Implanting a tooth instead of root canal

Discussion in 'Health & Fitness' started by cosmictraveler, Jun 7, 2011.

  1. cosmictraveler Be kind to yourself always. Valued Senior Member

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    I just had a implant tooth done and I look back to about 10 years ago when I had a root canal done to that same tooth. I was told then that I should do the root canal but I really don't remember why an implant would or would not have been better. Seeing that the costs are about the same I'm just wondering if anyone knows why an implant would have been a better way to spend my money on. I just would think that getting an implant should have been a better way to have done it because now after 10 years I have to go back and remove the tooth and place an implant there because the tooth developed an infection and was causing other problems as well. That means twice as much money spent for the same problem since I went the root canal way back 10 years ago.

    So what are your suggestions as to what is a better way to do this procedure? :shrug:
     
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  3. Fraggle Rocker Staff Member

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    I'm in the middle of an implant. Divided the procedure across two years to increase the insurance coverage.

    My understanding is that these days dentists are less likely to recommend root canals than they were a generation ago. Their long-term prognosis, as you have discovered, is not great. In the old days implant surgery was not as routine as it is today, so it was very expensive, and a root canal was a more affordable option. Today you might as well go for the implant.

    I have a friend who had all of his teeth removed in 1967 when he was 26. There were no implants then so he spent decades with a set of "choppers." So ten or fifteen years ago he got an entire mouthful of implants.

    I can't imagine what that was like. They don't put in 28 individual implants, just four bridges, each of which is supported by four implants. That must be quite an experience!

    An implant costs about $5K. I didn't realize root canals cost that much.
     
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  5. cosmictraveler Be kind to yourself always. Valued Senior Member

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    I found a very good and highly reputable dentist that did my implant for 2000.00 but some dentists that I went to get an estimate from charged between 3500.00 and 4500.00 only because they can get it not because it is any different than the one I had done. The procedure only took 30 minutes to do and I felt little pain but had Novocain used to numb my gums. I have a temp tooth there now but when all is healed I will have a permanent crown put on.
     
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  7. Enmos Valued Senior Member

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    They are free here (root canals) and I'm sure implants are nowhere near $5k.

    /gloat

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  8. Fraggle Rocker Staff Member

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    My oral surgeon first had to extract the old tooth. Then I had to wait several months for the jawbone to grow back in and fill the hole enough for her to have something to work with. Then she drilled out the hole precisely enough to fit the implant. The implant is porous so the bone tissue can grow into it, making a solid connection to the bone. That's been three months, and next month she'll x-ray it one last time to make sure nothing has shifted.

    Then I go back to the dentist; he will install the abutment in the implant and then build the crown to attach to the abutment.

    It's difficult to complete this process in less than six months.
     
  9. John99 Banned Banned

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    Too bad they found out that root canals dont last. Was a good idea, unfortunately the dead tooth breaks.
     
  10. cosmictraveler Be kind to yourself always. Valued Senior Member

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    Mine used a piece of synthetic bone or cadaver bone to fill the gap in my bone to have enough material for the graft to hold onto. He also screwed the post into that graft to insure that they will join together properly as time goes by. By having the graft done at the same time as the post insertions he saved a step and thereby reduced the amount of surgery needed to have this implant done in the shortest time possible without sacrificing another unnecessary surgery.
     
  11. quantum_wave Contemplating the "as yet" unknown Valued Senior Member

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    Great thread. Thanks for the information. I'm considering some implants but haven't started shopping. I have to see if any of my dental coverage will apply and find the right dentist. Did you go in and talk to several dentists or did you have recommendations from friends, or what?
     
  12. cosmictraveler Be kind to yourself always. Valued Senior Member

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    I just went to several dentists after mine gave me the first amount of what it would cost and how he would do it. Then I just looked around for other implant specialists to get their opinions before I decided on the one that was the cheapest because he did the exact same thing , as he told me, that the others were going to do. Doesn't make sense if everything is the same to throw away money just because you know your dentist. Sometimes checking around makes you see things much differently. Good luck on finding a good one.
     
  13. Fraggle Rocker Staff Member

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    Dentists don't do implants, at least not in big cities where there are a lot of resources. They send you to an oral surgeon, a specialist who does that kind of work all day every day and is an expert at it. My dentist referred me to this lady and she turns out to be a celebrated leader in her field who shows up on every short list in the Washington region.
     
