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What Dentists Don't Tell You About Dental Implants

What many dentists don’t tell patients about implants is scandalous!

People tend to think that because providers are highly educated and seem to have clean, efficient facilities, that they are all honest and fair.

Some are, but many are not.

Patients pay thousands of dollars for this type of dental work only to find out later that it is not what they thought it was. The most important thing they find out is that standard implants are considered to be permanent; thus removing them when problems arise requires difficult surgery that may have questionable results.

In this article I have included several videos that will provide some useful information. Some of it varies from what I have written here, but be aware that these videos were made by providers from all over the U.S. who have different levels of expertise and who all have a vested interest in promoting these types of devices.

Before you get an implant, make sure you know all of the facts.

Before you get an implant, make sure you know all of the facts.

Types of Dental Implants

There are two types of implants:

  1. Standard, which are longer and wider and have been approved for use by the FDA as supports for individual teeth as well as bridges. And
  2. Minis, which are shorter and thinner (sometimes toothpick thin) and have only clearly been approved by the FDA for supporting full arch bridges.

There is a great deal of controversy about the second type because many dentists are now offering them as support for single teeth. Some dentists refuse to use them at all. Others are using them to support the full arch bridges, and some are using them to replace individual teeth.

The FDA has taken a clouded stance on this issue. Thus, it is unclear as to whether they have approved them at all for permanent use or even have approved all types, sizes, and models, even for temporary use. In fact, they refer to the minis as “screws” rather than implants.

This online discussion from the Osseo News shows just how confusing the entire issue is, even for practitioners. It was written in 2006, so there may have been improvements in understanding since that time.

Standard Implants

The standard implant has three parts:

  1. the implant itself
  2. an abutment
  3. a crown

Each is priced separately. So, when you call to request pricing, what you generally hear is the price for the unit itself, not the total package.

The total package, properly done, can cost between $3,000 and $5,000 per tooth depending on your location and provider. Having this work done requires many office visits and usually takes a year to complete. Most dental insurance plans do not cover this type of work.

Patients should have an oral surgeon or periodontist install this device. When they do, patients then have to use a general dentist or prosthodontist to install the crown.

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The problem is that you must choose doctors who use the same type of system. Otherwise, you can have issues.

You can avoid them, you can have a generalist do all of the work. Unfortunately, many of them do not have enough training to do the job correctly.

Mini Dental Implants

These devices initially appear to help patients avoid many of the initial pitfalls discussed above.

  • They are an “all-in-one” unit that is less invasive and can be installed in one day, even when they are used to support full mouth ridge dental plates.
  • They also can cost considerably less when individually placed.

This is, however, where the benefits end.

Aside from a few practices which specialize in one-day total bridge replacement, most of the minis are only installed by generalists. Many others refuse to use them because they do not find them structurally sound.

Patient risks are significant because:

  • there is no way of knowing whether the implants being used are the brands and types that have been approved by the FDA,
  • Few general dentists have the expertise that is required to install them properly and
  • prices can rise exponentially. (The average cost for one tooth can be upwards of $1800. For one full bridge patients will pay anywhere from $10,000 to $25,000.)

Issues to Consider

If people think that using only specialists to do their work and spending tens of thousands of dollars will fix their problems, they should think again.

Both types of devices are fraught with problems that are in addition to the ones mentioned above. Here is the information you need to know:

Standard devices

  • carry no guarantees whatsoever,
  • can require additional surgeries such as bone grafts and sinus lifts (all very costly),
  • can and sometimes do fail after a certain number of years (usually around 10)
  • can cause nerve damage and facial paralysis,
  • are affected by certain medications such as those used to treat Osteoporosis,
  • removal and replacement are painful and expensive procedures that take a great deal of time and
  • need specialized and more costly cleanings more often (usually 4 times yearly).


  • have all of the same problems as standards (except for number 2) and also
  • are at greater risk for breakage and
  • are risky to use for any other procedure other than as supports for full arch bridges and
  • are riskier in general for all procedures due to their small size.
Getting implants is not just a cosmetic procedure, it is surgery!

