwise you'd be looking at something like the following:
App 1: Extraction with or without temporary denture (probably not worth it here).
Wait 2 months.
App 2: Radiograph to check bone/healing situation
If all ok, CT scan of point of interest.
App 3: Implant placement 1 or 2 stage with or without bone augmentation.
Wait 3 months for osseointegration
(At this point if a 2 stage implant procedure was performed an extra appointment is needed here to place a healing abutment)
App 4: Impressions + shade
(Optional try in appointment not absolutely necessary)
App 5: Crown placement.
TBH if a bone graft is needed I would recommend you have a two stage implant procedure done, that way there is no risk of any force being placed on the healing abutment whilst the implant is osseointegrating.
Edited by Driller on Sunday 9th September 11:20
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