I recently started my dental work about a month ago 2/22/24 I had sinus lift with bone graft and implants I believe five two on each side of my upper mouth and one of the bottom. Lack of communication is insane. Most of what I know is from your video. Thank you.
You're welcome Alexis. I agree. Dentists just don't have the time to explain these complex treatments in great details to patients. Plus, these are scary stuff, and most patients would run away if we told them the truth: "I will be cutting through your gum tissue, cutting your jawbone, lifting your sinus membrane, and stuffing a bunch of cadaver and cow bone in your sinus". How is your treatment coming along? Best of luck!
Thank you for this excellent presentation and explanation… the dentist that did mine put my invisalign tray over the dental implant right after the surgery. I was in an immense pain and not even an ibuprofen he prescribed help at all. I have to do my own research and saw videos such yours and had to call the clinic about the issues. The other dentist apologized and had to modify the invisalign tray. Sharing this experience for those who have invisalign and wanted to do dental implant (this is the same clinic who did my invisalign and suggested to do dental implant). Videos such this really helped me point out their mistake. Again, thank you Doc!
I had 8 implants put in on 3-30-23 it’s now 4-5-23 and my mouth s very sore I’m still swollen and very uncomfortable! There is no way I could go to work!! I don’t understand how anyone can have 😮this surgery and just move on after a couple of days!
Hi there. Wow, great job! Were you put to sleep? I hear you, getting a bunch of implants is usually painful. Most people who have 8 implants will be in pain for one week. Is it getting any better? I know it's surprising, but some people feel very little pain. Not sure why... Could have to do with their jawbone quality, pain threshold, etc. Did you take any pain meds? Antibiotics? Is this for all-on-four implants? Wish you a speedy recovery.
I had bone removal on top and bottom on my mouth and 12 implants it's been 9 days and I'm super sore and still in some pain.. he doesn't give pain meds
@@johnjazayeri Hello, I had a full mouth extraction done on Monday. 6 implants on top and five on the bottom. My facial swelling is down however my gums are still swollen. The temp dentures are too bulky.😢
I really enjoy your videos, I'm excited & nervous 😱 I get my procedure done in 2 weeks, I'm having 4 implants put in to support my denture, my concern is my dentist will not remove enough of the palate on my new denture, He says there will be some palate, I don't understand why 😞 I will have 4 implants why would my denture have the palate? That is the reason I am getting the implants⬅ Dr.J what are your thoughts? I would really appreciate your feedback.
Hi Sue. Great question. The denture still needs some palate. This is so it doesn’t break, and also for some additional suction. I recommend that you start with what your dentist suggests. Then, have him or her cut from the palate once the fitting is completed. This way, you get the maximum stability with minimal discomfort. Don’t be too eager to remove the entire palate quickly as this can compromise your denture. Do this over the course of a month or two as you are getting accustomed and familiarized with your new teeth. You don’t want to go in circles of cutting (too much palate doc) and adding (ops, you removed too much doc!). Be patient and work with your doctor to achieve the perfect fit. Good luck with your procedure!
What your being told about the need for palate. I've gotta call B.S. because that would then be the same for the lower one , and that's not the case. Not sure why it needs extra support but the lower doesn't, yet hold up against use. I don't know anything, it's just that what your being told doesn't add up to me, I'd definitely be making someone answer alot of more questions, if it were me.
I have upper denture that has no palate in the middle of denture ,metal strip across back teeth and it works perfectly .hope you get the denture made without full palate .
Thank you so much, I had 3 implants put in 5 days ago and I’ve been unable to sleep due to not being able to vape cannabis once at night for chronic pain. I was afraid I would have to wait several months, but I return to work very soon so I’ve been really stressed out about this. I’m so relieved to hear that I can start again after a week.
Hi Chantel. Glad to hear you had a quick recovery! I would say that the vast majority of patients experience less pain than they had expected. Of course, there are those 10% that suffer from severe pain. The more careful you are, in terms of diet, hygiene, following your dentist's instructions, etc. the better you'll do in your recovery. By the way, did you start using cannabis? Does it help?
@@sckumar6812 I just had 3 implants and a sinus lift done. Pain has been minimal from the implants (my dentist used a guided implant system). The sinus lift is a bit more invasive but it's been 5 days and my swelling is going down and thankfully zero bleeding or complications. I'm thrilled with the work and pain has not been an issue. I was on weak pain meds for 3 days which was sufficient.
Thank you Doctor! I had 2 teeth implant last Friday... Yes, in the beginning of your video. You start your video saying a patient walks out of the surgery room with a paper sheet in hand ... When I got the gauze and paper sheet, I was like that's it? Thank your for your advice🙋♂️
HI Rebelde. Glad that you were able to pickup a few things from my video. I must admit, doing implant surgery is quite stressful. By the time your dentist/surgeon is done with the surgery, they don't have much energy left to go over all the instructions. Plus, it would take half an hour to review everything with the patient, and no dentist has that kind of time. The best most dentists do is give the patient an instruction sheet/pamphlet. Some dentist have patients watch a video. I guess we all assume that patients know what to do, even though almost no one know exactly what they need to do LOL. Good luck with your recovery!
Never got this post-care info from my dentist. I just keep getting the speech about I'm biting down wrong. Why should I have to concentrate on every bite to arrange my mouth the way the dentist wants? Why shouldn't the device fit my natural bite?
Hi Donna. You are right, dentists rarely have 30 minute to sit and go over the post-op instructions in detail, the same goes for my patients! This is why you must either read the post-op instructions they give you or go to the internet in search of these instructions. Regarding your bite situation, I'm not quite sure what you're story is. Is this a temporary denture where the bite is off? It's not uncommon for temporary denture to have a poor bite relationship. Your dentist should address this once the permanent teeth are made. However, if this is the permanent set of teeth, then yeah, you have an issue and you need to take it up with your dentist. Best of luck to you.
Hi Ferds. I’m not too concerned about hot and cold drinks after dental implant surgery. You might feel a little sensitivity, but it doesn’t have much of an impact on the dental implant itself. On the other hand, smoking, brushing the surgery site, and eating hard food is what you need to be most cautious about. I’d say have your coffee in a week, in moderation, and don’t be alarmed if it feels a bit tender and sensitive. You can also try using a straw to avoid contaminating the surgery site.
My dental implant area got a red inflamed pimple like area after 15 days. It's throbbing and paining a lot even after taking antibiotic cefuxime for 5 days . I can feel the implant when it throbs. I guess its badly infected. First 10 days no pain was there but now it's horrible feeling....can this implant be saved? No improvement after taking antibiotic.
I had six implants in last week. Im not in that much pain but i feel utterly exhausted and weak. Like really, really done. It was a horrific experience for me. I was choking on the water and blood and they kept telling me to swallow it and I couldn’t, I was choking, I hated it, 4 hours of absolute terrifying hell. Next time for my lower jaw they have advised me being under general because i am so anxious. Im also scared about this, I have my surgery done thousands of miles from home and I am scared. I know the result will be wonderful but even so I hate it.
Hi Kii I had six implants both jaws last week all teeth removed, I am away from home also. Hope your feeling better, I have my finals tomorrow and I am dreading the pain.
Oh no I will have my all in 4 this coming Tuesday ..you scare me .why did you choking ? You mean during surgery or afterwards? I’m so anxious and scared 😬 I will have too and bottom..plus some bone grafting ..ayayay
@@mg-hk3lnhi did you take any pain reliever? Is it really painful? Is it worst than toothache? I will have all on 4 this Tuesday.I’m kind of scared lol
I had a tooth pulled and it was the worse pain, thanks for clarifying the pain re placing the implant as I was thinking I would have that same pain all over again.
I had 4 implants 2days ago and experienced minimal pain despite complexity of surgery and comorbidities ( chronic pain syndrome , anticoagulants...) - plesently surprised as l was warned and expected a "tsunami" of pain ! I am however concerned about the appearance of implants site as is very bruised /blackened and a white film cover the sites . Otherwise , bearable minimal pain , not much swelling except some stinging sensation l belive caused by sutures pulling ? Should l be concerned about "angry" appearance ? Million thanks 🙏
Hi Adriana. Glad to hear you're doing so well. You do not need to worry at all. Bruising and change of color is normal after surgery. The white film is plaque, the same stuff that accumulates on teeth, which also accumulates on the surgery site. No pain is a great sign. We always tell the patient the worse case scenario to have them prepared. It also helps patients follow instructions better. So yeah, you look like you did really well with your surgery. Good luck with the rest of your treatment!
