Interesting video. I had two bridges that were originally put in nearly 47 years ago when I was 21 years old. Then about 15 years ago I broke one of them accidently by biting down on an olive pit. It had to be replaced then. This past year there was a pocket of infection at the root of the anchor tooth of my one original bridge. Amazingly the dentist was able to drill through the bridge, fix the problem and reseal the bridge anchor tooth. The nearly 50 year old bridge held up great through all of it. I got my money’s worth for that bridge!😅
Dental implants in the US are outrageously expensive. However, in Mexico implants are done with the exact same materials, tools, and training. There is NO difference and many Americans go south to save a ton of money. In Mexico an implant is $1,000 or less AND in the US it's between $5,000 and $6,000. The only reason for the difference is PROFIT. American dentists are stealing their patients blind!
Yeah, I had the bridge work done by Army dentists in 1985. Got an upper front tooth knocked out in a fight. The Army dentists wanted to fill in the gap and did the bridge. Implants weren't even a thing back then as far as i know. So yeah, almost 40 years.
Got my implants since I was 35yrs old and I’m 61 now tried to get some opinion with my dentist and she told there’s no need to replace it’s still working fine solid in it’s place, so in my opinion implants are the best investment
I was in China and went to a Dental school and got my implant for about $400 if I recall. This was about 19 years ago and its still feels normal and strong.
@@cynthiamurphy3669 I would say Thailand is a good place to go. Lived in Thailand as well. Japan is similar pricing to Thailand but hotels and food is very high in Japan. Chiang Mai is a good starting point city in Thailand.
I had a dental implant in 2016, which cost $3,000 for the implant alone (NOT the crown, etc). It has needed tightening twice. Before the first tightening, I switched to another dentist, who was relatively young. She did not have the manufacturer's driver tool needed to adjust it, so I was had to go back to my former dentist, who I am still with today. He explained to me that there are five major dental implant manufacturers, and each requires their own tool. Over the years, he had collected all five, but this young dentist had only one (not the one I needed). Don't get stuck with a dentist who doesn't have the tool necessary to adjust your implant!
I have two implants, and this is the first I've heard of being able to tighten implants, although I had to return to the oral surgeon because the temporary abutment he screwed in to the implant itself came out. It is a place holder until I can get the crown done at my regular dentist's later this month. But the implant itself is supposed to adhere to the bone. Did yourbone successfully grow back and adhere to the implant?
@@commonsense6967 As far as I know, yes, there is no problem with adhering to the bone. Something above became lose. I understand from my dentist that this is common and to be expected. After it happened the first time, my dentist sent the crown to the lab to have an ACCESS HOLE made, which makes tightening it much easier.
I had a Maryland bridge for decades, up front and the top of my mouth. It was a pain to keep clean, frequently fell out and was never solid feeling. It never looked “real”. I replaced it with an implant and the difference is night & day. The implant/crown looks like a real tooth. More importantly it is rock solid. I can eat corn on the cob, no problem. It looks and acts like a real tooth.
@Maleko DeSusa: You had a removeable bridge. Mine was a PERMANENT bridge. Huge difference. And yes you must practise good dentil hygene. But you should do THAT anyway.
@@autumnxu9986 Yes, for ONE implant. If it's just a case of a single tooth replacement, an implant IS best. But not everyone can afford this. It's many thousands$$. BUT A FULL upper or lower implant, is still a lot of plastic, to get used to...though not as bad as dentures, which are even bigger, and can shift. No one should be deluded into thinking FULL implants are EXACTLY like real teeth, so you can be careless with the real teeth you have. When it comes to COST, on a SINGLE tooth replacement, if MONEY is an issue...a permanent bridge works like real teeth, (though you MUST floss, under it, around it) ... rather than a REMOVEABLE bridge, which can be a nuiscence, and damage the teeth it attaches to. In the end, it can be ALL about money... the removeable IS the cheapest, though not the best. Bur what i was ALSO saying, PLEASE don't ignore maintenence and care, of your REAL teeth, NOW...asuming they are easily replaceble, with this new option of implants. The least replacement you HAVE to do, the better off you are. Age is ALSO a factor here. What has to last, 10, 20, 30yrs, MAY NOT, If you start young. Implants place great pressure, on 4 areas. Long term, this could cause bone damage in the plug areas. So the LONGER you keep your real teeth, THE BETTER OFF YOU ARE. BE KIND TO THEM. SEE YOUR DENTIST, YEARLY, or WHENEVER a problem occurs.100's spent NOW can save you THOUSANDS, later... You want, afterall, this to last AS LONG AS YOU DO.
I have had bridge for 36 years with not a moment's trouble. Elsewhere in my mouth I had an implant done 23 years ago. Also no problems at all. Brush and floss daily, and see dentist 2 to 3 times a year for cleaning with one yearly checkup.
Some people have headaches after getting implants. It is hard to get rid of the implants, no dentist want to remove implants since it is very complicated surgery. I personally know people who approached many dentists to remove implants and none wanted to do it. 😮. It is very complicated process to remove implant. No one talks about it. I wonder why???
Dr. Houlik's explanation solidified my decision on getting implants 🤩! His breakdown of the pros and cons totally aligns with what Kriss was saying. Implants seem like the best long-term solution 💗. Thanks for the clear video!
@@shyrahgail dental implants are often considered the better option in the long term due to their durability, functionality, and the benefit of bone preservation. However, they are more expensive and involve a surgical procedure. so yahhh, it really depends on you, your case and also budget, haha
I agree, Dr. Houlik's explanation is clear and well-presented. However, I'm also curious about what you mentioned regarding the similarity with Kriss's explanation. Is that the dental chatbot that my friend mentioned also..
Visited Thailand in 2006, for dental, but the 'entertainment' and time constraint changed my decision to sit in a torture chair after watching " The Boys from Brazil" movie in the hotel at Bangkok. Phu Ket, Chiagmai were great. The dentists in Bangkok have as good Aussie facilities. Met Aussie expats there who support Thai docs.
My dentist is in hua hin , called nana dental , i would say she is as good as anyone in the world , has a great team with her , and explans everything so clear , im having two bridges fitted in December when i return @@mama19192
I did an implant about a year ago. The total cost was crazy ($7,000) for one tooth but I also had to have a bone graft prior to the surgical procedure to install the titanium implant post. The other downside was the time need to heal between each step and the wait for the surgeons schedule. It was about eight months to get the procedure combined with a three month wait to get in with the doctor and dentist. So the implant was expensive, somewhat painful, and it took a long time, but I'm pleased with the result and the doctor and dentist did a great job. Also the surgeon used a surgical robot to properly locate the hole for the titanium post. Great technology but crazy expensive.
I've had a bridge on the back bottom that was done nearly 45 years ago. Not a single issue with it whatsoever, despite my new dentist wanting to take it out and replace with implant. I declined - if it don't hurt, don't fix it. About 4 years ago I had a single tooth extracted on upper jaw towards the front. My dentist did an implant. It failed horribly. Something about the bone graft that didn't take or something, so that had to be drilled out even deeper with more bone graft. The long and short? 18 months before it was finally done, and it isn't even straight. It doesn't feel right, or look right, especially since it easily visable with a small kinda smile. Visably something didn't go right.. $6500 final cost for something that took forever to get right and not asthetically pleasing to look at compared to all the others.
I had issues with an implant that took about the same length of time to repair as yours. Evidently my jaw bone is too narrow and i wasn't a good candidate for an implant but they didnt bother to tell me that until the whole debacle was over. I'll never waste my money with an implant again!
@@bwmcelyaMaybe, but it is also generally inadvisable to go to a general dentistfor implants, IMO. Most have not had adequate training or experience in doing them. My son went to one who did an upper front tooth implant on him which became infected. My adult son, in his 30's at the time, was not diabetic, healthy, not prone to infection. The implant failed and he ended up having a bridge. As for me, I have two lower molar implants, one over 16 years old and one recently done. Used a periodontist for the first and an oral surgeon for the second. BOTH TIMES I had to have bone chips implanted at the time of extraction of the molars, and both times, after several months, they successfully bonded to the rest of my bone, which then had the implants placed in it. I'm a female, age 71, no osteoporosis and generally in good health. If implants can work for me, they "should" work for most people
Sounds like you didn't go to a certified Oral Surgeon. Big, costly mistake. I had an implant 9 years ago, and am currently having one done by the same surgeon. The only bad thing about implants is the cost. You just have to have good hygiene and follow the instructions.
A number of years ago my dentist recommended replacing several old crowns. Using your theory, which I share as a rule, I didn't follow that recommendation. In the course of the next few years after I turned that down, I had repeated toothaches dues to crowns leaking and getting infected. Most required a root canal and then a new crown, but one had damaged enough toothe to require an expensive implant. After completing the lengthy implant procedure, I asked the dentist to evaluate whether there were still crowns that should be replaced. There was still one, and I had the crown only replaced. If I'd followed his original suggestion, I likely would have saved myself several root canals and an expensive and burdensome implant procedure. The bottom line for me has been revised to pay more attention to the recommendation of a trustworthy dentist than to the platitude of "if it's not broke, don't fix it."
As a fellow dentist I'm stunned to see you talk about implants as they are god's gift on earth . Don't you think that to be fair you should've mentioned rejection of the implant at the time of insertion( by not being able to torque it enough ), after a few months or even a year( that will have more drastic repercussions on the bone and it will cost more to have bone grafting procedures in order to have bone height either for a bridge or for a denture) , another fact is that you don't give the money back if the implant fails , cleaning is almost impossible at the junction epithelium with the implant and gives rise to periimplantitis , you also forgot to mention that the bone resorbs even with an implant in place about 1 mm in the first year and 0.5 mmm each subsequent year. There are other downsides of the implants and you know them very well . Just food for thought !
Thank you for your time and watching the video. As discussed in the video neither treatment is a guaranteed 100% success and the best thing to do is consult with your dentist to discuss and take all factors into consideration. God Bless!
I agree entirely! I had tooth #10 replaced with an implant (the original tooth had a vertical groove on the back side that prevented the gum from sealing properly, leading to recurring infections, a root canal and ultimately removal due to the continual infections leading to beginning of bone loss). After going through all of the time and expense of the removal of the tooth, the filling of the socket with matrix and allowing bone to regrow, then implant placement, healing again and finally placing a tooth on the implant, I had the implant for about 1 year before the periimplantitis set in. After several years of attempts to defeat the infections, re-packing around the implant with matrix to try to replace lost bone, I threw in the towel and had a cantilever bridge installed. That was about 8 or 10 years ago. I wish I had gone with the bridge in the first place, but hindsight is always 20-20. Take care and God Bless.
@@theElderberryFarmer Ditto! The cost,the pain, the cost, the pain, the cost, the pain; the antibiotics over and over in near emergency situations; & the final cost and pain to remove (while narrowly avoiding osteomyelitis into upper sinus bone area). Huge intact on life,family work - continual infections. No dental decay - perfect teeth - with FATAL GROOVE hidden under gum line, so some bad luck . Had a bridge it was brilliant - but the fatal underlying groove eventually ruined it; Was told back teeth dental implants are less reliable. My top front implants were a disaster. I still use two lower implants to hold dentures in place. I would have removed them too - but they are basically set in rock- bone. Any future problems and I will have them surgically r3moved quickly and just put up with the less aesthetic and or functional problems. If I had my time again, for me, I would have told my younger self to remove all my teeth and learn to live with d3ntures ; but it wasn’t until near the end I did this, and found out about the groove in my teeth, that continually exposed me to gum disease. No one’s fault. All the dentists were very good about teeth, but never addressed iron deficiency, etc. In Australia all health issues stop at the mouth, not connected within health care system. Dental work and infections stop in the gums; a broken jaw is disconnected. A few years ago a man went to emerge with raging infection in gums, essentially sent away as not a “medical problem” only a “dental” problem; 2 weeks later it was “a medical emergency” as it caused a huge heart problem and was a very costly public hospital stay with emergency procedures. Thanks Dr Houlik, for initiating a discussion that gives people a chance to self evaluate their own issues - with regard to making the decision that most likely will work for them🙂. Really liked your presentation. PS:- I was told years ago that 20% implant failure rate was normal. And especially towards rear of mouth. Has this changed?
As soon as I watched this video and before even the doctor discussed the implant, I knew already that his recommendation was to have implants. Please be honest with your patients. There are so many medical conditions that may affect the implants. Be considerate.
As another retired dentist with a 20yrs med lab background, Please give your dentist a complete MEDICAL HISTORY. Conditions that can possible affect your success are - autoimmune ( lupus, arthritis,) chronic alcoholism, chemical allergies ( some disinfectants), blood disorders) . Coming from medicine to dentistry was a shocker to me how little medical information was given to dental students. Even on the drugs the dental patients would list .Certain drugs indicate a psychological disorder and most patients would list the drug but not the disorder such as schizophrenia. I had to leave dentistry due to acquiring occupational asthma via the disinfectant used after the 3rd reaction and rushing to ER , put on breathing machine on advice of cardiologist and pulmologist I quit. Have a very high level of sensitivity now. Epi pen carrier
I have RA. I was planning on getting two implants. It never occurred to me my autoimmune condition could pose a problem for a implant. I had set my mind on getting the implants overseas and get a holiday out of it....
