Replacing extracted teeth

[grain]

Over the years I've had 3 teeth extracted. 1 upper left, 1 upper right, and 1 bottom left. As there are now gaps where the teeth once were, and extra corners on either side of the gaps, I find that often when I eat, and sometimes when talking, I'll accidently catch part of the inside of my cheeks in the gaps and bite on my cheek lining, which results in blood blisters, some can be quite large. So I'm thinking of maybe getting those 3 gaps filled.

 

Have other BMs had the same issue? And if you got the gaps filled in any way what was done, and what was the approx cost?

 

Before anyone tells me I should be asking a dentist about this, I intend doing just that, but before talking with a dentist I just want to know what options are available and what the costs would be so when I talk with a dentist I have some idea about what is being discussed.

 

 

[Rampant Rabbit]

Had  two  implants 12  years  ago  in the uk from  a  dentist  i TRUST, Not  had any problems with them at  all still  going strong, great  things. Its  harder  in an  upper  rear  jaw  due to lack of  bone may require bone graft.

Cost back then wa s about 1800 quid  each...I also had iv sedation for it and there was ZERO  pain, great  things. 

Id  go for the ones which arent stuck  in in one  day, the ones where they let the bone inetgrate with the  implant and finsih the tooth  after about 5  months.

 

[userabcd]

Depends on the condition of your other teeth.

 

Dentist should be able to evaluate and advise the best option, maybe even the checkup is free or min charge.

 

Example some prices for different options This Dental Site

 

Basically options available:

Bridges (not as costly as implants but they ruin good teeth on either side of the bridge to prepare to support the bridges)

Dentures (cheapest but in 3 different places that would be a lifestyle challenge)

Implants (maybe also some grafting required for bone loss, costly)

Full mouth extraction and dentures

Full mouth extraction and implant and dentures on posts, costly)

 

Some websites list prices but whatever price is quoted it will come with a proviso "from" ie the price will be always more than what was quoted so one should allow for more than that.

 

[scubascuba3]

Implants about 50k baht each, can get bridge ones

[grain]

Thanks for the replies so far everyone. having all my other teeth extracted and getting dentures is definitely not an option.

 

Maybe someone knows about this. When I was teaching at Thai schools I noticed some kids had a tooth that looked like it was made from stainless steel or silver. A whole silver tooth in the kids mouth. I presume it's some temporary fix after the kid's first teeth fall out. So does anyone know what they are and how they are held in position?

[Lacessit]

A good quality implant here is 55,000 baht, and takes a couple of months. The implants being done in a week have a failure rate of 40-50%.

 

Partial dentures may be another solution.

 

Bridges are cheaper, cheapest of all would be getting a dentist to smooth the sharp edges of the teeth that are giving problems.

[userabcd]

1 hour ago, grain said:

Thanks for the replies so far everyone. having all my other teeth extracted and getting dentures is definitely not an option.

 

Maybe someone knows about this. When I was teaching at Thai schools I noticed some kids had a tooth that looked like it was made from stainless steel or silver. A whole silver tooth in the kids mouth. I presume it's some temporary fix after the kid's first teeth fall out. So does anyone know what they are and how they are held in position?

Could be crown/cap on the tooth to repair a broken or bad tooth when the root of the tooth may be ok.

[lopburi3]

4 hours ago, grain said:

A whole silver tooth in the kids mouth. I presume it's some temporary fix after the kid's first teeth fall out. So does anyone know what they are and how they are held in position?

A crown placed on the top of a damaged tooth/RCT - which is/was the normal option rather than pulling tooth prior to implants.  NA for you if teeth were pulled.  The silver is one visit fix for baby teeth so still used for children and discarded when new tooth arrives.

[grain]

4 hours ago, Lacessit said:

A good quality implant here is 55,000 baht, and takes a couple of months. The implants being done in a week have a failure rate of 40-50%.

 

Partial dentures may be another solution.

 

Bridges are cheaper, cheapest of all would be getting a dentist to smooth the sharp edges of the teeth that are giving problems.

Yes, that could be a solution. The fact I have 3 gaps in my mouth doesn't bother me a bit, as the gaps can't be seen unless I really open wide. So the only problem I have is the occasional accidental biting of the cheeks, so smoothing off may well solve the problem. I have a good dentist in Khon Kaen and I'll discuss it with her soon.

[3NUMBAS]

i would like implants but dentists say my gums are not good enuf so what do i do next\? help

 

4 missing so far

[scubascuba3]

1 hour ago, 3NUMBAS said:

i would like implants but dentists say my gums are not good enuf so what do i do next\? help

 

4 missing so far

they can do bone grafts

[Lacessit]

1 hour ago, 3NUMBAS said:

i would like implants but dentists say my gums are not good enuf so what do i do next\? help

 

4 missing so far

Change your dentist, competent installers will do bone grafts to ensure the implants take root properly.

