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Premedicating with Dental Implants

Posted on by writeradmin.

I’ve got two conflicting opinions and I’m not sure which direction is the right one. I had a hip replacement about ten years ago. Now I need to get some dental implants. One dentist says I’ll have to pre-medicate with antibiotics; the other says that’s nonsense. Who’s right?

Beth

Dear Beth,

dental implant diagram

Oh…the medical community. Don’t you love them? They all claim to be experts and none of them agree with one another. That’s a lot of experts who see things differently. Here’s what is going on in your situation.

It used to be that the standard recommendation was any time someone with a hip replacement had anything invasive done, including a dental cleaning, they were to have antibiotics so there was no risk of any bacteria being introduced which could make its way to the replacement site.

However, that changed in 2012 when both the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association (ADA) released a new study which said recent studies showed there was no direct evidence to continue to make that recommendation.

That simply means it’s up to the dentist. It sounds like the dentist recommending the pre-medication likes to take every precaution possible. Which you do is up to you. There’s not a right or wrong answer. I would say if you’re a healthy person who doesn’t easily get sick it won’t matter. If you tend to catch things more easily, I’d pre-medicate.

Cosmetic Care and Dental Implants

I want to give you a heads up on a cosmetic issue that recently came up with a patient I know. She’d planned on getting dental implants and teeth whitening. Even though her dentist knew she wanted both procedures, he didn’t warn her that the teeth whitening needed to be done first.

The reason for that is the gel used to whiten teeth only works on natural tooth structure. While her natural teeth were getting whiter, her dental implants stayed the same color they were the day they were placed.

Only then did her dentist tell her to get her smile to match she’d have to replace her implant crowns. If he’d have advised her to get her whitening done first, she wouldn’t be in this situation having to spend unnecessary money. Her crown could have been made to match her new, white color from the beginning.

I don’t know if you were ever going to want teeth whitening, but as this just happened to someone I know, I thought I’d warn you just in case.

This blog is brought to you by New Orleans Dentist Dr. Duane Delaune.

Dental Implants in Mexico

Posted on by writeradmin.

Why are dental implants so much cheaper in Mexico than in the United States?

Brent

Dear Brent,

dental implant diagram

Good question. Many people complain about dental costs in the United States. In fact, there is a whole dental tourism industry. Much of the higher cost is due to regulations. However, most of those regulations are there for the protection of the patients. Let’s use Mexico as an example.

There are no laws regarding sanitation or the quality of the implants. It’s completely up to the dentist as to whether or not they sanitize their equipment between patients or even at all. Plus, the patient has no recourse if the procedure goes horribly wrong.

For instance, let’s say a dentist doesn’t sanitize his equipment and the patient develops a horrible infection as a result and loses half of his jaw. In the United States, they would be shut down. Additionally, they’d have to pay compensation to the patient.

When it comes to the implant itself. Ones from the United States cost several hundred dollars because of quality control. However, you can purchase implants from outside the U.S. for just a few dollars. They’re much more likely to fail or even break.

However, getting quality dental implants can be made more affordable.

Finding Affordable Dental Implants

One thing that helps with paying for dental implants is finding a dentist who will let you pay for it in stages. Almost every dentist allows you to break up the cost of the surgery and the implant crown. However, you could also ask your dentist to allow you to break up each of those two large payments into monthly payments.

If they’re unwilling, you could try applying for Care Credit. They’re a medical credit card which allows you to have low and even no-interest payments depending on your credit. There’s also no penalty for early pay off if you come into some money and no longer want the payments hanging over you.

Just don’t make the mistake of thinking cheap dental implants are the same as affordable. Your safest course of action is to find an experienced and skilled implant dentist and breaking up the cost.

Teeth Whitening with Dental Implants

If you’re having a dental implant placed in a visible part of your smile, you may want to consider having your teeth whitened ahead of time. Once the implant crown is made, the color is permanent. If you whiten your teeth afterward, the color of the implant will not change.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune.

Tooth Replacements for Clumsy Stuntman

Posted on by writeradmin.

I’m a stuntman by trade. Lately, I seem to be losing more teeth than usual. I’ve been losing one a year. I don’t know if dental implants will help that or if I should get a dental bridge. But, that’s a lot of teeth to grind down unnecessarily. What do you think? Will dental implants hold up?