My personal experience has made choosing the bridge a superior option. 43 years ago I had a implant on my front. Two years later the tooth fell out. My dentist told me that biting down on food is a lot of constant pressure and the post ended up fracturing the bone that held the tooth and it became loose. He told me this wasn't really uncommon but it should have lasted longer. He then suggested a bridge as a viable option and I'm very happy I did. I've had it for 41 years now with zero problems. I don't understand why this wasn't explained as a caveat in this video. I'm sure many people are very happy with their implants and have experienced no problems.
@Greg Peterson My concern here is you had a bridge that had been recently fitted and gave you issues and Ron has a bridge that had been fitted just over 4 decades ago with no issues. If this is according to technological improvement this can be identified as degrading standard of treatment. Meanwhile you recently had an implant without problems and Ron had an implant 4 decades ago with problems. I don't believe technology had anything to do with both situations but each scenario is dependent to the dental examination; the conditions surrounding it, and best relevant solution
@Greg Peterson I strongly agree with you. The technology used 43yrs ago will not be equivalent or the same to the technology applied today hence the wrong procedure was applied on Ron's case. That doesn't mean implant was bad but It was not suitable for Ron's condition as well as it was perfect for yours. Also that does not mean the bridge is bad because it worked perfect for Ron. Proper diagnosis for a right kind of procedural treatment is the key.
now implant got changed for better now they are using titanium as screw before it wasn't technology kinda improved for implant from 2011 like that a lot of people had successful implant who had failure rate either he drinks alcohol too much or smoking / bad oral hygiene
@gregpeterson3144 literature revealed high rate of late biological and bio-mechnical complication, after 7 or 8 years of implant service , leading to failure. Contrary to what experienced, you never meet true master of. Prothodontist, only 2 per cent in this world. Have masterpiece of oral reconstructinn, have long term maintainable predictable outcome. Few realized, majority of dentists practice incomplete Dentistry, as Master of Dr.Dawson.said in his golden text.
In my opinion a bridge is more efficient and less expensive and less intrusive. I’ve been a dental technician for over 45yrs and I’ve made thousands of crowns, bridges and implants.
Thanks for your opinion! I have to say dental technicians often have better knowledge of these things, the physics and the statics. Dentists mostly care about money and time.
My dentist recommended to have a bridge and I took her advise and had the bridge done but then ended up having a root canal in 1 tooth because of the pain. Few years later my bridge broke (because of the cheap material my dentist used though she charged me lots of money) and that caused the infection in my jawbone. I then had a root canal retreatment with a good endodontist and problem was fixed and I finally had an implant. So from my bad experience, always look for a good dentist who is not only trying to make money but also cares about the patients. Otherwise, it'll cost lots of money and pain and we might end up loosing teeth...
@@RenaldoDiLucente a bridge cost about $1,500 or more a crown cost about $700 "root canal" cost at least $1,000 - $1,200 "root canal retreatment" cost about $1,600 So 1 bridge + 3 crowns + root canal & retreatment cost at least $8,000 or more....
Great video. The only thing I would add is just like you mentioned dental bridge is dependant on the quality of the supporting teeth, dental implant is also dependant on the quality of the supporting bone tissue. If there has been bone loss in region of the missing tooth then dental implant is often not the most secure solution.
Gum AND bone recidivism is par for course in 5-14 years depending on lifestyle choices,( smoking, boozing, candies). The ' bridge' can collapse like on the River Kwai, if foundational support has gone. It ain't the dentist's fault.
So true. I just learned about this today. I was told I need a dental Flipper first in order to get my implant is that true? I will find out in two weeks if I have enough bone, but the dentist doubts it. I am torn about what to do.
@@suzettebarclay6423 You don't necessary have to have a flipper but most patients prefer it so they aren't missing a tooth while things are healing. You could also do an Essex retainer (looks like an ortho retainer with a tooth in it) Once things are healed. Assuming it's a front tooth , if there is enough bone, I would ask you provider about a guided surgery. If there isn't enough bone you could go back and graft more or move forward with a bridge. Like we discussed in the video if you decide on the bridge be sure to ask about the quality of the adjacent teeth structurally, periodontally. I hope that helps!
I agree. I *opted* for an implant because I didn’t want my adjacent teeth to be grinded down and be affected. The process was longer as the oral surgeon had to build up the bone where the implant was placed. Also, it’s a surgical procedure cos they have to cut your gums *(hence surgery = extra cost).* In terms of hygiene, it’s just like regular teeth. You floss normally with an implant.
My front lower teeth are pretty bad. Some are loose because I have pretty good bone loss. How long was the healing process for the bone implant to build it up? And did you get to wear temporary teeth? My worry is going around without any for a couple months.
I had an implant in 2015 and then a bridge in another area, in 2021. My insurance covers implants. In 2021, I was 76 years old. It was a life expectancy decision. I use a water-pick regularly, and just bought super-floss and then a threader. One more dental issue, I broke my two front teeth (upper) on a plum pit. I had a crown lengthening procedure for those two.
Yup those darn pits and yummy bones. 1992 a friend just had implants in Bombay, and the cheeky fellow bit down on a guava ( slightly harder than an apple) to show off, he broke his crown, metal implant and jaw-bone. Feel sorry now laughing at his predicament. 70 now, 7 implants since 2008, best bucks I ever spent, but always careful before I bite down hard. I cringe when I see the younger generation using their teeth to open beer bottles. Having a clean healthy mouth also is beneficial to one's heart, as rotting food builds up crappy plaque, not to mention bad-breath.
@@Miamiflow885 reset means the bridge is removed and cleaned and reset. In my case they also had to do root canal on two existing teeth that had deteriorated due to the loose section of the bridge.
It DEPENDS on more than the identified pros and cons: tooth/teeth in question, bone loss of tooth/teeth, other dental health aspects. Discussion with dentist should include both options.
If you are young I strongly recommend implants I had a bridge fitted aged 18 over 2 missing teeth top front left & the one next to it, so they bridged over 4. I had it replaced about 18 years ago & last year while eating sourdough bread one end snapped 3months later the other, more sourdough bread believe it or not. The stumps of teeth had both snapped leaving me with a gap of 4 teeth missing at the top front, what a smile I have. I am in Brazil from the UK right now getting the implants put in the original 2 missing teeth spaces & getting crowns put on the snapped other 2 outer teeth as a lot cheaper & I throw in a holiday in the sun I wouldn't have got the bridge if I had known all those years ago what a mess it was going to make but I castor eating sourdough either I am now 55 so hopefully implants will last until I am too old & ugly to give a damn.
I did the implant part 2 months ago, so far so good. The crown part comes later. My benefits will cover some but will cost me $ 2 ,000 total for implant and crown . I fell asleep during the procedure.
Great discussion! I've had both done to my mouth, no problems at all. After your discussion I sort of wished I had gone all the way with the implants, but I can't complain, all is good. Thanks for the wonderful detail comparison between the two procedures.
I totally agree with you. I'm from the Netherlands. A bridge cost here about 1700 euro's and an implant with a crown about 2100 euro's (2300 with a CBCT-scan if necessary), though the long term prognose is even better and you dont't have to 'damage' adjacent teeth. When the adjacent are already treated with big restaurations/rootcanals, posts etc. the prognose is even worse. Thx. Dr. B. Tdeman, Amsterdam
I am in france. I am planning an implant. He quoted me 2300 euros for everything including the crown but I don’t need bone grafting. But I’m worried because the manufacturer of the implant is a French manufacturer. Not one of the top five. Is that an issue ?
I got an implant some years ago and love it! I am getting another one next month for a tooth that I wasted money on doing a root canal and crown on years ago. I will never take the root canal/crown route on a tooth again. If I have a problem with a tooth, I am going to straight to extraction and replace with implant.
I got my implant in Budapest. Very skilled and very quick. They serve a lot of UK patients who like in the US dentists UK dentists like to charge stupid money for this simple job. The dentist in Budapest did a Cat scan to ensure there was sufficient bone after having a bridge for 30 years there was much gum shrinkage. Thankfully there was just enough. It took 10 minutes to perform the implant and a week while they make the replacement tooth. Got a very nice holiday and all for a lower cost than getting it done in the UK. Had to go three times for the full process but the flights from UK are really cheap and hotel is discounted. Poland is another great location. Implants use US made Titanium screws. A Scottish guy visited same day. Was quoted about £50k in the UK for all his teeth, but only £5k in Budapest, SaveOnDental. Another problem with bridges is that the bone beneath the missing tooth can shrink and become weakened causing complications in later life as well as potential upgrade to implant requiring a bone graft. My bridge fell out no less than 8 times and I would have needed another making had I continued so I went with the implant. Best decision I made, much stronger and better.
I had a bridge 35yrs, before it broke. On a older person, doing limited replacement, i would definitely recomend it. And it's half the price of an implant. KEEP ALL THE TEETH YOU CAN. Implants are better than false teeth...BUT NOT ANYWHERE AS GOOD AS REAL, in any way.
Hello from the UK, thanks for all your helpful information. I have a dental bridge that I had fitted over 34 years ago! It’s still going strong. Keep up the good work
The only channel where i got the real information which is not only coming out from a dentist but also from somone who have assisted with the real hustle of a patients mind
Thanks for this! I am going through this at the moment and these two options were presented to me to pick. I went for the dental implant but wasn't sure if I picked correctly. But after watching your wonderful informative video, I am more at ease for making the right choice.
@@drhoulikwhat do I do with a tooth that hasn’t got a crown in years after a root canal. Dentist says I need to extract it. Can I just get another root canal to clean the tooth up. I don’t want to get rid of it
Had a front tooth capped in my 20’s , then had to have it re-capped with a crown post later. Crown post later worked loose. Recommend to do an implant . Dentist tried twice to do the implant but failed each time. They did a bridge which has lasted for close to 20 yrs but 2 yrs ago I told my dentist I thought it was coming loose. He checked it and said my adjoining teeth that are moving. Was told sometimes the bone structure in the front of your mouth won’t support an implant. I’m 68 yrs old, when the bridge fails I’ll considering an upper plate, I’m not going to screw around with an partial plate. I’m not even going to consider a upper plate with implants. Probably cost 50,000$.
At 69 I've had a number of crowns and recently had my first dental implant. Things seem to have gone smoothly. Interestingly my teeth probably look more natural than they were in my 30's due to the crowns replacing fillings and the implant. The implants are indeed expensive, but I see people my age, or younger with missing teeth, and hygiene and smile is worth more to me.
I feel like crowns are just delaying the inevitable. My teeth seem to rot at the gumline, causing me to lose the structure necessary to support the crown unless I get filling after filling. Just give me an entirely artificial tooth. I have one implant that I've been chewing on for 7 years now. Needless to say, it's my favorite tooth.
@@utubewillyman I have a friend who has removable dental bridges. If he takes them out he looks like a jack-o-lantern. Also have a brother and sister in law with a few missing teeth. They both have good smiles otherwise. They'll spend money on ocean cruises, but not on dental implants.
@@alfredeneuman6966 I'd hate to deal with the hassle of removable teeth. Maybe I'd feel differently if I was in my 80s and would prefer to leave a few thousand bucks to my heirs.
I had a cerebrospinal fluid leak in 2018 & was vomiting profusely for 2yrs. I also have Sjogrens & Lupus I’ve been healing holistically. I’ve been going to NSU to have a lot of restoration work & I’m almost at the end😭it’s been a very long, painful, expensive but healing journey. I have 1 missing tooth & the 2 on either side had to have big fillings that need crowns so I’m considering this procedure to complete my dental work…but it seems like there’s no real answer bc the 2 teeth already had restoration work which makes it a good reason to do a bridge, but also a reason the bridge may not be stable & I don’t want to eat trailmix & then the bridge cracks…but I can’t stand seeing that missing tooth when I look at myself. Very informative vid thank you!
As a person that will be going through this within the next few months, I was very interested in watching this video. One thing that I found of interest was in the pictures that were shown where the tooth, was missing, it's exactly the tooth, on me, that has to be removed. It will be removed this next month and I was given both options that you presented, and if I qualify, health wise, I'm going for the implant. With the bridge, my first thought was how on Earth can I keep the underneath area clean enough so as not to get a gum infection. Yes I have a water pick, but it just seems, frankly, worrisome to me that I'd get a gum infection. Thank you for explaining it again. My dentist had explain it to me, but I was upset at losing a tooth that I know I didn't take it all in.
as someone who has had a bunch of bridges done, I'd have to say the risk of gum infection is almost nil because the area where the tooth was removed will heal over before they add the bridge. The worst part is bad breath from not doing proper hygiene. (food build up) A water pic on a daily basis is the way to go.
floss five times a day, brush two or three times, rinse mouth with listerine liquid or gel tooth paste, water pick daily , not one cavity in over forty years:) I have one implant = PERFECTION!
