It is not normal to have significant pain when getting implants? Pain after implant surgery should be minimal or non-existent. There may be minimal pain the day of getting an implant and the night after giving way to mild to moderate soreness after the first 2 days. The soreness should be able to be managed with Ibuprofen or Tylenol. Your implant doctor should have given you an antibiotic. It is very important that you start and finish the antibiotics as prescribed by your doctor.
How long does it take for an implant to heal?
Most Implants will heal after 8-12 weeks. Once an implant heals the crown can be placed. Normally any pain or swelling from implant surgery will subside after 3-7 days. If you had multiple teeth removed and a full mouth of implants it may take an additional week for the swelling and soreness to go down. Is pain after dental implant surgery normal. It depends, but it should not hurt too much unless you have had other procedures in addition to implant surgery such as tooth removal and bone grafting.
The factors affecting Implant healing
The exact amount of time it takes an implant to heal is related to the kind of implant, the health of the patient and the amount of gum and bone healing that needs to take place in the surgical area. For example if a molar tooth was removed and the implant doctor did a dental implant with same day bone and gum grafting, the healing period will likely be 12 weeks and not 8 weeks because there is more bone healing in a larger tooth removal site. On the other hand, if the tooth replacement dds, removed a single rooted front tooth and installed an implant the healing time may be closer to 8 weeks.
Pain management tips after implant procedures:
After an Implant procedure there can be swelling, inflammation, infection and possibly pain. Here are our general implant procedure post operative instructions:
start and finish the prescribed antibiotics. The mouth is a dirty place and places like bone are exposed to bacteria in the mouth. The antibiotics are necessary to get rid of any bacteria introduced during the implant procedure.
Take an anti-inflammatory medication such as ibuprofen for 3-4 days to prevent swelling and pain. Ask your implant dentist, but taking ibuprofen or an anti-inflammatory before your implant procedure is a good idea to get ahead of swelling after implant oral surgery.
take a pain killer such as Vicodin only in the event of intolerable pain, but do not stop taking the antibiotics and anti-inflammatories. The biggest mistake made is to stop taking the anti-inflammatory medications and only take the pain killers. The Pain killers only kill pain, but as soon as they wear off, there is still tons of swelling and therefore pain.
if you are experiencing any major pain after your implants, you should contact your implant specialist, because it is rare to have a lot of pain after implant surgery.
implant pain is rare, but it can be an early sign of implant failure and you may need to be evaluated by your implant dentist.
Extractions and bone grafting increases implant pain
Depending on what other procedures you may have had, there can be more symptoms. Holistic dentistry techniques such as ozone and prf for implants, reduces pain, swelling and healing time. Often times, dental implant surgery may be accompanied by tooth removal, bone grafting and gum grafting. Additionally if you had multiple implants and extractions performed your symptoms may be more severe. Other factors, may be the technique used by the implant dentist, the length of time your implant surgery lasted and your comfort level during the implant surgery. If you have tmj or teeth clenching issues, you may have more jaw pain especially at night. How do you stop clenching and grinding?
For example if you had a bone abscess caused by a root canal tooth your dentist may have removed the tooth, did some bone grafting and placed the implants. The implant dentist may or may not have had to do some incisions and stitches, etc. The more work done, the longer it takes, the more infection you needed to have repaired, the more swelling and pain. All these things factor into how much implant surgery hurts later. Generally, the more infection and pain before the procedure, the more pain after the procedure and the longer the recovery time after implants.
Sedation can reduce pain after implant surgery
Your comfort level during the procedure matters too. Patients who are calm and comfortable and not nervous during the implant surgery, heal better and faster after the procedure. Often times it is better to receive some level of sedation for dental implants. There are different levels of sedation for implant surgery. We offer twilight implant sedation as well as full IV sedation for implant surgery. Is pain after dental implant surgery normal. Sometimes and it depends, but it should not hurt too much unless you have had other procedures in addition to implant surgery such as tooth removal and bone grafting.
Is it necessary to take antibiotics for implant procedures?
Yes, it is absolutely necessary to take antibiotics with a teeth implant surgeries. The mouth is a dirty place and it cannot be isolated and sterile like an operating room. Invariably bacteria are going to get into a dental oral surgery site. When teeth are removed, implants installed, gum grafting, bone grafting done, no question there is going to be contamination into the jawbone by oral bacteria. Even in a clean healthy mouth, good bacteria in the wrong place can spell trouble. The fastest way to have a tooth implant fail is to not take the antibiotics after dental surgery. Also, pain a swelling can be much worse and who wants to be in pain for weeks after implant surgery and possibly need to deal with additional surgeries in the event of a failure.
How to reduce pain after getting implants
take lots of Vitamin C for a week leading up to the procedure
drink lots of water before and after the procedure
Take Arnica (natural anti inflammatory) prior to the implant procedure
Take Ibuprofen along with Arnica after surgery
Take the most mild antibiotic possible such as Penicillin VK or Amoxicillin. Ask you doctor about any prescription drugs and keep them in the loop about all our supplements and medications.
If there is not enough volume of bone available to get an implant, the implant cannot be placed prior to growing new bone.
Different Types of Bone Grafts:
There are many situations where bone grafts can be necessary. Below we review the common sites where bone grafting is often necessary.
Extraction site or “Socket Preservation”
If a tooth is extracted there will be a tooth extraction site that needs to heal and fill-in with bone prior to or at the same time as getting an implant. The decision to do or not to do a bone graft comes down to whether or not a graft will become necessary to get adequate bone to heal around an implant. Let’s take the example of a large molar tooth extraction site where the tooth extraction site is 8-12mm wide and perhaps 13mm deep in bone. With a large bony hole such as this extraction site, it will be nearly impossible to place a molar dental implant because the average size molar implant is 5-7mm wide by 10-12mm deep. The implant will literally be swimming in the extraction site and will not be placed intro any bone. In this case, the dental implantologist will need to place a bone graft into the extraction site and wait 3-4 months for the patient to grow bone and fill the bony defect with new healthy jaw bone.
Bone Graft to repair bone loss due to a tooth abscess
Tooth Abscess destroys bone that needs to be repaired and heal. Bone abscesses can be a very difficult to repair with a bone graft. root canal failures can be the biggest cause of bone abscesses. It is very difficult to predict how long and how many procedures may be necessary to repair bone caused by a dental abscess. Generally speaking, how long it can take to get a implant after a tooth abscess is determined by the size a shape of the bone damage. Other factors are the patient’s health and the health and quality of the remaining bone.
In some cases it can be difficult if not impossible to get an implant after a tooth abscess caused by a root canal. In the event of an abscess, it usually takes 6 months to get an implant. One bone graft procedure will be necessary to do a bone graft, 3-4 months to heal and another 2-3 months to place and have an implant heal.
Delayed bone graft weeks after tooth extraction
In some cases of tooth abscess, the root canal tooth or abscessed tooth may need to be extracted in one appointment and the bone graft may need to be done weeks later after a terrible acute draining infection has subsided. In cases of severe infection and bone loss, there also may need to be multiple bone graft procedures performed to gain enough bone for dental implant surgery. As you can understand, bone factors where there has been dental abscess and bone loss can be very unpredictable, time consuming and without guarantee.
Block bone graft to rebuild bone width and/or height
Bone loss related to tooth loss years ago. The problem here is there may not be enough bone volume to perform dental implant surgery. In these cases, a volume of bone will need to be grown prior to placing a dental implant. This is called a block bone graft or quadrant graft. In most cases, bone grafting can be performed with a 3-4 month healing period prior to getting a dental implant. Of course once there is adequate bone, implants can be done which require a 3-4 month healing period. Sometimes dental implants can be done at the same time as placement of the dental implants, cutting the time to as little as 3-4 months. The healing time depends on how much bone needs to be grown, the health of the patient and the quality of the patients bone where the bone graft is being performed.
