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Old 10-25-2013, 01:20 AM
 
506 posts, read 2,573,742 times
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Implant is the way to go these days but bridges still have their indications.
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Old 10-28-2013, 08:44 AM
 
1 posts, read 2,679 times
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I am in the process of going to a specialist tomorrow to have a bridge removed that is loose and get a root canal on one of the teeth under the bridge that has some decay. My endidontist said that hopefully they can save the tooth and just re- bridge the area again. If he can't save the tooth that would mean extraction and then what? An implant but what about the adjoining missing tooth and the other exposed tooth? Our insurance only covers one implant every 36 months! Let's hope they can save the tooth and build it up to accommodate another bridge. What to do?!
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Old 10-28-2013, 03:06 PM
 
506 posts, read 2,573,742 times
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Quote:
Originally Posted by faitgfulme1 View Post
I am in the process of going to a specialist tomorrow to have a bridge removed that is loose and get a root canal on one of the teeth under the bridge that has some decay. My endidontist said that hopefully they can save the tooth and just re- bridge the area again. If he can't save the tooth that would mean extraction and then what? An implant but what about the adjoining missing tooth and the other exposed tooth? Our insurance only covers one implant every 36 months! Let's hope they can save the tooth and build it up to accommodate another bridge. What to do?!
Dental insurance isn't great. Plan maximums are typicall $1500-2000 and these limits have not changed in decades. It's fine if all you need is a cleaning and a filling here and there, but as soon as you do something major it gets used up pretty fast. The bad news is that dental insurance will get worse as time goes on since it has been constantly declining over the decades. To the insurance, it's all a business and they have their accountants counting the numbers in the backroom.

You'll either have to pay out of pocket for the other implant(s) or if you are more reliant on your insurance, wait 36 months before getting another one.
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Old 10-29-2013, 07:55 PM
 
Location: In a house
13,250 posts, read 42,766,126 times
Reputation: 20198
Quote:
Originally Posted by faitgfulme1 View Post
I am in the process of going to a specialist tomorrow to have a bridge removed that is loose and get a root canal on one of the teeth under the bridge that has some decay. My endidontist said that hopefully they can save the tooth and just re- bridge the area again. If he can't save the tooth that would mean extraction and then what? An implant but what about the adjoining missing tooth and the other exposed tooth? Our insurance only covers one implant every 36 months! Let's hope they can save the tooth and build it up to accommodate another bridge. What to do?!
Summary:
You have one space already.
You -might- need to have an extraction.
IF you end up needing an extraction, you'll have a few options:

1. Get two implants. Costly, but your insurance covers one of them, which is 100% more than most insurance policies cover. Consider yourself VERY fortunate.

2. Get one implant, leave one space. Aesthetically not good, plus the more spaces you have where teeth are supposed to go, the higher the risk for bone loss and subsequent need for grafting down the road.

3. Shave the next tooth over down to fit a new bridge that covers two spaces instead of one. This comes with an increased risk for decay of the tooth you'd have to shave down - which is what you're experiencing with the tooth that was under the bridge. Every time you shave down a perfectly good tooth, you run the risk of ruining a perfectly good tooth. I learned this the hard way and will pay for implants from now on, because my insurance doesn't cover any of the cost of implants.

This is only IF you need an implant. If all you need is a root canal, they could still use it to bridge. They -might- want to shave down the tooth next to it as well, but that isn't always the case. I just know some patients do end up needing the adjacent tooth used as the anchor, rather than the root canal tooth.
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Old 01-16-2014, 12:08 PM
 
1 posts, read 2,336 times
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I have a missing molar and decided to go with a bridge. The two teeth they are working on both have cavities from the rotten/broken tooth I had pulled. I didn't want the implant because of the missing tooth for 7/8 months. My concern is having two teeth capped just to fit the bridge. Last week I that done to a different tooth and I still have the temporary cap in. What would be the better route bridge or implant? I'm 31.
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Old 01-23-2014, 09:40 AM
 
Location: Vermont
5,439 posts, read 16,855,804 times
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haha.. Well I guess I will tack on to this.

I had a root canalled tooth and the whole crown attached to the core came out. Local dentist said that there's nothing to grab on , so he can't put the crown back. Have to extract and implant or bridge. Both of these scare me. I haven't had the opportunity to go back to the dentist to put the crown in originally. Maybe there is some hope of getting it back in there.
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Old 01-28-2014, 01:44 PM
 
157 posts, read 309,591 times
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Hello and thank you in advance for any advice.

I am at a decision point for a bridge versus implant.

I lost lower back molar, extracted by an oral surgeon and need to fill this gap.
I am in my early 50s, no health issues.

