True cost of a [dental] implant

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davidkw
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True cost of a [dental] implant

Post by davidkw » Tue May 13, 2014 6:57 pm

To get an implant, I have a quote from a periodontics dentist doing the following:

Tooth 28:
Implant Surgery $2,757
PA/Interoral Xray $48
Implant Uncov/torq Test-sec Stage $70
PA/Interoral Xray $48

The dentist I have been going to for nine years to put in the crown

D6057 ZDR2 Custom abutment-incl placement $636
D6065 ZDR2 Implant/Porcelain Cm $1,544

I have an excellent relationship with the dentist that I have been going to for nine years. He is conservative with his treatments. He made me a night guard for my teeth when I sleep. When I had a filling redone, it cracked the night guard. He made me two more for free. He has consistently looked out for my interests. If I pay more for his part inserting the crown on the implant, I am fine with it. The periodontics dentist has an office in the same building.

Is the periodontics dentist high with his costs?

I see advertisements for dentists who do both stages in their office. Can a regular dentist do the periodontics work? Dentists who do both stages, are they more cost effective?

Are prices of implants coming down?
David | | From Jack Brennan's "Straight Talk on Investing", page 23 "Living below your means is the ultimate financial strategy"

Calm Man
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Re: True cost of an implant

Post by Calm Man » Tue May 13, 2014 7:10 pm

Coming from the medical profession, I can tell you that these perio guys are unconsicouable in what they charge. In the medical profession we have to treat people "in need of treatment". Not these guys. They are unfettered by insurance payments or reasonalbe and customary amounts as they simply don't take insurance. Payment is demanded in advance generally for all or part. Their rates are "sick" and you are a prisoner. They shouldn't sleep at night !!!!!

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rob
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Re: True cost of an implant

Post by rob » Tue May 13, 2014 7:16 pm

Calm Man wrote:Coming from the medical profession, I can tell you that these perio guys are unconsicouable in what they charge. In the medical profession we have to treat people "in need of treatment". Not these guys. They are unfettered by insurance payments or reasonalbe and customary amounts as they simply don't take insurance. Payment is demanded in advance generally for all or part. Their rates are "sick" and you are a prisoner. They shouldn't sleep at night !!!!!
This echoes my experience.... The implant place did NOT take insurance and I had to pay up front. When I claimed it, "insurance" paid not a lick - as the mastercard commercial, zero dollars - for the implant since it was "elective" :twisted:

The crown on top was somewhat "covered" and after co-pay, co-insurance, co-coruption, the "insurance" company accepted a tad short of half - which was then applied to my deductible leaving me with around about 100% of the cost. Brilliant......
| Rob | Its a dangerous business going out your front door. - J.R.R.Tolkien

miamibeachdentist
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Re: True cost of an implant

Post by miamibeachdentist » Tue May 13, 2014 8:02 pm

Dentist here.

The estimate is on the high side. We do both parts in my office, surgery and restoration.
You should be able to get everything start to finish for under $4000 for a back tooth.

You can shop around and find another office that does everything. Or tell your dentist that the specialist fees are too high
and see if he can recommend someone else.
Or ask a co-worker or family member for a recommendation.

Good luck.

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DRILLINDK
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Re: True cost of a [dental] implant

Post by DRILLINDK » Tue May 13, 2014 10:24 pm

^I concur. You're getting hit hard b/c your general dentist is referrring you to a periodontist. You should be able to get it all completed for about $4k. Ask your dentist if he can recommend anyone else that will place the implant.

john94549
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Re: True cost of a [dental] implant

Post by john94549 » Tue May 13, 2014 11:00 pm

I live in a relatively high COL area (Northern California). I just paid a tad south of $4k for two implants, out-the-door. The fakies should run another $1000/each.

jaekwilson
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Re: True cost of a [dental] implant

Post by jaekwilson » Wed May 14, 2014 4:24 am

I agree that the cost sounds high. Usually, the other items, such as the x-ray and "second stage" surgery are integral to the procedure, and should not be included in the fee. However, the fee for the implant surgery might include other adjunctive procedures such as bone grafting. If that were the case, tacking on an additional $1000 for the procedure and materials would certainly sound in line with what other posters have mentioned. Compared to a crown on a tooth, the cost of an implant restoration is much higher due to the high cost of the parts involved. I think even the little screw that holds the abutment to the implant might be something like $80. Of course, as with anything, the costs vary based on implant manufacturer. The implant systems that are well researched and have proven track records are significantly more expensive. There are several companies that sell knock off implants at a much reduced rate, but these may not have as much or any long term outcome studies to back up their implants. Plus, these smaller companies may not be around in 5 years. If the implant connection is proprietary then there will be issues down the line with replacement parts if any problems arise.

