Dental Implant vs Bridge. Which one is better to replace a missing tooth?
HTML-код
- Опубликовано: 15 янв 2023
- In this video we will review a dental implant vs a bridge to replace a missing tooth. Which one is better? I will share my opinion at the end of the video. Starting with the dental bridge we review what a bridge really is, a video of the procedure itself and discuss the pros and cons of this procedure. After that we will move onto the dental implant procedure. Show a video of the procedure itself and discuss the pros and cons.
#dentalbridge #dentalcare #dentalimplantcost #dentist
![BETA SQUAD vs AMP FOOTBALL MATCH [OFFICIAL STREAM]](http://i.ytimg.com/vi/ChEmvP52p0U/mqdefault.jpg)
Interesting video. I had two bridges that were originally put in nearly 47 years ago when I was 21 years old. Then about 15 years ago I broke one of them accidently by biting down on an olive pit. It had to be replaced then. This past year there was a pocket of infection at the root of the anchor tooth of my one original bridge. Amazingly the dentist was able to drill through the bridge, fix the problem and reseal the bridge anchor tooth. The nearly 50 year old bridge held up great through all of it. I got my money’s worth for that bridge!😅
Thoughts on LGBT?
@@IsraelLlerena It should not interfere with a Good Licking
@@IsraelLlerena i do not like trans
they don't make them like they use too!
How old are you??
Dental implants in the US are outrageously expensive. However, in Mexico implants are done with the exact same materials, tools, and training. There is NO difference and many Americans go south to save a ton of money. In Mexico an implant is $1,000 or less AND in the US it's between $5,000 and $6,000. The only reason for the difference is PROFIT. American dentists are stealing their patients blind!
Shop around. I've had 2 implants, by a board certified oral surgeon, $1,700 each, including bone graft.
Nope. Absolutely INCORRECT. The implant system they are using is likely an off brand and the “surgeon” has no real training in implantology.
@@AllSven source ?
Where exactly can someone go in Mexico for such surgery on a Single Tooth Implant??!... Asking for a Got Dayum friend mane! 😅😂🤣🤣
@@AllSvenWhere's your proof??!.... Exactly! Hush!
As a fellow dentist I'm stunned to see you talk about implants as they are god's gift on earth . Don't you think that to be fair you should've mentioned rejection of the implant at the time of insertion( by not being able to torque it enough ), after a few months or even a year( that will have more drastic repercussions on the bone and it will cost more to have bone grafting procedures in order to have bone height either for a bridge or for a denture) , another fact is that you don't give the money back if the implant fails , cleaning is almost impossible at the junction epithelium with the implant and gives rise to periimplantitis , you also forgot to mention that the bone resorbs even with an implant in place about 1 mm in the first year and 0.5 mmm each subsequent year. There are other downsides of the implants and you know them very well . Just food for thought !
Thank you for your time and watching the video. As discussed in the video neither treatment is a guaranteed 100% success and the best thing to do is consult with your dentist to discuss and take all factors into consideration. God Bless!
I agree entirely! I had tooth #10 replaced with an implant (the original tooth had a vertical groove on the back side that prevented the gum from sealing properly, leading to recurring infections, a root canal and ultimately removal due to the continual infections leading to beginning of bone loss). After going through all of the time and expense of the removal of the tooth, the filling of the socket with matrix and allowing bone to regrow, then implant placement, healing again and finally placing a tooth on the implant, I had the implant for about 1 year before the periimplantitis set in. After several years of attempts to defeat the infections, re-packing around the implant with matrix to try to replace lost bone, I threw in the towel and had a cantilever bridge installed. That was about 8 or 10 years ago. I wish I had gone with the bridge in the first place, but hindsight is always 20-20.
Take care and God Bless.
Thank you for providing this information.
@@theElderberryFarmer Ditto!
The cost,the pain, the cost, the pain, the cost, the pain; the antibiotics over and over in near emergency situations; & the final cost and pain to remove (while narrowly avoiding osteomyelitis into upper sinus bone area).
Huge intact on life,family work - continual infections.
No dental decay - perfect teeth - with FATAL GROOVE hidden under gum line, so some bad luck . Had a bridge it was brilliant - but the fatal underlying groove eventually ruined it;
Was told back teeth dental implants are less reliable.