1 major cons for me at the moment for the implant (for the upper - maxilla) is the additional operation of the sinus lift (since the gum is still short after the bone graft), additional cost and side effects down the line such as sinus infections and particles from the bone graft can still travel up to the brain 7-10 years after the implant.
Dental bridge is the way to go, it's the time tested treatment modality. Implants is an invasive procedural and once its gets rejected or bone loss occurs around the implant it's a world of pain and trouble. Only get implants if there is no way to get a dental bridge.
To me it looked like a bridge would destroy two perfectly normal teeth to fill a gap. I have a hard time wrapping my head around doing more harm to my body. If the bridge does not work could they restore the good teeth back with crowns? I agree implants are invasive. However someone here commented that her dentist had it done in just 10 minutes...
Dr Houlik didn't speak about issues like the alveolar rejecting the implant, sinus damage from the implant, and increase in complexity when bone has been lost before the patient even approached the Dentist for an implant (aka need for grafting.) In which case if the implant is gone you don't have the choice of anything as the tooth was already extracted to make space for the post.
What is BEST? Taking care of what you given naturally. Nothing a dentist can do for you is anywhere near as good as that, so be smart, and take good care of it!
Great idea! Only problem is that these habits need to be formed at an early age. Not many children will without parent urging develop those habits. Hence why most of us are watching this video! Jesus the thought processes of some peoples.
A fine video, and it made me even happier with my decision to get two implants, even though they were expensive. But, as the lost teeth were #2 and #15, I probably didn't have a choice!
Not always a choice. Most dental insurance policies have an " alternative benefit clause" also called an ABC clause which basically states the insurance will only pay for the most economical procedure. So if a flipper with one tooth is the cheapest fix that is all they will pay for. If you choose the implant for a total of $5,000 for implant, abutment and tooth, all they will pay for is there half of the $500 dollar flipper, so maybe $250 plus the tooth removal if not already vacant. Be very careful, always get a benefit pre-determination on anything over $200 before you make your decision.
I am nearly 73, and have 2 bottom molar implants, one on each side. A prosthodontist(?) did the first one about 25 years ago, and the only issue I've had with it is the crown the general dentist put on it. It was too small, allowing food to get wedged between it and the tooth, and apparently allowed bone loss under the implant, until a new dentist fixed it. The second implant was done about four years ago by an oral surgeon, and even though the crown on top is the right size, I'm still noticing some bone loss under the gum when I floss. Otherwise, have had no problems with either implant. I did have to have bone chips implanted prior to having both implants, due to bone loss. So it was expensive. However, I feel the second implant was made unnecessarily more expensive by the oral surgeon's requirement that patients be put nearly out with general-type anaesthesia, instead of the more simple sedation type I had with the first implant. And the second implant hurt everybit as much as the firstdid, regardless! (Though only for a minute.)
Dental insurance and what dentists charge for minimal work is outrageous. I could have a triple bypass and still pay less money then getting two fillings.
I have a butterfly bridge for my bottom front teeth. I had to have that done after I had my first child 34 years ago. I had never lost my baby teeth but became loose and fell out during the end of pregnancy.
I have a bridge and it feels so natural that i forget i have one. To me drilling into bone just doesn't sound safe. It really comes down to choice and preference vs one being better than the other.
There are two types of dental implants, the dentist can cement it in place or just screw it in. If it’s screwed in it will probably need to be tighter at some point. Make sue you know the tool required to tighten it, multiple tools and not all dentists have all of them. If the dentists chooses cement then there is no room for error, if something goes wrong you will have to have the implant drilled out. If the cement spreads to any part of your gums you will have bone loss, a very big deal. Most dentists don’t give the choice, they decide for you without telling you the cons. ALL IMPLANTS SHOULD BE DONE BY AN ORAL SURGEON. I’ve had both types, I would always choose screw it in only, no cement.
Excellent description. Two aspects that were not fully explained are the pain associated with implants vs bridges and the time required to complete the procedure (you did mention that bridges can be quick). Having your jaw bone drilled into, for the implant, is very painful and you will likely need strong pain medication to control it. As far as time, my implants took over 18 months to complete. This includes an extra 8 months because I needed a bone graft (also quite painful) before one of the implants needed to be done. In Canada, in 2023, the cost of one implant will run you between 3 700 and 5 000$ according to my research. However, despite these significant negative points for implants, I would still choose them over bridges because of how natural they feel and their durability.
I had an implant which involved no pain or difficulties. But it took six months or so to complete with quite a few appointments which became somewhat burdensome.
Got a dental implant done when I was in the military. had a baby tooth towards the back that never came out because no adult tooth formed beneath it. I still remember waking up in the middle of the procedure to the sound of them drilling into my jaw. Good times.
I have dental implant many years (more than 10) - made by private dental clinic here in Pilsen, CZ- it fits perfectly from the beginning, no issue with jaw etc., works nice, no pain, I hardly remember having titanium in my mouth :-) If I remember well, its cost between 600 - 700 EUR. I am very satisfied
I got 4 implants done this year in 2023 already. 1 in February with a sinus lift and 3 in the month of May a little over 2 weeks ago . It was painful but it's worth it.
Very informative! Thank you. Please consider making a video in choosing a dentist who is highly qualified in doing implants and bone grafting. What questions to ask to detemine qualifcation. Unfortunately any general dentist can advertise and do implants with no state training requirements.
I was having implants on the 2 back teeth bottom right. Unfortunately the implant failed (I believe the bone didn't adhere to the implant) and they were pulled out. Now I'm still missing these 2 back teeth and have nerve damage on the right side of my bottom lip. That was a couple years ago and I can tell there has been bone loss but decided I could just live with it since a bridge isn't an option.
@@thaithaknot I'm a retired dentist but before that I was a 20yrs medical lab tech. I often argued with my dental school instructors about their lack of getting medical information from a patient ( found many give selective information.) . An example would be blood disorders bleeding ,healing ,drug use,alcohol use,osteoarthritis or osteoporosis ( bone loss) ,even oral hygiene. Sorry you went through this , if you really want back/ posterior teeth you may need a partial denture to replace them .
Implants do fail something they don't talk about often. Anyway I had one fail and the dentist tried again with a different type implant after letting the site heal and the second one is bone solid.
@@thaithaknot Implants could have problems for various reasons. It is not as simple as enough or not enough bone. Overall health, oral health, patient selection, site, etc.. all things that can impact success. Wish you the best with any future treatment you have. God Bless!
I have a question.Whats wrong with just keeping the space with the missing tooth vacant.If your ok with it.Will it pose a problem?..Fyi..specifically the tooth before the first back molars!
The only thing they forget to tell you that it’s for 15 years, maybe a little longer. Had 4 implants in my lower jaw and after respectively 18 and 19 years they started inflammations and had to be taken out. At my age 74 I opted for a wonderful click system because I still have a lot of front teeth left. It’s okay as long as it works but beware there is an expiration date especially if you are younger.
Dental implant for sure.. I have had two done.. Zero regrets.. $1600 each in Europe... Cheaper in the East/Asia and of course our American friends unfortunately pay much, much more...
Now I have dentinogensis imperfecta, a lot of loss of jaw structure, NF1 which is not dental problem but in my case it is. I have a left posterior tumor on tongue which makes dentures out of the question due to tumor. Finally I have epilepsy and have convulsive seizure which make my teeth crack easily. So I’m constantly getting dental work. I actually made a dental flipper last 12 years which isn’t bad. But now I’m stuck at a cross roads.
Neither! Implant is a wick for bacteria to enter your jawbone and a bridge requires grinding ( ruining ) the 2 teeth on either side of the space. You will quickly lose those ground teeth to decay and the bridge will fall off repeatedly. If you’ve lost a back tooth just leave it, you’ll manage. If it’s a front tooth get a denture plate.
My first time learning about a bridge. I immediately cringed! Grinding healthy teeth and NEVER stimulating the bone of the missing tooth. Sounds like you're atrophing an entire side of your mouth which subconsciously impacts the way you speak, eat, and even feel about "taking hold of your life." You need a solid grasp/bite to take on life like a champ (my opinion). And your bite ought to feel balanced. A bridge seems like an "easy fix," while the implant (considering you have good bone) is the most ideal. Thanks for this video!
To put it simply, implant is invasive and there maybe a lot of complications. It is not as simple as it sounds. I am speaking from my experience. Bone density issue, sinus issue, infection, rejection, bone disintegration, just to name a few. Implants should be a last resort.
Great video and very helpful. Just had 2 back teeth removed and my dentist suggested implants. Seems like the implant is the best way to go. I’m not worried about the cost can’t put a price on my health. Thanks!!!
What you said is what ppl say who either have lots of $$$$ and/or insurance that covers it. My Endontist just quoted me $10,000 for implant of #3 tooth. What you say is ridiculous.
I was in a car wreck in Oct 1998. Lost my four front upper teeth. I had a bridge made by DDS Reed in Bethalto Illinois. He told me it would last 4 years. It actually lasted 24 years and came loose last year between Thanksgiving and Christmas. Just finished having all my teeth removed today to have implants done at SIUE dental college in Edwardsville il. My cost is 5600 for tooth removal, temporaries and 4 top and bottom implants with my actual implants to come after recovery.
Hope you asked for the risks, of allergies, infections, ect. After dentist recommended twice to redo 3 root canals I stated having all types of health crisis worse was thyroid toxicity storm crisis. They diagnosed me with early Hashimotos disease my good cells turning against me. They also found a lymph node lower right side of neck, and ear ringing titinus about year later it was also mild inflammation. I was monitoring my high blood pressure, I had mild arthritis before it gotten worse on that side of right leg. Shooting pains from head to toe on that side. Recently I got lymph node golf side of my right jaw. It was the failing root canals. My dentist recommends to redo and with holistic dentist now that allergic reaction to materials or resistant bacteria. I think both this hollistic dentist recommends to redo them ignoring my health. I decided to look for 3 rd opinion this dentist had stopped doing root canals. He told me most likely they had me sick for years had been leaking. He recommended to take out including a 4 th one I had showed no signs of infection on 3 D xrays. It was the worst like charcoal in the middle. The other 3 were with mold and rusty. The root cause movie can look at utub. They found 50 types of bacteria in root canals causing all kinds if illness and making worse pre existing. People with good immune system, healthy may tolerate and have better results but like me not recommended. Now I'm making a decision to how to replace my tooths.
My mother was prescribed a biphosphonate drug and it caused "jaw rot" -- her teeth started to fall out (including a bridge) and her dentist told her she was not a candidate for implants because her jaw was compromised. It was a shame. The doctor took her off the drug and never prescribed anything else -- wasn't that necessary after all. Biphosphonates aren't prescribed like they used to be -- wonder why?
My two implants totaled , from beginning to end 13,000 . 6,500 each . That’s counting hidden cost . This is true I have the paperwork to prove it. I had tooth extractions bone grafts , implants and the final dentist part was 3,000 per tooth for the abutment and crowns . Very expensive. I know many people who just keep the missing space and learn how to live with them gone. Sad that this cost so much.
@@fabstouchcosmetics3191 Bridges don’t work for everyone. I was a dental assistant until the early 80s. If you don’t have solid anchor teeth it won’t work.
Implants can cause serious problems as it is a foreign object & can trigger a host of issue itself or lead to infections. USC researchers tackle a growing problem: dental implant disease. More than 3 million dental implants have been placed in the mouths of U.S. patients, and that number rises by 500,000 each year. While implants help many people restore their oral health, they come at a cost. Nearly 15 percent of patients with implants develop peri-implantitis, an infectious disease that triggers an immune response of inflammation in the soft and hard tissues surrounding an implant, eventually leading to supporting bone loss. Even more worrying, there is evidence of peri-implant disease within the first three years in 80 percent of patients. “There is a dramatic risk to the dental profession,” said Malcolm Snead, professor at the Herman Ostrow School of Dentistry of USC. “We can replace lost teeth with implants, but that is putting us in a position where the body is limited in its defense against the implant, and we don’t yet have mechanisms to address the special needs of implants.” Snead’s research is geared toward battling peri-implantitis by using antimicrobial peptides to inhibit the establishment of bacterial biolfilm. “Our tech wants to level the playing field: innate and adaptive host defenses can continue to operate, but we also can provide an antimicrobial film to potentially kill or inhibit the pathogens associated with periodontal disease,” he explained. These diseases also happen in natural teeth, but because the titanium implant lacks a blood supply, it is a much more susceptible surface for bacterial colonization, Snead said. Within weeks of an implant being put in a patient’s mouth, biofilm starts to grow, typically starting with four keystone species of pathogens. While systemic antibiotics can treat many types of infections, they can also lead to antibiotic resistance. Instead of a wide-acting antibiotic, the antimicrobial peptide bound to the implant can attack the local bacteria directly. n a new paper published in the journal ACS Biomaterials Science & Engineering, Snead and his colleagues report a new machine-learning method to predict the structure of antimicrobial peptides that can target oral keystone pathogens. They also used a peptide with special titanium-binding properties, designed to bind the antimicrobial peptides to the implant’s surface. Eventually, the approach could personalize treatment by identifying each patient’s oral pathogens and direct treatment to those exact bacteria. The new antimicrobial peptide can be applied by the dentist at recall appointments in two minutes, and survives on the implant even after brushing.
