Anterior dental implant
Hello, doctor.
I previously had an accident that resulted in a broken front tooth.
After getting a dental prosthesis, the root broke inside, and I am currently using adhesive to hold it together, which provides almost no chewing function.
The dentist I usually see has recommended dental implants.
Therefore, I would like to ask you:
1.
If I want to get a dental implant, would it be better to see a periodontist or an oral surgeon?
2.
If I choose to get the implant done at a different clinic, would it be inappropriate to have my teeth cleaned at the original clinic? Currently, the clinics I have visited are all private and do not accept health insurance.
3.
Is traditional flap surgery for dental implants more successful than immediate extraction and implantation or so-called minimally invasive implants? The dentist at my original clinic mentioned that I should be able to undergo immediate extraction and implantation.
Although I feel comfortable with my current dentist, they are relatively young and have less experience, with no background in periodontics or oral surgery.
Additionally, the clinic is very busy, so they cannot spend much time on consultations.
I am a bit worried and troubled about whether to proceed with the dental implant at the original clinic.
Thank you.
Bai, 30~39 year old female. Ask Date: 2018/03/04
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Bai,
Hello! As you mentioned, tooth #1 is severely damaged.
Dental implants are one option.
1.
It is advisable to consult a periodontist or an oral surgeon for better outcomes.
2.
For teeth cleaning, visiting a periodontist is preferable.
3.
Traditional flap surgery for dental implants may not necessarily be better than immediate extraction and placement or so-called minimally invasive implants; in fact, the latter requires more advanced techniques.
Please communicate further with your dentist.
Thank you! Wishing you well!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry
Reply Date: 2018/03/04
More Info
Choosing the right specialist for dental implants is a critical decision that can significantly impact your oral health and overall satisfaction with the procedure. Given your situation, where you have experienced complications with your current dental work, it’s essential to consider several factors when selecting a dental professional for implants.
1. Specialization: When it comes to dental implants, it is advisable to seek out specialists such as periodontists or oral surgeons. Periodontists focus on the health of the gums and supporting structures of the teeth, which is crucial for the success of dental implants. They are trained to handle complex cases involving gum disease and bone loss, which can affect implant placement. Oral surgeons, on the other hand, are skilled in surgical procedures and can perform extractions and implant placements in one visit, especially if you are considering immediate implants (placing the implant right after tooth extraction). Given your history of a fractured tooth and the need for a reliable solution, a specialist with a strong background in these areas would be beneficial.
2. Continuity of Care: If you choose to have your dental implants placed at a different clinic, you can still maintain your regular dental hygiene appointments, such as cleanings, at your original clinic. However, it is essential to communicate with both your new implant dentist and your original dentist about your treatment plans. This ensures that everyone involved is on the same page regarding your dental health and care continuity. If your original clinic is a self-pay clinic, you may want to discuss any potential discounts or packages they offer for ongoing care, as this could help manage costs.
3. Implant Techniques: The choice between traditional implants and immediate implants (also known as "immediate load" or "same-day implants") depends on various factors, including the condition of your jawbone, the health of your gums, and the specific circumstances surrounding your tooth loss. Traditional implants typically involve a healing period after the extraction before the implant is placed, which allows the bone to heal and integrate with the implant. This method has a long track record of success and is often considered the gold standard. Immediate implants can be advantageous for patients looking for quicker solutions, but they require careful assessment to ensure that there is sufficient bone and gum tissue to support the implant right away. The success rates can be comparable, but the risks may be higher with immediate implants if the conditions are not optimal.
4. Consultation and Trust: It’s crucial to feel comfortable with your dentist and confident in their abilities. If you have concerns about your current dentist's experience or the time they dedicate to consultations, it may be worth seeking a second opinion. A good dentist will take the time to explain the procedure, discuss your options, and address any concerns you may have. Don’t hesitate to ask about their experience with implants, the techniques they use, and their success rates.
5. Patient Reviews and Recommendations: Researching patient reviews and seeking recommendations from friends or family can provide insight into the quality of care you can expect. Look for dentists who have a strong reputation for implant procedures and who are willing to provide before-and-after photos of their work.
In summary, when considering dental implants, prioritize finding a specialist with the right qualifications and experience, ensure continuity of care with your existing dental provider, weigh the pros and cons of different implant techniques, and trust your instincts about the dentist-patient relationship. Taking these steps will help you make an informed decision that aligns with your dental health needs and personal comfort.
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