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Click here for Part 2
I am way past due in getting around to writing the next part of this story. As you might recall from the first 2 parts, I had one baby tooth that I had never lost as a child due to the permanent tooth never coming in. Back in April, the tooth started bothering me and the dentist informed me that it was going to have to come out. I had it extracted in early-May.
On August 22, I had oral surgery to put in a dental implant, the first part of the process of replacing the lost tooth with an artificial one. This was the most invasive, and only surgical, part of the procedure. The surgery involved the insertion of a titanium artificial root into the jawbone through an incision at the gap where the extracted tooth used to be. Once the surgery has fully healed and the oral surgeon confirms that the bone has fused appropriately with the implant, my regular dentist will be able to affix a crown to the root, completing the process of replacing the lost tooth.
After I had the tooth extracted in late May, I had to wait a minimum of 6 or 7 weeks to allow it to fully heal before proceeding with the implant. That timing pretty much ran right into a vacation that we had planned for the end of June as well as the July 4th holiday, so I ended up deciding to just put up with the gap in my teeth for a bit longer. I finally contacted the oral surgeon’s office and set up an appointment for a consultation at the end of May.
The oral surgeon that I went to specializes in implant procedures. I think that might be the only thing he does, although I’m not entirely certain. Dental implants are expensive and generally considered by insurance companies to be an "elective" procedure (more on that later), so there actually was kind of a salesmanship element to the consultation. I even felt a bit like I had been to a luxury dental office, with such amenities as bottled water offered while waiting for the dentist and even sunglasses provided during the exam to shade by eyes from the examination light.
After the examination, the oral surgeon told me that I was a good candidate for the procedure and spent a little time going over the procedure in more detail. One key topic that he brought up in this discussion was the available options for anesthesia for the surgery. He indicated that general anesthesia wasn’t usually needed for this (I’m not entirely sure, but I don’t think he even offers that as an option), but he did pretty strongly recommend the use of an oral sedative during the surgery in order to help me to relax and also to help to avoid movement during the procedure.
I then met briefly with a member of the office staff who went over some of the financial details of the procedure with me. She indicated a cost of a little over $2000 for the implant. Many dental insurance plans apparently do not cover implants, considering them to be fully optional, cosmetic procedures, even though they are now widely considered to keep the gums/jawbone much stronger and are also longer lasting than dental bridges. Fortunately, my insurance does cover about 50% of the cost, although apparently it is 50% of what the insurance company thinks the cost should be rather than 50% of what the oral surgeon actually charges (and the patient has to make up the difference). There are also annual maximums that come into play. As of the time that I’m writing this, my insurance company still hasn’t finished processing the claim and I don’t yet know how much they will cover.
After the financial discussion, we then scheduled the appointment for the procedure. I decided that I wanted to have it done on a Friday, which would then give me a couple days to recover without having to take more than one day off from work. We initially scheduled an appointment for the next Friday after the consultation, but they called the next day and let me know that the office staff had incorrectly recorded the itinerary for an upcoming vacation the oral surgeon was taking and would have to push it back a couple weeks. The August 22 appointment was the next available Friday. I wasn’t entirely thrilled that the only time available was 7:30am, but I still took the appointment since the only alternatives were to either switch to another day of the week or put the procedure off for almost another month.