My top front implants were a disaster.
I still use two lower implants to hold dentures in place. I would have removed them too - but they are basically set in rock- bone. Any future problems and I will have them surgically r3moved quickly and just put up with the less aesthetic and or functional problems.
If I had my time again, for me, I would have told my younger self to remove all my teeth and learn to live with d3ntures ; but it wasn’t until near the end I did this, and found out about the groove in my teeth, that continually exposed me to gum disease.
No one’s fault.
All the dentists were very good about teeth, but never addressed iron deficiency, etc.
In Australia all health issues stop at the mouth, not connected within health care system. Dental work and infections stop in the gums; a broken jaw is disconnected. A few years ago a man went to emerge with raging infection in gums, essentially sent away as not a “medical problem” only a “dental” problem; 2 weeks later it was “a medical emergency” as it caused a huge heart problem and was a very costly public hospital stay with emergency procedures.
Thanks Dr Houlik, for initiating a discussion that gives people a chance to self evaluate their own issues - with regard to making the decision that most likely will work for them🙂. Really liked your presentation.
PS:- I was told years ago that 20% implant failure rate was normal. And especially towards rear of mouth. Has this changed?
As soon as I watched this video and before even the doctor discussed the implant, I knew already that his recommendation was to have implants. Please be honest with your patients. There are so many medical conditions that may affect the implants. Be considerate.
Some people have headaches after getting implants. It is hard to get rid of the implants, no dentist want to remove implants since it is very complicated surgery. I personally know people who approached many dentists to remove implants and none wanted to do it. 😮. It is very complicated process to remove implant. No one talks about it. I wonder why???
In my opinion a bridge is more efficient and less expensive and less intrusive.
I’ve been a dental technician for over 45yrs and I’ve made thousands of crowns, bridges and implants.
Thanks for your opinion!
I have to say dental technicians often have better knowledge of these things, the physics and the statics.
Dentists mostly care about money and time.
7:08 he
Got my implants since I was 35yrs old and I’m 61 now tried to get some opinion with my dentist and she told there’s no need to replace it’s still working fine solid in it’s place, so in my opinion implants are the best investment
Glad you've had success with yours!
I had a bridge done back in 2003 and never had any issues with it. Still strong as can be.
That’s great! Glad it’s holding up strong
Where did you get it done at? And how much was it?!
Does bridge is very pain full ?
I has mine done in 2015…no problems yet…cross fingers
@@ayeshaabid6823 not at all. No pain.
I was in China and went to a Dental school and got my implant for about $400 if I recall. This was about 19 years ago and its still feels normal and strong.
How long will implant last?
Up
@@zohaxx322 Not sure but more than 20 years at this rate.
@@cynthiamurphy3669 I would say Thailand is a good place to go. Lived in Thailand as well. Japan is similar pricing to Thailand but hotels and food is very high in Japan. Chiang Mai is a good starting point city in Thailand.
@@zohaxx322it stays for a lifetime if u took care of it
A very nice and easy description of the two choices.
I had a dental implant in 2016, which cost $3,000 for the implant alone (NOT the crown, etc). It has needed tightening twice. Before the first tightening, I switched to another dentist, who was relatively young. She did not have the manufacturer's driver tool needed to adjust it, so I was had to go back to my former dentist, who I am still with today. He explained to me that there are five major dental implant manufacturers, and each requires their own tool. Over the years, he had collected all five, but this young dentist had only one (not the one I needed). Don't get stuck with a dentist who doesn't have the tool necessary to adjust your implant!
Xpl😂
"five major players, all have their own tool..." cost $3K is still a bargain. 😛
Because that is that China are sunking your economy...
I have two implants, and this is the first I've heard of being able to tighten implants, although I had to return to the oral surgeon because the temporary abutment he screwed in to the implant itself came out. It is a place holder until I can get the crown done at my regular dentist's later this month. But the implant itself is supposed to adhere to the bone. Did yourbone successfully grow back and adhere to the implant?
@@commonsense6967 As far as I know, yes, there is no problem with adhering to the bone. Something above became lose. I understand from my dentist that this is common and to be expected. After it happened the first time, my dentist sent the crown to the lab to have an ACCESS HOLE made, which makes tightening it much easier.