Thanks for the information I've been searching about these two methods I'm missing The front tooth has a temp for right now but it's all about what you can afford at the end of the day. I just got to shop around for this implant because like anything else never know who will put cheap materials in your mouth.
Thank for the comment. Front teeth and be a little bit trickier as far as the technical/skill level of the provider because of smile line, tissue, angles, etc... Guided surgeries for anterior implants (if that's the route you decide to go would seem worth inquiring about).
If you have poor hygine and/or gum disease issues do not let any dentist comvince you to install a implant it will be lucky to make it 10 years. Im contending with one implant that has been in 15 years but has almost zero bone left. I have tried bone grafts, lazer surgery and over 7k later i should have just has it removed not had laser surgery. If you are young and have good oral health with the technology today (cone beam 3d imaging) and basically😢 cad/cam pin point installation. The risk if implant failure is highly reduced. Never the less if you smoke, eat a high glycemic, garbage diet and/or have poor dental hygiene you should not have a dental implant.
@@vincentnnyc im talking about a situation where you still have most of your teeth. If you have gum disease and it cannot be addressed then the likelyhood of sucess with implants is poor. These are qurstions for an oral surgeon or periodontist. Unfortunately every dentist now thinks they can install implants and its become more about profits than what is best for the patient. The biggest problem with advanced gum disease and teeth loss is bone loss in the jaw and once that happens it is very hard for an oral surgeon to grow new bone on a ridge. This is my issue. The implant sits between two ridges in your jaw well my outer ridge has degraded to where there is nothing much of it left just the very tip of the implant is still embedded in bone and it has an active infection that will not go away using antibiotics, water pick and various rinses, nothing works. I no longer eat sugar, starch, grain or sugary fruit, beer, etc. so my good bacteria are primarily in my mouth now but i still cant get the implant to heal. So before you invest in implants ask the oral surgeon a lot of wuestions about with your oral health issues what the longterm prognosis will be. Last thing you want is an mouth full of infection and the older you get the more dangerous infections in your mouth are.
@@vincentnnyc That can be tough because everything must be taken care of in addition to overall health and not sure of your factors in bone loss. You can never go wrong finding a provider or get referred to one who will do right by you, be transparent and give you their honest opinion.
Interesting info - I do hope that a healthy life style with lots of vegetable and movement might heal the whole body- mind and as such that it can be possible to regrow gum tissue in a natural way. 💚🐸
I had a post prepped for an implant. It was an arduous procedure all for naught. It created immense pain for hours and hours, everntually it unscrewed itself. I was told the bone rejected the post.
Had 4 implants done about 6 years ago. Over the years, all of them have fallen out due to the screw coming loose. I had one double implant on my lower molars that came loose, and the screws broke off inside the implants. My dentist was able to get one screw out, but the other just wouldn't come loose. Now I have a missing tooth with an implant in the bone and half of the original implant on the furthest back molar. My option (as my dentist says) is to have another implant drilled next to the old one and a new double made. Sheesh!
@@xfreelunch Whatever they claimed specialist, literatures revealed lots of late implant biological and bio-mechanical complications and failure. so many myth lots of dentist treat implant as true natural teeth. this is flaw.
Implants are a money grab for the dentist not to mention problems like infection, bone grafts, ect that add to cost. I have a 4 tooth bridge that's 30 years old with no issues.
What are the implant screws made of? Does that material maybe leach into your gums and 'poison ' you ? Will be great if somebody can describe the materials used
Typically titanium. Zirconia (ceramic) implants are becoming a possible option. I answered this question in another comment. Here is a study describing Titanium and the body. www.ncbi.nlm.nih.gov/pmc/articles/PMC6409289/#:~:text=These%20titanium%20ions%20and%20particles,occur%20due%20to%20hypersensitivity%20reactions.
I have one implant and have another missing tooth. The cost of the implant and general lack of insurance coverage for this option makes it a tough pill to swallow. I like the outcome better personally for all the reasons mentioned but dang, the cost. I think one negative for me with my existing implant is just the shape of the crown invites food to get lodged which is a pain. No matter how tight the teeth are after the crown is placed, they always move and shift so food gets caught easier and the larger sort of space between the teeth at the base is a magnet for food. It irritates me but I have floss in all the cars, on my desk, in the bathroom. Everywhere so I can floss it out if I need to. In terms of longevity. I've had the implant for about 8 years I think. In that time the original crown debonded from the base and had to be cut out and I had to pay the cost of another crown ($2K where I'm from). So that was unfortunate. Even the new crown has come lose once but that was an easy fix at least. Neither of the options are perfect. I think a lot of times it'll come down to cost but if you can swing it, I think the implant is the way to go. Thanks for the video.
Thank you for the comment and taking time to check out the video. I agree with you regarding the food impaction. Depending on where your implant is and the architecture of tissue food can get in from the side. A bite adjustment on the adjacent teeth could possibly help with that/decrease the amount of shifting. With how expensive they are always best to find someone you trust and who has a lot of experience if you're going to be spending that kind of money. Thank you!
@@drhoulik I have to have tooth #13 extracted due to root canal with crown failing. I am 76, in reasonably good health. Dentist wants to do bone graft and then implant. Bone graft sounds reasonable to protect area but I do not really want the implant but don't know what else I can do. Thank you
@ Thank you for the question. Working with your dentist to determine best path forward is always the best. With this said, I always tell patients the bone graft is an elective procedure. Now it’s true things will typically heal better with it than with out-but may not always 100% necessary. If you’re certain you don’t want an implant and the tooth comes out reasonably easily -without significant changes to the bone-then the graft really may not be necessary-each case and situation is different. -I tell patients not to stress too much about graft vs no graft. If they’re unsure about what they want to do I typically encourage it , if they’re certain they don’t want to do anything and the extraction isn’t too intrusive then things usually heal just fine with out. Regarding other options it’s tough to say with out seeing an X-ray or the area each with their pros and cons 1-leave space 2-implant 3-bridge 4-something removable Hope that helps!
I don't understand why you have to grind up healthy teeth to "make space" for the artificial one (in bridge procedure) rather than make the artificial tooth small enough to fit the space. It's different if you have to etch out the smooth enamel out to get the bridge structure stick better, but making space doesn't seem to make sense
@E MAL The thing to consider is what they call 'migration' that occurs when the teeth on either side of the gap begin to move toward the space and canter over, causing misalignment. I have a bridge and it has been faultless for many years ...I don't feel it is even there. The only consideration with bridges is the near destruction of the 2 supporting teeth. But if they happen not to be in the best of shape and soon may require crowns .. then it becomes a no brainer .. as you will be in effect restoring 3 teeth.
Interesting presentation...all the things my dentist didn't explain about the differences. I wish it was a little longer to talk about those options when you have bone loss that will either have to be replaced with cadaver bone or the newer composite before the implant is installed.
Thank you for the comment and checking out the video. Are you referring to… having a missing tooth already and then needing to graft the area in order to replace it with a implant or bone loss on the teeth next to the missing one?
Interesting video. I had two bridges that were originally put in nearly 47 years ago when I was 21 years old. Then about 15 years ago I broke one of them accidently by biting down on an olive pit. It had to be replaced then. This past year there was a pocket of infection at the root of the anchor tooth of my one original bridge. Amazingly the dentist was able to drill through the bridge, fix the problem and reseal the bridge anchor tooth. The nearly 50 year old bridge held up great through all of it. I got my money’s worth for that bridge!😅
Thoughts on LGBT?
@@IsraelLlerena It should not interfere with a Good Licking
@@IsraelLlerena i do not like trans
they don't make them like they use too!
How old are you??
Dental implants in the US are outrageously expensive. However, in Mexico implants are done with the exact same materials, tools, and training. There is NO difference and many Americans go south to save a ton of money. In Mexico an implant is $1,000 or less AND in the US it's between $5,000 and $6,000. The only reason for the difference is PROFIT. American dentists are stealing their patients blind!
Shop around. I've had 2 implants, by a board certified oral surgeon, $1,700 each, including bone graft.
Nope. Absolutely INCORRECT. The implant system they are using is likely an off brand and the “surgeon” has no real training in implantology.
@@AllSven source ?
Where exactly can someone go in Mexico for such surgery on a Single Tooth Implant??!... Asking for a Got Dayum friend mane! 😅😂🤣🤣
@@AllSvenWhere's your proof??!.... Exactly! Hush!
I have a bridge and have had it in place since 1985. No problems.
Damn for real?
Are you for real?
Yeah, I had the bridge work done by Army dentists in 1985. Got an upper front tooth knocked out in a fight. The Army dentists wanted to fill in the gap and did the bridge. Implants weren't even a thing back then as far as i know. So yeah, almost 40 years.
Wow good to know
So did I until last year.
Got my implants since I was 35yrs old and I’m 61 now tried to get some opinion with my dentist and she told there’s no need to replace it’s still working fine solid in it’s place, so in my opinion implants are the best investment
Glad you've had success with yours!
I was in China and went to a Dental school and got my implant for about $400 if I recall. This was about 19 years ago and its still feels normal and strong.
How long will implant last?
Up
@@zohaxx322 Not sure but more than 20 years at this rate.
@@cynthiamurphy3669 I would say Thailand is a good place to go. Lived in Thailand as well. Japan is similar pricing to Thailand but hotels and food is very high in Japan. Chiang Mai is a good starting point city in Thailand.
@@zohaxx322it stays for a lifetime if u took care of it
I had a dental implant in 2016, which cost $3,000 for the implant alone (NOT the crown, etc). It has needed tightening twice. Before the first tightening, I switched to another dentist, who was relatively young. She did not have the manufacturer's driver tool needed to adjust it, so I was had to go back to my former dentist, who I am still with today. He explained to me that there are five major dental implant manufacturers, and each requires their own tool. Over the years, he had collected all five, but this young dentist had only one (not the one I needed). Don't get stuck with a dentist who doesn't have the tool necessary to adjust your implant!
Xpl😂
"five major players, all have their own tool..." cost $3K is still a bargain. 😛
Because that is that China are sunking your economy...
I have two implants, and this is the first I've heard of being able to tighten implants, although I had to return to the oral surgeon because the temporary abutment he screwed in to the implant itself came out. It is a place holder until I can get the crown done at my regular dentist's later this month. But the implant itself is supposed to adhere to the bone. Did yourbone successfully grow back and adhere to the implant?
@@commonsense6967 As far as I know, yes, there is no problem with adhering to the bone. Something above became lose. I understand from my dentist that this is common and to be expected. After it happened the first time, my dentist sent the crown to the lab to have an ACCESS HOLE made, which makes tightening it much easier.
I had a bridge done back in 2003 and never had any issues with it. Still strong as can be.
That’s great! Glad it’s holding up strong
Where did you get it done at? And how much was it?!
Does bridge is very pain full ?
I has mine done in 2015…no problems yet…cross fingers
@@ayeshaabid6823 not at all. No pain.
Thanks for sharing, I m going through this pain as well. Natural teeth no doubt never be comparable.😢
I had a Maryland bridge for decades, up front and the top of my mouth. It was a pain to keep clean, frequently fell out and was never solid feeling. It never looked “real”. I replaced it with an implant and the difference is night & day. The implant/crown looks like a real tooth. More importantly it is rock solid. I can eat corn on the cob, no problem. It looks and acts like a real tooth.
I'm glad you had success with the procedure!
@Maleko DeSusa: You had a removeable bridge. Mine was a PERMANENT bridge. Huge difference. And yes you must practise good dentil hygene. But you should do THAT anyway.
i had same experience like 7255 did, for me implant is much better.
@@autumnxu9986 Yes, for ONE implant. If it's just a case of a single tooth replacement, an implant IS best. But not everyone can afford this. It's many thousands$$.
BUT A FULL upper or lower implant, is still a lot of plastic, to get used to...though not as bad as dentures, which are even bigger, and can shift. No one should be deluded into thinking FULL implants are EXACTLY like real teeth, so you can be careless with the real teeth you have.
When it comes to COST, on a SINGLE tooth replacement, if MONEY is an issue...a permanent bridge works like real teeth, (though you MUST floss, under it, around it) ... rather than a REMOVEABLE bridge, which can be a nuiscence, and damage the teeth it attaches to. In the end, it can be ALL about money... the removeable IS the cheapest, though not the best.
