Dental Implants?

B

BrûléeOrange

500+ Posts
Anyone with experience? I have one crown that is old and worn out and my dentist says the eventual replacement will need to be bridge work or a dental implant. Right now, we're re-cementing it as needed, but that won't last much longer.

It is my understanding that the cost for the two are very comparable. I just want whatever is the "most sturdy" and long lasting.

What is the process for an implant? Timing? More or less hassles. Pain? etc.

I tried a search, but came up with nothing here.

Thanks
 
Get a second opinion. Some dentists have become crown/implant happy and recommend them as solutions no matter the problem.

I had a filling fall out recently, and when I went to dentist to have new one put in, dentist #1 said implant necessary. Dentist #2 said crown MIGHT be OK, but he recommended implant. Dentist #3 gave me a root canal and a new filling. That was about 2 years ago, and no further problems with tooth.
 
huge and fake isn't always bad

jodie-sweetin-big-boobs-02.jpg
 
If you go with the implant, be meticulous -- no, fastidious -- about hygiene around it. Don't do it half-assed.
 
I guess that your age would be a factor too, but unless you expect to die within 10 years or so, I would always recommend the implant.

I really don't understand your situation-why you would have to re-cement a permanent crown or why you can't just get your crown replaced-but "the 'most sturdy' and long lasting" would always be an implant, wouldn't it? My implant sort of a screw into my bone that is a solid base for a crown. I expect the crown to last 12 years or more, but I hope that the implant is still there when I meet my id'er. I don't have any bridges, but if they are secured to other teeth, they are not going to be as secure.

I know that this stuff is common and not rocket science, but I used a prosthodontist for my crown and had a periodontist perform the implant. I have had a general dentist do a root canal and crown before, but that was not satisfactory for me at all. I suggest that you at least consider getting them done by specialists, if you haven't already.
 
It's just one tooth that has a crown that is about 10 years old. I remember the dentist telling me he would have a "hard time saving that tooth" with a crown. The crown has come loose.

I went in to his ofc. for a cleaning and of course warned the hygeinist about the crown, but the dentist was out that day. She brought in his assistant and they worked on it. She just pulled it off quite easily which did not surprise me.

They talked about how unusually LONG the post was when they re-cemented it back in. I went in a week later for the dentist to look at it and he also talked about how long the post is and it's a ***** to get it back in before the cement sets.

It's loose again. I could pull it off with no effort if I wanted to as it really is being held in by friction from the two surrounding teeth basically. I'm wearing a nightguard so that I don't swallow it if it falls off during my sleep. I just don't chew on that side.

I'm almost 50 and they said I was a good candidate for an implant gum and bonewise.

I would like to hear some firsthand accounts of the process and how it works. Something about doing some work on the bone first and then 6 months later the final step. Will they have a temporary crown during that time, or do I have to go "snaggle toothed"?

I'm having a hard time with the thought of having something screwed into the bone of my upper jaw. eek!
 
Post scewed into bone. Stitches where gum was cut. Worst part of entire procedure was the stitches. Gum heals for a couple of months with post sticking through gum. Crown mounted on post. 10+years and no problems. MUCH better than anything else once completed.
 
First of all, a lot of this stuff is gruesome if you really think about what they are doing, but I think that you should just have things like this taken care of properly so that you don't have to worry about them later.

I will start by saying that I didn't think that permanent crowns could come off easily. I thought that they pretty much had to be cut or chipped off and that it would ruin them. Also, I think that you should figure out why they can't just re-do a permanent crown for you. If the current crown is on a tooth stub or a root canal post, why can't they just start fresh and re-prep the tooth (or re-endo the root canal) for a new crown?

Anyway, what ever you have in there now would have to come out, so I would say that would be the worst part-I hated having my wisdom teeth out. The rest of the process wasn't any worse than a root canal in my case (extraction, bone graft, implant, and crown lengthening).

Will they just try and put the implant screw in the new hole with some cadaver bone or something else around it in the hole to seal it? Instead of that I think that the best way is to have the hole filled up and healed solid and then to drill the correct size hole for the screw. If they are doing that, will they use your bone in a bone graft, cadaver bone, or something else? I don't know anything about the differences, but you should know what they plan and understand why they are doing it before you sign off on it.

If you don't need a bone graft, or gum work (crown lengthening), it is no big deal. A root canal is nastier to me now after having they both.
 
Went to the dentist today. Have had 4 crowns come off in as many weeks. He said he could not replace 3 of them since the teeth were fractured. He glued the one crown back on this afternoon and it came off at 9:30 tonight. I, needless to say am pissed. I have spent a small fortune on root canals and crowns and they are all screwed now! But, man implants are really expensive.
 
I'm going to have to make some decisions soon. oy
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Geez, I thought crowns were more or less permanent, but this one cannot be replaced. I have a gold crown on a molar that I have had since I was 17 years old (over 30 years ago) that I pulled off on a jolly rancher candy about 10 years ago and they just put it back on. It's the only problem in all those years. WTF?

Time to nail down just what my dental insurance will pay. It's all such a damn hassle and I'm also bugged that I'm going to have a gaping hole until it's completed if I go the implant route.
 
I feel for you Pulque. In fact, I just chipped off part of a brand new crown the other night. I apparently am a crazy tooth grinder at night (bruxism) and that is why I had to get my implant/bone graft instead of just getting a root canal. It stinks to have to deal with the pain and expense over and over on the same teeth . . .

BOrange - you will get something my guys called a "flapper" to cover up the gap in your teeth while the implant screw and then the abutment post are healing. Mine was a plastic with a fake tooth that was sort of a retainer. The flapper looked fine and you should only be looking at a hole for a few days after each of the procedures I recall.

If you feel wimpy about it all, just remember that one of the best ways to set up dentures or full plate crowns for old folks is to extract all of the teeth, set up an implant in each of the quadrants and attach the fake teeth to the implants. Plenty of frail people go through this every day without crying about it, so I figure that I have to suck it up and tough it out when I go through stuff like this.

Good luck!
 
Nonbryan -

Nope. I live up here with the Chris-Chrises. I never went to the dentist when I was at Texas (no surprise that i have an implant, I guess).
 
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