All on Four Early Dental Implant Failure

[@starlitecc]

Thank you for taking the time to have this very honest conversation of the down side/potential reasons for implant failure. As a patient it helps ease not only dental fears but most importantly, IMO a dentist who is brutally honest and takes time to fully inform a patient tells me they're primary concern & care is for the patient not solely their bottom line!

[@northtexasdentalsurgery]

thanks for the comment. i honestly try to set expectations of what can go wrong. everybody knows the upsides of dental implants and how life changing they are. we just want people to be prepared for any potential things that can go wrong

[@debrajohnson9728]

Its funny😂how there leaving the part out about SHAVING HALF of your bone😂😂

[@tesathompson35]

Exactly 💯 they will never do that.if something happen and they fail.Lord.you can't even wear dentures.they don't tell u that tho.its all about $$$$$ forreal.

[@piperladen3600]

I’d love for you to walk through more examples of specific cases and how any of the reasons for failure were related-similar to showing the difficult extraction case and how important atraumatic extraction is. I love your info. Thank you!

[@northtexasdentalsurgery]

Will do. Was discussing this with my doctors at my practice this week. Look for this video in the next month as we will likely film it in January

[@adrianeelise3849]

@@northtexasdentalsurgerydid you post it ? I’m interested to know do you think it’s smarter to heal up with implants before placing a temporary teeth? I’m getting all my teeth yanked and who knows what kind of infection is in there. I’m worried now it will spread. I’m paying $55,000

[@bricebeasleysounddesign]

Obviously the role of gauging bone density doesn't fall upon the patient. Therefore, if a doctor decides to place implants in bone that doesn't meet the acceptible density requirements for a successful outcome, is this considered malpractice?

[@ErwinEnriquez]

good question... i hope they will answer your question.

[@Paul_n_Texas]

I would think that since all of the possible ways an implant could fail (including bone density) are discussed pre-surgery and agreed to in writing by your signature / initials, that you have agreed to share in that risk and possibility of failure with your full understanding of said risk.@@ErwinEnriquez

[@angelaschaefer5883]

From moral standpoint yes legally probably not. I signed consent form yesterday to have my teeth pulled. The risk of nerve damage and possible bone damage. I already knew and had the teeth pulled. For someone like me with active infection that spread to the bone in my jaw. It would put at high risk of infection and implant failure. If you are concerned about the risk. I wouldn’t do this.

[@andreah6379]

Better not happen in Nevada! I just found out our state laws favor any and every dentist instead of the consumer. Our laws here are so scary that no attorney wants to even think about suing any dentist here! As a dental patient, you are on your own here.

[@Rickybobby427xyz]

@@andreah6379like that every where

[@Quit3Cut3]

I’ve spent around 45k on my teeth the last 10 years. I’m ready to be done. Getting all on fours on my bottom teeth once I’m able to save a bit. Sick of the pain and constant trips to the dentist.

[@AminaAmina-cp9hg]

Wow im so sorry

[@angelaschaefer5883]

So am I.

[@foreverknight1109]

Good choice You'll find it a very satisfying with the result.

[@leeperkes9437]

I'm the same, had crowns all my life had nothing but problems with them, I have 4 upper missing front teeth, dentist wants to do veneers and crowns but I know it will just lead to problems down the line, all on 4 or 6 seems like a final solution.

[@daversj]

@@leeperkes9437the more i learn about implants and bone concerns the more i feel its best to keep save your natural teeth as long as possible. As soon as you remove natural teeth bone loss starts and gums tissue goes with it. Especially problematic with front teeth where the bone is thin and easily recedes.

[@deborahgordon3834]

Totally enjoy ur video I’m in the process of getting funds and getting all on 4 I can’t wait

[@pauliek5325]

I Had my All on 4 surgery 7 days ago. I was given a short Term antibiotic. However My Gums got infected after The Meds. Had to go to Urgent Care & gave me Clindamycin. So I hope that helps my Gums and doesnt damage my chances.

[@angelaschaefer5883]

I hope you are feeling better and your implants are doing well now. We really are all in the same boat. Whether you replace your missing teeth with dentures like me. Or implants like you and my younger brother. We all just want to be able to smile and eat. Without being embarrassed I think that is very reasonable request.

