Dental implant - anyone know about it - kinda scared

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beacon800
beacon800 Member Posts: 922

I found out one of my teeth is in bad shape and the dentist is recommending a dental implant.  This idea is ticking all my bc buttons, with my imagination guiding me through all kinds of worst case scenarios.

Has anyone had this or know about it?  I am just too much for myself sometimes - the way I worry.  After what I've been thru you would think I am unflappable - but NO. 

Is this an ok thing to do?  Any long run problems from it that you know?  Pain?  Any help much appreciated. Smile

Comments

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited January 2013

    Are you taking one of the bone building drugs? The only dental problem I know of are the rare individuals who develop osteonecrosis of the jaw after having been on them a while.



    What problems are you thinking of?

  • beacon800
    beacon800 Member Posts: 922
    edited January 2013

    No, luckily I am not on any SERMs or AIs, as far as I know my bones are ok.  I'm just wondering if these things are a good idea or if they have side effects I need to know about.

    WIth BC I didn't realize all the possible effects of different surgeries until well into things.  Now I feel like there are always hidden things we need to know about. 

    Are these dental implants ok?  I am such a baby, honestly........

  • Jelson
    Jelson Member Posts: 1,535
    edited January 2013

    BEACON800

    I had a dental implant done over the past year and a half. I kind of stretched the process out over a long period of time and across 3 different dental practitioners but that isn't normal. (one pulled the bad tooth, prepared the site, one placed the implant, one fitted me for the new tooth) You want to make sure that the dentist who is actually placing the implant does this often and knows what he/she is doing. I don't like anesthesia if it can be avoided and opted for novacaine - which turned out fine. You will have an xray to determine the nature of the implant procedure - how much jawbone there is to work with. 

    good luck!

    Julie E

  • beacon800
    beacon800 Member Posts: 922
    edited February 2013

    Thanks for your reply! 

    Did you do novacaine for the extraction?  That part is concerning me.  I did fine for breast surgery general anesthesia but that was in a hospital setting so i felt confident.   Are you happy with your implant so far?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2013

    I had a molar extracted and an implant about 4 years ago. My regular dentist sent me to a dental surgeon for both the extraction and the implant. This was pre-diagnosis. I was osteopenic but not on any bone building drugs. I had all the work done using novacaine and laughing gas. He waited until the extraction had completely healed before doing the implant (a couple of months?). Once the implant was done and completely healed (another couple of months), I was back at my regular dentist for the crown fitting. I have now had more bone loss and been on both Fosamax and Xgeva (separately) for over a year. I have had no issues with the implant other than some minor nerve referral from sinus issues on occasion. My dentist stays on top of my teeth and implant, and I'm very diligent about my oral hygiene knowing the possible issues if I don't. Hope this helps your decision a little.

  • Jelson
    Jelson Member Posts: 1,535
    edited February 2013

    I had twilight sleep for my lumpectomy and multiple d&cs (another story!) and liked it. I am not even sure what kind of anethesia they were offering me at the dentist, but I remembered how my children were when coming out of their anesthesia after wisdom teeth extractions and I didn't want to be in that state at the dentist's office.  I didn't even need anyone to drive me. The dental assistant had tried to convince me to do the anesthesia, saying that the sounds/sensations - tapping, drilling, crunching whatever would be awful, but in fact, I found the whole process very interesting.

    During the healing time, I actually got used to the little implant nub. When I finally got the tooth, my dentist said that it would be solid - no movement, that whether I was aware of it or not, my other teeth moved a bit. Well I am not aware of anything, which I think is a good thing! 

    ooh one thing, I was prescribed chlorhexidine glucomate - an oral rinse after the surgeries because I wasn't supposed to brush in the area of the implant and it turned my tongue BROWN!!!

  • beacon800
    beacon800 Member Posts: 922
    edited February 2013

    Jelson, thank you for this info. How long did you have to use that rinse? Sounds kinda scary to have your tongue turn brown. How long did it take to go back to normal?

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited February 2013

    Hi, Beacon800 - I had a tooth that my dentist was determined to save, and I ended up having FOUR ROOT CANALS on it, one with my dentist, and the others with specialists. (There were extra nerve growing all wonky, and nothing took the pain away.)

    Finally, he said my only recourse was to have it extracted, but that I was a good candidate for an implant.

    The extraction itself was nothing. I had novocaine (or one of the "caines") and I felt no pain at all. He did yank kind of hard because the root had grown into a weird shape, but the procedure itself was easy.

    I went home with ice packs and antibiotics.

    I had to have a CT scan to make sure I had enough bone to accept the implant post. Even though I was already osteopenic, I had plenty of bone. If you don't, they can do a tiny bone transplant in the region where the implant will go.

    There is LOTS of down time and waiting with implants. Every single little step needs weeks to heal.

    Finally, the time came to drill into my jawbone and insert the post. The first thing the dentist did was to take some blood from my arm and put it into a special gazillion dollar centrifuge, to extract PRP from it.

    That's Platelet-Rich Plasma, and contains a huge concentration of platelets that make your tissue start to heal immediately.  (They use it a lot in dental procedures and orthopedic surgeries. He even offered to make me some for my BMX, but my PS said "No thanks"...

    Within 24 hours the tissues around the post had healed. Again, I went through lots of check-ups and waiting around for everything to heal.

    Finally, though, I got my final implant (he had made the impression for the crown while I still had my tooth). It seemed like I waited forever for it. 

    The best part was being able to chew on that side again! It's a weird feeling....from being in excruciating pain from all the root problems, to NO feeling at all. Seriously, it's like after novocaine...that tooth just remains numb. No amount of pressure or force can make it hurt.

