dental bridge price confusion

dental bridge price confusion

Author
Discussion

m3jappa

Original Poster:

6,545 posts

223 months

Tuesday 8th November 2022
quotequote all
I really need to sort my teeth out but the simple fact is i dont have the 30k to do it completely perfectly. for that id 'need' around 6-7 implants, a brace, whitening, crowns and all the little add on bits frown

I am looking at having a bridge (well 3 separate bridges actually) and have seen they are around £6-800 each.

I thought to myself, right, 3 bridges lets say 2250 then composite bonding then implants for my molars i have missing giving me a good appearance but not perfect and i accept that.

But today the dentist i visited told me no- that price for bridges is for each tooth in the bridge meaning each 'bridge' is actually 1800 (they charge 600 per bridge) bringing my total to 5400 just for the 3 bridges plus all the rest......

Is that really right? surely by default you would have a minimum of 3 teeth on any bridge.

Babw

913 posts

151 months

Tuesday 8th November 2022
quotequote all
Sound right to me. If you consider an individual crown is £600-£1000+ then you essentially are requesting a 3 x crowns joined together with connector and the more complex preparation of the teeth.

You can have 2 teeth on a bridge.


CrgT16

2,059 posts

113 months

Tuesday 8th November 2022
quotequote all
That’s about right. Depending on dentist but can range from 500-1000 per unit. A bridge can have 2 (cantilever) or more units. This is a conventional bridge where you need to cut the abutment teeth and eventually it will fail in 10-20 years depending on the condition of those to start with.

Your NHS dentist can also make you a bridge and that would be cheaper but perhaps not aesthetic as you would like.

If your teeth are sound but unsightly restoring them should be better than implants all over.

These days I notice a lack of sound restorative skills from the dentists, all focused on cosmetic dentistry but lack the skill for sound treatment planning. A bit like using beautiful stone but not knowing how to lay a good base/sub base.

Happy to answer any queries in more detail, if you need send me a PM happy to help.

m3jappa

Original Poster:

6,545 posts

223 months

Tuesday 8th November 2022
quotequote all
Thanks for the info, it does make sense, i just assumed wrong, wishful thinking perhaps hehe

The issues i have:

7 or 8 teeth lost, upper right no molars, upper left molars ok, lower left no molars, lower right one rear molar.

two teeth missing from front upper. lower bottom front teeth are good but crowded.

on top of all that my teeth are yellow, stained and wonky. the main 'smile' teeth are also quite stumpy.

i also grind my teeth.

So overall its pretty bad and after the latest tooth just sheered off its becoming quite depressing. the only saving grace aesthetically is my face type means my teeth aren't very visible.


Babw

913 posts

151 months

Tuesday 8th November 2022
quotequote all
From the sounds of it you need to have considerable restorative dentistry however you also have to be willing to pay for thorough and detailed planning.

Often the difference between a good dentist and an excellent dentist is in the planning, with the advances in digital technology such as intra oral scanning, 3d printing and bite analysis the methods available for planning as well as trial running versions of the final outcome are vast.

The biggest con of NHS dentistry is that it completely devalues the above aspect of dentistry (as well as gives a completely false illusion of what real world costs are within dentistry) and many patients are in the expectation that you go to a dentist and come out with a "treatment". Often this is the treatment which is mostly quickly achievable, it's basically Turkey teeth and single tooth dentistry combined into one which vast portions of the population do not need.

Don't mean to turn this into an NHS v private argument but the NHS have a whole load to answer for the state of peoples perception of dentistry.

My 2p for you would be to find a dentist you can build rapport with, look past facade of "fancy dentistry". Discuss honestly with them about your financial constraints and expectations, there is no perfect treatment, perfect dentist or perfect patients. Accept the compromises of each treatment and look long term. If you've neglected your oral health over a number of years then expect it to take a number of years to fully restore them including a provisional stage to figure out what works and what doesn't.

You only have one set of teeth at the end of the day and although implants can significantly improve quality of life, they're still not as good as conserving your own teeth where possible for proprioception etc

CrgT16

2,059 posts

113 months

Wednesday 9th November 2022
quotequote all
Agree, planning is key!
From your description there are quite a few things to consider and your grinding will not help at all. You can have a lot done or less but will have to accept compromises.

If you have a good rapport with your dentist, you should be able to discuss the planning of the case and how to make sure the restorations last.

Anastie

183 posts

163 months

Wednesday 9th November 2022
quotequote all
I can only offer my own experience and that is to get a second opinion.

I was going to my dentist for over 25 years until they retired. The new dentist on my first visit basically was telling me I needed £7,000 worth of implants. This came as a huge shock as yes, cosmetically I would have benefitted. However, I was told a number of reasons why this had to be done. None of which were true.

