Dentist: I do general dentistry with an emphasis on dental implants. In my videos, I discuss various dental topics and stream my most interesting oral surgeries.
Thanks Dr AJ facinating stuff ,just wondered ,your opinion on " Bicon mini implants , they are suggested for akward positions , lack of bone etc !!? Thanks
@fabianjoy12875Күн бұрын
What about hydrogen peroxide and baking soda
@Weather-sign3 күн бұрын
My root canal lasted 40 years.....now that implants are ahead.... it’s time
@mimollie693210 күн бұрын
Can i still do bone graft after I lost my teeth for 40+years ago?😢
@tybo64O12 күн бұрын
Another point to make in your teen years, make sure you get your wisdom teeth out if they’re impacted. I avoided getting mine out because I was scared of the surgery, combine that with bad oral hygiene and I lost almost all my teeth at 23 😮
@debstayblessed954912 күн бұрын
Thanks for video. I'm considering nesbit partial. Cleaning practice not issue. Concern about metal materials leaking into oral/body blood system. Adverse effect happen alot?
@johnjazayeri12 күн бұрын
Nesbit dentures do not contain metals, they are plastic/nylon based.
@debstayblessed954912 күн бұрын
@johnjazayeri appreciate you taking time. I read that some studies indicate if don't have dentures and have teeth missing greater cognitive decline and increase in dementia.
@debstayblessed954912 күн бұрын
Can popcorn be eaten with a nesbit denture. I had one lower tooth in back extraction. Thanks for video!
@johnjazayeri12 күн бұрын
One tooth posterior dentures are not too comfortable. Their only purpose is to keep your remaining teeth from shifting. You can chew on it, but you won't find yourself using it that often if the denture is only replacing a single posterior tooth.
@debstayblessed954912 күн бұрын
@@johnjazayeri thanks
@darkmindedk914 күн бұрын
I plan to possibly have my front four teeth removed for a partial (can’t afford implants or caps which led to this scenario), would the metal partial be very visible since the clasps would most likely be around my canine teeth?
@johnjazayeri12 күн бұрын
Hey there. You can have the denture extend to the back teeth and place the clasps on the back teeth only. This would require some planning and discussion with your dentist. You can also opt for a flexible denture with pink clasps in the front. These are the most common ways of getting around a metal clasp showing on your front teeth!
@user-pd8pt8ly3n14 күн бұрын
If you heard Netflix put out a documentary about dangers of root canal. But his colleagues got upset and Netflix removed the documentary. He’s saying we kill the tooth nerve. Well that means a dead tooth in your gum that is dead. How are you saving a tooth if you get a root canal. It puts dentists who do root canal all day long. He said why a root canal is needed to save the gum abd teeth next to it, well so does an implant.
@user-pd8pt8ly3n14 күн бұрын
If you heard Netflix put out a documentary about dangers of root canal. But his colleagues got upset and Netflix removed the documentary. He’s saying we kill the tooth nerve. Well that means a dead tooth in your gum that is dead. How are you saving a tooth if you get a root canal. It puts dentists who do root canal all day long. He said why a root canal is needed to save the gum abd teeth next to it, well so does an implant.
@user-pd8pt8ly3n14 күн бұрын
A root canal is leaving a dead bone in the gum and you may not have pain but you are getting a low grade infection!
@alexrivera279114 күн бұрын
Thank u thank u for this video.
@prafullpatel136219 күн бұрын
I do2 top 3 bottom implant
@johnjazayeri12 күн бұрын
That is an excellent option. 2 upper implants to stabilize the upper denture, and 3 lower implants so that the tongue can't move the denture around. Probably the best bang for your buck. So long as you are okay with the roof of your mouth being covered with the upper denture.
@_October_15_202_19 күн бұрын
I had a broken molar and root canal infection, which caused a histamine overgrowth and triggered arrythmias soon after eating. Upon tooth extraction and root canal removal, my arrythmias stopped.
@buttercup179819 күн бұрын
Hello Doc. Jazayeri, I've been watching your KZread channel video for Root Canal treatment doc. Hoping I can get an advice to you about my situation of my failure root canal treatment doc. It's been almost 3months now since I have my first Root Canal treatment for my front tooth. April 11 2024 I visit a dentist to have a check up cause one of my front tooth chipped out then after if my dentist advice me to undergo Root Canal treatment to save my tooth cause its infected due to my long time pasta ( filling) she did x-ray and then i did undergo antibiotics for like a week . Then after a few days all I felt the whole week if sensitivity, twinge on my Root Canal tooth, tingling and very uncomfortable teeth bite. Every week of the whole month is just suffering I've been going back and forth every week because I still suffering the same concern problem till now . Last month May23,2024 they did a retreatment for my root canal cause the infection is still there, I feel that this time my retreatment she really dig deeper than the first time that even I am with 2kinds of anesthesia I still can feel the pain, pressure of drilling and digging that she did for the retreatment root canal procedure then after it she prescribe me a different kind of antibiotic which is clindamycin for 7 days than after retreatment.the whole night and the next couple of days I was is very pain , very twinge , sensitivity, very swollen upper lips and the half of my face and I feel numb . I'm very scared right now they give me a phobia for Root Canal until now I'm not yet done of my Root Canal treatment.. Doc.Jazayeri I really hope that you'll notice me and my msg.. seeking and hoping you can give me an advice to my situation please 🙏🏼 🥺 I am very happy to hear from you hoping sooner.. i am happy to send you my xray results doc..
