Implants - please share your experience/knowledge

Posted in the Dentures Forum

Since: Jun 09

Louisville, KY

#1 Jul 6, 2009
I just got all my teeth extracted on 6/29 but I'm really feeling the need to look toward a dentureless future so I'm thinking implants. My dentist and surgeon have been nice but I'm not completely confident that they are the right pair for me so I'll probably be shopping around. However information can only help me so I'm asking all of you for help. I need to know the exact terminology so I know I'm looking at, and asking for the right type of implants. I'm willing to hear all the options and of course I need to find out what options I have available for my situation. Money is an issue but I loathe the denture so very much that money will not be an issue. Permanent would be ideal, but I can live with removable as long I get rid of most of the denture. Something like this which I'm still not exactly sure of the name of. http://www.miradent.com/images/denturearch.jp... I've been told I can't have a bridge, but not told why. So I guess I'm looking for full denture/implants. I've got 4 months to heal but I felt a little blindsided by the bigness of my denture and maybe I didn't ask the right questions. I need to be clear about what to ask for with the implants. Would you please share your implant knowledge whether you just got pricing, already in the process, or have them. I'd like to know the options, the pros and cons of all of them, the cost, the healing time, the surgery necessary to have them implanted, bone grafting (which kind), sinus lifts, pressure after the implants are placed, cancer risks, etc. Everything. I just want to be clear so I'm ready for the next steps. Thanks!
Angel

El Cajon, CA

#2 Jul 6, 2009
I am at the tail-end of what you are planning to do. Here is a good website:
http://www.simplestepsdental.com/SS/ihtSS/r.W...

My denture is palateless, the implants are much less painful than extractions; but do require healing time not only for the tissue to heal, but of course whatever waiting time your dentist recommends before activation. There are adjustments that need to made to the Implant Supported Overdenture as well - but they are a million times better than a full denture. This I can live with - the full denture made me crazy everyday. I Googled "Implants", Denture Implants", and everyother thing I could think of and read a ton of stuff before I made my decision. A regular denture was never an option for me. Also, while you are searching around, Google "Implant Bridges" I am have 2 of those torqued into place on Wednesday to replace a bottom partial. I'll post those results too - but, since there is going to be more cutting to expose the posts again, I know I will be sore for a couple of weekes before I will get the best results. This has been an 11 month process for me so far since the day of extractions.
Good luck. I'm looking forward to reading this thread and what information is uncovered.(I did have a sinus lift, and more bone inserted - both were, of course, painless because of the numbing meds ... and both required lengthy healing/growing time. 3+ months.

Since: Jun 09

Louisville, KY

#3 Jul 6, 2009
Angel, Thanks! I'm reading that website now and it's an excellent starting point. I have some questions for you. Was your bone graft an allograft or xenograft or another? How long were you in surgery for it? What was the cost? How long did it take to heal to move to next step? What was the next step? And how much downtime for you? Same questions for the sinus lift. Anything that stands out about these two procedures that you didn't expect or think someone should know before they consider them?

Do you think one should go to a prosthodontist? My general dentist is offering minis with O rings but I've read the Os have to be changed and there are additional, never ending fees. My surgeon is offering regular implants and that's about as much info as he's given. I'm still just trying to get an understanding of the options (and then my options) so I don't know what "regular implants" mean. I'm wondering if a prosthodontist might help answer my questions better.

Your implants are bar or ball? And these are the only kinds? What are mini implants considered?

My ultimate goal is to get rid of as much of the gums and plastic as possible and have it fixed, or removable but not resting on my gums. Palateless is ideal but neither my surgeon or dentist seem willing to discuss that or implants in the top. But what is this called so I know how to ask for it? I guess maybe I'm less concerned with the "implants" and more worried about what the final denture part looks like?

Since: Jun 09

Longmont, CO

#4 Jul 6, 2009
I don't have much to add as I'm about to begin this process and I'm still asking questions too.

My dentist recommended an implant supported palatless upper that can be removed for hygenic reasons.

Why is your dentist and surgeon not willing to talk about this with you...on the upper?

