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Ask UsHigh Costs for Implant Screws for Orthodontic Anchorage: How to Manage?
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Anon. asks:
I am an orthodontist and I try to stay at the leading edge in research. I have been using the mini-implant screws for orthodontic anchorage. But the costs are getting extreme. I have been referring my patients to an oral surgeon for placement and my patients are paying $450 per mini-implant screw. But, it takes minutes to place each one and there is very little danger of complications. I think the procedure is so simple I am considering doing it myself to conserve the cost of treatment. Are any of you orthodontists out there placing your own mini-implants for anchorage? Did you have any start up costs? Was there any learning curve?
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8 Responses to “ High Costs for Implant Screws for Orthodontic Anchorage: How to Manage? ”
My friend grass always seems greener on the otherside.Why you guys charge $5000 for simple Class I crowded case?How much pack of bands,brackets,wires and rubber bands cost?
It is not cost of implants,it is about time and money spent for extra training just like ortho.( I know,I know Implant dentistry is not speciality like ortho)
Of course you can save money for implants, If you are ready for training and extra liability associated with it.
By the way I do my ortho cases, so I know the difference.
Don’t Expect your friendly OMS to pick up the case if you end up in a nerve or vessel or have a post- op problem. If you place implants you shouuld you owe it to you patients to be well trained by taking the appropiate courses to cover all aspects of the field.
Interesting comments. In the locations needed for ortho anchorage, I would expect very little danger of ending up in a nerve or vessel.
I guess what really matters is the operators working knowledge of dental and skull anatomy.
If the orthodontist went to dental school then straight to ortho school and has really never operated under the tissue, perhaps caution is in order, however, if he had a lot of surgical experience prior to his ortho training, placement of the type of anchorage needed is quite simple and I think it is a little over the top, frankly, to create fear like this.
I would agree, however, that the expertise of the oral surgeon is very valuable if the orthodontist is unsure. We are in an interesting time like never before in the profession, aren’t we? Technology is changing the face of how we do things. Just the battle over who has the pervue over placement of implants I believe is just starting. Should it be the Oral surgeon who is used to surgery all day long, and the specialty that pioneered implant placement….or, should it be the periodontist who works in a more “micro” way with surgery, thus the logical choice for such a precise surgery, no maybe the prosthodontist or well skilled general dentist used to complicated prosthodontics is the best, because he will have to restore it, thus, should place them to know more realistically where they should go, but wait! what about the Endodontist? Since we are trending toward earlier and earlier implants vs endo when restorability is not as predictable, why shouldn’t the endodontist be able to place immediate implants, since he will know when it is restorable or not?
It will be interesting times!
regards
fmn
fmn
We have been placing this rocky mountain implants for quite some time now( maybe 400 or so) and I know I may come from a totally different reallity (we are located in Chile) but in terms of surgery we only charge 155 dollars for an ortho implant. do you think that is ok for a patient?
Certainly, with the proper training and 3D visual perception, anyone can place mini-anchorage implants. In our OMS training, we assisted orthodontic residents during placement, because it was so easy, and the fee didn’t really justify the time spent on the case.
So price or fee is not absolutely reflective on how difficult or easy the procedure is, but that it generates a profit. If one is going to buy a mini-anchorage screw, pay for disposable goods/supplies, assistant chair time, DDS chair time, calculate in risk of damage for a tooth and charge $450 per screw, i’d say its reasonable. Its not like some are placing 10 of these screws in 30 minutes… Its also the value of the results of procedure that also influences the cost.
dr. jason cope, an orthodontist in dallas, tx is presently teaching orthodontists how to place the Imtec mini-implant. however, his understanding of implants is quite limited. he downplays the negative consequences and associated problems. also, knowing how much orthodontist hate giving shots, he also downplays the pain by teaching other orthodontists to use a pneumatic gun to inject local anesthetic under the mucoperiosteal membrane. HOWEVER, the gun is very unsafe and harbors bacteria that cannot be properly sterilized. i forget the name of the pneumatic gun, but i called the manufacturer after i took his course and they admitted that it cannot be properly sterilized…. very unsafe in today’s world.
MY SUMMARY: if you are going to place the ‘ORTH TAD’, at least take a mini-implant course from Imtec, get an Aseptico 7000 series implant motor and the Monte Blanc handpiece. i use CTscans for all of my implants with surgical guides also and feel it is soon going to be the STANDARD OF CARE for TADS and implants.
FINANCIAL: get a knowledgable periodontist or oral surgeon to do your TADS for you and build it into your fee for ortho.
dr. mike
we are currently in the era of specialty. i don’t know, why would an orthodontist, no offince, would like to drill into bone, since he/she likely even foregot how a periostium looks like ….
ortho and omfs works together in a lot of orthognathic surgery cases, it wise and better for the pt to have every specialist, do what he/she used to do.
the high failure rates of tads i the maxilla and probable need for plate fixation makes me concerned about unskilled people performing operations. i could be taught to perform bypass surgery over the weekend but would not risk the pt to my limited skills, complications are usually referred and then its your problem, best luck so you can make maor money david omfs
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