Tag Archives: implant supported dentures

Does She Deserve a Refund?

I had four mini implants done to support a denture. It was time for the denture to be done, but I knew I’d be relocating. I asked my dentist how long it would take for the overdenture to be made and he told me three weeks. Nine and a half weeks later (and a week before I have to move), I finally get the denture and it doesn’t fit. Knowing I have to leave, he sort of forces it in. I thought I could make it work, but I could even eat soft food. I called back to see what we could do about it, but he wasn’t in. I ended up calling another dentist for an “emergency” second opinion. He said there are two problems. First, the holes around the attachment were not drilled out properly. Second, the denture teeth themselves are slanted the wrong way. He doesn’t think there is any way it can be fixed in the time I have left in this state. Is it appropriate for me to ask for a refund or will I have to travel back and forth to get this finished here?

Rebekah

Dear Rebekah,

dental implants anchoring dentures
Implant supported dentures

You definitely have the right to ask for a refund. When he told you he could do it in 3 weeks, that was the equivalent of a contract. He broke that contract by a large margin. Then, when he did provide your denture it didn’t fit. From a legal standpoint, you are in good shape.

There’s the dental standpoint as well. Dental implants aren’t a recognized specialty. Because of that, many dentists are doing a procedure they are not qualified to do. It is one of the leading areas of dental malpractice.

Three weeks was a right and reasonable time to get your dentures done. Because he couldn’t, nor could he get them done correctly in a much longer period of time, I have a high suspicion he is in over his head.

Getting Your Refund

You are in a good place here with the leverage you have. He’s messed up from a legal and dental standpoint. You’ve already done this. For those who haven’t, it is always helpful to make sure it is a blind second opinion. This means you don’t let the second dentist know who the first dentist is. Simply let him look at the work which was done and give his thoughts.

Once you have secured the second opinion, then you go to the dentist and simply ask for a refund. Hopefully, your dentist will recognize the flaw in his technique and have the integrity to make things right. But what if he doesn’t?

If he doesn’t, use your leverage.

Tell him you will write a bad review for him. Research shows that somewhere between 60 -65% of people rely on reviews to determine where to go to the dentist. He should care about the type of reviews he is getting. You could even tell him you’d be willing to do a good review about his willingness to cooperate with you when your denture didn’t work out.

If that doesn’t work, you could tell him you will have to speak with the dental board about the situation. I’m sure the second opinion dentist can help you show the level of incompetence that went into your case. That should sober him up a bit.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Dental Implants After Ten Years?

I’ve had full removable dentures for a little over ten years. I really don’t like how they feel or look, plus I haven’t been able to eat normally since getting them. Is it too late for me to get dental implants? Will they look better than my dentures?

Andrea

Dear Andrea,

side by side comparison of dentures and a dental implant

You can get dental implants after any period of time, with one caveat, which we will talk about in a moment. In fact, it is actually important that you do. As you can see from the image above, your lower dentures just rest on the ridge of your jawbone.

You have already experienced that it makes it harder for you to eat. Even the best fitting dentures reduce your chewing capacity by 50%. However, there is an even bigger issue.

When you first removed your teeth, your body recognized that and began to resorb the minerals in your jawbone. Everntually, there isn’t enough of your jawbone left to retain your dentures. This is known as facial collapse. You are probably already starting to experience some of this.

Dental implants are different. They serve as prosthetic tooth roots, which signal to your body that you still have teeth. As a result, it leaves your jawbone completely intact.

Bone Grafting

Without enough bone, you won’t have a way to retain the implants. They’ll simply fail and fall out. Depending on how much jawbone you’ve already lost, you may need some bone grafting done first. This will add the missing bone and enable you to have the implants placed in a way that will be successful.

When you’ve lost all your teeth, it is more financially feasible to do implant overdentures. With these, you have 4 to 6 dental implants placed and anchor dentures to them. They will be completely secure.

Getting Beautiful Dental Implants

Whether or not they are beautiful will depend on the dentist who creates your new dentures. Creating beautiful smiles isn’t taught in dental school. Instead, a dentist has to invest in cosmetic dentistry training in a post-doctoral setting.

The best cosmetic dentists have reached accreditation with the American Academy of Cosmetic Dentistry. Any one of them will be able to create a stunning smile for you. You’ll be getting new teeth and a smile makeover at the same time.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Can’t Afford the Number of Implants My Dentist Requires

I am losing my teeth and wanted to get implant-supported dentures. My dentist is insisting I get twelve, six per arch. He says it is the only way they will be completely stable. If I can’t afford that am I stuck with regular removable dentures?

Daisy

Dear Daisy,

illustration of snap on dentures

I’m sorry he’s pressuring you. While it is true that the more dental implants you use to anchor the dentures, they more secure they’ll be. However, implant overdentures can be done with four implants per arch and give you both security from them slipping as well as protection from facial collapse.

If that is out of reach financially, you still have options before having to revert to complete removable dentures.

You could get snap-on dentures, which can use as few as two implants. They will move, but won’t fall out on you. They also give you some protection from facial collapse where the two implants are. This may get you started and you can save up for full implant-supported dentures as you are able.