The website Angel posted had this paragraph:

The first surgery involves placing the implants in the jawbone. During the first surgery, an incision is made in the gum where the implant will be placed. A hole is drilled in the bone, the implant is placed into the hole, and the incision is stitched closed. After this surgery, you should avoid putting pressure on the implants. You will not be able to wear your temporary denture for about four weeks, and you should avoid eating hard foods during this time. After four weeks, you will be able to wear your temporary denture again. The temporary denture will, however, need to be modified, to make sure it fits properly. It will also be given a soft reline (new lining next to your gums) to help to reduce the pressure on your gums.

***I have not been told that I cannot wear my temporary denture for four weeks. In fact, I haven't been told I couldn't wear it for any length of time. Angel?????
Angel

El Cajon, CA

#5 Jul 6, 2009
MM: That was not my experience. They put in the posts, and I just wore my denture. It was sore and tender, and I didn't put much pressure on anyway until the tissue healed. My dentist always stitched the tissue shut after putting in the posts. Both top and bottom.

Vi ... haha ... you have a lot of ??s! I am no expert, I can only tell you what it was/is like for me ... here goes:
I don't know what kind of synthetic bone that was used ... just that it was granular, as a couple of beads found their way out. The sinus lift and extractions were done at the same time. My sister just had a sinus lift: it took about an hour or so. Down time? Her down time ... none ... just had to be careful of that side, it's sore and tender like every other procedure - no nose blowing, etc for awhile; you take antibiotics - I think it's a bigger deal for the dentist than the patient. I have the ball type post ... no bar. 4 on the top - costs are different all over this country - I'm just outside of San Diego - everything was inclusive: extractions, sinus lift, bone insertion, immediate for the top, 8 implants, bottom partial, religns, adjustments, final retained denture, bottom bridges - just over 22k - the denture is also guaranteed for 5 years. I'm not sure what that means ... haha ... I paid extra, after having the acrylic immediate, to have a porcelain retained denture. IT DOES MAKE A DIFFERENCE. I have heard many people say that it doesn't - unless they have had both they don't know that. My dentist would not advise me either way. He told me the pros and cons. I HATED THE SOUND THAT THE ACRYLICS MADE! Clackety clack .. hollow, ick. Made me sick to my stomach. The porcelain sound. in your head, like your own teeth. I don't know the difference btw all of the dentists that you ask about. In the office I go to there is a "regular" dentist, a dentist who does the extractions and implants, and a third one that fit's the dentures and does the adjustments. Each of them have their own assistants. There's a lab right there too where they make and fix the dentures. Everything is in one office. It's very nice.
My denture is called an implant retained denture - that's all I know. It has no palate. The front of the denture looks the same. Unless you do permanent individual teeth, or permanent bridges you will have to deal with the gum ... It is a lot thinner though than an immediate. The denture rests on the posts, so there is nothing sitting on my gums anymore. What would I do different? Hmmm - I don't know. I wasn't prepared for the amount of time it takes to heal btw procedures. That surprised me. The DISCOMFORT of dentures - that surprised me. How much I would hate wearing a denture surprised me. I thought I would get used to them - I never have. I'm probably not the best resource for you. I think all of this stuff in my mouth is barbaric. But I do think it is as good as it is going to get and that is a million times better than wearing a full denture.

Since: Jun 09

Lexington, KY

#6 Jul 9, 2009
MerryMac
You mentioned that your dentists recommended a removable for hygienic reasons. Any idea if there is a non removable?