Bone regeneration after loss from periodontal disease
Bone loss from periodontal disease / gum disease. Gum disease is a disease of the connection between the teeth and the jaw bone. In many cases no matter what is done in the way of teeth treatments, the teeth may be lost in the event of periodontal disease. In cases of moderate to severe gum disease, it is best to remove the teeth prior to losing all the bone around the teeth. Once to the bone is lost it is a lot more difficult to replace it. The key is to remove the teeth prior to losing all the bone. Once the teeth are removed and bone grafting is done, the gum disease process and associated bone loss will stop (because the cause of the bone loss-the teeth- is gone).
Bone grafts and Implants with Periodontal Disease
The key with gum disease is to get the teeth out as quickly as possible and implants placed, so you don’t end up spending a lot of time and money and dental procedures doing bone grafting. Theses cases can be very difficult to decide to act on because removing your teeth is a difficult decision to make but people who lose all their teeth to gum disease usually wish they had acted more quickly. Especially when they are sitting through several bone graft procedures and waiting long periods of time to get dental implants. Additionally once bone is lost, it is difficult to replace and you never get all the bone back.
Bone grafting for implants can be challenging
The key is to manage tooth loss with immediate or near immediate replacement of a natural tooth with an implant. If a tooth is replaced prior to any bone being lost, most of the time there will not be any bone loss and that is the key-to never lose bone by keeping teeth be they natural or implants in the mouth. Where we get into to trouble is teeth over-staying their healthy stay in the mouth or teeth being lost and not replaced in a timely fashion.
Chronically Infected sites can be difficult to bone graft
Extra care and attention should given to teeth with a great amount of infection. Such infections exist in root canals and cases of gum or periodontal disease. But are bone grafts necessary to get a dental implant? It depends on if there is enough bone width and height to place a dental implant successfully. Sometimes it is not necessary to get a bone graft for a dental implant, but doing so will improve the result of the implant result.
Bone Grafting with Platelet Rich Fibrin
Bone grafting techniques have come a long way. Platelet Rich Fibrin or PRF with bone grafting and more advanced and safer bone graft products have made bone grafting a lot more successful and predictable.
But are bone grafts necessary to get a dental implant? Best thing is to get the opinion of a couple different implant dentists, but you may not know for sure till the day of implant surgery when there will either be enough good bone or not.
Yes there are situations where root canals need to be removed such as in the event of an abscess or if the tooth is cracked and cannot be fixed. Other situations may not be so cut and dry such as if there is a question about whether or not an infection from a root is contributing to systemic diseases and overall health. Oral health is an important part of overall health as holistic dentists know.
If you are on the fence about whether or not to remove your root canal teeth, this article is for you. People often wonder if infections from root canals can contribute to other health conditions such as cancer, autoimmune conditions and thyroid problems. Do you have Hashimoto’s disease? Root canals are a risk factor in some diseases. Removing root canals reduces risk to infection and inflammation.
Do root canals cause disease?
Since root canals cause infection and inflammation, it only makes sense that they can contribute to systemic disease. But no one can prove that root canals are bad for your health. Is it even possible to make a direct connection or know how one gets cancer from smoking? No one really knows exactly how cigarettes cause lung cancer. But it does. And we all know it. And of course not everyone who smokes gets lung cancer. Where there is smoke there is always fire, right?
Can Root Canals be Reversed?
Once a root canal is done it can never be reversed. Lazarus cannot be brought back from the dead. When the pulp and nerve tissue inside a tooth starts dying, the tooth will either need to be extracted or a root canal procedure is necessary – it is that simple. Root canals can save teeth, but at what expense to your pocket and health? Should a dying tooth be removed instead of getting a root canal? A dental implant is an alternative to getting a root canal. Dental implants have a better long term prognosis and they are much less likely to spread infection. Dental implants also never decay or need root canals. Related article – root canal vs implant
How long do molar root canals last on the average?
Root canals last 5 to 10 years on the average before causing noticeable pain and problems. This article discusses the pros and cons of root canals and how to safely remove root canals once they abscess and fail. Root canal teeth will eventually crack, break or create an infection inside your jaw. Like a dead tree, the root canal tooth becomes brittle, rots internally and leaks its infestation into the jaw and surrounding lymphatics and blood supply. They do not last forever. Does a root canal cost more than an implant?
Root Canal Removal Protocol Video By Dr Adams:
Are root canals bad for your health?
A root canal is not bad for your heal per se. But if a root canal is infected the bacteria and toxins can be risk factors in other diseases. Some people are also sensitive or allergic to root canal dental materials. Chronic allergies are not good for your health.
A root canal is a filling in the root of your tooth where the nerve used to be. Prior to filling the root, the dentist cleans it as best as they can with bleach. But it is impossible to clean all the pores in the root. Over time, bacteria and fungus can grow in the tooth and leak out into the bone and surround blood supply. The immune system of healthy people will usually kill the bacteria and fungus as it leaks out. But no one really knows what happens or where this bacteria can go in your body. Root canal teeth once extracted can be tested by DNA Connexions to determine the pathogens in the tooth. Holistic dentistry considers how a procedure may impact overall health and attempts to do no harm to overall health.
Infections and Toxins in Root Canals can be Dangerous
Bacteria, fungus and toxins can increase the chances of getting diseases such as cancer and autoimmune disease. Additionally, some people can be sensitive or allergic to the filling in the root. It is really that simple. A root that can leak bacteria and filling material can be inflammatory and infectious. Additionally, the dead tooth, like a dead tree gets more brittle over time. And it eventually fractures. These are the reasons why root canals do not last forever. But in certain cases they can last 10s of years. And a root canal is the only way to save a tooth from extraction once the tooth dies. But are you just buying time? And it will need to be removed anyway? Nothing lasts forever. Not the person, the root canal or a dental implant.
Why Do Nerves in Teeth Die?
Trauma such as a blow to the face can cause spontaneous internal bleeding and tooth necrosis.
Cavities and tooth Decay can rot and leak into the nerve. Once the pulp of a tooth is exposed it die. Dead teeth need root canals or removal. It is that simple.
Orthodontics is really an example of trauma. But yes, braces can rarely cause teeth to die. Please do not worry about this. The chances of this happening are very slim.
Alternatives to Root Canals
If a tooth is dying or dead there are no alternatives other than a root canal or extraction. Your best bet is to try to prevent the tooth nerve from dying with treatments such as dental ozone. And correcting the cause of the problem such as a high bite or deep cavity. Implants are considered to be the best alternative treatment to a root canal. A dental implant is not an exact alternative to a root canal since it involves removing and replacing the tooth. Here are all the options:
Some people make this decision based upon value and dollars and cents. Considering a root canal on the average lasts 5-10 years, many people will go right to the implant. Implant dentists expect implants to last a lifetime. Others opt to do everything they can to save their natural tooth, spending whatever it takes to try to save their tooth. Some people feel like rather than risk having bacteria leak into their body and losing money, they will go right to the implant. Anyone making an educated decision cannot make the wrong decision. It is up to the patient to select the treatment they want based on informed consent.
What is the biological root canal removal protocol:
Inject ozone O3 and oxygen O2 gas around the root canal tooth. Ozone will neutralize any bacterial and fungal infection that has spread into the surrounding bone. It will also reduce some of the inflammation caused by toxins leaking out of the tooth.
Remove the root canal tooth completely being sure not to leave any small pieces of root chips or gutta percha root filling material. Often times root canal teeth will be very brittle and can break into many small pieces. Also pieces of root canal filling material can be filled out the bottom of the tooth root. It is important to remove any filling material as it is a foreign body.
Remove the periodontal ligament or PDL completely. It is a biological must for the dentist to remove the complete PDL. If the periodontal ligament is not removed, the bone cells cannot migrate into the extraction site and grow bone properly. What can happen is bone and gum tissue will grow over the top of the extraction site, but bacteria will remain in the bottom of the bony socket where the tooth used to be. Bacteria, fungus and toxins can remain for years in old extraction sites and dump their by products into the blood and lymph of the body.
Remove cyst and granulation tissue from the extraction site. The body will often grow cysts around the roots of the teeth to prevent the spread of toxins, bacteria and fungus. If the cysts are not removed the bacterial and fungal pathogens will remain vital in the extraction site. The cysts have their own blood supply and exchange nutrients ans waste with blood supply and lymph.
