Molar implant in BKK?

[JTXR]

23 hours ago, SAFETY FIRST said:

Omg, leave it, no one sees it, you don't need it.

What are you thinking?????? 

 

A front tooth, yes, but not a molar.

We have too many teeth in our head.

OP here.  That is certainly an option.  It is in fact what my dentist in the U.S. told me a year or so ago, before the problem became acute. Right now I (a couple of weeks after the extraction) I'm just seeing if I can get used to the hole there. 

As for having too many teeth.  I had teeth extracted when young an only have two molars on the lower left side now.  It is very weird, having a tooth above but nothing below.  That said, given the location, if I decide to do the implant it would make sense to go with the lowest cost option as far as material goes, since no one will see it.

[NowNow]

13 minutes ago, JTXR said:

OP here.  Sorry I wasn't more specific in my original post.  I said only "well-known international hospital in Bangkok."  It was in fact BHDC.  They did a great job with my extraction and I'd definitely and happily go back for dental work, but the sticker shock of their quote for the implant threw me for a loop.  I wanted to know what the options were in BKK and elsewhere in Thailand. (I live in Thailand.)

 

One thing seems clear -- prices from a few years ago are hopelessly out of date.  Inflation has really made its mark.

 

Thanks for the many informative follow-up posts.

 

I suggested earlier that it was BHDC. How much did you pay for the extraction? 😊

BH is known for it's generous pricing. But they have other hospitals in the same group that charge less...a lot less.

 

[JTXR]

1 minute ago, NowNow said:

 

I suggested earlier that it was BHDC. How much did you pay for the extraction? 😊

BH is known for it's generous pricing. But they have other hospitals in the same group that charge less...a lot less.

 

The extraction itself was surprisingly cheap.  Less than 25% what my dentist in the US would have charged. I guess that's one reason why the price quoted for the implant was more than I expected.

[NowNow]

14 minutes ago, JTXR said:

OP here.  That is certainly an option.  It is in fact what my dentist in the U.S. told me a year or so ago, before the problem became acute. Right now I (a couple of weeks after the extraction) I'm just seeing if I can get used to the hole there. 

As for having too many teeth.  I had teeth extracted when young an only have two molars on the lower left side now.  It is very weird, having a tooth above but nothing below.  That said, given the location, if I decide to do the implant it would make sense to go with the lowest cost option as far as material goes, since no one will see it.

 

Make inquiries with the place I suggested. They have state of the art equipment. Dr Paweenwan has taken care of a few members of this forum over the years and was the resident Implantologist at a Bangkok Group hospital. Same standard but lower price.

Edited November 1 by NowNow

[NowNow]

2 minutes ago, JTXR said:

The extraction itself was surprisingly cheap.  Less than 25% what my dentist in the US would have charged. I guess that's one reason why the price quoted for the implant was more than I expected.

 

How much?

[amexpat]

Chiang Mai less than 50K. Excellent 

 

[JTXR]

5 minutes ago, amexpat said:

Chiang Mai less than 50K. Excellent 

 

Which clinic or dentist, if you don't mind sharing?

[DavisH]

On 10/31/2024 at 4:02 PM, NowNow said:

 

But yet you were way off with the pricing. Perhaps you had your implant twenty years ago. That might explain your 70k fantasy 😊....or do you think their price jumped 50k in two years?

My implants were Straumann done 2-4 years ago. they were about 60-65k with the crowns. Mahidol University Dental Hospital. I don't know their current price. 

[mogandave]

4 hours ago, NowNow said:

 

It's you who has been caught out stretching the truth. 120k is certainly "north of 70k" 😊

But then claiming that you paid much the same as the 69k that ESTE charge was just a blatant lie.

Two years ago? Let's see your invoice then. Pathological.

Let’s see your 120k quote

[NowNow]

6 minutes ago, mogandave said:

Let’s see your 120k quote

 

I called them...

Try it yourself, as opposed to just posting nonsense.

[NowNow]

14 minutes ago, DavisH said:

My implants were Straumann done 2-4 years ago. they were about 60-65k with the crowns. Mahidol University Dental Hospital. I don't know their current price. 

 

I guess OP can follow up.

[mogandave]

16 minutes ago, NowNow said:

 

I called them...

Try it yourself, as opposed to just posting nonsense.

