Please advise me about dental implants for 2 molars, #'s 18 & 19.
My underlying molar number 18 has split requiring extraction. This supports a bridge attached to a tooth. To avoid damage to the attached tooth, the bridge needs to be cut ... dentists call this cutting, 'sectioning'. The split underlying number 18 will be removed, extracted.
2 molar spaces then would be refilled with implants.
Dental implants are now considered 'cosmetic' because a 'partial' could be used, a denture for the empty space for the 2 molar spaces. Partial dentures often lead to future difficulties.
I have begun the process of getting 'complementary' consultations for all the work: sectioning the bridge, extraction of number 18 and implants for 18 & 19.
An oral surgent today consulted offered to perform a longer bridge without any implants ... spanning over the molars 19 and soon enough to extracted molar 18 ... anchoring from the wisdom tooth to 17. I negotiated a price of $2117. I did not commit to have this done by only committing to consider this offer.
Now I am confused. My general and primary dentist did not offer this longer bridge ... I will have to consult with my general and primary dentist to discuss this long bridge option.
I discussed bridges with my DHMO, United Concordia. They added to the confussion by stating they would only pay for the lowest, "Base" option of 3 options recommended by my general and primary dentist. This drives me back to my general and primary dentist to suggest that a Partial not be included among the 3 options. Without my general and primary dentist's making 3 options of bridges or more expensive choices, I will be only covered for a Base option which would be a partial.
Yesterday, the consulted dentist stated that if I selected getting implants for molars 18 & 19, then I would need bone grafting after extracting molar 18 and not need bone grafting for the existing bone where molar 19 previously was extracted many years ago. No bone grafting would be needed if I went with yesterday's consulting dentist offer to install a long bridge even though molar 18 would be extracted.
Jeff, it sounds like you have an existing bridge from #18 to 20, #19 being a pontic (replaced tooth). Your wisdom tooth #17 is also present. #18 needs extraction compromising the bridge.
Without seeing X-rays and an intra-oral exam the following is only conjecture. Here are possible courses of treatment: 1. Section the bridge at the Distal (posterior side of #20) making it a “crown only” if possible (depends on the design of the bridge, but from what you have described with the other treatment possibilities described by other dentists, can be done). Don’t do anything to spaces #s 18 and 19. Depending on the other parts of your mouth, you may function at the same level. Tooth movement over time and super eruption of the opposing arch (Uppers) could be a possibility 2. Bone augmentation of space # 19, implants for 18 and 19, then crowns for 18 and 19. This is probably the most expensive and time consuming route, but could yield the best results. 3. A removable partial denture for spaces 18 and 19. If you are not missing teeth in the lower posterior on the contralateral side (right side) then you would need a “one-sided partial”. Lower partials are very hard to wear with many people end up not using them. One-sided lower partials are even more apt to not being used. 4. A bridge from #17 to 20. Without being able to actually examine you, there is a high likelihood that the span is too great for long term success. The span would be the width of 2 molars using a wisdom tooth (usually with less root surface than 1st or 2nd molars and using a bicuspid (again with less root surface than the molars they will be supporting). If #19 was lost early and #s 17 and 18 have drifted forward reducing the span, it could still be a viable consideration with good success. 5. Your general periodontal (gums and supporting structures) condition could also be a consideration in the course of treatment.
My comparison shopping has provided a wide experience of presentations by Oral Surgeons and a variety of points of view.
Some have promoted a long bridge as an adequate choice compared to implants because of the significantly lower total costs plus the significantly shorter healing period: 1. healing period: long bridge about 3 weeks vs implants ranging from 3 mos to 1 year 2. lower costs: the lowest decent 4 tooth, 4 crown bridge $2115 vs implants $3365
My comparison shopping continues with additional consultations scheduled for Saturday through Tuesday.