Place oxygen and ozone into the cleaned extraction site. The gases can easily travel through the pores of the bone, killing any infections and promoting healing. Bone lacks a lot of blood supply, so it is very susceptible to infection.
Place PRF or platelet rich fibrin and completely fill the extraction socket. Do not place any foreign or off the shelf bone graft products. The body will more than likely reject the material and there will be further inflammation and immunological consequences.
Place sutures to proximate as closely as possible any gum tissue that may be loose. The sutures can also act to hold the PRF into the extraction site.
Allow 4 – 6 weeks of healing and re-evaluation the site for proper healing. Administer additional ozone if necessary. Placement of implants can be considered at this time if there is no infection and adequate bone. If necessary, bone grafting and PRF treatments can be performed. Sometimes implants and grafting can be done at the same time.
Root Cause Netflix Movie Controversy
A documentary called “Root Cause” is available on Amazon but has been removed by Netflix. Root Cause details some of the medical concerns about root canals and jaw bone infection. Root canals are thought by many to cause cancer and autoimmune disease. The truth of the matter is – it is not that simple. On one side of the argument, supporters of root canals say “no peer reviewed studies have linked root canals to cancer or heart disease.”
Health Concerns about Root Canals is Controversial
On the other side, a group of dentists and doctors have noticed that a disproportionate number of their sick patients have root canals. No one can prove that root canals do not cause cancer and autoimmune disease either. It is very difficult to “prove” what causes a disease. Does anyone really know what causes cancer? What we do know is root canals can not be completely clean and do contain bacteria, viruses and fungus. We also know over time, these same pathogens and their toxins leak out into the jawbone and surrounding blood supply. We also know these same bugs can be implicated in certain infection and disease. Not everyone gets sick in any situation. It all comes down to what bug or toxin is present and the susceptibility of the patient.
A bacterial, viral or fungal infection is a primary disease condition. It is easy to relate cause and effect in a “primary disease condition.” Caner or autoimmune disease is at least a secondary disease condition. It is much more difficult if not impossible to prove cause and effect of a secondary disease condition. Typically, there will be an insult such as bacteria or cigarette smoke and possibly an immediate disease condition such as bronchitis. Later, who’s to say what caused lung cancer, but suffice to say, “do you really need to see the fire, if there is smoke?”
Then depending on the person and their systemic response, the bronchitis may progress to other secondary disease such as asthma, emphysema, cancer or whatever. The secondary disease may also come years later or never come at all. That is why some people can smoke 2 packs a day till they are 90 years old and never get lung cancer, but for others, smoking a few cigarettes a day while in college may lead to lung cancer later in life.
The truth – it is ridiculous to say that root canals do or do not cause cancer because no one really knows for sure. But as in most facets of life, it is best to make the best decision for yourself provided all the facts and information.
How Safe Are Root Canal Procedures?
Root Canal teeth are dead teeth where bacteria, fungus and other pathogens can live unchecked by white blood cells and your immune system. This presents a unique problem where pathogens and toxins can reach concentrations unlike any other common infection. Root canals leak bacteria into jawbone and other parts of the body. Roots of teeth cannot be completely cleaned and bacteria, fungus and their toxins persist and increase in numbers over time and they slowly leak all the time.
Root canal teeth have foreign material in the roots called gutta percha. Gutta percha is latex based and can contain metals, phenols and formocreasol. Needless to say, particles of these chemicals can leak out the roots and become immunological systemic irritants.
If an allergist or another doctor believes a root canal may be contributing to systemic illnesses such as Cardiac, Cancer, Lupus, Hashimotos, Thyroid dysfunction.
Cleaners such as bleach are used to clean the roots of the teeth during root canal treatment. No question some of the bleach can leak out of the tooth and into your jawbone. When getting a root canal re-treatment a dangerous chemical called chloroform is placed into the tooth to dissolve old contaminated gutta percha.
Should I Remove My Root Canals?
Root canal removal has many considerations and alternatives. Theoretically it would be a good idea not to have any root canals, but what happens when you remove the root canals and how many root canals do you have? If you have several root canals or your front tooth is a root canal, can you live without the tooth? Can you afford to place dental implants to replace the root canal teeth? Of course you can remove the root canals and get partial dentures. What are the conditions of the root canals you have anyway. You should most definitely remove the root canals if:
1. there is evidence of acute infection – bone loss in a dental x-ray. Bone loss means something must be eating away at your bone. That something eating bone is bacteria, fungus and your immune system.
2. if there is pain – pain on biting indicates acute infection and inflammation in the bone and gum surrounding a root canal tooth
3. if there is swelling – swelling means bacteria are in such high numbers that they have spread to another space such as your mouth, cheek or sinus.
4. if the root canal tooth smells bad – the bad smell is usually coming from bad gases produced by the bacteria and fungus in your tooth
5. if the root canal tooth is significantly darkened – dark teeth are usually full of fungus and bacteria. Dark teeth are usually leaking bacteria and fungus in higher numbers and are a huge risk for abscess.
6. If you have any systemic illness that may be caused by the root canal.
Root Canal Alternatives: Implant vs Partial Denture vs Bridge
Zirconia Implant – a non-metal zirconia implant is the best replacement for a tooth. Most of the time, implants cannot be placed immediately after removing a root canal because of the damage and infection caused to the bone by the root canal tooth. Root canal removal followed by a bone graft and platelet rich fibrin treatment will be necessary followed by a 3-6 month healing period. After the healing period typically a dental implant can be placed by a dental implant surgeon.
Partial Denture – a partial denture is usually not acceptable to most patients in the civilized educated world of Burtonsville Maryland, DC metro area and many other parts of the world. Dentures are not permanent, they rub the gums during eating and feel thick and uncomfortable. Partial dentures over the long-term will lead to more tooth loss. For most, the partial denture is only a temporary solution if one at all.
Bridging teeth is a poor idea because it connects teeth making it more difficult to clean. It also places more pressure on fewer teeth. Ultimately bridging teeth leads to more tooth loss. Bridge vs Dental Implant
Zirconia implants for teeth replacement
Both are a good options, but metal free zirconia implants may be better near the front of the mouth because they are natural or tooth colored and more cosmetic. Gum tissue will also never look dark or metallic around zirconia implants. If you are a clencher or grinder, titanium implants may be better. If you need a large implant bridge such as all on 4 dental implants, titanium implants may be better.
Factors to consider when removing a root canal
Biological dentists who remove root canals can be difficult to find. Especially dentists who remove root canals carefully and properly. Not all root canal removals are the same. The holistic dentist needs to evaluate the tooth, remove it carefully and finally clean and repair any and all damage to the underlying bone and gum.
Root canal teeth are dead. Dead teeth are brittle and can break into little pieces and be difficult to remove. Removal of a root canal tooth is a lot more difficult than removal of a regular tooth. The best strategy is to remove the tooth by taking out the roots one at a time. Once the roots are removed, the dentist can evaluate the root canal extraction site for bone damage, cysts and bacterial and fungal infection. The dentist will need to remove the PDL, any cysts, remove any dead bone, clean all the bacterial and fungal infections. Once the extraction site has been treated, a natural bone graft can be placed to facilitate new and healthy bone growth back into the extraction site.
A natural bone graft involves treating the pores of the bone with dental ozone gas, and placing a mixture of PRF and bone minerals and membranes. The process described may be easy or very complex and difficult depending on the extent of the damage caused by the root canal tooth. In extreme cases of infection of the upper teeth, infection can involve the sinus and can be very difficult or impossible to repair. Bone damage and risks of severe infection is one reason why to consider avoiding root canal treatment whenever possible.
We offer IV dental sedation for wisdom teeth removal and other scary procedures including full mouth implants and other involved and long complex procedures.
Periodontal Ligament Removal after tooth extraction
We use PRF and ozone therapy to reduce pain, swelling, accelerate healing, prevent infections and to help jaw bone heal properly after extractions. The biological protocol for wisdom tooth surgery always involves removal of the periodontal ligament (PDL). Our removal protocol is described below which helps to insure smooth and proper healing of jaw bones.
