← Return to Several opinions-collapsed arch, jaw, bite. Osteoporosis Implants

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@tmtm4

I have had two teeth pulled a long time ago on top. I do have periodontal disease. Two years ago my dentist wanted to put a bridge on both sides but I hesitated. By 2020 I had lost more teeth on top but in 2020 They started to spontaneously erupt. I needed back, shoulder and foot surgery pretty bad so I asked my dentist what to do first because by then he wanted to pull the rest of my teeth on top and make a denture. He said I could wait. Last year he was making my dentures and had already sent me to the oral surgeon for a plan. I asked him if I could get implants and he said no because I took Reclast for two years. (Last time was early June 2021.) My dentist had already measured my mouth and made part of the denture & sent it off for the first step. When I went in for my second appt he stopped in the middle of measuring and the nurse came into the room and said he would call me. After several days, I called him and asked what was going on. He said I have to go to a prosthodontist. The Pros. said my arch had fell and shows me this denture that he says is mine. He hadn't even looked in my mouth! It was a stock denture and he would see me a couple of weeks after they pull my teeth. Pros 2: Said I could get a denture but must have a pallet. Sent me to another surgeon who said I could get 6 implants for a implant supported denture which would be approx $25,000 + the cost of the Pros2.
Needless to say, I changed my primary dentist and my new dentist said the denture and/or implants would have failed because my arch has completely fell to almost a straight line and my jaw/bite collapsed too. She fit me for an occlusal Guard to put my jaw where it used to be.
I really wanted implants so I went to a dentist my ex told me about. He said I have a "very unique situation, since I have RA (infusions of Oriencia), periodontal disease, Osteop., hypothyroid, and severe back issues. He sent me to surgeon 3 who said I have more than enough bone and could do a bridge with 4 implants, pull my molars below and put two implants there for $15,000 and the dentist who referred me would take over until everything heals and then put in a permanent bridge for $10,000 more. That's if nothing goes wrong.
I cry every day because I don't know what to do. I'm scared my back is going to collapse before they can do something with my teeth. I have all my bottom teeth but two in the back but I have grinded them down from stress. I am retired and this is scaring me.

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Replies to "I have had two teeth pulled a long time ago on top. I do have periodontal..."

Oh golly, after all you’ve mentioned in your reply today, no wonder you’re filled with stress and worry. This situation with your teeth is certainly compounding things for you. I can empathize with you for the huge impact this is having on the quality of your life and health. Are you able to eat ok?

Well, the positive take away is that you still have your lower teeth except for 2 molars. If your periodontal disease is under control with regular dental cleanings and you maintain them at home with daily flossing and brushing, you should be able to keep those.
Your new dentist is prudent having you wear the occlusal guard to help keep your remaining teeth safe from stress grinding. It’s called bruxism. The guard will also help hold your jaw in alignment with what’s left of your remaining upper teeth.

The upper arch, having collapsed from the loss of teeth would make it difficult to have a good degree of holding power for a removable denture. As your current dentist mentioned, it would need to be held in place with dental adhesive such as poly grip. It would basically be for cosmetic purposes and very light eating as the grip wouldn’t be very strong.

It is entirely possible that you do have plenty of bone remaining to do the All on 4 technique as this was designed for situations like yours. The pins are put in at an angle in the back and are shorter, not requiring as much bone. They are also generally implanted with bone grafting material. But it is very costly.
This site I posted may be similar to the brochure you have. It gives some information about what’s involved and shows how the All on 4 implants works and some information
https://sharedentalcare.com/all-on-4-dental-implants/
Another consideration you might try is going to a university dental school. UM Kansas City has a dental program and it looks as though there are a couple other dentistry school in the state. They often have clinics where their dental students work with patients for a reduced fee. The dental students are supervised and overseen by their instructors.
https://dentistry.umkc.edu/
Do you think this could be a possibility for you?