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Dr. Crapo

Q:Dear Dr. Crapo: I’m nearing sixty. As far as I can remember I’ve had trouble with my teeth -and not just run of the mill cavities, root canals and crowns but weird shapes of roots and teeth that had bad makeup so when root canals and crowns were attempted, they failed. Fifteen years ago I had implants for crowns on my lower back teeth on both sides.

They’ve been the best thing that’s happened to me. I’ve had bridges on the top because root canals failed, because of my weird teeth I’ve had to have the bridges to fill in the gaps. Two weeks ago, one of my upper bridges just fell out. I saw my dentist immediately and when he asked about my medical condition I had to tell him that in the past year I’ve discovered with some great sleuthing by several specialists, that I’ve developed a condition that is really untreatable. They can help me with symptoms – well kind of. I’m on high doses of prednisone, so when I told my dentist he said it’d be a time before any more implants could be placed.

He said if I stabilized on the medication to a very low dose for a period of six months then the predictability of implants taking would be much better. I know prednisone makes healing so much slower and I’m in a period where they’ve got to get my disease under control but in the meantime I need a bridge that’s going to stay. My dentist said there was lots of decay and he really helped me out.

I had to have a root canal and one tooth was quite unsaveable, so he did something so I didn’t have to have it extracted but in the future he said I need an implant there. He said this would cost a lot of money because I’d need a bridge and then because the teeth weren’t good enough for it to last, I’d need implants and a new bridge in a year or so when my body was ready. I could end up with a thirty thousand dollar bill. Can something be done to help this be less?

A: It sounds like you are in good hands. As your dentist and other medical specialists follow you and treat your condition, they will be able to know when it’s time for implant surgery. Until that time maybe your dentist would be willing to keep your costs down by making you a temporary bridge that he can fabricate himself. If your teeth are good enough for a year or two, that will prevent a laboratory expense in making a permanent bridge.

Then when your body is ready, implants can be placed and new teeth made that will give you the kind of service you’ve grown accustomed to in your lower jaw.



If we can help, we’d like to. Call 778-410-2080 for a consultation or visit us today.

Based on actual patient cases

© Calvin Ross Crapo

Victoria Implant Centre 778-410-2080


Q: As a kid I had pretty good teeth. As a young adult, things changed as school, job and finances were totally on me. I managed by emergency, so some things got neglected till they couldn’t wait any longer. Because I had good health and teeth, I just took it for granted. As stresses built up and demand too, I burned the candle from both ends so to speak and got into stuff to “help” me that didn’t serve well. All said, I found I was getting holes in my teeth, but I never got toothaches, so I’d let it go. Long story short, I’ve got five teeth broken/rotted to the gums but no toothache. The problem is I haven’t got any back teeth to chew with. My front teeth seem fine, maybe a little crooked on the bottom but no lower back teeth on both sides. During this time, I had a lifestyle that wasn’t the best and I got sick for over a year. During that time, I had a very queasy stomach and threw up almost every day. I think it did something to my teeth, like melted the backs of my upper teeth because they seem thinner and are chipping. During that time, I was grinding my teeth so could that have done it? I’m afraid my front teeth will start to have problems and if I don’t feel pain I could be in a worse situation. I need back teeth to eat so will that save my front teeth? I do hit them hard.



A: In your situation your front teeth will have to be addressed so that the forces of chewing and grinding your food is guided for efficiency and balance. Front teeth are designed for cutting and tearing food but also protecting the posterior teeth from horizontal shear forces. As your bite became compromised it is possible that your decayed back teeth weakened and were more susceptible to breakage. A thorough work up will demonstrate what that really looks like. The silver lining in your state is that the teeth though decayed off at the gum still have a root that has maintained the bone volume needed for implants. If there are no abscesses removing roots and placing implants can happen at the same visit. Usually, teeth would not be placed on the implants at that appointment but if multiple implants are placed in good strong bone, temporary crowns could be placed. In reconstruction of a dentition (restoring one’s teeth and bite) as you will need, it is almost always the case that your front teeth would be treated first to make sure they guide and distribute your chewing forces so that your new implant supported teeth work efficiently and are protected.



If we can help, we’d like to. Call 778-410-2080 for a consultation or visit us today.

Based on actual patient cases

 Calvin Ross Crapo

Victoria Implant Centre 778-410-2080

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