Dental Implant Failures - Patient Information and Prevention

[@briancaleb6503]

I just got a denture implant, I know no one that has ever had them, I found my dentist on a TV Ad making it all sound so simple and no problem, but after seeing some videos now I am terrified! Had I watched the videos I have seen today I may never have gotten them. The dentures feel like they do not match up like they are suppose to and where the denture comes down between the gum and inner mouth feels too tight and painful, severe head ache I was trying to find info if it was normal to have that right after the surgery.

[@briancaleb6503]

Update the head ach went away at this point they are doing well, always remember it wont be like your real teeth but I am sure its much better for me then not having the implants, I am glad I got them now. I prefer wearing them over not at this point and I have relatives that would rather not wear their lower dentures at all but they dont want to go in public with out them and cant wait to take them off thats with no implants, they say they move around a lot but mine stay put with the implants.

[@bendover-bz4bc]

@@briancaleb6503 hows are the doing now ? Are you facing any difficulty after 1 year

[@minervacranes8594]

I have just got the implant plan and procedure from my dentist, after seeing this video, i’ve changed my mind. No more implants! Its not just so much expensive but a lot of risks after the surgery and you will be contollled by the dentist for the rest of your lives. Too expensive surgery!

[@richardbeatty220]

One year ago I had 10 dental implants immediate dentures to on the bottom left and right three months later started Herton now they burn Throb and staying nobody knows why do you have a thin bone ridge there’s no bone loss

[@advanceddentalartistryperth]

What is Herton?

[@ladycee2573]

@@advanceddentalartistryperth I think he was saying “ hurting” 🤣🤣🤔🤔

[@crystalmckinney460]

Hello 👋 I have a question I recently got 8 ultratooth implants put in. 4 on top and 4 on the bottom. Two separate surgeries. Since getting my 4 implants on top 11 days ago I've had earaches and occasional headaches. What could be the cause? It's got me worried to say the least.

[@love4bunnii]

Same here! What was your outcome?

[@denniswalker9123]

Hello Doctor I'm having fixed bridges with 4 implants or 6 implants. If I don't like the temporary fixed bridges can I have snap on dentures with the same implants ?

[@angelaschaefer5883]

They are different type of implant that is used for snap in dentures, But you can ask to have your temps remade if you don’t like them.

[@16avnisharma]

Which dental implant should I opt for Nobel or Dentium?

[@advanceddentalartistryperth]

Nobel Biocare has the most research and scientific papers - they are the original dental implant. However the most important factor is the experience of the clinician. All implant have their own design and surface and I believe all are very similar so consider the clinician's experience and recommendation. Also it's dependant on the type of treatment too as some brands are more ideal of different applications. Hope this helps.

[@susielooe]

i got 5 dental implants,ive been back to my dentist as the two front ones were too long and i was lisping badly though he said i wasnt,others noticed i was,he sent them back to the lab,they are a bit smaller but im still lisping,my dentist has already said if i dont feel they are right this time,there is nothing else he can do for me,,is this common,its been 6 months since i got them

[@advanceddentalartistryperth]

Lisping can be due to the shape or the thickness of the crowns or the length of teeth. Temporary crowns before the final porcelain can help diagnosis the issue and generally this can be fixed with reshaping of the teeth.

[@michellegraves9898]

Hello! I just got my crown placed on my implant and the color of the crown doesn't match my teeth. It's much whiter than my natural teeth, therefore can the crown be made darker? It's already been cemented on.

[@advanceddentalartistryperth]

There are two types of implant crowns - cemented and screw-retained. Screw-retained can we changed easily but cemented need to be cut off and then replaced. If possible visit the technician for a shade matching to ensure a perfect colour and have a trial fitting to check the colour before cementation.

[@dwtubeyou]

Great video! Thank you! I just had my first implant (system: Dentsply Sirona Astra Tech) installed last week to replace tooth #19. Since it is posterior, and thus not very visible, I was inclined to request the dentist put in a highly noble full alloy gold crown when he prepares the custom abutment, after I wait 3 months for healing. But I know zirconia is very popular here in the US. My surrounding teeth are healthy as is the opposing tooth. It is longevity and protection of neighboring teeth I'm mostly after. Should I push the dentist for the gold crown even if he tries to dissuade me and recommend a zirconia one? Or maybe both options are equally good? The gold crown shouldn't cost ME any more due to insurance but I suppose it might cost the dentist more.

[@advanceddentalartistryperth]

Hi Dan - dentists have preferences on the abutment type and crown material for best longevity. A cemented gold crown is possible and I would discuss this with your dentist. The issue may be the bonding between the abutment and gold crown as the weak link.

