But what about some tooth just don’t have enough bone structure like my #15 when if removed doctor said implant will not be possible because of no bone? In this case there is no choice but partial denture

Do you have people that switch from a denture to a 4 on 4? Is this possible years later ? Wouldn’t sinuses fall and many bone grafts be needed? Also it would seem necessary to do socket preservation at time of extraction?

@johnjazayeri

Жыл бұрын

Hi Aloha. Great questions. Let me answer them in the order you presented them: (1) Do you have people that switch from a denture to all-on-4? Is this possible years later? Sure, this happens all the time. Some people remove their teeth and go directly to all-on-4s because they have the resources and can't stand the thought of having removable teeth. Others wait several years, suffer from uncomfortable dentures, and then make the decision to go for permanent teeth. Most of these patients either have a bad gag relfex, find their dentures to be too loose, or are just mentally unhappy with having removable teeth in their mouths. I've had patients switch to all-on-4 teeth some10 or 20 years after removing their teeth and it's almost never an issue. Wouldn’t sinuses fall and bone grafts be needed? To an extent, but it's not as bad as you'd think. First off, you don't rely on the sinuses for all-on-4 treatment. We place the 4 dental implants in the anterior region, far away from where the sinuses are located. The beauty of all-on-4 treatment is that you can place the implants in the front, and then extend the teeth backward. For example, I usually place my most terminal implants in the #5 and #12 region (first bicuspid), and then extend the teeth all the back to the first or second molar. This means that even if the sinuses are fully dropped (pneumatized as we call them), you can still place teeth over the sinuses by extending the teeth behind the most terminal implant. Watch my all-on-4 video where I explain in more detail: kzread.info/dash/bejne/k2x-2tGrj9PNhbA.html Is it necessary to do socket preservation at the time of extraction? Again, the same concept applies. Obviously socket preservation helps, but a competent surgeon can usually work around a few minor defects. For instance, if the area near tooth #10 is collapsed, which it often times is, I place my dental implant in the #9 or #11 region. You can usually place one implant slightly anterior or posterior and make adjustments to the other 3 implants accordingly. So while grafting and socket preservation is helpful, it's usually not a deal-breaker. You can get away with some minor bone loss in one region, so long as there are other regions that have sufficient bone. Of course, if your entire jawbone is collapsed, then this is no longer the case. Cases with extreme bone loss require substantial grafting treatment, sometimes from the ribs or other parts of the body, in order to restore the damaged and missing jawbone.

Thank you very much for your very informative video. I have a question. I am 60 years old female. I suffer advanced gum disease and lost upper per-molar and molar teeth on both sides (over last 20 years) and the upper right canine tooth (a couple of weeks ago). In addition, a couple of upper teeth are mobile already. I used to take Fosamax weekly pills for my osteoporosis and my dentists didn't want to take risk to treatment my gum disease. I have stopped taking Fosamax for a few years now. I went to see a periodontist yesterday. He said my advance gum disease is due to my osteoporosis and genetics. He suggested root planing because of the significant amount of bone loss and dental pocket depth (3mm - 9mm) and a plastic partial denture. My bottom teeth are in a better condition than the upper ones. The dental pocket depth at the bottom is 3mm - 5mm (Only a few of them are 5mm deep). I only lost one of the bottom teeth and had one root canal treatment about 10 years ago. But I still lost a lot of bones at the bottom. I would like to have the partial dental as soon as possible to reduce the stress on my front teeth because I use them to chew food. My goal is to save all my remaining bottom teeth. Is it sensible to have the root planing treatment to the bottom teeth and have a upper partial denture at the same time. Then later on to have the root planing treatment to the upper teeth. Or have root planing treatment to both upper and bottom teeth first and then have a upper partial denture when the gum is healed? Another question is how effective root planing treatment is to save my upper teeth? I would appreciate you very much if you could give me your professional options.

@johnjazayeri

2 жыл бұрын

Hi Hong. Thank you for sharing your experience. Here are the answers to your questions: 1. Should you get root planning and deep cleaning first or start with partial dentures? The correct way to do this is to start with the cleaning, then move forward with the dentures. However, it's usually not that big a deal if the order is reversed. If it's determined that your remaining teeth are indeed salvagable, then you can start with the cleaning and the denture at the same time. Your teeth won't change that much during the cleaning process to affect the denture fit. Go along with what your dentists proposes, so long as you get the deep cleaning sooner than later. 2. How effective is root planning in saving your remaining teeth? Root planning (deep cleaning) is the first step in maintaining healthy teeth. In your case, it's very likely that you will need periodic followup cleanings. My guess is every 3 to 4 months. I have patients like you that see me twice a year for cleanings and also see their periodontist two more times for a total of 4 cleanings a year. I think that's what you're going to need. Additionally, you need to maintain excellent oral hygiene at home. This includes brushing, flossing, and probably Waterpiking. Ask your dentist or periodontist if you should use a Waterpik if you don't already have one. It's very helpful for patients with deep periodontal pockets. So the idea that once I get my scaling I'm done, is not true. You still need to maintain excellent hygiene at home and arrange for regular cleaning appointments with your dentist. Good luck with your treatment and let us know how your partial denture is doing once you have them.

@hongmurphy2310

2 жыл бұрын

@@johnjazayeri Thank you ever so much for your valuable advice. My daily oral hygiene routine is Morning and Evening, salt and carbonate soda rinsing, inter-dental brushing, waterpiking, flossing, waterpiking, electric toothbrush with fluoride toothpaste and finally scraping my tongue. After breakfast, lunch, salt and carbonate soda rinsing, inter-dental brushing, waterpiking, Listerine Advanced Defence Gum Mouthwash and finally scraping my tongue. I also visit my hygienist every three month. My biggest mistake is not having regular root planing treatments. Last time I had this treatment was about 15 years ago. It was very painful and I thought if I have a good home oral hygiene routine and frequent cleans by a hygienist, I would be fine. I was so wrong. I will follow your advice to get deep clean first. I was so deflated before I wrote to you. Your answers to my questions give me the hope that I desperately need at the moment.

@susanlee2835

2 жыл бұрын

I've lost nearly all my teeth due to medication for various health problems ..

Have you ever heard of ZX27 glass abutments ?

Can you get partial dentures after receiving one implant?

@johnjazayeri

2 жыл бұрын

Hi Chandra. Great question. Generally speaking, partial dentures and dental implants are mutually exclusive treatments. Basically, people either choose to get dental implants to replace their missing teeth or go for partial dentures instead. After all, a single dental implant costs as much as an entire partial denture, so it doesn't make a whole lot of sense combining these two treatments. Now, what if you already have a dental implant and want to get a partial denture to replace several more teeth. Could this be done? The answer is yes. You can use a dental implant in conjunction with natural teeth to stabilize the partial. The important thing here is to make sure that the implant does not have an active (tight) clasp. Dental implants are immobile object, whereas dentures move. This means that your dentist needs to be careful to place a passive clasp on the dental implant. The other option is adding a dental implant with an attachment to help with partial denture retention. Hope this answers your question and good luck with your treatment.

How can ordinary people afford Implants . £2.400 each ..

@hongmurphy2310

2 жыл бұрын

Dentures might be an affordable option.

@NikkieRoxxx

Жыл бұрын

Not helped on Nhs ?... maybe a trip in Spain? Still EU care yet cheaper...

Thanks for watching my video! Feel free to put your questions in the comments below and I'd happily answer them. Want to schedule an appointment to see me? My offices are located in Southern California (Orange County). Click below to schedule an appointment: San Clemente Office: www.oceansightdental.com/book-your-appointment-online/ Newport Beach Office: genuine.dental/