@johnjazayeri12 күн бұрын
Hi there. Thanks for the detailed explanation. I wish you would mention which tooth it is that is bothering you. Anyways, I personally hate root canal retreatment. If the root canal did not work the first time, why should it work the second time? There are exceptions of course, but generally a root canal retreatment does not clear the tooth from infection (exceptions are one or two nerve teeth where the root canal was performed below the standard of care and there is no infection on the tooth). Having said that, there is a good chance that your tooth is still infected and the root canal is only masking the symptoms. The only way to tell if this is the case or not is a CBCT of the tooth. The infection could be hiding behind the tooth or in between the nerve, and that only shows when you take a CT scan. I just don't understand why people insists on spending so much time and money on extending the life of an infected tooth when they have the option of removing the tooth and replacing it with the implant? This goes for patients, but more so for the dentists. I hope this helps. Feel free to send me an X-ray of the tooth and I will evaluate it more carefully. good luck either way!
@l.e.626327 күн бұрын
He’s correct,corporations are making implants a big business bc it’s near 5 billion in 2024 and will be 7.4 billion in 2027 in USA alone. Best to seek dentist that owns the practice- but many still price gauge & fail to possess the SKILL & tech needed to do best job bc u do not want to pay again for failed implants- more common now due to high demand.
@l.e.626327 күн бұрын
Holistic dentists claim to use only natural ingredients. But many infections cannot be cured with tea, tree or clove oil. DNA & one’s immune system determines if I holistic will even work effectively.. 80% of the population grind or clinch unknowingly- so a crown with no metal will crack easily. DIET- huge factor in oral health.; eating hard foods, sugary drinks & foods, acidic foods/ fruits and drinks, even 1 nut can chip or crack a tooth/molar, especially as one ages. Also, even if born with great DNA ORAL ENZYMES, medical treatment/ accident can adversely affect one’s oral health, especially saliva which carries the good flora to protect against bacteria and entire mouth. If one is in INDIA or Malaysia, they have done tree that naturally cleans teeth IF one is young, healthy & has no sugar diet, eating like natives. Not ALL natives have great teeth- they have dentists there too- it’s usually a lot cheaper than USA. Austria has great national health system that includes dentistry. Some USA ppl travel there bc got family/ friends to stay while getting implants / more costly procedures., paying all cash.
@l.e.626327 күн бұрын
Implants in 2024 is 5 Billion $$ business in USA& insurance companies state implants costs will increase 2.3 Billion each yr forward, to 7.4 Billion by 2027. You are kind to explain these costs, but in truth few insurance covers most dentistry procedures despite demand & new costly tech . I know all the new tech has monthly maintenance paymnts too, like most software. At least u have real experience- so many get botched jobs bc ppl cannot afford over $10k for 1 implant by specialists.
@avondoysabas-jackson485527 күн бұрын
Thanks for the information doctor. I got into a bike accident and my two front teeth were broken at gumline. It's so heartbreaking because they were healthy and now I have to get a rct. Is there another way of saving my teeth?
@johnjazayeri12 күн бұрын
Hi there. I'm sorry to hear about your accident. If your front two teeth have broken at the gumline, then the only way to save them is with a root canal, post and crown. You still need some tooth structure above the gumline for this solution to work long term. Otherwise, if it's really broken at or below the gumline, then removing the teeth and dentures or implants is the better choice. Here are a few tips if you really want to save these teeth: 1. Consider connecting the two crowns: If there is hardly any tooth structure left, then the crowns may fall off. Connecting the crowns improves their longevity. 2. Crown lengthening: If there is almost no tooth structure above the gumline, crown lengthening can extend the useable tooth structure to improve the chances of your crowns staying on. These treatments are not cheap. Make sure that the teeth have a pretty good prognosis with root canals and crowns. Otherwise, remove the teeth and replace them with a denture or implants. So the most important factor here is how much tooth structure is left above the gumline. The more, the merrier! Feel free to send me your Xray if you want me to look more carefully at your situation. Best luck either way!
@Ken-ti9pi28 күн бұрын
Stay toothless and prayer
@carlbernngl28 күн бұрын
if the implant is done by cbct guided imagery thing is the implant hitting the nerve not an issue?
@johnjazayeri12 күн бұрын
Hi Carl. It is very rare to hit the nerve during implant surgery. Using a CBCT guide is helpful to position the implants. It reduces the chances of hitting the nerve, but it does not completely eliminate the risk. Keep in mind that the nerve is only an issue for dental implants placed in the lower posterior region. The good new is, if the implant that has hit the nerve is removed right away, the nerve will mostly regenerate itself. How can you tell if this has happened? If you receive a dental implant in the lower posterior, and the numbness does not wear off after 24 hours, then the implant may have hit the nerve. This numbness could also be from the needle or the drill, but I would rule out the implant sitting on the nerve immediately. Contact your dentist and have them take a CT scan to see if the implant is on the nerve. If it is, have it removed right away. Otherwise you could be looking at long term, or even permanent, ,numbness of the jaws!
