Full-mouth implants

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    I am 45 years old and lost all my teeth due to illness (not due to lack of oral hygiene!). I currently have full dentures that fit fine, but am not happy with being a 45-year-old denture wearer. I have lots of questions and would appreciate any information from those of you who can answer one or more of these. Thanks in advance!

    1. I’ve seen full-mouth implants priced anywhere from $45,000 to $150,000. What is an actual realistic price?
    2. If anyone on this forum has experience with full-mouth implants, I would love to hear your story.
    3. Does anyone have some ideas about how to go about “interviewing” an implant specialist? I don’t know which questions to ask or answers to look for as I try to find a place that can do the job well, at a reasonable price.
    4. Has anyone had any serious complications with full-mouth implants? If so, what were they and how did you and your dentist handle it?
    5. Is is smarter to get implants in the front only–those teeth that show with a broad smile–and keep partial dentures for the back teeth, or is it a better idea to just have them all done? I’m talking financially, aesthetically, physically, and medically (e.g., lowered risk of complications).

    Basically, I don’t want to be overcharged for what is already an expensive procedure–I’m willing to take out a home-equity loan to get this done–but at the same time, I know that “you get what you pay for” is often true.

    Thanks for any and all responses!


    I am a Periodontist, practicing in city of Taj Mahal, Agra, India. I will answer your query point by point.
    Your have genuine concerns regarding fee for full mouth dental implants as they are a costly affair.
    1. Full mouth implant rehabilitation commonly known as (FMR) is the best treatment modality for replacement multiple missing teeth. Cost of FMR depends on following factors
    a) number of implants placed for FMR. here it is important to keep in mind that more the number of implants, more is the long term survival of the prosthesis (artificial teeth). Many dentists around the world place lesser number of implants to keep their fee competitive. minimum number of implants for long term survival in lower jaw is 4 and in upper jaw is 6. however it depends on case to case basis. any good dentist would always place more implants so that the patient does not have any problem later.
    b) qualification of the operating dentist- dental implants surgery is best placed by oral and maxillofacial surgeons and periodontists as they are specialist in field that deals with surgeries of bone and bone and gums respectively. they are familiar with advanced bone grafting techniques which may be required during implant surgeries. general dentists example DDS / BDS qualification also place implants but generally they had undergone training for implant placement after their tenure of graduation and are not suited to treat complicated cases. Prosthodontist is best suited to place teeth over the implants as they specialise in placing artificial teeth. Many a times due to lack of availability of different specialists and to reduce expenditure both surgical and restorative procedures are done by the same dentist.
    c) incumbent expenditure depending upon geographical area. eg fee for single implant with crown in US is 4500 $, In dubai it is 3000 $ in india it is 1000 $. reduction is fee does not mean reduced acumen of the dentist. Incumbent cost (property tax, electricity, staff emoluments etc) on the dentist is 50-70% less in places India.
    d) Type of implants and crown opted by the patient. good quality implants include zimmer, nobel biocare, biohorizon, osstem etc. cheaper implants include adin, alpha biocare etc.
    Crowns could be Porcelain fused to metal (PFM) cheaper or even cheaper all metal crowns
    or metal free (Zirconia, All ceramic etc) premium expensive crowns
    Gold crowns (not very common except in Japan and south Korea)
    2. it’s good to get reviews of patients. But trust me no 2 patients have had the “same problem”. Reviews should be taken for quality of service and not for treatment per say. It just leads you to a wrong path and adds to confusion. Its best to ask all questions from your dentist so that you get the right answer which would be specific for your problem.
    3. Few things you should be clear about before opting for a FMR dentist:
    Is he/she Professionally qualified and does the center have different specialist to take care of every aspect?
    what implant systems are offered and what is the fee difference between them, what is best suited in your case as per the dentist?
    Is your medical history (if any) of any relevance during the dental treatment? Discuss in detail?
    What are the possible post operative problem faced after FMR? How it would effect your daily routine? for how long?
    How many visits are required?
    A good Dentist would be pleased to explain to you everything in detail. Trust is very important both for the dentist as well as the patient for any treatment to succeed.
    4. success rate of implants is far more than any other surgical procedure in dental sciences. Implants have a success rate of 96% if case selection and treatment plan is made properly. that is why it is important to understand why your dentist is recommending something which was not recommended to your friend or relative.
    5.Removal teeth (prosthesis, partial or complete) gives masticatory efficiency of only 20-25 %. they are not as esthetic as non removable teeth. FMR restores chewing efficiency to 85-90%. chewing is very important function as reduced chewing efficiency leads to many metabolic diseases in long term such as diabetes, gastric problems etc.
    getting a partial treatment would only give you partial benefit. its individual choice but it’s always better for full replacement so that all replaced teeth as harmonious with each other.

    At our center PHDS AGRA (PANKAJ HARISH DENTAL SOLUTIONS, http://www.phdsagra.com) we offer FMR from 15000 US$
    We are a team of specialists which include a periodontist (Implants), prosthodontist (Implants), oral surgeon (Implants), pedodontist, endodontist. We, in tourist hot spot treat foreign nationals routinely and are aware of their oral care needs and travel/ time restrictions.
    In Regards to Medical tourism consultants, It is always better to be in touch with the dentist directly as it’s obvious that direct interaction would be much more forthright and less expensive as “cuts” are bypassed. It gives you a one point contact for future advice and consultations and communication with a dentist in your home country.
    We Provide Travel (including full travel itinerary is requested) assist to our patients once their treatment plan is finalised after analysing their records (x Rays and medical records) and patient’s expectations.
    I hope some of the pertinent questions are answered. all the best.
    Dr Prafull Das Gupta
    Contact: email: drpdgupta05@gmail.com
    FB : http://www.facebook.com/phdsagra
    website: http://www.phdsagra.com


    I’m sorry to hear about your mouth. Definitely look outside of US to get your implants. I just got back from Russia where I got one implant put in and will be going back in a few month to get a crown on this implant and to get one more implant on a tooth that they just extracted. The implants range in price, like the least expensive implant (turn-key = implant, abatment and a crown) is $500. I opted for a more expensive implant, Anyridge to replace my molar and it will cost me $1000 for an implant, abatment and a crown. I had a really great experience in Russia, just don’t go to Moscow or St Petersburg, the cost is higher. The procedure was completely painless and I had no swelling afterwards. I also had to get a root canal done and a couple of crowns put on. I had three different specialists that worked on me – endodontist, implantologist and an orthodontist. Good luck!


    Dr. Prafull Das Gupta has given some good advice, especially about opting for full dental implant treatment rather than mixing dental implants with a partial denture. I’d definitely begin with getting some quotes from local implant dentists so you have a better indication of a reasonable price. However, the costs can vary according to the type of dental implant used, as some dentist will use generic implants that are less expensive, while others will use implants from one of the well-known implant companies. It will be easier to get components replaced if your dental implants are a well-known brand. You also mention you lost your teeth due to ill-health, so a good implant dentist should be able to tell you if this will affect treatment and if so the chances of success.

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