The dental insurance industry has not really embraced dental implants, hence the issue with insurance not paying much or any of the procedure. Some plans will pay a portion of the implant fee. Others will "substitute" it for the cost of a fixed bridge, yet very few plans will pay much more than 50% of the usual and customary rate for any type of tooth replacement. Of course, the dentist is able to charge above that UCR based on his or her fee schedule. I would add that many dentists of all specialties charge above the UCR and rightfully sleep well at night. Dental insurance is more like a groupon - you get a very specific amount of work done for a specific price. Some procedures, mainly those that treat active disease are covered at higher rates than those that are reconstructive in nature (such as replacing teeth with bridges or implants.) It is arguable whether or not tooth replacement, especially a single tooth, is elective, thus the tendency to pay decreased percentages of these procedures.

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jfn111
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Re: True cost of a [dental] implant

Post by jfn111 » Wed May 14, 2014 6:14 am

I recently had an implant done. I went to a Periodontist that was in the dental network my insurance company recommended. I paid $2700 up front (no bone graft required). The insurance company ended up paying $1900. The Periodontist refunded the $800.
If your paying cash you might be able to negotiate the insurance company reimbursement rate.

SteveB3005
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Re: True cost of a [dental] implant

Post by SteveB3005 » Wed May 14, 2014 8:42 am

Lower left, first molar, I'm having this done presently. Right around four thousand, yep. Includes extraction and bone graft, the rest pretty much like you said. I trust my dentist, he seems to have good rates and everyone I've sent to him has stayed, and he made the referral. I didn't shop around, shame on me, the service is good and I'm happy about things in general.

Hey, so OP, when he did the torque test did he give you a value. Said mine was 85, highest he's ever seen. From where I was sitting looked like 58, just wondering.

Jack FFR1846
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Re: True cost of a [dental] implant

Post by Jack FFR1846 » Wed May 14, 2014 8:44 am

I paid $5800 a few years ago. Top notch care and no problems since. I don't even know it's there.
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davidkw
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Re: True cost of a [dental] implant

Post by davidkw » Wed May 14, 2014 10:22 am

I called insurance and found out what they would pay:

Tooth 28:
D6010 Implant Surgery $2,757 Max allowed by insurance is $2,371 and insurance pays 40% - In network is $1,495 and pays 50%
PA/Interoral Xray $48
Implant Uncov/torq Test-sec Stage $70
PA/Interoral Xray $48

The dentist I have been going to for nine years to put in the crown

D6057 ZDR2 Custom abutment-incl placement $636 - comes in under the max insurance would pay
D6065 ZDR2 Implant/Porcelain Cm $1,544 - comes in under the max insurance would pay

There is a second implant too that is right next to the one I would get. I would do that next year since I could budget the money in the flexible spending account. A few other expenses too

D7210 Extraction-comp $404 - Max allowed by insurance is $335 and would pay 60% - In network is $145 and pays 70%
D7953 Bone Graft Extraction Site $327 - Max allowed by insurance is $319 and would pay 60% - In network $319 and pays 70%
David | | From Jack Brennan's "Straight Talk on Investing", page 23 "Living below your means is the ultimate financial strategy"

RDB
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Re: True cost of a [dental] implant

Post by RDB » Wed May 14, 2014 12:35 pm

Dentist also....in my office it is just over $4000 not including extras like bone grafting, CT if needed , etc. I have a periodontist in one day a week who does the surgery. Cost for the custom abutment is 575, crown is 1300. If someone has the implant placed at another specialist, I tell them to expect $4000-5000 for everything. I have heard of much higher as well.

oilchange
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Re: True cost of a [dental] implant

Post by oilchange » Fri Dec 04, 2015 2:52 pm

Dental Implant to Lower 2nd premolar replacement, with a healthy jaw bone.
First visit, 30minute appointment: assessment , ct scan, $240 CAD
Second visit, 60 min appointment: install implant , Implantologists time, 30 minutes, $2300 CAD. $1 US = $1.35 CAD.
Now I'm waiting for 2 months before the crown install. Lucky my plan covers 70% of the crown only.