Thanks for the info, just got 3 bones graft, 1 sinus lift , 2 extractions and 6 implants, took 6 hours, they gave me dexamethasone also, . I will follow your advice on exercise and food. Hope it will stop hurting soon :)
Hello Doctor, thank you for this informative video! I had my bridge implant surgery on 10/16/2024. I have only been eating healthy soups and drinking vegetable juices. The dentist gave me a follow-up appointment for 01/24/2025. I would like to know, when will I be able to eat normal food, like tortillas, beans, cheese, etc. Thank you in advance for your response.
Hello. Great news! I generally advise my patients to be careful for the first few weeks. I would say a month after surgery is a safe time to resume chewing function (assuming you can chew on the gap side). Best of luck with your treatment!
@@johnjazayeri Hello Doctor, thank you so much for your response! I am happy that I will be able to enjoy the holidays eating normal food. Good bless you.
I had implants, wearing temporary set but my gums are not healing and look very bad. Surgery 02/08/2024, Had sutures done txice on the top. What might be the issue?
Hi Stephanie. Sometimes the gum take longer to heal because they are weak (non-keratinized), extraction sockets were large, tissue flap was too aggressive, etc. However, I wouldn't worry too much about gums healing. The gum tissue will always heal over time. If the dental implants have been successful, that is the most important thing. Best of luck with your treatment.
Hi there. You may or you may not need antibiotics. It depends. If you are immunocompromised, it you have a stent, if you are a diabetic, then you should take antibiotics. However, if you are healthy with no serious medical issues, then you probably don't need it. That is unless you end up with severe pain, swelling, discomfort, etc. In these cases, I usually send antibiotics to the pharmacy and instruct the patient to take them if they feel they need it. A few painkillers may get the trick done. The thing is, you never know how the body reacts to a surgery.
@johnjazayeri thank you for your input. I think ill try without antibiotics. dentist put me on clyndomycin because amoxocillin wasn't preventing infection for very long , but clyndomycin gave me c-diff. the infection most likely kept reoccurring because of the tooth befor they took it out.
Hi there. A few different things can cause a "bubble" near the implant. Luckily, it's usually never a big deal. There are two scenarios that cause this. One, the tissue above the implant becomes irritated. This happens when the implant sticks slightly above the jawbone and invades the gum tissue. Not a big deal. This will be addressed when you receive your abutment and crown. The other scenario is when there is a hole, fistula, surrounding the implants. This typically happens when the implant fractures, or penetrates the buccal plate. I'm getting too technical here... In these scenarios will see a bubble in front of the implant (as opposed to above). This may or may not have serious consequences. Usually, it heals by itself. Occasionally, an additional bone grafting is required. White liquid is generally better than green. Did that answer your question? Has it gone away by now?
@@johnjazayeriThanks for the info. They removed my second lower left molar root canal tooth because it kept getting infected every few years and put me on clyndomycin, saying it was "a massive infection" clyndoymcin gave me c-diff. The bubble was on the same exact place of the lower outside gum as when it kept getting infected but instead of whitish yellow puss it was clear fluid with only a little bit of white and didn't pop all the way as it did each time it got infected. I delayed taking any antibiotics until 3 days after the implant but I went back to Amoxicillin while taking probiotics an prebiotics. I did not get c-diff again and the gums are healing up nicely. There's just a small dark spot on the gums where the bubble used to be. I'm still not sure if it was infection again after the implant or if it was swollen. I think swollen because it took a full 7 days after starting amoxocilli before it started to subside
Hi Felisha. Honestly, I wouldn't worry too much about bad breath if you're going through oral surgery. Maybe wear a mask, or tame some mints? Be sure to follow your doctor's instruction and take it easy for a while. Having said that, I would recommend rinsing with a peroxide or baking soda solution before bedtime. Rinse gently, and only one or two times a day. Do not over do it. For the first week, less is more. How did the surgery go?
I am scheduled for tth 10 implant next week. I also currently have braces with a fake tooth in that space. What are your recommendations? Also, how much time do I need to be off work for this procedures?
Hi Lolidan. The short answer is yes, this is normal. Here is why this happens: Dental implants are generally placed inside of the bones and below the gum tissue. Depending on the exact placement of the implant, there may or may not be some gum tissue on top of the actual screw itself. If the implants is placed deep, well below the gum line, then you will be fine. However, if the implant is placed at the bone level, or slightly above the bone, then there will be an area of thin gum tissue above the implant screw. This thin gum tissue can swell up and appear infected, although it is nothing to worry about. It only looks this way because of the thinness and fragility of the gum tissue that covers the screw. In my practice, I typically have the patient come back in 2 to 3 weeks after their implant placement so that I can evaluate the healing process. If you are not having pain, then just wait until your post-op appointment. Your dentist will evaluate the area, possibly take an X-ray, to make sure everything is fine. Of course, if you are having an implant infection or rejection, it looks very similar to what I just described. The only way to tell the difference is to wait for your post-op appointment. But like I said, don't worry too much since this it usually just a byproduct of the thin gum tissue. However, if you are having severe pain, or see green pus getting ejected, then you may have an infection. Either way, taking antibiotics is a good idea. So if you haven't been given any, I would contact the dentist to request some. Well, I hope this helped clear up the situation to some extent. Let me know what it ends up being when you do see your dentist soon.
Hi Mark. I have patients that have had dental implants for 10, 20 or 30 years (not from me of course, I'm not that old!) and are generally very happy with their dental implants. In fact, I don't recall knowing of any patient who is not happy with their dental implants. Unless of course, they run into issues with their dental implants. The most common long-term issue with dental implants is that the abutment screw gets loose. This is by far, and I mean by far, the most common issue with dental implants. What happens is that the abutment screw (not the implant post itself) gets loose and the crown starts to rock. The solution is simple, you have to tighten the abutment screw. The problem: No other dentist wants to touch a dental implant done by another dentist! I've seen this happen with dental implants that are 5, 10, 15 years old. Unfortunately, the original implant dentist is long gone or retired. There are two things you should do to avoid running into this problem. First, always ask for a "screw-retained crown", especially for the back teeth. Implants for posterior teeth take lots of force, which leads to the loosening of the abutment screw. If you have a screw-retained crown, the dentist can simply remove the filling over the screw, tighten the screw, and reseal your crown. This takes 5 to 10 minutes and I'd gladly do it for patients who have received their dental implant from another dentist. However, if there is no screw access hole on the crown, then I have to cut through the crown and risk messing up the whole implant. I usually refuse to do that and the patient is stuck with a rocking crown! The second thing you should always do is record the brand and size of the dental implant in your mouth. About 50 dental implant brands are out there, each with its parts, screws, torque limit, etc. Always write down the brand and size of your dental implants and put them in a vault. If your dentist retires, dies, or goes to mars, you can have another dentist fix the problem. The good news is that dental implant failure is very rare, especially once the dental implant has properly healed. If a dental implant is going to fail, it usually does so within the first few months, before the screw has had a chance to integrate with the jawbone. Dental implants are fantastic, but just like anything else in life, there are things you need to be aware of when going for dental implants. I hope this helped, and best of luck with your treatment. Let us know how it goes.
Hi Frusci. I absolutely love any type of supplement, especially Vit D3 and K2. The healthier you are, the quicker your healing process, and the better your prognosis. However, the effects of taking supplements are not as much as you'd think. Jawbone is different than the bone in the rest of your body. Taking supplements helps, but you still need sufficient jawbone, initial stability, etc. Avoiding smoking is probably on top of my list. Supplements help as well, but they're only a small piece of the puzzle. Good luck with your treatment and thanks for your comment!
I appreciate your suggestion of good vitamins to take. The dentist pulled six teeth. Last Thursday I feel fine. Minimal swelling and eating fine. I am taking some vitamins.
Hi Carl. It is very rare to hit the nerve during implant surgery. Using a CBCT guide is helpful to position the implants. It reduces the chances of hitting the nerve, but it does not completely eliminate the risk. Keep in mind that the nerve is only an issue for dental implants placed in the lower posterior region. The good new is, if the implant that has hit the nerve is removed right away, the nerve will mostly regenerate itself. How can you tell if this has happened? If you receive a dental implant in the lower posterior, and the numbness does not wear off after 24 hours, then the implant may have hit the nerve. This numbness could also be from the needle or the drill, but I would rule out the implant sitting on the nerve immediately. Contact your dentist and have them take a CT scan to see if the implant is on the nerve. If it is, have it removed right away. Otherwise you could be looking at long term, or even permanent, ,numbness of the jaws!
