Dental implant
Hello, doctor! I have a few questions:
1.
I have hypertension (with some adrenal gland hyperplasia), and my blood pressure is currently controlled below 120/80.
I take my medication regularly.
Can I undergo dental implants? Is there any risk involved?
2.
Twenty years ago, I had six fixed dental crowns placed on my front teeth.
Due to the passage of time, one of the crowns has broken into two pieces, and the first and sixth crowns have worn down the underlying natural teeth.
Additionally, the adjacent teeth have decayed and fallen out.
I recently visited a dentist who mentioned that I could have implants and removable dentures, but not fixed ones.
The cost for the implants is 360,000 TWD, which seems too expensive (this includes the cost for six implants and two bridges; is this a reasonable estimate?).
Removable dentures are inconvenient, so is it really impossible to have fixed dentures?
3.
Since dental implants require surgery, will this be done in an operating room (in a large hospital) or at a general dental clinic? How long does the procedure take?
4.
What is the success rate for dental implants? Thank you.
CTW, 30~39 year old female. Ask Date: 2006/04/12
Dr. Liu Tiancai reply Dentistry
Hello:
1.
The criteria for evaluating the feasibility of dental implants are related to both your overall health status and the condition of the local jawbone.
Based on your health condition, you should be eligible for dental implants, but the suitability will also depend on the condition of your jawbone.
2.
The cost of dental implants is approximately 70,000 to 80,000 NTD.
Given your situation, you should be able to receive implants along with fixed prosthetics.
3.
Dental implants should be performed in a clinic with adequate sterilization equipment.
If carried out by a specialist, the success rate is expected to be very high.
Sincerely, Dr.
Liu Tien-Tsai, Dentistry.
Reply Date: 2006/04/12
More Info
When considering dental implants, especially for individuals with high blood pressure, there are several important factors to take into account. Let's address your questions one by one.
1. Can I get dental implants with high blood pressure?
Yes, you can get dental implants even if you have high blood pressure, provided that your condition is well-managed. It’s crucial that your blood pressure is controlled, as uncontrolled hypertension can increase the risk of complications during and after surgery. Since you mentioned that your blood pressure is currently stable at 120/80 and you are adhering to your medication regimen, you should be a suitable candidate for the procedure. However, it is essential to inform your dentist or oral surgeon about your medical history, including your adrenal gland condition, as this may influence the surgical approach and the type of anesthesia used.
2. Cost considerations for dental implants versus fixed bridges:
The cost of dental implants can vary significantly based on the complexity of the case, the materials used, and the geographic location of the dental practice. In your case, the estimate of 360,000 TWD for six implants and two bridges seems reasonable, considering the need for multiple procedures and the associated costs of materials and labor. Fixed bridges can be a viable option, but they require healthy adjacent teeth to support them. If those teeth are compromised, as you indicated, implants may be the better long-term solution despite the higher upfront cost. It’s worth discussing with your dentist the possibility of phased treatment or financing options to make the procedure more affordable.
3. Where will the implant surgery take place?
Dental implant surgery can be performed in various settings, including general dental offices and specialized oral surgery clinics. For straightforward cases, many general dentists are equipped to perform the procedure in their offices. However, if your case is more complex or if you have additional health concerns, it may be advisable to have the surgery done in a hospital setting where more comprehensive medical support is available. The duration of the procedure can vary, but typically, the surgery itself may take 1 to 2 hours, depending on the number of implants being placed and the complexity of the case.
4. Success rates of dental implants:
The success rate of dental implants is generally high, often reported to be around 95% for lower jaw implants and slightly lower for upper jaw implants due to differences in bone density. Factors that can influence the success of dental implants include the quality and quantity of the bone, the patient's overall health, and adherence to post-operative care instructions. Given your controlled blood pressure and the absence of other significant health issues, your chances of a successful implant procedure are favorable.
In conclusion, while having high blood pressure does add some considerations to the dental implant process, with proper management and communication with your dental care team, you can proceed safely. It’s advisable to have a thorough consultation with your dentist or oral surgeon to discuss your specific case, including the best treatment options, potential risks, and financial considerations. They can help you navigate the complexities of your dental needs while ensuring your overall health is prioritized.
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