Once I got over the shock I paid for a second opinion and while yes there would be cosmetic benefits the second opinion dentist said implants were not required and explained why.

I have since changed dentists. I have also been told that there are many other elderly clients that have succumbed to my previous dentist pushing implants. Including an 89 year old that was told they had to spend £50,000 on implants!

My rant is over! However, if in doubt a second opinion can be helpful before spending significant amounts of cash!

Babw

913 posts

151 months

Wednesday 9th November 2022
quotequote all
Anastie said:
I can only offer my own experience and that is to get a second opinion.

I was going to my dentist for over 25 years until they retired. The new dentist on my first visit basically was telling me I needed £7,000 worth of implants. This came as a huge shock as yes, cosmetically I would have benefitted. However, I was told a number of reasons why this had to be done. None of which were true.

Once I got over the shock I paid for a second opinion and while yes there would be cosmetic benefits the second opinion dentist said implants were not required and explained why.

I have since changed dentists. I have also been told that there are many other elderly clients that have succumbed to my previous dentist pushing implants. Including an 89 year old that was told they had to spend £50,000 on implants!

My rant is over! However, if in doubt a second opinion can be helpful before spending significant amounts of cash!
I’d be interested to hear more of this, what was the diagnosis made where you required implants?

I’m assuming you have a number of teeth missing?

Assuming you have teeth missing, your second opinion dentist reassured you that’s it’s ok to have a number of teeth missing?

Has the second dentist had the necessary training to carry out implants and were either of them a specialist restorative or a dentist with specialist interest?

As I’ve posted above implants are merely a tool to help restore function and/or aesthetics but this sounds quite peculiar. Not the fact a dentist advised implants but that the second one completely discounted them.

Armitage.Shanks

2,365 posts

90 months

Wednesday 9th November 2022
quotequote all
m3jappa said:
I really need to sort my teeth out but the simple fact is i dont have the 30k to do it completely perfectly. for that id 'need' around 6-7 implants, a brace, whitening, crowns and all the little add on bits frown
Was that the starting price or the pay up front discount offer? As others have alluded to here there's a difference between UK cosmetic dentists offering these services and a 'general' private dentist that looks after oral health (the person you have a check-up with every 6 months) and who also undertakes implants etc.. The latter is clearly the preferred option. It still won't be cheap and from the sound of it c£30k in the UK is probably right. You sound a candidate for the 'All on four x2' given your tooth loss and what you've got left?

A bridge I would agree has a life expectancy of 10-20yrs before it will fail. I'd only ever had one tooth extracted (molar) and the NHS option at the time was a bridge that began to fail at around 15yrs before it was 'extended' to another tooth for support and then a few years later was on its limit.

I feel for you if you have molars missing as I found it somewhat limiting chewing food when I had my original bridge removed, two teeth extracted for implants to be inserted and couldn't have the abutments/bridge for at least 6 months. And yes a bridge is priced at per tooth.

I went abroad last year to sort my teeth and not for pure cosmetic reasons. I also undertook a fair amount of due diligence prior. There will be critics on here saying don't go abroad etc. but it was my choice after doing lots of research. It wasn't primarily about the money as I could have paid what would have been +£20k UK costs but ended up, factoring in flights, accommodation, spending money and dental costs c£8.5k total. I've a thread running that I need to finalise after my second visit when I get around to it.



Driller

8,310 posts

283 months

Thursday 10th November 2022
quotequote all
Babw said:
Anastie said:
I can only offer my own experience and that is to get a second opinion.

I was going to my dentist for over 25 years until they retired. The new dentist on my first visit basically was telling me I needed £7,000 worth of implants. This came as a huge shock as yes, cosmetically I would have benefitted. However, I was told a number of reasons why this had to be done. None of which were true.

Once I got over the shock I paid for a second opinion and while yes there would be cosmetic benefits the second opinion dentist said implants were not required and explained why.

I have since changed dentists. I have also been told that there are many other elderly clients that have succumbed to my previous dentist pushing implants. Including an 89 year old that was told they had to spend £50,000 on implants!

My rant is over! However, if in doubt a second opinion can be helpful before spending significant amounts of cash!
I’d be interested to hear more of this, what was the diagnosis made where you required implants?

I’m assuming you have a number of teeth missing?

Assuming you have teeth missing, your second opinion dentist reassured you that’s it’s ok to have a number of teeth missing?

Has the second dentist had the necessary training to carry out implants and were either of them a specialist restorative or a dentist with specialist interest?

As I’ve posted above implants are merely a tool to help restore function and/or aesthetics but this sounds quite peculiar. Not the fact a dentist advised implants but that the second one completely discounted them.
What he said.