I’m a high risk patient I let my oral surgeon knew but 8 mths later still paying on my loan but there hesitant to do my denture dental implants and they’ve yet to reach out to my doctor should I go to another facility this have left me so depress my doctor gave me the okay and are awaiting on renew to reach out but here I’m going on month 9 thoughts
@@johnjazayeri I’ve been living with Human immunodeficiency for over 26 yrs I’m on 1 pill a day but they need my blood work to be at a certain number but it could take yrs my doctor is aware of the procedure and stated antibiotic combination and as long as I keep taking my meds there should be no issue but renew has me going in circles w/o an answer
I had 7 individual implants done 2 years ago. Everything healed fine. My great concern is I STILL DON'T HAVE CROWNS! I keep hearing from my dentist that the lab keeps screwing up, so I need another scan. I've had 3 scans and between scans I've had to wait 3-4 months for the crowns to come in only to find they don't fit correctly. This can't be normal. Am I going to have implant problems for lack of crowns for such an extended period?
Hi there. I am sorry to hear your dilemma. The good news is that, no, you will not run into any serious issues for not having your teeth for a few more months (other than digestive issues of course). In fact, a few extra months of healing is always best for the implant screws themselves. Now, why are the teeth not fitting? What has been the major issue with the fit? Let me know and I might be able to sure a few tricks to help you and your dentist get the teeth to fit right the next time.
The first time he put 4 crowns in, but, they weren't aligned correctly. One of them is rubbing against my tongue, 2 of them are jutting out toward my cheek and one is too short. The dentist doesn't explain much to me when I ask how they can be so wrong. So, after he initially put those 4 in, he said the others were not right so he didn't put them in. Then he had me scanned again. When I went back for the fitting, again he didn't even bother to put them in as he wasn't happy about the crowns and ordered ANOTHER scan! So, my 3rd scan was in early October and to this date I'm still without crowns, except the 4 which don't fit correctly. Why would he keep using the same lab if they never get it right and why doesn't he correct the ones that are already in my mouth? And why does the lab take SO long to craft these crowns? 3-4 months??? The bottom line, as far as I can tell, is that the crowns are just crafted incorrectly. BTW, my teeth have always been perfectly straight, if that matters. @@johnjazayeri
I usually advise my patients to avoid strenuous exercises anywhere from 1 week up to 1 month. Heavy exercises such as MMA, weight-lifting, etc. put lots of pressure on your body and may interfere with the implant healing process. If you are a non-smoker, have great bone quality, use a high-quality implant system, etc. then one week is usually sufficient. If you suffer from certain medical complications, have soft jawbone, your surgery was complicated, etc. then I would be careful for a whole month. Your best bet is to ask your dentist this question AFTER the surgery. We generally have a better idea of the success rate once we have finished treatment and evaluated the torque, X-rays, etc. Having said that, simpler exercises such as walking, biking, etc. are generally okay after a few days once the pain and swelling have subsided. Good luck with your treatment!
What about numbness after implants are placed? My lip, chin and a few teeth on my lower right side are still numb one month after the impants were placed. The implants have felt fine. No pain. No infection. The dentist said the nerve gets pressured and there can be numbness for weeks, even months. It is not uncommon. What can be done to get the feeling back sooner? Massage not really working. Massage the nerve area or massage the numb area? B Vitamins were recomended to heal the nerve.
Hi there. There are a few reasons for numbness after dental implants. The most common one is that the dental implants are sitting on the nerve (lower back teeth exclusively). This is NOT good. If this is the case, the dental implants need to be removed immediately. I hope this does not apply to you. However, you should have a CT scan to make sure the dental implants are not sitting on the nerve. There is a tricky curve to the nerve around the lower bicuspids that could easily be overlooked (is your implant for teeth #20, 21, 28 or 29?) Nerve damage will become permanent if this is not addressed in a timely fashion. I suggest you go for a second opinion with an oral surgeon ASAP. Now, there are other reasons where you may be numb that are not as serious. The other reason is that the dentist over drilled and hit the nerve but the dental implants were not placed on the nerve itself. Hopefully this applies to you. This does usually resolve in a matter of a few weeks. The only way to know is to take a CT scan and make sure the implant is not sitting on the nerve. Lastly, nerve damage can be from the injections (shots) themselves. This is the least serious scenario. However, this usually resolves in a matter of hours or days. I am concerned since the numbness has lasted for longer than it should. One month is already too long. Take a CT scan to make sure the implants are not sitting on the nerve. If it is, remove them ASAP. If it's not, then see a neurologist. This is not a joking matter, and your dentist should not brush it off the way he or she did. If nerve damage is not resolved in the first few months, it may become permanent. Let me know what happens. Feel free to post an X-ray so that I can better evaluate your situation.
@@johnjazayeri Thank you for your professional and thoughtful reply. I'm encouraged that it is just numbness and not paralysis, so I'm optimistic he didn't hit the nerve, or is sitting on it. The implant site feels just fine. The dentist was aware of the high nerve I had in that area. I can still move all areas of my mouth and chin. It just feels like the numbing agent hasn't worn off completely in my chin and lower lip and a few front lower teeth. It seems to be a known condition after oral surgery and implant surgery called paresthesia. From the website of Anthem Oral Surgery & Implant Center: "What Causes Paresthesia? The nerves that give sensation to the lip, chin, gums, and tongue are very close to where your surgery was performed. When these nerves are disturbed during surgery, they may not function normally. It is important to note that these nerves affect sensation only, not movement. Therefore, you may feel numb or your food may taste different, but the affected areas should move normally. You should be able to smile, speak, and chew as usual. How Long Will Paresthesia Last? The duration of paresthesia is unpredictable. It may last days, weeks, months, or, in rare cases, it may be permanent. Paresthesia usually gets better by itself over time. You may notice tingling or other sensations while your nerves are repairing. (I am feeling this!) On the other hand, your sensation may return so gradually that you might not be aware of any improvement. (This seems accurate also.)" I called them and they said they don't even begin to worry and see patients until it's been 2-3 months. And yet it sounds like your implant patients have never or seldom experienced this? And you must have done many implants. I have hope that the numbness will be totally gone in the coming weeks and I won't be one of these rare cases where it doesn't ever go away. If it continues for more than a few more weeks, I will get that second opinion and scan that you recommend. Thanks! 🙏
Hi Dr from Australia :) I'm just starting my journey to having dentures and just have one question on the smoking issue. I'm in the process of quitting now and just wondered if the nicotine replacement therapies will have a negative effect on the platelets you mentioned?
Hi Diane. NRT is better than smoking, but it still has nicotine. For dentures, you want to minimize nicotine use during the tooth extraction surgery. I recommend to stop smoking at least a few weeks before and after the surgery. Otherwise, once you've healed, the smoking is not as big of a concern. Best of luck!
I got a dental implant crown put in a few days ago. Is it normal for the floss to go all the way through to the other side of the top of the crown. I'm was worried if it means the crown isn't sealed to my gum or put in properly
Hi there. Unfortunately, cleaning dental implants is a problem that many patients face. It's complicated, but I'll try my best to explain. First off, implants always lose a little bit of bone as compared to natural teeth. This means that the crown that sit on top of the implant is a bit longer than the crown that sit on natural teeth. This creates a space for food trap. The other reason that implants trap food is due the difference in size between the implant and the implant crown. Implants are much smaller than teeth roots. As a result, implant crowns have this steep angle and are flared out at their connection point. This leads to food trap in a way that naturally teeth do not. This is particularly pronounced on molar teeth that have the biggest difference between implant size and crown size, which is why molar implants generally trap more food than natural teeth. Now that you understand why implants trap more food, let's see how much food trap is too much, and what can be done about it? If your dental floss passes through without catching and clicking, basically if it just glides up and down, that is unacceptable and you need to redo your implant crown. If however, the flosses does pass firmly, then there's not much your dentist can do. They can try sending your crown back to the lab to add more porcelain/ceramic, but that doesn't always work. I would recommend using a Waterpik and dental floss to clean the area thoroughly. The good news is that the implant itself won't develop cavity, since implants are fake teeth which are resistant to decay. The bad news is that the tooth next to the implant are at high risk of developing cavities. I hope this helped shed some light on your situation. Feel free to post your X-ray in the comment so that I get a better idea of what's going on, and whether or not anything can be done to alleviate the situation.
Next week I'm going to get two incisors (without cutting) my doctor says the healing process is no worse than for a tooth extraction, 1-2 weeks max, that's how long I want to rest completely, no work training, just rest. After that I plan to start exercising again but only with 50% light weights ? No heavy heavy exercise ( like squat, deadlift etc.) Is that too early ?
Hi there. Good luck with your treatment! I'd say 2 weeks is more than enough. If the implants are healing well and you're not in pain, you can get back to your normal workout/dietary routine after 2 weeks. Good luck!