Carl

Dear Carl,

Abutment and crown being placed on dental implants

I’m sorry you’re having such bad luck with your teeth. I don’t know if that’s common to your particular field or if you’re just in an unusual spate right now. If it’s unusual, the first thing I’d do is talk to your dentist and see if you can figure out if there is something else contributing to your tooth loss. At a rate of a tooth a year, it won’t be long before you’ll be in serious danger of facial collapse.

One of the leading contributors to teeth coming out early is gum disease. If you’re suffering from that, treating that is your priority. You won’t be a candidate for dental implants while having gum disease anyway.

If it’s a matter of just being unlucky at the moment, I’d make sure you’re wearing some type of mouthguard. This will give your teeth a bit of a buffer when things are going wrong.

Will Dental Implants Hold Up?

Before we go into dental implants, I want to address your comment about a dental bridge. When you’ve lost a lot of teeth, it’s not really a great option. If the teeth are all in the same area, you would need quite a large bridge. If one part of it breaks, the whole thing has to be replaced. It’s a better option when you’re missing a single tooth.

But, you’re missing several teeth. If they’re all in different places, you will have to crown two adjacent teeth for each false tooth. You were right in being concerned about grinding down healthy tooth structure.

While dental implants are a fantastic tooth replacement and they’re as stable as your natural teeth, they are only as stable as your natural teeth. This is another reason to wear a mouth guard and address the root cause.

Who Should Place Your Dental Implants?

You don’t want just any dentist placing your implants. Look for two particular skill sets, both of which require post-doctoral work to be significant enough to make a difference. The first is training in reconstructive dentistry. The second is training in cosmetic dentistry. It isn’t encouraging to replace your teeth but to end up with an ugly replacement.

This blog is brought to you by New Orleans Cosmetic Dentist Dr. Duane Delaune.

Switch to Dental Implants?

Posted on by writeradmin.

I’m wondering if I should switch to dental implants, but I’m not sure they’re worth the investment yet. I have three missing teeth and two of them show when I smile. I generally wear a partial denture and I’m quite bothered to go without it. I don’t like to take it out, even at night, because I’m self-conscious about missing those teeth. I also worry that people notice I’m wearing a denture when I talk to them. I’ve actually started worrying so much that I have been refusing to dine out with my acquaintances. I don’t know if it’s all in my head or if people really can tell. I’m having a tough time justifying the costs, though. Is it worthwhile for me to switch to dental implants or am I going to face the same problems?

Beth – Detroit

Dear Beth,

The hard truth is that nobody knows how you, personally, will feel about them if you switch to dental implants. If you’re someone who normally suffers from any kind of anxiety, it could stick around afterward. However, there are some big benefits to switching and it may be enough to help you resume your normal activities. Based on what you’ve expressed, dental implants will be a great option for you. Peace of mind is often worth a little extra cost.

First of all, you won’t be taking them out. They’re permanent, so there’s no concern about going to bed without teeth. A lot of people worry about losing dentures during a meal or about what they can eat without getting food trapped or breaking the denture. This is another thing you won’t have to worry about.

It’s also worth noting that people who have lost teeth start losing bone in that area as well, and this leads to facial collapse. Facial collapse makes people look older than they are, but dental implants can stop or slow down bone loss, so you’ll retain a youthful look longer.

Considering only the teeth, yes, they tend to look cosmetically better as well. The crowns are generally made of layered porcelain, which does a good job of mimicking a natural tooth. They reflect light differently and have some translucency. Dentures are typically made of acrylic or another plastic and they don’t have the same depth to them.

All in all, you’ll probably be much happier because so much of your concerns surround being without teeth, but it’s a good idea for you to see a cosmetic dentist for a consultation on this. You’re going to want someone with extra training and lots of experience doing the work, so you get the best results possible.

This blog is brought to you by Dr. Duane Delaune.

Can You Whiten Your Teeth with Dental Implants?

Posted on by writeradmin.

I had two dental implants placed about five years ago and they’re doing great. I couldn’t be happier with them in terms of how they’re holding up and how natural they look and feel. However, I keep looking at my smile in the mirror and I’m not happy with the way it looks overall. I’m considering having some cosmetic work done to make my smile pop a little bit more. The problem is, the implants show a bit when I smile, and I’ve heard that dental implants won’t change color if I whiten. Is this true? If so, what are my options for cosmetic work? Can I have veneers or something put over the top or pay to have them recolored?

