Thursday 19 September 2013

how much does dental implant cost

How much do dental implants cost?

Dental implants these days have evolved as the most sought after treatment modality for fixed teeth due to their advantages over conventional fixed bridges(for more details read our blog on dental implant versus bridge)

 Although the latest tecnology remains the most sought one for the patients but the COST remains a major deciding criteria for the patients. Hence my motive to sit down and write this blog is to put across the patients the reasons behind this gtreatment being expensive and why the cost of dental implant varies so mich from one dental surgeon to other and from area to area.

A dental implant is made of a highly nobel material called Titanium which in itself is expensive and what matters more is the layering of a biologically active material over this titanium surface. The better this coating is (in terms of bone formation around implant) the better the implant is.........ULTIMATELY IN THE FIST PLACE THIS BONE FORMATION AROUND IMPLANT IS GOING TO FORM A FIRM BONDING OF IMPLANT TO BONE FOR THE FUTURE TOOTH OVER IMPLANT.
hence different dental implant companies(eg nobel, dentsply, biohorizon, alpha bio) etc  have their patent design of implants and the differenent coatings over them and hence the different costings from the manufacturer itself.


 Another very important fact It is  that most health insurance companies do not cover the complete cost of getting a dental implant because they also fall under the category of cosmetic dentistry. (let me be very clear and precise that in INDIA none of the insurance companies cover the dental implant procedure.............for overseas patients coverage under your medical plan may be possible, depending on the insurance plan and/or cause of tooth loss. Detailed questions about your individual needs and how they relate to insurance should be discussed with your dentist and insurance provider clearly before hand if you have to get the treatment cost reimbursed from an insurance company)

The procedures that are involved in the placement of a dental implant include bone grafts, implanting a titanium post into the jaw, placing the implant onto the post, and finally the placement of the crown or the false tooth.
The average cost of a single dental implant in USA ranges between $4000 to $5000 with the cost of the titanium post and the crown being the most expensive of all the procedures that are performed in the surgery. It is for this reason that only few people can afford to replace their missing teeth with implants.
THE SAME TREATMENT IN INDIA COSTS AROUND $500-$1000.( THE COST OFCOUSE MAY VARY IF ADDITIONAL BONE GRAFTING ETC ARE REQUIRES ....OR MAY BE IF A PATIENT WANTS A ZIRCONIA CAP OR A METAL FREE CAP FOR THAT MATTER.


Why does the cost of dental implants vary?

It has been noted that the cost of dental implants varies greatly depending upon the area and the dental surgeon. A major observation is that dental surgeons with private practices charge more for the placement of implants that those that work as part of a  hospital or dental implant training  centres.( the cost varies depending upon the diffrence of armamentarium(equipments ...digital xrays etc), sterilization protocols and the prosthetic lab support(the kind of lab being used  and let me be clear that after the implant has been put the rest half of the battle is won only if the crown/artificial tooth being put over it fabricated properly....as that is the visible outcome of treatment to the patient and in terms of functional viablity of the implant)



Which dentist is ideal for the placement of dental implants?

The cost greatly varies for clinician to clinicain depending upon the years of experience. A more experience implant dentist is genrally more expensive too(as compared to the implants being placed at training centres where the implants are placed by trainees as compared to experienced surgeons......and let me add to this too that if you are travelling from overseas then beware of the lots of QUACKERY HAPPENING AROUND HERE IN INDIA...AS IMPLANT IS NOT JUST DRILLING AND PALCING THE SCREW......ITS SUCCESS TAKES INTO ACCOUNT THE METICULOUS PLANNING, STERLIZATION, IMPLANT COMPANTY etc).
And let me ask a question here that would anyone put money from his/her pocket to give a quality service to others....no....so think twice before you get attracted to a low cost implant deal.

And then let me add to this that implant placement is a TEAM WORK. The story does not end with the drilling of bone and putting a titanium screw(the IMPLANT).....the position at which this is done should be planned before the placement and this is done by a PROSTHODONTIST. In short the team generally at most of the places have an implant surgeon, a PROSTHODONTIST(artificial teeth specialist) , and a PERIODONTIST(gum specilist if any soft tissue grafting is required.Many dentists and hospitals readily advertise and publicize their expertise in the area of dental implants but these must be ignored. In order to determine which dentist is the best in your locality for the placement of implants, one must read reviews posted by other patients regarding their experience with a particular dentist.

So if i summarize what i intended to put across through this blog i can put it under these points....


1.Does the price include just the implant or the  abutment and crown/restoration?

2.What is the experience of the dental surgeon carrying out the treatment? 
A more experienced surgeon will usually charge more for his time.

3.Where is the clinic that I am having my treatment? 
The cost of implants can vary in different parts of the country due to differences in overheads of running the dental clinics.

