Question by John S.: Are dental implants “nice to have” when you have lost back teeth, or “need to have”?
Patient is 80 years old with no front teeth missing. They are, however, missing 2 upper left molars, 3 upper right molars, and 2 lower right molars. They are not in pain and can chew adequately. But now a dentist specializing in cosmetic and implant dentistry has recommended expensive partial dentures to replace the missing upper 5 molars. In that the patient has no dental insurance and is fixed income, the dentist suggests spreading the cost out over time by replacing the missing upper molars with partial dentures now, and the lower molars with partial dentures in 1 year.
The question really becomes is whether the patient really needs to go broke paying for implants they may not really need. So do cosmetic and implant dentists sometimes recommend discretionary work? Or would these implants truly be necessary to prevent drifting of the remaining teeth or other deterioration?
Are implants more cosmetic? Or structurally necessary? And versus spending hundreds more on X-rays with another dentist, what is an inexpensive way to get a second opinion in a small town with few dentists?
Answer by Sage
In all honesty, if the patient is that old and it’s just the back teeth, why bother getting them? The patient is not in pain, and does not have any problem chewing so their is no problem. Obviously, the dentist will recommend them, because they want your money. I would suggest not to get them, if you certainly don’t need them of course. Good Luck!
Anyone answer mine?:
What do you think? Answer below!
Question by sobusy: I have a serious decay to one teeth . Dentist recommends rooth canal?
But I am missing the two molars near this tooth and I was thinking why should I treat this teeth and pay $ 800 for root canal,instead to just pull it out since is cheaper and since I am going to do either an implant or a denture for the next neighbor teeth. Am I right or the dentist? I know many dentists are just looking to take more money instead of the patient’s interest.That’s why I am asking you r opinion.Thanks.
Answer by jamrdh70
Can you tell me if this tooth has space between it and the one in front of it?
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By Dr. O. Karnakova
One of the most common types of drugs that can cause abnormal bleeding are blood thinners.
These classification of drugs are used for treating patients who have a type of heart or blood vessel disease, poor blood flow to the brain, atrial fibrillation, heart valve surgery, or other congenital heart defects. Blood thinners decrease the risk of a stroke or heart attack by reducing the formation of blood.
There are two main types of blood thinners. Anticoagulants, such as warfarin (Coumadin) or heparin, work by increasing the length of time your body takes to form a blood clot. Antiplatelet drugs such as Aspirin or Plavix prevent platelets in your blood from clumping together to form a harmful clot.
Patients who are taking blood thinners need to fully understand the effects of these drugs. The medication interferes with the body's normal clotting mechanism to stop bleeding. This comes as a particular concern for dentists who need to perform procedures that cause bleeding. Some of the common dental procedures associated with bleeding include: tooth extractions, implants, scaling and root planing, periodontal gum surgery, and biopsies.
It is important for patient's to correctly fill out their medical history along with a list of all medications. Please inform your dentist if you are taking any blood thinners so any precautions can be made between you, the dentist, and physician. Depending on the type of procedure, INR level, or clotting risks, your physician may inform you to do the following: continue taking the medication; change the dosage or type of medication; discontinue the medication prior to treatment. Do not under any circumstances alter or discontinue your medication without consulting your physician and dentist.
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Question by Sir Singleton: Is it possible to change dentists during a cosmetic dentistry procedure?
I needed a dental implant complete with the porcelain crown and whatnot. A dentist in New York attached the titanium implant about a year ago.
Is it possible to seek another dentist to attach the crown, given I have no x-rays of the implant site prior to the implant?
Is it possible to remove the porcelain crown at any point if, let’s say, you get your teeth whitened and need a whiter crown?
Answer by helen
In many places it is common to have one dentist do the implant and another the crown. You will have to check with the dentist doing the crown if this is something he does.
You will have to know the type of implant you have when checking around. There are 2 more parts to what you need done. An abutment that is the link between the implant and the crown and then the crown itself. Different implants use different abutments.
You don’t need an x-ray prior to implant to get a crown on an existing implant.
I don’t know this for a fact but I don’t think removing a crown on an implant is that easy.
Why not get the teeth whitening and crown done at the same time. That way the dentist can match everything up.
Hope this helps,
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