As another retired dentist with a 20yrs med lab background, Please give your dentist a complete MEDICAL HISTORY. Conditions that can possible affect your success are - autoimmune ( lupus, arthritis,) chronic alcoholism, chemical allergies ( some disinfectants), blood disorders) . Coming from medicine to dentistry was a shocker to me how little medical information was given to dental students. Even on the drugs the dental patients would list .Certain drugs indicate a psychological disorder and most patients would list the drug but not the disorder such as schizophrenia. I had to leave dentistry due to acquiring occupational asthma via the disinfectant used after the 3rd reaction and rushing to ER , put on breathing machine on advice of cardiologist and pulmologist I quit. Have a very high level of sensitivity now. Epi pen carrier
Thanks for sharing!
Candyass.
It's a nice way of telling that don't lie to the them
They have to know to be able to fix you in the correct way
Yes
I had a Maryland bridge for decades, up front and the top of my mouth. It was a pain to keep clean, frequently fell out and was never solid feeling. It never looked “real”. I replaced it with an implant and the difference is night & day. The implant/crown looks like a real tooth. More importantly it is rock solid. I can eat corn on the cob, no problem. It looks and acts like a real tooth.
I'm glad you had success with the procedure!
@Maleko DeSusa: You had a removeable bridge. Mine was a PERMANENT bridge. Huge difference. And yes you must practise good dentil hygene. But you should do THAT anyway.
i had same experience like 7255 did, for me implant is much better.
@@autumnxu9986 Yes, for ONE implant. If it's just a case of a single tooth replacement, an implant IS best. But not everyone can afford this. It's many thousands$$.
BUT A FULL upper or lower implant, is still a lot of plastic, to get used to...though not as bad as dentures, which are even bigger, and can shift. No one should be deluded into thinking FULL implants are EXACTLY like real teeth, so you can be careless with the real teeth you have.
When it comes to COST, on a SINGLE tooth replacement, if MONEY is an issue...a permanent bridge works like real teeth, (though you MUST floss, under it, around it) ... rather than a REMOVEABLE bridge, which can be a nuiscence, and damage the teeth it attaches to. In the end, it can be ALL about money... the removeable IS the cheapest, though not the best.
Bur what i was ALSO saying, PLEASE don't ignore maintenence and care, of your REAL teeth, NOW...asuming they are easily replaceble, with this new option of implants.
The least replacement you HAVE to do, the better off you are. Age is ALSO a factor here. What has to last, 10, 20, 30yrs, MAY NOT, If you start young. Implants place great pressure, on 4 areas. Long term, this could cause bone damage in the plug areas.
So the LONGER you keep your real teeth, THE BETTER OFF YOU ARE. BE KIND TO THEM. SEE YOUR DENTIST, YEARLY, or WHENEVER a problem occurs.100's spent NOW can save you THOUSANDS, later...
You want, afterall, this to last AS LONG AS YOU DO.
@@drhoulikhi dr I just did bridge on top next to the front but there is gap between my gum and bridge what your thoughts on that ❓
I have a bridge and have had it in place since 1985. No problems.
Damn for real?
At 69 I've had a number of crowns and recently had my first dental implant. Things seem to have gone smoothly. Interestingly my teeth probably look more natural than they were in my 30's due to the crowns replacing fillings and the implant. The implants are indeed expensive, but I see people my age, or younger with missing teeth, and hygiene and smile is worth more to me.
I feel like crowns are just delaying the inevitable. My teeth seem to rot at the gumline, causing me to lose the structure necessary to support the crown unless I get filling after filling. Just give me an entirely artificial tooth. I have one implant that I've been chewing on for 7 years now. Needless to say, it's my favorite tooth.
@@utubewillyman I have a friend who has removable dental bridges. If he takes them out he looks like a jack-o-lantern. Also have a brother and sister in law with a few missing teeth. They both have good smiles otherwise. They'll spend money on ocean cruises, but not on dental implants.
@@alfredeneuman6966 I'd hate to deal with the hassle of removable teeth. Maybe I'd feel differently if I was in my 80s and would prefer to leave a few thousand bucks to my heirs.
Ive had 2 bridges done by my Thai dentist, no problems, he retired during Covid. Very skilled man.
