Dental Upgrades: Is it Worth it?

[@JoanofAngels]

You have a very special gift. The dental work and implants have changed my life literally and given me the confidence to build my public speaking career and restored my SMILE ❤

[@GracetheWestie]

I appreciate that you always explain different procedures and materials from the point of the patient.

[@johnjazayeri]

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

[@inkbold8511]

Very informative video!

[@maribelcortez4420]

Having three failed root canals and getting them redone been a roller coaster if health issues, antibiotics, bacteria becoming more resistant. A torture and thousands of dollars on supplements to staying healthy. Never discussing allergic reactions, bacteria growing on the areas becomin more resistant, my body rejection of this dead tooth from day one root canals done.

[@johnjazayeri]

I'm sorry to hear about that Maribel. Your health is more important than a few teeth. Good luck with your treatment.

[@Andrew21882]

Hi doc, thanks for a very informative video, very helpful. You mentioned that flexible partials are healthier than metal ones. Is it, that metal could be leaching out and over time be damaging to health or is there another reason for that ? Thanks in advance ?

[@johnjazayeri]

Hi Andrew. Spot on! The potential harmful effect of metal partials would stem from the metal leaching. Partial denture metal framework primarily consists of cobalt and chrome. There is some toxicity in digesting high levels of these metals. Again, it's debatable how harmful these metals are as part of a removable prosthesis, since you're not actually digesting them. However, wearing a partial denture 16 hours a day for 20 years could have some harmful effects. No one knows how bad this really is. However, for those of you who are extremely health conscious, this is something to consider when deciding on the material for your partial denture (or any other dental treatment for that matter).

[@Andrew21882]

@@johnjazayeri Thank you very much doc for your answer.

[@TJazzie]

Hi thanks for the video…..sorry I added a comment to one of your other videos before watching this one….you explained very well what my question was in the other video comment….I’m 58 and having 1 back upper tooth extracted and he did suggest a bone graft which my insurance wont pay sadly so I have to come up with the money to pay for it and I just wondering if it was necessary also what are you take on a partial for 1 tooth….should I just have the bone graft done and just let the gap stay there and not put anything?

[@johnjazayeri]

Hi there. here are the answers to your questions: 1. Is it worth putting a bone grafting for a back tooth? I would say yes, so long as it is a reasonable price. Placing the bone graft allows for better healing and protects the neighboring tooth. If also comes in quite handy if you elect to place a dental implant in the region. 2. Should I make a partial for one back tooth? Absolutely not. A partial has to cover most or all of your jaw. You won't use a partial that is made like this for replacing just one tooth. Either place a dental implant or just leave the gap alone.

[@TJazzie]

@@johnjazayeri thank you so much for your time and responding. This information have help me greatly. I appreciate you….to bad you are not in Texas 🙂

[@JoanofAngels]

Get the bone graft. 10 years ago I didn’t get the bone graft and proceeded to actually lose a piece of my gum. Surgery was not an option as the side effect was a probable hare lip. I’m really grateful Dr Jazayeri is very skilled and a bit creative in his approach. I think he did the impossible and I now have a great smile.

[@TJazzie]

@@JoanofAngels Thank you

[@minzxt6157]

Hello Doc, when I was 12 years old, my dentist removed a tooth because I was sobbing from the pain of the drilling (for filling). I'm 25 years old, and I'm wondering if a bone graft and implant will balance out my jaw. I believe that bone loss in the region of my tooth extraction (on the right) caused my jaw to become uneven, as opposed to my left side, which had developed well.

[@johnjazayeri]

Hi there. Thank you for sharing your story. Let me go over what your best treatment option is here. Also, I will preview what your dentist could've done for you back then to prevent you from being in a jam today! To review, you lost an adult tooth at age 12. This caused your remaining teeth to shift and drift into the gap. Losing a tooth is never good, but losing one that early on is even more detrimental. When you lose a tooth at a young age, the remaining teeth become crooked. There might also be some delayed development of the jaw as well. However, the orthodontic consequences are more of a concern than the loss of jawbone. My suggestion is to start off by visiting an orthodontist. Have the orthodontist correct your bite on the affected side using braces (no Invisalign or clear aligners, they won't work for this case). Then, as soon as you've completed your orthodontic treatment, place a dental implant to fill in the gap. There is not much you can do to change the way your jaw has developed. However, correcting your bite relationship will have a huge impact on your oral health going forward. Placing a dental implant to close the gap will keep the teeth from shifting again. You should find a dentist or oral surgeon to prepare a plan to start the implant treatment as soon as the braces come off (or even a few months before). Failure to do so will make your orthodontic work relapse. Now let's discuss what your dentist should've done so you wouldn't have been in this situation. You should never remove an adult tooth on a 12-year-old. Unless of course the tooth is severely infected and can not be saved. Your dentist should've performed a root canal to save the tooth. Or at least he or she should've referred you to an endodontist to do the treatment. Anyways, that didn't happen in your case, but keep this in mind for your children in the future! What should you do if a tooth actually needs to be removed on a 12-year-old or a similarly young patient? Well, you're generally too young for an implant at this age. You could consult with an orthodontist to see if you're due braces. Not everyone can afford that. The simplest solution, and the cheapest one, is to place a space maintainer to sustain the gap. A space maintainer is a wire that connects to a neighboring tooth and prevents the other teeth from shifting into the missing gap. I used to do this a lot when I started my career and was treating children. I would remove the bad tooth and take an impression for a space maintainer. A few weeks later I would cement the space maintainer in place to hold the gap. This is an easy and affordable treatment that has a huge impact on the patient's oral health (a few hundred back then for a space maintainer vs. thousands for braces and an implant now, right?) Unfortunately, few dentists actually offer this treatment. Mostly pediatric dentists are the ones who do this. Probably should've seen a pediatric dentist... Anyways, a root canal or a space maintainer would've prevented all of these problems. I hope this helps guide you in the right direction. Feel free to post your X-rays (Panoramic preferred) if you want a more thorough answer. Best of luck!