Although i didn't need bone grafting for this tooth, another one does. Price for the graft is $1800 CAD. 1 hour appointment.

Very quick and simple, he used an angle grinder with a long thin burr to drill out the hole. Then a hand tap to thread it, then screw in the implant. I had no pains after, and no infection. This should be the method of choice to replace missing teeth. Dentists should use all care to preserve bone when extracting teeth.

:dollar Yes, its absurdly expensive here in Canada, app $2500 an hour for the periodontist's time; but to be fair, there are the expenses: assistants wages, equipment, and the leased space.
A friend just had his uppers removed, bone grafts done, and 6 mini implants, and snap on falsies installed, $36000 CAD.

The saying is " sell your house, get new teeth"

The majority go to Mexico as they can't afford the prices here, others remain toothless, or with ill fitting false plates.

toofache32
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Re: True cost of an implant

Post by toofache32 » Fri Dec 04, 2015 5:24 pm

Calm Man wrote:Coming from the medical profession, I can tell you that these perio guys are unconsicouable in what they charge. In the medical profession we have to treat people "in need of treatment". Not these guys. They are unfettered by insurance payments or reasonalbe and customary amounts as they simply don't take insurance. Payment is demanded in advance generally for all or part. Their rates are "sick" and you are a prisoner. They shouldn't sleep at night !!!!!
Dentistry is different because you don't need teeth. Everyone wants teeth but nobody needs teeth. This is about quality of life...edentulism is not a disease. There are 300-pound people walking around with NO teeth. Think about it.

sk.dolcevita
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Re: True cost of a [dental] implant

Post by sk.dolcevita » Fri Dec 04, 2015 7:44 pm

My plan when the time comes:

https://news.yahoo.com/facing-rising-de ... 18368.html

Some of the comments are very instructive - one of them references this site: www.aboutmexicandentists.com

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wander
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Re: True cost of a [dental] implant

Post by wander » Fri Dec 18, 2015 2:05 pm

I have both healthcare and dental insurance. When I visit a dental office, should I give them both IDs or just a dental card? Normally, they want to take both but I wonder if it is necessary.

toofache32
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Re: True cost of a [dental] implant

Post by toofache32 » Fri Dec 18, 2015 2:19 pm

wander wrote:I have both healthcare and dental insurance. When I visit a dental office, should I give them both IDs or just a dental card? Normally, they want to take both but I wonder if it is necessary.
Many dental plans are now requiring a claim to the medical insurance for medical to deny the claim before the dental will consider it....even though they know the medical insurance will deny it. This is yet another hoop to jump through created by the insurance companies which allows them another 2-3 months to collect interest on your premiums. It's also another reason many dentists are dropping insurance plans.

new2bogle
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Re: True cost of an implant

Post by new2bogle » Fri Dec 18, 2015 2:24 pm

Calm Man wrote:Coming from the medical profession, I can tell you that these perio guys are unconsicouable in what they charge. In the medical profession we have to treat people "in need of treatment". Not these guys. They are unfettered by insurance payments or reasonalbe and customary amounts as they simply don't take insurance. Payment is demanded in advance generally for all or part. Their rates are "sick" and you are a prisoner. They shouldn't sleep at night !!!!!

Umm, all medical professionals are like this.

magicj
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Re: True cost of a [dental] implant

Post by magicj » Fri Dec 18, 2015 3:00 pm

sk.dolcevita wrote:My plan when the time comes:

https://news.yahoo.com/facing-rising-de ... 18368.html

Some of the comments are very instructive - one of them references this site: http://www.aboutmexicandentists.com
I am not a dentist, but work with them everyday in my profession. This post here is very real and is happening more than you think. I am in my 30's now, but know if I need multiple implants later in life I am taking a "vacation" out of the country. I wouldn't be surprised if in 20-30 years the cost of an implant goes down because situations like this become more common.

jridger2011
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Re: True cost of a [dental] implant

Post by jridger2011 » Sat Dec 19, 2015 5:01 pm

I'm not sure what the true cost is, but in NYC, a dental practice in Manhattan, it will come in around $5000. The dental implant process is long and requires a number of visits so I am not sure if this type of thing is worth traveling for.

