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Hi, Nigel, I have been a denture wearer for only six months. I was told when I was given my dentures that they would take some getting used to, I was told that they would feel weird as they are different material, I may have a lisp, my tongue would feel cramped and so on, I had these things but they as said wen really quickly. what didnt go at all was the pain when I bite. the gum still feels really sensitive to the the dentures when I apply pressure to them, Ive seen my dentist and he doesnt know what it is, he said he could try and sort out a new pair, but unless i'm mistaken they will be the exact same as these as my face wouldnt have changed shape at all in six months and so I will have the same problem. I wondered if implant retained dentures would sort this out and if you'd heard of this? would implant retained dentures be a complete world apart for the denture wearer such as myself?
Thanks for the question You mention difficulties in the early stages of wearing dentures, I assume that they replace all your teeth. This can be a really difficult time – as you have so much to get used to. Often the gums will be sore and this may be due to the denture rubbing, but as you mention there are also the problems of accomodating to a piece of plastic in your mouth – with the limits on tongue space etc. A new denture would be made to the new shape of your gums, as they change the most in the first 6 months. This may be all you need, however implants would potentially allow for the teeth to be supported by the jawbone and not the gum – which is much more comfortable. Please feel free to contact, and the offer of a free consultaion is there for any denture.org readers who post their questions.
Nigel Rosenbaum
l have a lower denture and would like to stablies it with implants would 2 implant be enough l hae had an exam and l have plenty of bone but my dentist is taking 4 implants but l cn only afford 2 will this be a waste of momey if l just go for 2 implants any advice will be helpful l can no longer put put with the constnt movement.
The short answer is two implants is usually sufficient. If they are placed with due consideration then it is possible to 'upgrade' in future with additional implants. Typically this would allow you to move from a removable to a fixed solution. You may or may not be suitable for a fixed solution. Two implants provides a terrific amount of retention for your dentures, stability is a slightly different issue. Stability depends upon the shape of your jaw bone to some degree, but also the technical construction of your dentures. Two implants would not be a waste of money, but four implants might be! Contact me if you wish to discuss this any further, and ask your dentist why 4 not 2? Hope this helps.
Nigel Rosenbaum
heloo there I need to get advise on implants. I had an implant when I was very young to replace a missing tooth. I think I was about sixteen and didn't like the sound of it at the time but my dentist just wouldn't have it at all, anyway I was right and we had a right set of problems around that time as my face grew and the implant proceeded to push other teeth out of place as it wouldn't budge itself. after this I had the crown removed and a tempory one in place while a brace rectified the damage done. after the brace was taken off I had a proper fitted crown put in place and all was well in the end, that's a nice story but now I'm getting towards the other end of the scale in terms of age and I have just had a tooth pulled after a gum infection ravaged the bone around it, and I was wondering would there be any other implications of having an implant now as an elderly citizen, and whether there would be any issue with the fact that some bone has been destroyed, if so what options do you think I have? thank you
Thanks for the question This is a really interesting situation, and I HAVE to know more in order to provide any further information. I really need an X-ray, and if not to see you a good clinical photograph. Any implant that has been there for that length of time will need documenting as it sounds like it could be an award winner. Please do contact me, as I would love to see this, email a photo or call or even better come over to that practice. I would happily provide a free consultation. nigel@peakimplant.co.uk
Nigel Rosenbaum
A few years ago I was in a serious motorbike accident and in result I lost three teeth, chipped five and received serious damage to the bone and gum line. I have had two surgeries involving bone grafts to try and give my some bone back. now it's seemed to finally work would it be safe to get implants to replace those missing teeth?
Thanks for the question. I have to assume that the bone graft surgery was undertaken for a particular purpose, and therefore whoever has undertaken this procedure would be in the best position to determine if this goal has been achieved. If this is not possible I would want to see what amount of residual bone deficit you still have, and determine the best approach dependent upon the restorative requirements. This is a highly complex area, and you will already be in the process I suspect, following your graft procedure. If not please do not hesitate to contact me through this website.
