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Doctor insights on:
What Is The Satisfaction Rate Of Having A Bridge For One Missing Front Tooth That Is Connected On Either Side By A Fake Tooth Vs A Single Implant
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I need to have a dental bridge replaced.Is it true that the 3rd time a crown is worked on, there is a greater change of ascess dental bridge was not made correctly. However, one of the crowns (abutment) previously had a crown and was replaced with bridge
It : It is true that the more work that is done on a tooth, the better the chance is that the pulp (nerve) may die. You may not necessarily develop an abscess, but you may need endodontics (root canal) to save the tooth. ...Read more
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Implant (Definition)
An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more
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What is the survivability of a molar when one root has a caries preventing restoration of the root? In other words, what is the viablility of a molar
Generall poor: if a tooth can't be restored, it can't be saved, regardless of having root canal or not! That being said,often times periodontal surgery and/ or root amputation can allow certain teeth to be saved after advanced decay removal. Have qualified Endontist and / or Periodontist review you situation! ...Read more
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A molar is a larger tooth than a typical lower front tooth. Does a dental implant, abutment and crown cost near the same for both situations?
Yes: In general we pay for the time and expertise of the doctor. Different implant sites have different complexities. For example the time it takes to make sure a front tooth looks good may make it more expensive because of additional bone or gingival grafting necessary. Or if a sinus graft is needed in the back molar area, that may push the cost of a back tooth to be more expensive. $$depends on case. ...Read more
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How is an endodontic implant different from a regular dental implant? I've done a bit of reading, and it seems like they are intended to be do the same thing, but the endondontic implant extends further down into the root. Is there a reason to choose one
No such thing: There is no such thing as an endodontic implant in current use today. There are dental implants which serve as foundations for missing teeth or attachment sites for attaching removable dentures. ...Read more
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What is the right process and cost for a permanent tooth replacement (not a bridge)? One of my tooth was removed by a dentist long ago. Now i want to have a new tooth permanently attached to my jaw bone. What is the right process and associated cost.
Simple solution: Single-tooth implant can be used in people who are missing one or more teeth. ...Read more
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What is the real failure rate of a 1 tooth permanent dental bridge? Is it worth the cost?
See Prosthodontist: If you have the option based on bone and location, forget the bridge and go for the implant. Far superior and longer lasting treatment. Independent of other teeth and helps preserve existing bone. At 45 you need 50 years of service. Bridge would need to be replaced on average every 10-15 years. Once implant is placed, only the crown might require replacement, less frequently and for less.Good Luck ...Read more
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Can a missing lower front tooth be bone grafted (built up) for an implant when there is only a few millimeters of space to work in?
Multiple problems: You seem to have 2 problems, bone loss and space loss. You need an Orthodontist to regain space and a Periodontist or Oral Surgeon to then do ridge augmentation/implant placement. Ask your Restorative Dentist to refer you to Orthodontist and to Periodontist or Oral Surgeon for examination, consultation, and collaborative treatment plan. ...Read more
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A root canal is necessary on a tooth next to one that is holding a bridge of 6 teeth. Both teeth on either side of the bridge have to be extracted and implants will be put in. What do I do first?
Root canal first?: Most treatment plans would suggest a root canal first on a infected tooth that adjoins a potential implant site. It is possible that this tooth may need to be extracted too and more implants placed and/or it's infection may hamper the placement of implants or bone grafts for future implants. All bets are off if this is in the smile zone. Then your dentist will have to deal with esthetics too. ...Read more
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Are teeth weaker or looser after having a root resection performed? A root of one of my teeth is fractured, and i've been told i'm going to need a root resection. If one of the roots of a tooth is removed, will that tooth then be weaker from that point on
I : I presume you are talking about trying to save a molar, probably an upper molar. When the structure or support for part of the roots of a tooth threatens the entire tooth , it is sometime possible to section a root away and save the remaining roots. This is not an ideal scenario, but the technique has worked for a long time and when the tooth is carefully maintained and not under a heavy biting force it can work well. Root resection reduces the bone support for the tooth and yes it can make the tooth feel loose, but if you want to keep your tooth a little longer it is worth it. A more common treatment these days would be to remove the tooth a replace it with an implant. Dr neil mcleod dds dentistry that lasts - quality that counts. ...Read more
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After the extraction of a tooth, what is the side effects of silver fillings, if left in the gum for more than a year. ?