Visits:
1. Extraction + optional Bone Graft
2. Checkup
3. Implant surgery
4. Checkup
5. Prep for the crown
6. Crown Placement

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tennisplyr
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Re: True cost of a [dental] implant

Post by tennisplyr » Sat Dec 19, 2015 5:14 pm

Am getting an Implant. Impact will run $2500, dentist's cost for crown is $1,300 plus cost of tooth extraction. These are heavy duty costs for a retiree on a fixed income but I need it. These guys really don't care, they are just interested in running their business.
Those who move forward with a happy spirit will find that things always work out.

toofache32
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Re: True cost of a [dental] implant

Post by toofache32 » Sat Dec 19, 2015 11:35 pm

tennisplyr wrote:Am getting an Implant. Impact will run $2500, dentist's cost for crown is $1,300 plus cost of tooth extraction. These are heavy duty costs for a retiree on a fixed income but I need it. These guys really don't care, they are just interested in running their business.
What was the reason you went to work every day? :?

Those fees sound pretty standard for my area.

oilchange
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Re: True cost of a [dental] implant

Post by oilchange » Sun Dec 20, 2015 12:02 am


Recently the US dollar is rising stellar versus Canadian currency.

For a healed healthy jaw bone, the simply implant including crown should be <$3500 US :dollar in a hi quality Canadian facility, if your close to a border city, by a periodontist specialist.

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tennisplyr
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Re: True cost of a [dental] implant

Post by tennisplyr » Sun Dec 20, 2015 8:30 am

toofache32 wrote:
tennisplyr wrote:Am getting an Implant. Impact will run $2500, dentist's cost for crown is $1,300 plus cost of tooth extraction. These are heavy duty costs for a retiree on a fixed income but I need it. These guys really don't care, they are just interested in running their business.
What was the reason you went to work every day? :?

Those fees sound pretty standard for my area.
Guess I was hoping they would think to do right by their patient instead of just worrying about their bottom line . Stupid me :oops:
Those who move forward with a happy spirit will find that things always work out.

livefree
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Re: True cost of a [dental] implant

Post by livefree » Sun Dec 20, 2015 9:56 am

tennisplyr wrote:
toofache32 wrote:
tennisplyr wrote:Am getting an Implant. Impact will run $2500, dentist's cost for crown is $1,300 plus cost of tooth extraction. These are heavy duty costs for a retiree on a fixed income but I need it. These guys really don't care, they are just interested in running their business.
What was the reason you went to work every day? :?

Those fees sound pretty standard for my area.
Guess I was hoping they would think to do right by their patient instead of just worrying about their bottom line . Stupid me :oops:
So you want him to do right by your bottom line rather than their own? As mentioned before, you are overlooking the value of the dentist's overhead expenses, education expenses, and years of opportunity cost learning the skills to do what he does. And just because it is expensive doesn't mean they are not doing "right by their patient" as I'm sure he will do the procedure to the best of his ability. If finances are an issue, their are less expensive alternatives to replace a tooth than with an implant. At least in the dental world you know your costs upfront, and have the freedom to shop around.

Farmboyslim83
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Re: True cost of a [dental] implant

Post by Farmboyslim83 » Sun Dec 20, 2015 10:53 am

What about Mexico? I read something about it being 10-20% of US costs. Let's of homework required for that option.
Dentists will cringe, but do you need that tooth? If it is not visible, pull it!

bsteiner
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Re: True cost of a [dental] implant

Post by bsteiner » Sun Dec 20, 2015 11:06 am

jridger2011 wrote:I'm not sure what the true cost is, but in NYC, a dental practice in Manhattan, it will come in around $5000. The dental implant process is long and requires a number of visits so I am not sure if this type of thing is worth traveling for.