I have no idea what is meant by gums not being good enough, unless you have gingivitis or pyorrhea. Both are curable.

[retiree]

Speaking from experience, whether or not to do a graft is a judgement call by the dentist.  See for example https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5601489/

 

Takeaways are summarized below; "survival" means 6 months - 1 year, and "success" is 3-5 years. 

• Block grafts have 98.9% survival rate and 99.05% success rate
• Particulate grafts have 100% survival rate and 66.6% success rate
• Blood derivatives have 97.8% survival rate and 96.6% success rate
• Composite bone grafts have 99.6% survival rate and 66.06% success rate
• Allografts have 90.9% survival rate and 82.8% success rate.
• Xenografts are 85.4% / 73.2%

The different types have to do with technique, bone material, and implicitly complexity and cost.  I've had successful xenografts (cow bone), which I assume are the cheapest and most common variety.  Smoking, gum condition, and other health issues, as well as the dentist's skill & experience, can all affect likely outcome; e.g. this study cites 6.5% to 20% increased failure risk for smokers: 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3894084/

 

Bottom line imho is that a very good dentist will turn some patients down, or refer them to more specialized and expensive practitioners / procedures. 

-- Retiree 

[The Hammer2021]

Implants, bridges, or individual false teeth.  Get a check up and opinion from a hospital THEN go to a recommended  dentist and get second opinion

[JeffersLos]

12 hours ago, grain said:

I find that often when I eat, and sometimes when talking, I'll accidently catch part of the inside of my cheeks in the gaps and bite on my cheek lining, which results in blood blisters

 

Perhaps not eating or talking could be a solution. ????

[grain]

9 hours ago, JeffersLos said:

 

Perhaps not eating or talking could be a solution. ????

Good points, I'll give it a try.

 

[crouchpeter]

On 8/27/2022 at 12:54 PM, grain said:

Thanks for the replies so far everyone. having all my other teeth extracted and getting dentures is definitely not an option.

 

Maybe someone knows about this. When I was teaching at Thai schools I noticed some kids had a tooth that looked like it was made from stainless steel or silver. A whole silver tooth in the kids mouth. I presume it's some temporary fix after the kid's first teeth fall out. So does anyone know what they are and how they are held in position?

It's a thin metal cover cemented over broken down deciduous teeth. Helps keep the spaces and stops drifting, and then ready for the permanent teeth. Not for you. I'd think about a chromium-cobalt partial denture for the top. Perhaps a 1 tooth acrylic denture for the bottom. Unless you want to pay 150,000 baht for implants!

[up2you2]

Here in Phuket I have found a guy at the Mission Hospital.

Seems competent and they only charge 40,000 Baht per tooth.

Prices vary wildly, but this is the cheapest I have found.

Perhaps if you sent him pictures of your gums, as many as possible, he might commit himself without you having to make a wasted trip.

[JackGats]

If I remember right it is best to have implants soon after extraction, otherwise the jaw bone at the extraction spot retracts and eventually there isn't sufficient bone to anchor the implant. I guess a simple x-ray can tell whether an implant stands a chance. 

 

I'm going to need to get root canal tooth 48 (lower right last molar) extracted in the coming months. I'll go for an implant. There's probably no other choice as it is the last tooth (not counting a wisdom tooth now long gone). I already have an implant on tooth 47 next to it, but the crown on that implant broke into pieces two months ago. Replacing that crown will set me back 35k Baht according to Dentist@Beach in Pattaya. That is nearly the cost of a full implantation procedure. It is a Straumann implant (expensive manufacturer!). I assume crown breakages on implants are rare and I was just unlucky.

[bkk6060]

https://thaipick.com/product/shopee/3748838

 

These are the rage.  Gives you a Simon Cowell white smile.

15 bucks on EBAY.

 

 

[In Full Agreement]

 

Ten years ago the Ms. had 3  implants installed @ 40K each.     She only had a shot of novocain each time (3 total)  and said the procedure was painless.

 

The results have been 100% satisfactory.

[Bruno123]

46 minutes ago, JackGats said:

If I remember right it is best to have implants soon after extraction, otherwise the jaw bone at the extraction spot retracts and eventually there isn't sufficient bone to anchor the implant. I guess a simple x-ray can tell whether an implant stands a chance. 

 

I'm going to need to get root canal tooth 48 (lower right last molar) extracted in the coming months. I'll go for an implant. There's probably no other choice as it is the last tooth (not counting a wisdom tooth now long gone). I already have an implant on tooth 47 next to it, but the crown on that implant broke into pieces two months ago. Replacing that crown will set me back 35k Baht according to Dentist@Beach in Pattaya. That is nearly the cost of a full implantation procedure. It is a Straumann implant (expensive manufacturer!). I assume crown breakages on implants are rare and I was just unlucky.

What broke? One piece porcelain/ceramic or bonded over a metal frame?

The latter are more likely to fail.