@@johnjazayeri Hi doctor .. If the procedure is vertical sinus lift .. would you advise the same "2 weeks" of rest only before hitting the gym ? thanks in advance.
Hi Buggesha. I would 100% recommend dental implants. You have four options here: 1. Dental implant 2. Bridge 3. Partial denture 4. Do nothing! Dental implant is your best solution. You may need two implant posts plus two crowns to replace two missing front teeth. If the missing teeth are next to each other, you may only require one implant post and your dentist can install two crowns on top of this implant fixture. A well-placed dental implant should last you a lifetime, restore your smile, and preserve your jawbone as a bonus. Placing a bridge involves shaving at least two neighboring teeth. This is pretty risky for a 21-year-old as the supporting teeth can fail or get infected over time. Should this happen, you now have 3 or 4 missing front teeth! Partial dentures are an inexpensive way to quickly replace your missing front teeth. If you can't afford dental implants, I would go with this option. However, partial dentures break, you lose them, the dog can eat them, etc. If you're only 21 years old, you would be wise to save up and invest in dental implants, assuming that the rest of your teeth are in good condition and you don't need a whole bunch of other dental work. You can also choose to do nothing and just walk around with your missing front teeth. Of course, your remaining teeth will gradually shift into this gap, your jawbone will shrink, etc. You will likely develop additional dental issues as a result of these missing teeth, never mind the psychological effects of walking around with your front teeth missing. I hope this helps answer your question. In my opinion, the younger you are, the more it makes sense to find a way to save up and get dental implants to avoid future complications that arise from bridges and partial dentures. Good luck!
@@johnjazayeri Sir, I have two missing front upper teeth next to each other. What is the best option to have 2 implants, 2 crowns or 1 implant and 2 crowns?
Hey Doc, I’ve got one implant. I love smoking cigars and Pipe. It’s been a week. I don’t see a whole lot of research on what happens if someone smokes pipes/cigars.
Hi Jose. You are correct, there is not much research on the different types of tobacco based products and their impact on dental implant healing (or all surgeries for that matter). Here is what I have experienced in my patients who use tobacco products and its impact on dental implant healing: Cigarettes (worse) Vapes Marijuana Cigars Cigarettes and vaping are worse due to their frequency of use. Typically, people who smoke weed or cigars usually use them once or twice a day/week (Snoop Dog being the exception). In contrast, vaping and cigarettes are something that you do throughout the day. Therefore, the impact of cigarettes and vaping is much more pronounced. The other factor is how long you've been using tobacco products. A 30-year smoker will fare far worse than someone who has been smoking for 2 years. Well, I hope this helps a bit. Best of luck with your treatment!
Hey Doc, I'm like a 11month late to the party 😅 still shooting out my question hope you'll see this. I understand you covered Exercise and diet, thank you for that. My question is on supplementation. Particularly high caffeine pre workouts and sugar free energy drinks. Should I be concerned about consuming them? I can definitely drink them without the teeth ever getting in contact but just wanted to get your opinion. Thanks in advance.
Hi Krishna. Great question. I'm not sure if there is enough research on this topic, but let me provide you with my experience after having placed a few thousand dental implants. I would reduce my consumption of high-caffeine energy drinks for a few weeks before and after implant surgery. In small doses, caffeine is perfectly fine. It boosts your energy, memory, and performance levels. However, very high levels of caffeine may cause complications during implant surgery since caffeine raises your heart rate and blood pressure levels. I recommend that you reduce (not necessarily eliminate) your daily caffeine intake before and after any major surgery. The more complex your implant treatment, the more I would abstain from excessive caffeine use. Plus, drinking high levels of caffeine makes you jittery. You could end up damaging your dental implants simply by playing with them with your tongue. I hope that helps. So how did your recovery go? Did you kick the habit before and after your surgery or not?
@@johnjazayeri wow thank you so much for answering doc! I didn't really give this, much thought before the surgery (5 days ago) luckily no complications there. But been staying away from high caffeine since then. And I'm glad I asked you. Will continue this for few more weeks to prioritise recovery over performance. Please keep up the great work sir 🙌💪
9 days out from 4x4 a little unpleasant, tongue feels like hamburger, gums have random spots, palate is cold sensitive, room temp fluids recommended,, I vape,more when in pain, vape in quantum events. Hard palate takes a beating, and is a major source of pain. 3-4 times a day. Best most soothing thing warm salt water. Taking Tylenol, I’ve had run-ins with NSAIDS.FOOD SUCKS. Like all medical situations now days, lots of attention during sales portion of decision process. Feel rushed after procedure. I sleep a lot. When I can. Great expectations for the future!
I had a bone graft, sinus lift and implants given, but no postop care was told no instructions no packet no nothing and now I am told that something that I was never told to do. It might be the problem please please help.
Hey doc, my mom is about to recieve an implant for her lower first molar. Im quite scared for her :( but thank you for the video it really helped ease my mind🙏🏽
Trust me can’t be worst then my root canal, I had a tooth pulled which is painful and wisdom teeth pulled 🙈🙈🙈wisdom teeth takes the high end of the pain scale
Hi Elle. It really depends. If it's a simple implant and things go smoothly, you should be fine in 2 to 3 days. If it's a complex case, such as multiple implants, soft bone, sinus treatment, aggressive grafting, etc. then you should give it at least one week. For the most complex cases, I advise my patients not to resume heavy exercises until they see me in one to two weeks for their followup visit. I will let them know at that point if they can resume exercise and other activities based on how the surgery site has healed. So it all comes down to how complex your treatment is.
Hi. Usually there is pain between somewhere from two days up to one week. Some people have no pain at all. Others suffer for several days. The pain should go away in two weeks tops. Otherwise, you should contact your dentist. I usually do a follow-up in 2 weeks to make sure the pain is gone, the implant is taking, and remove any leftover sutures. So the time frame for recovering from the pain is a few days to a few weeks. This does not mean that your dental implant is ready to be restored at this time. It takes several months for the bone to grow and lock in the implant. This usually takes 2 to 4 months for the front teeth. There is the option to restore the implant right away. I don't like it as it leads to more complications. Good luck!
Good question. Once implants have healed properly, they usually last a lifetime. Now, there could be issue with implants during the first few months when they are healing. Your dentist should address these issues. But once implants have healed properly, they usually last a lifetime. Again, I said usually. This means you have to clean them and take proper care of your implant and remaining teeth. A successful dental implant should have a 98-99% chance of lasting a lifetime.
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/
@@mg-hk3lnhow’s the pain level after surgery ? I will have my all on 4 this coming Tuesday 😬 they gonna pull my teeth too ..I will have top and bottom.I will have 8 implants 😬
I recently started my dental work about a month ago 2/22/24 I had sinus lift with bone graft and implants I believe five two on each side of my upper mouth and one of the bottom. Lack of communication is insane. Most of what I know is from your video. Thank you.
You're welcome Alexis. I agree. Dentists just don't have the time to explain these complex treatments in great details to patients. Plus, these are scary stuff, and most patients would run away if we told them the truth: "I will be cutting through your gum tissue, cutting your jawbone, lifting your sinus membrane, and stuffing a bunch of cadaver and cow bone in your sinus". How is your treatment coming along? Best of luck!
Thank you for this excellent presentation and explanation… the dentist that did mine put my invisalign tray over the dental implant right after the surgery. I was in an immense pain and not even an ibuprofen he prescribed help at all. I have to do my own research and saw videos such yours and had to call the clinic about the issues. The other dentist apologized and had to modify the invisalign tray. Sharing this experience for those who have invisalign and wanted to do dental implant (this is the same clinic who did my invisalign and suggested to do dental implant).
Videos such this really helped me point out their mistake. Again, thank you Doc!
I had 8 implants put in on 3-30-23 it’s now 4-5-23 and my mouth s very sore I’m still swollen and very uncomfortable! There is no way I could go to work!! I don’t understand how anyone can have 😮this surgery and just move on after a couple of days!
Hi there. Wow, great job! Were you put to sleep? I hear you, getting a bunch of implants is usually painful. Most people who have 8 implants will be in pain for one week. Is it getting any better? I know it's surprising, but some people feel very little pain. Not sure why... Could have to do with their jawbone quality, pain threshold, etc. Did you take any pain meds? Antibiotics? Is this for all-on-four implants? Wish you a speedy recovery.
Everything takes time and 8 implants is a lot..stay positive and do everything your told to do and you will be amazed when it all heals up.
I had bone removal on top and bottom on my mouth and 12 implants it's been 9 days and I'm super sore and still in some pain.. he doesn't give pain meds
@@johnjazayeri
Hello, I had a full mouth extraction done on Monday. 6 implants on top and five on the bottom. My facial swelling is down however my gums are still swollen. The temp dentures are too bulky.😢
@@sambutler8326that sounds terrible.