Visits:
1. Extraction + optional Bone Graft
2. Checkup
3. Implant surgery
4. Checkup
5. Prep for the crown
6. Crown Placement
I had two in Manhattan. Between the oral surgeon who did the implants and the prosthodontist who did the crowns, they were about $6,000 each. However, like parachutes and toilet paper, the lowest price for professional services isn't always the best choice.

A friend had some implants done in Israel and said it was less expensive, but he was going there anyway since he was from there and had family still there, so the travel wasn't a factor for him.

jridger2011
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Re: True cost of a [dental] implant

Post by jridger2011 » Sun Dec 20, 2015 11:28 am

bsteiner wrote:
jridger2011 wrote:I'm not sure what the true cost is, but in NYC, a dental practice in Manhattan, it will come in around $5000. The dental implant process is long and requires a number of visits so I am not sure if this type of thing is worth traveling for.

Visits:
1. Extraction + optional Bone Graft
2. Checkup
3. Implant surgery
4. Checkup
5. Prep for the crown
6. Crown Placement
I had two in Manhattan. Between the oral surgeon who did the implants and the prosthodontist who did the crowns, they were about $6,000 each. However, like parachutes and toilet paper, the lowest price for professional services isn't always the best choice.

A friend had some implants done in Israel and said it was less expensive, but he was going there anyway since he was from there and had family still there, so the travel wasn't a factor for him.
I agree, the prices can vary a bit and places like NYC there are probably great practices in Brooklyn, Queens, Long Island, etc that do great work but it would be effort to shop around that far. I had one not hold during the healing process and it was a setback in time, since it was removed, had to heal again, and restart the process. The dental practice re-did that part without an extra fee.

toofache32
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Re: True cost of a [dental] implant

Post by toofache32 » Sun Dec 20, 2015 11:51 am

tennisplyr wrote:
toofache32 wrote:
tennisplyr wrote:Am getting an Implant. Impact will run $2500, dentist's cost for crown is $1,300 plus cost of tooth extraction. These are heavy duty costs for a retiree on a fixed income but I need it. These guys really don't care, they are just interested in running their business.
What was the reason you went to work every day? :?

Those fees sound pretty standard for my area.
Guess I was hoping they would think to do right by their patient instead of just worrying about their bottom line . Stupid me :oops:
Are you actually saying this should be done for cost?? No profit?? What line of work were you in before you retired?

FandangoDave5010
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Re: True cost of a [dental] implant

Post by FandangoDave5010 » Sun Dec 20, 2015 12:15 pm

I had two implants several years for $5000, half of which was covered by dental insurance. That used up my lifetime allowance. My dentist is eying other potential implants but at age 79 I will put up with extractions and gaps. Most of the food I eat now is soft and I stay away from meat that is tough to chew. I know, it's only money but it seems that having a gold tooth that can be removed would make more economical sense...to my heirs.

jcar
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Re: True cost of a [dental] implant

Post by jcar » Sun Dec 20, 2015 12:41 pm

I'm contemplating an implant. My hesitation is I was told by a layman that you need to wear a guard on it at night forever. Is this correct? I don't mind a few months but not permanently. Thanks.

reneeh63
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Re: True cost of a [dental] implant

Post by reneeh63 » Sun Dec 20, 2015 12:56 pm

FandangoDave5010 wrote:I had two implants several years for $5000, half of which was covered by dental insurance. That used up my lifetime allowance. My dentist is eying other potential implants but at age 79 I will put up with extractions and gaps. Most of the food I eat now is soft and I stay away from meat that is tough to chew. I know, it's only money but it seems that having a gold tooth that can be removed would make more economical sense...to my heirs.
Are implants really recommended at the age of 79? I would think there would be a high failure rate for the bone graft at that age or it would take MUCH longer to be ready for the crown. Definitely something to consider. You are fortunate that half is covered by dental insurance. I get 50% coverage for crowns but next to nothing for the much more expensive implant process.

toofache32
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Re: True cost of a [dental] implant

Post by toofache32 » Sun Dec 20, 2015 1:10 pm

jcar wrote:I'm contemplating an implant. My hesitation is I was told by a layman that you need to wear a guard on it at night forever. Is this correct? I don't mind a few months but not permanently. Thanks.
You don't have to. If you grind your teeth at night (which can be determined by wear patterns on the teeth) then many dentists will recommend a night guard to protect your teeth, crowns, bridges, etc. It's cheaper to chew through a piece of plastic and replace it every few years, rather than chew through a crown and have to replace the entire crown. This has nothing to do with implants.