Getting implants is not just a cosmetic procedure, it is surgery!

Why Full Disclosure Is Rarely Provided

In many cases, dentists (including specialists) do not inform people about the potential risks unless patients specifically ask them for this information because they do not want to frighten them. Doing so could also produce significant financial consequences.

As a result, they are sometimes less than honest. Just two days ago one local provider told me that if a mini fails, it does not have to be surgically removed. It will simply “fall out”!

The Reality

Most people are basically clueless about this issue and simply trust that their dentist is going to provide them with a service that improves their problems and will be a permanent answer for them.

Obviously, this is not true all of the time.

Much depends on

  • how well the patient takes care of his general health and his teeth,
  • which medications he takes,
  • whether he has accidents that affect his implants,
  • The quality of the implants used and
  • the quality of the work his dentist has provided.

It is very difficult to know what will happen in the future, so people must proceed at their own risk.

Get the Facts Before You Decide

This article is quite clear about what people can expect when they are dealing with the issue of implants.

To find this information I did the following:

  • spoke with several dentists, both specialists, and generalists,
  • spoke with a dental office manager to get some insights,
  • had several dental evaluations,
  • contacted a local university’s implant center and
  • did extensive research on the internet.

I would have also contacted my state’s insurance commissioner and dental board to see if any of my dentists were truly licensed, guilty of any wrongdoing, or had a history of patient complaints, but by the time I did my initial research, I already had decided against having this type of work done.

What Should You Do?

Having said all of this, I realize that these procedures can be beneficial to some as well as a necessity for others.

If you feel they are your only option, do plenty of research so that you can give yourself the best opportunity for a successful outcome.

Knowing the pros and cons of implant procedures is extremely important. If dentists won’t give you the facts, research them yourself so that you won’t get hurt.

Good luck!

This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.

Questions & Answers

Question: Which kind of doctor should I go to for dental implants, a dentist or a prosthodontist?

Answer: Both kinds of doctors do dental implants, but since prosthodontists specialize in this type of work, it is best to use them unless you have no choice.

Question: Why has my face flushed after dental implants?

Answer: If you are asking this because you have had dental implants, you need to call your dentist and ask him. He would be the one who treated you and would know the answer to your question, but I would definitely make that call.

© 2015 Sondra Rochelle


Sondra Rochelle (author) from USA on December 12, 2018:

This is exactly why I wrote this article. Dentists would have people believe that implants are a permanent answer, but they clearly are not. For that much money, dentists ought to guarantee you the world!!

Pamela Lipscomb from Charlotte, North Carolina on December 11, 2018:

I have been thinking about getting implants. They are very expensive, and you can get the same dental problems with gum disease as with regular teeth. A full mouth costs about $40,000. When the dentist told me that, I thought. That is a good chunk a downpayment on a house. The other problem is if implants don't work out for you, you don't get your money back! Thanks for all the great information here. You have to go into with your eyes wide opened!

Sondra Rochelle (author) from USA on August 15, 2015:

Karine Gordineer: I felt it was important to share this info. It took me a lot of time (and plenty of confusion) to gather it. However, it helped me to decide what I needed to do about my own situation, so it was worth it. Reading it will save others considerable problems. I do hope that all who read it will share it on their social websites. The more people who get this info, the better in terms of their overall health and finances. Thanks for reading and commenting.

Karine Gordineer from Upstate New York on August 14, 2015:

Great hub - thanks for all the info that many people are not aware of!

Sondra Rochelle (author) from USA on August 14, 2015:

ki force: I wrote this because I have just been through a terrible month trying to decide what to do about my own dental issues. I wanted to save others who might be in the same boat from making a mistake that could be both unnecessary, expensive and potentially bad for their health. Thanks for reading and commenting.

kjforce from Florida on August 14, 2015:

Dreamworker..thank you for writing on a a very informative and subject. There are so many health issues that are prevalent in todays's world that are advertised , which just proves the old adage

" if it is too good to be true it probably is..

thanks for the share...

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