@Floodland-bn3ol29 күн бұрын
I learned a lot from this video. Thanks.
@anis9587Ай бұрын
Hello, I'm concerned about a very bad smell developing in my mouth, specifically between my teeth, after a root canal treatment. The smell is particularly noticeable when I use dental floss. Could this indicate an infection or something else? X-rays show that the two root canals I had done so far on my lower molars were not done properly. My new dentist suggests that they need to be redone but says she won't do it and that this requires machine-assisted endodontic treatment, which involves a longer waiting period to get an appointment. The unpleasant smell started two days after the root canal, and prior to that, I had severe infections in those teeth and the entire right side of my mouth. Additionally, small red spots have appeared on the right side of my face at the level of my upper and lower jaw. Based on this history, could you explain what might be going on and what I should do next? I would greatly appreciate your advice. Thank you!
@johnjazayeri12 күн бұрын
Hi there. Unfortunately, your symptoms do not sound good. First off, root canals do not work for severely infected teeth. Period. Trauma, sure. Mild infection, maybe. But a tooth with severe infection does not need a root canal. It needs to be removed. Everything else you mentioned about your teeth points to the fact that the infection is spread well beyond the tooth and into the jawbone. Keep in mind, you can not see the extent of the infection on traditional X-rays, despite most dentists wrongly assuming that you can. You MUST take a CT scan to see if the infection is still there, or if it has been cleared. IMO, cut your losses and remove the teeth. Your body will thank you for it. Feel free to send me your X-rays if you want me to take a closer look at the teeth. Either way, good luck!
@JahJahJah444Ай бұрын
YES
@geraldine2692Ай бұрын
Hello doctor, Great explanation. I have a question if you don’t mind On May 31,2024 I have single implant done almost 5 days ago. Because I have lost 1st molar tooth#46 that is almost 10 years ago. So I ask my doctor if I need bone graft on my molar and he said it’s better. He do countour bone graft (sinthetic)together with the implant. Only he put bone graft on the side of cheek .I ask him if I need membrane he said no. He stitch it with nón resolvable suture. My question is why the doctor don’t do bone graft with membrane? Do I will have good results without membrane? Even I follow the post instructions that you said on other vidio to how to takecare the implant for healing so I will have good result? Appreciate your response. And Thanks 🙏 for your effort for giving us guidance when it come to dental 😀
@johnjazayeri12 күн бұрын
Hi there. The purpose of a membrane is to keep the graft from moving. A membrane is usually only needed when performing tooth extraction or extensive implant surgery. If the implant and graft are placed at the same time, you probably do not require a membrane. If the doctor can proximate your gum tissue and achieve primary closure, then the membrane is redundant. I hope this explains the situation. I sure hope that my instructions help LOL! Best of luck.
@Baharak1978Ай бұрын
It’s the fault of the patient - so it’s you who lost the guaranteed outcome. Life though is complicated, and sometimes simple survival is all that some can be focused on. I do believe we create the protocols with our demands. Instant affordable fix. So I’ll first say stop blaming or putting pressure on dentists. It’s maybe somewhere we need funding to support different treatment plans. It’s a tough role as a dentist with statistics to match. Not to say there isn’t the odd poor quality dentist. I’ve had that too. Drilled too close to the tooth, a bridge of filling connecting two teeth and an incomplete root canal. Having said all that… A cone ct scan is the true way of seeing an infection.. i just use a neck sleeve for the thyroid protection. The studies are becoming interesting on how many infections are picked up. Mine has failed. I’ve suffered for years with an auto immune condition. Your organs are so focused on this infection.. metabolism, hair, hormones.. they stop becoming the priority. I’ve been eating clean, active for years. In a serious way. Stopped working. This seems to be my root cause. Hope is round the corner.. so is expected expense. So it will be that I’m working on next. Wishing you all healing.
@incognitovaria4440Ай бұрын
I should add , I have read for two months on apectomy on a upper first molar (left side) to decide between an apectomy or zirconia dental implant. I do not like infected seal tooth but if I go for an implant and it fails , I will endt ed up with a denture. My tooth is quite asymptomatic, and it is a root- canal treated teeth of 14 years. The infection is in the jaw bone that has been discovered using an Cone Beam. Thhe endodontist who made the root-canal told me that it was a small inflammation and the only thing he suggested was monitoring the tooth. The other endodontist recommends an apectomy with a 95% chance. I have an apointment for an apectomy for the tooth, but I am still unsettled.
@incognitovaria4440Ай бұрын
There are apectomy for a failed root canal, you are not at all a proponent for that procedure?
@johnjazayeri12 күн бұрын
Hi there. Apicoectomy, is a procedure that removes the infection in the jawbone without messing with the tooth or the root canal. It used to be a very popular treatment. But nowadays, with the widespread use of dental implants, it is becoming more and more obsolete. What is my opinion? I would only use them on front teeth under rare circumstances. Here are the issues I have with apicoectomy: 1. Let's say the apicoectomy is successful and the X-ray looks better over time. Does this mean the infection is gone? And what if the X-ray does not show improvement? How can you tell if the procedure was a success? Honestly, you can't! 2. An apicoectomy requires removing bone and gum tissue. Should the tooth fail, there is now less jaw bone and thus, more complicated to place a dental implant. 3. Costs add up. Why not get a permanent fix instead of a patch up job? Especially one that is quite costly as well (don't get started with insurance coverage, they only pay because they don't care if you have an infection and it is a much cheaper solution that a dental implant). I would only consider an apicectomy on a front tooth with minor signs of infection. Back teeth have multiple nerves and this procedure rarely removes all the infection. Hope this helps. Either way, good luck. And feel free to send me your Xrays so I can better see your situation.