Was that done in Thailand? Do you reside in the US or Thailand? Did you travel for dental work?
@@MrJerobona Australian , combine holiday with dentist. Sad he has shut up shop.
Visited Thailand in 2006, for dental, but the 'entertainment' and time constraint changed my decision to sit in a torture chair after watching " The Boys from Brazil" movie in the hotel at Bangkok. Phu Ket, Chiagmai were great. The dentists in Bangkok have as good Aussie facilities. Met Aussie expats there who support Thai docs.
Which hospital im thinking to do bridge or implant we are in thailnd now
My dentist recommended to have a bridge and I took her advise and had the bridge done but then ended up having a root canal in 1 tooth because of the pain. Few years later my bridge broke (because of the cheap material my dentist used though she charged me lots of money) and that caused the infection in my jawbone. I then had a root canal retreatment with a good endodontist and problem was fixed and I finally had an implant. So from my bad experience, always look for a good dentist who is not only trying to make money but also cares about the patients. Otherwise, it'll cost lots of money and pain and we might end up loosing teeth...
How much 😮
How much ?
@@RenaldoDiLucente
a bridge cost about $1,500 or more
a crown cost about $700
"root canal" cost at least $1,000 - $1,200
"root canal retreatment" cost about $1,600
So 1 bridge + 3 crowns + root canal & retreatment cost at least $8,000 or more....
Agreed. The patients best interest should always be first
@@drhoulik Then it shouldn’t cost that much.
Great discussion! I've had both done to my mouth, no problems at all. After your discussion I sort of wished I had gone all the way with the implants, but I can't complain, all is good. Thanks for the wonderful detail comparison between the two procedures.
Thank you for your time and the kind words! Glad they are working for you.
Do you ever experience pain from cold weather or drinking cold drinks from the metal implant?
I've had a bridge on the back bottom that was done nearly 45 years ago. Not a single issue with it whatsoever, despite my new dentist wanting to take it out and replace with implant. I declined - if it don't hurt, don't fix it. About 4 years ago I had a single tooth extracted on upper jaw towards the front. My dentist did an implant. It failed horribly. Something about the bone graft that didn't take or something, so that had to be drilled out even deeper with more bone graft. The long and short? 18 months before it was finally done, and it isn't even straight. It doesn't feel right, or look right, especially since it easily visable with a small kinda smile. Visably something didn't go right.. $6500 final cost for something that took forever to get right and not asthetically pleasing to look at compared to all the others.
I had issues with an implant that took about the same length of time to repair as yours. Evidently my jaw bone is too narrow and i wasn't a good candidate for an implant but they didnt bother to tell me that until the whole debacle was over. I'll never waste my money with an implant again!
Implants on the upper are ill advised. There isn’t enough bone to grab on to. Been there. Lots of money, lots of misery.
@@bwmcelyaMaybe, but it is also generally inadvisable to go to a general dentistfor implants, IMO. Most have not had adequate training or experience in doing them. My son went to one who did an upper front tooth implant on him which became infected. My adult son, in his 30's at the time, was not diabetic, healthy, not prone to infection. The implant failed and he ended up having a bridge. As for me, I have two lower molar implants, one over 16 years old and one recently done. Used a periodontist for the first and an oral surgeon for the second. BOTH TIMES I had to have bone chips implanted at the time of extraction of the molars, and both times, after several months, they successfully bonded to the rest of my bone, which then had the implants placed in it. I'm a female, age 71, no osteoporosis and generally in good health. If implants can work for me, they "should" work for most people
Sounds like you didn't go to a certified Oral Surgeon. Big, costly mistake. I had an implant 9 years ago, and am currently having one done by the same surgeon. The only bad thing about implants is the cost. You just have to have good hygiene and follow the instructions.
A number of years ago my dentist recommended replacing several old crowns. Using your theory, which I share as a rule, I didn't follow that recommendation.
In the course of the next few years after I turned that down, I had repeated toothaches dues to crowns leaking and getting infected. Most required a root canal and then a new crown, but one had damaged enough toothe to require an expensive implant.
After completing the lengthy implant procedure, I asked the dentist to evaluate whether there were still crowns that should be replaced. There was still one, and I had the crown only replaced.