[@minzxt6157]

Hi doc thanks for the detailed reply, truly appreciate it🤍. But I saw some article that says bone loss continues. Does tooth loss really affects other health bone? Like bone loss still progress under healthy tooth?😢

[@alfonsocalero]

Have you done implants (i.e.x 2 front) with partial denture mix?

[@johnjazayeri]

Sure I have! How many natural teeth do you have left? You can place two implants to replace your front tooth and anchor partial dentures onto them. Or you can use the two implants as anchors for snap on dentures. I would have to see your Xrays to better understand your situation.

[@itsnowornever6119]

Hello Dr sorry if this is a silly question but would appreciate your thoughts, i have had all my teeth removed and had sinus uplifts on both sides also 12 implants, six on the upper jaw and six on the lower jaw and i believe bone graft on the bottom implants, my question is when i spit it tastes of a bitter taste a bit like lemon taste, all the spit or saliva is from the top jaw and the nose area is this bitter lemon taste normal or is it something to do with the sinus lift . Thank you

[@johnjazayeri]

Hi there. Congratulations on getting such an extensive treatment. These sensations are definitely from your sinus lift. There could be a small tear in the sinus, or it could be a larger one. I'm sure that they given you antibiotics and whatnot. Back to the sinus tear, if they are small, they can heal on their own. Minimize spitting, sneezing (mouth open if you have to), coughing, etc. anything that strains the sinuses. If the tear is larger, you will start to have more serious symptoms. You would have to see an ENT for treatment, which is more aggressive medications or even surgery for worse scenarios. Follow up with your dentist over a few months and monitor the symptoms. Overall, this does happen more often than people think with extensive surgeries. Luckily, it is usually benign and does not require further treatment, unless the symptoms worse. I hope this helps and best of luck to you!

[@itsnowornever6119]

Dr thank you so much for such an in depth answer . I will certainly benefit from your kind advice.

[@gregorymowens1697]

What’s better, 3-on-6 or All on 4?

[@johnjazayeri]

Hi Gregory. Honestly, they are both about the same IMO. You get permanent teeth with both options. The problem is, very few toothless patients have enough jawbone for 6 implants, especially on the top. Therefore, I usually prefer all-on-4 for most of my patients. I only recommend all-on-6 if you want a few additional teeth (like second molars which are usually not included on all on 4), zirconia teeth (which are heavier and could use the additional implants), or have opposing natural teeth (where the additional implants come in handy to handle the bite forces). I know more is always better, but when it comes to all-on-X that is not necessary true. More implants also means more stress points (chance of fracture on each implant access hole), more implants to worry about, and more costs! Using a good implant brand, great lab, and a skilled dentist is much more important than the number of implants you receive. Best of luck to you!

[@gregorymowens1697]

👍🏼

[@cathyrain231]

Hello doc Thanks for the video i plan to have zirconia fix bridge i have 4 upper front teeth denture but the dentist said i need to have crowns ( canine and ist premolars) no need for root canal . I am doubful doing this procedure since my canine and ist premolars both in good condition 😂 . Should i go with partial flexible dentures or zirconia fixed bridge i need your honest opinion thank you in advance. God bless

[@johnjazayeri]

Hi there. Ok, so your dentists wants to shave down four teeth, a canine and premolar on the right side and left side, and create an 8-unit bridge to replace your missing front four teeth. Is that correct? Yes, sure, do this, and then come see me in 7 years to replace all of your teeth with dental implants! Honestly, this is a very risky treatment. The younger you are, the more I would advised against doing this. Don't forget, if only one of the four anchor teeth become painful or infected, you would have to replace the entire bridge. A bridge like this lasts an average of 7 years before it fails. Have I seen it last forever? Sure. Have I seen it fail within a year or two? Absolutely. Honestly, if you're going to spend this much money, why not do it the right way? You need two dental implants and a four-unit implant bridge. This is the ideal treatment. You preserve the remaining jawbone, you don't damage your 4 natural teeth, etc. Skip the bridge in my opinion. Get the partial denture for now, until you find a dentist who can do the implant treatment (and you've saved up for it). Best of luck!

[@kathygehres7172]

My implants are all screw retained...even the front implants. I was told that the screw retained in the front are not as bulky. Is that true or not.

[@johnjazayeri]

Hi Kathy. Lol, I actually never thought about this one. I don't think there is much of a difference in terms of width or size. Some dentists only use screw-retained crowns for their implants. Nothing wrong with that. Especially for the upper front teeth, since the holes are hidden (lower front teeth are more visible). I usually prefer cemented retained for the front teeth, but there are circumstances where I choose to go with screw-retained as well (poor implant angle, too deep, etc.) Often times this comes down to your dentist's preference, comfort, and other circumstances. As long as your dental implants look good and you're happy with them, I wouldn't worry too much about these minor details. Plus, the screw access permits you to tighten the implants should they loosen in 10 years, so there's really no harm in having them.

[@kathygehres7172]

@@johnjazayeri I'm happy with them. I had to go to a specialist for them to be put in, and had to get a lot of gum added around them. I wore a bridge for over 20 years and then decided to get implants. I remember the specialist said that she had to order a special tool to screw them in for me, because of the angle. I'm happy with them, and so is my general dentist as to how they look. You really can't tell that they are implants. I know I had a good specialist. She is considered a "Diplomat" in the dentistry of implants and periodontists.