I just called them, 45k

[NowNow]

5 hours ago, mogandave said:

I just called them, 45k

 

Silly Troll.

[amexpat]

14 hours ago, JTXR said:

Which clinic or dentist, if you don't mind sharing?

https://www.chiangmaidental4you.com/promotion-implants

I have had several done over the years with Osstem including two adjacent molars that required sinus lift and bone graft for about 150K total.  No problems at all.  

If you really believe "you get what you pay for" you can spend 20-40K more for the same outcomes. 

[NowNow]

4 hours ago, amexpat said:

https://www.chiangmaidental4you.com/promotion-implants

I have had several done over the years with Osstem including two adjacent molars that required sinus lift and bone graft for about 150K total.  No problems at all.  

If you really believe "you get what you pay for" you can spend 20-40K more for the same outcomes. 

 

That's a minimum of 58k without extras.

[SAFETY FIRST]

22 hours ago, JTXR said:

OP here.  That is certainly an option.  It is in fact what my dentist in the U.S. told me a year or so ago, before the problem became acute. Right now I (a couple of weeks after the extraction) I'm just seeing if I can get used to the hole there. 

As for having too many teeth.  I had teeth extracted when young an only have two molars on the lower left side now.  It is very weird, having a tooth above but nothing below.  That said, given the location, if I decide to do the implant it would make sense to go with the lowest cost option as far as material goes, since no one will see it.

I saw this today, it looked cheap. 

 

https://www.facebook.com/share/UR73UCxb8CupwdzT/

 

 

Edited November 2 by SAFETY FIRST

[NowNow]

2 hours ago, SAFETY FIRST said:

I saw this today, it looked cheap. 

 

https://www.facebook.com/share/UR73UCxb8CupwdzT/

 

 

 

This brought my attention to the fact that the Straumann Group has more than one type of implant. There is also Neodent by Straumann which is a lot cheaper.

[thaiowl]

I has two Astra Tech implants done in Nonthaburi...Bt85,000 each,

 

[Somjot]

I may be able to share some insights:

 

First of all, it might not be the best idea to leave a gap, caused by tooth extraction, untreated.

 

The lack of visibility especially in the molar area is without doubt a point, but keep in mind that teeth are not only there to give us a charming smile, but they also have a function.

 

And while the incisors and canines are there to bite chunks of food off the premolars and molars have the job to chew it and make it swallowable and digestible.

 

Now the loss of one molar might not seem to be very tragic but there might be unpleasant consequences:

 

The adjacent teeth might tilt towards the gap, causing a small space between them and the next tooth which again might lead to food impaction and future periodontal problems and bad breath.

 

They might even tilt so much over the months and years that they have to be extracted.

 

The antagonistic tooth might grow into that extraction gap causing the same problems in the opposite jaw.

 

Not to forget, that we might automatically and without realizing it start chewing mostly on the other side which will sooner or later lead to problems in the TMJ (temporomandibular joint) and before we know it we suffer from head and neck pain and swallow tons of painkillers ruining our stomach or liver, depending on the kind of painkiller, believing that we are suffering from a migraine never realizing the real reason.

 

About implants:

 

implants replace the roots of natural teeth. They are mostly made of titanium or ceramic and the difference between them is the ability to “osseointegrate”, which means to stimulate the bone to grow on them.

 

Implantologists use the terms primary and secondary stability.

 

The primary stability comes from the outer taper of the implant which is designed as a self-tapping screw and which allows the implant to stay in the bone without any mobility.

 

This is extremely important for the growth of bone on the implant as bone only grows when there is no mobility, otherwise you get connective tissue which is useless when it has to withstand chewing forces.

 

Once the bone has grown on the implant surface, which takes about 6 to 12 weeks, the implant stands firmly and strong in the jaw, (= secondary stability) and is ready to withstand chewing forces for many years.

 

Now here is the difference between those many implant manufacturers:

 

the strength of the bond between bone and implant surface dramatically depends on the design of that surface.

 

It took scientists many years until they found out that bone does not grow on precious metals and also does not grow one smooth surfaces, they have to be a bit rough,

 

Now there are many ways to get the surface of a titanium implant rough, like etching, sandblasting, light bow and so on and depending on the concentration of the acid you use, or the granulation when you sandblast or the energy of that light bow and the time you expose the implant to the process, you will get a different kind of roughness.

