Dental implants - feedback needed

I had implants done by a dentist that botched them(put screws in crooked) and they had to be surgically removed, bone grafts done and new implants installed. I had the dentist pay the best oral surgeon around to re do them and I’ve had no issues since. My only advice would be to have an oral surgeon do the hard part and let the dentist make the teeth.
These nightmare cases exist but thankfully are relatively rare. When I was training implants relatively new and there was a steep learning curve with different implant systems. Manufacturer-specific tools, abutments, screws, etc and some systems were just better designed than others to prevent cross-threading.
 
Dentist here...this is not advice, just a general comment. Implants are incredibly safe and by far the best method of tooth replacement compared to something like a partial denture or bridge. Teeth that have had root canals and crowns will ALWAYS need future work. It might be 5 or 10 or +20 years but they will always need more treatment and crowns and root canals fail far more often than implants. Root canals fail because the root canal system becomes infected again and crowns fail because cavities start adjacent to the crown margin and start to undermine the crown. Really the only issue with implants is if it fails to integrate into the bone and that's rare, and it usually just means removing the implant, letting the hole heal, and trying again. Once it is integrated into the bone, you're usually good to go. Titanium is incredibly biocompatible, it undergoes osteointegration (fuses to the bone), and it's really an ideal implant material.

My dentist just called me and pretty much said exactly this. He recommended against a dental bridge since my two adjacent teeth are healthy and doesn't want to mess with them to install a bridge.
 
I'm young but surprised hearing how many have implants on here...outside of trauma cases is this due to improper care over many years? Genuine question. My parents nor grandparents have needed dental work so is part of this genetic?
 
These nightmare cases exist but thankfully are relatively rare.
I recall a coworker telling me about his wisdom teeth removal--right before I was to get mine removed. He apparently woke up with an incredibly sore chest--and he was one of those rare ones who got the nerve nicked from pulling the tooth. Years went by and one day he saw one of the assistants in a store or something. Once she recognized him she was quite flustered, but finally spilled the beans. His chest had hurt so much because the surgeon(?) had climbed onto his chest in order to get enough leverage to yank on the tooth.

Thankfully all I had was one dry socket... although I still have fears about being put out again, and have been putting off colonoscopy the last couple of years.

Anyhow. I just want to say, you guys have gotten really good with numbing up teeth for drilling. [Although sometimes I think you guys must be running a tap in afterwards, for all the work it takes.] What it was like 30 years ago is not what it is like today. Solid thumbs up. :)

I'm young but surprised hearing how many have implants on here...outside of trauma cases is this due to improper care over many years? Genuine question. My parents nor grandparents have needed dental work so is part of this genetic?
No idea, but I recall my grandparents stating that they had all of their teeth pulled and just lived with their dentures left in around the clock. My father has had a good portion of teeth pulled, but, he has had some heart problems and medications can change saliva in the mouth and that can change tooth health (in my case of my dad, I think years of not having insurance did not help).

No implants for me, a number of cavities when younger, but things have settled--but I can tell that over the years that my teeth have gotten rather translucent, and I fear breaking a tooth on something hard more than when I was younger. Waiting to see if dad's problems trickle down to me. I've heard from two dentists differing opinions on the concept of "soft" teeth.

Interesting that implants are "that good". Will file away for the (hopefully far away and distant) future.
 
I'm young but surprised hearing how many have implants on here...outside of trauma cases is this due to improper care over many years?

Sometimes trauma yes. Otherwise, if you have a tooth root that cracks that's probably not from improper care. It's what you typically do after a root canal fails.


IMy parents nor grandparents have needed dental work so is part of this genetic?

Probably, but perhaps your grandparents died before dental implants were an option?
 
I'm young but surprised hearing how many have implants on here...outside of trauma cases is this due to improper care over many years? Genuine question. My parents nor grandparents have needed dental work so is part of this genetic?
I can assure you that cavities and periodontal disease are alive and well in the US - these are the most common causes of tooth loss. Caries risk (cavity risk) and periodontal disease risk are complex discussions that involve both factors in and out of someone's control. At the extremes, not all cavities are simply the result of poor hygiene/dietary practices and there are plenty of people with decent to good oral hygiene with periodontal disease. The opposite is true as well. People are walking around with poor hygiene practices and not particularly good diets and no cavities or periodontal disease. Between the extremes, most people with cavities/periodontal disease have some to most of the blame in their hygiene and dietary practices contributing to their disease.
 
It's molar 31 that took the place of molar 30 when it was extracted more than 35 years ago. The 31 has had a root canal and a crown for 20 years. Prior to that, it was treated for another 10 years, so it's been a problematic location for most of my life. Even when I had the baby there, that location used to get irritated and inflamed.

The tooth has been going through resorption for a while, I let it run its course but it's near the end now.

Where is the bone harvested for the augmentation?
 
It's molar 31 that took the place of molar 30 when it was extracted more than 35 years ago. The 31 has had a root canal and a crown for 20 years. Prior to that, it was treated for another 10 years, so it's been a problematic location for most of my life. Even when I had the baby there, that location used to get irritated and inflamed.

The tooth has been going through resorption for a while, I let it run its course but it's near the end now.

Where is the bone harvested for the augmentation?
It depends. It can come from your Illiac crest, your chin, other parts of your lower jaw, your tibia, or it can be harvested from a cadaver.
 
