Dental implants, what should I look for?

by VanDerMouche

I am going for a dental establish consult with a periodontist, what questions should I question, what should I be looking for. My dentist recommended her, since my fixed periodontist does not perform this procedure. An endodontist did do some work on this tooth previously, (about 3 years ago) should I go back to him? What extra degrees or training does one need to perform implants. Thanks!
This will be an high tooth, number 12 high left, fourth over. A join would not be an option since 2 “virgin” teeth would be ruined, and one would be the third from the front. Thanks for sinus info.

Answer by RIckW
Check their references, search the Internet on the subject so that you can question intelligent questions. My only concern when I went for the consultation was whether it was going to cause sinus problems. This is only a concern for high teeth. They wanted 3k more to go my sinus tissue so I opted for a join, it was less than half the cost and has held up for 15yrs.

Answer by dreamer
i dont know

Answer by Steven B
I’m sure if your dentist recommended this periodontist he’s fine. Training in establish placement is part of the training for all periodontists and oral and maxillofacial surgeons. Older surgeons will have taken implantology courses. There is no specialty and no certifying board as such in implantology, but most of these specialists will be trained well. Skill can vary–as anywhere else. The sinus is less likely to be a consideration with tooth 12 as it would be one or two teeth further back. Honestly, if there is a chance of sinus involvement I would quicker go to an oral and maxillofacial surgeon, who will have had far more experience working in the sinus.
For for myself, I reckon I’d pass on an establish if the surgeon had to involve the sinus. But that’s my personal choice to make, and others may well choose differently.

Excellent luck,
Steve Bornfeld, DDS

What do you reckon? Answer below!
Here is the first post:
ceraroot zirconia dental establish

I am going in for a consultation tomorrow to have 2 wisdom teeth extracted and a failed root canal molar extracted. With having the failed root canal I have chose on getting an establish in its place, I have been on my dental insurance website and everything makes no sense. They don’t cover them but they can under certain circumstances. So I am trying to map out a ball park estimate as to how much I am going to pay out of pocket.

Also were you able to get your implants done on the same day as the tooth extraction? Were there also questions you would question going in for this surgery? Any advice on the whole topic is very appreciated. Additional than life frightened of the cost I am worried about the whole procedure and the pain to follow.

Answer by fusepark
It’s a positively involved procedure. Once the tooth is extracted the jaw bone will have to heal. Then images are made to evaluate the bone. If it is weak, grafts of bone or Gore-tex can be done. That is more common in high teeth. If the bone is strong, a base is then inserted in the bone and the gum stitched shut over it. When the bone grows back around the base and is solid, the gum tissue is opened again and a post is screwed into the base. The establish is fixed onto the post.

Insurance will sometimes cover them if the dentist can make the case that the tooth is both functionally necessary and that the gap can’t be filled with a less-expensive restoration like a join. I won’t kid you— it’s expensive. But it shouldn’t be terribly painful. Similar to the extraction, and only the post insertion should be a major procedure.

The one question I would question the dentist is about the anesthesia plotted and whether you’ll want to have a ride home from the first appointment.

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