@twinluvs2769Ай бұрын
Thank You! I needed that. I fall under dental work for dummies 101. That was very easy for me to understand!!!
@leaborigas2227Ай бұрын
Hi! I'm 17 years old and I'm contemplating what to choose between root canal treatment or a dental implant/dentures, my 4 front teeth have chronic infections and i also had a fistula. My dentist told me that i should just pull out all of them and get dentures but I'm still deciding if i should go for that or go for RCT. Can you help me decide what's better for my condition? And if pulling out my tooth is the option and i could only afford dentures, is it okay to have dentures before going to dental implant, until i can afford it?
@VOICEOFASTROLOGYАй бұрын
Using the Phrase "saves the tooth" with a root canal is misleading. The root canal kills the tooth, and then a crown is placed over the dead tooth. Holitic Dentists are of the opinion that having a dead black tooth in your mouth, underneath the crown, can lead to health problems later on. Dentists should STOP telling patients that a root canal "saves the tooth" Canals keep a dead tooth in your mouth so that the crown has something to attach to. Its a big decision to make for yourself.
@Floodland-bn3olАй бұрын
Brilliant video doc. Learned so much.
@Deuce78Ай бұрын
I guess my question is why can’t the immune system perform its own root canal? If you go online Dentists will say that the immune system cant reach the tooth yet if you study medical articles they say there is a immune response and the immune system has the ability to clear infection, remove dead pulp, and even seal the tooth if need be. Also if the infection can spread as you guys say white can’t the immune system enter the tooth? So only bacteria can leave but white blood cells can’t enter?
@nancylayko3739Ай бұрын
How long after an extraction before final scan for partial
@nancylayko3739Ай бұрын
I have 1 upper incisors missing and an upper right back , however I have a couple of crowns upper that may break or come out. Val or partial metal
@sl4983Ай бұрын
The dentist office told me my insurance refused to cover a partial because the root is still in the gum. I don't want the root removed as it is not infected (verified) and not causing any problems. But, they wouldn't cover it (supposedly).
@sl4983Ай бұрын
What about for one missing upper canine tooth?
@adamtownsend5045Ай бұрын
I was told today that my front tooth needs to come out and that I’m not a candidate for an implant because he would have to put it in at an angle..I was so horrified I forgot to ask basic questions. I can’t find any info on disqualification because of the angle of the gum??
@jitenbhagat4762Ай бұрын
Thanks Dr. extremely helpful and very well explained!
@andrearmstrong-lx4kiАй бұрын
How often does denial implants shift on there own?
@lukew4354Ай бұрын
👍👍
@lukew4354Ай бұрын
👍👍
@PjsevАй бұрын
Even 28 doesn't show my state's dentists. hmm
@dtjrealmcАй бұрын
I just got my permanent partials and my top partial is scraping the back in the front part of my tongue and makes talking drinking and eating so uncomfortable
@johnjazayeriАй бұрын
Sorry to hear that. Either you need more time to get used to your new partials, or you need to have it adjusted. I suggest you practice using your partials for a week or so, and then schedule a follow-up with your dentist, if you don't already have one. The more specific you are with your complaints, the better your dentist can resolve your problem. Good luck!
@dtjrealmcАй бұрын
@@johnjazayeri I returned them 3 days after I told them to make a new pair because My Raw Tongue was in so much pain. If they come back the same I'll probably just drink protein shakes until I die
@queencleo830814 күн бұрын
@@dtjrealmcgood luck with that
@rayshawnfountain6579Ай бұрын
So doc i have a molar that chipped off. its starting to ache sensitive to hot and cold. I went to the dentist today and he said i need a root canal. I have a implant in front of the tooth that needs a root canal. I prefer to get the implant. Do all dentist prefer to save the tooth?
@johnjazayeriАй бұрын
Hi Rayshawn. Great question! The best way to go about this is to look at your previous history with root canal treatments. Do you have a lot of root canals that have lasted in your mouth? If so, then sure, go for the root canal. Or do you have a history of root canals failing on you? If so, then it's best to opt for the dental implant. Personally, I had three root canals, two which failed and had to be replaced with dental implants.Therefore I would opt for implant over root canal. But every case is different. Either way, good luck with your treatment!
@rayshawnfountain6579Ай бұрын
thanks doc appreciate your response
@Poonty305Ай бұрын
I have big bone lost doctor extracted my 2 teeth. Do I still have bone graft option?
@johnjazayeriАй бұрын
Hi there. Sorry about losing your two teeth. Don't worry, not getting a bone graft does not mean you have no bone left! Bone graft helps your body generate more jawbone. If you don't receive a graft, your jawbone still heals, but you will have less jawbone. If you decide to get dental implants in the future, this may pose a problem. Although there are other factors that come into play. But don't stress too much, you still have jawbone if in case you decide to go for dental implants. Best of luck!