Bur what i was ALSO saying, PLEASE don't ignore maintenence and care, of your REAL teeth, NOW...asuming they are easily replaceble, with this new option of implants.
The least replacement you HAVE to do, the better off you are. Age is ALSO a factor here. What has to last, 10, 20, 30yrs, MAY NOT, If you start young. Implants place great pressure, on 4 areas. Long term, this could cause bone damage in the plug areas.
So the LONGER you keep your real teeth, THE BETTER OFF YOU ARE. BE KIND TO THEM. SEE YOUR DENTIST, YEARLY, or WHENEVER a problem occurs.100's spent NOW can save you THOUSANDS, later...
You want, afterall, this to last AS LONG AS YOU DO.
@@drhoulikhi dr I just did bridge on top next to the front but there is gap between my gum and bridge what your thoughts on that ❓
I have had bridge for 36 years with not a moment's trouble. Elsewhere in my mouth I had an implant done 23 years ago. Also no problems at all. Brush and floss daily, and see dentist 2 to 3 times a year for cleaning with one yearly checkup.
Some people have headaches after getting implants. It is hard to get rid of the implants, no dentist want to remove implants since it is very complicated surgery. I personally know people who approached many dentists to remove implants and none wanted to do it. 😮. It is very complicated process to remove implant. No one talks about it. I wonder why???
Titanium is actually very toxic
Dr. Houlik's explanation solidified my decision on getting implants 🤩! His breakdown of the pros and cons totally aligns with what Kriss was saying. Implants seem like the best long-term solution 💗. Thanks for the clear video!
Ohh, what did that kriss said?
@@shyrahgail dental implants are often considered the better option in the long term due to their durability, functionality, and the benefit of bone preservation. However, they are more expensive and involve a surgical procedure. so yahhh, it really depends on you, your case and also budget, haha
I agree, Dr. Houlik's explanation is clear and well-presented. However, I'm also curious about what you mentioned regarding the similarity with Kriss's explanation. Is that the dental chatbot that my friend mentioned also..
Totally agree with Dr. Houlik, and it’s crazy how Kriss ai is saying the same stuff about implants. Makes deciding a whole lot easier!
Ive had 2 bridges done by my Thai dentist, no problems, he retired during Covid. Very skilled man.
Was that done in Thailand? Do you reside in the US or Thailand? Did you travel for dental work?
@@MrJerobona Australian , combine holiday with dentist. Sad he has shut up shop.
Visited Thailand in 2006, for dental, but the 'entertainment' and time constraint changed my decision to sit in a torture chair after watching " The Boys from Brazil" movie in the hotel at Bangkok. Phu Ket, Chiagmai were great. The dentists in Bangkok have as good Aussie facilities. Met Aussie expats there who support Thai docs.
Which hospital im thinking to do bridge or implant we are in thailnd now
My dentist is in hua hin , called nana dental , i would say she is as good as anyone in the world , has a great team with her , and explans everything so clear , im having two bridges fitted in December when i return @@mama19192
I did an implant about a year ago. The total cost was crazy ($7,000) for one tooth but I also had to have a bone graft prior to the surgical procedure to install the titanium implant post. The other downside was the time need to heal between each step and the wait for the surgeons schedule. It was about eight months to get the procedure combined with a three month wait to get in with the doctor and dentist. So the implant was expensive, somewhat painful, and it took a long time, but I'm pleased with the result and the doctor and dentist did a great job. Also the surgeon used a surgical robot to properly locate the hole for the titanium post. Great technology but crazy expensive.
@@lockman004 thank you for sharing!
I've had a bridge on the back bottom that was done nearly 45 years ago. Not a single issue with it whatsoever, despite my new dentist wanting to take it out and replace with implant. I declined - if it don't hurt, don't fix it. About 4 years ago I had a single tooth extracted on upper jaw towards the front. My dentist did an implant. It failed horribly. Something about the bone graft that didn't take or something, so that had to be drilled out even deeper with more bone graft. The long and short? 18 months before it was finally done, and it isn't even straight. It doesn't feel right, or look right, especially since it easily visable with a small kinda smile. Visably something didn't go right.. $6500 final cost for something that took forever to get right and not asthetically pleasing to look at compared to all the others.
I had issues with an implant that took about the same length of time to repair as yours. Evidently my jaw bone is too narrow and i wasn't a good candidate for an implant but they didnt bother to tell me that until the whole debacle was over. I'll never waste my money with an implant again!
Implants on the upper are ill advised. There isn’t enough bone to grab on to. Been there. Lots of money, lots of misery.
@@bwmcelyaMaybe, but it is also generally inadvisable to go to a general dentistfor implants, IMO. Most have not had adequate training or experience in doing them. My son went to one who did an upper front tooth implant on him which became infected. My adult son, in his 30's at the time, was not diabetic, healthy, not prone to infection. The implant failed and he ended up having a bridge. As for me, I have two lower molar implants, one over 16 years old and one recently done. Used a periodontist for the first and an oral surgeon for the second. BOTH TIMES I had to have bone chips implanted at the time of extraction of the molars, and both times, after several months, they successfully bonded to the rest of my bone, which then had the implants placed in it. I'm a female, age 71, no osteoporosis and generally in good health. If implants can work for me, they "should" work for most people
Sounds like you didn't go to a certified Oral Surgeon. Big, costly mistake. I had an implant 9 years ago, and am currently having one done by the same surgeon. The only bad thing about implants is the cost. You just have to have good hygiene and follow the instructions.
A number of years ago my dentist recommended replacing several old crowns. Using your theory, which I share as a rule, I didn't follow that recommendation.
In the course of the next few years after I turned that down, I had repeated toothaches dues to crowns leaking and getting infected. Most required a root canal and then a new crown, but one had damaged enough toothe to require an expensive implant.
After completing the lengthy implant procedure, I asked the dentist to evaluate whether there were still crowns that should be replaced. There was still one, and I had the crown only replaced.
If I'd followed his original suggestion, I likely would have saved myself several root canals and an expensive and burdensome implant procedure.
The bottom line for me has been revised to pay more attention to the recommendation of a trustworthy dentist than to the platitude of "if it's not broke, don't fix it."
As a fellow dentist I'm stunned to see you talk about implants as they are god's gift on earth . Don't you think that to be fair you should've mentioned rejection of the implant at the time of insertion( by not being able to torque it enough ), after a few months or even a year( that will have more drastic repercussions on the bone and it will cost more to have bone grafting procedures in order to have bone height either for a bridge or for a denture) , another fact is that you don't give the money back if the implant fails , cleaning is almost impossible at the junction epithelium with the implant and gives rise to periimplantitis , you also forgot to mention that the bone resorbs even with an implant in place about 1 mm in the first year and 0.5 mmm each subsequent year. There are other downsides of the implants and you know them very well . Just food for thought !
Thank you for your time and watching the video. As discussed in the video neither treatment is a guaranteed 100% success and the best thing to do is consult with your dentist to discuss and take all factors into consideration. God Bless!
I agree entirely! I had tooth #10 replaced with an implant (the original tooth had a vertical groove on the back side that prevented the gum from sealing properly, leading to recurring infections, a root canal and ultimately removal due to the continual infections leading to beginning of bone loss). After going through all of the time and expense of the removal of the tooth, the filling of the socket with matrix and allowing bone to regrow, then implant placement, healing again and finally placing a tooth on the implant, I had the implant for about 1 year before the periimplantitis set in. After several years of attempts to defeat the infections, re-packing around the implant with matrix to try to replace lost bone, I threw in the towel and had a cantilever bridge installed. That was about 8 or 10 years ago. I wish I had gone with the bridge in the first place, but hindsight is always 20-20.
Take care and God Bless.
Thank you for providing this information.
@@theElderberryFarmer Ditto!
The cost,the pain, the cost, the pain, the cost, the pain; the antibiotics over and over in near emergency situations; & the final cost and pain to remove (while narrowly avoiding osteomyelitis into upper sinus bone area).
Huge intact on life,family work - continual infections.
No dental decay - perfect teeth - with FATAL GROOVE hidden under gum line, so some bad luck . Had a bridge it was brilliant - but the fatal underlying groove eventually ruined it;
Was told back teeth dental implants are less reliable.
My top front implants were a disaster.
I still use two lower implants to hold dentures in place. I would have removed them too - but they are basically set in rock- bone. Any future problems and I will have them surgically r3moved quickly and just put up with the less aesthetic and or functional problems.
If I had my time again, for me, I would have told my younger self to remove all my teeth and learn to live with d3ntures ; but it wasn’t until near the end I did this, and found out about the groove in my teeth, that continually exposed me to gum disease.
No one’s fault.
All the dentists were very good about teeth, but never addressed iron deficiency, etc.
In Australia all health issues stop at the mouth, not connected within health care system. Dental work and infections stop in the gums; a broken jaw is disconnected. A few years ago a man went to emerge with raging infection in gums, essentially sent away as not a “medical problem” only a “dental” problem; 2 weeks later it was “a medical emergency” as it caused a huge heart problem and was a very costly public hospital stay with emergency procedures.
Thanks Dr Houlik, for initiating a discussion that gives people a chance to self evaluate their own issues - with regard to making the decision that most likely will work for them🙂. Really liked your presentation.
PS:- I was told years ago that 20% implant failure rate was normal. And especially towards rear of mouth. Has this changed?
As soon as I watched this video and before even the doctor discussed the implant, I knew already that his recommendation was to have implants. Please be honest with your patients. There are so many medical conditions that may affect the implants. Be considerate.
As another retired dentist with a 20yrs med lab background, Please give your dentist a complete MEDICAL HISTORY. Conditions that can possible affect your success are - autoimmune ( lupus, arthritis,) chronic alcoholism, chemical allergies ( some disinfectants), blood disorders) . Coming from medicine to dentistry was a shocker to me how little medical information was given to dental students. Even on the drugs the dental patients would list .Certain drugs indicate a psychological disorder and most patients would list the drug but not the disorder such as schizophrenia. I had to leave dentistry due to acquiring occupational asthma via the disinfectant used after the 3rd reaction and rushing to ER , put on breathing machine on advice of cardiologist and pulmologist I quit. Have a very high level of sensitivity now. Epi pen carrier
Thanks for sharing!
Candyass.
It's a nice way of telling that don't lie to the them
They have to know to be able to fix you in the correct way
Yes
I have RA. I was planning on getting two implants. It never occurred to me my autoimmune condition could pose a problem for a implant. I had set my mind on getting the implants overseas and get a holiday out of it....
My personal experience has made choosing the bridge a superior option. 43 years ago I had a implant on my front. Two years later the tooth fell out. My dentist told me that biting down on food is a lot of constant pressure and the post ended up fracturing the bone that held the tooth and it became loose. He told me this wasn't really uncommon but it should have lasted longer. He then suggested a bridge as a viable option and I'm very happy I did. I've had it for 41 years now with zero problems. I don't understand why this wasn't explained as a caveat in this video. I'm sure many people are very happy with their implants and have experienced no problems.
@Greg Peterson My concern here is you had a bridge that had been recently fitted and gave you issues and Ron has a bridge that had been fitted just over 4 decades ago with no issues. If this is according to technological improvement this can be identified as degrading standard of treatment.
Meanwhile you recently had an implant without problems and Ron had an implant 4 decades ago with problems.
I don't believe technology had anything to do with both situations but each scenario is dependent to the dental examination; the conditions surrounding it, and best relevant solution
@Greg Peterson I strongly agree with you. The technology used 43yrs ago will not be equivalent or the same to the technology applied today hence the wrong procedure was applied on Ron's case. That doesn't mean implant was bad but It was not suitable for Ron's condition as well as it was perfect for yours. Also that does not mean the bridge is bad because it worked perfect for Ron. Proper diagnosis for a right kind of procedural treatment is the key.
now implant got changed for better now they are using titanium as screw before it wasn't technology kinda improved for implant from 2011 like that a lot of people had successful implant who had failure rate either he drinks alcohol too much or smoking / bad oral hygiene
Bone is very thin in that loction...implants are not streamlined enuff....too big for small narrow jawbone
@gregpeterson3144 literature revealed high rate of late biological and bio-mechnical complication, after 7 or 8 years of implant service , leading to failure.
Contrary to what experienced, you never meet true master of. Prothodontist, only 2 per cent in this world.
Have masterpiece of oral reconstructinn, have long term maintainable predictable outcome.
Few realized, majority of dentists practice incomplete Dentistry, as Master of Dr.Dawson.said in his golden text.
In my opinion a bridge is more efficient and less expensive and less intrusive.
I’ve been a dental technician for over 45yrs and I’ve made thousands of crowns, bridges and implants.
Thanks for your opinion!
I have to say dental technicians often have better knowledge of these things, the physics and the statics.
Dentists mostly care about money and time.