If I'd followed his original suggestion, I likely would have saved myself several root canals and an expensive and burdensome implant procedure.
The bottom line for me has been revised to pay more attention to the recommendation of a trustworthy dentist than to the platitude of "if it's not broke, don't fix it."
My personal experience has made choosing the bridge a superior option. 43 years ago I had a implant on my front. Two years later the tooth fell out. My dentist told me that biting down on food is a lot of constant pressure and the post ended up fracturing the bone that held the tooth and it became loose. He told me this wasn't really uncommon but it should have lasted longer. He then suggested a bridge as a viable option and I'm very happy I did. I've had it for 41 years now with zero problems. I don't understand why this wasn't explained as a caveat in this video. I'm sure many people are very happy with their implants and have experienced no problems.
I don't think implants and the tools from 43 years ago are relevant today. Also the knowledge acquired since then is very important. Also, there is VAST difference between the different implant systems, and of course the dentist skill matters a lot.
I had 3 implants done - 5y ago, excellent work, not a slight discomfort. The cabinet had very modern tools, big screens - showing the bone in detail, all the nerves etc...
The cost was about 1200 euro per implant. The doctor cared to explain everything in detail. He used a Swiss-made implants.
I had a bridge before the implants - it was a dirty, unhygienic thing, and felt unnatural,.. Not to mention with the years it will become worse.
@@gregpeterson3144 My concern here is you had a bridge that had been recently fitted and gave you issues and Ron has a bridge that had been fitted just over 4 decades ago with no issues. If this is according to technological improvement this can be identified as degrading standard of treatment.
Meanwhile you recently had an implant without problems and Ron had an implant 4 decades ago with problems.
I don't believe technology had anything to do with both situations but each scenario is dependent to the dental examination; the conditions surrounding it, and best relevant solution
@@siya729 the technology is quite important actually. The diagnostics is much better today due the computers, better scanning tools etc.
In my case, during the diagnostics, the surgeon examined if I had enough bone, if it was dense enough, and where the blood vessels were etc. This was done on a big screen , very detailed image.
I kinda doubt this was done in Ron's case 43y ago.
The technology advancements definitely matter - diagnostics, materials used etc
@@gregpeterson3144 I strongly agree with you. The technology used 43yrs ago will not be equivalent or the same to the technology applied today hence the wrong procedure was applied on Ron's case. That doesn't mean implant was bad but It was not suitable for Ron's condition as well as it was perfect for yours. Also that does not mean the bridge is bad because it worked perfect for Ron. Proper diagnosis for a right kind of procedural treatment is the key.
now implant got changed for better now they are using titanium as screw before it wasn't technology kinda improved for implant from 2011 like that a lot of people had successful implant who had failure rate either he drinks alcohol too much or smoking / bad oral hygiene
Thanks for this! I am going through this at the moment and these two options were presented to me to pick. I went for the dental implant but wasn't sure if I picked correctly. But after watching your wonderful informative video, I am more at ease for making the right choice.
Im confident you will success with the procedure! Thank you for your time and watching the video.
What is the maximum number of teeth that can be replaced by a bridge?
@@drhoulikwhat do I do with a tooth that hasn’t got a crown in years after a root canal. Dentist says I need to extract it. Can I just get another root canal to clean the tooth up. I don’t want to get rid of it
I have had bridge for 36 years with not a moment's trouble. Elsewhere in my mouth I had an implant done 23 years ago. Also no problems at all. Brush and floss daily, and see dentist 2 to 3 times a year for cleaning with one yearly checkup.
Great video. The only thing I would add is just like you mentioned dental bridge is dependant on the quality of the supporting teeth, dental implant is also dependant on the quality of the supporting bone tissue. If there has been bone loss in region of the missing tooth then dental implant is often not the most secure solution.
Agreed. It all depends on the site and the patient. Thank you for the comment and watching the video.
Gum AND bone recidivism is par for course in 5-14 years depending on lifestyle choices,( smoking, boozing, candies). The ' bridge' can collapse like on the River Kwai, if foundational support has gone. It ain't the dentist's fault.
So true. I just learned about this today. I was told I need a dental Flipper first in order to get my implant is that true? I will find out in two weeks if I have enough bone, but the dentist doubts it. I am torn about what to do.