@citticat2Ай бұрын
Metal sounds good but I hear the metal damages the existing teeth - shouldn't that be a priority when choosing?
@johnjazayeriАй бұрын
Hi again, Kayleen. I think we can all agree that it is not right. However, sometimes dentists are running behind, so make another appointment for a follow-up and further adjustment. It's always best to wear your dentures for a week or so before getting lots of adjustments. I usually limit my adjustment visits for a new denture to 15 minutes. Then, I see the patient every week or two until they are used to their new teeth. Getting used to a new denture is like riding a bicycle and takes some time. Good luck and I hope to get used to them sooner than later!
@citticat2Ай бұрын
@@johnjazayeri Braces, retainers, crowns, and implant crowns all take time to get use to - partials and dentures work the same way but they should not be so painful that they cause these red spots nor should they move around so freely that you can't talk or chew. I would think.
@CaribbeanfrenchieАй бұрын
The smell leaking from the rct???
@amiltonbarboza3Ай бұрын
HOW TO PROCESSING AND PACKING FULL DENTURES WITH IMPLANTS (FEMALE CONNECTORS AND MALE BALL STYLE CONNECTORS). THANK YOU VERY MUCH
@amiltonbarboza3Ай бұрын
HOW YOU PROCESSING AND PACKING FULL DENTURES WITH IMPLANTS USING FLASKS (MUFFLERS)
Пікірлер
Thanks Dr AJ facinating stuff ,just wondered ,your opinion on " Bicon mini implants , they are suggested for akward positions , lack of bone etc !!? Thanks
What about hydrogen peroxide and baking soda
My root canal lasted 40 years.....now that implants are ahead.... it’s time
Can i still do bone graft after I lost my teeth for 40+years ago?😢
Another point to make in your teen years, make sure you get your wisdom teeth out if they’re impacted. I avoided getting mine out because I was scared of the surgery, combine that with bad oral hygiene and I lost almost all my teeth at 23 😮
Thanks for video. I'm considering nesbit partial. Cleaning practice not issue. Concern about metal materials leaking into oral/body blood system. Adverse effect happen alot?
Nesbit dentures do not contain metals, they are plastic/nylon based.
@johnjazayeri appreciate you taking time. I read that some studies indicate if don't have dentures and have teeth missing greater cognitive decline and increase in dementia.
Can popcorn be eaten with a nesbit denture. I had one lower tooth in back extraction. Thanks for video!
One tooth posterior dentures are not too comfortable. Their only purpose is to keep your remaining teeth from shifting. You can chew on it, but you won't find yourself using it that often if the denture is only replacing a single posterior tooth.
@@johnjazayeri thanks
I plan to possibly have my front four teeth removed for a partial (can’t afford implants or caps which led to this scenario), would the metal partial be very visible since the clasps would most likely be around my canine teeth?
Hey there. You can have the denture extend to the back teeth and place the clasps on the back teeth only. This would require some planning and discussion with your dentist. You can also opt for a flexible denture with pink clasps in the front. These are the most common ways of getting around a metal clasp showing on your front teeth!
If you heard Netflix put out a documentary about dangers of root canal. But his colleagues got upset and Netflix removed the documentary. He’s saying we kill the tooth nerve. Well that means a dead tooth in your gum that is dead. How are you saving a tooth if you get a root canal. It puts dentists who do root canal all day long. He said why a root canal is needed to save the gum abd teeth next to it, well so does an implant.
If you heard Netflix put out a documentary about dangers of root canal. But his colleagues got upset and Netflix removed the documentary. He’s saying we kill the tooth nerve. Well that means a dead tooth in your gum that is dead. How are you saving a tooth if you get a root canal. It puts dentists who do root canal all day long. He said why a root canal is needed to save the gum abd teeth next to it, well so does an implant.
A root canal is leaving a dead bone in the gum and you may not have pain but you are getting a low grade infection!
Thank u thank u for this video.
I do2 top 3 bottom implant
That is an excellent option. 2 upper implants to stabilize the upper denture, and 3 lower implants so that the tongue can't move the denture around. Probably the best bang for your buck. So long as you are okay with the roof of your mouth being covered with the upper denture.
I had a broken molar and root canal infection, which caused a histamine overgrowth and triggered arrythmias soon after eating. Upon tooth extraction and root canal removal, my arrythmias stopped.
Hello Doc. Jazayeri, I've been watching your KZread channel video for Root Canal treatment doc. Hoping I can get an advice to you about my situation of my failure root canal treatment doc. It's been almost 3months now since I have my first Root Canal treatment for my front tooth. April 11 2024 I visit a dentist to have a check up cause one of my front tooth chipped out then after if my dentist advice me to undergo Root Canal treatment to save my tooth cause its infected due to my long time pasta ( filling) she did x-ray and then i did undergo antibiotics for like a week . Then after a few days all I felt the whole week if sensitivity, twinge on my Root Canal tooth, tingling and very uncomfortable teeth bite. Every week of the whole month is just suffering I've been going back and forth every week because I still suffering the same concern problem till now . Last month May23,2024 they did a retreatment for my root canal cause the infection is still there, I feel that this time my retreatment she really dig deeper than the first time that even I am with 2kinds of anesthesia I still can feel the pain, pressure of drilling and digging that she did for the retreatment root canal procedure then after it she prescribe me a different kind of antibiotic which is clindamycin for 7 days than after retreatment.the whole night and the next couple of days I was is very pain , very twinge , sensitivity, very swollen upper lips and the half of my face and I feel numb . I'm very scared right now they give me a phobia for Root Canal until now I'm not yet done of my Root Canal treatment.. Doc.Jazayeri I really hope that you'll notice me and my msg.. seeking and hoping you can give me an advice to my situation please 🙏🏼 🥺 I am very happy to hear from you hoping sooner.. i am happy to send you my xray results doc..
