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dental: implants vs cantilever bridge for type 1 diabetic


dental: implants vs cantilever bridge for type 1 diabetic -- Posted by Bill and Joyce Kronholm on 05-26-04 20:13


Hi,

I'm a 55-year-old type I on an insulin pump, in pretty good control (A1C
6.5-7). I have no complications other than dental, but my mouth is a
disaster area (a dentist actually picked up my undiagnosed diabetes 20 years
ago). It's the reason for this posting.

Essentially, I have no natural teeth on my upper left, and the partial I
wear is losing a prime anchor tooth to bone loss from perio disease. My
periodontist and my general dentist both say major work is needed.

My periodontist is talking implants, while my general dentist proposes a
10-unit cantilevered bridge, with seven anchor teeth and three cantilevered.
I worry about the engineering stress of that much cantilever stretching back
toward the grinding area, but I worry more about an invasive procedure like
implants, given the fact that my mouth operates on Murphy's Law -- whatever
can go wrong, will. Implants would require anchoring posts going up into the
sinus cavity, possibly with bone grafts.

Has anyone faced this choice before? Any guidance or advice?

Bill




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