Excellent presentation , very useful , covers most questions arising after implants surgery 👍
Do you think red light therapy will help heal faster?
Great video doc!
Thank you so much Dr. Jazayeri!!! You put my mind at ease 🦷
I really enjoy your videos, I'm excited & nervous 😱
I get my procedure done in 2 weeks, I'm having 4 implants put in to support my denture, my concern is my dentist will not remove enough of the palate on my new denture, He says there will be some palate, I don't understand why 😞 I will have 4 implants why would my denture have the palate?
That is the reason I am getting the implants⬅
Dr.J what are your thoughts?
I would really appreciate your feedback.
Hi Sue. Great question. The denture still needs some palate. This is so it doesn’t break, and also for some additional suction. I recommend that you start with what your dentist suggests. Then, have him or her cut from the palate once the fitting is completed. This way, you get the maximum stability with minimal discomfort. Don’t be too eager to remove the entire palate quickly as this can compromise your denture. Do this over the course of a month or two as you are getting accustomed and familiarized with your new teeth. You don’t want to go in circles of cutting (too much palate doc) and adding (ops, you removed too much doc!). Be patient and work with your doctor to achieve the perfect fit. Good luck with your procedure!
What your being told about the need for palate. I've gotta call B.S. because that would then be the same for the lower one , and that's not the case. Not sure why it needs extra support but the lower doesn't, yet hold up against use. I don't know anything, it's just that what your being told doesn't add up to me, I'd definitely be making someone answer alot of more questions, if it were me.
I have upper denture that has no palate in the middle of denture ,metal strip across back teeth and it works perfectly .hope you get the denture made without full palate .
Thank you so much, I had 3 implants put in 5 days ago and I’ve been unable to sleep due to not being able to vape cannabis once at night for chronic pain. I was afraid I would have to wait several months, but I return to work very soon so I’ve been really stressed out about this. I’m so relieved to hear that I can start again after a week.
Hi Chantel. Glad to hear you had a quick recovery! I would say that the vast majority of patients experience less pain than they had expected. Of course, there are those 10% that suffer from severe pain. The more careful you are, in terms of diet, hygiene, following your dentist's instructions, etc. the better you'll do in your recovery. By the way, did you start using cannabis? Does it help?
how severe was ur pain
@@sckumar6812 I just had 3 implants and a sinus lift done. Pain has been minimal from the implants (my dentist used a guided implant system). The sinus lift is a bit more invasive but it's been 5 days and my swelling is going down and thankfully zero bleeding or complications. I'm thrilled with the work and pain has not been an issue. I was on weak pain meds for 3 days which was sufficient.
Thanks Dr. extremely helpful and very well explained!
Thank you Doctor! I had 2 teeth implant last Friday...
Yes, in the beginning of your video. You start your video saying a patient walks out of the surgery room with a paper sheet in hand ...
When I got the gauze and paper sheet, I was like that's it?
Thank your for your advice🙋♂️
HI Rebelde. Glad that you were able to pickup a few things from my video. I must admit, doing implant surgery is quite stressful. By the time your dentist/surgeon is done with the surgery, they don't have much energy left to go over all the instructions. Plus, it would take half an hour to review everything with the patient, and no dentist has that kind of time. The best most dentists do is give the patient an instruction sheet/pamphlet. Some dentist have patients watch a video. I guess we all assume that patients know what to do, even though almost no one know exactly what they need to do LOL. Good luck with your recovery!
Thank you this answers many questions!!
Thank you so much. Impressive.. Watching from Saudi Arabia.
Never got this post-care info from my dentist. I just keep getting the speech about I'm biting down wrong. Why should I have to concentrate on every bite to arrange my mouth the way the dentist wants? Why shouldn't the device fit my natural bite?
Hi Donna. You are right, dentists rarely have 30 minute to sit and go over the post-op instructions in detail, the same goes for my patients! This is why you must either read the post-op instructions they give you or go to the internet in search of these instructions. Regarding your bite situation, I'm not quite sure what you're story is. Is this a temporary denture where the bite is off? It's not uncommon for temporary denture to have a poor bite relationship. Your dentist should address this once the permanent teeth are made. However, if this is the permanent set of teeth, then yeah, you have an issue and you need to take it up with your dentist. Best of luck to you.
Great video information!
Thank you for this video!!
Can you drink coffee after the implant? What do you recommend? after 1 week, 2 weeks?
Hi Ferds. I’m not too concerned about hot and cold drinks after dental implant surgery. You might feel a little sensitivity, but it doesn’t have much of an impact on the dental implant itself. On the other hand, smoking, brushing the surgery site, and eating hard food is what you need to be most cautious about. I’d say have your coffee in a week, in moderation, and don’t be alarmed if it feels a bit tender and sensitive. You can also try using a straw to avoid contaminating the surgery site.
My dental implant area got a red inflamed pimple like area after 15 days.
It's throbbing and paining a lot even after taking antibiotic cefuxime for 5 days .
I can feel the implant when it throbs.
I guess its badly infected. First 10 days no pain was there but now it's horrible feeling....can this implant be saved?
No improvement after taking antibiotic.
@@gaurab197I have the same problem. what did you find out ? thanks
My mom had implant that got infected. She was experiencing the same symptoms you are. Call the dentist tell them. So they can help you.
I had six implants in last week. Im not in that much pain but i feel utterly exhausted and weak. Like really, really done. It was a horrific experience for me. I was choking on the water and blood and they kept telling me to swallow it and I couldn’t, I was choking, I hated it, 4 hours of absolute terrifying hell. Next time for my lower jaw they have advised me being under general because i am so anxious. Im also scared about this, I have my surgery done thousands of miles from home and I am scared. I know the result will be wonderful but even so I hate it.
🙏🙏🙏🙏🙏🙏
Hi Kii I had six implants both jaws last week all teeth removed, I am away from home also. Hope your feeling better, I have my finals tomorrow and I am dreading the pain.
Oh no I will have my all in 4 this coming Tuesday ..you scare me .why did you choking ? You mean during surgery or afterwards? I’m so anxious and scared 😬 I will have too and bottom..plus some bone grafting ..ayayay
@@mg-hk3lnhi did you take any pain reliever? Is it really painful? Is it worst than toothache? I will have all on 4 this Tuesday.I’m kind of scared lol
I had a tooth pulled and it was the worse pain, thanks for clarifying the pain re placing the implant as I was thinking I would have that same pain all over again.
I had 4 implants 2days ago and experienced minimal pain despite complexity of surgery and comorbidities ( chronic pain syndrome , anticoagulants...) - plesently surprised as l was warned and expected a "tsunami" of pain !
I am however concerned about the appearance of implants site as is very bruised /blackened and a white film cover the sites . Otherwise , bearable minimal pain , not much swelling except some stinging sensation l belive caused by sutures pulling ? Should l be concerned about "angry" appearance ?
Million thanks 🙏
Hi Adriana. Glad to hear you're doing so well. You do not need to worry at all. Bruising and change of color is normal after surgery. The white film is plaque, the same stuff that accumulates on teeth, which also accumulates on the surgery site. No pain is a great sign. We always tell the patient the worse case scenario to have them prepared. It also helps patients follow instructions better. So yeah, you look like you did really well with your surgery. Good luck with the rest of your treatment!
@@johnjazayeri Thank you very much for swift reply and encouragement - you're not only a fabulous dentist but a great human being 🙏🍀☀️
Thanks for the info, just got 3 bones graft, 1 sinus lift , 2 extractions and 6 implants, took 6 hours, they gave me dexamethasone also, . I will follow your advice on exercise and food. Hope it will stop hurting soon :)
Hi can you eat bread after words and soft food
Hello Doctor, thank you for this informative video! I had my bridge implant surgery on 10/16/2024. I have only been eating healthy soups and drinking vegetable juices. The dentist gave me a follow-up appointment for 01/24/2025. I would like to know, when will I be able to eat normal food, like tortillas, beans, cheese, etc. Thank you in advance for your response.
Hello. Great news! I generally advise my patients to be careful for the first few weeks. I would say a month after surgery is a safe time to resume chewing function (assuming you can chew on the gap side). Best of luck with your treatment!
@@johnjazayeri Hello Doctor, thank you so much for your response! I am happy that I will be able to enjoy the holidays eating normal food. Good bless you.
Thank you!
You’re welcome! How did your implant surgery go? Did you have lots of pain or did it go pretty smooth?
@@johnjazayeri it went great! Your video answered sooo many questions. Again thank you!