Hi there. Thanks for the detailed explanation. I wish you would mention which tooth it is that is bothering you. Anyways, I personally hate root canal retreatment. If the root canal did not work the first time, why should it work the second time? There are exceptions of course, but generally a root canal retreatment does not clear the tooth from infection (exceptions are one or two nerve teeth where the root canal was performed below the standard of care and there is no infection on the tooth). Having said that, there is a good chance that your tooth is still infected and the root canal is only masking the symptoms. The only way to tell if this is the case or not is a CBCT of the tooth. The infection could be hiding behind the tooth or in between the nerve, and that only shows when you take a CT scan. I just don't understand why people insists on spending so much time and money on extending the life of an infected tooth when they have the option of removing the tooth and replacing it with the implant? This goes for patients, but more so for the dentists. I hope this helps. Feel free to send me an X-ray of the tooth and I will evaluate it more carefully. good luck either way!
He’s correct,corporations are making implants a big business bc it’s near 5 billion in 2024 and will be 7.4 billion in 2027 in USA alone. Best to seek dentist that owns the practice- but many still price gauge & fail to possess the SKILL & tech needed to do best job bc u do not want to pay again for failed implants- more common now due to high demand.
Holistic dentists claim to use only natural ingredients. But many infections cannot be cured with tea, tree or clove oil. DNA & one’s immune system determines if I holistic will even work effectively.. 80% of the population grind or clinch unknowingly- so a crown with no metal will crack easily. DIET- huge factor in oral health.; eating hard foods, sugary drinks & foods, acidic foods/ fruits and drinks, even 1 nut can chip or crack a tooth/molar, especially as one ages. Also, even if born with great DNA ORAL ENZYMES, medical treatment/ accident can adversely affect one’s oral health, especially saliva which carries the good flora to protect against bacteria and entire mouth. If one is in INDIA or Malaysia, they have done tree that naturally cleans teeth IF one is young, healthy & has no sugar diet, eating like natives. Not ALL natives have great teeth- they have dentists there too- it’s usually a lot cheaper than USA. Austria has great national health system that includes dentistry. Some USA ppl travel there bc got family/ friends to stay while getting implants / more costly procedures., paying all cash.
Implants in 2024 is 5 Billion $$ business in USA& insurance companies state implants costs will increase 2.3 Billion each yr forward, to 7.4 Billion by 2027. You are kind to explain these costs, but in truth few insurance covers most dentistry procedures despite demand & new costly tech . I know all the new tech has monthly maintenance paymnts too, like most software. At least u have real experience- so many get botched jobs bc ppl cannot afford over $10k for 1 implant by specialists.
Thanks for the information doctor. I got into a bike accident and my two front teeth were broken at gumline. It's so heartbreaking because they were healthy and now I have to get a rct. Is there another way of saving my teeth?
Hi there. I'm sorry to hear about your accident. If your front two teeth have broken at the gumline, then the only way to save them is with a root canal, post and crown. You still need some tooth structure above the gumline for this solution to work long term. Otherwise, if it's really broken at or below the gumline, then removing the teeth and dentures or implants is the better choice. Here are a few tips if you really want to save these teeth: 1. Consider connecting the two crowns: If there is hardly any tooth structure left, then the crowns may fall off. Connecting the crowns improves their longevity. 2. Crown lengthening: If there is almost no tooth structure above the gumline, crown lengthening can extend the useable tooth structure to improve the chances of your crowns staying on. These treatments are not cheap. Make sure that the teeth have a pretty good prognosis with root canals and crowns. Otherwise, remove the teeth and replace them with a denture or implants. So the most important factor here is how much tooth structure is left above the gumline. The more, the merrier! Feel free to send me your Xray if you want me to look more carefully at your situation. Best luck either way!
Stay toothless and prayer
if the implant is done by cbct guided imagery thing is the implant hitting the nerve not an issue?
Hi Carl. It is very rare to hit the nerve during implant surgery. Using a CBCT guide is helpful to position the implants. It reduces the chances of hitting the nerve, but it does not completely eliminate the risk. Keep in mind that the nerve is only an issue for dental implants placed in the lower posterior region. The good new is, if the implant that has hit the nerve is removed right away, the nerve will mostly regenerate itself. How can you tell if this has happened? If you receive a dental implant in the lower posterior, and the numbness does not wear off after 24 hours, then the implant may have hit the nerve. This numbness could also be from the needle or the drill, but I would rule out the implant sitting on the nerve immediately. Contact your dentist and have them take a CT scan to see if the implant is on the nerve. If it is, have it removed right away. Otherwise you could be looking at long term, or even permanent, ,numbness of the jaws!