Ella – Louisiana

Dear Ella,

Unfortunately, you heard right. Dental implants are typically made from porcelain or another material that doesn’t respond to tooth whitening agents. They’re incredibly stain-resistant, but you can’t really change the color of them once they’re made, either. A lot goes into making a crown.

To give them the appearance of natural tooth structure, they’re made in layers. This gives the same type of translucency you see in your natural teeth.  Sometimes, a lab can recolor crowns, but this is usually done to make them darker not lighter. This is because the color is already baked in.

You also can’t put a veneer on a crown. It would be difficult, if not impossible to place. If your dentist did find a good way to bond them on, the result would be bulky. You’d likely be unhappy with their appearance. However, you’re not without options.

If they’re farther back, whitening your teeth may not be a problem. Teeth naturally look darker towards the back, and so a shade or two of difference may not be noticeable.

If they’re in a prominent position, and visible when you smile, you can replace the crowns after you finished whitening. This way, you could have them made to match your final shade. Done well, they’ll blend seamlessly. Bear in mind, it’s only the crown on top of the dental implants that you’d have to replace. The rest of them, including the screws and posts, should be just fine as they are. So, it’ll probably only take a couple of weeks to complete, versus the months you spent initially. It was also cost less.

This blog is brought to you by Dr. Duane Delaune.

Is it worth the extra money for custom abutments?

Posted on by smiles4u.

I need some advice. I’ve had two dentists give me a quote for dental implants and one is a little higher than the other. I asked the one dentist why he was more expensive  and he said he does custom abutments and the other quote likely only includes pre-fabricated abutments and other cheaper parts. I wasn’t sure if he was trying to pull one over on me, so I went back to the first dentist and asked whether his quote included custom abutments. Come to find out, the other dentist was right! Quite honestly, I’m still not sure what my best option is. Are custom abutments really that big of a deal? Should that be a reason to pay more for dental implants? — Cecelia

 

Cecelia,
You bring up a really great question. There are three main parts to dental implants – the implant itself, the abutment and the crown. All of these parts need to fit together perfectly to ensure the success of the implant long-term.

When it comes to prefabricated or “stock” abutments, dentists only have a few sizes to choose from and it can be difficult to achieve a natural shape with the crown, making it more difficult to keep the area clean. When a crown is cemented, cement often seeps out of the edges and dentists can’t get all the extra cleaned off when the space is too tight. Cement that is left behind traps food and bacteria, and when you’re unable to remove those particles, infection, inflammation and eventual implant failure can occur. If this happens, your only option is to start over, and you’ll likely incur even more expense for bone grafting before having surgery again.

Are custom abutments really that big of a deal? They do provide a better fit than stock abutments which means you’re less likely to be at risk of infection. And while custom abutments are not necessary for every implant case, it’s still good that you have both options on the table. You’ll need to decide what’s right for you (and your budget), but keep in mind that you may be risking a lot if you choose to go the prefabricated route. Good luck!

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Would smoking cause bleeding around my new implant?

Posted on by smiles4u.

I recently got a dental implant to replace my missing tooth. I love the way it looks, but I’ve noticed some blood around it and on my tooth brush when I brush. There’s not really any pain associated with the bleeding and it doesn’t seem like the implant is loose or anything. When I started the implant process, my dentist told me that I should think about giving up smoking because I would have better long-term success with the implant. I’ve tried to quit, but it’s just not working. It’s been about three months… is bleeding normal or could my smoking be causing it? — Mike

Mike,
Smoking is always risky when it comes to your health, and hopefully your dentist explained that it can also make replacing teeth with dental implants more complicated – but it certainly isn’t impossible. Long-term, smoking can cause periodontal disease as well as bone and tissue loss in your mouth. Nicotine can also reduce the blood flow in the mouth – all of which can increase the risk of implant failure.

Having said that, it’s unlikely that smoking would be the direct cause of the bleeding. New dental implants are very sensitive, and it can take several months for them to heal completely. Do you tend to brush hard? If so, that could definitely cause some bleeding around the implant. If the implant was failing, you would likely have pain or notice that the implant itself feels loose. If it’s just a little bleeding, try a lighter brushing technique and see if it that helps. If you’re concerned, talk with your dentist to be sure.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Missing Tooth Causing Teen Trouble

Posted on by smiles4u.