I had implants, wearing temporary set but my gums are not healing and look very bad.
Surgery 02/08/2024,
Had sutures done txice on the top.
What might be the issue?
Hi Stephanie. Sometimes the gum take longer to heal because they are weak (non-keratinized), extraction sockets were large, tissue flap was too aggressive, etc. However, I wouldn't worry too much about gums healing. The gum tissue will always heal over time. If the dental implants have been successful, that is the most important thing. Best of luck with your treatment.
do you need antibiotics for one implant?
Hi there. You may or you may not need antibiotics. It depends. If you are immunocompromised, it you have a stent, if you are a diabetic, then you should take antibiotics. However, if you are healthy with no serious medical issues, then you probably don't need it. That is unless you end up with severe pain, swelling, discomfort, etc. In these cases, I usually send antibiotics to the pharmacy and instruct the patient to take them if they feel they need it. A few painkillers may get the trick done. The thing is, you never know how the body reacts to a surgery.
@johnjazayeri thank you for your input. I think ill try without antibiotics. dentist put me on clyndomycin because amoxocillin wasn't preventing infection for very long , but clyndomycin gave me c-diff. the infection most likely kept reoccurring because of the tooth befor they took it out.
what is a bubble in gums filled with clear fluid 3 days after implant? my dentist went on vacation. omoxicillin hasent helped
Hi there. A few different things can cause a "bubble" near the implant. Luckily, it's usually never a big deal. There are two scenarios that cause this. One, the tissue above the implant becomes irritated. This happens when the implant sticks slightly above the jawbone and invades the gum tissue. Not a big deal. This will be addressed when you receive your abutment and crown. The other scenario is when there is a hole, fistula, surrounding the implants. This typically happens when the implant fractures, or penetrates the buccal plate. I'm getting too technical here... In these scenarios will see a bubble in front of the implant (as opposed to above). This may or may not have serious consequences. Usually, it heals by itself. Occasionally, an additional bone grafting is required. White liquid is generally better than green. Did that answer your question? Has it gone away by now?
@@johnjazayeriThanks for the info. They removed my second lower left molar root canal tooth because it kept getting infected every few years and put me on clyndomycin, saying it was "a massive infection" clyndoymcin gave me c-diff. The bubble was on the same exact place of the lower outside gum as when it kept getting infected but instead of whitish yellow puss it was clear fluid with only a little bit of white and didn't pop all the way as it did each time it got infected. I delayed taking any antibiotics until 3 days after the implant but I went back to Amoxicillin while taking probiotics an prebiotics. I did not get c-diff again and the gums are healing up nicely. There's just a small dark spot on the gums where the bubble used to be. I'm still not sure if it was infection again after the implant or if it was swollen. I think swollen because it took a full 7 days after starting amoxocilli before it started to subside
@@johnjazayeri
How can I get fresh breath while waiting to heal from my implant.
Hi Felisha. Honestly, I wouldn't worry too much about bad breath if you're going through oral surgery. Maybe wear a mask, or tame some mints? Be sure to follow your doctor's instruction and take it easy for a while. Having said that, I would recommend rinsing with a peroxide or baking soda solution before bedtime. Rinse gently, and only one or two times a day. Do not over do it. For the first week, less is more. How did the surgery go?
I am scheduled for tth 10 implant next week. I also currently have braces with a fake tooth in that space. What are your recommendations? Also, how much time do I need to be off work for this procedures?
Is blood clot forming on top of the implant is normal?
Hi Lolidan. The short answer is yes, this is normal. Here is why this happens: Dental implants are generally placed inside of the bones and below the gum tissue. Depending on the exact placement of the implant, there may or may not be some gum tissue on top of the actual screw itself. If the implants is placed deep, well below the gum line, then you will be fine. However, if the implant is placed at the bone level, or slightly above the bone, then there will be an area of thin gum tissue above the implant screw. This thin gum tissue can swell up and appear infected, although it is nothing to worry about. It only looks this way because of the thinness and fragility of the gum tissue that covers the screw.
In my practice, I typically have the patient come back in 2 to 3 weeks after their implant placement so that I can evaluate the healing process. If you are not having pain, then just wait until your post-op appointment. Your dentist will evaluate the area, possibly take an X-ray, to make sure everything is fine. Of course, if you are having an implant infection or rejection, it looks very similar to what I just described. The only way to tell the difference is to wait for your post-op appointment. But like I said, don't worry too much since this it usually just a byproduct of the thin gum tissue. However, if you are having severe pain, or see green pus getting ejected, then you may have an infection. Either way, taking antibiotics is a good idea. So if you haven't been given any, I would contact the dentist to request some. Well, I hope this helped clear up the situation to some extent. Let me know what it ends up being when you do see your dentist soon.
Do you have patients who have dental implants for more then 10 years? And are they generally satisfied?
Hi Mark. I have patients that have had dental implants for 10, 20 or 30 years (not from me of course, I'm not that old!) and are generally very happy with their dental implants. In fact, I don't recall knowing of any patient who is not happy with their dental implants. Unless of course, they run into issues with their dental implants.
The most common long-term issue with dental implants is that the abutment screw gets loose. This is by far, and I mean by far, the most common issue with dental implants. What happens is that the abutment screw (not the implant post itself) gets loose and the crown starts to rock. The solution is simple, you have to tighten the abutment screw. The problem: No other dentist wants to touch a dental implant done by another dentist! I've seen this happen with dental implants that are 5, 10, 15 years old. Unfortunately, the original implant dentist is long gone or retired.
There are two things you should do to avoid running into this problem. First, always ask for a "screw-retained crown", especially for the back teeth. Implants for posterior teeth take lots of force, which leads to the loosening of the abutment screw. If you have a screw-retained crown, the dentist can simply remove the filling over the screw, tighten the screw, and reseal your crown. This takes 5 to 10 minutes and I'd gladly do it for patients who have received their dental implant from another dentist. However, if there is no screw access hole on the crown, then I have to cut through the crown and risk messing up the whole implant. I usually refuse to do that and the patient is stuck with a rocking crown!
The second thing you should always do is record the brand and size of the dental implant in your mouth. About 50 dental implant brands are out there, each with its parts, screws, torque limit, etc. Always write down the brand and size of your dental implants and put them in a vault. If your dentist retires, dies, or goes to mars, you can have another dentist fix the problem.
The good news is that dental implant failure is very rare, especially once the dental implant has properly healed. If a dental implant is going to fail, it usually does so within the first few months, before the screw has had a chance to integrate with the jawbone. Dental implants are fantastic, but just like anything else in life, there are things you need to be aware of when going for dental implants. I hope this helped, and best of luck with your treatment. Let us know how it goes.
@@johnjazayeri Wow, that’s fantastic advice, thanks!
You are gr8 sir . Love from india ❤
What are your thoughts on supplementing with Vitamins D3 and K2 with calcium as the osseointegration process progresses?
Hi Frusci. I absolutely love any type of supplement, especially Vit D3 and K2. The healthier you are, the quicker your healing process, and the better your prognosis. However, the effects of taking supplements are not as much as you'd think. Jawbone is different than the bone in the rest of your body. Taking supplements helps, but you still need sufficient jawbone, initial stability, etc. Avoiding smoking is probably on top of my list. Supplements help as well, but they're only a small piece of the puzzle. Good luck with your treatment and thanks for your comment!
@@johnjazayeri Would it be possible to book a call or zoom session with you that I could pay for? I am in NYC.
I appreciate your suggestion of good vitamins to take. The dentist pulled six teeth. Last Thursday I feel fine. Minimal swelling and eating fine. I am taking some vitamins.
if the implant is done by cbct guided imagery thing is the implant hitting the nerve not an issue?
Hi Carl. It is very rare to hit the nerve during implant surgery. Using a CBCT guide is helpful to position the implants. It reduces the chances of hitting the nerve, but it does not completely eliminate the risk. Keep in mind that the nerve is only an issue for dental implants placed in the lower posterior region. The good new is, if the implant that has hit the nerve is removed right away, the nerve will mostly regenerate itself.
How can you tell if this has happened? If you receive a dental implant in the lower posterior, and the numbness does not wear off after 24 hours, then the implant may have hit the nerve. This numbness could also be from the needle or the drill, but I would rule out the implant sitting on the nerve immediately. Contact your dentist and have them take a CT scan to see if the implant is on the nerve. If it is, have it removed right away. Otherwise you could be looking at long term, or even permanent, ,numbness of the jaws!