I learned a lot from this video. Thanks.
Hello, I'm concerned about a very bad smell developing in my mouth, specifically between my teeth, after a root canal treatment. The smell is particularly noticeable when I use dental floss. Could this indicate an infection or something else? X-rays show that the two root canals I had done so far on my lower molars were not done properly. My new dentist suggests that they need to be redone but says she won't do it and that this requires machine-assisted endodontic treatment, which involves a longer waiting period to get an appointment. The unpleasant smell started two days after the root canal, and prior to that, I had severe infections in those teeth and the entire right side of my mouth. Additionally, small red spots have appeared on the right side of my face at the level of my upper and lower jaw. Based on this history, could you explain what might be going on and what I should do next? I would greatly appreciate your advice. Thank you!
Hi there. Unfortunately, your symptoms do not sound good. First off, root canals do not work for severely infected teeth. Period. Trauma, sure. Mild infection, maybe. But a tooth with severe infection does not need a root canal. It needs to be removed. Everything else you mentioned about your teeth points to the fact that the infection is spread well beyond the tooth and into the jawbone. Keep in mind, you can not see the extent of the infection on traditional X-rays, despite most dentists wrongly assuming that you can. You MUST take a CT scan to see if the infection is still there, or if it has been cleared. IMO, cut your losses and remove the teeth. Your body will thank you for it. Feel free to send me your X-rays if you want me to take a closer look at the teeth. Either way, good luck!
YES
Hello doctor, Great explanation. I have a question if you don’t mind On May 31,2024 I have single implant done almost 5 days ago. Because I have lost 1st molar tooth#46 that is almost 10 years ago. So I ask my doctor if I need bone graft on my molar and he said it’s better. He do countour bone graft (sinthetic)together with the implant. Only he put bone graft on the side of cheek .I ask him if I need membrane he said no. He stitch it with nón resolvable suture. My question is why the doctor don’t do bone graft with membrane? Do I will have good results without membrane? Even I follow the post instructions that you said on other vidio to how to takecare the implant for healing so I will have good result? Appreciate your response. And Thanks 🙏 for your effort for giving us guidance when it come to dental 😀
Hi there. The purpose of a membrane is to keep the graft from moving. A membrane is usually only needed when performing tooth extraction or extensive implant surgery. If the implant and graft are placed at the same time, you probably do not require a membrane. If the doctor can proximate your gum tissue and achieve primary closure, then the membrane is redundant. I hope this explains the situation. I sure hope that my instructions help LOL! Best of luck.
It’s the fault of the patient - so it’s you who lost the guaranteed outcome. Life though is complicated, and sometimes simple survival is all that some can be focused on. I do believe we create the protocols with our demands. Instant affordable fix. So I’ll first say stop blaming or putting pressure on dentists. It’s maybe somewhere we need funding to support different treatment plans. It’s a tough role as a dentist with statistics to match. Not to say there isn’t the odd poor quality dentist. I’ve had that too. Drilled too close to the tooth, a bridge of filling connecting two teeth and an incomplete root canal. Having said all that… A cone ct scan is the true way of seeing an infection.. i just use a neck sleeve for the thyroid protection. The studies are becoming interesting on how many infections are picked up. Mine has failed. I’ve suffered for years with an auto immune condition. Your organs are so focused on this infection.. metabolism, hair, hormones.. they stop becoming the priority. I’ve been eating clean, active for years. In a serious way. Stopped working. This seems to be my root cause. Hope is round the corner.. so is expected expense. So it will be that I’m working on next. Wishing you all healing.
I should add , I have read for two months on apectomy on a upper first molar (left side) to decide between an apectomy or zirconia dental implant. I do not like infected seal tooth but if I go for an implant and it fails , I will endt ed up with a denture. My tooth is quite asymptomatic, and it is a root- canal treated teeth of 14 years. The infection is in the jaw bone that has been discovered using an Cone Beam. Thhe endodontist who made the root-canal told me that it was a small inflammation and the only thing he suggested was monitoring the tooth. The other endodontist recommends an apectomy with a 95% chance. I have an apointment for an apectomy for the tooth, but I am still unsettled.
There are apectomy for a failed root canal, you are not at all a proponent for that procedure?
Hi there. Apicoectomy, is a procedure that removes the infection in the jawbone without messing with the tooth or the root canal. It used to be a very popular treatment. But nowadays, with the widespread use of dental implants, it is becoming more and more obsolete. What is my opinion? I would only use them on front teeth under rare circumstances. Here are the issues I have with apicoectomy: 1. Let's say the apicoectomy is successful and the X-ray looks better over time. Does this mean the infection is gone? And what if the X-ray does not show improvement? How can you tell if the procedure was a success? Honestly, you can't! 2. An apicoectomy requires removing bone and gum tissue. Should the tooth fail, there is now less jaw bone and thus, more complicated to place a dental implant. 3. Costs add up. Why not get a permanent fix instead of a patch up job? Especially one that is quite costly as well (don't get started with insurance coverage, they only pay because they don't care if you have an infection and it is a much cheaper solution that a dental implant). I would only consider an apicectomy on a front tooth with minor signs of infection. Back teeth have multiple nerves and this procedure rarely removes all the infection. Hope this helps. Either way, good luck. And feel free to send me your Xrays so I can better see your situation.
