Klarinet Archive - Posting 000075.txt from 2004/06

From: "Karl Krelove" <karlkrelove@-----.net>
Subj: RE: [kl] Teeth
Date: Sat, 5 Jun 2004 21:49:25 -0400

It probably won't add much to your case, but for what it's worth I had an
implant rather than a bridge (mine was a first molar - I'm not sure how
dental numbering goes, so I'm not sure which your #6 is) for essentially the
reason you've described - minimal (actually zero) damage to surrounding
teeth (2nd molar on one side, 2nd incisor on the other) or my general dental
layout. Both would have had to be ground down and capped by the bridgework
on each side. The disadvantage is that, at least as the dental surgeon did
mine, the process takes an entire year, during most of which you will have a
space the size of the missing tooth. So if oral cavity is the issue, you
will still have a difference to adjust to and then the adjustment back when
the crown is finally fitted and installed over the implanted post. Having
gone through the process, I would do it again if needed without hesitation.
Also, FWIW, my insurance (private U.S. style health insurance, and among the
better policies available here) only paid the cost of a bridge and I had to
pay the rest out of pocket.

Karl Krelove

> -----Original Message-----
> From: Alf Hörberg [mailto:alf.horberg@-----.se]
> Sent: Saturday, June 05, 2004 8:51 PM
> To: klarinet@-----.org
> Subject: [kl] Teeth
>
>
> Dear list.
>
> At the moment I’m fighting a battle with the National Health Insurance
> Department in Sweden and I want some inputs. My problem is that I recently
> had to pull a tooth, #6 at the bottom left side. This was an
> accident caused
> by my ex-dentist when performing a root-filling. In Sweden, a high tax
> country, an accident like this was until recently covered by the national
> health insurance together with the dentists own insurance.
>
> Until recently there were two different treatments I could choose
> between: a
> conventional bridge or a titanium implant. I want an implant for various
> reasons: An implant only replaces the missing tooth without doing
> any damage
> to the surrounding teeth. Minimum changes in the cavity. When mounting a
> bridge you have to reshape the surrounding teeth to fit the bridge. The
> damage is permanent and if I’m not happy with the result there is no way
> back to what it was before. Some major changes in the cavity.
>
> Recently they changed the recommendations about implants behind the 5th
> tooth. Now they won’t pay for this slightly more expensive
> treatment even if
> the dentist’s insurance is paying 90% of the operation. I’ve been claiming
> that I’m a clarinettist in a major philharmonic orchestra and that I can’t
> risk any major changes in my cavity because it will but my future as a
> musician at risk but it makes no difference. The rules are the
> same for all.
> In my country there are no insurance companies that offer private tooth
> insurances. The rule has always been that the dentist’s insurance together
> with NHI should cover everything without any problems. Now, the only
> possibility to get an implant behind the 5th tooth is to pay
> everything out
> of your own pocket and I don’t think that’s fair considering that
> Sweden is
> the country with the highest taxes in the world. But when you
> want something
> that’s not “average” they let you down.
>
> The new recommendations haven’t been tried in court yet so my
> case will be
> the first. What I want is that the recommendations should be
> practised more
> flexible as they actually are formulated. If someone claims good reasons
> like professional reasons they should make an exception. It’s
> important that
> I’ll win this case since it will become pilot case. As it is now it’s
> already a pilot case to my disadvantage as long as I don’t bring it to
> court. So I have everything to win.
>
> What I’m asking from you fellow clarinettists is why you would prefer an
> implant instead of a bridge yourself? Every input is valuable since I need
> all ammunition I can get. If there are any dentists on the list who also
> play the clarinet you’re especially welcome to take part of the
> discussion.
>
> Just don’t get stuck in a discussion about taxes. I happen to know every
> detail about those discussions beforehand.
>
> Alf
>
>
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