Will I Need Another Full-Mouth Reconstruction?

I paid $42k for a full-mouth reconstruction in 2023. My mouth is raw, chewing, hurts, and I have lost several crowns and veneers. I’m afraid that two of the dental implants are failing. How can I start over again? I’m sure I don’t have a choice. Thanks. Kofi from TX

Kofi,

We are sorry that you’re experiencing multiple problems with your full-mouth reconstruction. We know it’s frustrating.

The first step is to find a highly qualified dentist when faced with the need for dental implants and addressing previous cosmetic dental issues. Some dental practices may offer lower costs by taking shortcuts, but this can compromise your treatment. While you don’t have to choose the most expensive dentist, beware of unusually low fees because you may not get comprehensive care, which is essential for full-mouth reconstruction.

Finding a clinician with demonstrable skills in implant procedures and advanced cosmetic dentistry is essential. To identify a dentist who can meet these demanding needs, consider the following factors:

Verification of Implantology Credentials: Look for dentists with advanced training and earned credentials from reputable implant organizations. A strong indicator of expertise is attaining fellowship or diplomate status from the International Congress of Oral Implantologists or the American Board of Oral Implantology (associated with the American Academy of Implant Dentistry). Training from American university implant programs or the Misch Implant Institute is also a higher level of qualification.
Commitment to Careful Diagnosis: Pay attention to the thoroughness of the diagnostic process. For example, a dentist planning multiple implant placements should use a 3D CT scan to ensure precise implant placement.
Assessment of Online Reviews: Check online patient reviews, especially on Google and Yelp, for mentions of clinical issues or positive experiences. Weigh individual reviews carefully because some dentists with limitations might still have enthusiastic supporters. Still, reviews are critical in choosing a dentist for full-mouth reconstruction.

Finding a Dentist Who Produces Cosmetic Excellence

The success of your treatment requires functional implants and beautifully crafted and durable crowns or porcelain veneers. Beyond the technical aspects of implant placement, your dental history requires an advanced cosmetic dentist who can correct your full-mouth rehabilitation and help you smile comfortably and confidently.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologists, sponsors this post. Read how he strives to provide some of the best dental care in Rocky Hill.

Full-mouth rehab with dental crowns — Full-mouth rehabilitation with dental crowns by Dr. Michalski of Rocky Hill, CT

How Long After Teeth Extractions Does Facial Collapse Occur?

Diabetes complications have led to two amputated toes on my left foot and needing my last ten upper teeth extracted. I understand facial collapse will follow the extractions, so I have been talking to my dentist about dentures. I requested a high-end denture with teeth that look real, but for some reason, my dentist doesn’t seem confident about doing it. I am also concerned about how facial collapse will affect my denture in the long term. Is facial collapse rapid? Thank you. Spencer from Fort Worth

Spencer,

An examination and 3D imaging are required to explain your options and develop a treatment plan. Still, we will discuss why facial collapse occurs and how to prevent it.

How Long After Teeth Extractions Does Facial Collapse Occur?

When all teeth are missing, facial collapse gradually occurs over ten to twenty years. According to the American Academy of Implant Dentistry, the jawbone resorbs 25 percent in the first three months after tooth extractions and up to 50 percent in the first six months.

How Will Dentures Affect Your Facial Appearance?

When dentures rest on your gums, they accelerate bone shrinkage. As your bone shrinks, you will need periodic denture relines and replacements. As your jawbone narrows, a removable denture will not stay in place.

How Can You Prevent Facial Collapse?

Implant dentures help retain face shape and prevent facial collapse

Implant-supported dentures can prevent facial collapse. Dental implants are the most effective solution for preserving the jawbone and keeping facial muscles intact.

Implants have these benefits:

A dentist places them in your jawbone to stimulate the bone like natural tooth roots.
They help prevent bone shrinkage.
They decrease the risk of premature facial sagging.
Denture stability and function will increase.

When an implant dentist removes your remaining teeth and immediately places implants, it can prevent the need for bone grafting procedures. The implants will stimulate your bone, and you can get replacement teeth the same day.

Can You Fix Facial Collapse?

Yes, there is hope for correcting facial collapse. Grafting procedures can build up the jawbone, and after a healing period, an implant dentist can place dental implants to keep the jawbone intact. The bone grafts and a new custom denture will lift your facial muscles and help reshape your face.

We recommend getting a second opinion from an advanced implant dentist to discuss your options.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologists, sponsors this post.

Do I Need a CT Scan to Get a Dental Implant?

Do I need a CT scan to replace a front left missing tooth with a dental implant? I’m trying to avoid unnecessary xrays. Also, I had three consultations, and one dentist uses Southern Venturi dental implants, which I have not found on the list of best dental implants. I’m inclined to remove the dentist from my list of providers. Are Southern Venturi implants safe? – Thank you. Kasen

Kasen,

We understand your desire to minimize radiation exposure.

Do You Need a CT Scan to Get a Dental Implant?

A CT scan provides invaluable three-dimensional information about bone density and structure, essential for accurate implant positioning. Many dentists skip CT scans for implant placement and use traditional X-rays. However, placing an implant without a CT scan, especially in the front tooth area where the nasal sinus is close, can lead to complications such as implant penetration or the need for shorter, less stable implants.

Which Dental Implant Brands Should You Choose?

When selecting an implant brand, the focus should be on quality control and manufacturing precision. While finding replacement parts or adjusting is a concern, the primary goal is to prevent implant failure.

We recommend avoiding lesser-known brands like Southern Venturi. Leading implant manufacturers known for their high-quality products include Straumann, Nobel Biocare, 3i, BioHorizons, Zimmer, and Astrotech. Some experts have reservations about Bicon implants.

It is crucial to choose an implant dentist who prioritizes implant quality and is knowledgeable about the options. A cheaper implant brand can compromise the long-term success of the procedure.

Look for an implant dentist with credentials (fellowship, diplomate status, or accreditation) from the International Congress of Oral Implantologists or the American Board of Oral Implantology.

Dr. Thaddeus Michalski, a Rocky Hill, Connecticut dentist and Diplomate of the International Congress of Oral Implantologists, sponsors this post. Find out what Dr. Michalski does to provide some of the best dental care in Rocky Hill.