 

And there is such a thing like the perfect roughness. The big companies with the huge funding did years and decades of research until they found it and they guard that secret same as Coca-Cola does it with their recipe.

 

The smaller and cheaper companies produce only copies of those implants which look exactly like the originals but not if you look at them in the microscope and definitely not when it comes to Osseointegration.

 

Unfortunately, it might take years before you know it.

 

Now let's say, the implant has perfectly grown into the bone, and you want to get your supraconstruction, which can be some kind of denture or a bridge or a single crown.

 

Depending on what kind of supraconstruction you need you will get a different kind of abutment, which is some kind of intermediate piece and will be screwed into the inner taper of the implant.

 

 Here comes the next catch: the longevity and durability of your super construction depends on the precision of the connection between abutment and implant.

 

Again, to my experience, cheaper manufacturers use cheaper ways of production and as everybody knows the more precise your product has to be the more difficult it is to manufacture it.

 

Many of those companies will give you statistics saying that after five years 96% of their implants are still in the jawbone of their patients. True. But what they will not tell you is that only 75% of the dentures or crowns are still in their patients’ mouths.

 

Another thing that you must know before getting implants is that every implant manufacturer has its own tools and parts and sizes and there is no US standard or DIN norm, meaning you cannot use the screwdriver of manufacturer A to fix an abutment from manufacturer B which again will not fit into the implant of manufacturer C.

 

Why is that important?

 

Well, imagine you get an implant with a single crown on it, and everything goes well.

 

Years later you lose one or more teeth next to that implant and now you want to use that implant to fix a bridge.

 

All you have to do, actually not you but your dentist, is to exchange the abutment by another one which is made for bridges and fix that bridge on it.

 

But what if your implant manufacturer is just a small local one in your home country and does not distribute worldwide but you live in Thailand by now?

 

That will cost you many phone calls and extra money to get not only the abutment for your implant system but also the right tools, which are normally very expensive.

 

Worst case scenario, and trust me this happens every day now with all those no name cheap implants from China:

 

What are you going to do if your implant manufacturer does not exist anymore?

 

Jackpot! No more spare parts for your body.

 

All you can do then is explanation and insertion of another implant system, which is not only very expensive but a real mess too.

 

I've done a few explanations and every single time my treatment room looked as if they had just filmed another scene of “Vikings”, as you have to cut a lot of bone around the implant in order to get it out.

 

I hope I could have been of some help and I apologize for my horrible English - I am not a native speaker.

 

Edited November 4 by Somjot

[IC2000]

I'm in the process of doing two.

 

This group has a number of branches. If you dm me I can get the Drs name and office locations he works from. I'm using pohan yotin (MRT exit 4).

 

My dentist has been great thus far and I am pleased with the work. Thus far highly recommend.

 

Thus far: two extractions, lots of bone grafted to jaw, little bit of bone + abutment.

 

I just had the first Neodent abutment put in yesterday.

 

I'm guessing the crown isn't porcelain. I forgot to ask.

 

The dentist speaks English well enough. The staff, assistants little or none.

 

All the big dental clinics aimed at tourists are totally overpriced. Usually the prices are very opaque and they'll send you a very long and complex email explanation for their overcharges when you just need a simple breakdown of costs

 

The cost variables are bone grafting and number of scans / x-ray. I've had a bunch of scans, but only charged for two or three. I decline the medicine

 

Total estimated costs for Neodent.

A. 52,500 (10)

B. 67,500 (25)

* (bone)

 

No BS sterilization charges (tip off for a rip off).

 

2% discount on cash

 

Just watch for hidden charges at the other places especially the big farang clinics

 

Finally, when researching is on this website many times I ran across and individual post that said his preference was for a dentist that works in a single office. I'm quite okay with dentist making the rounds to many offices. I wanted a dentist that how is done as many implants as possible and not sitting around waiting for work.

 

 

Edited November 5 by IC2000

[IC2000]

On 11/1/2024 at 3:20 AM, orang37 said:

When I had a tooth issue in Bangkok, I found that smaller, local clinics could be a lot more affordable. I went to Bangkok Smile and was happy with their service—felt way less like a factory than some of the bigger places. It might be worth checking out a few different clinics to see who gives you the best vibe and price. 

BKK Smile is a group with many offices. It was a contender for me but was more expensive than where I ultimately have gone. Additional benefit is that my office is steps from MRT. Bangkok smile has a number of locations.