[@strongspear1918]

Bone Density - Your telling everyone that you can't really tell if a patient has sufficient implant bone density until you start using your little ratchet AFTER you've already drilled a hole into the patient's jaw? Why would anyone go through a procedure of having all teeth removed and drilling implant holes into the jaw if there is bone density uncertainty that could make the procedure a failure if the ratchet numbers aren't good enough?

[@Monica-gj2yx]

@@strongspear1918 If I was an oral surgeon, I would want a whole body bone density test on the whole body with particular attention to the head, jaw and mouth.

[@adrianeelise3849]

@@Monica-gj2yxsame!! I’m getting this procedure done in a month and my dentist said he won’t be able to tell if I will need a denture after surgery because he can’t tell until he gets in there. How reassuring

[@daversj]

@@adrianeelise3849why not remove one tooth and do one implant to test viability. Cost is much less and the implant can be used if it works out.

[@Smashachu]

So.. I'm a wood worker, so i'm very familiar with this situation, soft woods will strip with less torque then hard woods. My question is.. what the hell do you do if you strip a titanium screw in someones jaw. I feel like the stakes are a little bit higher.. Do you just redrill the hole slightly bigger and go up a size? or do you have to give them a bone graft and revisit the issue in 6 months.

[@Monica-gj2yx]

Excellent question!

[@silkymeadows126]

If a patient has an ongoing root canal infection in multiple areas, would you then suggest they take antibiotics for some time prior to the surgery? Thanks!

[@angelaschaefer5883]

I like you had bunch of infection that spread. Yesterday they pulled the last ten teeth I had. So I can eventually get dentures. They were taking out infected soft pieces of bone along with the teeth. Me doing this because of the level of infection I had. Would put me at high risk for implant failure and infection. My mom has several implants that replaced old root canals. Four of them failed and another one got infected. They all had to be done again. At full price those are the risks. My mom agreed before they put the implants in.

[@curlydog75]

I had the all on 4 done in Keller, full mouth. The same implant has failed twice now and I'm almost positive the 3rd one has failed...my next appt. is in 2 weeks. Is there anything left for them to do?

[@TacticalBananaOG]

In December, on a Tuesday, I had my teeth extracted (i had active infection, but took antibiotics for the week prior to surgery) and implants put in at the time of extraction. The next day, Wednesday, I left with my final teeth.. It is now mid May and I've had no issues with my implants. I had xrays and scans done this last week and all is great... but i went to Golpa G4 in Dallas (saw Dr Kelsey, he's awesome). The way Golpa does the implants at an angle, makes all the difference.. it makes more sense to place implants during extraction, no need to traumatize your gums and bone twice, the hole is already open. Let it heal one, vs, letting it heal from extractions then making a new wound later to insert implants... all in one day worked for me, and no more infections, woo hoo

[@angelaschaefer5883]

I am so glad it went well for you. My younger brother has to get all his top teeth pulled and implants.

[@savvyshopperdelivers]

Every place I have talked to does extractions and implants same day! That’s how you leave with temporary teeth u don’t remove. I’ve also heard most talk about putting implants at an angle. I am surprised tho that u had your final teeth in a day!! Haven’t seen that anywhere! I think there’s a video on this channel on why that isn’t a good thing tho. Glad u are doing well!!!

[@dlafontaine131]

When you were talking about zirconium, where you talking about it being a zirconium implant or a zirconium crown on the implant? I want a zirconium implant because my body is very sensitive to many things.

[@vickiekoenig4342]

When do you determine if a patient has possible infection problems? First, appt? If that is a problem, what happens then? I have had many root canals and a bad abcess last year and considering this process soon.

[@angelaschaefer5883]

The infection part I had the same problem and had my teeth pulled yesterday for dentures. There is added risk if you have had prior infection. Hopefully you will be fine. But you need to be aware that you may have chance of unsuccessful outcome. Do your research and understand the pros and cons.

[@bobbianderson5055]

Do you ever worry about Anastasia Dolorosa? I just had all my top removed and doing alright but my bottom are jealous and I have two extremely painful. I am a clenched but I have very good hygiene. My AD is off the chart but I am 3.5 years into it caused by TN. Let's hope this works out I am a month plus out and have had single implants that have been successful. Thanks for your examples.

[@stumblesmore2422]

So you don’t really know about bone density until you place implant and see torque value?

[@davidhultberg5590]

Awesome video !! Im ready to go in for my All on 4s first stage , just was curious about the best penicillin to take afterward ? And is it ok to request that from the Dr. When I get to the clinic ?

