Dental implant or not

zaferis · Posted: Sat Jun 30, 2018 3:11 am Post subject: Dental implant or not

Looking for any thoughts or experience on a dental option.

I have a lower, #30 (not the back tooth, but the one infront of that), that needs to be pulled. I have an option of just having it pulled or pulled and replaced with an implant.

Realising that dental structure is a base for the embouchure, I'm concerned that if I have it pulled and left as a space if I may have problems later on, if or when my teeth move because of the space.
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JVL · Posted: Sat Jun 30, 2018 3:28 am Post subject:

hello
what i know is that its "facing" tooth will progressively go out from the gum, and would fall at last, i mean if a superior tooth misses, then the inferior one will fall by time...

the problem is the implant material and toxicity.

best

John Mohan · Posted: Sat Jun 30, 2018 6:02 am Post subject:

I had a lower molar (third from the back including wisdom tooth) pulled about six years ago and though I meant to get back in to have an implant installed, I never did. It has caused absolutely no harm or change to my playing and my other teeth have not moved. Eventually, I will get the implant done for aesthetic reasons only.

Best wishes,

John Mohan
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Harry Hilgers · Heavyweight Member Joined: 16 Jun 2015 Posts: 637

cheiden · Posted: Sun Jul 01, 2018 6:35 pm Post subject:

For a back tooth like that I'd assume a bridge would be a less involved and much less costly option.
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chuck in ny · Posted: Fri Jul 13, 2018 8:41 am Post subject:

difficult freaking decision i am making the same one. will the implant last a long time?

trickg · Posted: Fri Jul 13, 2018 11:26 am Post subject:

Implants theoretically will last forever. They are titanium, and titanium fuses to bone.

I lost #19 - essentially the same tooth, but on the other side, and I have an implant.

I will tell you that the sound and feel changed just a touch when the tooth got pulled - it felt a bit more open with a slight change in sound, and that tightened back up when the crown was installed on the post.

Teeth will move if there is not a tooth in that place. John, I know you say your teeth haven't moved, but I'd be willing to bet that they have - maybe not a lot yet, but they most likely have moved.

I have never regretted doing the implant. After insurance, it cost me about $2200 out of pocket to get that implant, but it's a solid chewing surface, it will never decay, and although the crown may eventually fail, the implant itself never will. Most of the people who lose their implants are either smokers, and/or there has been some trauma to the area that causes a problem.
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cheiden · Posted: Fri Jul 13, 2018 1:42 pm Post subject:

I got #9 (top front) extracted a few weeks ago (welcome to trumpet-player hell). After I complete some orthodonture I'll be getting an implant. In my conversations with the doctor and my own research, implants may last a lifetime but some care is required. The periodontist I'm using requires annual checkups to ensure the implant won't fail.
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Brad361 · Posted: Sun Jul 15, 2018 4:54 pm Post subject:

I’ve had two lower back teeth removed, they are not readily visible. For me, zero affect on playing, and although one of them was removed 12 years ago, nothing has shifted as far as I can tell.

Brad
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Gregory Gilmore · Veteran Member Joined: 20 Oct 2005 Posts: 128

I have three implants: two adjacent lower right molars and one top left ...I'm sorry that I don't know the dental nomenclature or corresponding numbers. I continued to tour with these implants for a few years with no issues. I continue to play/perform today with no issues. I highly recommend dental implants (they are expensive and my insurance at the time deemed them to be a "vanity" procedure) and I advise people to steer clear of root canals as two of my implants are the result of failed root canals. Within the last six months, I have had to have another right upper "before the molars" tooth extracted. I have not experienced any detriment to my playing. Best wishes on whatever you decide/have decided to do...

trickg · Posted: Mon Jul 16, 2018 6:29 am Post subject: Re: Dental implants...

deleted_user_680e93b · New Member Joined: 03 Apr 1996 Posts: 0

cheiden · Posted: Mon Jul 16, 2018 8:50 am Post subject: Re: Dental implants...

trickg · Posted: Tue Jul 17, 2018 6:16 am Post subject:

Google-fu turned up an 85-90% success rate - not failure rate - for the root canal procedure.