4.Which brand of implant does your surgeon use?
There are various different manufacturers of dental implants, such as alpha bio, Nobel Biocare, dentsply  to name a few(being regulary practised in india). The different implant types do vary in price and so this will be reflected in the final costs of your treatment.

5.Additional costs : bone grafting, sinus lift procedures etc.


I HOPE I HAVE BEEN ABLE TO PUT ACROSS MY POINT.....AND NEXT TIME YOU SIT TO BROWSE LOOKING OUT FOR DENTAL IMPLANT TREEATMENT IT WOULD BE EASIER AND A WISER DECISION TOO.

DR.NAINA TALWAR CHOPRA
B.D.S,M.D.S-(PROSTHODONTIST AND CERTIFIED IMPLANT SPECIALIST)
GOLD MEDALIST

Wednesday 22 May 2013

SHOULD I GET IMPLANT OR BRIDGE ?


 

Bridge vs Dental Implants


When considering a bridge vs dental implants you need to understand what the advantages and disadvantages are for each alternative.

Sure! Initially it may seem cheaper to go with the bridge (and in most cases your dental insurance will cover it - that is if you have insurance) rather than going for the implants, but is it really cheaper in the long run?

How about the clinical aspect of it? Did you know that when your dentist is building your bridge he is cutting down on healthy, adjacent teeth in order to support the bridge structure? the bridge is supported by the 2 neighboring teeth that where milled down to hold the structure!


Improved oral health - Dental implants do not affect your other healthy teeth, therefore more of your own teeth are left intact. A bridge, on the other hand, may require the cutting down of healthy, adjacent teeth in order to support the bridge structure.

  • Durability- a permanent solution to tooth loss is offered with a dental implant vs bridges , which have a life expectancy of only 10 years. Implants bond to the jaw bone and become part of it - this connection is as strong as a natural tooth root. Using a bridge relies on the side forces applied on the adjacent teeth and on the bridge's structure.

    When using a bridge vs dental implants, you support your structure on natural teeth that are still vulnerable to decay and other diseases, implants on the other hand cannot develop any diseases since they are made of titanium.
  • Jaw bone resorbtion - Treatment with a dental bridge vs implant involves placing implants in areas where there are no teeth and by so doing, the bone area is stimulated again and this prevents long term bone loss in that area.

    If a bridge that connects 2 teeth is used instead of a dental implant, pressure is not applied on the jaw bone! Therefore the bone is not stimulated and begins to shrink away.
  • Oral hygiene - Individual dental implants allow easier access between teeth, enabling everyday normal dental care. Flossing bridges is not an easy task and requires time and patience, making it a tiresome process. This fact eventually will give an advantage to the implants by enabling improved everyday oral hygiene.

Esthetics : a dental implants more natural emerging from gums.

Price: the price of  a dental bridge is cheaper than dental implant .But in long run implants are cheaper because of  high durability of implants.

Thursday 16 August 2012

implants in diabetic patients-glycated haemoglobin (HbA1c) levels an important decision making parameter

www.drchopradentalclinic.com

One of the most common questions that we encounter from diabetic patients who want replacement of teeth is CAN WE HAVE IMPLANTS TO REPLACE OUR MISSING TEETH?

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WELL...........the simple answer is YES, but in order to do that one has to keep the blood sugar levels under control.
The patients most often tell that they keep a check on their fasting sugar levels but here i would like to inform the diabetic people who want implants that they should have a record of their glycated haemoglobin levels during the last few months before they decide that they can have implants or not.It is a simple blood test which tells about the sugar levels during the last three months and is a better indictor of glycaemia control than the fasting or post parendial blood sugar levels.

 Glycated Hb/Hemoglobin A1c level,should be less than 7%, which is considered “well controlled”. Hemoglobin A1c from 7% to 9% is only “fairly well controlled”. Levels higher than 9% are considered out of control. Patients who would like to have dental implant surgery cannot proceed with surgery while their diabetes is out of control.though this is a complicated disease that affects everything in the body, including the teeth, the gums and the jaw bone.
   
In one study involving 45 patients with diabetes, followed for up to 12 years after implant placement and sinus bone grafts, the doctors found that well controlled (Hemoglobin A1c less than 7%) and even fairly well controlled diabetes (Hemoglobin A1c 7% to 9%) had almost the same implant success rates of 97.2%.


ANOTHER COMMON QUESTION WHICH ARISES IN THE DIABETIC PATIENTS IS THAT ....WILL THE SUGAR LEVELS INTERFERE WITH THE IMLANT OSSEOINTEGRATING WITH BONE?

