Tooth Extraction, Bone Regeneration, and Dental Implants

One of the most common treatments we perform in the office is tooth extraction, bone regeneration and dental implants. The reason this procedure needs to be performed has to do with the fact that when teeth break beyond the point of repair, they must be removed. In order to replace teeth, patients have the following options:

1. No tooth replacement

2. Dental bridge

3. Partial or full denture

4. Dental implant(s)

 

The first option is a poor one because if you do not replace missing teeth, you risk tooth shifting and over-eruption by other teeth in the opposite jaw. This can lead to alterations and changes in your bite which can lead to life-long pain and discomfort (e.g.. headaches, jaw pain, and more broken teeth).

The second option is old technology and results in destroying adjacent teeth. When you lose a tooth, if you have teeth on either side of the space, a dentist can cut down these teeth (permanently destroying these teeth) and placed a bridge in the space to replace the missing tooth or teeth. However, these bridges are relatively short term and no dentist can assure you use of such a bridge for more then 7 to 10 years. Often times, the teeth that hold these bridges undergo the tooth decay process which lead to more treatment like root canals and more root fillings. So crown and bridge treatment can actually lead to more tooth compromise and more tooth destruction in the long-term. Even though dental insurance companies are happy to cover such treatment, these are your teeth being destroyed. So proceeding with this treatment JUST BECAUSE dental insurance may cover it is extremely short sighted and can lead to more tooth loss in the upcoming few years.

The third option, a partial or full denture, can be cheap but extremely uncomfortable. Dentures can loosen and fall out of you mouth when you laugh, you can get food stuck between the denture and your gums leading to extreme pain and they can smell really awful when food is stuck under them and not cleaned out multiple times per day.

So the best option in today’s modern world where people want to look, feel, and smell their best, is the dental implant. A dental implant is a titanium alloy post which is gently inserted into the jaw bone, hence, replacing the ROOT of the tooth. A couple months later, once the implant has integrated with your own bone, a dental crown or CAP is screwed into the implant. It’s that simple. It doesn’t hurt. It’s a little more expensive then a bridge, but in the long term, it will likely last for the rest of your life whereas a bridge you will replace multiple times throughout your life and potentially lose the bridge teeth as well.

Dental Implants are long lasting, easily cleanable, and relatively inexpensive dental treatment options that should last a lifetime. They replace teeth to the extent that they look almost identical to the teeth being replaced (assuming you treat the problem in time and don’t allow your bone to degenerate too long).

I always tell my patients that if a tooth is cracked and you are experiencing an early abscess (gum boil), then you should have the tooth extracted as soon as possible because otherwise you risk losing more bone and requiring bone grafting PRIOR to dental implant placement. When you have an abscess, you lose bone. When you lose bone, it becomes more challenging to place an implant. Therefore, if you wait a long time before dealing with an infection (abscess), the tooth will be extracted and then, instead of placing the dental implant right away into the tooth socket, you will need to spend thousands of dollars on a bone graft PRIOR to placing the dental implant a few months later (usually four months later). People who wait too long end up spending A LOT more money then those who address the problem right away.

An extraction and dental implant with a final crown three months later should cost around $4500-5000. However, if wait too long with an infection and you end up requiring bone grafting BEFORE the dental implant, this could increase the cost of your treatment by $1800 to $5000 per tooth. Why wait? If you have a tooth infection or pain or gum boil, give us a call for a consultation and let us tell you what is the best course of action. You can call Dr Veisman at 416-225-9910 for a consultation.

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