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Bone graft before dental implant?
Old 07-21-2016, 09:56 AM   #1
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Bone graft before dental implant?

Anyone have success with a bone graft prior to an implant? I've got great choppers but the loss of bone in my jaw is to the point of putting several teeth in jeopardy. Periodontist recommends a bone graft, use of a flipper for several months prior to an implant (tooth #7, canine) as the first of several procedures.

I'm not sure about the flipper for the interim... I'm checking into a 'snap on smile' as an option.

Any experiences would be of interest to me..thanks in advance.

Also- it's pricey at $5,500 for extraction, graft and implant... flipper would probably be another $500 from the DDS. Ouch!
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Old 07-21-2016, 10:02 AM   #2
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DW had a bone graft prior to an implant in 2014. The first graft attempt failed and she had to do it again, but the implant has worked great. The total bill was $3K.

(Not familiar with a flipper...)
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Old 07-21-2016, 10:14 AM   #3
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Small world. In a little over 3 hours I will be less one tooth. Cracked one down to the nerve so gotta go with an implant. Just 2 years ago I had the same thing happen on the exact tooth on the other side of my mouth. No graft was necessary on the last one and doc says won't need it on this one either. There will be a graft when the implant(socket) is installed. Just no pre-implant graft. Total cost a little over $3k.
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Old 07-21-2016, 10:25 AM   #4
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Yeah, my oral surgeon likes to do a bone graft before each implant. It's not a big deal. The material comes from cadavers, but it is thoroughly irradiated so I am not concerned about that source. In 2013 it cost $450, total bill including $1800 implant and $1200 crown came to $3450. Price varies widely depending on where you live, apparently. I'd rather have a bone graft done than not, so that there is no doubt the implant will be sturdy.

I didn't get a flipper for either of my implants, because both were pretty far back in my mouth and not easily visible.
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Old 07-21-2016, 11:03 AM   #5
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OP here... I've grabbed the estimate the doc gave me.

In the written estimate the Periodontist gave me, it lists $130 for the Analgesia and $315 for Non IV conscious sedation...x2 (once for the extraction/graft visit and once for the implant visit) equals:

-$260 for the prescription for pills to put me out (which I have to buy at Walgreens... .25 mg, 3 pills)
-$630 for 'monitoring' my sedation
--total of $890 for the sedation part

The graft is $2,420 and the implant is $2,163-- grand total after a 10% 'professional courtesy' discount... $5,895

From previous posts, it sounds like I need to get a second estimate.
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Old 07-21-2016, 11:45 AM   #6
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I don't blame you for getting a second opinion but if the periodontist is highly recommended with a lot of experience and the potential cost is more of an annoyance that you think you are being overcharged (vs not being able to afford it), I would just go with him and do whatever his suggested procedure is. Canines can be difficult teeth to work with and the implant is forever.

I had a run of the mill implant (two behind the canine) maybe seven years ago, nothing but novocaine, and cost was around $2400 (periodontist had to honor insurance limit, he said, although insurance we had at the time didn't pay for anything). No bone graft, no flipper. The regular dentist did everything else (extraction, post, crown) and I am sure his cost was about the same.
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Old 07-21-2016, 12:25 PM   #7
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I had a bone graft when a tooth was pulled to better prepare for an implant. Surgeon said it was the recommended procedure, bovine material was used. Worked great getting the implant put in shortly.


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Old 07-21-2016, 12:55 PM   #8
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I have 4 implants, all done with a bone graft from a cadaver donor done at the same time the implant was placed. No complaints at all. They were about $5,000 each. To the extent that I can judge professionals from outside of their field, the oral surgeon is really impressive (MD and DDS) and I had full trust in him and in the dentist who placed the prosthetic teeth after the implant sites were fully healed.


In my case, two implants were to replace a tooth supporting a bridge that had gone bad, plus a tooth to fill the gap. The other procedure, about 7 years ago, was to replace two teeth underneath crowns with irreparable decay that happened to go bad at the same time.
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Old 07-21-2016, 12:57 PM   #9
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I'm not familiar with the term "flipper". I had a bone graft prior when a tooth was pulled and after later had a tooth implant. Total cost for the implant was about $4000. The worse part, for me was the waiting with a retainer until finally the implant got finished. Total time about a year.
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Old 07-21-2016, 02:25 PM   #10
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Just had my tooth pulled. Took no time. He had a couple of students there watching and he told them that my bone would fill in nicely and a graft won't be needed. How he can tell this I have no idea. But he is the most well thought of periodontist in my area so I'm satisfied. My last one worked out fine with him. Will let it heal for 3 months and if everything looks fine, will do the implant shortly there after.
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Old 07-21-2016, 02:37 PM   #11
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Originally Posted by easysurfer View Post
I'm not familiar with the term "flipper". I had a bone graft prior when a tooth was pulled and after later had a tooth implant. Total cost for the implant was about $4000. The worse part, for me was the waiting with a retainer until finally the implant got finished. Total time about a year.
a flipper is what they call the temporary tooth... it's removable. there are other options, but everything has advantages and disadvantages..
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Old 07-21-2016, 03:13 PM   #12
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Maybe I am making a mistake, but have a cracked molar #15 and the endodontist felt the root canal / crown may only last 3-4 years and suggested extraction. The crack is below the crown. My regular dentist agrees. I'm either being lazy and/or cheap and not doing an implant. I would hate to spend a bunch to have it yanked later. I had an employee try twice with the cadaver bone for an implant and it did not work out for him.