I've currently got both - I've got an implant for #18 (I was originally mistaken saying #19) on my lower left, and I've got a root canal and crown on #2 on the upper right.

The implant came about because of an accident of sorts - that was originally supposed to be a root canal and an onlay. I went in on a Wednesday and did the root canal and he gave me a temporary filling, and I was supposed to go in and get it finished the following week. Unfortunately on Sunday afternoon I was eating a cracker and that sucker cracked and broke all the way down through the root. A tooth broken like that can't be saved, so he refunded me the cost of the root canal and we made the decision to go with the implant, which I've always felt was a great decision.

As for the crown, initially I didn't like it, and I thought I was going to have to have that tooth pulled this last winter. I was getting some serious sensitivity with it, particularly with hot food or drink, but it ended up being related to inflammation and sinus pressure from a nasty cold and sinus infection I'd gotten. Right now things are fine with it, but I'm keeping an eye on it. If it ever gets bad again, I'll not hesitate to have it yanked and replaced with an implant. Expensive, yes. Time consuming, yes. But, it's a permanent solution that I know will work and work well.
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zaferis · Posted: Tue Jul 17, 2018 9:18 am Post subject:

Thanks for the thougts and well wishes.

Root Canal is done - the original hope was to crown the tooth, but it's cracked enough that it's not worth repairing or crowning.

I will get it pulled. Just a matter of wether to replace it with an implant or not.

I think I'll just let it go.
To go with an implant is an extra cost that isurance doesn't completely cover.

Z...
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cheiden · Posted: Tue Jul 17, 2018 9:51 am Post subject:

Some folks can live with a missing back tooth but it really depends on whether the teeth in opposition will allow the tooth to erupt unreasonably. I've got a baby tooth on the side and the tooth in opposition only ever erupted just a bit and has been stable for many years.

Any talk of a bridge to span the gap? That's usually a good deal more economical than an implant.
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Bach 3C rim on 1.5C underpart

dershem · Posted: Tue Jul 17, 2018 4:48 pm Post subject:

I work regularly with a guy - just turned 79 - who has basically no molars left. His front teeth are solid, and he plays a good strong lead.
Of course, he's a mutant - he had half a lung removed 10 years ago (cancer) and it barely slowed him down.

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nieuwguyski · Posted: Thu Jul 19, 2018 11:27 pm Post subject:

I had a cracked molar extracted around 10 years ago. This year I was informed that the opposing molar is just now starting to erupt and I'm trying to schedule implant surgery before the end of the year.
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jerry Dibble · Posted: Sat Jul 28, 2018 8:41 pm Post subject: Dental Implants or Not

Just a couple of additional thoughts:
I've had seven implants done over the past fifteen years, None interfered with my regular practice or performance schedule, and, while any change in the configuration of the oral cavity will affect your playing, you can usually maintain your skills and sound through the entire implant process.
Root canal surgery (endodontics) is always the first treatment for an infected tooth, but it leaves the tooth dead and thus more brittle and more susceptible to cracking. It's cheaper than an implant, but not if it fails within a short time and must be replaced with an implant. (I've had mixed results.)
Implants are more expensive than a bridge but most reputable dentists will tell you (as they have told me) that a bridge is a second-rate solution.
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malden · Posted: Fri Aug 03, 2018 3:46 am Post subject:

I had implant surgery two weeks ago for a missing upper molar. The oral surgeon in Paris did a great job. I had no pain or swelling at all. The sutures are now gone. I have to wait six months before the crown but so far so good.
The surgeon suggested I wait two weeks before playing, and I am looking forward to my first day of practice today. If everything continues as smoothly as it started I will be very pleased. Find an excellent oral surgeon. The procedure is a breeze if done correctly.