[retiree]

29 minutes ago, JackGats said:

best to have implants soon after extraction,

There's a procedure called immediate implant that can be used.  It's a judgment call by the dentist; these guys report on a bunch of them.  The conclusion from here (and other published studies) is that it's a good procedure if you're a good candidate for it ???? 

https://www.aegisdentalnetwork.com/cced/2019/03/immediate-placement-of-dental-implants-in-molar-extraction-sockets-an-11-year-retrospective-analysis

 

Fwiw I recently went to see if immediate implant was an option for a bad first premolar / bicuspid that I suspected needed pulling (quite a bit of gum and bone recession over the years, and the Dental Hospital had advised yanking it a decade ago). 

 

Long story short, my new doc at Phya Thai recommended a bone graft -- best case it could save the tooth for another 10 years, middle case it would improve the situation prior to an implant, and worst case it would cost a bit and do no harm.   About 4 months in now; so far so good.

-- Retiree 

[JackGats]

5 hours ago, Bruno123 said:

What broke? One piece porcelain/ceramic or bonded over a metal frame?

The latter are more likely to fail.

The porcelain crown screwed on the metal rod. It was a screwed implant. The screw is still intact.

[Bruno123]

14 hours ago, JackGats said:

The porcelain crown screwed on the metal rod. It was a screwed implant. The screw is still intact.

Unusual that a one piece crown would break. I did not mean the part screw to the titanium stem, I meant the construction of the 'tooth' part. Some are solid, with the cheaper versions made with a metal frame.

[JackGats]

3 hours ago, Bruno123 said:

Unusual that a one piece crown would break. I did not mean the part screw to the titanium stem, I meant the construction of the 'tooth' part. Some are solid, with the cheaper versions made with a metal frame.

Yeah, especially since I don't even remember biting into anything hard. I was eating currants scraping them with my hand right from the bush. Unlikely a small stone could have hidden there, anyway I'd have noticed.  It's like the crown had broken under its own fatigue or strain. Maybe it had been screwed too tightly (back in 2017). Dentists would be likely to err on the side of tightness so that patients don't bother them later with stuff that gets loose.

[crouchpeter]

On 9/4/2022 at 2:50 PM, JackGats said:

If I remember right it is best to have implants soon after extraction, otherwise the jaw bone at the extraction spot retracts and eventually there isn't sufficient bone to anchor the implant. I guess a simple x-ray can tell whether an implant stands a chance. 

 

I'm going to need to get root canal tooth 48 (lower right last molar) extracted in the coming months. I'll go for an implant. There's probably no other choice as it is the last tooth (not counting a wisdom tooth now long gone). I already have an implant on tooth 47 next to it, but the crown on that implant broke into pieces two months ago. Replacing that crown will set me back 35k Baht according to Dentist@Beach in Pattaya. That is nearly the cost of a full implantation procedure. It is a Straumann implant (expensive manufacturer!). I assume crown breakages on implants are rare and I was just unlucky.

48 is the lower wisdom tooth, unless you're an aborigine. A new crown on the implant should be normal cost....12,000 baht.

[recom273]

On 8/27/2022 at 5:36 PM, grain said:

Yes, that could be a solution. The fact I have 3 gaps in my mouth doesn't bother me a bit, as the gaps can't be seen unless I really open wide. So the only problem I have is the occasional accidental biting of the cheeks, so smoothing off may well solve the problem. I have a good dentist in Khon Kaen and I'll discuss it with her soon.

I just had a denture made for two front teeth at KK Uni dental hospital - I think it was around 3000B all-in Inc x-rays, moulding and checkup. Took two weeks, from the first check up. 
 

It was a bit weird at first but hardly notice it now, may be worth a look if you want a temporary fix and then you can talk about implants or whatever while you are there. 

 

 

[JackGats]

1 hour ago, crouchpeter said:

48 is the lower wisdom tooth, unless you're an aborigine. A new crown on the implant should be normal cost....12,000 baht.

I looked up prices for crowns in Thailand. They vary according to brand. My implant is a Straumann 4.0 mm. Here: https://www.thantakit.com/what-are-dental-implants-cost-in-bangkok-thailand/

 

I wouldn't mind having any brand fitted as a crown replacement but I doubt this can be done. A licensed specialist is needed to use the proper tools in order to unscrew/screw the damned thing. I know because once I needed a maintenance on an implant in Europe. The dentist who had done the implant years before was retired, and in order to unscrew the crown, another dentist tried several screwdrivers on it, to no avail. Arrangements had to be made for an employee from the manufacturer's to come to the dentist's room with a tool kit. I never expected implants to be so problematic. Apparently there's zero serviceability between brands.

[MambaJamba]

The problem with implants it is much harder and more painful to pull from bone than natural teeth.

If it will be an issue with implant like infection, allergy or like that. I personally would not go for implant, i think too much risk. Most implants on sale here have rod made from titanium alloy, there are other metals there, having metals can cause sensitivity problems for some people.