I want to get dental implants?
Hello Doctor: I have had two missing molars on the lower left for over fifteen years, and my alveolar bone has become quite thin and a bit low.
When I touch it with my fingers and thumb, the width is about 0.3 cm.
Additionally, my wisdom tooth has also erupted.
Is it still possible to perform bone grafting and dental implants in this situation? What would the approximate cost be?
Huang Hongxin, 30~39 year old female. Ask Date: 2020/08/01
Dr. Huang Tingfang reply Dentistry
Dear Mr.
Huang: Hello! Basically, if a tooth is missing for too long, the upper teeth may shift downwards, and there may be insufficient bone quality in the mandible, which could require bone grafting.
Clinical confirmation is necessary.
Wishing you all the best! Sincerely, Dr.
Huang Ting-Fang, Dentistry.
Reply Date: 2020/08/01
More Info
When considering dental implants, particularly in cases where there is significant bone loss, such as in your situation with thin jawbone (approximately 0.3 cm in width), there are several important factors to consider.
Firstly, it is essential to understand that dental implants require a certain amount of bone density and volume to be successful. The implant needs to be securely anchored in the jawbone to function properly and to withstand the forces of chewing. In cases where the jawbone is too thin or has receded, there are options available to augment the bone before or during the implant procedure.
Bone Grafting
One of the most common procedures to address insufficient bone is bone grafting. This involves taking bone from another part of your body (autograft), using synthetic bone material (allograft), or using bone from a donor (xenograft) to build up the jawbone. The graft material is placed in the area where the bone is deficient, and over time, it integrates with your existing bone. This process can take several months to heal before dental implants can be placed.
Sinus Lift
If the missing teeth are in the upper jaw, a sinus lift may be necessary. This procedure involves lifting the sinus membrane and placing bone graft material in the sinus cavity to create more bone for the implant.
Implant Options
Once sufficient bone has been established, dental implants can be placed. There are different types of implants, including standard implants and mini implants. Mini implants are smaller in diameter and may be an option if there is not enough bone for a standard implant. However, they may not be suitable for all cases, especially for molars that bear significant chewing forces.
Costs
The cost of dental implants can vary widely based on several factors, including the complexity of the case, the type of grafting required, the materials used, and the geographic location of the dental practice. On average, the cost of a single dental implant can range from $3,000 to $4,500, which may include the implant itself, the abutment, and the crown. Bone grafting can add an additional $300 to $3,000 to the overall cost, depending on the type of graft used and the extent of the procedure.
Consultation with a Specialist
It is crucial to consult with a dental specialist, such as an oral surgeon or a periodontist, who can evaluate your specific situation through imaging studies like X-rays or a CT scan. They can provide a comprehensive treatment plan tailored to your needs, including the potential for bone grafting and the placement of dental implants.
Conclusion
In summary, while having a thin jawbone presents challenges for dental implants, it is not an insurmountable obstacle. With appropriate bone grafting and careful planning, you can still achieve successful dental implants. The costs can be significant, but many dental practices offer financing options to help manage the expenses. Always discuss all your concerns and options with your dental provider to make an informed decision that best suits your oral health needs and financial situation.
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