7:08 he
My dentist recommended to have a bridge and I took her advise and had the bridge done but then ended up having a root canal in 1 tooth because of the pain. Few years later my bridge broke (because of the cheap material my dentist used though she charged me lots of money) and that caused the infection in my jawbone. I then had a root canal retreatment with a good endodontist and problem was fixed and I finally had an implant. So from my bad experience, always look for a good dentist who is not only trying to make money but also cares about the patients. Otherwise, it'll cost lots of money and pain and we might end up loosing teeth...
How much 😮
How much ?
@@RenaldoDiLucente
a bridge cost about $1,500 or more
a crown cost about $700
"root canal" cost at least $1,000 - $1,200
"root canal retreatment" cost about $1,600
So 1 bridge + 3 crowns + root canal & retreatment cost at least $8,000 or more....
Agreed. The patients best interest should always be first
@@drhoulik Then it shouldn’t cost that much.
Dental implants here in New Delhi cost around $500 with best skilled dentists of min. 10years experience. That's only 10% cost compared to USA.
Great video. The only thing I would add is just like you mentioned dental bridge is dependant on the quality of the supporting teeth, dental implant is also dependant on the quality of the supporting bone tissue. If there has been bone loss in region of the missing tooth then dental implant is often not the most secure solution.
Agreed. It all depends on the site and the patient. Thank you for the comment and watching the video.
Gum AND bone recidivism is par for course in 5-14 years depending on lifestyle choices,( smoking, boozing, candies). The ' bridge' can collapse like on the River Kwai, if foundational support has gone. It ain't the dentist's fault.
So true. I just learned about this today. I was told I need a dental Flipper first in order to get my implant is that true? I will find out in two weeks if I have enough bone, but the dentist doubts it. I am torn about what to do.
@@suzettebarclay6423 You don't necessary have to have a flipper but most patients prefer it so they aren't missing a tooth while things are healing. You could also do an Essex retainer (looks like an ortho retainer with a tooth in it)
Once things are healed. Assuming it's a front tooth , if there is enough bone, I would ask you provider about a guided surgery. If there isn't enough bone you could go back and graft more or move forward with a bridge. Like we discussed in the video if you decide on the bridge be sure to ask about the quality of the adjacent teeth structurally, periodontally.
I hope that helps!
Old people don’t do implant that tortured yourself without benefits at all but dentist always try to deceive you for making money for himself!
I agree. I *opted* for an implant because I didn’t want my adjacent teeth to be grinded down and be affected. The process was longer as the oral surgeon had to build up the bone where the implant was placed. Also, it’s a surgical procedure cos they have to cut your gums *(hence surgery = extra cost).*
In terms of hygiene, it’s just like regular teeth. You floss normally with an implant.
My front lower teeth are pretty bad. Some are loose because I have pretty good bone loss. How long was the healing process for the bone implant to build it up? And did you get to wear temporary teeth? My worry is going around without any for a couple months.
I had an implant in 2015 and then a bridge in another area, in 2021. My insurance covers implants. In 2021, I was 76 years old. It was a life expectancy decision. I use a water-pick regularly, and just bought super-floss and then a threader. One more dental issue, I broke my two front teeth (upper) on a plum pit. I had a crown lengthening procedure for those two.
Yup those darn pits and yummy bones. 1992 a friend just had implants in Bombay, and the cheeky fellow bit down on a guava ( slightly harder than an apple) to show off, he broke his crown, metal implant and jaw-bone. Feel sorry now laughing at his predicament. 70 now, 7 implants since 2008, best bucks I ever spent, but always careful before I bite down hard. I cringe when I see the younger generation using their teeth to open beer bottles.
Having a clean healthy mouth also is beneficial to one's heart, as rotting food builds up crappy plaque, not to mention bad-breath.
I have a bridge that is attached to four good teeth that was done in 1979 it is still very much functional although I had it reset in 2005.
what does reset mean?
@@Miamiflow885 reset means the bridge is removed and cleaned and reset. In my case they also had to do root canal on two existing teeth that had deteriorated due to the loose section of the bridge.
@@ronaldmacpherson3345 Never heard of a bridge being reset without it being desyroyed.
It DEPENDS on more than the identified pros and cons: tooth/teeth in question, bone loss of tooth/teeth, other dental health aspects. Discussion with dentist should include both options.
Agreed. Should be a comprehensive discussion including best options taking all things (health, oral health, treatment, etc..) into account
If you are young I strongly recommend implants
I had a bridge fitted aged 18 over 2 missing teeth top front left & the one next to it, so they bridged over 4. I had it replaced about 18 years ago & last year while eating sourdough bread one end snapped 3months later the other, more sourdough bread believe it or not. The stumps of teeth had both snapped leaving me with a gap of 4 teeth missing at the top front, what a smile I have. I am in Brazil from the UK right now getting the implants put in the original 2 missing teeth spaces & getting crowns put on the snapped other 2 outer teeth as a lot cheaper & I throw in a holiday in the sun
I wouldn't have got the bridge if I had known all those years ago what a mess it was going to make but I castor eating sourdough either I am now 55 so hopefully implants will last until I am too old & ugly to give a damn.
Thank you for sharing and checking out the video. I’m confident you will have success with the implants!
I did the implant part 2 months ago, so far so good. The crown part comes later. My benefits will cover some but will cost me $ 2 ,000 total for implant and crown . I fell asleep during the procedure.
I'm watching this video after my second dental implant procedure. It gives me relief to know that I have chosen the better option. Thank you!
@@sneakypeekygaming glad you found it helpful! Thank you for the comment and checking out the video!
Great discussion! I've had both done to my mouth, no problems at all. After your discussion I sort of wished I had gone all the way with the implants, but I can't complain, all is good. Thanks for the wonderful detail comparison between the two procedures.
Thank you for your time and the kind words! Glad they are working for you.
Do you ever experience pain from cold weather or drinking cold drinks from the metal implant?
I totally agree with you. I'm from the Netherlands. A bridge cost here about 1700 euro's and an implant with a crown about 2100 euro's (2300 with a CBCT-scan if necessary), though the long term prognose is even better and you dont't have to 'damage' adjacent teeth. When the adjacent are already treated with big restaurations/rootcanals, posts etc. the prognose is even worse.
Thx.
Dr. B. Tdeman, Amsterdam
Thank you for checking out the video and your comment!
I am from Canada , the bridge here is $3500 minimum, implant starts $4500
@@koljan3668 I'm going to emigrate to Canada 🙃
@@koljan3668 That's pretty close to costs in US
I am in france. I am planning an implant. He quoted me 2300 euros for everything including the crown but I don’t need bone grafting. But I’m worried because the manufacturer of the implant is a French manufacturer. Not one of the top five. Is that an issue ?
I got an implant some years ago and love it! I am getting another one next month for a tooth that I wasted money on doing a root canal and crown on years ago. I will never take the root canal/crown route on a tooth again. If I have a problem with a tooth, I am going to straight to extraction and replace with implant.
Thank you for sharing and the comment!
Thank you for clarifying the difference between the 2 processes. Ive started the process with the Dental Implant and I have no regrets.
@@TeoAssistants glad to hear that! Thank you for sharing.
I got my implant in Budapest. Very skilled and very quick. They serve a lot of UK patients who like in the US dentists UK dentists like to charge stupid money for this simple job. The dentist in Budapest did a Cat scan to ensure there was sufficient bone after having a bridge for 30 years there was much gum shrinkage. Thankfully there was just enough. It took 10 minutes to perform the implant and a week while they make the replacement tooth. Got a very nice holiday and all for a lower cost than getting it done in the UK. Had to go three times for the full process but the flights from UK are really cheap and hotel is discounted.
Poland is another great location. Implants use US made Titanium screws. A Scottish guy visited same day. Was quoted about £50k in the UK for all his teeth, but only £5k in Budapest, SaveOnDental.
Another problem with bridges is that the bone beneath the missing tooth can shrink and become weakened causing complications in later life as well as potential upgrade to implant requiring a bone graft. My bridge fell out no less than 8 times and I would have needed another making had I continued so I went with the implant. Best decision I made, much stronger and better.
Glad the implant has worked well for you.
A very nice and easy description of the two choices.
I have 6 implants. All upper. My periodontist was a wizard. Just had another periodontist check them out after 26 years. All perfect.
To me it’s wild that people got implants 26 years ago and I haven’t even heard of them before the last decade
@@jmwlife2k
I worked for dentists most of my life so I had insider knowledge 😉
@@willo8794 wil insurance pay for implants
@@phonglam4889
I don’t think so. I was lucky enough to have an inside track working for dentist. I never had dental insurance
@@phonglam4889
I never had insurance because I worked for dentist, so I’m no sure.
I had a bridge 35yrs, before it broke. On a older person, doing limited replacement, i would definitely recomend it. And it's half the price of an implant. KEEP ALL THE TEETH YOU CAN. Implants are better than false teeth...BUT NOT ANYWHERE AS GOOD AS REAL, in any way.
Actually they are better.
@@Jarboe420 What is better?
I have had a bridge & crown for 50 yrs! The back molar has a metal filling. I have been told I should replace it. 😳 Nope! It’s absolutely fine.
Hello from the UK, thanks for all your helpful information.
I have a dental bridge that I had fitted over 34 years ago!
It’s still going strong. Keep up the good work
Thank you for the comment and checking out the video! Glad yours is still going strong!
Good to hear. I have 3 bridges since 29 years. Also in good condition ... still 😂
NHS or private?
@@Neil070 I'm from Germany. I think it's best comparable with your NHS.
@@drhoulik hello Doctor
The only channel where i got the real information which is not only coming out from a dentist but also from somone who have assisted with the real hustle of a patients mind
Thank you for the comment and checking out the video. It's always about doing best for the patient :-)
Thanks for this! I am going through this at the moment and these two options were presented to me to pick. I went for the dental implant but wasn't sure if I picked correctly. But after watching your wonderful informative video, I am more at ease for making the right choice.
Im confident you will success with the procedure! Thank you for your time and watching the video.
What is the maximum number of teeth that can be replaced by a bridge?
@@drhoulikwhat do I do with a tooth that hasn’t got a crown in years after a root canal. Dentist says I need to extract it. Can I just get another root canal to clean the tooth up. I don’t want to get rid of it
Had a front tooth capped in my 20’s , then had to have it re-capped with a crown post later. Crown post later worked loose. Recommend to do an implant . Dentist tried twice to do the implant but failed each time. They did a bridge which has lasted for close to 20 yrs but 2 yrs ago I told my dentist I thought it was coming loose. He checked it and said my adjoining teeth that are moving. Was told sometimes the bone structure in the front of your mouth won’t support an implant. I’m 68 yrs old, when the bridge fails I’ll considering an upper plate, I’m not going to screw around with an partial plate. I’m not even going to consider a upper plate with implants. Probably cost 50,000$.
At 69 I've had a number of crowns and recently had my first dental implant. Things seem to have gone smoothly. Interestingly my teeth probably look more natural than they were in my 30's due to the crowns replacing fillings and the implant. The implants are indeed expensive, but I see people my age, or younger with missing teeth, and hygiene and smile is worth more to me.
I feel like crowns are just delaying the inevitable. My teeth seem to rot at the gumline, causing me to lose the structure necessary to support the crown unless I get filling after filling. Just give me an entirely artificial tooth. I have one implant that I've been chewing on for 7 years now. Needless to say, it's my favorite tooth.
@@utubewillyman I have a friend who has removable dental bridges. If he takes them out he looks like a jack-o-lantern. Also have a brother and sister in law with a few missing teeth. They both have good smiles otherwise. They'll spend money on ocean cruises, but not on dental implants.
@@alfredeneuman6966 I'd hate to deal with the hassle of removable teeth. Maybe I'd feel differently if I was in my 80s and would prefer to leave a few thousand bucks to my heirs.
I had a cerebrospinal fluid leak in 2018 & was vomiting profusely for 2yrs. I also have Sjogrens & Lupus I’ve been healing holistically. I’ve been going to NSU to have a lot of restoration work & I’m almost at the end😭it’s been a very long, painful, expensive but healing journey. I have 1 missing tooth & the 2 on either side had to have big fillings that need crowns so I’m considering this procedure to complete my dental work…but it seems like there’s no real answer bc the 2 teeth already had restoration work which makes it a good reason to do a bridge, but also a reason the bridge may not be stable & I don’t want to eat trailmix & then the bridge cracks…but I can’t stand seeing that missing tooth when I look at myself. Very informative vid thank you!
@@JOJO_LOVES_LIFE thank you for checking out the video and sharing!