toofache32
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Re: True cost of a [dental] implant

Post by toofache32 » Sun Dec 20, 2015 1:20 pm

reneeh63 wrote:
FandangoDave5010 wrote:I had two implants several years for $5000, half of which was covered by dental insurance. That used up my lifetime allowance. My dentist is eying other potential implants but at age 79 I will put up with extractions and gaps. Most of the food I eat now is soft and I stay away from meat that is tough to chew. I know, it's only money but it seems that having a gold tooth that can be removed would make more economical sense...to my heirs.
Are implants really recommended at the age of 79? I would think there would be a high failure rate for the bone graft at that age or it would take MUCH longer to be ready for the crown. Definitely something to consider. You are fortunate that half is covered by dental insurance. I get 50% coverage for crowns but next to nothing for the much more expensive implant process.
It has nothing to do with age. Most implants are in the older population because those are the people who most commonly lose their teeth. The success rate is about 96% overall and independent of age. Not many things in healthcare have a success rate this high. It takes about 3 months for an implant to sit in bone long enough before it is strong enough to chew with. If the bone is less dense, we simply wait 4-5 months instead.

wesgreen
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Re: True cost of a [dental] implant

Post by wesgreen » Sun Dec 20, 2015 10:33 pm

I've read that the success rate for bone grafts, which many need to make an implant possible, is only around 60%.

cudds
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Re: True cost of a [dental] implant

Post by cudds » Sun Dec 20, 2015 11:20 pm

Fellow general dentist here....

Cost?.... $4,000 top to bottom is pretty accurate for most of the US. Your zip code may bump it higher if it's a high cost of living area.

Forgo a specialist to save money?.....I probably wouldn't. Without knowing the general dentist I would say stick w/ your specialist. There are many general dentists that are just as good as periodontists and oral surgeons at placing implants, especially in predictable cases (tooth #28 is usually fairly predictable). However, as a whole, specialists have generally had a longer history of placing and do more per year. If I had one placed it would be w/ a specialist.

Mexican dentistry?...... Proceed with caution. Also, don't view implants and crowns as commodities. I work at a VA in the Midwest and see lots of snowbirds. Some cross the border while they're down in AZ and TX for the winter to have dental work done. I have seen more botched cases (especially big crown/bridge/implant cases) from south of the border dentists than all of the US dentists combined. (BTW I have zero financial stake in where they get their work done).

The common theme I see with Mexican dentistry is.... 1)Wide open margins, meaning there is a sizable gap where the crown and tooth meet. This allows bacteria under the crown and results in a 100% chance of early crown failure. 2) Poorly angled implants. Just because they were able to screw it into the bone doesn't make it a success.

Your odds of picking up on either of these as a patient is very low. The patients I've seen with these botched cases had no idea. When the x-ray pops up onto the screen and you see what happened to them, your heart just drops for them. I understand their logic 100%...save some money on a tight budget, take a calculated risk, etc. Like most things in life, fixing the problem after the fact is a lot more complicated (and costly) than just having it done right the first time.

tennisplyr wrote: Guess I was hoping they would think to do right by their patient instead of just worrying about their bottom line . Stupid me :oops:
You seem to imply that "doing right by the patient" and "worrying about the bottom line" are two diametrically opposed concepts. Is it not possible for a dentist (or a carpenter, or an accountant, or a personal trainer) to do right by their customer and also do right by their bottom line? Please explain.

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Mrs.Feeley
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Re: True cost of a [dental] implant

Post by Mrs.Feeley » Sun Dec 20, 2015 11:45 pm

reneeh63 wrote:
FandangoDave5010 wrote:I had two implants several years for $5000, half of which was covered by dental insurance. That used up my lifetime allowance. My dentist is eying other potential implants but at age 79 I will put up with extractions and gaps. Most of the food I eat now is soft and I stay away from meat that is tough to chew. I know, it's only money but it seems that having a gold tooth that can be removed would make more economical sense...to my heirs.
Are implants really recommended at the age of 79? I would think there would be a high failure rate for the bone graft at that age or it would take MUCH longer to be ready for the crown.
My mom had an implant done at age 87. No problems and she's glad she got it. She's had it for a number of years now. At the time she paid $3K.

slbnoob
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Re: True cost of a [dental] implant

Post by slbnoob » Fri Sep 21, 2018 4:08 pm

Reviving an old thread here.