It doesn’t sound like this is the best dentist for your situation. Some dentists will only do the ideal treatment, not caring about the hardship it puts on their patients who may not have a budget that can accommodate the ideal. In your place, I’d look for a more compassionate dentist.

He was ethically obligated to give you all your options, even if he wasn’t willing to perform them. This also bothers me. As he may not be willing to do the procedure you need for your financial constraints, this is the perfect time for you to find another dentist.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Can Dentures be Attractive?

I’m losing my teeth and have to decide between dentures and implants. I don’t want to spend a fortune, which is what implants cost, but I also want an attractive smile. I only know a couple of people with dentures. With one of them, their face looks pinched as if the dentures are too small for them. Another, the teeth look obviously fake. If I end up getting dentures, can they be made to look attractive?

Bethany

Dear Bethany,

An illustration of both a denture and a dental implant

Dentures can be made to look beautiful. Whether or not that happens depends on the skill of the dentist. Your friend who has fake looking dentures has a dentist who hasn’t invested in time in cosmetic training. The friend whose face looks pinched, it likely isn’t because their dentures are too small. Instead, they are likely facing what is known as facial collapse.

When your teeth are removed (or fall out), your body recognizes that. As a result, it wants to be as efficient as possible with the minerals in your jawbone. Without needing to support your teeth with them, it resorbs them to use elsewhere in your body. This has the unfortunate effect of slowly shrinking your jawbone. This is what has given your friend’s face that crushed look. Eventually, there isn’t enough jawbone left to even support your dentures.

This is something to consider before settling on getting dentures alone. The implant-supported dentures prevents this problem. Your dentist will place four to six dental implants in your jawbone. This enables your body to interpret this as you still having teeth. Because of that, it leaves your jawbone intact.

Getting Beautiful Dentures

Whether you get dentures or implant overdentures, you will want them to look beautiful. Finding an expert cosmetic dentist will do that. My recommendation is you look at the mynewsmile.com website. This website lists cosmetic dentists. A dentist can not just pay to be listed there, though. In order to be listed, they have to verify their post-doctoral training in cosmetics as well as show they have artistic skills by providing visual evidence of cases they’ve personally done.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Are There Soft Dentures?

I’m looking for something to help with my dentures. The way they are on the roof of my mouth hurts. Do they make a soft kind of denture?

Lisa

Dear Lisa,

An illustration of both a denture and a dental implant

There are soft liners for dentures. This is what is typically called a soft denture. However, while they are a tad more comfortable, they have limitations. They’re both more expensive and do not last as long. They are also harder to keep clean.

Unfortunately, I don’t know of a denture that is pliable, which it sounds like you’re asking for. This is because the denture needs a firm frame both to fit right and to help with chewing.

The Solution When Dentures aren’t for You.

I’m going to suggest you switch to implant supported dentures. These won’t require you to have a plate at all. Instead, the dentures are attached to the implants. It is much more secure than removable dentures. You’ll find it will also increase your quality of living, including your chewing capacity.

There’s an even more important benefit. When your teeth were removed, your body began to resorb the minerals in your jawbone to use elsewhere. It does this because it strives to be efficient and recognizes you no longer have any teeth roots there. The big problem with that is as your minerals leave, your jawbone shrinks. This is known as facial collapse. Eventually, you won’t have enough jawbone left to even support your dentures.

Having dental implants there, signals to your brain that there are still roots there. leaving your jawbone intact.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Will Dental Insurance Cover Dental Implants

I am losing my teeth and would like to get dental implants. I think I’m a candidate but wondered if dental insurance will cover it?

Ben

Dear Ben,

Three parts of a dental implant
The three parts of a dental implant

It’s good that you’re looking at dental implants to replace your teeth, especially if you’re talking about replacing all your teeth. While dentures are much less expensive, they have quite a few problems.

Problems with Dentures

  • They’re removable so there will, out of necessity, be times you won’t have teeth.
  • They slip and slide allowing food to get underneath them.
  • No matter how well fitting they are, your chewing capacity is reduced by 50% or more.
  • It causes facial collapse.

Dentures and Facial collapse

A woman's profile twice, one with facial collapse, one after
Wearing Dentures Leads to Facial Collapse

When your teeth are removed, your body recognizes there are no longer any roots of your teeth and concludes you don’t need that bone to secure them. In an effort to be efficient, your body will begin to resorb the minerals in your jawbone to use elsewhere. This causes your jawbone to slowly shrink. After about 10 or so years, you won’t have enough jawbone left to even retain a denture and they will constantly fall out. This is called facial collapse.

Having dental implants placed will prevent all of the problems faced with dentures. They secure your dentures restoring your ability to chew. Because they’re permanently secured, you’ll never have to go without teeth. Their most important benefit is the prevention of facial collapse. Because you have prosthetic roots placed, your body interprets that as your teeth still being in place and it will leave the minerals in your jawbone alone, keeping it completely intact.

