When it comes to replacing missing teeth, you've got some options. The question is which option is right for you?
Dental Implants Cost and Candidacy
The cost of dental implants depends on many factors, including the type of implantation, the dentist performing the procedure, the location where the placement surgery is performed, the material used and the amount of dental insurance you have.
Single implants may range in cost from $900 to $3,000, depending on the aforementioned factors. The cost of full-mouth reconstructive implants can range from $24,000 to $96,000.
If treatment is not covered by your insurance plan, or if you don't have insurance, you may be able to enlist the services of a third-party financing company like CareCredit. Qualified candidates can work with a financing company to develop a monthly payment plan that best fits their budget.
Advantages of Implant Dentistry
Dental implants are stronger and more durable than their restorative counterparts, such as crowns and bridges that are cemented into place, or dentures that are removable.
Implants offer a permanent solution to tooth loss. When used to support a dental bridge or dental crown because multiple teeth are missing, they represent a cavity-resistant and stable foundation for these restorations. Although there are many restorative options for replacing missing teeth, none have proven as functionally effective and durable.
Periodontists and oral surgeons perform the implant surgical procedure itself.
Are You a Candidate?
To determine if you are a candidate for implants, seek the advice of a qualified dental professional with training in implants, crowns and/or oral surgery offered by private organizations may be completed over a weekend, but medical organizations such as the American Academy of Periodontology and the American Association of Oral and Maxillofacial Surgeons offer more extensive training. It is a type of oral surgery so it is important to ensure that your dentist has the experience and training required for this sensitive procedure.
Dental implantation can be done any time after adolescence or when bone growth is complete. Certain medical conditions, such as active diabetes, cancer or periodontal disease, may require additional treatment before the procedure can be performed.
To determine if you are a candidate, your dentist will thoroughly examine your teeth and gums and evaluate bone density and quantity. This may involve X-rays and computer tomography scans (CT scans) to ensure there is sufficient bone structure for placing the implant(s), and to determine exactly where it should be placed.
Based on the condition of your oral tissues, oral hygiene and personal habits, and commitment to follow aftercare instructions, your dentist will advise you of the most appropriate treatment plan. Some patients with insufficient bone or gum tissue require bone or soft tissue grafts and/or the use of small diameter implants (also called mini implants).
Also, if you are a smoker, your dentist will likely advise you to quit before undergoing the procedure because smokers face a higher risk of implant failure. A higher failure rate also occurs in people who take immuno-suppressants.
Procedure Success Rates
Dental implants are among the most successful procedures in dentistry. Although there is no guarantee that a given implantation procedure will be successful, studies have shown a five-year success rate of 95 percent for lower jaw implants and 90 percent for upper jaw implants. The success rate for the upper jaw is slightly lower because the upper jaw (especially the back area) is less dense than the lower jaw, making successful implantation and osseointegration potentially more difficult to achieve. Implant placement at the back of the lower jaw has the highest success rate.
What are the Risks?
Dental implants may fail for a number of reasons, but the cause often is related to a failure in the osseointegration process. For example, if the implant is placed in a poor position, osseointegration may not take place. Implants may break, the site in which they were placed may become infected, or the crown restoration on top may loosen.
Poor oral hygiene can lead to peri-implantitis around the placement site. This is a disease that is similar to the development of periodontitis (severe gum disease) around a natural tooth. However, crowns are not susceptible to cavities the way natural teeth are.
New Procedural Strategies
Dentists have begun to immediately place implants into locations where teeth have been extracted. When successful, this approach can shed months off the treatment time because the osseointegration process is accelerated.
Candidacy for this type of early intervention depends upon the anatomy of the tooth extraction area. For example, in many cases the extracted tooth site is too wide, making placement impossible immediately after extraction. Bone or soft tissue grafting would be required to ensure a secure fit and placement.
Mini Dental Implants
Narrower "mini" implants may be used for small teeth and incisors. Also, a narrower option may best serve patients who require stabilization of lower jaw dentures, pre-molar teeth, or a missing tooth that was located in a narrow area. A small number of narrower restorations are FDA-approved for the purpose of prosthesis stabilization, including the mini dental implant. Only certain dentists may perform this procedure.
There are some core differences between traditional and mini implants:
- Mini implants are approximately half the width of their traditional counterparts.
- The implant is not fully submerged during a narrow procedure.
- Should failure occur, the small size (that of a toothpick) means grafting is not necessary.
- Mini implants are less costly.
- Mini implants are solid though they do not contain a screw.