Veeners are a bad option, due to the way your bite comes together.... A veneer placed in that area would have signficantly higher stresses, resulting in a higher chance of failure. In order to place a veneer, a large amount of tooth structure would have to be removed--- Not my first choice.... I would recommend a consultation with an orthodontist, with the price you would pay for several veneers, you can leave your teeth "untouched" by doing some orthodontic movements.
The crown that you have in you hand is pretty much a souvenir... The remaining tooth structure is not adequate for restoration/replacement of a new crown, you will have better predictability with an implant or a 3 unit bridge.
Simple answer = mobility in implants is NOT GOOD. Indicates failure. Please seek the care of a specialist. Implant mobility in anterior teeth should be less than 10-100 microns which is the equivalent to 0.0004 inches, or approximately the size of a human hair.... if you can move the implant MORE than that, its a good indication of implant failure.
Clear choice does not accept insurance.... they are an out of network provider. They will offer payment options, financing (such as care credit, etc). Again, they are a "commercial entity"
BMP is not used for every case. I use BMP for patients with severe bone defects, atrophy, or for re-do/revision cases. In all circumstances, we use it when we HAVE to HAVE bone growth, no matter what. It is a wonderful product, and have been using since 2009... I would use it more regularly, however, there is substantial costs incurred to the doctor, and then the patient. The company that sells it, Medtronic, charges the DOCTOR $1500-6000, just for the product. So although the $25K to the oral surgeon "sounds high", its definitely reasonable, with the bone loss you implicate. Alternatives to BMP/grafting may include zygomatic implants, which are placed in the "cheek bone" and requires no additional grafting. Fair warning: use an oral surgeon experienced in the zygomatic procedure, and a prosthodontist experienced in the fixed bridge immediate loading protocol, as these implants must be splinted at insertion. Ask to see some past case example!! Find an implant team that you are comfortable, ask to see the CBCT, and have the doctor explain it to you.As with all information, each case is unique, so seek the advice of a specialist!