I would also add that if you are missing posterior teeth as you seem to be saying, don’t restore any middle/front teeth before taking care to replace these back teeth. Otherwise you will lack the necessary posterior support and any work in the middle/front can be put under excess strain and fail.

Sometimes there is a temptation to do this to treat aesthetics as a priority and it can end in tears. But your dentist will know this smile



m3jappa

Original Poster:

6,545 posts

223 months

Thursday 10th November 2022
quotequote all
Thank you all for the replies.

What do you guys mean when we are talking a plan?

My dentist doesn't do implants. She has said that she is planning on taking the relevant courses and mentioned using me as one of her training guinea pigs. Im not sure if thats a good thing or not hehe good because she will be under some kind of qualification process? bad because she's never done it?

She said it would be significantly cheaper.

The dentist i visited this week actually told me 'you don't need those molars' which i find hard to believe.

The couple of times i have looked into this i have thought to myself that it may be doable but then i get these type of extras added on:

smile mock up
whitening
michigan split
brace?
possible bone grafts £500 per site, this im not sure on as about 3 years ago i had a proper scan and all was good. my dentist thinks it all looks good as well but obviously hasn't properly looked.

Suddenly i am looking at a significant bill.

And you know what? even if i did drop 30k doing it i am very concerned that within 18mths or so there will be another tooth coming out, requiring further implants.

Maybe i just need to accept it, save the money, wait and do it properly.


armitage shanks, i did see your thread and turkey does sound very very appealing, i reckon 10k would do the job.....but....what if it does go wrong? i am also concerned dentists here may flat blank refuse to see me which obviously could quite literally end in tears.

all on 4 or all on 6 sounds absolutely perfect for me, less money, instant job, no compromise in having crowded teeth or being wonky, no teeth which may carry on rotting.

the concern with those treatments is i have heard that when those implants fail in 15 years or so i am in real trouble.

driller and other dentists: would it make much if any sense to:
get bridges done
get the composite bonding done

wait until my dentist can offer me lower priced implants and have her do them. Then in time have the front teeth crowned.

steveo3002

10,637 posts

179 months

Thursday 10th November 2022
quotequote all
get some prices from overseas , they're not all butchers and way cheaper than here

LF5335

7,311 posts

48 months

Thursday 10th November 2022
quotequote all
Thought I’d add a little personal experience here and a couple of pre and post photos so you get an idea of how things really were.

I’m in my mid 50s now,I had all the below done I was in my late 40s, the work remains solid and as good as ever, although a little more worn in now.

My teeth were a mess, a mixture of poor hygiene, decades of smoking, doing the bare minimum on the NHS to maintain them and a couple of generic traits added in to top it off nicely. I also grind my teeth badly in my sleep and subconsciously clench my jaw tight when focussing. Suffice to say they were all over the place, badly yellowed, full of fillings, I’d even had one at the front badly chipped in a fight in my tearaway years. To say I was self-conscious was an understatement and when I finally took the leap it was the best thing I could have done.

I had the work done abroad, but where I now live, not Turkey, but one of that country’s fiercest “enemies”, to give a pretty clear hint. It really wasn’t cheap, I think it was north of £10,000, but not massively north. However for that I got the whole mouth, both top and bottom sorted. This included about half a dozen root canals, some extractions, some grinding, as prep work. Then I had several implants, a couple of bridges and quite a few crowns (I think that’s the right term) to cover the old mess up well. There was also some work done around alignment which dealt with a slight underbite that I had and actually moved my jaw back about 5-8mm. No plastic surgery, just simple alignment. I now wear a gumshield when undertaking any form of sport and a guard on my bottom teeth to counteract any nighttime sleep grinding.

The upside was I feel so much more comfortable in social settings, I actually smile now, which was one of the things that used to annoy me. People always pegged me as grumpy, but it was purely down to me covering my teeth and never smiling. They still look good today IMO.

Downsides were the pain i went through to get here. In a month I think I suffered all the old toothache that I avoided by dodging the dentist and then a lot more too. Equally, the initial pisstaking from mates got a bit tiresome, but I deserved that as I went overboard with the whiteness!

One thing I did notice was a dull headache that I’d had for as long as I remember vanished and never came back, the relief from that is worth the cost alone.

