December 2018 - Dr. Rick Lane

I need to get a dental implant and learned about metal-free, ceramic ones. When I asked my dentist about ceramic dental implants, he said he only places the metal kind. Is it worth switching dentists to get the metal-free dental implants?

-Jacob in Michigan

Jacob,

Most dental implants are comprised of titanium because of their strength and durability. There are also implants that are made of titanium alloy. These types of dental implants fuse with the bone really well too. Therefore, dental implants with titanium are what most dentists prefer to use.

There are some metal-free dentists around that may offer ceramic dental implants. However, these typically aren’t required unless a patient has a metal allergy. In those cases, the patient may react to metals or have a metal sensitivity.

The big question – do you have a metal allergy? If so, then it does make sense to try to find another dentist that will do ceramic dental implants. Then, the next step would be to have an allergy test performed so you can pinpoint which metals you are allergic to.

But, if you aren’t allergic, you don’t need to be concerned with making the switch. The dental implants that contain metal will serve you just fine.

Another reason some patients are insistent on metal-free dental implants is for appearance reasons. In some cases, the metal can show through the porcelain and give it a dark look. If this is a concern, think about where the dental implant will be placed. If it is in the back of the mouth, it isn’t that big of a priority since it won’t be visible.

So, unless you have a metal allergy or concerns with titanium, you’ll be just fine using the dental implants that your current dentist is recommending.

Hopefully this helps you make an informed decision.

This post is sponsored by Dr. Lane, a dentist in Petaluma.

I have had problems with my teeth since I was young. I always have cavities and as I got older my teeth starting breaking. I have had fillings, crowns, root canals, and a bridge.

Last week, I had a tooth break that was holding my bridge in place. The dentist reshaped the bridge and pulled the tooth. He said that I need to have the bridge replaced with two dental implants. I was overwhelmed and processing the fact that my tooth was pulled. But, after I saw the estimate for dental implants, I don’t think I can afford it.

Do you know if I have any other less expensive options besides dental implants?

-Selina in Illinois

Selina,

From what you have described, it sounds like the dentist probably presented you with the ideal treatment plan. Dental implants are the best solution for missing teeth. Since you didn’t inquire any further, he probably assumed you were fine with it. But, dental implants are not your only option to replace your missing tooth and bridge.

Depending on how much bone is at the implant site, you may be able to get one dental implant. Then, the dental bridge could be supported by it. Or there is another option called a cantilever bridge, which means it is only attached to one side from the tooth. Now, depending on the health of the surrounding teeth, this may not be an option. A partial denture is another treatment that may work to replace several missing teeth. All of these options may be less expensive than getting two dental implants.

So, why don’t you call back in ask more about your options? It may end up being easiest for you to schedule a consultation so you can hear firsthand the pros and cons of each and get any questions answered. Together, you can find a plan that works for your specific needs and budget. Don’t feel embarrassed. Your dentist likely assumed you were okay with the implants. Just be honest about your concerns.

Lastly, many dental practices have different payment plans and options available. So, be sure to ask about those too.

This post is sponsored by Rick Lane, DDS, a dentist in Petaluma.

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