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Visitor asks:

Dear Sir/Madam,
I would like to replace a missing first molar with an implant. What complications are possible?
I also have unevenly coloured teeth (as a consequence of taking antibiotics when I was young). Can whitening achieve a naturally uniform, naturally white tooth colour?
And one more question: how much would all of this cost me? I have my teeth maintained regularly.
Kind regards, Robert

Dentist Tomaž Rotar answers:

Complications in implantology are very rare. If the conditions for implantation are good (good hygiene, non-smoker, healthy person, no medication, favourable anatomy...), you should not expect any. In the case of an upper first molar, attention must be paid to the proximity of the maxillary sinus or paranasal cavity. If the bone thickness up to the sinus wall is too small, implant placement is combined with an internal or external sinus-floor elevation, which can somewhat prolong the procedure and slightly increase the risk of complications (sinus membrane rupture, sinusitis), but the percentage is very low. In the case of a lower first molar, we may have a similar problem with sufficient bone thickness to the mandibular canal, through which the nerve supplying sensation to the lower dentition, the skin of the chin and the lower lip runs. If the bone thickness to the canal is insufficient, we add artificial bone, which can again make the procedure somewhat more complicated. If the nerve is injured (which, of course, must not happen), sensation in the skin of the chin and lower lip is impaired. Complications are extremely rare. The price of an implant is EUR 900.
Teeth can be whitened, but not completely uniformly, because different discolourations (different crystal structure of the enamel) respond differently to whitening. For a high aesthetic result, a more radical approach will be necessary: making aesthetic veneers or crowns. The price depends on the procedure: whitening EUR 270, veneer EUR 320, crown from EUR 210 to EUR 380.
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