Nigel Rosenbaum
Hi i was involved in a car crash with my dad and managed somehow to dislodge a tooth- everyone including me to a large extent came away with out a physical mark on their body apart from me who managed that! not happy. anyway ive been to see a dentist and he checked it over then told me he was going to waste no time it had dislodged almost completely and did so right there and then he acted quick to be fair but on the one hand a bit too quick he skipped straight through the procedure- the man does seem to be very distracted nowadays he's coming off the NHS and going private so it might be a stressful time I don't want to slag him off he's still very good at doing things as such I have full faith in his ability but he just doesn't explain things too well anymore. could you just quickly give me an indication of what's to come including any pain! that way I can at least prepare myself. thanks very much.
I am afraid I have no idea o f what your question is. I can only assume that your dentist is about to provide some restorative treatment, and that he has so far no provided the information that you need to decide on treatment. You need to discuss these matters with your dentist – urgently.
Nigel Rosenbaum
I have just lost three of my top teeth and as such need replacements I was wondering if i got implants would I need to have three separate ones or is it possible to have three teeth on one/two anchors I don't like the sound of having three anchors in such close proximity pushed into my gums, furthermore I don't see how they can be that strong if they're that close together? to be honest im quite apprehensive about having them done at all however needs must and im just going to bite the bullet and do it :) I do not want dentures I cannot be doing with the hassle of having to take them out put them in or whatever I want them in, boom- sorted. yeah if you could advise on the types of implants I can receive that would be excellent thanks a lot.
Thanks for asking the question First I will assume that these teeth are all next to each other. I am a big fan of two implants to support three teeth, which requires an implant supported bridge. This is much stronger than a tooth borne bridge, and strong enouugh for the job, assuming you have plenty of teeth at the back of your jaw. The bite is really important, thats why you need back teeth. On occasions it would not be the right way to go – for example if you have spaces between your teeth (distemas), but on the whole it is a cheaper solution and one that often gets a better looking result. There are over 400 implant manufactures, each one offering a few designs. So I suggest speaking to your implant dentist as to which ones are recommended and why. There are about 6 major manufactures, any of them can provide a very aesthetic solution given the right conditions. You need the right conditions, the right implant, in the right place, carefully placed. It then has to be carefully restored. So be choosy about who is going to do this for you – as it will have to be there for a long time, needs to look good and function very well. Good luck, and dont hesitate to come back to the experts on this site.
Nigel Rosenbaum
Helloo, ive had three teeth removed with a the next step being to review my options in terms of replacing them, ive looked at both dentures and implants and figure that with there only being three teeth (two molars next to each other and the first pre-molar on the top of my mouth) that implants would be better than dentures as I didn't want wire and a subframe in my mouth for the sake of three teeth. I also prefer the thought of this myself. my main issue is getting the teeth to fit in, the molars aren't so bad luckily but the premolar is in a spot right where you can see the line of my teeth, would it be possible for the dentist to match my other teeth for size, style and colour etc. as I cannot have it stand out like a sore thumb. or is the process more a set of draws with pre-set sized teeth in that they choose from! (exaduration obviously but you see)
Thanks for asking the question Thankfully this is really easy to answer. As part of your understanding the issues your dentists needs to make you aware of what will be provided. The easiest way to do this is to see a prototype in your mouth, so thats what you need to ask for. Only when you are happy with what is being planned can you consent to treatment.
Nigel Rosenbaum
hi there Dr, Ive read stories and tales about things like 'how old's to old' and that you are never too old. thing is how young is too young? my daughter has had a nasty fall on her push bike and now requires some form of basic re constructive surgery on her upper lip. I have sorted that out and now know what's going on however she now has a tooth missing and its one of her adult teeth not her baby teeth she's only 8/9 next month would she be able to have an implant? I imagine the answer is yes but what I'm worried about is that the rest of here face will grow and like many other young children she will get crowding in he teeth- at which point there will be an implant stuck right in the middle of them? could you please advise me on this situation- as to whether shell be able to have braces no an implant should she require them later in life, whether she just has one and hopes for the best or does she go until then with a gap? finally how much would it cost (generally) for a single implant for a child of her age?
Thank you for the question. I am sorry to hear about your daughters accident. This is a very complex area, and I feel it is particularly difficult for me to provide a comprehensive answer that has any value without seeing your daughter. I (as a specialist prosthodontist and implant dentist) see a great deal of injuries as you have just described. When young children are involved I am always working in conjunction with a number of specialist orthdodontists, who will arrange to move the teeth to best advantage based on my long term strategy. You need to contact either a practice like mine (info@peakimplant.co.uk) or perhaps get your dentist to refer to a local dental hospital. You are right to be concerned with the very significant problems with implant placement in young children where growth has not finished.
