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All the below content has been written by Dr. Sandip Sachar.
Dental implant with Crown and Bridge
A dental implant is a convenient and permanent solution for missing teeth. The actual implant is the metallic part of the replacement tooth that is inserted into the jaw bone. A replacement tooth or teeth attaches to the implant. We can replace individual teeth with an implant crown, or multiple teeth with implant crowns adjacent to each other. We can also replace multiple teeth with a bridge connected to implants, or we can replace multiple teeth with a denture that connects to implants. For a single missing tooth, we connect a crown to the implant with an abutment. The crown is usually made of porcelain and looks just like a tooth. The abutment is made of metal and connects the implant to the crown.
What is a dental implant?
When discussing dental implants, there may be some discrepancy in terminology. The actual implant is the metallic part, usually made out of titanium, that screws into the jaw bone. However, a dental implant to the layperson often refers to the implant, the crown, which is the tooth replacement part that is visible, and the abutment, which is the connector between implant and crown. There are multiple options for appliances that we can connect to a dental implant. We can replace single teeth, multiple teeth, or all of the teeth. This is achieved using an individual crown attached to a dental implant, multiple crowns attached to multiple dental implants, a fixed bridge attached to dental implants, a fixed denture attached to dental implants, or a removable denture attached to dental implants.
What is an implant crown?
For a single missing tooth, we can connect a dental crown to the dental implant. The crown is connected to the implant with an abutment. Additionally, we can place multiple single implants next to each other to replace multiple teeth. The implant crown is the visible part of the dental implant and looks just like a natural tooth. It is made out of porcelain over precious metals. It is matched to your natural tooth color, translucency, shape and size. It forms a permanent, functional and aesthetic replacement for missing teeth.
What is an implant bridge?
An Implant bridge is a fixed bridge that consists of two or more replacement teeth that is attached to dental implants. Dental implants are inserted into the jaw bone. The bridge is then attached to the dental implants to permanently replace missing teeth. The bridge is made of porcelain over precious metals. The porcelain is matched to your natural tooth color, size, shape, translucency and looks just like real teeth. It also functions like real teeth for chewing and speaking.
What are my dental implant options if I am missing all of my teeth?
A common type of permanent replacement for all of the top teeth or all of the bottom teeth is the “all-on-4”. This consists of four dental implants connected to replacement teeth and replaces all of the top teeth, or all of the bottom teeth. Sometimes we replace both the top teeth and the bottom teeth with two separate all-on-4’s. All-on-4’s require four dental implants inserted into the jaw bone followed by a fixed bridge that is attached to them. There are variations of the all-on-4 that utilize more dental implants depending on how many implants our specialist feels is necessary in order to anchor the bridge correctly.
An implant supported denture is another option that replaces all of the teeth with a denture connected to dental implants. The denture snapped onto the dental implants and is removable. The difference between an implant denture and an implant bridge, is that the denture also replaces the appearance of the gums, whereas the implant bridge does not.
Why would I need a dental implant with a crown or bridge?
There are many reasons why one may lose a tooth. Whatever the cause for the loss of a tooth, dental implant crowns or dental implant bridges are an excellent option to replace missing teeth in order to restore the function of chewing, speaking and aesthetics. Tooth loss may occur as a result of:
- Damaged teeth due to tooth decay
- Gum disease, periodontal disease
- Fractured teeth
What are alternatives to a dental implant with crown, or dental implant with a bridge or denture?
Alternatives to dental implants include:
- Single removable flipper tooth
- Full removable dentures
- Partial removable dentures
- Permanent, fixed bridges
- Doing nothing, living with missing teeth
What are the benefits of an implant crown and bridge versus living with missing teeth?
The most apparent and obvious reason for dental implant crowns and dental implants with bridge or denture, is the aesthetics to make one’s smile appear more normal. Additionally, there are functional reasons for implant crowns, bridges and dentures. Whenever a tooth is missing, or multiple teeth are missing, there exists a risk that the remaining teeth can drift into the place where the teeth are missing from. Teeth that drift into this space can result in an abnormal bite that can lead to future problems including chipping or fracturing of the teeth, and also jaw pain associated with TMJ disorder. Normally, adjacent teeth prevent drifting of teeth that move into their place. Another obvious benefit of a dental implant with crown or dental implant with bridge or denture is improved efficiency when chewing, speaking and restores the normal jaw function. Also, when teeth are missing the normal load is distributed to the remaining teeth, resulting in increased load on the remaining teeth when compared to normal. This increased load can result in tooth damage or jaw pain. When compared to removable options such as a flipper or removable denture, implant crown, implant bridge or permanent denture attached to implants are much more convenient and more functional. These also do not require filing of the adjacent normal teeth that is required with a traditional bridge.
How are dental implant crowns and bridges inserted into my mouth?
The initial steps for an implant with crown and dental implants with bridge or denture are the same. The first step before inserting a dental implant is to perform a tooth extraction to remove the diseased or traumatic tooth. We will also perform a clinical examination and x-rays to assess the bone. The bone needs to be strong enough to support the dental implant going forward. If we determine that the bone is not strong enough to support the dental implant, we will perform an additional procedure such as a sinus lift or a bone graft. On the same visit sometimes, or subsequent visit sometimes, the implant is then placed into the bone. At Sachar Dental NYC, our implant specialist will decide the timeframe of your treatment. Some patients may have an extraction, bone graft and insertion of a dental implant on the same visit, or over multiple visits.