[@dwtubeyou]

@@advanceddentalartistryperth Thanks! Zirconia seems to be the trend here, partly because insurance companies do not compensate dentists for the higher prices of gold alloy. So I will ask about gold but I will wager the dentist will try to dissuade me. Do you think that most seasoned general dentists can do a great job on the abutment and crown steps even if the oral surgeon put in an implant from a (major) manufacturer which isn’t that dentist’s usual requested one? If they need to borrow tools, for example, from the oral surgeon, is that a concern?

[@advanceddentalartistryperth]

@@dwtubeyou I would trust someone that does implants all the time and is confidence in implant restorations.

[@solarian_13]

@@dwtubeyou Hey there, I work in the implant design industry. Now I'm not a doctor or professional, I just make the teeth but this is my advice. Zirconia is typically the go to because of how strong and biocompatible it is. Failure of an implant typically never happens with the crown but rather the implant system and the dentist who places it. Talk with your doctor and see why he recommends the zirconia. If you like the aesthetics of a gold crown, that's totally reasonable and you should voice that! Aesthetics are a huge part of dental implant and crown design.

[@dwtubeyou]

@@solarian_13 thanks! Much appreciated. Do most US dentists these days go with PFM or Zirconia for a posterior implant crown?

[@ianllewellyn7309]

Hi great video im from uk i had 3 implants put in front top ov my teeth i had them done in dental centre turkey about 18 months ago im 56 years old but the gums around my implants are sensitive i went back to turkey and they said an abutment had come lose after so they tightened it up but first opion they said the cement was touching my gums but they changed there mind and said the abutment had come lose they done that and said everything would be fine after 1 or 2 weeks i came home and 3 months on the same problem is there im going back again in 3 weeks time you got any solutions to wats causing the problem many thanks Ian Llewellyn

[@advanceddentalartistryperth]

Hi Ian. When you say "sensitive" are the gums inflamed and puffy or sore to touch?

[@ianllewellyn7309]

@@advanceddentalartistryperth hi there thanks for your relpy they not sore to touch but s little inflamed but if i touch them with my tounge they dont feel right like the rest ov my gums it feels like im wearing my 4 false teeth again

[@advanceddentalartistryperth]

@@ianllewellyn7309 Pls get this checked locally with someone familiar with dental implants - if a practice places implants they should have experience. If there are issues and they are detected early, treatment is generally easier. It sounds like the abutments are not fitting and that bacteria is accumulating around the implant and abutment interface leading to gum inflammation. Let me know how you go. Take care

[@donkeyballs3307]

Gilbert Gottfried is a denturist now

[@cezarrusu370]

:))))

[@carlos-bk5um]

Hi good afternoon great video i would love to visit where areyou located .? I have a chip front tooth that is chipping of little by little should i get a implant or i need some professional help .

[@advanceddentalartistryperth]

Hey Carlos! Thanks for your message. We are located in Perth Western Australia! Where are you from? We would love to help you :-)

[@Kundizu]

Perfect! You answered my question. Implany position!

[@ruth7841]

How does sertraline intake affect the success of an implant when taken for about a couple of years at the time of surgery?

[@advanceddentalartistryperth]

The issue with some of these types of medication is impact on the central nervous system (CNS) and grinding or clenching, and also possible dry mouth issues (decay on natural teeth). I don't know of any research papers on the direct effect of increase implant complications related to serotonin reuptake inhibitors. In our experience, if you can control the grinding and clenching (with night guards0 then success rates are excellent.

[@tricias6329]

Can you tell me why SSRI’s leads to implant failure

[@Angelluvs05]

This info is so very crucial for us (patients) to be aware of & have knowledge of to aid in prevention ⚠️ By creating this video the statement of being concerned for your patients overall well being is put out there ❤ Sure makes a MASSIVE difference when we, as patients know we aren't seen as just a monetary gain 💔

[@julissamendezangeles]

Dear doctor... After12 years I started to feel pain in The gum Nextel to my implant.. Dentist said that there is no perimplantitis since There is no inflamation but that I have bone loss ... So why This happened? I m 40 and Healthy... Doctor wants me to put bone graft but I just want to remove it... Its a nightmare since ir is oseointegrated 😞

[@dbkny2000]

I have implanted 3 front teeth with 2 posts - Cement was used after the teeth was screwed into jaw. It worked fine. After 2 years one tooth chipped. Bonded was used to fix the tooth after 2 months the bonded came off. Should I repeat the bonding process or try something else? Thank you

[@niluparmar4845]

I got bio-line on march and crown on july...it was completely fine but after the crown placement I can't see gum anymore it's only like tissue... And it's on lower jaw front four teeth can you help me understand?

[@leevelasquez0740]

doc i have a question my teeth implant is not same size like that]

[@love4bunnii]

I got a molar implant done 13 days ago and have swelling and pain around my ear at night. Is this normal?