  14. KilljoyKlown Whatever Valued Senior Member

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    Has anyone checked on prices at the dental college. I asked a dentist that charged $3500.00 per implant and she said in a very low hard to hear voice $600.00 per implant and that was about a year ago. For those of you that think you wouldn't want a dental student working on your teeth think again. I have a friend that changed to the dental college and she said the work was better than the dentist that charged her 4 times as much and they always use state of the art equipment.
     
  15. cosmictraveler Be kind to yourself always. Valued Senior Member

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    But if they make a mistake they can't be held liable, you sign an agreement not to sue them if they do the work with students. At least that's what I've been told.
     
  16. Fraggle Rocker Staff Member

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    She prefers to let the hole from the extraction heal a little, resulting in more natural bone and less synthetic. Since my jawbone has receded there was a possibility that there might not have been enough of it left for the job, in which case she would have inserted cadaver bone, but that turned out not to be necessary.
    As I mentioned, the synthetic bone she used is porous, allowing natural bone to grow into it and make a solid base. This could result in the implant shifting position slightly, so it would be too early to do the rest of the work due to the possibility of misalignment.

    The price of this surgery does not depend on whether the individual processes are done separately or in groups. She's billing for the work, not the time. Also, the final creation and installation of the crown will be done by my dentist, because that's his specialty and he's an expert at it.
    You may find that your insurance covers it, but that the total bill will exceed your annual maximum. That's why I had half the work done last year and the other half is being done this year.

    Not all policies cover implants. My wife and I have two different policies and one simply doesn't cover it at all.

    If you need more than one implant, it's likely that your oral surgeon will not recommend having them done at the same time, unless they are adjacent. There will be a significant period when you won't want to chew there. The gap is awkward, and when you get a temporary crown you may find that it looks good enough but the way it fits it won't be comfortable to eat with.

    Also, there's no way your insurance would cover two implants in one year.
     
  17. Fraggle Rocker Staff Member

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    A dental implant may be the most complicated, delicate surgery you'll ever have, if you're lucky. It's an art to make everything fit. I wouldn't want a student doing mine; I hired one of the best oral surgeons in three states.

    Let the students practice on prisoners, or on people who are willing to take risks in order to save money.
     
  18. KilljoyKlown Whatever Valued Senior Member

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    The student will be close to graduation and always has a dentist professor checking his work. You are less likely to have a mistake made than you would by a regular dentist having a bad day. Anyway, I only mentioned it because the dentists in private practice charge 5 to 6 times as much and some of us without any dental insurance are short on any other options. Even if I had the money, I think they are price gouging and I don't like it.
     
  19. KilljoyKlown Whatever Valued Senior Member

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    Well let's see, I've had cataract surgery, excess bone removed from my right elbow and my appendix removed before it broke. I would consider all of those more complex than an implant, that only requires they screw in a post for the artificial tooth to be fixed to. I just don't see implants as being all that complicated.
     
  20. quantum_wave Contemplating the "as yet" unknown Valued Senior Member

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    Thanks again. I have some gum and bone loss that will probably result in another tooth loss in a year. I don't know if I would be better off to wait for that sad outcome or go for an implant before the current situation plays out :shrug:.
     
  21. KilljoyKlown Whatever Valued Senior Member

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    However you play it is probably okay, If cost is a concern it's probably better to spread it out as much as possible. Plus if you get one done you will know if that's the way you want to go for any others that come along whenever.
     
  22. cosmictraveler Be kind to yourself always. Valued Senior Member

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    They had to graft bone onto an area that was lacking bone on my jawbone. That graft needs to be done so that it grafts properly where it is needed to be and if not the post won't set correctly and they have to start all over again and that's not fun.
     
  23. KilljoyKlown Whatever Valued Senior Member

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    Well cosmic, you seem to be an exception here. But I would still check the dental college. I'm pretty sure they would refer you if they couldn't handle it, and if they could handle it. It would save you a bundle. If you don't need to save a bundle then by all means go to the best reputation you can find. Also, I know what you mean when bone surgery is involved. That's got to be the most painful surgery you can have.
     

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