Q.
Dear Dr Moore,
My two front upper teeth were root canalled around 3 years ago and I am currently in the process of having NHS veneers but now I have an abscess. I’ve taken a 7 day course of 250mg amoxicillin. I have an appointment with an endodontist soon to see if he can do a re-root canal. But I think in all likelihood my teeth will have to be extracted. So I’ve been researching implants. I have many questions, please could you try to answer them:
1) If my teeth are removed can the hole be filled with a bio-scaffolding like Alverlac? I’ve heard this stuff is good for preventing bone loss.
2) how long will I have to wait to have implants after having my teeth extracted? I’ve heard implants can be placed in the jaw straight after having the teeth removed, is this correct?
3) I believe my gums are quite thin but think they are healthy as I don’t smoke and I’m in good general health. Although, their not ‘bouncy and thick’ looking. Which I’ve heard is preferable for successful implants. Will this be a problem for implants and will you be able to see them through the gums? Or will I have to have a soft tissue graft? And if so how much would this cost and where exactly in the mouth would the tissue be taken from?
4) Have the course of anti-biotics I’ve taken been enough to have killed some/ if not all the bacteria. Or do they just stop the bacteria from spreading?
5)How do you know if you have a good amount of bone in the upper jaw for implants? Is there some kind of average measurement?
6) I’m a student but have a part time job which consists of 20 hours. I was wondering could I pay for my treatment through a dental finance loan company such as Medenta (so I’ll pay a monthly sum for 12 months or so) or are these types of loans only available to full time workers.
7) If I can’t get the loan I’ve worked out it will take me about a year to save for two implants. In the meantime I really dont want to have my teeth extracted (because of the whole bone loss thing and cosmetic appearance). So if I leave the abscessed tooth for the year will this be a problem? Will it cause any ill effects? I’ve already taken anti-biotics. Will I have to take more?
8) If the crown on the implant needs to be replaced what would be the cost? Would it be a similar cost to having a crown on a natural tooth? Or be more expensive?
9) Is it worth having a re-root canal? I’ve read these can cost in excess of £500 and there not always successful. Will it really make a difference? or like I said could I just leave it and save for 12 months for implants?
I know its a lot of questions and of course you havent seen my case but if you could answer my questions it really would help. Thanks.
Dear Dr Moore,
My two front upper teeth were root canalled around 3 years ago and I am currently in the process of having NHS veneers but now I have an abscess. I’ve taken a 7 day course of 250mg amoxicillin. I have an appointment with an endodontist soon to see if he can do a re-root canal. But I think in all likelihood my teeth will have to be extracted. So I’ve been researching implants. I have many questions, please could you try to answer them:
1) If my teeth are removed can the hole be filled with a bio-scaffolding like Alverlac? I’ve heard this stuff is good for preventing bone loss.
2) how long will I have to wait to have implants after having my teeth extracted? I’ve heard implants can be placed in the jaw straight after having the teeth removed, is this correct?
3) I believe my gums are quite thin but think they are healthy as I don’t smoke and I’m in good general health. Although, their not ‘bouncy and thick’ looking. Which I’ve heard is preferable for successful implants. Will this be a problem for implants and will you be able to see them through the gums? Or will I have to have a soft tissue graft? And if so how much would this cost and where exactly in the mouth would the tissue be taken from?
4) Have the course of anti-biotics I’ve taken been enough to have killed some/ if not all the bacteria. Or do they just stop the bacteria from spreading?
5)How do you know if you have a good amount of bone in the upper jaw for implants? Is there some kind of average measurement?
6) I’m a student but have a part time job which consists of 20 hours. I was wondering could I pay for my treatment through a dental finance loan company such as Medenta (so I’ll pay a monthly sum for 12 months or so) or are these types of loans only available to full time workers.
7) If I can’t get the loan I’ve worked out it will take me about a year to save for two implants. In the meantime I really dont want to have my teeth extracted (because of the whole bone loss thing and cosmetic appearance). So if I leave the abscessed tooth for the year will this be a problem? Will it cause any ill effects? I’ve already taken anti-biotics. Will I have to take more?
8) If the crown on the implant needs to be replaced what would be the cost? Would it be a similar cost to having a crown on a natural tooth? Or be more expensive?
9) Is it worth having a re-root canal? I’ve read these can cost in excess of £500 and there not always successful. Will it really make a difference? or like I said could I just leave it and save for 12 months for implants?
I know its a lot of questions and of course you havent seen my case but if you could answer my questions it really would help. Thanks.
A.
1. I don’t have any experience of Alvertec
2. Yes immediate implants are possible in the right case and with the right type of implant/surgery
3. Don’t know without seeing you
4. They would help but won’t take the infection away completely
5. You need an x-ray and a scan
6. You’ll have to apply to find out
7. You would be best to take out the tooth/teeth and fit a temporary bridge while you wait for implants in case the infection gets worse
8. From £500
9. Can’t say without seeing you
1. I don’t have any experience of Alvertec
2. Yes immediate implants are possible in the right case and with the right type of implant/surgery
3. Don’t know without seeing you
4. They would help but won’t take the infection away completely
5. You need an x-ray and a scan
6. You’ll have to apply to find out
7. You would be best to take out the tooth/teeth and fit a temporary bridge while you wait for implants in case the infection gets worse
8. From £500
9. Can’t say without seeing you
You need a proper consultation with an implant dentist
Dr Andrew Moore
Advance Dental Clinic
104 Moulsham Street, Chelmsford, Essex, CM2 0JG
Web: www.advancedentalclinic.com Tel: 01245 268 494