[@lovenishsharma9032]

Same tooth was implanted however 3 years it is broken again....can it be reimplanted?

[@mcscotty325]

The industry thinks the 3% failure rate is acceptable. Tell that to the person who is suffering.

[@elcocaino8728]

Can i do oil pulling with the implants in place after like a month. No crowns yet. Or can that cause then to loosen since they are metal?

[@advanceddentalartistryperth]

No problems with coconut oil pulling with dental implants. Either the implant are buried or the gum will seal around the healing cap after 2-4 weeks. the implant is inside the bone and will not be effective by anything in the mouth.

[@elcocaino8728]

@@advanceddentalartistryperth i dont think they put a healing cap on mine and the top part is visible. Its been over a month. Would it be safe to do this methood?

[@advanceddentalartistryperth]

@@elcocaino8728 Yes oil pulling is fine but keep your oral hygiene perfect and stop plaque growth over the healing cap.

[@elcocaino8728]

@@advanceddentalartistryperth so i can still oil pull if the the gum tissue has not yet covered the healing cap?

[@advanceddentalartistryperth]

@@elcocaino8728 The gums will not grow over the healing caps but will cover screws.

[@12vLife]

50yo. My natural front teeth are in good shape and look good.but my back teeth have had a lot of work and are starting to fail. I already have a titanium implant in #18 put in 5y ago. Been told i have plenty of bone for implants. Thinking ahead. If im looking at some root canal and crown work now, should i opt for more implants instead and will they be able to use those to anchor multiple back teeth later on? In theory would 2 implants in the back of one side be able to support everything behind a canine on the same side?

[@advanceddentalartistryperth]

I feel this is down to longevity and predictably of the treatment. If the tooth has at least 40-50% of crown structure intact the longevity (after root canal treatment and porcelain crowning) is generally great. The less natural tooth, the shorter the longevity e.g. 80-90% restoration/porcelain, the greater the chance of crown failure. There is also the question of root canal morphology that could compromise the root canal treatment and lead to re-infection, root fracture, etc which compromises the roots and thus the crown. Discuss this with your dentist or endodontist. Ask about longevity and risk of tooth lost after treatment. Hope this helps.

[@freehugs8670]

I have all those risk factors, smoking, diabetes, antidepressants and gum disease...should I give up on implants or perhaps try IHDE implants? I have suffered so much with my teeth since childhood and don't want another failure...

[@advanceddentalartistryperth]

I would suggest a full medical and discussion with your medical doctor before considering treatment. Delayed loading is possible where the implants are buried under the gum and left for 4- 6 months to fully heal and then the bridges/crowns placed. Long-term success is critical so we must sometimes modify treatment times according to medical conditions.

[@serenacastillo8707]

And I have an implant but it's been years since I've had it and never had problems but recently it's been bleeding randomly or when I floss around it?? Do I have this disease and can it be fixed or will they take the implant out

[@shubhamjalan]

Cement retained vs screw retained which is best in case of periodontal disease ?

[@advanceddentalartistryperth]

Screw retained prevents cement going under the gums and cause implant issues. It was also retrievable so repairable. hope this helps

[@gpman5978]

Due to genetics my teeth are quite yellow and I also have some white spots because of my enamel. Thinking of getting 4 implants... How much would it cost to get around 6? Can they match up the colour with surrounding teeth well?

[@julissamendezangeles]

Don't replace your natural teeth by implants ... Your teeth is the best option

[@zebaahmad3777]

Implants are not good at all , its invasive treatment,damages ur gum…instead go for caps ,vineers or bridges

[@Speedchamp1010]

Hi Dr. Adrian Kat! I actually want to have dental implants. I have tooth crowding in the front area of the lower jaw but is it possible to extract two front teeth in the lower jaw and get dental implants and make them a little bit smaller than the original front teeth just to fit in? Would that be possible without having any diseases?

[@kristinehammel7801]

B

[@Speedchamp1010]

@stonks Thank you stonks!

[@ataroosa8271]

I got an implant and I think he damaged the nerve on my other tooth, can I send you an X-ray ?

[@suchetamitra9453]

Is it got fixed?

[@ataroosa8271]

@@suchetamitra9453 it’s ok now, I don’t feel any numbness but it is very sensitive now

[@hsiddique2763]

Dantal implant is it painfull plz tell me

[@kawayama12]

They will give you painkillers.

[@alwaysyouramanda]

Why would a dentist drill a hole into the top of my crown on my front tooth along the gumline..? I had this thing 10 years no problems and my heart is broken. I came in for a filling that popped out and she broke the camel’s back- I was prepared to die from this hole but a year later the pain almost had me screaming. I had to go back. 2 X-rays vs 30. I feel somewhat better but I’m expecting serious problems soon. It’s a shame too because I don’t even know what this is- jus that the it was an “archaic method.”

