Ask The Dentist!byDr. C Ross Crapo DDSWhere Do I Gofrom Here?Q: Dr. Crapo: I have been a smoker since my teens. I've tried toquit for various reasons but I think I really like to smoke. WhenI've stopped, it's been for as much as nearly a year and then Iresume for reasons that seemed as strong as when I quit. In anycase, over the years I've lost my upper molar teeth. Since losingthem l've been told I have no bone for implants in that area so lonly have my front teeth and the two teeth behind each eyetoothI was functioning quite well until all of a sudden, the tooth behindmy eyetooth on the upper left side, went crazy with pain. Thedentist I saw told me that the tooth had to come out and that Icould get implants for it and my back teeth if I would stopsmoking and get my sinuses grafted with bone, so the implantscould be anchored properly. The investigation took some time butI came away with an estimate that was way out of my ball park. Irealized that I couldn't afford that extensive a procedure. So nowI'm almost stopped in my tracks, not knowing what to do. I've gotto get this one tooth out but where do I go from here?A: If finances are an overriding factor, it's important first to definewhat is satisfactory as far as chewing is concerned. By that, Imean, ask yourself if the tooth that has abscessed was the realreason you sought dental care. Another way of saying that, is itthat tooth was still perfectly good, would you be chewing andeating without too much thought to replacing your molar teeth.If you have a dental plan you will get the most financial help fromyour plan by first having the bad tooth removed and theextraction site grafted. Once the bone and gum have stabilized, afixed bridge could be made that will return the function andappearance you had. It's important to stop smoking for healingpurposes.If you decide on an implant, the grafting site should be left to healfor six months. If the graft is very solid at six months, the implantcan be placed and three months later restored with a crown. Inthis scenario, you will see a gap when you smile for nine monthsbefore the crown can be placed. In the bridge scenario, atemporary bridge is put in place at the time of extraction and graftplacement. It will provide better function and better cosmeticsIf we can help, we'd like to. Call 778-410-2080 for a consultation.sed on actual patient casesVictoria Implant Centre778-410-2080www.VictorialmplantCentre.com

Date: May 13, 2018

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Ask The Dentist! by Dr. C Ross Crapo DDS Where Do I Go from Here? Q: Dr. Crapo: I have been a smoker since my teens. I've tried to quit for various reasons but I think I really like to smoke. When I've stopped, it's been for as much as nearly a year and then I resume for reasons that seemed as strong as when I quit. In any case, over the years I've lost my upper molar teeth. Since losing them l've been told I have no bone for implants in that area so l only have my front teeth and the two teeth behind each eyetooth I was functioning quite well until all of a sudden, the tooth behind my eyetooth on the upper left side, went crazy with pain. The dentist I saw told me that the tooth had to come out and that I could get implants for it and my back teeth if I would stop smoking and get my sinuses grafted with bone, so the implants could be anchored properly. The investigation took some time but I came away with an estimate that was way out of my ball park. I realized that I couldn't afford that extensive a procedure. So now I'm almost stopped in my tracks, not knowing what to do. I've got to get this one tooth out but where do I go from here? A: If finances are an overriding factor, it's important first to define what is satisfactory as far as chewing is concerned. By that, I mean, ask yourself if the tooth that has abscessed was the real reason you sought dental care. Another way of saying that, is it that tooth was still perfectly good, would you be chewing and eating without too much thought to replacing your molar teeth. If you have a dental plan you will get the most financial help from your plan by first having the bad tooth removed and the extraction site grafted. Once the bone and gum have stabilized, a fixed bridge could be made that will return the function and appearance you had. It's important to stop smoking for healing purposes. If you decide on an implant, the grafting site should be left to heal for six months. If the graft is very solid at six months, the implant can be placed and three months later restored with a crown. In this scenario, you will see a gap when you smile for nine months before the crown can be placed. In the bridge scenario, a temporary bridge is put in place at the time of extraction and graft placement. It will provide better function and better cosmetics If we can help, we'd like to. Call 778-410-2080 for a consultation. sed on actual patient cases Victoria Implant Centre 778-410-2080 www.VictorialmplantCentre.com

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