The molar behind it has has a 20+ year old crown. My dentist has been recommending replacement of it anyway. The tooth in front of it has a very old filling - but neither of these teeth are giving me major problems right now.

I realize there are advantages and disadvantages of either - but hoping based on my personal situation - some of the experts here might be willing to weigh in.
With respect to cost, both are approximately equal (only a few hundred dollars difference).

Thanks! C
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Old 04-16-2014, 09:57 PM
 
2 posts, read 2,935 times
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I have researched this one but I am still undecided. A tough decision for sure!

I need to have either an implant or bridge due to a crown with a post breaking off and now there is little tooth left for the crown to hold onto. The two adjoining teeth both have fillings. One is large and the other is what my dentist says a standard filling. She encouraged the implant and said I was a good candidate.? 37 and no sinus issues etc. Insurance denied implant but will cover half of bridge. So roughly a 1500+ difference.

I also have bruxism, tmj, and Trigeminal Nueralgia (cause of crowns etc) So I am nervous about the affects of that on an implant coupled with the expense and the dentist explaining that not all implants take. A bridge makes me nervous down the road with problems as well. I would love some suggestions or opinions as I am struggling with this.
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Old 05-18-2014, 02:17 AM
 
1 posts, read 1,838 times
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Hi friends, I need some opinion / advice on two issues.
1. I am 57 years old Indian male. I keep reasonable health and work in the Middle East. I have no diabetes, no blood pressure or anything. Slight increase in cholesterol is there for which I take medication. I do not generally drink or smoke. I am engineer by profession. On my lower jaw, exactly on the front side, I had two teeth which were shaky, especially one. For many years. But there was no apparent infection; no pain. (in fact, I rarely get a tooth infection or pain). This shakiness was there for many years and half of it was worn out and the gap was unattractive and a play ground for scaling. So I went to a dental specialist in Ajman. He took X-ray and told me to remove the offending tooth. At that time (a few weeks ago), I didn't know anything about these things. I agreed. He pulled out the tooth and the adjoining one also (two in total), since both were week, he said. After a week I went for rectification. I was shocked to hear that costly procedures awaited me. He told me it will require (what I later learnt) a bridge. Since the neighbouring teeth (which have to support the bridge) were week, the bridge will have to be supported by two teeth on either side. So it will require a 6 piece bridge (2 false teeth, 4 crowns). Metal ceramic may give some black colour later on borders. So he recommended Zirconia bridge. Said they use only German material. Later I read about all these things a lot. He later told me 6-teeth bridge is likely to break and 7-peice is required. (I doubt it was for some extra cash) The cost is (in dollars) $3800 total which I paid and the bridge is now installed and there seems to be no problem. Looks and performance are excellent. While he re-shaped the adjacent teeth for receiving the crowns, I noticed that a considerable part of the teeth were reduced. Those teeth were otherwise healthy. Considering the location (front lower), was it a good decision I made? Was such a long bridge necessary? Unfortunately I studied this subject only after my teeth were removed!

2. In 1983, I had broken a tooth (while biting some hard food) which is on the upper jaw. This is the chewing tooth 5th from the back. Is it called molar? That time my dentist in India replaced it with a plastic false tooth attached to a Red wing with a wire clasp that attaches to a neighbouring tooth. The device is still used. It needs periodic tightening. Sometimes it gets loose and comes out with food, while eating. After each meal, it has to be taken out for cleaning. Not a good thing. Those days, nothing better was available, perhaps. Now, my question is: should I go for an implant or a bridge? The same dentist told me implant is the best option indeed, but first a CT scan ($272) is to be done to ascertain if the bone is strong enough. Because of 30 years old cavity, he doubts the strength of the bone. If it is OK, the implant will cost $2178. But if I opt for another bridge, 3 piece, it will cost $490 for metal ceramic or $1633 for Zirconia (the best one). I am worried about partly chopping off neighbouring teeth (healthy ones) to erect a bridge. In this location, what may the best option for me? Since it is not very visible, I believe, metal ceramic may be better and Zirconia is too expensive for the purpose. Alternatively, during a vacation, I can go to India and try for an implant (costs are much less there). Bridge material in India may not be good (Some of them may be using inferior Chinese materials, the dentist here told me.). I invite your kind advice.

Last edited by peelu; 05-18-2014 at 03:24 AM..
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Old 05-21-2014, 06:18 AM
 
36 posts, read 111,282 times
Reputation: 34
I think if you see for long time implant are better as compared to bridge and as implants look much real as compared bridge. If you are looking for long term benefit go for implants.
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