 

Note: I would not go to Mahidol. My experiences there have been mediocre at best, the prices were of little difference than dental services from a actual doctor. The payment process was insanely long and tedious. I would never go back for anything there.

[IC2000]

On 11/2/2024 at 1:14 PM, SAFETY FIRST said:

I saw this today, it looked cheap. 

 

https://www.facebook.com/share/UR73UCxb8CupwdzT/

 

 

 

I'm guessing this is for the lower end Osteem implant, limit on bone, one 3D x-ray. So, possible to add additional 20k bone, 10k x-rays.

[IC2000]

On 11/2/2024 at 6:31 AM, amexpat said:

https://www.chiangmaidental4you.com/promotion-implants

I have had several done over the years with Osstem including two adjacent molars that required sinus lift and bone graft for about 150K total.  No problems at all.  

If you really believe "you get what you pay for" you can spend 20-40K more for the same outcomes. 

 

This is not always true and often not with Thai dental. You can pay over the top and end up with lower quality materials and procedures. You can pay with the Thais due and end up with great work.

 

Case in point: you paid apparently over the odds for the lesser quality Osteem implant. There you go.

 

I would say that every large clinic in Bangkok that I am familiar with overcharges.

Edited November 5 by IC2000

[IC2000]

On 11/1/2024 at 9:56 PM, NowNow said:

 

Silly Troll.

 

You just overpaid and have a mindset that this procedure needs to cost XYZ or it's no good. You paid a bunch of money for the Korean low end product the lowest success rate. Up to you

[AlwaysThere]

1 hour ago, IC2000 said:

 

You just overpaid and have a mindset that this procedure needs to cost XYZ or it's no good. You paid a bunch of money for the Korean low end product the lowest success rate. Up to you

 

You think they paid too much?

 

  

On 10/30/2024 at 11:30 PM, NowNow said:

I had mine done in Chonburi by a specialist. Total price was around 40k, when Bangkok Dental Centre was 65k+ extras. I went for a consultation there firstly and decided against.

 

[IC2000]

5 minutes ago, AlwaysThere said:

 

You think they paid too much?

 

  

 

Myself? Not at all.

 

That poster was going on about how essentially procedures that were not expensive were no good and that you get what you pay for. I was simply pointing out that that is not at all always true and especially in Thailand.

 

If I read his postcorrectly he paid 150k for an Osteem implant with sinus.

 

I'm paying approximately 52.5k for one Neodent including 10k bone graft, scans. Cash is less 2% as well.

[AlwaysThere]

1 minute ago, IC2000 said:

Myself? Not at all.

 

That poster was going on about how essentially procedures that were not expensive were no good and that you get what you pay for. I was simply pointing out that that is not at all always true and especially in Thailand.

 

If I read his postcorrectly he paid 150k for an Osteem implant with sinus.

 

I'm paying approximately 52.5k for one Neodent including 10k bone graft, scans. Cash is less 2% as well.

 

Okay...you messed up and quoted the wrong person. Check it.

[AlwaysThere]

9 minutes ago, IC2000 said:

Myself? Not at all.

 

That poster was going on about how essentially procedures that were not expensive were no good and that you get what you pay for. I was simply pointing out that that is not at all always true and especially in Thailand.

 

If I read his postcorrectly he paid 150k for an Osteem implant with sinus.

 

I'm paying approximately 52.5k for one Neodent including 10k bone graft, scans. Cash is less 2% as well.

 

When are you having it done? Would like to read about your experience. I guess with having a bone graft that you are not twenty years old.

[IC2000]

2 hours ago, AlwaysThere said:

 

When are you having it done? Would like to read about your experience. I guess with having a bone graft that you are not twenty years old.

 

No, 60+

 

Even young people can need bone grafted. Less likely but for many reasons this is definitely possible

 

I'm in the process of having it done now.  As I stated I'm very happy with the procedures thus far. He's working on two different teeth.

 

Don't plan on posting any experience report.

 

I'm happy with everything thus far.

 

[amexpat]

22 hours ago, IC2000 said:

Case in point: you paid apparently over the odds for the lesser quality Osteem implant. There you go.

Some of my implants were done about 11 years ago. When will those Korean implants start having problems? 

The cost I mentioned  was for TWO extractions, implants sinus lift, bone graft.