Re: Extraction of #5

From: Alexander Vasserman DDS (purple543210_at_yahoo.ca)
Date: 12/11/04 

Date: 11 Dec 2004 13:52:11 -0800

If it was Tuesday, You could go back to have the socket rescraped
particulate bone packed and a membrane placed and sutured.
You want to make sure your dentist does this kind of thing or you may
need to see a periodontist.
The later might be more expensive now.

The other thing to keep in mind it will screw up your timeline,
(i am not sure yout timeline is correct you want the implant to
osseointergrate minimum 3-4 months not 1-2)
after the graft you would wait 4-6 months then do implant and if needed
sinus lift at same time. then in 3-4 months you can load the implant.
For the healing abutment, if the implant was done as one stage surgery
you may not have to wait very long for the tissue to heal. If it was 2
stage and there is some tissue work needed it could take a bit longer
for the permanent crown but you will have a temporary crown during the
healing process.
Also there are some high end implants that work well in these areas
check out on the internet
the Nobel Perfect implant made by nobel biocare.
Let me explain something. When you pay say $1500 for an implant
placement surgery the actual cost of the implant fixture is around $300
and typically more than one is ordered to make sure a selection is
available during surgery, the rest of the cost is the other materials
doctors time etc... and later on there are other parts such as
abutments and screws lab analogs, impression copings etc... The Nobel
Perfect implant is more like a natural tooth and it costs about $500
for the fixture and it requires it's own surgical kit which can be
borrowed from the rep. I do not know which kit your surgeon uses or
your dentist likes, but these are other issues to consider. I am not
saying the other systems do not work or that you can not get similar
results and frankly if you say the socket was compromised during
extraction, it may not matter, but it is an option to you.

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