I’m happy to answer any questions about it and take some ribbing, but all I’d say is that the money should not be your focus, the relief, confidence and other intangibles are worth the payment alone




Driller

8,310 posts

283 months

Thursday 10th November 2022
quotequote all
steveo3002 said:
get some prices from overseas , they're not all butchers and way cheaper than here
smile

Armitage.Shanks

2,365 posts

90 months

Thursday 10th November 2022
quotequote all
I'll post this pic up for a general idea of a 'quick and dirty' shot I've just taken in not the best lighting conditions etc.. As you can see I went for a more 'natural' look being in my 50s. (They are shade 'A1' in Zirconium, slighthly lighter than 'A2' which is considered natural)



I'm back next month for my annual check up and an original back molar that has been filled (NHS) and I've never been happy with making me think it'll need a RCT and Crown but I'll see what they say. Support and advice has been so far excellent and they will offer to pay for any 'emergency' corrective work in your home country. Eg if a Crown comes off within their 5yr guarantee they will pay up to EUR100 for a home dentist to re-fix.

Rtn flight £80 decent accommodation less than £30pn.

As I say I'll get around to updating my thread soon.

Driller

8,310 posts

283 months

Friday 11th November 2022
quotequote all
Armitage.Shanks said:
I'll post this pic up for a general idea of a 'quick and dirty' shot I've just taken in not the best lighting conditions etc.. As you can see I went for a more 'natural' look being in my 50s. (They are shade 'A1' in Zirconium, slighthly lighter than 'A2' which is considered natural)



I'm back next month for my annual check up and an original back molar that has been filled (NHS) and I've never been happy with making me think it'll need a RCT and Crown but I'll see what they say. Support and advice has been so far excellent and they will offer to pay for any 'emergency' corrective work in your home country. Eg if a Crown comes off within their 5yr guarantee they will pay up to EUR100 for a home dentist to re-fix.

Rtn flight £80 decent accommodation less than £30pn.

As I say I'll get around to updating my thread soon.
They look pretty good from what I can see in the photo. I would argue that A3 is « natural » though. A1 is very light!

Babw

913 posts

151 months

Saturday 12th November 2022
quotequote all
If you're happy with the look of them then great however if you didn't go through a proper provisional stage to test drive your bite, different aesthetics, incisal edges (you've been given no incisal embrasures and I assume you didn't have a say in that).

Zirconia (Zirconium dioxide not Zirconium) is the lazy restoration of choice and really a pressed ceramic or a lithium disilicate will provide far super light transmission and aesthetics than even a cut back and layered Zirconia. The bonding process to fit them onto the teeth are far more demanding on the clinician but ultimately worth the outcome.

I have yet to see a full set of pressed ceramic restorations from these budget dental industries like Turkey which I assume is because the lack of skilled lab technicians to produce these restorations. For example a high end crown just for the lab technician fee can be upwards of £300 per tooth so there is no way that level of skill and progression within a highly technical skill would be remunerated properly so the existing skill base reach their ceiling quickly, they get paid £10 per restoration and see no reason to get any better.

The ones that do pursue excellence end of going abroad to the UK, US, Germany, Sweden etc and the pool of skill left in for example Turkey is carp at best.

People forget that healthcare practitioners at the top of their game are some of the most in demand professions around the world and some of the most mobile workforce, if you really think paying peanuts is getting you an equivalent to a clinic in the UK or US then keep telling yourself that but it really isn't true.

Armitage.Shanks

2,365 posts

90 months

Tuesday 15th November 2022
quotequote all
Babw said:
The ones that do pursue excellence end of going abroad to the UK, US, Germany, Sweden etc and the pool of skill left in for example Turkey is carp at best.

People forget that healthcare practitioners at the top of their game are some of the most in demand professions around the world and some of the most mobile workforce, if you really think paying peanuts is getting you an equivalent to a clinic in the UK or US then keep telling yourself that but it really isn't true.
So what you're saying then is wait for the excellent dentist you find abroad to be poached by UK, US, Germany, Sweden etc. and then go and see them and pay 5 x the price? Makes sense rolleyes When you're talking thousands for dental work it's hardly peanuts! And however you dress it up, business overheads, back office functions, staff salaries, manufacturing costs are all factored into the patient bill which dependent on country can be a substantial part of it. There are many private dentists in the UK that don't seem to invest in the kit and equipment such as Panoramic X-ray, and 3D Tomography. Paying more is no guarantee to better results.

I'd agree there are crap dentists in every country and plenty of 'sharks' in the UK cosmetic dentist trade, hence research, recommendations and due diligence is essential. My UK (NHS) dentist was very supportive of zirconia given it's a 'luxury' the NHS won't provide. I was offered a choice of crowns made from 5 different materials including lithium disilicates which I presume the material you refer? As I have a face for radio I decided on zirconium as my modelling days are over.

Driller

8,310 posts

283 months

Tuesday 15th November 2022
quotequote all


Extraction of unrestorable mandibular teeth and immediate placement of implants with bone grafts and temporary bridge in the same day. Permanent bridge will be placed in 6 months smile

Armitage.Shanks

2,365 posts

90 months

Wednesday 16th November 2022
quotequote all
That's some good going there Driller