@@suzettebarclay6423 You don't necessary have to have a flipper but most patients prefer it so they aren't missing a tooth while things are healing. You could also do an Essex retainer (looks like an ortho retainer with a tooth in it)
Once things are healed. Assuming it's a front tooth , if there is enough bone, I would ask you provider about a guided surgery. If there isn't enough bone you could go back and graft more or move forward with a bridge. Like we discussed in the video if you decide on the bridge be sure to ask about the quality of the adjacent teeth structurally, periodontally.
I hope that helps!
Old people don’t do implant that tortured yourself without benefits at all but dentist always try to deceive you for making money for himself!
A fine video, and it made me even happier with my decision to get two implants, even though they were expensive. But, as the lost teeth were #2 and #15, I probably didn't have a choice!
I’ve had an implant for 25 years. In my experience as a patient, I think success comes down to the Oral surgeon and your bone health. Better to deal with one tooth than factor in multiple teeth with a bridge.
Agreed. Being a solid candidate and having a skilled/experienced provider are very important.
Is implant good please tell me I am from India🇮🇳
Not all implant or bridge are created equally, some implant fail after 10years so are some bridge, if you are short on money im going with the bridge, every 10y you can redu a bridge but you cant redu an implant it will cost more.
@@drhoulikI’m currently going thru this situation on my front 2 teeth and due to bone loss I was sent to get a ct scan on my upper arch mouth . I guess in my case it was presented that a bridge will be better option
@@erickaolivas2166
The front two teeth can be a more difficult area. If there isn’t enough bone sometime we can go in and graft (plump up the bone) and then go back in and do implants. This is of course pending if there is enough space, health, esthetics, etc… If there isn’t enough bone then yes a bridge is another option. They may have to end to using more than the adjacent teeth to help support the bridge (eg using laterals and canines). It’s tough to say without seeing myself but I’m confident whichever route you go it’ll work out great. Let me know if you have any more questions. Thank you!
It DEPENDS on more than the identified pros and cons: tooth/teeth in question, bone loss of tooth/teeth, other dental health aspects. Discussion with dentist should include both options.
Agreed. Should be a comprehensive discussion including best options taking all things (health, oral health, treatment, etc..) into account
The only channel where i got the real information which is not only coming out from a dentist but also from somone who have assisted with the real hustle of a patients mind
Thank you for the comment and checking out the video. It's always about doing best for the patient :-)
I have a bridge that is attached to four good teeth that was done in 1979 it is still very much functional although I had it reset in 2005.
what does reset mean?
@@Miamiflow885 reset means the bridge is removed and cleaned and reset. In my case they also had to do root canal on two existing teeth that had deteriorated due to the loose section of the bridge.
@@ronaldmacpherson3345 Never heard of a bridge being reset without it being desyroyed.
I agree. I *opted* for an implant because I didn’t want my adjacent teeth to be grinded down and be affected. The process was longer as the oral surgeon had to build up the bone where the implant was placed. Also, it’s a surgical procedure cos they have to cut your gums *(hence surgery = extra cost).*
In terms of hygiene, it’s just like regular teeth. You floss normally with an implant.
My front lower teeth are pretty bad. Some are loose because I have pretty good bone loss. How long was the healing process for the bone implant to build it up? And did you get to wear temporary teeth? My worry is going around without any for a couple months.
I had an implant in 2015 and then a bridge in another area, in 2021. My insurance covers implants. In 2021, I was 76 years old. It was a life expectancy decision. I use a water-pick regularly, and just bought super-floss and then a threader. One more dental issue, I broke my two front teeth (upper) on a plum pit. I had a crown lengthening procedure for those two.
Yup those darn pits and yummy bones. 1992 a friend just had implants in Bombay, and the cheeky fellow bit down on a guava ( slightly harder than an apple) to show off, he broke his crown, metal implant and jaw-bone. Feel sorry now laughing at his predicament. 70 now, 7 implants since 2008, best bucks I ever spent, but always careful before I bite down hard. I cringe when I see the younger generation using their teeth to open beer bottles.
Having a clean healthy mouth also is beneficial to one's heart, as rotting food builds up crappy plaque, not to mention bad-breath.