The process of getting a dental implant requires multiple visits. After the implant is placed into the bone, it is allowed to heal before the next visit. Once we determine that the bone is healed, the implant is then ready to receive a crown, bridge or denture that attaches to it. We will take x-rays to evaluate the bone healing. Once we are sure that the bone is healed, we will take a mold that is used to make the crown, bridge or denture. We will send this mold to our dental laboratory who will fabricate your appliance.
During the course of your implant procedure, for cosmetic reasons, we will provide you with a temporary appliance to fill the space where the teeth were removed.
Once we receive your permanent teeth replacements from our dental laboratory, we will have you come in to attach them to the implants. We will then give you detailed instructions on how to care for your new teeth.
What should I expect after a dental implant with crown or bridge?
After your first visit, when we insert your dental implants, you may experience discomfort after the anesthesia wears off. There may be mild swelling and bruising of the area. We will instruct you to not eat until the anesthesia wears off. You will be given other specific instructions at the time your visit that are case dependent.
At your next visit you will receive your permanent crown, bridge or denture. If anesthesia was utilized, you will be instructed not to eat anything until the anesthesia wears off. After the anesthesia wears off, you may return to your normal diet. At the completion of your visit, we will give you detailed instructions on how to care for your new appliance at home. Your next follow-up visit will be at your normal six-month visit for checkup and cleaning.
How long should my dental implant with crown and bridge last?
Dental implants are considered a permanent solution for missing teeth. They are expected to last many years when done correctly. At Sachar Dental NYC, our dental implant specialist has over 25 years of experience of placing dental implants for patients in New York City. We have many patients that remain satisfied with their dental implants for over two decades.
How do I care for my dental implant with crown or bridge?
In order to prevent problems with your dental implant, we recommend that patients continue to perform good oral hygiene at home with flossing and brushing as well as coming in twice per year for your regular dental checkups and professional dental cleanings.
What is the cost of a dental implant with crown or bridge in Midtown Manhattan, NYC?
The average cost of a dental implant, abutment and crown in New York City ranges from $3,500 to $6,000.
The average cost of a dental implant with a bridge in New York City depends on the number of teeth were placed. The average cost of a dental implant with a fixed or removable denture in New York City will also depend on the number of implants require.
At Sachar Dental NYC, our charges for a dental implants and crown, bridge or denture are as follows: These charges are broken down into separate procedures and billed in intervals.
- Dental implant: $2,000.
- Abutment: $800.
- Implant crown: $2,000
- Implant bridge, All-on-4, and Implant denture: The costs for these depends on how many implants are required that will determine by our implant specialist consultation.
We are able to bill patients and their insurances on separate visits. We will discuss billing in more detail at your consultation. The cost for dental implants is a covered service for most dental insurances, and we always offer payment plan options.
Does my dental insurance cover the cost of dental implants?
Most PPO dental insurance plans usually cover the costs of each stage of your dental implant treatment. The dental implant is usually covered at 50% up to the annual maximum. The abutment and crown may be covered at 50-60%. Additionally, tooth extraction and bone graft, when necessary, are often covered up to 80%. Prior to coming into Sachar Dental NYC, we always check on your dental insurance benefits and inform you as to what your total out-of-pocket costs will be before performing this procedure, or any procedure. You will only be responsible for your percentage of the costs at the time of your visit. We will then submit an insurance claim to your insurance company, and collect payment from them directly.
Can I use flexible spending dollars or a medical savings account for these charges?
Yes, you may be able to use your medical savings accounts or flexible spending dollars to cover charges related to your treatment. At the time of your service, we will provide you with all the necessary documentation and receipts.
Do you offer payment plans for dental implants?
At Sachar Dental NYC, we offer interest free financing through Lending Club and Care Credit. In 15 minutes, we will let you know if you are approved for interest-free financing. These options will enable you to make payments over the next 12-18 months without any interest charged.
Why are we the best dentists in NYC for a dental implant with crown or bridge?
At Sachar Dental NYC, we take great pride in our dental implants. Our dental implant specialist is uniquely dual specialized in both prosthodontics and implantology. Unlike most practices, in our practice, the same person places the implant, the abutment and the crown or the implants with bridges or dentures. Under these circumstances, the specialist is able to visualize the entire procedure from start to finish. When he places the implant, he is already visualizing the aesthetics of what it will look like when final appliance is placed.
We take great pride in our very high success rate, and our very high patient’s satisfaction with their dental implants. Experience matters, and we have been doing this for over 20 years at Sachar Dental NYC. As always, at Sachar Dental NYC, we use the least toxic and the highest quality materials. We always use the best dental laboratory in New York City, which contributes to our high success and satisfaction rate.
Also, at Sachar Dental NYC, we always opt to perform the least invasive procedures possible. We do not rush into extractions that result in dental implants. On many occasions, patients have come in expecting to have a tooth extracted, and we were able to save the tooth.
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