[@alwaysyouramanda]

Also never had a dentist scrap a tooth, stab my gums, say a number, and repeat all over my mouth. It was almost as painful as the X-rays. WTH was that? And they had me sign papers after the fact with a mouth full of white stuff- I was so desperate to get out and spit I just signed away. It was sick- they even celebrated that I was their first patient. If there’s a god, I was their last.

[@notrealnamenotatall2476]

That's very odd. The only time I ever had a hole drilled into a crown was when I had to have one removed to do a root canal.

[@bryanestrada807]

Should I get a dental implant at age 18

[@advanceddentalartistryperth]

No - too young as you are still growing and jaw bone will change especially in the front of the mouth. At the back of the mouth, it may be possible however 21 would be better.

[@kawayama12]

No no no not yet. You're too young. Wait until you're 21-30. In the meantime though you can save up money for dental implants.

[@bryanestrada807]

@@kawayama12 thank you for the advice!

[@Namdor2012]

Pity your in Perth, to far from Hobart or I would come see you...

[@advanceddentalartistryperth]

Hi Namdor, we actually offer what we call an 'express cosmetics' service. Its ideal for FIFO, rural, interstate and overseas patients. We essentially can turn cases around very quickly due to having a complete in-house team without most importantly compromising on quality! We see patients from the country and all over Australia. Usually we can turn cosmetic cases around in as little as 10 days from consult to final smile and all-on-4 2 weeks from initial consult, surgery, right through to a new set of teeth :-)

[@Namdor2012]

Thank you for the reply, express doesn't sound as thorough but I will consider..Need a holiday in Perth for a few weeks..

[@advanceddentalartistryperth]

Hi Namdor, don't be fooled by the name :-) your smile makeover will be just as good whether you live in Hobart or just around the corner! Would you like to chat to one of the team about your options and learn more about this service and the all-on-4 process?

[@PrimateProductions]

@@advanceddentalartistryperth do you have patients come from other countries to see you all? If you can get the whole thing done in 10-14 days then one could go there for 2 weeks which is about the same time as some would go on vacation to another country! I am from the US and need implants badly...it will change my whole life as you cannot imagine all I have been through over the past 20 years (and I am only 44) with dental issues. Now I cannot hardly leave my home due to shame and if I am forced to I don't dare smile and talk as little as possible! I used to be told all the time that when I smiled I lit up and it made me look beautiful. I am in great health ..absolutely no health issues and do not take medications for anything other than occasionally ibuprofen for tooth paint, not overweight, am active and exercise daily, have 4 children...2 grown and 2 little ones...it used to make me so angry because I cared for my mouth and teeth meticulously by brushing and flossing several times daily and regular dental care and yet I constantly had problems whereas my husband is very nonchalant with brushing and rarely ever flosses and he has ZERO issues with his teeth!! I dont understand it!

[@stevegismondo9742]

@@PrimateProductions Dr Motiwala.

[@gianfrancobolla6658]

Dr. Thank you so much. We were just discushing this. Great info.

[@dustinMG420]

So is it still possible to get implants if I vape? I know it's not the cigarette but the nicotine that's harmful, but just curious. I also have my medical Marijuana card, would smoking that have any less risk then smoking or no?

[@akgaming5144]

Was wondering the same thing i vape nicotine too from what i know u r not suppose to use a straw or use anything that requires the sucking motion throw the mouth for a few days after the first appointment i know that cigarette smoke messes up bone healing so u have a higher risk for implant failure but I don’t know for vaping and marijuana if i do decide to get one i will quit for atleast 2 to 4 weeks to let it heal best go through withdrawals then endup with a failed implant and mess things even more. ask ur dentist they might have a better advice let me know aswell

[@User-pv7di]

Hi, I’m 19 and have my implant done 3 yrs ago to my front tooth. The gum around the implant is a bit off color compared to the rest. When I smile I don’t like the color. What should I do?? Also my doctor says implants are lifetime,is it true? Thanks

[@advanceddentalartistryperth]

Fahima - 19yo is quite young for an implant as the jaw is still growing and changing. The colour issue could be the bone thinning in front of the implant. Yes implants should last a lifetime however there are two issues - 1. the integration of the implant to the bone should last a lifetime if the patient adheres to ideal oral hygiene and 2. The cosmetic look of the tooth which is more a personal opinion and if you are not happy could mean that even though the implant in the bone is stable, it's a "cosmetic failure". I would consider to discuss your concerns with your dentist and if you are still not happy, another option may be required. Hope this helps