I’m a high risk patient I let my oral surgeon knew but 8 mths later still paying on my loan but there hesitant to do my denture dental implants and they’ve yet to reach out to my doctor should I go to another facility this have left me so depress my doctor gave me the okay and are awaiting on renew to reach out but here I’m going on month 9 thoughts
Hi there. What makes you a high risk patient? What treatment have you been receiving during this time?
@@johnjazayeri I’ve been living with Human immunodeficiency for over 26 yrs I’m on 1 pill a day but they need my blood work to be at a certain number but it could take yrs my doctor is aware of the procedure and stated antibiotic combination and as long as I keep taking my meds there should be no issue but renew has me going in circles w/o an answer
I had 7 individual implants done 2 years ago. Everything healed fine. My great concern is I STILL DON'T HAVE CROWNS! I keep hearing from my dentist that the lab keeps screwing up, so I need another scan. I've had 3 scans and between scans I've had to wait 3-4 months for the crowns to come in only to find they don't fit correctly. This can't be normal. Am I going to have implant problems for lack of crowns for such an extended period?
Hi there. I am sorry to hear your dilemma. The good news is that, no, you will not run into any serious issues for not having your teeth for a few more months (other than digestive issues of course). In fact, a few extra months of healing is always best for the implant screws themselves. Now, why are the teeth not fitting? What has been the major issue with the fit? Let me know and I might be able to sure a few tricks to help you and your dentist get the teeth to fit right the next time.
The first time he put 4 crowns in, but, they weren't aligned correctly. One of them is rubbing against my tongue, 2 of them are jutting out toward my cheek and one is too short. The dentist doesn't explain much to me when I ask how they can be so wrong. So, after he initially put those 4 in, he said the others were not right so he didn't put them in. Then he had me scanned again. When I went back for the fitting, again he didn't even bother to put them in as he wasn't happy about the crowns and ordered ANOTHER scan! So, my 3rd scan was in early October and to this date I'm still without crowns, except the 4 which don't fit correctly. Why would he keep using the same lab if they never get it right and why doesn't he correct the ones that are already in my mouth? And why does the lab take SO long to craft these crowns? 3-4 months??? The bottom line, as far as I can tell, is that the crowns are just crafted incorrectly. BTW, my teeth have always been perfectly straight, if that matters. @@johnjazayeri
How long can we go back for physical sports after implant with bone graft?
1 tooth, front..
I usually advise my patients to avoid strenuous exercises anywhere from 1 week up to 1 month. Heavy exercises such as MMA, weight-lifting, etc. put lots of pressure on your body and may interfere with the implant healing process. If you are a non-smoker, have great bone quality, use a high-quality implant system, etc. then one week is usually sufficient. If you suffer from certain medical complications, have soft jawbone, your surgery was complicated, etc. then I would be careful for a whole month. Your best bet is to ask your dentist this question AFTER the surgery. We generally have a better idea of the success rate once we have finished treatment and evaluated the torque, X-rays, etc. Having said that, simpler exercises such as walking, biking, etc. are generally okay after a few days once the pain and swelling have subsided. Good luck with your treatment!
@@johnjazayeri thanks Doc.. The sports is Basketball Doc.
I am now 5 dears near my 1 month recovery
What about numbness after implants are placed? My lip, chin and a few teeth on my lower right side are still numb one month after the impants were placed. The implants have felt fine. No pain. No infection. The dentist said the nerve gets pressured and there can be numbness for weeks, even months. It is not uncommon. What can be done to get the feeling back sooner? Massage not really working. Massage the nerve area or massage the numb area? B Vitamins were recomended to heal the nerve.
Hi there. There are a few reasons for numbness after dental implants. The most common one is that the dental implants are sitting on the nerve (lower back teeth exclusively). This is NOT good. If this is the case, the dental implants need to be removed immediately. I hope this does not apply to you. However, you should have a CT scan to make sure the dental implants are not sitting on the nerve. There is a tricky curve to the nerve around the lower bicuspids that could easily be overlooked (is your implant for teeth #20, 21, 28 or 29?) Nerve damage will become permanent if this is not addressed in a timely fashion. I suggest you go for a second opinion with an oral surgeon ASAP.
Now, there are other reasons where you may be numb that are not as serious. The other reason is that the dentist over drilled and hit the nerve but the dental implants were not placed on the nerve itself. Hopefully this applies to you. This does usually resolve in a matter of a few weeks. The only way to know is to take a CT scan and make sure the implant is not sitting on the nerve. Lastly, nerve damage can be from the injections (shots) themselves. This is the least serious scenario. However, this usually resolves in a matter of hours or days.
I am concerned since the numbness has lasted for longer than it should. One month is already too long. Take a CT scan to make sure the implants are not sitting on the nerve. If it is, remove them ASAP. If it's not, then see a neurologist. This is not a joking matter, and your dentist should not brush it off the way he or she did. If nerve damage is not resolved in the first few months, it may become permanent. Let me know what happens. Feel free to post an X-ray so that I can better evaluate your situation.
@@johnjazayeri Thank you for your professional and thoughtful reply. I'm encouraged that it is just numbness and not paralysis, so I'm optimistic he didn't hit the nerve, or is sitting on it.
The implant site feels just fine. The dentist was aware of the high nerve I had in that area. I can still move all areas of my mouth and chin. It just feels like the numbing agent hasn't worn off completely in my chin and lower lip and a few front lower teeth. It seems to be a known condition after oral surgery and implant surgery called paresthesia.
From the website of Anthem Oral Surgery & Implant Center: "What Causes Paresthesia? The nerves that give sensation to the lip, chin, gums, and tongue are very close to where your surgery was performed. When these nerves are disturbed during surgery, they may not function normally. It is important to note that these nerves affect sensation only, not movement. Therefore, you may feel numb or your food may taste different, but the affected areas should move normally. You should be able to smile, speak, and chew as usual. How Long Will Paresthesia Last? The duration of paresthesia is unpredictable. It may last days, weeks, months, or, in rare cases, it may be permanent. Paresthesia usually gets better by itself over time. You may notice tingling or other sensations while your nerves are repairing. (I am feeling this!) On the other hand, your sensation may return so gradually that you might not be aware of any improvement. (This seems accurate also.)"
I called them and they said they don't even begin to worry and see patients until it's been 2-3 months. And yet it sounds like your implant patients have never or seldom experienced this? And you must have done many implants.
I have hope that the numbness will be totally gone in the coming weeks and I won't be one of these rare cases where it doesn't ever go away. If it continues for more than a few more weeks, I will get that second opinion and scan that you recommend. Thanks! 🙏
Hi Dr from Australia :) I'm just starting my journey to having dentures and just have one question on the smoking issue. I'm in the process of quitting now and just wondered if the nicotine replacement therapies will have a negative effect on the platelets you mentioned?
Hi Diane. NRT is better than smoking, but it still has nicotine. For dentures, you want to minimize nicotine use during the tooth extraction surgery. I recommend to stop smoking at least a few weeks before and after the surgery. Otherwise, once you've healed, the smoking is not as big of a concern. Best of luck!
I got a dental implant crown put in a few days ago. Is it normal for the floss to go all the way through to the other side of the top of the crown. I'm was worried if it means the crown isn't sealed to my gum or put in properly
Hi there. Unfortunately, cleaning dental implants is a problem that many patients face. It's complicated, but I'll try my best to explain. First off, implants always lose a little bit of bone as compared to natural teeth. This means that the crown that sit on top of the implant is a bit longer than the crown that sit on natural teeth. This creates a space for food trap. The other reason that implants trap food is due the difference in size between the implant and the implant crown. Implants are much smaller than teeth roots. As a result, implant crowns have this steep angle and are flared out at their connection point. This leads to food trap in a way that naturally teeth do not. This is particularly pronounced on molar teeth that have the biggest difference between implant size and crown size, which is why molar implants generally trap more food than natural teeth.
Now that you understand why implants trap more food, let's see how much food trap is too much, and what can be done about it? If your dental floss passes through without catching and clicking, basically if it just glides up and down, that is unacceptable and you need to redo your implant crown. If however, the flosses does pass firmly, then there's not much your dentist can do. They can try sending your crown back to the lab to add more porcelain/ceramic, but that doesn't always work. I would recommend using a Waterpik and dental floss to clean the area thoroughly. The good news is that the implant itself won't develop cavity, since implants are fake teeth which are resistant to decay. The bad news is that the tooth next to the implant are at high risk of developing cavities.
I hope this helped shed some light on your situation. Feel free to post your X-ray in the comment so that I get a better idea of what's going on, and whether or not anything can be done to alleviate the situation.
Next week I'm going to get two incisors (without cutting) my doctor says the healing process is no worse than for a tooth extraction, 1-2 weeks max, that's how long I want to rest completely, no work training, just rest.