I have to say as the root died that was quite the 36 hours of no sleep sipping on ice water. I needed something better then ibuprofen and hydrocodone.
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Old 07-21-2016, 03:40 PM   #13
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I had bone harvested from elsewhere in my jaw and grafted in 6 months ahead of time in preparation for a mounting post for a tooth. Went really well, the bone took and integrated, 6 months later they screwed the mounting post socket into it, and now I have a nice functional tooth where once there was just a gap. All told it cost a bit over $10k (harvest and graft under general anesthetic, then 6 months later pulling the screws from the graft and putting in the mounting socket, also under general anesthetic) and was totally worth it. My mouth recovered quickly, I have zero memory of the experience, pain throughout was minimal and easily controlled (I literally only used one of the hydrocodone pills they gave me, then switched to ibuprofen).

I'm really happy with the outcome, the service and the process. Totally worth the expense, for me.
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Bone graft before dental implant?
Old 07-21-2016, 03:44 PM   #14
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Bone graft before dental implant?

Quote:
Originally Posted by Retch The Grate View Post
I had bone harvested from elsewhere in my jaw and grafted in 6 months ahead of time in preparation for a mounting post for a tooth. All told it cost a bit over $10k (harvest and graft under general anesthetic, then 6 months later pulling the screws from the graft and putting in the mounting socket, also under general anesthetic) and was totally worth it. My mouth recovered quickly, I have zero memory of the experience, pain throughout was minimal and easily controlled (I literally only used one of the hydrocodone pills they gave me, then switched to ibuprofen).

I'm really happy with the outcome, the service and the process. Totally worth the expense, for me.

Wow-that's the most expensive one I've heard of. Do you live in a HCOL area or do you think it was because of the bone graft step? I hated the 6-month deferral from blood donations with the cadaver grafts. Presumably that wouldn't happen with autologous.

My last time he gave me a prescription for 25 Hydrocodones-refillable! I never got them. Darn, they would have brought a lot on the street.
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Old 07-21-2016, 03:50 PM   #15
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I don't blame you for getting a second opinion but if the periodontist is highly recommended with a lot of experience and the potential cost is more of an annoyance that you think you are being overcharged (vs not being able to afford it), I would just go with him and do whatever his suggested procedure is. Canines can be difficult teeth to work with and the implant is forever.
Great advice. I wouldn't want to go with a bargain basement implant. These things are solid and it's like having a new tooth.
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Old 07-21-2016, 03:58 PM   #16
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a flipper is what they call the temporary tooth... it's removable. there are other options, but everything has advantages and disadvantages..
Is the flipper a temporary crown? If so, then I've had plenty of those.

As I mentioned before, the worse part I thought was needing the retainer to hold my teeth in place to the graft heal up. But now that the implant is all done I love it and would definitely do again. Now I have no issues biting down on the implant to chew an apple, for example whereas before I'd avoid to not loosen the crown or biting was just weak there.
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Old 07-21-2016, 04:02 PM   #17
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Wow-that's the most expensive one I've heard of. Do you live in a HCOL area or do you think it was because of the bone graft step? I hated the 6-month deferral from blood donations with the cadaver grafts. Presumably that wouldn't happen with autologous.

My last time he gave me a prescription for 25 Hydrocodones-refillable! I never got them. Darn, they would have brought a lot on the street.
Silicon Valley, I went with the oral surgeon my dentist recommended as being the best in the area, and said yes to general anesthetic for both surgical steps (I wanted to have zero memory of the trauma, totally worked, that was about $800 each time), and harvesting of my blood and re-injection of concentrated healing factor (handwaving the exact details since I don't remember anymore, but that was again around $800 each time as well), which he said would greatly improve the recovery. Net result was no infection (when I was in college and they removed the tooth that was responsible for the gap that needed the bone graft, the surgical site got infected and that SUCKED), a solidly anchored tooth (I can bite through steak and baguettes with it!) and a very happy me.

Half the cost was the bone graft surgery, and half was the implant surgery (basically around $5500 each time of which about 4k was the surgery cost, and 1500 were the optional general anesthetic and blood harvesting/concentration/re-injection).
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Old 07-21-2016, 09:25 PM   #18
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I'm just about done my first implant. Tooth had had a root canal 15 years ago. Had the post placed 3 weeks ago. Extraction in April was quite straight forward. Good amount of swelling afterward. Advil for a few days. Bone graft at the time of extraction. Appointment for crown in a month. Should be 4k all in. DW had two done a couple of years ago and my recollection was perhaps 5k per. In my opinion, they do a great job but but seems quite well paid for what is involved.
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Old 07-22-2016, 05:55 AM   #19
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I'm doing implant over 2 year period. An old tooth with large fillings, root canal maybe, came off at gum line. Either bridge or implant to be done. Had tooth extracted last summer. In the fall did the graft and implant early this year. Everything worked with practically no pain. Waiting to initiate restoration with dentist.

I declined going to a clinic where anesthesia drove the cost up by more than 2k.
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Old 07-22-2016, 07:45 AM   #20
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Silicon Valley, I went with the oral surgeon my dentist recommended as being the best in the area, and said yes to general anesthetic for both surgical steps (I wanted to have zero memory of the trauma, totally worked, that was about $800 each time), and harvesting of my blood and re-injection of concentrated healing factor (handwaving the exact details since I don't remember anymore, but that was again around $800 each time as well), which he said would greatly improve the recovery.
Umm, yeah, I can't imagine the implant surgery without anaesthetic! My oral surgeon mentioned the concentrated healing factor when I had implants in 2014 and I remember he said their cost was $800. He didn't use it because he could see that the earlier implants had integrated so well.
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