Dental Insurance for Dental Implants

One thing to remember when it comes to any type of insurance is they are a business. The goal of any business is to make money. While many plans will cover a portion of dental implants, it is not likely to be much. They generally only cover the basic replacement for your teeth. That would mean a partial denture or full removable dentures depending on the number of teeth you’re losing.

It sounds like you don’t have insurance yet and are looking for a plan in order to get your implants. One thing to be aware of is many plans will only cover your checkups and cleanings at first and have a certain number of months you have to wait until you can claim any coverage for other services.

Most dentists expect payment in two different stages when it comes to dental implants. The first installment is paid during the surgical portion. The second installment won’t be expected until it is time to get your implant crowns/dentures.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

Is There a Dentures Support Group?

Please help me. I feel so foolish. It’s bad enough losing your teeth. But, being poor and losing your teeth is the absolute worst. I couldn’t afford to get dental implants, and yes, I know they’re better. I’m just stuck with dentures. I absolutely hate them. I don’t know if there’s a group or something which talks about how they deal with dentures, but I really need one.

Carolyn

Dear Carolyn,

An image of a snap-on denture
Snap-on Dentures will keep them secure

I’m not aware of a denture support group, but it sounds like a good idea. You might even be able to start one at your local dentist’s practice. I say that with confidence because you’re not alone in your feelings. Many people struggle with dentures.

Common Struggles with Dentures

One of the biggest complaints is it’s much more difficult to eat food. Many times that can be improved with a better fit of your dentures. However, there are limitations. Even the best fitting dentures still reduce your chewing capacity by 50%. Cutting your chewing capacity in half is a huge drop in quality of life.

Another problem is they slip and slide. Removable dentures are, by their very title, removable. Because there’s nothing anchoring them there, they will move. This will happen more and more as your jawbone shrinks, which is a devastating side effect of dentures known as facial collapse. Eventually, you won’t be able to keep them in at all.

I realize I’m not telling you anything you didn’t already know and you want solutions, so let’s move on.

A Snap-on Dentures Solution

Without having the money for dental implants, most patients feel hopeless, like they’re trapped. However, there is a sort of “part way” procedure that will help a little.

Generally, when you’re talking about implant supported dentures, you’ll need about six for each arch. However, with snap-on dentures, you can get as few as two. This can make a world of difference.

Benefits of Snap-on Dentures

The most obvious benefit is they cannot fall out. The implants anchor the dentures to your mouth securing them so you’ll never have to worry about embarrassing public slips.

They’ll help you retain your jawbone where the implants were placed.

They give you a stop gap while you work toward more implants. Obviously, the more implants you have the better, but starting with two gives you hope, a bit of relief, and a place to start.

Our life circumstances change all the time, and there may come a time you can afford to get more implants. This also allows you to save up a bit at a time and you can add two implants in stages as you’re able, until you have the security and chewing capacity you want.

This blog is brought to you by Salem Dentist Dr. Randall Burba.

Can’t Eat Since Getting Dental Implants

I need help and I’m not sure how to get it. Over a year ago I went to the dentist for the first time in a long time. She said my teeth couldn’t be saved and recommended removing all of them and replacing them with dental implants. I couldn’t afford that initial procedure she recommended, but we finally settled on implant supported dentures. Even then, I had to get a loan through this program they use. Ever since the implants were placed I’ve been in massive pain. In fact, I’m in more pain now than I was when this started. I’d hoped when they added the denture after my healing period I’d feel better. That’s what the dentist’s office told me too. Unfortunately, that hasn’t been the case. In fact, it hurts so much I can’t even wear the dentures. I’ve lost over 60 pounds because I’ve essentially been on a liquid diet for this whole time. I can’t live like this anymore. The dentist says everything’s fine and I’ll adjust, but I’m not seeing any improvement. What do I do?

Belinda K.

Dear Belinda,

Salem Dental Implants

I’m sorry you’ve been in so much pain and am a little concerned that you’re losing so much weight and your dentist doesn’t seem to care. While some postoperative pain is normal, what you’re experiencing seems to be anything but normal. Your dentist should be willing to make this right on her own, but it seems like she may need a little nudge.

If it were just the dentures hurting I’d think they’re just in need of adjustment. But, this pain has been consistent from the beginning. I haven’t examined you, but I am wondering if the dental implants were improperly placed. What I’d like you to do is get a second opinion from a highly skilled implant dentist. Look at some of the training and experience Dr. Burba has to get an idea of what kind of dentist you’ll want to visit to have this looked at. Don’t tell them who your dentist is, just explain your symptoms and go from there.

If it turns out your dentist did something that caused the problem you should be able to get a full refund. You’ll still be in the position of needing to replace all your teeth. Implant-supported dentures are a good option. Unfortunately, once you’ve had implants placed, if you lose them, you’ll need to have bone grafting done in order to have more. This procedure is fairly easy and can be completed in a day.

I almost wish you’d had a second opinion before going through all this. There may have been a chance to save at least some of your teeth. Of course, there’s no turning back the clock now. Hopefully, your experience will help someone else.

I’m also hopeful you can get this resolved quickly just by getting a second opinion. I’m sorry you’ve had such a negative experience.

This blog is brought to you by Dr. Randall Burba.