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Dentistry/Short Implants For Mandible

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Question
Dr. Tieg, My denture specialist(Prosth.)  wants to place two short implants in the mandible and make my cast metal partial, so it will snap on to them. Since he is not on my insurance he is referring me to an oral surgeon in my area that does them.. He has  taken a CT x-ray two years ago. I have read, too many bad things about them, that they could fracture my jawbone, and also if I ever got an infection, they would take more bone out if they had to be removed. I would much better have 4 mini implants placed and if one got loose, it could easily be replaced. Also, their is the cost of short one's. What is your opinion please? Thanks

Answer
Brenda -  Let me first say that I am not a proponent of the short implants.  They are more prone to developing problems secondary to the normal wearing of the partial, versus a regular size implant in that area.  I have never placed one and don't actually know the cost, but because the placement of these mini-implants is much simpler, the cost should definitely be less.

A regular size implant, if placed properly could almost last forever, and I have heard of a less predictable length of the life of the minis.  Talk to the surgeon and see what he thinks is best for you. The surgeon is more knowledgeable about implants.

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA -University of Connecticut DMD - University of Pennsylvania School of Dental Medicine

Awards and Honors
National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude

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