Diabetes mellitus is considered a relative contra-indication for implant therapy. However, the effect of glycemic level on implant integration in persons with diabetes remains poorly understood. The hypothesis of this research was that poor glycemic control is directly related to short-term-impairment implant stabilization. This prospective clinical study evaluated 10 non-diabetic individuals (12 implants) and 20 persons with type 2 diabetes (30 implants). Glycated hemoglobin (HbA1c) levels ranged from 4.7-12.6%. Implant stability was assessed by resonance frequency analysis over 4 months following placement. Minimum stability levels were observed 2-6 weeks following placement for all 42 implants. Persons with HbA1c ≥ 8.1% had a greater maximum decrease in stability from baseline and required a longer time for healing, as indicated by return of stability level to baseline. This study demonstrates alterations in implant stability consistent with impaired implant integration for persons with type 2 diabetes mellitus in direct relation to hyperglycemic conditions.owever, there were more complications with infections, the higher the Hemoglobin A1c value.Glycemic Control and Implant Stabilization in Type 2 Diabetes Mellitus.http/:Glycemic Control and Implant Stabilization in Type 2 Diabetes Mellitus.htm

 The interested people can also go through an article on "Implant success in people with type 2
diabetes mellitus with varying glycemic control".JADA 2007;138(3):355-61.http://jada.ada.org.

Diabetes interferes with bone healing and bone formation, but not enough to prevent dental implant healing sufficient to restore your mouth. Having said this, a review of all the studies done found no statistically significant increase in failure rate of dental implants for diabetes patients. One study did show “a significant increase in relative risk of implant failure with diabetes.”

THE PRECAUTIONS WHICH THE DIABETIC PATIENTS WITH DENTAL IMPLANTS SHOULD TAKE ARE
1.One thing to consider if you have d1.iabetes and are considering dental implant treatment is to commit to a good old hygiene program. Uncontrolled diabetes and poor dental hygiene lead to bone loss around teeth especially, but also around implants (though more slowly).
 2.Blood sugar levels need to be appropriate. When blood sugars are high in addition to general health considerations, the oral cavity changes its bacterial flora. Chronic infections in the gum tissue are supported by high glucose levels. So if you are having a period of high sugar readings on your glucometer or a high Hemoglobin A1c you may wish to delay treatment for a few months until blood glucose stabilizes.

If you have Type 1 diabetes you must pay attention to dietary management. If you have decided to go forward with treatment, most often this procedure is done with the patient “asleep” using intravenous sedation. That means you cannot eat after midnight the night before, in what is typically a 7:00 a.m. surgery. The management of your insulin will need to be adjusted and requires coordination with your endocrinologist.

Sunday 5 August 2012

Dental implant in patient with loss of bone height in upper jaw by lifting the maxillary sinus lining.Implant placement with sinus lift procedure-case report

Dental implant in patient with loss of bone height in upper jaw by lifting the maxillary sinus lining.Implant placement with sinus lift procedure-case report

www.drchopradentalclinic.com

A 50 year old male patient fom U.K wanted replacement of his lower right and upper left back tooth. both of his teeth had been missing since the last 1o years. The patient was here in delhi for only 6 days and wanted the replacement of the teeth with dental implants in that span of time.
 In the lower region there was adequate bone in all the dimensions but in the upper jaw because of long standing missing tooth the maxillary sinus had dipped down at the extraction site .CBCT(cone beam computed tomogaphy) was done for both the jaws to plan the surgery.the size of the implants were decided.
Indirect sinus lift http://www.youtube.com/watch?v=mJmhqOJW7Nc was performed with the CAS kit(crestal approach sinus kit). www.hiossen.com for the upper left side with simultaneous implant placement .The entire surgery was done following strict sterlization protocols.
the
missing lower back tooth with a faulty crown on first molar

missing upper second molar and reduction done for crown on lower first molar

pe treatment x ray

post treatment xray
cbct with implant simulation

cbct showing inadequate vertical bone height in the upper back missing 2nd molar region


implant surgey being done



sinus memberane lifted,implant 10mm placed with intact lifted sinus lining.

The final prosthesis will be placed after 3-4 months when the implants will have osseointegrated into the jaw bones.

immediate implant placement

Immediate implant placement for upper front tooth

www.drchopradentalclinic.com 

A 20 year old male patient came with the history to trauma to upper front teeth about 3 weeks ago and had missing upper right front tooth.He had pain in the adjacent teeth. On x ray it was revealed that the patient had a pathology around adjacent lateral incisor.Root canal teatment was done for this tooth. The x ray also revealed that there was root piece still remaining in the missing tooth region.
 
pre operative view with missing upper front tooth
pre operative x ray showing remaining root piece

 Immediate implant placement was planned for this fractured tooth.The fractured rooth piece was removed atraumatically and an implant was immediately placed in the socket.

intraoperative view implant placement being done


post treatment xray showing implant placed after root piece removal

Wednesday 1 August 2012