Call 301-421-1996 for a consultation with Dr. Adams
What is the Holistic Wisdom Teeth Extraction Protocol:
Carefully remove the complete tooth (very important not to leave pieces of root behind)
Remove the periodontal ligament or PDL. This is the tissue that connects the tooth to the jaw bone
Remove any soft tissue growing in the extraction site. This cyst tissue is typically full of bacteria and fungus.
Ozone and Oxygen gas placed into the extraction site. The gas kills bacteria in the pores of the bone and promotes healing.
Place 1 or 2 stitches to keep gum tissue stable and hold the clot and PRF.
Holistic Wisdom Teeth Extraction Videos:
Dr. Adams has removed thousands of impacted 3rd molars. If you are nervous, Dr Adams offers different sedation options such as nitrous dental gas and full IV sedation. We will not judge you for being nervous. We offer complimentary consultations. Contact us if you want to meet Dr. Adams for a consultation.
How Are Wisdom Teeth Removed?
We remove teeth as carefully as possible without using much force and without causing unnecessary trauma. (sedation dentistry is a good idea if you have dental anxiety). People who are sedated during surgical appointments, stay relaxed and typically have less pain and swelling after the procedure. For example, pulling hard to get the tooth out quickly is not the best strategy. Separating a multi-rooted tooth into pieces and taking it out one root at a time will cause less pain and swelling. This approach is often called “atraumatic” technique. When a tooth is taken out strategically and with less force, it results in less infection and a faster wisdom tooth healing period. We use some of the most careful oral surgery techniques known.
Why We Use PRF With Wisdom Teeth Surgery:
PRF is a treatment that helps oral surgery procedures recover faster and decreases the risk of extraction socket infection. PRF is made by drawing a small amount of patient blood and spinning it in a centrifuge for 13 minutes at 2700 RPM. The Spinning process will separate out the yellow PRF layer of interest. PRF consists of fibrin, white blood cells and bone growth factors. The primary growth factor is bone morphogenic protein. PRF looks like a yellow jello-like substance that can be put into extraction sites. and PRF is help with dental implants and bone graft surgery sites.
Ozone and Oxygen promotes healing and kills bacteria
Dental ozone and oxygen gas is placed into extraction sites to promote healing of gum and jaw bones. Ozone also kills bacteria, fungus and other pathogens and toxins hiding in the pores of bone cells. Bone does not have a lot of blood supply and is particularly susceptible to infection and healing delays. Ozone is especially helpful in preventing dry sockets. Once a tooth is extracted, it is very important to remove the PDL or the periodontal ligament and any irregular granular tissue / scar tissue. Once the extraction socket is cleaned then the ozone should be used in the extraction socket. This completes the extraction and cleansing of bony socket. The final step in natural holistic extraction technique is to place PRF into the extraction socket.
Impacted Surgical Techniques?
How to extract a two rooted wisdom tooth and preserve bone and the extraction socket. Basically, the roots are separated into two pieces and removed one root at a time. This technique can be done without the need to apply much force.
Different types of Impacted Teeth:
Partial Bony Impaction:
The gum tissue should be gently reflected (not ripped off and all the way displaced), like peeling away but not removing, a small piece of an orange peel. The gum should be manipulated so the tooth can be properly accessed and visualized.
Careful removal of any small amount of jawbone that has grown up and around the crown portion of the tooth.
Separation of the two roots with a dental drill.
Removal of the back root first. This needs to be done because the front root is normally stuck underneath the crown of the 2nd molar tooth in front of it. Removal of the back root is easy once it is separated from the front root.
Removal of the front root, which can be easily scooted into the space created by removal of the front root.
Placement of PRF is highly recommended especially in lower tooth extraction sites since the lower jaw has less blood supply and is more susceptible to infection.
PRF Treatment
Angular Impacted Removal:
The gum tissue should be gently reflected. The gum should be manipulated so the tooth can be properly accessed and visualized.
Careful removal of any small amount of jawbone that has grown up and around the crown portion of the tooth.
Removal of the entire crown of the tooth with a dental drill. In this case the entire crown of the tooth will be underneath of the tooth in front of it.
Separation of the two roots with a dental drill.
Removal of the back root
Removal of the front root by sliding it into the space where the back root was, and then out of the extraction site.
PRF Treatment
Horizontal Bony Impaction Removal Strategy:
The gum tissue should be gently reflected. The gum should be manipulated so the tooth can be properly accessed and visualized.
Careful removal of any small amount of jawbone that has grown up and around the crown portion of the tooth. Horizontal teeth may have more bone removal than partial bony and angular impactions. The extra bone removal called “alveoloplasty” is necessary because there is more bone volume burying the tooth and more access is needed to get the Horizontal tooth out of the jaw bone.
Complete removal of the crown of the tooth
Separation of the roots.
Removal of the top root up and out of the jaw
Removal of the bottom root, with the access created by removing the top tooth.
PFR Treatment
Vertically Impacted Technique:
The gum tissue should be gently reflected. The gum should be manipulated so the tooth can be properly accessed and visualized.
Careful removal of any small amount of jawbone that has grown up and around the crown portion of the tooth. Vertical teeth may have more bone removal than partial bony and angular impactions. The extra bone removal is necessary because there is more bone volume burying the tooth and more access is needed to get the Vertical tooth out of the jaw bone.
Separation of the roots.
Removal of the back root
Removal of the front root into the space created by removal of the back root.
PRF Treatment
Wisdom Teeth Surgical Procedure Tips:
Quickly and Carefully
Taken out the “smart way” or strategically
Without high force
With minimal disturbance to the surrounding tissues
With PRF treatment into the extraction socket and the best clean-up techniques possible
perfect post operative instructions
Appropriate prescriptions including antibiotics, anti-inflammatories, pain medication when necessary
Cost of Wisdom Teeth Surgery
Wisdom teeth removal cost is $300 – $750 each depending on the position in the jaw and what is covering it. Dental Insurance will often cover up to 80% of surgical costs. Dental anesthesia and sedation procedures are an option but add to the cost of wisdom teeth removal procedures.
Do I need to get put to sleep for Wisdom Teeth Removal?
No, but It would not be a bad idea. It is only necessary to keep you calm and comfortable during the procedure. Sleep sedation will help you remain calm and comfortable throughout the procedure while your body can preserve it’s energy for healing and recovery. People who have sedation report less dental anxiety during the procedure and for future dental appointments. Sedation dentistry usually results in less pain and swelling and complications after the procedure. Full Sedation requires having someone drive you to and from your dental appointment and you will not be able to drive or work for 24 hours.
Do I need a 3D Cone Beam / CT Scan?
Yes. For oral surgery services we need to identify where the wisdom teeth are and vital structures such as nerves and arteries in your jaw to avoid aggressive surgical incisions and unnecessary trauma or permanent damage during the procedure.
Is it Necessary to Remove Wisdom Teeth?
It is always best to remove impacted wisdom teeth, but… sometimes removing impacted wisdom teeth can do more harm than good. For example, if a horizontal wisdom tooth impaction is removed and the patient experiences permanent jaw nerve damage, hindsight may suggest the tooth may have caused less harm had been left alone. Removing wisdom teeth may be a matter of whether or not there is infection present or whether or not the impacted wisdom tooth is harming the root of the molar in front of it. It is best to get a consult from an oral surgeon or another dentist with a oral surgery experience.Do I need to remove wisdom teeth? Maybe.
If they are too far back to clean or if there is not enough room in the mouth for them to grow into the mouth, than Yes. If you do not take them out, one day your jaw will swell and you will be forced to drop everything you are doing.
What are the potential complications?
Damage to the nerve in the lower Jaw causing partial or complete numbness to the lip area. Very uncommon and usually only temporary. Communication into the upper sinus. Usually happens when a root has grown into the sinus. Usually heals on its own.
Wisdom Teeth are too far back to properly clean. In fact cleaning wisdom teeth in many cases is impossible. Wisdom teeth can cause dental cavities, periodontal or gum disease. Wisdom Teeth can have cysts form around them and severely damage the jaw bone. Wisdom Teeth also can interfere with proper closure of the upper and lower jaws. Wisdom teeth can cause a poor bite and can lead to TMJ pain.