    I was even more pleased when he charged me about half of what I thought it would cost.

    I would do it again in a heartbeat if I had to have another tooth extracted. DH is now in the process of getting his first implant.

    The only downside I've noticed is that I need to keep the area very clean, therefore I use my Water Pik at least twice a day just to clean everything out under the implant. Because of my jaw structure, and the way the tooth behind it sits, food gets trapped in there.

    Otherwise, I love it.

  • beacon800
    beacon800 Member Posts: 922
    edited February 2013

    You darling girl. This really makes me feel better and so well timed as I was just going thru an anxiety session over the whole matter. Was yours on the upper or lower? Mine is on the upper. I did not know about the PRP. I will ask the Dr. when I see him tomorrow. That's really cool. Thank you. I think I will sleep better tonight from reading this.

  • Jelson
    Jelson Member Posts: 1,535
    edited February 2013

    mouth rinse - I had to use it for a few weeks. I also used it when I had extensive periodontal surgery. The problem was that I forgot about the brown tongue and didn't look at my tongue in the mirror. If I had, I would have seen that it and I would have brushed it. I think that would have helped, as it was, it faded in a few days.  I didn't have the PRP, but I did have grafting when I had the extraction. I too would do it again. I wanted to avoid the alternative, to drill down the healthy adjacent teeth and have them capped so that a bridge with a false tooth could be supported.

  • ElizabethInPA
    ElizabethInPA Member Posts: 20
    edited February 2013

    Hi Beacon,

    I am just finishing up the whole implant procedure. I bit into a pizza in Feb 2011 and cracked a lower molar (2nd to the back-most molar) on an olive pit. I procrastinated on getting it taken care of until I was diagnosed with BC in May, and then realized two weeks before I started chemo in July that I needed to get the tooth out while my body was still healthy and strong rather than while I was in the middle of chemo.

    I had twilight anesthesia for the extraction, which meant I had to have someone drive me to and from. The extraction was easy and fast, and I never had much pain. I was given antibiotics, and did not have any complications.

    I procrastinated until Oct. 2012 before I actually had the implant put in. I had the CT scan the doctor recommended(a 3-D type of XRay that he could manipulate and look at from different angles), because it allowed the doctor to know exactly how large the area was that he needed to put the implant in, where the nerves run in the jaw (so he can avoid them), and what length implant to order (the screw part that goes in the jaw).

    Again, I had the twilight anesthesia. I remember the room being very cold before they put me under, and after they brought me back out, they said I had kept twitching through the procedure. WELL, maybe it was because I was so cold! :)

    Anyway, after the surgery there was a small circular disc that is in the middle of the space where the tooth is missing that covers the part where the crown will attach to the implant. I have had no problems with the procedure, and the pain was minimal. I was told it needed 3 months to heal and the bone to grow around it. 

    About two weeks ago I went to my dentist so she could make the crown. She used a special screwdriver to unscrew the disc that covered the implant screw, and she put in a temporary peg that is used while the dentist makes the impression of your teeth in their current configuration. It snapped in, and I think the crown will be made with the same configuration so it snaps in. After two different impressions with the mouth goop and trays, I was done.

    I go back this week for the placement of the crown. From how easy it was for the peg part, I think the crown will go in easily.

    It overall was a relatively low-pain set of procedures. I have a bridge on the front of my mouth that I know some day will fail, and I'm encouraged that I could have an implant done for this space.

    I hope that helps...please PM if you have any questions or want a photo of what the little temporary disc in my mouth looks like.

  • wenweb
    wenweb Member Posts: 1,107
    edited February 2013

    I completed the implant process one year ago.  From all of the other posters you can see that there are no contradictions unless you are on one of the bisphosphinates.  It is more high maintance to care for (than a regular tooth or crown) as there is more space in-between the implant and other teeth making the spaces a trap for food.

    I had novacaine only for the extraction of the bad tooth, and I was terrified.  The oral surgeon I had was so fantastic I literally didn't feel a thing.  If you have any crowns on either side of the tooth being extracted, there is the possibility that they can pop off during the extraction.  Luckily for me this didn't happen, but it wouldn't be a big deal.

    Good-luck!!

  • beacon800
    beacon800 Member Posts: 922
    edited February 2013

    Thank you for this very, very helpful info.  they are telling me the extraction will be novacaine only, which is good cause I fear being out in a non hospital setting, but scary too.  Fortunately I had so many breast biopsies that I know local anesthesias work very well on me. (at least that's one postive of those biopsies :)

    They tell me that when the extract the tooth they will then add in some bone graft material.  Allogenic stuff, a powder of calcium and phosphate.  I suspect this comes from human sources.  Did they do this for you guys?  The idea is that this then heals to promote good bone in the area of the implant.  Then after that they will drill in the implant, some months later.

    I am a bit leery of putting in that bone graft stuff.  Apprently it is held in place with a matrix of collagen material from pigs hearts which ultimately dissolves.  I think I know too much!  The doctor told me a lot of detail!  Does any of this sound familiar??

    ElizabethinPA, that would be something challenging to have to rush to do your extraction prior to chemo.  It's the exact right thing to do, but it's a "when it rains it pours" kinda thing.  I feel for you.

    Wenweb, I do have a crown next to that tooth, so I hope it doesn't fall off!!!  He didn't mention about that chance.  Gosh.....well, have to hope for the best.  Glad yours stayed stable!!

  • wenweb
    wenweb Member Posts: 1,107
    edited February 2013

    Beacon.  Everything you mentioned sounds like what I had.  No doubt it's the same for anyone getting a graft.  Glad you are feeling more comfortable!!

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