Nigel Rosenbaum
Can you please assist me with my problem. I am looking to get dental implants done, and also all my teeth crowned as they are in a bad way, i have had a couple of consultations and the prices have been between 10k and 12k which is way over what a can afford even with o% finance, I have seen an advert on twitter for implants at 350 pounds each in the uk is this possible and what kind of qualifacations should the dentist have to practice in the uk? as i would like to call and have a chat to them, I would be most grateful for any reply you have. regards and great thanks for your time.
Thanks for the question. You have obviously investigated some of the options avavilable, and have realised that there can be significant fees associated with complex dentistry. Obviously without seeing you I cannot comment on specifics, but would reccommend that you have a budget in mind, seek a reputable implant practitioner, and I would expect you to be provided with a treatment plan, which needs to include options other than the £10-12,000 option. My advice would be to spend less, but ensure that what is provided is designed to improve the health of your whole mouth. Any treatment where implants and crowns on natural teeth are being provided is more complex, and therefore will be more expensive. Maybe you do not need so much treatment. The fees you see in general reflect the quality of the materials used, the training and care of the practitioner and their team in treatment planning, careful surgery and high quality technical work, and that is why you see the majority of Implant Dentists charging roughly £2,000 per unit. I agree with you that this is a signficant amount of money, and I also agree that it is a potential minefield with so many dentists claiming advanced skills in implant dentistry. The General Dental Council (UK) are the regulatory body in the UK, they are planning to reconsider the thorny issue of Specialist in Implant Dentistry, as currently there are 13 specialist areas, but implant dentistry is not included. So at present the GDC place no demands on dentists to have additional qualifications prior to providing implant dentistry, however they do demand that dentists have received additional training. You can see the types of additional qulaifications that can be achieved if you look through the experts on this web site. I’m sure that any of them would be happy to speak to you regarding your situation. Good luck, and please feel free to contact again.
Hi I currently have a full top and bottom set of dentures, I lost me teeth resulting from a motorbike accident. As Iam only 35 I would much rather prefer to get dental implants, however would it be possible to get a full mouth of dental implants? because I cant imagine the rest of my life wearing dentures, if this is possible then please could you give me an idea of how much this is going to cost me? thanks
Thanks for asking the questions. As you say 35 years old is yound to be contemplating life with full dentures. Fortunately there are options these days. It is almost always possible to have dental implants, yet there may be some hurdles, not least being the costs some implant dentists are charging. As you probably know implants are placed into the jaw bone, the more bone the better. the more bone, the easier the surgery, the less bone the more complex – and when you hear the word complex you know the costs will increase. Traumatic tooth loss, as in your case related to a motorcylce injury, may be associated with significant bone loss, I would need more information (CT scan for example). In general terms the minimum wouild be from £5,000 – £7,000 to enable two implants to stabilise your lower denture, including new upper and lower dentures. You may be able to get a cheaper quote but the bigger issue is likley to be quality, go for experience and quality as they will last longer. With this approach you would still have removable dentures, but retained in the lower jaw with dental implants. Moving up the scale, a similar approach could be taken in the upper jaw, but usually four implants would be needed. Costs approx additional £4,000 – £6,000. Should you wish for fixed options recommendation is four implants in lower jaw, and 4-6 in the upper jaw, depending upon your bone and other factors. This is going to be the more costly option, and yoiu are looking at prices from £20,000. This is complicated dentistry, you need to be happy with the implant dentist you are working with, as its is a significant investment, make sure they are up to the job (look for previous cases, ask to speak to patients who have had similar). Well invested and you could have many years of freedom from dentures, possibly even the rest of your life. All the best, and please do not hesitate to contact one of the experts on this site.
In 2008 i was attacked in which I lost my front top 2 teeth, I've had dentures but these are badly fitting and unnatural looking, also they are pushing my remaining teeth apart causing me to have a lot of gum problems and making me feel very self conscious and like I'm unable to smile but I'm only 22, are new dentures a good option for me?
Thanks for the question, and your predicament highlights the issue faced by so many.