Well, I'm sold on the implants. Thanks for a great informational video.
Dental care (including oral surgeons, etc.) in the USA is rapaciously expensive! There are so many toothless people, because they simply cannot afford going to the Dentist and getting the care they need! The USA is a 'tale of 2 countries'.
I got my implant in Budapest. Very skilled and very quick. They serve a lot of UK patients who like in the US dentists UK dentists like to charge stupid money for this simple job. The dentist in Budapest did a Cat scan to ensure there was sufficient bone after having a bridge for 30 years there was much gum shrinkage. Thankfully there was just enough. It took 10 minutes to perform the implant and a week while they make the replacement tooth. Got a very nice holiday and all for a lower cost than getting it done in the UK. Had to go three times for the full process but the flights from UK are really cheap and hotel is discounted.
Poland is another great location. Implants use US made Titanium screws. A Scottish guy visited same day. Was quoted about £50k in the UK for all his teeth, but only £5k in Budapest, SaveOnDental.
Another problem with bridges is that the bone beneath the missing tooth can shrink and become weakened causing complications in later life as well as potential upgrade to implant requiring a bone graft. My bridge fell out no less than 8 times and I would have needed another making had I continued so I went with the implant. Best decision I made, much stronger and better.
Glad the implant has worked well for you.
Got a dental implant done when I was in the military. had a baby tooth towards the back that never came out because no adult tooth formed beneath it. I still remember waking up in the middle of the procedure to the sound of them drilling into my jaw. Good times.
Heh, heh! If that was your worst experience in the military, you were LUCKY!
I had an back molar implant and I love every bit of it, just like my own tooth.
Glad you had success with the procedure!
@@drhoulik thank you for the info!
I have a bridge and it feels so natural that i forget i have one. To me drilling into bone just doesn't sound safe. It really comes down to choice and preference vs one being better than the other.
Hello from the UK, thanks for all your helpful information.
I have a dental bridge that I had fitted over 34 years ago!
It’s still going strong. Keep up the good work
Thank you for the comment and checking out the video! Glad yours is still going strong!
Good to hear. I have 3 bridges since 29 years. Also in good condition ... still 😂
NHS or private?
@@Neil070 I'm from Germany. I think it's best comparable with your NHS.
@@drhoulik hello Doctor
I totally agree with you. I'm from the Netherlands. A bridge cost here about 1700 euro's and an implant with a crown about 2100 euro's (2300 with a CBCT-scan if necessary), though the long term prognose is even better and you dont't have to 'damage' adjacent teeth. When the adjacent are already treated with big restaurations/rootcanals, posts etc. the prognose is even worse.
Thx.
Dr. B. Tdeman, Amsterdam
Thank you for checking out the video and your comment!
I am from Canada , the bridge here is $3500 minimum, implant starts $4500
@@koljan3668 I'm going to emigrate to Canada 🙃
@@koljan3668 That's pretty close to costs in US
I am in france. I am planning an implant. He quoted me 2300 euros for everything including the crown but I don’t need bone grafting. But I’m worried because the manufacturer of the implant is a French manufacturer. Not one of the top five. Is that an issue ?
Dr Houlik didn't speak about issues like the alveolar rejecting the implant, sinus damage from the implant, and increase in complexity when bone has been lost before the patient even approached the Dentist for an implant (aka need for grafting.) In which case if the implant is gone you don't have the choice of anything as the tooth was already extracted to make space for the post.
Thanks for sharing, I m going through this pain as well. Natural teeth no doubt never be comparable.😢
Dental implants here in New Delhi cost around $500 with best skilled dentists of min. 10years experience. That's only 10% cost compared to USA.
I had a bridge installed in 1993 and it is still in good shape.
Glad it's still holding up well!
Being a Dental Lab technician, it’s all about what you can afford. Dental implants are generally 4k for each crown vs $1,200 per standard crown.
Where do you work because I just saw an Endontist today & to replace #3 tooth, he quoted me $10K. WTF.