By retaining WT, most individuals will get dental cavities or dental caries, periodontal or gum disease and TMJ problems. Many people can have severe damage to their second molars which are the teeth in front of the Wisdom Teeth. Often WT can come in sideways. When the teeth come in sideways which is also called horizontally impacted, the can cause severe dental decay on the second molars. Sometimes the damage to a second molar can be so severe, the patient will lose both their Wisdom Teeth and 2nd molars. Most of the time removal is a matter of health and preventative dental care.
What is the Recovery period?
Usually some pain for 1-2 days (relieved by ibuprofen and pain meds) followed by soreness for a week or so.
Yes and No. Orthodontics does not normally cause TMJ disease per se. But anytime teeth are moved around and there are changes to the bite, tongue and airway spaces, the result can be TMJ pain, teeth clenching, mouth breathing and poor sleep. People who need braces normally have more problems than their teeth not being straight. Crowed and crooked teeth is the writing on the wall that functional problems exist with the tongue, mouth, jaw and airway spaces.
TMJ after braces orthodontics
If braces are used to close spaces between teeth, the result is TMJ, teeth clenching and a bad bite. The problem is the teeth are too small, but the jaw/dental arch is the correct size. The correct solution is to widen the teeth with cosmetic dental veneers. Veneers made of porcelain are the equivalent of adding enamel to the teeth to widen them. The root cause of this problem is the teeth being too narrow, so the functional solution is to widen the teeth to the width the teeth should be. Some people are born with teeth that are too small. It is called “mircodontia.”
Closing Spaces Between Teeth with Braces Causes TMJ
If the spaces are closed with invisalign or braces, the result is dragging the teeth back into the mouth to close the space. Orthodontic space closure, reduces the size of the mouth and dental arch. The result is crowding of the tongue space and pushing the tongue back closer to the throat. This usually results in teeth clenching and TMJ pain. Space closure with braces is also not stable. Once the teeth are squished together, the spaces will open back up. Usually what happens, is the tongue will push the teeth back out and the spaces will re-open.
Braces for Crooked Lower Teeth Causes TMJ Pain
The issue with crooked teeth is not having enough space for all the teeth to fit. This is like having too much furniture in a small room. You can rearrange the furniture but it still wont fit. Braces will around drag the teeth around and back into the mouth. Braces move teeth. Moving the teeth back crowds the tongue and causes a bad bite. The result will be sore muscles, jaw joints and TMJ pain.
The case needs a dental expander such as a Homeoblock appliance or Schwarz device. Invisalign also has a program for expansion. Expansion adds more time and money to treatment. So sometimes short cuts will be take with braces, shaving teeth called (IPR or interproximal reduction). IPR is an acronym for shaving you teeth down in between teeth to make them narrower to create space. The better solution is to create more room so all the teeth can fit. Mouth expanders increase the size of the mouth. The dental arch needs to get bigger so all the teeth can fit. More space can be found by dragging the teeth back or leaning them out, but that crowds the tongue and causes poor sleep and teeth clenching. The proper way to correct crowding is to expand the arch and then straighten them. Some expanders can straighten the teeth and expand at the same time such as a Schwarz Expander and Invisalign (when used properly).
Removing teeth for Braces causes TMJ Pain and Mouth Breathing
In some cases, teeth will be extracted to create room for straight teeth. Dental extractions and retraction causes TMJ and poor sleep almost 100% of the time. It may not happen right way, but it does. Extractions also shrinks the size of the facial profile, causes forward head posture and a bad bite by decreasing the height of the bite. When teeth are removed and retraction is performed, the tongue is brought too close to the throat. This causes airway resistance, mouth breathing and sometimes even sleep apnea.
What Causes TMJ and What are the Treatments for TMJ Video
But what is the root cause of teeth crowding? And why why do people clench their teeth and have TMJ pain?. If these questions can be answered, the problem can be resolved. Just because the teeth have been straightened does not mean everything else in the mouth and jaws have been optimized. The teeth should line up top to bottom and fit well. There should be enough room in the mouth for the tongue to function properly. There should be enough space in the mouth and the lower jaw should be positioned forwards where the tongue does not back up into the airway.
How do Conditions in the Mouth Influence TMJ Dysfunction:
Breathing – Breathing is one of the primary things that happens in the mouth. When the mouth is too small, space for the tongue is crowded and the tongue can become displaced into the throat and get in the way of proper breathing function. This activity at night causes teeth clenching at night.
Talking – believe it or not, when things are not right in the mouth there can be speech problems.
Tongue function – when the tongue is crowded or crooked teeth are in the way, there can be issues with proper tongue function and swallowing
Swallowing – improper swallowing can lead to tongue thrusts the push the teeth around and cause instability. A retainer will not hold everything.
Smiling
Head Posture – the relationship of the upper and lower jaw has everything to do with posture. Long story.
Why do People get Braces and Invisalign?
When people are asking for braces there is usually a reason such as tooth crowding, cooked teeth, teeth not lining up and biting properly. These problems are usually complaints about how things look and feel. Braces can be used to get teeth straight, but do not always correct all the other functional dental problems. These same issues can lead to TMJ pain, teeth clenching, bruxism and even sleep apnea. Upper Airway Resistance Syndrome (UARS) is another common airway problem at night related to the spaces in the mouth.
How Can Braces contribute to TMJ Problems?
When Braces are removed, the teeth may be too far back in the mouth and not allow enough room for the Tongue. The Tongue can be displaced into the throat especially at night and get in the way of night time breathing. Braces can change the size and shape of the upper and lower jaws-that is hold the outward growth of the face back from happening. Worse, braces can be used for retraction or backward movement of the jaws and teeth-this is bad almost every time. Often times, braces will not correct a bad bite completely and the use of expanders or even surgery may be necessary. The Vivos DNA appliance is the best appliance for TMJ disorders, Sleep Apnea and UARS problems in adults. The ALF dental appliance is the best appliance for tooth crowding and small jaws in children. ALF vs DNA dental appliance.
Can Smile Direct Club cause Bruxism and TMJ?
Since Smile Direct Club is performed done by a licensed dentist, it has the greatest chance of causing a bad bite and TMJ problems. The treatments are cheap and full of shortcuts. You get what you pay for and not anymore. Maybe less. The most common TMJ problems we see from Smile Direct and Evenly are retraction to close spaces in cases of microdontia. And correction of dental crowding by IPR and retraction. These two modalities reduces the size of the mouth and crowds the tongue. The result is airway resistance, mouth breathing, teeth clenching and TMJ.
There are many common mistakes during implant surgery such as the implant can be placed into a nerve, sinus or even another tooth root. But if there is proper implant planning with a 3D cone beam x-ray, dental implant surgery is very quick, simple and there is minimal pain. Recovery from implant surgery in healthy patients is usually complete within one to two months and is uneventful. However when the patient is unhealthy or proper implant planning is not done, implant surgery can have problems and complications. The risks and complications of getting implants should be understood and carefully considered even though implants are a success 95% of the time.
Risks and Complications of Dental Implant Surgery
An Implant placed into a nerve or artery.
Never, never should a dentist do a dental implant unless a 3D CBCT cone beam X-ray has been taken. It just isn’t worth rolling the dice. Whether you need one tooth or a full mouth of implants, always take a 3D image. You cannot see the anatomy of the jaw bone without a 3D X-ray. Most large x-ray machines where you stand-up are 2D “panoramic” x-ray machines. A 3D CBCT is an expensive 100-200K piece of equipment only owned by specialized implant dentists and surgeons. Ask the dentist if they are taking a “cone beam 3D X-ray”. Placing a dental implant without a cone beam X-ray is like drilling into the walls of your house without knowing where the wires and pipes are located.
Implant can be improperly put into a sinus.
Again get a 3D X-ray. Implants can be placed around sinuses with proper management with a high level of success. It is called a sinus lift. In order to lift a sinus you need to know where it is and manage to lift it properly.
Implant not placed into the gum enough.