My endodontist issued a verdict that one of my molars is at end of life and needs to be extracted. The suggestion is to get an implant.

I am wary of foreign titanium items in my body, especially if it's going to be protruding into a bacteria pool.

Any feedback?
There was just an article I saw this morning on MSN talking about how dentists are recommending molar extractions so they can profit off of implants. Didn't read the article though so I can't give details and of course, I can no longer locate it. I also have a wonderful, longtime dentist that I would trust no matter what and if he told me I needed work, I would tend to believe him. However, my wife had an instance where her trusted dentist said she needed an implant on a front tooth. She went for a second opinion who said absolutely not needed. Needed a root canal and problem solved. Anything major these days, I would certainly get a second opinion. Good luck!
 
I am wary of foreign titanium items in my body

You already have your answer.

I got dentures and they were oddly pushing me to go with implants instead... I'm pretty sure they are going to get a bonus or something if I switched to implants cause they were really piling on the sales tactics. (I spent years in sales and marketing)

Yes, titanium parts in one's body are bad enough but they always use adhesive to make these things stick in the holes they drill in to your bone (could cause bones to weaken or crack) so this adhesive is probably toxic

Yeah, I told them I'll stick with the trusty dentures since they were good enough for George Washington
 
Implants are incredibly safe and by far the best method of tooth replacement compared to something like a partial denture or bridge.

Implants are far more invasive after drilling in to the boon as using toxic chemical adhesives which of course all the people selling implants will claim is perfectly safe when they have no way of proving this
 
I just finished stage 2 this week, the actual implants, and no problems at all. I had two cracked molars (despite a lifetime of dental care.....and a lifetime ice crunching habit) with one requiring a bone graft for the implants.

I will say the process so far was much less uncomfortable than I expected with the worst parts being the Novocain injections in my palate and the healing, and neither was awful. My oral surgeon, who is wonderful, 'chases' the injections by placing successive ones in the area already numbed by the prior. I've had other procedures where this wasn't done, and it was a bit unpleasant. The healing is just an inconvenience w/ the tenderness, etc.

My surgeon also knows I'm a bit of a curious nerd and shows me the tools and explains each step in detail. May not be for you, but I was very curious. They use a small torque wrench to set the implants, I felt the click. I will admit that when he pulled the cover away to show me the tools it did remind me of the end of Braveheart :D
 
I’m in the process of having 2 implants done. Started in June of this year and still don’t have teeth. The first bone graft didn’t take in 1 part and had to be removed and replaced with another 6-8 weeks wait. Just recently installed the second implant again and it will be at least another 6-8 weeks before they can start putting the post in and then who knows how long it will take to get the crowns done. It has been 2 weeks since the last implant was done and it still hurts. I’m afraid they may have to pull it out again and do another bone graft. If they have to pull it, there will be a bridge installed. I’m tired of the cutting my gums open and stitching them up. This is just my experience. Wife had 4 done and not a minute’s trouble. YMMV
And yes they are expensive.
 
I have 3 implants. First was done 13 years ago and is holding up well. Gets a little sore at times but no others issues. 2 were done 10 years ago right next to each other. The implants are still holding up but the crowns began to loosen from the implant about 4 years ago. It has happened 4 times. My dentist will tighten it but he charges $400 every time. Seems like a lot for 15 minutes of work with no anesthesia and of course insurance will not cover any of it. I will say between the bone graft, installing the implant and actually getting a crown was 6 months. My last replaced tooth I went with a bridge. It was the last tooth on the bottom right. I still have my wisdom teeth so he was able to use that as one of the bridge supports. No healing time and ready to eat with it that night.

Seems like 5 grand is the average rate in my area. I paid that 13 years ago for the first one. There are places that specialize in implants and advertise rates closer to $2500 for everything.
 
Implants are far more invasive after drilling in to the boon as using toxic chemical adhesives which of course all the people selling implants will claim is perfectly safe when they have no way of proving this
Wrong… The implant actually screws into your jawbone, it’s not glued in. Then, after the bone grows around it, a crown made to match your other teeth is screwed into it. If your jaw is not thick or strong enough, a bone graft is added. I’ve had a molar one for over 10 years, other than the screw holding the crown on coming loose, there’s been zero problems. Titanium is used in all kinds of bone repair surgeries, especially compound fractures-if there was an issue, it would have came up long ago.
 
There was just an article I saw this morning on MSN talking about how dentists are recommending molar extractions so they can profit off of implants. Didn't read the article though so I can't give details and of course, I can no longer locate it. I also have a wonderful, longtime dentist that I would trust no matter what and if he told me I needed work, I would tend to believe him. However, my wife had an instance where her trusted dentist said she needed an implant on a front tooth. She went for a second opinion who said absolutely not needed. Needed a root canal and problem solved. Anything major these days, I would certainly get a second opinion. Good luck!
I haven't read it but it is circulating in the dental community. My comment is a root canal + build up + crown has a much higher failure rate than an implant + abutment + crown and my guess is for most offices the implant + abutment + crown will cost about the same as the root canal + build up + crown - I'm a pediatric dentist but did this stuff a decade and half ago. Dentists are recommending implants more because they are better and they fail much less often which means it will cost you significantly less in the long run when you don't need to retreat the root canal or try an apicoectomy or redo the crown because a cavity is undermining it.
 
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