My daughter was born with a missing tooth. It’s toward the back, but it’s always been fairly noticeable when she smiles. As a little girl, it didn’t seem to bother her much. Fast-forward to her teen years and it’s become a major problem. You know how teenage girls are… they obsess about every little detail. Every time she looks in the mirror, all she sees is this hole in her smile and unfortunately, others are noticing it now, too. She is adamant about having it fixed. The dentist has always said that an implant will be the best fix, but he won’t do it until she is older. She’s miserable, and I want to make her happy. Why can’t she just have the implant now? — Ann Marie

Ann Marie,
The teenage years can be so hard — especially for girls — and it’s understandable that you want to do all you can to make sure your daughter feels confident and happy. There’s no doubt that a dental implant is the best way to go when it comes to a long-term, natural-looking replacement for a missing tooth. It’s also a procedure that takes time and a huge financial commitment, so it’s imperative that it’s done right – and at the right time. That’s exactly why your dentist wants to wait. Your daughter still has quite a bit of growing to do. Her face and jaw will change a lot over the next few years, and if an implant is placed too soon it will not grow with her and the tooth might end up looking like it’s buried in her jaw. There are a few other options available that could replace the tooth until she’s ready for an implant. Ask your dentist what might be best for her situation.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

Is my 16-year-old daughter a candidate for implants?

Posted on by smiles4u.

We have a unique situation with my daughter. Although she is old enough that she should have all of her adult teeth,  a couple didn’t come in and she still has the baby teeth. Our dentist doesn’t seem to be worried about it and says that her baby teeth could last the rest of her life. She is devastated. The teeth obviously look smaller, and while it didn’t bother her when she was younger, some of the kids at school are now noticing and making her feel very self-conscience.

She’s sixteen and has a great smile, but these teeth make her feel uncomfortable. I have been thinking about implants to replace those teeth, but when I asked the dentist, he pretty much blew the idea off without even considering how this is affecting her. It’s not like she’s just going to one day look in the mirror and decide they look ok. Will implants work? If not, what other options are there? — Judy

Judy,
While the baby teeth could last a lifetime, it’s understandable how your daughter feels about how they look. The teenage years are hard enough as it is, and it’s no fun to have your peers poke fun at something you have no control over. There are cosmetic options that can help, but at her age she’s really too young for implants. It’s best to hold off until she’s at least twenty and even then, she’ll need to have a dentist evaluate whether or not her jaw is done growing and changing.

Have you checked into a cosmetic dentist who does porcelain veneers? Veneers would cover the top and sides of the tooth, and build it up to make it look like an adult-sized tooth. There are a couple different options as far as the materials they are made of, but a cosmetic dentist will be able to recommend what’s best. As she continues to grow, her face shape will change, too. More than likely, she will need to have the veneers redone or at least adjusted every couple of years.

She can look into implants later on, but for now, a consultation with a skilled cosmetic dentist to find out more about veneers would be best. He or she can evaluate your daughter’s situation fully and help you make the right choice.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.

If my implant is loose, will I have to pay to have it fixed?

Posted on by smiles4u.

It’s been a couple of years since I had a missing tooth replaced with an implant and now I think it might be loose. It was very expensive to have done and I don’t want to risk it falling out, but I’m afraid it will cost more money to fix or replace it. That’s just something I can’t afford right now. If it does need redone, will I have to pay for it? — Reed

Reed,
Your implant should not be loose. Make an appointment as soon as possible with your dentist so that he or she can take a look and determine exactly what part of the implant is loose and why. While it could just be the crown that’s loose or even the abutment or the actual implant, he won’t know the best way to fix it or if there will be any additional costs until he can get a good look.

If the implant failed or malfunctioned, there’s a good chance that the manufacturer might give the dentist a replacement free of charge. But maybe your implant crown just needs re-cemented – that would be a simple and easy fix. For most patients, implants should last for many years, but nothing is guaranteed and there are instances where an implant can fail or be rejected. If you are responsible for any out-of pocket costs it should be significantly less than what you paid for the implant.

This post is sponsored by New Orleans cosmetic dentist Dr. Duane Delaune. Read more about why many consider Dr. Delaune to be the best dentist in New Orleans.