This will result in a tooth that appears too short due to decreased height available for the implant crowns. How would you like to have a short squatty tooth in your smile? A cosmetic dental problem only, but an ugly and embarrassing one.
Implant placed too far into the gum.
This may result in the tooth looking too long. It will also be more difficult to clean and the implant can get infected later.
Implant Infected after Surgery
Usually the result of a patient who does not take prescribed medications after implant surgery. Can also be due to unhealthy bone where the implant was placed. One other possibility is inadequate width of bone for implant placement or the implant placed at an angle where it came out of the bone at the bottom. The implant can also crack the bone upon placement, if the implant is placed under too much pressure and/or the bone is unhealthy and brittle. Note: not all these all the fault of the implant dentist, but maybe just a difficult or impossible clinical case.
Implant too close to an adjacent tooth.
this will result in the implant crown not being centered in between the teeth and you may get a lot of food stuck under the implant tooth.
Implant too far back towards the tongue.
This will result in the tooth being too thick on the tongue side and a large ledge under the crown on the cheek and lip side.
Implant too far towards the lips cheek.
This will result in the crown being too thick on the cheek and lip side and a large ledge being present on the tongue side.
The implant placed at the wrong angle.
This will result in off-angle biting forces and sometimes the crown being too thick on the over-angulated side.
Implant placed into the root of an adjacent tooth.
This may result in loss of the adjacent tooth and infection of the implant. Dental implant complications do happen. Dental implant problems can occur.
Improper Implant Angle
What Constitutes Proper Implant Position and Placement?
Centered between the adjacent teeth
Centered between the cheek
Centered between lips and tongue
Placed 3mm into the gum
Angled into bone
Angled to be as best as possible in line with biting forces
Placed into healthy vital bone
What to do if there is an implant complication?
Early detection of implant problems is critical. When things do not seem right with a dental implant, they usually are not right. Implants heal very quickly and usually with minimal symptoms and no major incident. The best course of action when an implant is failing is early diagnosis of failure and speedy removal of the implant. If a failing implant is left in the jaw bone it will cause pain and bone loss at the very least. The failing implant can also potentially cause harm to other teeth and possibly a bad infection.
Meet Dr. Adams
Dr. Gary Adams has successfully placed thousands of dental implants. I will happily take a look at you implant problems and provide a diagnosis and honest opinion. We are a full service implant center and I am the only dentist you will need for you consultation in my office. We have a state of the art 3D Xray / Cone Beam imaging system specifically made for implant planning and diagnosis.
Time Line for Getting a Dental Implant Tooth Replacement?
The short answer is a dental implant can be done in one day. Yes, you can get a dental implant in one day, but it is not that simple and every situation is different. How long it takes to get a tooth replaced depends on the quality of gum and bone, the health status of the patient, the skill of the dental implant dentist, the surgical technique and the kind of implant and bone grafting material used. How long does it take to get a dental implant on the average?
Different Dental Implant Clinical Situations
Tooth that needs to be removed and the gum and bone are in good condition
The best option for this situation is to carefully and atraumatically remove the tooth and replace the bad tooth root with an appropriately sized and shaped dental implant during the same procedure. This implant surgical procedure is called immediate dental implant placement. Because of the differences in shape and position of the tooth root and the dental implant, it may be necessary to do a bone graft with platelet rich fibrin or PRF. PRF with dental implant placement results in faster and stronger bone growth around the dental implant.
A tooth needs to be extracted but there is a small bone abscess
In this case, a dental implant may be able be able to be placed at the time of extraction, but it is absolutely necessary to remove the bacterial infection in the bone with an antibiotic and possible the use of dental ozone. The approach is to have the patient take the antibiotics a week prior to the extraction. Once the tooth is carefully removed, the extraction surgical site can be inspected for any active infection. In this case, if there is not active infection the implant can be placed into the tooth extraction site immediately. Since there has been bone loss, implant surgeon will need to do a bone graft with PRF.
Tooth needs to be removed and there is a lot of infection
I this case, the tooth will need to be removed and bone grafting and PRF surgery will need to be performed. In cases of server infection, a bone graft may need to be done at a later date, but long story short, the implant will not be able to be done till after a 3-4 month bone healing period. It is best not to rush the implant healing process.
When can a crown be placed on top of the implant?
The crown can be placed on top of the dental implant in 3 months. Once a dental implant is placed, it usually takes 3 months for the bone cells to grow new bone that will grow around and attach to the dental implant. The Crown can be placed at 3 months once the dental implant healing has been verified. Implants will heal properly 95% of the time. Placing a crown earlier than three months may lead to failure of the dental implant.
Can Teeth be Replaced in one Day?
If it sounds to good to be true, then it usually is too good to be true. It takes 3 month for bone cells to grow around and attach to an implant. If a crown is placed to early, it can cause failure and bone loss, making it even more difficult to replace the dental implant. If a tooth is lost in the smile zone, we can provide a cosmetic temporary tooth that does not put pressure on the newly placed implant. The ads on TV normally do not tell you, but the new tooth you get on the same day is a temporary tooth.
But I saw on a website that Implants can be placed and the tooth placed on the same day?
This is called immediate implant and immediate loading. Immediate implant loading is very risky business. This technique dramatically increases the chances for failure. If the implant fails, the damage could also be catastrophic. For example, but implant may fail with a massive infection and bone loss, causing months of bone graft surgery before a new implant can even be placed.
I personally do not do immediate load cases due to the risks and potential consequences of failure. The cases that fail leave the patient wishing they had not done immediate load. It’s like rolling the dice with huge stakes…
Dental Implant Time Line for Getting a Tooth Replaced? How long does it really take to get a tooth replaced with a dental implant really depends on a variety of factors.
All on 4 reviews are generally good when the case is planned properly and delivered in a professional and skillful way. The common problems with All on 4 are that they are “too thick”, “do not feel natural”, that they are “one piece…and not individual teeth”, “they have no feeling to pressure or temperature.” Most of these complaints are just differences between all on 4 and natural teeth. Perhaps having teeth that do not feel temperature and pressure is a good thing. Most people will accept all on 4 as a new normal. And they usually look great and chew food like nobodies business.
All about All on 4 Implants
So you are tired of rotten, missing teeth and high dental bills? And emergency trips to the dentist are getting old? Here is the place to explore the pros and cons of replacing all your teeth problems once and for all with a new set of permanent implant teeth. Reviewing implants is much more complicated than looking at how many stars a service gets. All on 4 dental implant reviews are generally good and it is the most practical solution to permanently replace all teeth.
What is All on 4 Implants?
All on 4 Implant procedure by definition is removal of all your natural teeth and complete replacement with permanent implant teeth supported by 4 or more dental implants. All on 4 complications and problems do happen. Not every all on 4 case goes perfectly and as planned. Also not every implant dentist is created equal. Some dentists are more skilled and capable of performing full mouth dental implant cases. Full mouth implant cases are best done by one dentist who has advanced training in implant surgery and full mouth implant reconstruction. Such a one-stop facility is called a “dental implant center.”
Dr. Gary Adams
Dr. Gary Adams has done thousands of all on four implant procedures. Adams is also licensed in IV sedation dentistry. Usually full mouth implant cases are done under sedation. Dr Adams sees patients mostly from around DC, Maryland and Virginia. But some people travel from across the USA and abroad. Dr Adams offers consultations without fee for new patients including the 3D Xray
Depending on the region of the country, the quality of dental implants and the all on 4 bridge material used (solid zirconia vs acrylic), the cost of all on 4 can range from $40,000 – $60,000. The fee usually is all-in and includes removing all remaining natural teeth, bone grafting, implants and the teeth. The fee also usually includes a set of temporary teeth and dental sedation. If you are quoted a cost lower than $50,000 you are either in Mexico or using an implant and materials you do not want in your mouth. All on 4 dental implants complications can be minimized if the case is done by a dentist with a lot of full mouth dental implant experience.