After that I plan to start exercising again but only with 50% light weights ? No heavy heavy exercise ( like squat, deadlift etc.) Is that too early ?
Hi there. Good luck with your treatment! I'd say 2 weeks is more than enough. If the implants are healing well and you're not in pain, you can get back to your normal workout/dietary routine after 2 weeks. Good luck!
Thank you very much for the reply and the good wishes @@johnjazayeri
@@johnjazayeri Hi doctor .. If the procedure is vertical sinus lift .. would you advise the same "2 weeks" of rest only before hitting the gym ? thanks in advance.
Sir, what's your suggestion for a 21 year old who wants to get the 2 missing front teeth?
Hi Buggesha. I would 100% recommend dental implants. You have four options here:
1. Dental implant
2. Bridge
3. Partial denture
4. Do nothing!
Dental implant is your best solution. You may need two implant posts plus two crowns to replace two missing front teeth. If the missing teeth are next to each other, you may only require one implant post and your dentist can install two crowns on top of this implant fixture. A well-placed dental implant should last you a lifetime, restore your smile, and preserve your jawbone as a bonus.
Placing a bridge involves shaving at least two neighboring teeth. This is pretty risky for a 21-year-old as the supporting teeth can fail or get infected over time. Should this happen, you now have 3 or 4 missing front teeth!
Partial dentures are an inexpensive way to quickly replace your missing front teeth. If you can't afford dental implants, I would go with this option. However, partial dentures break, you lose them, the dog can eat them, etc. If you're only 21 years old, you would be wise to save up and invest in dental implants, assuming that the rest of your teeth are in good condition and you don't need a whole bunch of other dental work.
You can also choose to do nothing and just walk around with your missing front teeth. Of course, your remaining teeth will gradually shift into this gap, your jawbone will shrink, etc. You will likely develop additional dental issues as a result of these missing teeth, never mind the psychological effects of walking around with your front teeth missing.
I hope this helps answer your question. In my opinion, the younger you are, the more it makes sense to find a way to save up and get dental implants to avoid future complications that arise from bridges and partial dentures. Good luck!
@@johnjazayeri Sir, should I wait another two years or just go now for dental implants? Are there any complications if I wait another two years?
@@johnjazayeri Sir, I have two missing front upper teeth next to each other. What is the best option to have 2 implants, 2 crowns or 1 implant and 2 crowns?
Hey Doc, I’ve got one implant. I love smoking cigars and Pipe. It’s been a week. I don’t see a whole lot of research on what happens if someone smokes pipes/cigars.
Hi Jose. You are correct, there is not much research on the different types of tobacco based products and their impact on dental implant healing (or all surgeries for that matter). Here is what I have experienced in my patients who use tobacco products and its impact on dental implant healing:
Cigarettes (worse)
Vapes
Marijuana
Cigars
Cigarettes and vaping are worse due to their frequency of use. Typically, people who smoke weed or cigars usually use them once or twice a day/week (Snoop Dog being the exception). In contrast, vaping and cigarettes are something that you do throughout the day. Therefore, the impact of cigarettes and vaping is much more pronounced. The other factor is how long you've been using tobacco products. A 30-year smoker will fare far worse than someone who has been smoking for 2 years. Well, I hope this helps a bit. Best of luck with your treatment!
Are there any vitamins that help your gums to heal better? Are protein shakes good for healing? Thanks! 😊😊😊
Hi there. Vitamins and protein shakes definitely help. It's all about having a healthy body when it comes to implant success rate.
OK, thank you! 😊@@johnjazayeri
What about hydrogen peroxide and baking soda
Huge fan! Use it before bedtime. Rinse gently if you have a bone graft or suture so that you do not disturb the healing process.
@@johnjazayeri amount
Hey Doc, I'm like a 11month late to the party 😅 still shooting out my question hope you'll see this. I understand you covered Exercise and diet, thank you for that. My question is on supplementation. Particularly high caffeine pre workouts and sugar free energy drinks. Should I be concerned about consuming them? I can definitely drink them without the teeth ever getting in contact but just wanted to get your opinion. Thanks in advance.
Hi Krishna. Great question. I'm not sure if there is enough research on this topic, but let me provide you with my experience after having placed a few thousand dental implants. I would reduce my consumption of high-caffeine energy drinks for a few weeks before and after implant surgery. In small doses, caffeine is perfectly fine. It boosts your energy, memory, and performance levels. However, very high levels of caffeine may cause complications during implant surgery since caffeine raises your heart rate and blood pressure levels. I recommend that you reduce (not necessarily eliminate) your daily caffeine intake before and after any major surgery. The more complex your implant treatment, the more I would abstain from excessive caffeine use. Plus, drinking high levels of caffeine makes you jittery. You could end up damaging your dental implants simply by playing with them with your tongue. I hope that helps. So how did your recovery go? Did you kick the habit before and after your surgery or not?
@@johnjazayeri wow thank you so much for answering doc! I didn't really give this, much thought before the surgery (5 days ago) luckily no complications there. But been staying away from high caffeine since then. And I'm glad I asked you. Will continue this for few more weeks to prioritise recovery over performance. Please keep up the great work sir 🙌💪
9 days out from 4x4 a little unpleasant, tongue feels like hamburger, gums have random spots, palate is cold sensitive, room temp fluids recommended,, I vape,more when in pain, vape in quantum events. Hard palate takes a beating, and is a major source of pain.
3-4 times a day. Best most soothing thing warm salt water. Taking Tylenol, I’ve had run-ins with NSAIDS.FOOD SUCKS. Like all medical situations now days, lots of attention during sales portion of decision process. Feel rushed after procedure.
I sleep a lot. When I can.
Great expectations for the future!
I had a bone graft, sinus lift and implants given, but no postop care was told no instructions no packet no nothing and now I am told that something that I was never told to do. It might be the problem please please help.
Hi Alexis. How did your recovery go?
Hey doc, my mom is about to recieve an implant for her lower first molar. Im quite scared for her :( but thank you for the video it really helped ease my mind🙏🏽
Trust me can’t be worst then my root canal, I had a tooth pulled which is painful and wisdom teeth pulled 🙈🙈🙈wisdom teeth takes the high end of the pain scale
How soon can you do high impact exercises after dental implants?
Hi Elle. It really depends. If it's a simple implant and things go smoothly, you should be fine in 2 to 3 days. If it's a complex case, such as multiple implants, soft bone, sinus treatment, aggressive grafting, etc. then you should give it at least one week. For the most complex cases, I advise my patients not to resume heavy exercises until they see me in one to two weeks for their followup visit. I will let them know at that point if they can resume exercise and other activities based on how the surgery site has healed. So it all comes down to how complex your treatment is.
How long recovery takes for after one front tooth implants is done?
Hi. Usually there is pain between somewhere from two days up to one week. Some people have no pain at all. Others suffer for several days. The pain should go away in two weeks tops. Otherwise, you should contact your dentist. I usually do a follow-up in 2 weeks to make sure the pain is gone, the implant is taking, and remove any leftover sutures. So the time frame for recovering from the pain is a few days to a few weeks. This does not mean that your dental implant is ready to be restored at this time. It takes several months for the bone to grow and lock in the implant. This usually takes 2 to 4 months for the front teeth. There is the option to restore the implant right away. I don't like it as it leads to more complications. Good luck!
How long do dental implant last?
Good question. Once implants have healed properly, they usually last a lifetime. Now, there could be issue with implants during the first few months when they are healing. Your dentist should address these issues. But once implants have healed properly, they usually last a lifetime. Again, I said usually. This means you have to clean them and take proper care of your implant and remaining teeth. A successful dental implant should have a 98-99% chance of lasting a lifetime.
@@johnjazayeri thank you sir
doctor ice pak will help
Correct. 20 minutes on, 20 minutes off for the first few days.
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/
What about Ecig?
Hi Connie. You mean E-cig right? While the research is still not out, but e-cigs are probably just as bad as smoking. I would not recommend it.
5 days ago I had 27 teeth removed and 10 implants in 3 hours. I’m in shock now
Hi same for me, hope your feeling better now, my finals will be fitted tomorrow I am worried about the pain.
@@mg-hk3lnhow’s the pain level after surgery ? I will have my all on 4 this coming Tuesday 😬 they gonna pull my teeth too ..I will have top and bottom.I will have 8 implants 😬
I am doing good now. January 7th return for the 7 days final gnashers ! X
Can you smoke cannabis?
Got my answer 😂
Glad you got your answer! Here is what I think regarding smoking/drinking after dental implants: (worse) Smoking < Vaping < Cannabis < Alcohol
Thank you 👍