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Old 02-03-14, 03:55 PM   #1
jdon
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Ouch.

Developed a little inflamation in a molar and the dentist tells me I can either go the root canal and crown route or go with an extraction and inplant.

Having had a failed crown in previous years, I am favoring the implant route.

Anybody have experience with them?
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Old 02-03-14, 03:58 PM   #2
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I've never had anything more than a filling. Good thing too, because those root canals are expensive!
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Old 02-03-14, 04:12 PM   #3
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I have one. Long story, tooth came in facing forward and was uprighted in 1991ish. Tooth died while in braces, was root canaled when the braces came off (1994). Dentist missed a root and it abcessed and got root canaled again in college (1998). Fast-forward into adult life and the crown had cracked and the tooth got infected again (2007-2008). There wasn't much tooth left to do anything to, so the implant was the way to go. This is tooth #31 , all the way at the back bottom right, so removal would have really messed up the surrounding teeth and caused lots more pain and suffering.

The implant took 9 months start-to-finish, from the extraction to the permanent crown. They pulled it and filled the hole (with cow bone) in March, and I think the permanent crown went on in December.
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Old 02-04-14, 06:44 AM   #4
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I've never had anything more than a filling. Good thing too, because those root canals are expensive!
Root Canals are expensive and may not be a permanent solution. That is why I am thinking of skipping that step and going straight to implant.
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Old 02-04-14, 06:47 AM   #5
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I have one. Long story, tooth came in facing forward and was uprighted in 1991ish. Tooth died while in braces, was root canaled when the braces came off (1994). Dentist missed a root and it abcessed and got root canaled again in college (1998). Fast-forward into adult life and the crown had cracked and the tooth got infected again (2007-2008). There wasn't much tooth left to do anything to, so the implant was the way to go. This is tooth #31 , all the way at the back bottom right, so removal would have really messed up the surrounding teeth and caused lots more pain and suffering.

The implant took 9 months start-to-finish, from the extraction to the permanent crown. They pulled it and filled the hole (with cow bone) in March, and I think the permanent crown went on in December.
Same tooth!. I may as well start the 9 month ordeal.. Thanks BB.
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Old 02-04-14, 06:59 AM   #6
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Root Canals are expensive and may not be a permanent solution. That is why I am thinking of skipping that step and going straight to implant.
I'm having a root canal today. Why? Because insurance pays for it. They don't pay for implants. Extraction and implant actually makes more sense.
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Old 02-04-14, 07:12 AM   #7
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Same tooth!. I may as well start the 9 month ordeal.. Thanks BB.
Same here. I currently have a chipped crown on #31 and was scheduled for a root canal tomorrow with an endodontist. Now you've got me thinking about an implant. I've ground my teeth for decades and have been wearing a night guard for about 25 years.
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Old 02-04-14, 07:14 AM   #8
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I had an implant after having a root canal and another sideways surgical procedure on the same tooth. So basically I spent double or more what I would have if I just went straight to the implant. The implant is pretty cool though. What's really strange is how much sensation you get out from your other teeth, which becomes apparent when you have an implant that has no nerves at all.
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Old 02-04-14, 07:15 AM   #9
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I'm having a root canal today. Why? Because insurance pays for it. They don't pay for implants. Extraction and implant actually makes more sense.
I am on the road or I would be having mine worked on too. I may make a pit stop in Toronto Friday just to get things started. Either that or head to a hardware store for a pair of pliers!

My insurance pays for either the root canal or extraction and a percentage of whatever replacement route you go. The implant will cost a little more but not enough to be a factor. Good luck!
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Old 02-04-14, 07:20 AM   #10
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I had an implant after having a root canal and another sideways surgical procedure on the same tooth. So basically I spent double or more what I would have if I just went straight to the implant. The implant is pretty cool though. What's really strange is how much sensation you get out from your other teeth, which becomes apparent when you have an implant that has no nerves at all.
That is what I am trying to avoid.
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Old 02-04-14, 08:07 AM   #11
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Same tooth!. I may as well start the 9 month ordeal.. Thanks BB.
It may be shorter if your tooth leaves a nicer hole than mine did and they can do the extraction and the post install in one sitting. Then it comes down to about 5 months. Mine went sort of like this:

1. Extraction and filling in the hole
2. Wait 4-5 months for the bone to grow
3. Drill the hole and set the post (yep, screwdriver in your mouth)
4. Wait 2-3 more months for the post to stick
5. Crown it as you would any other tooth.

If you are lucky, it is possible to combine 1 and 3 and skip 2.

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I'm having a root canal today. Why? Because insurance pays for it. They don't pay for implants. Extraction and implant actually makes more sense.
My insurance covered the extraction at the beginning and the crown at the end. The $4000 in the middle was all on me.

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Same here. I currently have a chipped crown on #31 and was scheduled for a root canal tomorrow with an endodontist. Now you've got me thinking about an implant. I've ground my teeth for decades and have been wearing a night guard for about 25 years.
I was mindlessly chewing ice on it a couple of weeks after it was all done and realized "hey, this is pretty nice". But I have never been a grinder.
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Old 02-04-14, 08:16 AM   #12
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it occurs to me that my hearing aids were cheaper than the dental implant. Neither was covered.
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Old 02-04-14, 05:15 PM   #13
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Ive had Root Canal/Crown that lasted 30 years. They have all failed now though and I had to have extractions.
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Old 02-04-14, 08:42 PM   #14
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The average lifespan of a dental implant is (or was as of 2008 when I got mine) is 25 years. Maybe they are even better now.

I'm not sure what the lifespan of a root canal and crown is. In my experience, it's about 5 years.
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Old 02-04-14, 10:22 PM   #15
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Do you have an old ice skate and a rock?

http://vimeo.com/20959538
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Phobias are for irrational fears. Fear of junk ripping badgers is perfectly rational. Those things are nasty.
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Old 02-04-14, 10:33 PM   #16
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Do you have an old ice skate and a rock?

http://vimeo.com/20959538
No, but I was eyeing up some pliers at HD.
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Old 02-05-14, 03:38 AM   #17
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Extract. It's a molar.

I've got 2 Mexican crowns that have held up just fine but I don't think I'd care for the whole root canal thing at my age.
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Old 02-06-14, 04:56 PM   #18
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Saw the dentist again today. Being the tooth was already crowned from a mtb crash a few years ago, no decay, just dying roots, he is going to do a root canal through the existing crown and fill the crown. Figures it will be good for another 10-15 years.
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Old 02-06-14, 04:58 PM   #19
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Saw the dentist again today. Being the tooth was already crowned from a mtb crash a few years ago, no decay, just dying roots, he is going to do a root canal through the existing crown and fill the crown. Figures it will be good for another 10-15 years.
Awesome sauce. I will put the ice skate and the rock away.
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Phobias are for irrational fears. Fear of junk ripping badgers is perfectly rational. Those things are nasty.
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Old 02-06-14, 05:13 PM   #20
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No, but I was eyeing up some pliers at HD.
I had a wisdom tooth pulled this morning. I can assure you that a pair of pliers isn't gonna do the job by themselves. My guy also seemed to lever it out. Oh and lots and lots of novacaine helps too.

Anybody want a picture?
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Old 02-06-14, 09:30 PM   #21
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When my tiny Chinese prosthodontist was doing the extraction for the implant, he was practically standing on my chest to pull all of the pieces out.
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