There are Several Different Kinds or Full Implant Teeth
Because there are many different ways to replace all your teeth with implants, it can be confusing. And you cannot take a new set of teeth for a test drive before buying them. The decision is a big one and you need to educate yourself before deciding what to do. It is a large financial investment. You want to be satisfied with the result. Make sure you explore all your options including less expensive removable options like snap on denture teeth. Many people are quite satisfied with the snap in teeth once they get used to teeth that are removable.
All on 4 Dental Implants Before and After
Zirconia complete implants
All on 4 dental implant reviews are generally positive
But you need to learn about the different ways to replace teeth with implants before deciding what to do. People who have suffered with poor fitting dentures will be especially happy with full mouth permanent implant options. On the other hand, people who compare all on 4 to a good set of natural teeth may be disappointed. But they may be thrilled. The point is, there are differences between natural teeth vs implants. And huge differences with various fixed implant solutions. You to know what you are getting yourself into of you may have regrets. New Teeth are not like cars. You cannot take them for a test drive.
Differences between natural teeth and all on four implants:
All on 4 is a one-piece set of teeth installed into the mouth. It feels different than natural teeth to the tongue. The teeth are smoother and thicker than natural teeth.
Implant teeth do not have nerves, so the do not feel cold. That is probably a good thing. Implants can apply more pressure without pain than natural teeth. That is probably good until something breaks. This is where getting acrylic plastic teeth vs zirconia is a serious consideration. Get the zirconia upgrade because it does not break.
Cleaning happens with a tooth brush, waterpik and special brushes and floss. Hygiene and maintenance is different.
There are differences but one is not necessarily better than the other. Just know what you are getting yourself into.
How Long do All on 4 Dental Implants Last?
Also, how long will your investment last and what will maintenance costs be like in the future. There are some problems with all on 4 that should be considered. There are many different kinds of all on four teeth that go on top of the implants. If you are considering replacing your teeth, you should read this page completely so you are properly informed. Some teeth are made of smooth durable zirconia and other teeth are made of plastic. Educate yourself on these options to avoid regrets, costly repairs and remakes.
Upgrade All on 4 Implant Teeth to Ziconia
You should also educate yourself on the different kinds of teeth used for All on 4. Long story short, only accept zirconia teeth. And do not do traditional acrylic teeth. Also even though we call it “all on 4,” it is much better to use 5 or 6 implants per full set of teeth. It is stronger and 4 is the bare minimum. And do yourself a favor and do not go anywhere where they claim to be able to totally finish your case in one day. At least not until you read this article: Why All on 4 should not be completed in one day?
Clear Choice Dental Implants Comparison
We are not a national chain or franchise like Clear Choice. Dr Adams provides individual attention to each and every implant case
Dr Adams handles the entire case involving implant surgery and fitting of the implant teeth. With one doctor doing the entire case there will never be a miscommunication.
We use many natural and holistic dental products such as platelet rich fibrin and oxygen and ozone therapy to promote bone growth and healing.
Most Common All on 4 Implant Problems and Failures
All on 4 dental implant reviews have generally been good, but there are some concerns about All on 4 that need to be considered prior to removing and replacing all your teeth with a full mouth implant bridge.
Advantages and Disadvantages of All on 4:
If one of the four implants fails after the teeth have been made, the entire All on 4 implants will need to be remade. The bridge will need to be remade because 4 implants is the bare minimum needed to support a full set of upper or lower implant teeth. Additionally, it is impossible to replace a dental implant by doing an after the fact surgery and have the implant heal in the same position as the lost implant. Since the implant position is different, the All on 4 implant bridge will no long connect precisely in the same way as before. This will cause a major problem because the All on 4 implant bridge is very expensive to remake and it will take several visits to re-make. The failed implant will also take a period of months to be replaced and heal also. The loss could take 5-12 months to fix. While All on 4 dental implants complications do occur, if the case is done by a qualified dental implant expert, most cases turn out very nice and meet the expectation of the patient.
How Many Implants are Needed for All on Four?
The best way to avoid this kind of All on 4 problem is to place 5-6 implants for a full mouth implant bridge. If 5-6 implants are placed, an implant failure may not be a problem or cause the entire case to fail. For the implant dentist, patients can get very frustrated with this kind of failure. Patients can do anything from writing online negative reviews about All on 4 Dental Implants to filing law suits for suspected malpractice. Where there is a doctor with a wallet, there is the threat of a lawsuit. 1 or 2 extra dental implants in this situation becomes an inexpensive insurance policy of sorts against complete All on 4 failure. All on 4 cases have failed if not enough implants are placed, but the reviews have been great when 5 or 6 implants are used and the case is done by a qualified implant expert.
In general, if an all on 4 case is done by a qualified implant specialist, the case usually turns out great. All on 4 implant reviews are good but as stated complications do arise. All on four cases should be planned with the most likely failure in mind and a plan in place if there is an all on 4 implant complication.
All on 4 teeth can fracture and break
This rarely happens if the all on 4 teeth are made of an up to date material like zirconia. This was a major problem with older hybridge or hybrid all on 4 implant teeth made of plastic acrylic. Zirconia materials such as Bruxzir and Prettau are strong and rarely break. All on 4 dental implant complications including bridge breakage can happen but most of the time only with older acrylic hybrid denture models.
Zirconia Complete Implant Teeth
All on 4 Teeth Manufacturing Techniques
Acrylic teeth and gums supported by titanium substructure
This design is the classic design called a hybrid denture and one laboratory calls their version – Hybridge Denture or Hybridge Implant Bridge. It is basically a denture made on top of a piece of titanium that screws onto the implants permanently. The design is very permanent and stable. One problem with this design teeth can separate from the titanium framework. The All on 4 bridge can be repaired by sending it back to the lab for repair. The repairs are typically inexpensive but the repair can take days and leave the patient without any teeth for a few days.
Full Solid Zirconia All on 4 Implant Teeth
In this design the bridge and teeth are one solid piece made by a 3D design and printer. This kind of full mouth implant bridge is called a Prettau Bridge. Another competing technology is called Bruxzir. The product is one solid zirconia milling and has superior looks and strength. Very rarely do these full mouth zirconia implant all on 4 teeth break. This later design is typically a little more expensive. Both are more expensive than implant dentures – the least expensive full mouth implant option.
Why implants are worth the long-term investment
Implants do not get cavities or ever need root canals. They are beautiful since an entire mouth of teeth is designed and manufactured from the ground up. Implants can exert more force than natural teeth. All on 4 teeth usually out last natural teeth and are much less prone to problems.
Full Implant Cases Need to be designed for strength and long-term durability
Consider all on 4 price, the cases are usually very worth the investment. Generally, all on 4 implant reviews are excellent if the case is done by a qualified dental implant expert. But remember All on four complications can happen and cases should be planned with potential points of problems in mind. For example if the patient clenches you may want to add an additional implant to help carry heavier biting forces. And if there is weaker bone, extra grafting of bone may be considered to strengthen weaker implants.
Making All on 4 Dental Implants Affordable
The high cost of full implant cases can be difficult to afford, but when multiple teeth are hurting and your smile is suffering, the cost may begin to seem like the easy way out. We offer dental implant financing through Lending Club and Care Credit patient financing. When faced with expensive treatment on natural teeth such as several root canal re-treatments removing failing root canals and replacing your teeth with a durable long-lasting full implant case seems like a great idea. What happens if you do not get a root canal? Is a dental implant an alternative to a root canal?
Is ALF or Vivos DNA better for Forward Facial Growth?
The Case for the DNA Appliance
The Vivos DNA Appliance is better for adults suffering from TMJ pain, sleep apnea and UARS. Because the same people need growth of the jaws in all three dimensions and a lot of it. The ALF appliance cannot get forward growth of the lower jaw because it does not contain a bite plane. An appliance needs have a feature to control the bite or it cannot effectively move the lower jaw forward during anterior growth therapy. The ALF device usually grows much less bone than a DNA appliance. The Homeoblock appliance is a very similar device to the DNA appliance and it is worth exploring for those considering treatment.