As a person that will be going through this within the next few months, I was very interested in watching this video. One thing that I found of interest was in the pictures that were shown where the tooth, was missing, it's exactly the tooth, on me, that has to be removed. It will be removed this next month and I was given both options that you presented, and if I qualify, health wise, I'm going for the implant. With the bridge, my first thought was how on Earth can I keep the underneath area clean enough so as not to get a gum infection. Yes I have a water pick, but it just seems, frankly, worrisome to me that I'd get a gum infection. Thank you for explaining it again. My dentist had explain it to me, but I was upset at losing a tooth that I know I didn't take it all in.
as someone who has had a bunch of bridges done, I'd have to say the risk of gum infection is almost nil because the area where the tooth was removed will heal over before they add the bridge. The worst part is bad breath from not doing proper hygiene. (food build up) A water pic on a daily basis is the way to go.
floss five times a day, brush two or three times, rinse mouth with listerine liquid or gel tooth paste, water pick daily , not one cavity in over forty years:) I have one implant = PERFECTION!
I have 4 bridges and I have no problem. I rarely clean under, almost never. Just flossing.
1 major cons for me at the moment for the implant (for the upper - maxilla) is the additional operation of the sinus lift (since the gum is still short after the bone graft), additional cost and side effects down the line such as sinus infections and particles from the bone graft can still travel up to the brain 7-10 years after the implant.
Dental bridge is the way to go, it's the time tested treatment modality. Implants is an invasive procedural and once its gets rejected or bone loss occurs around the implant it's a world of pain and trouble. Only get implants if there is no way to get a dental bridge.
To me it looked like a bridge would destroy two perfectly normal teeth to fill a gap. I have a hard time wrapping my head around doing more harm to my body.
If the bridge does not work could they restore the good teeth back with crowns?
I agree implants are invasive. However someone here commented that her dentist had it done in just 10 minutes...
I had a bridge installed in 1993 and it is still in good shape.
Glad it's still holding up well!
I got mine in the 80’s and both just went so I lost 6 teeth. I’m now 73, so maybe it’s an age thing.
Dr Houlik didn't speak about issues like the alveolar rejecting the implant, sinus damage from the implant, and increase in complexity when bone has been lost before the patient even approached the Dentist for an implant (aka need for grafting.) In which case if the implant is gone you don't have the choice of anything as the tooth was already extracted to make space for the post.
What is BEST? Taking care of what you given naturally. Nothing a dentist can do for you is anywhere near as good as that, so be smart, and take good care of it!
Great idea! Only problem is that these habits need to be formed at an early age. Not many children will without parent urging develop those habits.
Hence why most of us are watching this video! Jesus the thought processes of some peoples.
@@gregmcfarland5189 I couldn’t agree more!
A fine video, and it made me even happier with my decision to get two implants, even though they were expensive. But, as the lost teeth were #2 and #15, I probably didn't have a choice!
Not always a choice. Most dental insurance policies have an " alternative benefit clause" also called an ABC clause which basically states the insurance will only pay for the most economical procedure. So if a flipper with one tooth is the cheapest fix that is all they will pay for. If you choose the implant for a total of $5,000 for implant, abutment and tooth, all they will pay for is there half of the $500 dollar flipper, so maybe $250 plus the tooth removal if not already vacant. Be very careful, always get a benefit pre-determination on anything over $200 before you make your decision.
Agreed. Transparency cost wise is always essential
I am nearly 73, and have 2 bottom molar implants, one on each side. A prosthodontist(?) did the first one about 25 years ago, and the only issue I've had with it is the crown the general dentist put on it. It was too small, allowing food to get wedged between it and the tooth, and apparently allowed bone loss under the implant, until a new dentist fixed it. The second implant was done about four years ago by an oral surgeon, and even though the crown on top is the right size, I'm still noticing some bone loss under the gum when I floss. Otherwise, have had no problems with either implant. I did have to have bone chips implanted prior to having both implants, due to bone loss. So it was expensive. However, I feel the second implant was made unnecessarily more expensive by the oral surgeon's requirement that patients be put nearly out with general-type anaesthesia, instead of the more simple sedation type I had with the first implant. And the second implant hurt everybit as much as the firstdid, regardless! (Though only for a minute.)
It casts about $1000 per implant in korea, including extraction of old tooth, bone graft if needed, implant and crown. And they are very good.
I saw x-rays of someone that had them done in South American. It looked bad. Like they didn't care about the diameter of the implants VS the crowns.
great video, In my case I had a cantilevered bridge put in 48 years ago, allows cleaning under but supposedly has a shorter life.
Thank you for the comment. I've seen a lot of cantilevered bridges that have withstood the test of time. Glad yours is still functioning for you!
@@drhoulikwhats a cantilever Bridge apart from the obvious. Sorry Doc 😁
Dental insurance and what dentists charge for minimal work is outrageous. I could have a triple bypass and still pay less money then getting two fillings.
Yearly dental benefits have not increased much in the last 40 years.
I have a butterfly bridge for my bottom front teeth. I had to have that done after I had my first child 34 years ago. I had never lost my baby teeth but became loose and fell out during the end of pregnancy.
What I’ve never heard of this happening how long did it take to get adult teeth did you and the baby get teeth at the same time
I have a bridge and it feels so natural that i forget i have one. To me drilling into bone just doesn't sound safe. It really comes down to choice and preference vs one being better than the other.
Where did u get your bridge done?
Overland Park, KS.... Dr M. O'keefe
In the Philippines, one tooth implant is 80k or about 1,428 USD. Bridge costs 20k for a tooth inclusion of the 2 adjacents used as anchor
There are two types of dental implants, the dentist can cement it in place or just screw it in. If it’s screwed in it will probably need to be tighter at some point. Make sue you know the tool required to tighten it, multiple tools and not all dentists have all of them. If the dentists chooses cement then there is no room for error, if something goes wrong you will have to have the implant drilled out. If the cement spreads to any part of your gums you will have bone loss, a very big deal. Most dentists don’t give the choice, they decide for you without telling you the cons. ALL IMPLANTS SHOULD BE DONE BY AN ORAL SURGEON. I’ve had both types, I would always choose screw it in only, no cement.
Excellent description. Two aspects that were not fully explained are the pain associated with implants vs bridges and the time required to complete the procedure (you did mention that bridges can be quick).
Having your jaw bone drilled into, for the implant, is very painful and you will likely need strong pain medication to control it. As far as time, my implants took over 18 months to complete. This includes an extra 8 months because I needed a bone graft (also quite painful) before one of the implants needed to be done.
In Canada, in 2023, the cost of one implant will run you between 3 700 and 5 000$ according to my research.
However, despite these significant negative points for implants, I would still choose them over bridges because of how natural they feel and their durability.
Thank you for checking out the video and your comment!
I had an implant which involved no pain or difficulties. But it took six months or so to complete with quite a few appointments which became somewhat burdensome.
Got a dental implant done when I was in the military. had a baby tooth towards the back that never came out because no adult tooth formed beneath it. I still remember waking up in the middle of the procedure to the sound of them drilling into my jaw. Good times.
Heh, heh! If that was your worst experience in the military, you were LUCKY!
I have dental implant many years (more than 10) - made by private dental clinic here in Pilsen, CZ- it fits perfectly from the beginning, no issue with jaw etc., works nice, no pain, I hardly remember having titanium in my mouth :-) If I remember well, its cost between 600 - 700 EUR. I am very satisfied
I’m glad you had success with the procedure. Thank you for checking out the video!
Does it pain during cold weather?
I got 4 implants done this year in 2023 already. 1 in February with a sinus lift and 3 in the month of May a little over 2 weeks ago . It was painful but it's worth it.
Glad it went well. Thank you for the comment and checking out the video.
@@drhoulik yessirrrr
Very informative! Thank you. Please consider making a video in choosing a dentist who is highly qualified in doing implants and bone grafting. What questions to ask to detemine qualifcation. Unfortunately any general dentist can advertise and do implants with no state training requirements.
Thank you for checking out the video and your input. Will do!
I was having implants on the 2 back teeth bottom right. Unfortunately the implant failed (I believe the bone didn't adhere to the implant) and they were pulled out. Now I'm still missing these 2 back teeth and have nerve damage on the right side of my bottom lip. That was a couple years ago and I can tell there has been bone loss but decided I could just live with it since a bridge isn't an option.
Sometimes that happens if the amount or quality of bone is questionable.
@@drhoulik ...why then would a Dentist go ahead with that procedure in the first place.. sounds like he should be reported to the ADA?
@@thaithaknot I'm a retired dentist but before that I was a 20yrs medical lab tech. I often argued with my dental school instructors about their lack of getting medical information from a patient ( found many give selective information.) . An example would be blood disorders bleeding ,healing ,drug use,alcohol use,osteoarthritis or osteoporosis ( bone loss) ,even oral hygiene. Sorry you went through this , if you really want back/ posterior teeth you may need a partial denture to replace them .
Implants do fail something they don't talk about often. Anyway I had one fail and the dentist tried again with a different type implant after letting the site heal and the second one is bone solid.
@@thaithaknot Implants could have problems for various reasons. It is not as simple as enough or not enough bone. Overall health, oral health, patient selection, site, etc.. all things that can impact success. Wish you the best with any future treatment you have. God Bless!
I have a question.Whats wrong with just keeping the space with the missing tooth vacant.If your ok with it.Will it pose a problem?..Fyi..specifically the tooth before the first back molars!
The only thing they forget to tell you that it’s for 15 years, maybe a little longer. Had 4 implants in my lower jaw and after respectively 18 and 19 years they started inflammations and had to be taken out. At my age 74 I opted for a wonderful click system because I still have a lot of front teeth left. It’s okay as long as it works but beware there is an expiration date especially if you are younger.
Thank you for the comment and checking out the video!
I personally will definitely go with a dental implant because implants better over the long haul
Dental implant for sure.. I have had two done.. Zero regrets.. $1600 each in Europe... Cheaper in the East/Asia and of course our American friends unfortunately pay much, much more...
Do you feel that it's different than the natural teeth? Do you need to take care of them differently?
Now I have dentinogensis imperfecta, a lot of loss of jaw structure, NF1 which is not dental problem but in my case it is. I have a left posterior tumor on tongue which makes dentures out of the question due to tumor. Finally I have epilepsy and have convulsive seizure which make my teeth crack easily. So I’m constantly getting dental work. I actually made a dental flipper last 12 years which isn’t bad. But now I’m stuck at a cross roads.
Neither! Implant is a wick for bacteria to enter your jawbone and a bridge requires grinding ( ruining ) the 2 teeth on either side of the space. You will quickly lose those ground teeth to decay and the bridge will fall off repeatedly. If you’ve lost a back tooth just leave it, you’ll manage. If it’s a front tooth get a denture plate.
My bridge lasted thirty four years without any problems.
I'm thinking the same...thanks
My first time learning about a bridge. I immediately cringed! Grinding healthy teeth and NEVER stimulating the bone of the missing tooth. Sounds like you're atrophing an entire side of your mouth which subconsciously impacts the way you speak, eat, and even feel about "taking hold of your life." You need a solid grasp/bite to take on life like a champ (my opinion). And your bite ought to feel balanced. A bridge seems like an "easy fix," while the implant (considering you have good bone) is the most ideal. Thanks for this video!
Thank you for the comment and checking out the video!
To put it simply, implant is invasive and there maybe a lot of complications. It is not as simple as it sounds. I am speaking from my experience. Bone density issue, sinus issue, infection, rejection, bone disintegration, just to name a few. Implants should be a last resort.
Great video and very helpful. Just had 2 back teeth removed and my dentist suggested implants. Seems like the implant is the best way to go. I’m not worried about the cost can’t put a price on my health. Thanks!!!
Glad the video was helpful. Let me know if I can help in anyway!
What you said is what ppl say who either have lots of $$$$ and/or insurance that covers it.
My Endontist just quoted me $10,000 for implant of #3 tooth. What you say is ridiculous.
I was in a car wreck in Oct 1998. Lost my four front upper teeth. I had a bridge made by DDS Reed in Bethalto Illinois. He told me it would last 4 years. It actually lasted 24 years and came loose last year between Thanksgiving and Christmas. Just finished having all my teeth removed today to have implants done at SIUE dental college in Edwardsville il. My cost is 5600 for tooth removal, temporaries and 4 top and bottom implants with my actual implants to come after recovery.
Hope you asked for the risks, of allergies, infections, ect. After dentist recommended twice to redo 3 root canals I stated having all types of health crisis worse was thyroid toxicity storm crisis. They diagnosed me with early Hashimotos disease my good cells turning against me. They also found a lymph node lower right side of neck, and ear ringing titinus about year later it was also mild inflammation. I was monitoring my high blood pressure, I had mild arthritis before it gotten worse on that side of right leg. Shooting pains from head to toe on that side. Recently I got lymph node golf side of my right jaw. It was the failing root canals. My dentist recommends to redo and with holistic dentist now that allergic reaction to materials or resistant bacteria. I think both this hollistic dentist recommends to redo them ignoring my health. I decided to look for 3 rd opinion this dentist had stopped doing root canals. He told me most likely they had me sick for years had been leaking. He recommended to take out including a 4 th one I had showed no signs of infection on 3 D xrays. It was the worst like charcoal in the middle. The other 3 were with mold and rusty. The root cause movie can look at utub. They found 50 types of bacteria in root canals causing all kinds if illness and making worse pre existing. People with good immune system, healthy may tolerate and have better results but like me not recommended. Now I'm making a decision to how to replace my tooths.