My SO received an estimate for 3 implants today for $21,000. This is in the Seattle area with one of the best dental insurances. I find it unbelievable. Could it be just a COL issue?

zoralsurgeon
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Re: True cost of a [dental] implant

Post by zoralsurgeon » Fri Sep 21, 2018 4:18 pm

slbnoob wrote:
Fri Sep 21, 2018 4:08 pm
Reviving an old thread here.

My SO received an estimate for 3 implants today for $21,000. This is in the Seattle area with one of the best dental insurances. I find it unbelievable. Could it be just a COL issue?
No its not a COL issue.. 3 implants for $21,000 is insane. Your name will be on the back of a boat with that.

I practice in a LOC area but that's still insane. Ask to be referred to or find someone who takes your insurance. Periodontists are known for being excessively expensive. Implant should be $1500-2200 for the implant (screw in the bone) plus another 600-800 for abutment and 1000-1300 for crown. I have friends who practice in San Diego and San Francisco and your price quote is even high for those areas. Hope this helps.
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samsoes
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Re: True cost of a [dental] implant

Post by samsoes » Fri Sep 21, 2018 4:36 pm

toofache32 wrote:
Sun Dec 20, 2015 11:51 am
tennisplyr wrote:
toofache32 wrote:
tennisplyr wrote:Am getting an Implant. Impact will run $2500, dentist's cost for crown is $1,300 plus cost of tooth extraction. These are heavy duty costs for a retiree on a fixed income but I need it. These guys really don't care, they are just interested in running their business.
What was the reason you went to work every day? :?

Those fees sound pretty standard for my area.
Guess I was hoping they would think to do right by their patient instead of just worrying about their bottom line . Stupid me :oops:
Are you actually saying this should be done for cost?? No profit?? What line of work were you in before you retired?
How about cost + $100/hr chair time? Seems reasonable, don't you agree?
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Re: True cost of a [dental] implant

Post by toofache32 » Fri Sep 21, 2018 4:39 pm

slbnoob wrote:
Fri Sep 21, 2018 4:08 pm
Reviving an old thread here.

My SO received an estimate for 3 implants today for $21,000. This is in the Seattle area with one of the best dental insurances. I find it unbelievable. Could it be just a COL issue?
Not enough info.
Is there bone grafting? Sinus lifting? IV sedation? Provisional crowns? Bridge with pontics? Does this include the final crowns?
There's gotta be more to the story.

Also, dental insurance usually only covers the first ~$1200 or so.

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Re: True cost of a [dental] implant

Post by toofache32 » Fri Sep 21, 2018 4:42 pm

samsoes wrote:
Fri Sep 21, 2018 4:36 pm
toofache32 wrote:
Sun Dec 20, 2015 11:51 am
tennisplyr wrote:
toofache32 wrote:
tennisplyr wrote:Am getting an Implant. Impact will run $2500, dentist's cost for crown is $1,300 plus cost of tooth extraction. These are heavy duty costs for a retiree on a fixed income but I need it. These guys really don't care, they are just interested in running their business.
What was the reason you went to work every day? :?

Those fees sound pretty standard for my area.
Guess I was hoping they would think to do right by their patient instead of just worrying about their bottom line . Stupid me :oops:
Are you actually saying this should be done for cost?? No profit?? What line of work were you in before you retired?
How about cost + $100/hr chair time? Seems reasonable, don't you agree?
Reasonable? The market determines that, not you. And not me. Where did you pull that arbitrary number from?
Good luck finding any dentist willing to go to school for years and take the financial and clinical risks for $100 an hour.
Last edited by toofache32 on Fri Sep 21, 2018 10:01 pm, edited 1 time in total.

InvisibleAerobar
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Re: True cost of a [dental] implant

Post by InvisibleAerobar » Fri Sep 21, 2018 7:44 pm

slbnoob wrote:
Fri Sep 21, 2018 4:08 pm
Reviving an old thread here.