I'm not sure why my surgeon and dentist seem to gloss over the top implants. I think that they think a denture should be good enough for me and if I need more than that then bottom implants are more than I could even hope for. I mean that's better that most get. It's like they've never had anyone who couldn't live with the denture they've provided so they are dumbfounded that I want to go to great lengths to make it close as possible to my regular teeth again. I have so many questions and I only get one or two partially answered every time I go.

~~~

Angel you said regular dentures were never an option for you. Do you mean a personal option or a medical option? Personally I don't believe they are an option for me either. And while I've been focused on asking everyone about implants I think I should be asking people about the denture. I was to get rid of all the gummy plastic that I can and that doesn't appear to be possible with my dentist. Perhaps the lab he uses just doesn't do another kind of denture than what I already have. I was told bridges were not an option for me but I was not told why. Some more questions to add to the list.

Since: Jun 09

Lexington, KY

#7 Jul 9, 2009
Angel in another post you answered MerryMac and sais "Yes, on the top you can have 6 to 8 implants put in and they CAN install permanent bridges. Yes - we do not have to be satisfied with only the implant retained denture." Even though I was told a bridge wasn't an option (by a nurse) I think this is the information I'm looking for. I believe what I'm hoping for is a bridge. I can't wait until you get them in so I can learn more. I learn best with photos so I'm going to start looking for some photos and see if I can start compiling my questions with visual aids.

Since: Jun 09

Longmont, CO

#8 Jul 9, 2009
Vivienne, you need better answers and don't be afraid to ask why either an upper implant retained denture or bridges were not an option for you. I know I'd want to know why and would not settle for less...and not just some off the cuff explanation. It if's bone loss, I'd want to see the xray and hear from an oral surgeon that bone grafts couldn't be done.

At first, my dentist recommended I get the lower implants first because lowers are the most difficult to fit. However, she is always willing to work with what I want.

I think you should consult with a surgeon about the implants and then see a dentist the surgeon works with regularly...someone who knows what they are talking about.

I could get on a rant today...I'm so sick of hearing about dentists controlling our mouths and the hardware we have in them. It's our mouth, our face, our looks, our comfort...it's about US and so NOT about them.
Angel

El Cajon, CA

#9 Jul 9, 2009
Here's the thing: I'm sure we are each told only about what the dentist we are going to is capable of providing. They are not eager to steer us into the arms of their competitors. Yes .... denistry is a business too. I looked at as much stuff online as I could find. I thought I knew what I wanted UNTIL yesterday when I tried on those bridges for fit. THAT IS THE SOLUTION TO BEING MOST LIKE YOUR OWN TEETH. You can't know it until you experience. Now I have and I am going to make sure it happens for me. Bone can be added if you need it ... no question. I had it done. Taking out a denture for hygenic reasons is bunk. Out and out. You can clean around posts very easily with the same needle floss that you use for regular bridges and crowns. I don't know why you're not being given the option of having more posts and bridges made, or a prosthetic, or any of the other options that are avaialbe unless your dentist does not have the capabilities to perform the work and doesn't want to refer you. I do know that even though there is a denture lab on the premises where I go, they still had to send my molds somewhere in the South where the parts are made for my brand of implant. Like I said before - I don't have one, but rather 3 different dentists that work on my mouth at the same time. All of them have their own specialty. The "regular" dentist does not participate in the implant procedure at all. The denturist doesn't do extractions, etc ... I think what you need to do is look at the options on line and decide what you think will work for you and then pursue that instead of letting the dentist steer you into doing what they are limited to do. Like you all have said: It is our mouth and our level of comfort - not theirs. I went to 3 dentist offices before I choose mine ... he doesn't even accept my dental insurance. MM, if you think you are being witchey today you wouldn't want to be around me ... haha .... I don't even want to be around me!

Since: Jun 09

Lexington, KY

#10 Jul 9, 2009
I have an appt tomorrow with the other dentist in my dentists office. I'm going to try to get him to talk to me about the full bridge implants. IF this doesn't work I'll likely start setting up consults all around until I get the answer I hope for.:)

MerryMac I don't know if these will help you but here are some websites that have provided me with a good deal of new info and photos.
http://dentalimplants-usa.com/treatment/solut...
http://drlarson.net/Pages/Implants/Dental_Imp...
http://www.doctorspiller.com/Denture_types.ht...
http://dental-implants.com/cms/implant_info/d...
FAQ with tons of info
http://www.dental--health.com/faqcategory.htm...

Since: Jun 09

Longmont, CO

#11 Jul 9, 2009
I'm not recommending this dentist, although his credentials are impressive, but there is very good information here.

http://www.implantdentistnashville.com/implan...
JKW

Salt Lake City, UT

#12 Aug 3, 2010
Dental implants are commonly mistaken as transplants. There is a key difference. A transplant uses actual teeth from a donor, while implants are crafted from synthetic material. They offer a permanent solution to tooth loss by replacing missing teeth. They consist of two parts: a screw—usually titanium—that is placed in the jaw bone, and a false tooth placed on the screw.
This kind of dental work requires a professional. If you are near West Jordan, UT, you should consider Dr. Rasmussen. He continually provides the finest, most comfortable dental care available. He has advanced training in implant dentistry, and his prices are very reasonable.
http://www.mtnviewdentalcare.com/
Tito

Baldwin, NY

#14 Jul 19, 2012
Loll

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