This video brings up more questions than it answers.
Thank you for checking out the video and comment!
Thanks for this info. I am contemplating not replacing the tooth due to the prices snd procedures.
Let me know if I can help in anyway!
My mother was prescribed a biphosphonate drug and it caused "jaw rot" -- her teeth started to fall out (including a bridge) and her dentist told her she was not a candidate for implants because her jaw was compromised. It was a shame. The doctor took her off the drug and never prescribed anything else -- wasn't that necessary after all. Biphosphonates aren't prescribed like they used to be -- wonder why?
I had an back molar implant and I love every bit of it, just like my own tooth.
Glad you had success with the procedure!
@@drhoulik thank you for the info!
@tringo999 - Just had the same procedure 😉👌
My two implants totaled , from beginning to end 13,000 . 6,500 each . That’s counting hidden cost . This is true I have the paperwork to prove it. I had tooth extractions bone grafts , implants and the final dentist part was 3,000 per tooth for the abutment and crowns . Very expensive. I know many people who just keep the missing space and learn how to live with them gone. Sad that this cost so much.
Mine were quite expensive too.
Why do implants when bridge can help
@@fabstouchcosmetics3191
Bridges don’t work for everyone. I was a dental assistant until the early 80s. If you don’t have solid anchor teeth it won’t work.
You overpaid unless you got bone grafts and other..
@@CeeTeeUSA I had bone grafts. There is no point doing them if you don’t
Thank-you. This is helpful. I'm about to make this decision and was wondering about the pros n cons of both procedures.
Thank you for checking out the video. Best of luck with your treatment!
Implants can cause serious problems as it is a foreign object & can trigger a host of issue itself or lead to infections. USC researchers tackle a growing problem: dental implant disease. More than 3 million dental implants have been placed in the mouths of U.S. patients, and that number rises by 500,000 each year. While implants help many people restore their oral health, they come at a cost. Nearly 15 percent of patients with implants develop peri-implantitis, an infectious disease that triggers an immune response of inflammation in the soft and hard tissues surrounding an implant, eventually leading to supporting bone loss. Even more worrying, there is evidence of peri-implant disease within the first three years in 80 percent of patients. “There is a dramatic risk to the dental profession,” said Malcolm Snead, professor at the Herman Ostrow School of Dentistry of USC. “We can replace lost teeth with implants, but that is putting us in a position where the body is limited in its defense against the implant, and we don’t yet have mechanisms to address the special needs of implants.” Snead’s research is geared toward battling peri-implantitis by using antimicrobial peptides to inhibit the establishment of bacterial biolfilm. “Our tech wants to level the playing field: innate and adaptive host defenses can continue to operate, but we also can provide an antimicrobial film to potentially kill or inhibit the pathogens associated with periodontal disease,” he explained. These diseases also happen in natural teeth, but because the titanium implant lacks a blood supply, it is a much more susceptible surface for bacterial colonization, Snead said. Within weeks of an implant being put in a patient’s mouth, biofilm starts to grow, typically starting with four keystone species of pathogens. While systemic antibiotics can treat many types of infections, they can also lead to antibiotic resistance. Instead of a wide-acting antibiotic, the antimicrobial peptide bound to the implant can attack the local bacteria directly. n a new paper published in the journal ACS Biomaterials Science & Engineering, Snead and his colleagues report a new machine-learning method to predict the structure of antimicrobial peptides that can target oral keystone pathogens. They also used a peptide with special titanium-binding properties, designed to bind the antimicrobial peptides to the implant’s surface. Eventually, the approach could personalize treatment by identifying each patient’s oral pathogens and direct treatment to those exact bacteria. The new antimicrobial peptide can be applied by the dentist at recall appointments in two minutes, and survives on the implant even after brushing.
She nice I already had titanium rods in 3 levels in my neck, I’m not worrying.
Thanks for the information I've been searching about these two methods I'm missing The front tooth has a temp for right now but it's all about what you can afford at the end of the day. I just got to shop around for this implant because like anything else never know who will put cheap materials in your mouth.
Thank for the comment. Front teeth and be a little bit trickier as far as the technical/skill level of the provider because of smile line, tissue, angles, etc... Guided surgeries for anterior implants (if that's the route you decide to go would seem worth inquiring about).
If you have poor hygine and/or gum disease issues do not let any dentist comvince you to install a implant it will be lucky to make it 10 years. Im contending with one implant that has been in 15 years but has almost zero bone left. I have tried bone grafts, lazer surgery and over 7k later i should have just has it removed not had laser surgery. If you are young and have good oral health with the technology today (cone beam 3d imaging) and basically😢 cad/cam pin point installation. The risk if implant failure is highly reduced. Never the less if you smoke, eat a high glycemic, garbage diet and/or have poor dental hygiene you should not have a dental implant.
Thank you for your input and thoughts.
So what do you recommend instead if you have poor hygiene and advance gum disease? Denture?
@@vincentnnyc im talking about a situation where you still have most of your teeth. If you have gum disease and it cannot be addressed then the likelyhood of sucess with implants is poor. These are qurstions for an oral surgeon or periodontist. Unfortunately every dentist now thinks they can install implants and its become more about profits than what is best for the patient. The biggest problem with advanced gum disease and teeth loss is bone loss in the jaw and once that happens it is very hard for an oral surgeon to grow new bone on a ridge. This is my issue. The implant sits between two ridges in your jaw well my outer ridge has degraded to where there is nothing much of it left just the very tip of the implant is still embedded in bone and it has an active infection that will not go away using antibiotics, water pick and various rinses, nothing works. I no longer eat sugar, starch, grain or sugary fruit, beer, etc. so my good bacteria are primarily in my mouth now but i still cant get the implant to heal. So before you invest in implants ask the oral surgeon a lot of wuestions about with your oral health issues what the longterm prognosis will be. Last thing you want is an mouth full of infection and the older you get the more dangerous infections in your mouth are.
@@vincentnnyc That can be tough because everything must be taken care of in addition to overall health and not sure of your factors in bone loss. You can never go wrong finding a provider or get referred to one who will do right by you, be transparent and give you their honest opinion.
@@vincentnnyc start cleaning your teeth better if not why invest money in them
Interesting info - I do hope that a healthy life style with lots of vegetable and movement might heal the whole body- mind and as such that it can be possible to regrow gum tissue in a natural way. 💚🐸
I had a post prepped for an implant. It was an arduous procedure all for naught. It created immense pain for hours and hours, everntually it unscrewed itself. I was told the bone rejected the post.
That happens.
Had 4 implants done about 6 years ago. Over the years, all of them have fallen out due to the screw coming loose. I had one double implant on my lower molars that came loose, and the screws broke off inside the implants. My dentist was able to get one screw out, but the other just wouldn't come loose. Now I have a missing tooth with an implant in the bone and half of the original implant on the furthest back molar. My option (as my dentist says) is to have another implant drilled next to the old one and a new double made. Sheesh!
Always get implants from IMPLANT SPECIALISTS! (NOT your normal dentist!)
@@glasslinger this WAS an implant specialist!
@@xfreelunch Not a very good one by the sound of it!
@@glasslinger seems like! 🤔
@@xfreelunch Whatever they claimed specialist, literatures revealed lots of late implant biological and bio-mechanical complications and failure. so many myth lots of dentist treat implant as true natural teeth. this is flaw.
Implants are a money grab for the dentist not to mention problems like infection, bone grafts, ect that add to cost. I have a 4 tooth bridge that's 30 years old with no issues.
Thank you. I'm about to get mine
I'm glad it's still holding up!
Hello from Geelong Australia. Getting a dental implant (hopefully) in a couple of weeks.
Really enjoyed your talk, put my mind at ease.
I'm confident it will go great!
@@drhoulik had my implant this morning. All went perfectly!
@@vernongrant3596 That's great. Keep me posted if I can help with anything!
@@drhoulik had my crown put in yesterday. Looks and feels amazing. Well worth and time and the money.
That's great! I'm glad to hear everything turned out well. Thank you for keeping me in the loop@@vernongrant3596
What are the implant screws made of? Does that material maybe leach into your gums and 'poison ' you ? Will be great if somebody can describe the materials used
Typically titanium. Zirconia (ceramic) implants are becoming a possible option. I answered this question in another comment. Here is a study describing Titanium and the body.
www.ncbi.nlm.nih.gov/pmc/articles/PMC6409289/#:~:text=These%20titanium%20ions%20and%20particles,occur%20due%20to%20hypersensitivity%20reactions.
I have one implant and have another missing tooth. The cost of the implant and general lack of insurance coverage for this option makes it a tough pill to swallow. I like the outcome better personally for all the reasons mentioned but dang, the cost. I think one negative for me with my existing implant is just the shape of the crown invites food to get lodged which is a pain. No matter how tight the teeth are after the crown is placed, they always move and shift so food gets caught easier and the larger sort of space between the teeth at the base is a magnet for food. It irritates me but I have floss in all the cars, on my desk, in the bathroom. Everywhere so I can floss it out if I need to.
In terms of longevity. I've had the implant for about 8 years I think. In that time the original crown debonded from the base and had to be cut out and I had to pay the cost of another crown ($2K where I'm from). So that was unfortunate. Even the new crown has come lose once but that was an easy fix at least.
Neither of the options are perfect. I think a lot of times it'll come down to cost but if you can swing it, I think the implant is the way to go.
Thanks for the video.
Thank you for the comment and taking time to check out the video. I agree with you regarding the food impaction. Depending on where your implant is and the architecture of tissue food can get in from the side. A bite adjustment on the adjacent teeth could possibly help with that/decrease the amount of shifting. With how expensive they are always best to find someone you trust and who has a lot of experience if you're going to be spending that kind of money.
Thank you!
What are the pros and cons for not doing anything after the tooth is removed? If you are older, maybe thats the better choice for some?
I will do a video on this! Thank you for checking out the video.
@@drhoulik I have to have tooth #13 extracted due to root canal with crown failing. I am 76, in reasonably good health. Dentist wants to do bone graft and then implant. Bone graft sounds reasonable to protect area but I do not really want the implant but don't know what else I can do. Thank you
@@nolaconnors7691 I will touch base tomorrow!
@
Thank you for the question. Working with your dentist to determine best path forward is always the best. With this said, I always tell patients the bone graft is an elective procedure. Now it’s true things will typically heal better with it than with out-but may not always 100% necessary.
If you’re certain you don’t want an implant and the tooth comes out reasonably easily -without significant changes to the bone-then the graft really may not be necessary-each case and situation is different.
-I tell patients not to stress too much about graft vs no graft. If they’re unsure about what they want to do I typically encourage it , if they’re certain they don’t want to do anything and the extraction isn’t too intrusive then things usually heal just fine with out.
Regarding other options it’s tough to say with out seeing an X-ray or the area each with their pros and cons
1-leave space
2-implant
3-bridge
4-something removable
Hope that helps!
Well, I'm sold on the implants. Thanks for a great informational video.
I don't understand why you have to grind up healthy teeth to "make space" for the artificial one (in bridge procedure) rather than make the artificial tooth small enough to fit the space. It's different if you have to etch out the smooth enamel out to get the bridge structure stick better, but making space doesn't seem to make sense
An excellent explanation supported by clear videos of each procedure. Thank you.
Glad it was helpful! Thank you for the comment
Seems to me, the best option is to do nothing ..providing you can manage without the missing tooth; such as the gap being visible when you smile.
@E MAL The thing to consider is what they call 'migration' that occurs when the teeth on either side of the gap begin to move toward the space and canter over, causing misalignment. I have a bridge and it has been faultless for many years ...I don't feel it is even there. The only consideration with bridges is the near destruction of the 2 supporting teeth. But if they happen not to be in the best of shape and soon may require crowns .. then it becomes a no brainer .. as you will be in effect restoring 3 teeth.
Interesting presentation...all the things my dentist didn't explain about the differences. I wish it was a little longer to talk about those options when you have bone loss that will either have to be replaced with cadaver bone or the newer composite before the implant is installed.
Thank you for the comment and checking out the video. Are you referring to… having a missing tooth already and then needing to graft the area in order to replace it with a implant or bone loss on the teeth next to the missing one?
Being a Dental Lab technician, it’s all about what you can afford. Dental implants are generally 4k for each crown vs $1,200 per standard crown.
Where do you work because I just saw an Endontist today & to replace #3 tooth, he quoted me $10K. WTF.
@@andreah6379
Sounds like street tax
😂😂😂
The best is to brush your own teeth. There is nothig better than the natural bone.
How is this helpful?
I had 4 bridges and everything u say about it is so true after a couple of years I lost all my bridges because the holding teeth got bad is terrible
Sorry that happened. Thank you for the comment and checking out our video.