Re: Need Opinion by Dentist



I would recommend the implants
you can have 2 implants placed (to replace #20 and #18) and a 3 unit
bridge to fill #20,19,18 space, or 3 separate implants.

I too think that doing a 5 unit bridge is not good but if you do not
want implants you can add another unit to the bridge ie 6 units #22-17
to provide better support and prevent flexure of the bridge due to long
span, just remember if you get decay as you had in the past changing a
6 unit bridge gets more expensive long term.




Tony Bad wrote:
> Cost aside, I think implants would be best choice.
>
> I agree with your view of bridge...that is a long span to hang on a
third
> molar.
>
> Partial denture would work, and if well designed and made, could be
quite
> stable since you have #17 to provide support on the distal (back)
end.
>
> Check with your insurance about the implants. Have dentist submit
> pre-treatment estimate explaining bridge is a poor option due to span
and
> condition of #17. Most insurance plans will not recommend a
unilateral
> partial denture as an alternate or least costly care option. Even if
they do
> have the least expense clause, you can usually apply what they do pay
to
> care of your choosing.
>
> Even if they do cover the implants, it is probable the benefit will
be a
> drop in the bucket compared to total cost.
>
> Good luck
>
> T
>
>
> "ken" <schw9883@xxxxxxxxxxxxx> wrote in message
> news:Taeee.830$dm.217@xxxxxxxxxxxxxxxxxxxxxxxxx
> > Teeth 18-20 are missing thanks to having a bridge removed. It was
a 4
> unit
> > bridge anchored to 17 and 20 but 20 went bad and had to be
extracted. (i
> > assume 20 is the one closest to the front).
> >
> > So now I have a space of 3.. #17 has a partitioned bridge.
> >
> > My options are:
> >
> > 1- 5 unit bridge anchored by 17 and 21
> > 2- implants..18 and 20 with a 3 piece bridge across
> > 3- Partial denture for 18-20
> >
> > My feelings are that a 5 unit bridge anchored by 17 and 21 is not
> sufficient
> > support. All my prior bridges always ended up with decay at some
point in
> > time and had to be removed.
> > Implants will be time consuming... Also my insurance company has a
clause
> of
> > least expense. Meaning if there is a way to fill a gap that they
will
> > approve the least expensive treatment. So, the implants would be
out of
> > pocket... Also would be a time issue since I just had a socket
graft in
> #20.
> > A partial denture... I don't know the pros and cons except that it
must be
> > cleaned after meals.
> >
> > Any advice from those who are experienced in this field would be
> > appreciated.
> >
> > Regards, Ken
> >
> >
> >

.



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