[@RayRay-sc1zj]

Would it improve the odds of success if the patient decided not to go with a temp and just go without teeth and let the implant sites heal properly? Would this also save any amount of money or is it really better to get the temps?

[@Monica-gj2yx]

The problem is that eating without dentures poses a choking hazard.

[@angelaschaefer5883]

Yes it does. I don’t have any dentures. I have to be really careful. When I eat. But I avoid anything too hard for me.

[@Caribbeanfrenchie]

Can I book an appointment?

[@HH-gv8mx]

How can you tell if a patient has a pre-existing root canal infection? I’m wondering if this is why almost all of my root canals have failed.

[@stevannahmercer7921]

Very informative, thank you so much!

[@stephendavidson1998]

Wow you guys explain alot great thats what i needed to know .

[@northtexasdentalsurgery]

Glad it was helpful!

[@Karen_ATX]

Is there a way a patient will know that the implant failed before the 4 month checkup? If so, how?

[@debrajohnson9728]

Thank god i got the 3 on 6 at the utah smile clinic with the innovator Dr. Randy Robert's. And keep all of my bone and my natural gums😊 all on 4 you have to shave off half your bone and it awful

[@dentalspecialist1]

You’ll be getting those removed in 3-5 years fo Sure . It’s a lazy man surgery

[@debrajohnson9728]

@@dentalspecialist1 blasphemy 🤣🤣🤣it takes precision and a god gifted talent and the care of patients and not just about the dollar. My surgery to 6 hours top and bottom. Know one really know how to do it but a chosen few Dimond skilled. Randy Robert's the innovator of the 3 on 6. Don't hate learn so youbcan also celebrat🤣🤣🤣poor thang

[@tesathompson35]

@@debrajohnson9728 yes a lot of bone get shaved u are correct but they hide that part.you is pooped out of luck if those things fail.even if one fail.its mess up the process.you will need major bone graph to even wear dentures if that happens.i will pass.

[@1lytessaxox363]

How much it’s cost let know I need to do at least if option bridge implants

[@pikebishop215]

Excellent video. What about diabetes as a cause of failure?

[@Monica-gj2yx]

Excellent question!

[@Mitchellpilot909]

How are temporary prosthetics attached to the implants for the initial phase? Is a cement/glue used. Or are they screwed in like the final denture?

[@gillsgapgirl]

Does the Peridontist removes the failed implant or the Oral Surgeon

[@photofather1]

Hi, I am a Diabetic 5 weeks ago I went from Illinois to Florida to get All on 4s do to price had all my teeth extracted 4 posts put in on top and not your videos have me scared. I’m not in allot of pain some But now allot just when I Push above hung on one side feels like it comes from ain’t. But the Dr never told me I was at risk as a diabetic. I’ve been battling this for years and can’t get A1c down how do I know if it’s failing? Fl was the only affordable option that with resurch was good but they are a bet place I go back in 3 months to get teeth put on

[@angelaschaefer5883]

If your A1C levels were not under control. You should have told the dentist that before they were placed. You are at high risk for implant failure and infection. This information is available online. I am not diabetic and know this. If you have any health issues. They have to be under control. In order for the implants to successful. I hope you feel better soon. Please see dentist right away.

[@COD2122638]

Great information thank you

[@dyspraxicrose3307]

HOW can you keep All on fours clean when they are screwed in? You don't mention using products like xylitol to keep the mouth healthy.

[@angelaschaefer5883]

My understanding is there is space between the implants and your gums. I had bridge not implants. There was small space between the bridge and my gums. I used water pick to clean in that space. I never had any problems with the bridge.

[@tesathompson35]

You will never be able to clean them correctly.ever.you have to always go to the dentist.water pic will never do what need done.so u will be tied to a dentist chair forever.that mean $$$ for them.dont let them fool you with that water pic crap.those things get nasty underneath and cause really bad breath.do your research first trust me.

[@angelaschaefer5883]

I didn’t know the water pic wouldn’t clean around the implants. My brother is 49 years old. He had to have all of his top teeth pulled. I am not sure what type of implants he actually got. He has heart problems. Any infection could kill him. He had medical clearance and everything is fine now. It really worries me. If you have any sort of health problems. Implants are not good idea. No matter the type you have. Another thing that they fail to warn people about. He would have been better off with removable denture. Like I got A month ago.

[@savvyshopperdelivers]

What about vaping an e-cig instead of real smoking? Is that a viable solution for smokers?