When teeth are lost in a violent manner, it is normal for the supporting bone to also be damaged. When replacing missing teeth a denture can accommodate any missing bone easily, and cheaply, using plastic. This is often pink – so the more pink the more tissue was lost. Good dentures can readily replace this tissue and your missing teeth, yet will always have the issue of not feeling part of you. Restoring your confidence, well being and improving the condition of your adjacent teeth would be a priority and the best dentures can sometimes achieve this. Replacing these missing teeth with dental implant supported crowns may be an option for you. This would provide a fixed solution without damage to adjacent teeth and restores confidence as there is no feeling of a loose part. However the implant option is more complex and would require careful evaluation as to potential costs, which would be more than a denture. The biggest problem would be lack of bone, and if you have enough, and your gum does not show when you smile then this would reduce the fees considerably. Your question also makes me consider whether you have some additional gum problems not related to dentures, with your other teeth being pushed (or it could just be bad dentures).In the long term wearing dentures will result in further bone loss, so an consideration of dental implants at this stage would be very reasonable as they could stabile the bone levels, usually over a very long time, possibly even for life.
Hi my daughter had to have to two teeth removed last summer after getting recurring abbesses under them, and she's been left with a huge visible gap when she smile which is really affecting her confidence. Is she suitable for getting implants even with her history of abbesses? If yes how much would it cost? And what's the best dentist because I want to surprise her for her birthday and get her confidence back to what it use to be thanks a lot
Thanks for the questions. There are some really important issues that you have brought together, which neatly summarises the difficulty in getting a simple answer – even though I wish I could provide such answers.
I will make a few assumptions, the first has to be the age of your daughter. Implants need to be placed into the jaw bone, so until the jaw bone has stopped growing, implants are not a good idea – especially in a very visible area.
I assume that removal of the teeth has been successful, in that she no longer gets abscesses. If this is the case then the bone should have recovered well enough for implants to be placed, though a thorough check on the rest of the mouth is essential to ensure she is unlikely to get abscesses elsewhere.
The likely result depends on lots of factors, but particularly how much underlying bone is missing, and how experienced your implant dentist is at dealing with complicated aesthetic issues. Whilst I cannot provide names of dentists, I urge you to seek out a dentist within a reasonable distance from your home, as you will need a number of visits, preferably with additional relevant qualifications (like the experts on this site) who can show you similar cases and their outcome. Fees are likely to be upwards of £5,000 dependant upon the issues I have mentioned and experience of the dentist.
Thanks for asking a question. I want to try and understand your situation and would need to know a little more. Do you have other missing teeth, and how long have you been missing teeth.
If bone is missing, the gum will shrink, I suspect this has happened in your case. When the bone has shrunk you can still usually have dental implants -but an examination and X rays would be able to provide you with the options. There are many options and it is really impossible to say which would be best in your case without that information.
You are quite right to ask if loss of these teeth can cause tooth movement. The simple answer is yes. The possible reason why these two teeth are involved with decay is that they erupt into the mouth at the same time -usually with milk teeth and so are frequently the first to decay. Later on your diet alters, less sweeties, and you are less likely to suffer with decay. Braces can be useful – when there has been a lot of tilting of adjacent teeth, and I work with a specialist orthodontist for that reason. If the tilting is not too bad implant supported crowns will prevent further tilting, and in some cases I would also make minor adjustments to the bite.
Hope this helps, obviously examination necessary to advise you more specifically.
For some people life can be totally miserable as a result of losing teeth and having to wear dentures. To contemplate the rest of their life with such a problem seems such a pity. There is a proven, reliable and straight forward solution. The oldest person I have heard of having dental implants was a sprightly 97 years old, so you are never too old! You can look forward to life without the misery of badly fitting dentures.
It is important that implants are embedded in jaw bone. For many full denture wearers the most simple and appropriate treatment is the making of very well made dentures. If this still leaves a patient with problems which cannot be solved in this way, then placement of two implants into the lower jaw will stabilise and hold the lower denture firmly. For a few people more implants can allow them to have fixed teeth and get rid of dentures completely. This is really where the lack of bone becomes a bigger problem as most people with full dentures wouldn't have enough bone to stabilise a lower denture. Implant Dentists have a number of techniques available to deal with a lack of jaw bone.
Dentures rest on the gums which are very sensitive and this is why dentures can be uncomfortable when patients bite firmly. With dental implants the biting forces do not have to go onto the gums – instead the forces are transferred to the underlying bone, therefore no pain in the gums.