May discolor: Discoloration of gum tissue (amalgam tattoo) may occurred in the area. ...Read more
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Is there any assumed guarantee on dental crowns? A few years ago, my former dentist put a crown on one of my molars. Recently, a part of the crown (near the gum line, between teeth) broke off, and food is getting trapped in the resulting gap, causing gum
There : There are no guarantees expressed or implied with any medical procedure, and it is unethical for any health care provider to do so. You do not say how old the crown is, but it is possible that something is breaking down under the crown. It could also be that nothing broke off, but in fact, you have a bone loss in that area resulting in a space and a bacterial/food trap. Was a recent radiograph taken? What did your current dentist tell you? This cannot be left untreated. From your description, and assuming you are correct that something did break off, it could be that a small piece of porcelain chipped off the crown. If the gold coping under the porcelain flexed due to a cavity in that spot, the porcelain could flake off. If there is a cavity, it needs to be taken care of. Even if no cavity, the food and bacteria being trapped will constantly keep the gum tissue in that area inflammed, which can lead to a periodontal defect. You should see your new dentist to determine what exactly the problem is and what would be the proper course of action. ...Read more
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Generally, what % of the time can there be an immediate load dental implant placed in the upper right molar area? I know it depends bone loss/quality.
Not often: Immediate load in the molar area on a single tooth is usually contraindicated. If you are doing a procedure such as all-on-4 in which implants are connected by a bridge on a temporary basis, immediate load can be done. On immediate load on single teeth it is necessary to not chew on that side for approx. 3 months. The name of the game is success and loading a single tooth in function is not wise. ...Read more
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If i get a dental implant for a front tooth, what takes the place of the missing space during healing if not having an immediate load or a flipper?
Dental Implant Temps: In some cases a temporary implant abutment and crown could be made for esthetics. It is not to be used for function. If it is a back tooth sometimes it's best to just leave the space during the healing period. ...Read more
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Is the surgical reattachment of gum (from roof of mouth to localized gum recession where root of tooth is visible) a common one? Is this a common procedure? For example, have 50% of 40 year olds been through this procedure? What is the typical cost (e.G
It : It is quite common. The cost you quoted is very reasonable in the ny metro area. ...Read more
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What's considered the best kind of dental crown (material) to get for the tooth that needs it is the last molar on bottom?
Bruxir Zirconia : Solid zirconia crowns are the strongest crowns available. They are great crowns especially for those who tend to grind or clench their teeth. E-max crowns are also excellent crowns. Both of them are tooth colored crowns. High noble gold crowns are very strong but are not tooth colored. Most people will do great with an e-max crown. ...Read more
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I have a choice between a crown lengthening or dental implant? Which one is better?
Implant: The crown lengthening is utilized to expose more of the tooth so that the crown can finish on solid tooth, at or just below the gumline. Crown lengthening removes valuable bone height, and weakens the support by increasing the crown/root ratio. Unless a medical condition exists contraindicating the implant, go for it. ...Read more
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I've been advised to have two teeth extracted and then have implants for replacements. Should i try to save them? One tooth has a root canal but there is a pocket of something at the base of the root. The tooth is loose but still functions. The other i
Implants: If you have questions about the options presented by your dentist then a second opinion by a periodontist may answer your remaining questions. As dentists we look at the long term prognosis of the teeth. You have noted some problems around the teeth that indicate bone loss. There needs to be good gone to place implants so do not wait until the bone is completely degenerated before the implants ...Read more
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What is the normal procedure to repair a missing upper molar that broke off years after a root canal due to never being crowned? Would the remainder of the root have to be removed as well? Would an implant be best or would a simple single
The : The first choice would be to use what remains of the tooth and restore it- if feasible. If not, then you and your dentist should consider removing the tooth and replacing it with either a dental implant or a fixed partial denture (a bridge). That would involve three teeth. I am not sure what you refer to when you mention a 'simple single tooth bridge.'. ...Read more
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Is there a type of rhinoplasty to just fix a bump on the bridge of nose? Is it also true best results are achieved in not one but two surgeries? Why?
Rhinoplasty for Bump: Typically only one surgery is needed for most rhinoplasty. The most common reason is to reduce the bump, "dorsal hump" on the nose. A board certified plastic or facial plastic surgeon should be consulted. ...Read more
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The lateral maxillary incisor Lt tooth is so small so the doctor said he'll make a composition on it is this better or a crown instead?thanks
Peg Lateral: This is a common malformation of the lateral incisors. Composite bonding is great because it is conservative and will not destroy any tooth structure. It may not last as long as a porcelain veneer. A crown in this instance may involve removal of too much tooth structure. ...Read more