[@northtexasdentalsurgery]

Harmful too

[@dannash9413]

I wonder if the 30 Ncm is the same minimum torque if it is a zygomatic implant. I just got 4 zygomatic implants and they were each torqued down to 60 Ncm.

[@marleneweiss5325]

I wish you both were in South florida!!

[@Lovethisguy-kf1ku]

What is Dr Koo board certified in?

[@bisayadaku6065]

Hi I just had my all on 4 top and bott last month ..but my dentist didn’t screw in my temporary teeth .so I will be wearing denture for 4 to 6 months ..till he put my permanent zirconia teeth.is that a good idea.what he told me he will not screw in to avoid breaking temporary teeth and cause implant to fail. What do you think about this ? I hope you can explain it to me ..thanks

[@bricebeasleysounddesign]

I am in the EXACT same boat. Denture is a nightmare so far!

[@ShiloTaylor]

I question this also, my dentist did my all on x and said I had to wear my dentures 4 months then can put zirconia prosthesis in but I question why not have a temp so know how it will look even after I heal from wearing dentures.

[@michellec5026]

Good info, Docs! Question: can someone who is a whole liver transplant recipient, 4 1/2 years post-transplant, get All on Four Dental implants?

[@angelaschaefer5883]

This major surgery you take medication every day. That acts to suppress your immune system. So your body doesn't reject your new liver. Your chances of infection and implant failure would be extremely high. Could possibly cause your new liver to fail or cost you your life. Get removable dentures. No risk and no surgery.

[@Monica-gj2yx]

Excellent question!

[@angelaschaefer5883]

I don’t know if you can have the surgery. But if you had liver transplant you are on medication. To keep your immune system from attacking. Your new liver. I would be concerned about just having the teeth pulled and getting dentures. You would be high risk for infection. Just doing that. Without having major oral surgery. Which causes infection in people. Without them being organ transplant recipient. If it were me I wouldn’t even consider it.

[@Caribbeanfrenchie]

Can I get implants and wear a denture till they heal 6 months ? And then get permanent all zirconium top and bottom?

[@dianalorenzo2920]

Hello I just did all on 4 on the top and I have a lump on my top gum over one of the implants my dentist said he’s not able to take my implants off until three months so it’s probably because some food got trapped in there that I have that what would you do in a case like that?

[@Caribbeanfrenchie]

What about zigomatic implants for. Anchor

[@DrRobertLEnglishII]

Big advances for dental implants HARVARD HEALTH LETTER APRIL 1, 2021 Smaller sizes and high-tech placement methods mean more people are candidates for prosthetic teeth. If you’ve been told you’re not a candidate for dental implants, it’s time to revisit the subject. Dental implants - permanent prosthetics implanted into the jaw - have changed. "In the last five years, we’ve learned that smaller implants can work just as well as regular-size implants, and this makes more people candidates for them," says Dr. German Gallucci, department chair of restorative dentistry at the Harvard School of Dental Medicine

[@stumblesmore2422]

What about gum chewing? Serious gum addict here.

[@Itsgettingcrazy.]

Can you tell about bone density in your mouth from a DEXA scan? 😊

[@farhanazaheer8025]

I took antibiotics for first 7 days would it be enough or l have to take one more course for 5 days

[@yenhsiang0814]

Great!!!

[@sandracano5910]

Question, ive been told i need all my teeth extracted due to bone loss and risks of life threatening infections especially because i have heart issues, had 2 Widowmaker heart attacks and had 3 stents placedand was suggested i get the smap in implants dentures. What are questions i should ask before any procedure to assure all goes well., im 51 urs old.

[@robertoapostol6825]

SOMEONE SHOULD INVENT A BIOCOMPATIBLE CEMENT TYPE GLUE TO HELP ACHOR THE IMPLANT.

[@tonysimons7218]

That would prevent bone growth 😂

[@Tweety2U2]

I wish you were in California. 🦷

[@northtexasdentalsurgery]

We actually get quite a bit of patients from the state of California.

[@markspector8667]

It's crazy how bone graft hasn't popped up in here. You said something about some patients may not have bone at all and didn't even speak of a bone graft

[@JJGhost-b3m]

These implant channels/comments are just depressing

[@LST-do2fu]

Why would a prosthodontist/periodontist suggest I have all on 6 mandibular.

[@Jerrauex]

Asian man!