Nails vs screws used for implants. Which is best?

Question

My dentist recommend nails for one of my implants because he said there was not enough bone to take the screws. He claims this works well; is this a procedure that is used often ? If so is it has good as the screws ?

Sarah Thompson, DMD · Answer

Personally, I only recommend the screws to my patients, because if there is not enough bone for the screw, then there is a much greater fail rate for the implant.  I guess it depends where the implant is being placed and how much force will be exerted on that implant with normal chewing or biting.  Ultimately, it comes down to a judgement call.  If you think that the doctor that's recommending the nail is a bit too ambition, then consider getting a second and third opinion.  Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDSoft Touch Dentistry

Paul D. Kantor, DDS · Answer

You don't say what type of implant doctor you saw, whether it was an oral surgeon, a periodontist or a general dentist. I would suggest seeing a board certified oral and maxillofacial surgeon who does lots of implants. Have them do a complete exam and consultation and see what they think your options are.

Zev Kaufman, DDS · Answer

Dear confused: Please take the time and go to get a second opinion from qualified dentist.The specialist that you should  see is called a prosthodontist.  The prosthodontist is the most qualified person to evaluate your situation.  He/she will recommend the proper procedure and if there is not enough bone for a proper implant, graft surgery might be necessary, and that should be done by a properly trained prosthodontist, periodontist, or an oral surgeon.Comparing screws to nails? Is a great over simplification of the treatment.  You did not specify which tooth is to be replaced? And. Makes a big difference as well. Implants should last and function for many years and thus, the best return for your investment of time and money is best served by going to the appropriate specialists and Not the procedure.the house the best return for your investment of time, and money is best served by going to the appropriate specialists and not over simplifying the procedure.    Best of luck,

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