Thank You! I needed that. I fall under dental work for dummies 101. That was very easy for me to understand!!!
Hi! I'm 17 years old and I'm contemplating what to choose between root canal treatment or a dental implant/dentures, my 4 front teeth have chronic infections and i also had a fistula. My dentist told me that i should just pull out all of them and get dentures but I'm still deciding if i should go for that or go for RCT. Can you help me decide what's better for my condition? And if pulling out my tooth is the option and i could only afford dentures, is it okay to have dentures before going to dental implant, until i can afford it?
Using the Phrase "saves the tooth" with a root canal is misleading. The root canal kills the tooth, and then a crown is placed over the dead tooth. Holitic Dentists are of the opinion that having a dead black tooth in your mouth, underneath the crown, can lead to health problems later on. Dentists should STOP telling patients that a root canal "saves the tooth" Canals keep a dead tooth in your mouth so that the crown has something to attach to. Its a big decision to make for yourself.
Brilliant video doc. Learned so much.
I guess my question is why can’t the immune system perform its own root canal? If you go online Dentists will say that the immune system cant reach the tooth yet if you study medical articles they say there is a immune response and the immune system has the ability to clear infection, remove dead pulp, and even seal the tooth if need be. Also if the infection can spread as you guys say white can’t the immune system enter the tooth? So only bacteria can leave but white blood cells can’t enter?
How long after an extraction before final scan for partial
I have 1 upper incisors missing and an upper right back , however I have a couple of crowns upper that may break or come out. Val or partial metal
The dentist office told me my insurance refused to cover a partial because the root is still in the gum. I don't want the root removed as it is not infected (verified) and not causing any problems. But, they wouldn't cover it (supposedly).
What about for one missing upper canine tooth?
I was told today that my front tooth needs to come out and that I’m not a candidate for an implant because he would have to put it in at an angle..I was so horrified I forgot to ask basic questions. I can’t find any info on disqualification because of the angle of the gum??
Thanks Dr. extremely helpful and very well explained!
How often does denial implants shift on there own?
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Even 28 doesn't show my state's dentists. hmm
I just got my permanent partials and my top partial is scraping the back in the front part of my tongue and makes talking drinking and eating so uncomfortable
Sorry to hear that. Either you need more time to get used to your new partials, or you need to have it adjusted. I suggest you practice using your partials for a week or so, and then schedule a follow-up with your dentist, if you don't already have one. The more specific you are with your complaints, the better your dentist can resolve your problem. Good luck!
@@johnjazayeri I returned them 3 days after I told them to make a new pair because My Raw Tongue was in so much pain. If they come back the same I'll probably just drink protein shakes until I die
@@dtjrealmcgood luck with that
So doc i have a molar that chipped off. its starting to ache sensitive to hot and cold. I went to the dentist today and he said i need a root canal. I have a implant in front of the tooth that needs a root canal. I prefer to get the implant. Do all dentist prefer to save the tooth?
Hi Rayshawn. Great question! The best way to go about this is to look at your previous history with root canal treatments. Do you have a lot of root canals that have lasted in your mouth? If so, then sure, go for the root canal. Or do you have a history of root canals failing on you? If so, then it's best to opt for the dental implant. Personally, I had three root canals, two which failed and had to be replaced with dental implants.Therefore I would opt for implant over root canal. But every case is different. Either way, good luck with your treatment!
thanks doc appreciate your response
I have big bone lost doctor extracted my 2 teeth. Do I still have bone graft option?
Hi there. Sorry about losing your two teeth. Don't worry, not getting a bone graft does not mean you have no bone left! Bone graft helps your body generate more jawbone. If you don't receive a graft, your jawbone still heals, but you will have less jawbone. If you decide to get dental implants in the future, this may pose a problem. Although there are other factors that come into play. But don't stress too much, you still have jawbone if in case you decide to go for dental implants. Best of luck!
Metal sounds good but I hear the metal damages the existing teeth - shouldn't that be a priority when choosing?
Hi again, Kayleen. I think we can all agree that it is not right. However, sometimes dentists are running behind, so make another appointment for a follow-up and further adjustment. It's always best to wear your dentures for a week or so before getting lots of adjustments. I usually limit my adjustment visits for a new denture to 15 minutes. Then, I see the patient every week or two until they are used to their new teeth. Getting used to a new denture is like riding a bicycle and takes some time. Good luck and I hope to get used to them sooner than later!
@@johnjazayeri Braces, retainers, crowns, and implant crowns all take time to get use to - partials and dentures work the same way but they should not be so painful that they cause these red spots nor should they move around so freely that you can't talk or chew. I would think.
The smell leaking from the rct???
HOW TO PROCESSING AND PACKING FULL DENTURES WITH IMPLANTS (FEMALE CONNECTORS AND MALE BALL STYLE CONNECTORS). THANK YOU VERY MUCH
HOW YOU PROCESSING AND PACKING FULL DENTURES WITH IMPLANTS USING FLASKS (MUFFLERS)