The Case for the ALF Appliance
The ALF appliance is better than the DNA at promoting facial symmetry. The DNA can achieve facial symmetry, but it requires a very experienced provider who knows how to purposely adjust the appliance specifically to achieve balance of jaw and facial structure. The ALF works well for kids who have teeth crowding, cross bites and poor jaw development. The ALF results in considerable orthodontic movement of teeth. For that reason, the ALF usually requires braces to correct undesired tooth positions. That being said, there may be certain circumstances where both the ALF and DNA are suitable for kids and adults.
Anterior Growth Appliance Video
DNA or ALF Appliance
The DNA is a combination of a retainer, bite splint and palatal expander. The Vivos appliance at the end of therapy will dramatically improve or get rid of TMJ symptoms and sleep apnea. The DNA will create more space in the mouth and nasal passages for proper breathing and tongue position. The appliance will also create more dimension or height to the upper and lower jaw and correct a bad bite. The DNA is very tolerable for adults. It is a removable appliance that is only worn during the evening and night. Yes, you will not need to wear the appliance all day and you can take it out to eat and clean your teeth.
The DNA can better serve adults suffering from TMJ pain because the appliance allows the dentist to place the patient into a more stable bite position. The DNA is also removable and is only worn at night-time.
Vivos DNA vs ALF Appliance Comparison Video
How Does the ALF Appliance Work?
The ALF Appliance is a fixed appliance that stays in the mouth and is worn at all times (usually). The ALF also does not have the ability to put the patient into a new bite position (usually). The ALF is a pure expander and keeps the patient in their current bite during expansion. For the above reasons the ALF is a better appliance for kids who are growing and have a dynamic and changing bite, tongue and jaw position. Both are wonderful maxillary expansion appliances that can be used for kids and adults, but I make the above generalizations from years of case experience.
How Does the Vivos Appliance Work?
The DNA looks like a combination of a retainer, night guard and a palatal expander. Looks are not deceiving. The DNA is novel in that it can achieve jaw bone growth in an adult. The only other option for adults is surgery. The mouth will get wider and grow taller and more forward. The bite position can be improved and made more comfortable by adjusting the bite pads the same way a night guard is adjusted. The wire in the front can help to retain the front teeth and preserve the appearance and smile.
Many Adults with TMJ symptoms will get fast relief when they start wearing the DNA Appliance because the bite is balanced and the jaws are placed into a more comfortable open and forward position. The “balanced” position will take pressure off the TMJ jaw joints and allow a little more space for night time breathing. Over time the treatment will result in a permanent increase in size, space and balance in the jaws and facial bones. At the end of treatment, the Vivos appliance does not need to be worn anymore.
Better Facial Profile and Airway Health
The ALF Appliance is the Best Appliance for correcting tooth crowding and underdevelopment. The ALF along with functional forces such as the tongue, will create proper space for the tongue to fit in the mouth and in between the teeth.
When a child does not develop large enough jaws and mouth, the tongue will flop into the throat during deep sleep and cause sleep apnea and TMJ symptoms. Never pull teeth to correct tooth crowding problems.
Yes. An implant dentist can remove all your remaining teeth and replace with a full set of implant teeth in one day. But should same-day full mouth implants be done and what are the risks and potential complications? And what is the quality of the result if successful compared to a conventional technique? The picture above is a case where the gums did not heal where they were expected to heal. The case can still get a great result, but the teeth need to be removed and replaced with a complete make-over of the gums and teeth. This is the risk of finishing full implants in one day as many groups such as Nuvia implants are doing.
Should All on 4 Implants be done Same Day
On the day of all on 4 implant surgery all your remaining teeth will be removed and several implants will be surgically installed. At this point, your jaws will need to totally remodel all the bone around the implants and actually create a biological connection. This is called implant osseointegration. Implants are not screws and they do not stay in your mouth as a mechanical anchor. The implant is actually held in place by the strength of a biological connection made as your bone grows around and attaches to the implants. This takes a bare minimum of 8-10 weeks. In the interim, the implants are held in place because they are actually screwed in initially (implant specialists call this implant primary stability). During implant integration, the connection between implant and your bone weakens before it strengthens. Also your body will need to grow bone to fill in all the holes where your teeth were removed. Additionally, your gums will change shape, heal and take on a totally new and somewhat unpredictable shape.
Complications of Nuvia Permanent Teeth Protocol
Lots of things can go wrong when performing all on 4 jaw surgery. The original Nobel Biocare protocols for performing full all on 4 procedures did not include finishing the procedure in one day. The procedure allowed for a healing period for many good reasons we will discuss.
Implant failure and loss of the entire All on 4 implant bridge. The success rate of implant placement is 90-95% for immediate load (implants where chewing pressure is placed immediately). Since there are 4-6 implants per bridge, you have up to a 40-60% chance of an implant failing.
Bone loss and infection secondary to implant failure. You could lose so much bone from pushing the envelope that you need months of bone grafting before you can even try to replace the implants
Pain and Suffering
Dissatisfaction with the appearance and function of the implant bridge. Since the Bridge is done in one day, you will not have an opportunity to test drive the bridge and make modifications if you do not like it.
Are Same Day Full Mouth Implants Worth the Risk?
Possibly. If it works and you got your teeth done in a day and hopefully you are satisfied. It may also be poor management of implant risks and potential complications. Not to mention set backs. Because if some of the implants fail, the result can be catastrophic. And it may take twice as long to get your teeth depending on the failure.
How are All on 4 Implants Done Conventionally?
The best way to do All on 4 Implant dentistry is to remove all the teeth, place all the implants in one day (basically do all the dirty work in one day) and deliver a high quality set of temporary teeth that do not put pressure on the healing implants. The Temporary teeth will be delivered the same day your teeth are removed so you will not go around without teeth. The teeth will give you something to “try or test drive” so you can make changes and get a better result when you receive the final ones.
How Long Does All on 4 Permanent Implants Take?
The temporary teeth are worn for 8-12 weeks as the implants and gums heal. Next we verify the implants are healed and see what changes need to be made to the final teeth. With this approach, we can achieve your goal of replacing all your teeth with a full mouth of dental implants without exposing you to unnecessary risk and possibly delivering a compromised result because we did your case on a prayer that no implants would fail and guessed at where your gums and jaws would heal. With a hiqh quality temporary in place, you also get to test drive a prototype and get an opportunity to make improvements prior to making the final bridge. I like surprises, but I like them at Christmas. And also, if you lose an implant and get infection, you could be doing one or possibly more surgeries to get the implants to work again.
What are The Different Types of All on 4 Teeth?
Most all one 4 bridges are made of pure tooth colored zirconia rather than the old way with titanium gray metal and plastic teeth. The machines that 3D print the zirconia costs 10s of millions of dollars and dentist with labs in their office cannot afford them. Only labs that process thousands of these cases per year can afford to buy them. Ask your dentist what kind of teeth you are getting. Are you getting pure Zirconia or are you getting titanium metal and acrylic plastic? Implant dentists who do same day All on 4 teeth, make them in their office and they make them out of metal and plastic.
Arcylic Implant Teeth is like a Denture Screwed to Implants
It is basically a denture screwed into implants. This kind of All on 4 bridge is also called a hybrid denture because it is denture material (normally removable) that is screwed into implants -hence “hybrid.” True Full Mouth All on 4 Implant Bridges are made of tooth colored Zirconia. Zirconia is a specialized porcelain which is much thinner than a hybrid denture and feels like high quality porcelain and natural teeth and not like plastic. Make sure you know what you are getting.
Do the Risks equal the potential rewards of Same Day All on 4? You make the Call based on an informed decision.
All on 4 Dental Implants or 5 or 6 Implants Better?
Always a good debate. The jury is out as to whether or not 4 implants are strong enough to support a full upper or lower set of teeth. 5 or six would definitely be stronger than 4 and you do not need to be a dentists to know that. 3 is not enough, so if a single implant fails you lose the case. Why not place one or two as an insurance policy? In the grand scheme of the case, 1 or 2 more implants ads marginally to the cost of the case, seriously. Are you paying enough for the case? If you place one or two extra ones, if you lose one after the initial healing period, you can still finish the case if you have at least 4 implants. If you placed 4 and lost one, you are starting all over again with the bridge, wasting tons of time, money and doing another surgery.
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