| Joined: Mar 2009 Posts: 18 Member | OP Member Joined: Mar 2009 Posts: 18 | My husbands teeth that remain in his mouth continue to break off at the gum line. He is down to 1 on the bottom and has lost only 1 on top besides the back teeth he had removed prior to treatment. We visited many dentists and a few oral surgeons before finding one that knows what he is talking about.
The recommendation is for 30 HBO treatments, total mouth extraction, 8 implants and a denture that pops in and out. Estimated cost $49,000. Did I mention we have no insurance, receive disablity which puts in too high of an income bracket for Medicaid and Medicare doesn't kick in for a year - so all out of pocket. Thats a chunk of change and wanted to know if anyone could help out on success rates of implants? best material for appliance? anything to avoid? anyone know of any help I could contact on costs?
Traci ******* Spouse to Lew (59)(5 family members DX) SCC IVA/T1N2M0 BOT DX 9/08 /Tonsillectomy(cl)/ TX 12/08 (TPF)x2 /RT x35 w 7 wkly (Taxol, Carboplatin, Erbitux) Finish 4/09 / Port /no peg lost 105lbs/ 2/10 CT clear/HBOT x30/all teeth out and implants placed www.asilentepidemic.webs.com | | | | Joined: Jul 2008 Posts: 507 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2008 Posts: 507 | Traci, I just wanted to compliment you on the fine job you did putting together the web site ( www.asilentepidemic.webs.com ).
Don TXN2bM0 Stage IVa SCC-Occult Primary FNA 6/6/08-SCC in node<2cm PET/CT 6/19/08-SCC in 2nd node<1cm HiRes CT 6/21/08 Exploratory,Tonsillectomy(benign),Right SND 6/23/08 PEG 7/3/08-11/6/08 35 TomoTherapy 7/16/08-9/04/08 No Chemo Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11
| | | | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,219 | Traci,
I assume that the $49,000 does not include the HBO which would be under your medical.
Will that be for 4 implants on top and 4 on the bottom and 2 dentures?
I have to say that that amount seems pretty extreme to me.
I would be interested in knowing the breakdown, if you don't mind telling me.
You can send me an email.
Jerry
Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.
"Whatever doesn't kill me, makes me stronger"
| | | | Joined: Mar 2002 Posts: 4,912 Likes: 52 OCF Founder Patient Advocate (old timer, 2000 posts) | OCF Founder Patient Advocate (old timer, 2000 posts) Joined: Mar 2002 Posts: 4,912 Likes: 52 | Knowing a little bit about both implants, dentures, and oral surgery,..... I too would like to know what the breakdown of this is. How many remain teeth are their that need to be extracted? How many pre and post surgery dives?
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant. | | | | Joined: Mar 2009 Posts: 18 Member | OP Member Joined: Mar 2009 Posts: 18 | Thanks for the responses and gladly share the information for those that view this post in the future.
He has 13 teeth remaining but has had 9 teeth break at the gumline - so its a total of 22 extractions
HBO 6,000 (looking into renting one?) Extractions 5,170 Hospital Rm 8,000 (for approx 2 hrs) Anesthesiologist 1,200 Implants ($1920ea x 8) 15,360 Complete Overdenture 5,500 Precision Attachment ($605ea x 8) 4,840 Teeth 5,7,10,13,21,24,27,28 total 46,070
We were told the other day that our oral surgeon and prosthodontist spoke and decided the prosthodontist will purchase the implants vs the oral surgeon which could save us some but won't know those numbers until tomorrow. I will update then
Traci ******* Spouse to Lew (59)(5 family members DX) SCC IVA/T1N2M0 BOT DX 9/08 /Tonsillectomy(cl)/ TX 12/08 (TPF)x2 /RT x35 w 7 wkly (Taxol, Carboplatin, Erbitux) Finish 4/09 / Port /no peg lost 105lbs/ 2/10 CT clear/HBOT x30/all teeth out and implants placed www.asilentepidemic.webs.com | | | | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,219 | Traci,
If you take out the $6,000 (HBO), Room $8,000, Anesthisiologist $1,200, you have an actual cost of $30,870 for the extractions, the implants, the precision attachments and 2 overdentures. This of course sounds a lot more understandable.
Considering the fact that you are going to an oral surgeon and a prosthodontist, both of who are specialists and therefore have fees in the higher range, as well as the fact that your husband will need this specialty care, the fees are probably within an acceptable range.
The reason that I even questioned you was due to the fact that the total figure was extremely high and now I know why.
There are several members that have succesfully had implants and dentures done and hopefully they will be able to answer your question about their success. I have personally never done implant work on an oral cancer patient.
I'm sure that Brian will chime in on the fees, too.
Jerry
Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.
"Whatever doesn't kill me, makes me stronger"
| | | | Joined: May 2002 Posts: 2,152 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: May 2002 Posts: 2,152 | I am totally amazed at the HBO price. In 1997 when they thought I might need them, the were $1000 a treatment at HUP in Phila., but then everything seems to cost a fortune in Philly.
Take care, Eileen
---------------------- Aug 1997 unknown primary, Stage III mets to 1 lymph node in neck; rt ND, 36 XRT rad Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND June 5, 2010 dx early stage breast cancer June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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