My SO received an estimate for 3 implants today for $21,000. This is in the Seattle area with one of the best dental insurances. I find it unbelievable. Could it be just a COL issue?
no; it's an issue of materials + dentist's fee + dentist's profit. Is the $21k before or after insurance kicks in?

I had a 4-unit bridge (with 3 implants and 3 abutments) done for ~$9k in a teaching hospital in NYC. Had i gone to a private practice, I'd have paid around $30k. The teaching hospital charged for materials only. The labor charges are pretty extensive: I recall going in for a total of 15-20 time, at least 1 hour/session (from the tooth extraction to the fitting of the crowns). So say 30 hours, at $100/hr, and you have $3k. So a private practice would have had $18k to pay for overhead and its profits (most of the $15k). Even at an overhead of $9k for the operation, the practice would have had a 30% margin.

if you want to save money, your best bet would be finding a reputable teaching hospital

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Re: True cost of a [dental] implant

Post by Dottie57 » Fri Sep 21, 2018 7:56 pm

I have had 1 implant which was done 10 yrs ago. Total was about 5k. Not pleasant to pay.

toofache32
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Re: True cost of a [dental] implant

Post by toofache32 » Fri Sep 21, 2018 7:59 pm

This is getting more and more hilarious where people outside the industry are estimating overhead and "labor" costs for healthcare. Overly simplified and so much missing from the equations here, and completely ignoring market forces.

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Re: True cost of a [dental] implant

Post by toofache32 » Fri Sep 21, 2018 7:59 pm

Dottie57 wrote:
Fri Sep 21, 2018 7:56 pm
I have had 1 implant which was done 10 yrs ago. Total was about 5k. Not pleasant to pay.
You should have gotten a denture. Much cheaper and more teeth for the same money. Definitely more boglehead.
Last edited by toofache32 on Fri Sep 21, 2018 8:22 pm, edited 1 time in total.

danaht
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Re: True cost of a [dental] implant

Post by danaht » Fri Sep 21, 2018 8:18 pm

Noticed this thread and was amazed at the prices quoted. My co-worker was at the dentist today - and he only paid the following with the mega corp's major dental plan:

$75 - tooth extraction (charged today, and his tooth is now gone)
$600 - implant (will be done 3 months later)

I find this to be unbelievably cheap. This may not include the cost of the crown - not sure.

toofache32
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Re: True cost of a [dental] implant

Post by toofache32 » Fri Sep 21, 2018 8:25 pm

danaht wrote:
Fri Sep 21, 2018 8:18 pm
Noticed this thread and was amazed at the prices quoted. My co-worker was at the dentist today - and he only paid the following with the mega corp's major dental plan:

$75 - tooth extraction (charged today, and his tooth is now gone)
$600 - implant (will be done 3 months later)

I find this to be unbelievably cheap. This may not include the cost of the crown - not sure.
Hmmm. Knowing what I know as a dentist, I don't think I would want a $600 dental implant in my mouth. I'm trying to figure out which corners they are cutting to do it below cost.
Fascinating how everyone talks forever over price but assumes quality.

EDIT: I think I misread your post. Those are only the patient's portions of payment?

frugalmama
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Re: True cost of a [dental] implant

Post by frugalmama » Fri Sep 21, 2018 8:40 pm

Would a dental implant for an upper canine be similar in price or different?

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Re: True cost of a [dental] implant

Post by 123 » Fri Sep 21, 2018 8:50 pm

danaht wrote:
Fri Sep 21, 2018 8:18 pm
Noticed this thread and was amazed at the prices quoted. My co-worker was at the dentist today - and he only paid the following with the mega corp's major dental plan:

$75 - tooth extraction (charged today, and his tooth is now gone)
$600 - implant (will be done 3 months later)

I find this to be unbelievably cheap. This may not include the cost of the crown - not sure.
It would be interesting to know what type of mega corp is providing this dental benefit (i.e. dotcom, financial institution,entertainment company etc). In many cases the majority of costs of dental benfits is actually paid by the employer who can identify what is covered and what is not (the insurance company in these cases is just handlng the paperwork on behalf of the employer). So what seems to be extraordinary benefits is not impossible, though the majority of employer-provided dental benefits seems to follow the convention of "not covered" regarding implants.
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