Findings: 1. snobby, high end oral surgeons prices range about $9000 for implants, $6000 for a long bridge 2. middle class oral surgeons prices range about $6000 for implants, $4000 for a long bridge 3. value oriented oral surgeons prices range about $$3400 for implants, $2115 for a long bridge 4. low end oral surgeons prices range about $2700 for implants, $2000 for a long bridge
my jeffolie view: implants at a marginally higher cost exceed the economy of a long bridge.
Last Edit: Feb 22, 2013 9:55:21 GMT -6 by jeffolie
No, my dental insurance did not pay for what I selected nor the extraction.
The insurance which I do have does not cover implants nor this particular bridge because it would only pay for the least costing alternative which in my situation the least costly alternative presented was a 'partial' removable denture.
The insurance which I do have lead to a bad path: the 2 different oral surgeons my insurance sent me to were 3 times as expensive for what little it insured ... only the extraction and not the cutting, sectioning of the existing bridge. The oral surgeon I selected did not get paid by my insurance because my insurance covers only the extraction which would needed to have been performed by an oral surgeon on the list of oral surgeons provided by the insurance company which for me was United Concordia. The oral surgeon I selected this morning is not among those on the list of oral surgeons provided by the insurance company which for me was United Concordia.
rominause: If only I could soup up my salary a bit! But no worries - I know guys who can do it for me. They technique in sports betting was a huge shackeaout for the market. Wanna see? Follow my link jkr.co/!
Apr 14, 2021 1:41:25 GMT -6
Susan George: Thank You for your support!
Dec 21, 2020 17:18:51 GMT -6
Tonja: I think you need to consult with a professional development team. Start by covering your idea and implementing its design. This should be a company with experience as northell.design
Nov 29, 2020 17:15:41 GMT -6
VasCos: Mobile cryptocurrency wallet is a mobile application that stores your cryptocurrencies and carries out your transactions. Learn more about cryptocurrency wallets at plark.io right now.
Nov 13, 2019 16:18:54 GMT -6
ConGM: Please direct me to the full article by Susan George. Or email to firstname.lastname@example.org.The provided link is broken. I'd like to read it in preperation for a course. Much appreciated.
Nov 13, 2017 15:19:23 GMT -6
ace comando: Well, it took me several days and a lot of code writing to sift through the millions of achieved pages on the Wayback Machine achieves. Was about to give up when a colleague gave me mining script to look at all archived pages whether displayed or not. And
Feb 24, 2017 19:44:10 GMT -6
unlawflcombatnt: I've now changed the colors on the board to something more readable. At least now readers can find the sign-in tab.
Jul 6, 2014 22:58:23 GMT -6
unlawflcombatnt: OldUser-the sign-in area is in the dark area immediately under the red section that says Economic Populist Forum. It's almost impossible to see, unless you know where to look. This was ProBoards idea, not mine.
Jun 12, 2014 11:52:53 GMT -6
OldUser: There's no link on here to sign on or login. Where'd it go?
May 29, 2014 8:44:44 GMT -6
jeffolie: One might short a bull ETF to gain the decay but this requires a margin position subject to changes imposed by the exchanges & brokers
Oct 26, 2013 13:26:07 GMT -6
jeffolie: Holding a stop loss in these algo dominated markets almost always means the algos will hit your stops
Oct 26, 2013 13:20:09 GMT -6
jeffolie: Even so, these leveraged ETFs do not create margin calls nor expiration dates thus allowing one to hold indefinitely
Oct 26, 2013 13:17:52 GMT -6
jeffolie: Yes, the ETF features fading/leveraged decay because the futures and/or options used decay plus the administrative costs rise the decay, declining value ... I accept this as a cost and feature of all ETFs that purchase futures/options to maintain price
Oct 26, 2013 13:15:38 GMT -6
mimzy: jeffolie ~ I've been reading/lurking you for a year or three now and was wondering if your could you explain how you overcome quantum fading/leveraged decay in your ETF short position of the DJIA?
Oct 25, 2013 20:46:26 GMT -6