@@andreah6379
Sounds like street tax
😂😂😂
In the Philippines, one tooth implant is 80k or about 1,428 USD. Bridge costs 20k for a tooth inclusion of the 2 adjacents used as anchor
Thanks for the info!👍🏻
I don't understand why you have to grind up healthy teeth to "make space" for the artificial one (in bridge procedure) rather than make the artificial tooth small enough to fit the space. It's different if you have to etch out the smooth enamel out to get the bridge structure stick better, but making space doesn't seem to make sense
Not always a choice. Most dental insurance policies have an " alternative benefit clause" also called an ABC clause which basically states the insurance will only pay for the most economical procedure. So if a flipper with one tooth is the cheapest fix that is all they will pay for. If you choose the implant for a total of $5,000 for implant, abutment and tooth, all they will pay for is there half of the $500 dollar flipper, so maybe $250 plus the tooth removal if not already vacant. Be very careful, always get a benefit pre-determination on anything over $200 before you make your decision.
Agreed. Transparency cost wise is always essential
great video, In my case I had a cantilevered bridge put in 48 years ago, allows cleaning under but supposedly has a shorter life.
Thank you for the comment. I've seen a lot of cantilevered bridges that have withstood the test of time. Glad yours is still functioning for you!
@@drhoulikwhats a cantilever Bridge apart from the obvious. Sorry Doc 😁
Oh wow, very well explained doc. 💯👍🏼Thank you for sharing!
Thank you for the kind words and checking out the video!
I have 6 implants. All upper. My periodontist was a wizard. Just had another periodontist check them out after 26 years. All perfect.
To me it’s wild that people got implants 26 years ago and I haven’t even heard of them before the last decade
@@jmwlife2k
I worked for dentists most of my life so I had insider knowledge 😉
@@willo8794 wil insurance pay for implants
@@phonglam4889
I don’t think so. I was lucky enough to have an inside track working for dentist. I never had dental insurance
@@phonglam4889
I never had insurance because I worked for dentist, so I’m no sure.
I have a butterfly bridge for my bottom front teeth. I had to have that done after I had my first child 34 years ago. I had never lost my baby teeth but became loose and fell out during the end of pregnancy.
What I’ve never heard of this happening how long did it take to get adult teeth did you and the baby get teeth at the same time
VERY INFORMATIVE , THANKS A LOT !!
Thank you for your time and effort to make this video and share your knowledge with us. Greetings from Croatia.
Thank you for the kind words and taking the time to watch the video and comment!
Implants are a money grab for the dentist not to mention problems like infection, bone grafts, ect that add to cost. I have a 4 tooth bridge that's 30 years old with no issues.
Thank you. I'm about to get mine
I'm glad it's still holding up!
I had a bridge 35yrs, before it broke. On a older person, doing limited replacement, i would definitely recomend it. And it's half the price of an implant. KEEP ALL THE TEETH YOU CAN. Implants are better than false teeth...BUT NOT ANYWHERE AS GOOD AS REAL, in any way.
Actually they are better.
@@Jarboe420 What is better?
1 major cons for me at the moment for the implant (for the upper - maxilla) is the additional operation of the sinus lift (since the gum is still short after the bone graft), additional cost and side effects down the line such as sinus infections and particles from the bone graft can still travel up to the brain 7-10 years after the implant.
Very clear....great explanation
As a person that will be going through this within the next few months, I was very interested in watching this video. One thing that I found of interest was in the pictures that were shown where the tooth, was missing, it's exactly the tooth, on me, that has to be removed. It will be removed this next month and I was given both options that you presented, and if I qualify, health wise, I'm going for the implant. With the bridge, my first thought was how on Earth can I keep the underneath area clean enough so as not to get a gum infection. Yes I have a water pick, but it just seems, frankly, worrisome to me that I'd get a gum infection. Thank you for explaining it again. My dentist had explain it to me, but I was upset at losing a tooth that I know I didn't take it all in.
as someone who has had a bunch of bridges done, I'd have to say the risk of gum infection is almost nil because the area where the tooth was removed will heal over before they add the bridge. The worst part is bad breath from not doing proper hygiene. (food build up) A water pic on a daily basis is the way to go.
floss five times a day, brush two or three times, rinse mouth with listerine liquid or gel tooth paste, water pick daily , not one cavity in over forty years:) I have one implant = PERFECTION!
I have 4 bridges and I have no problem. I rarely clean under, almost never. Just flossing.
Dental insurance and what dentists charge for minimal work is outrageous. I could have a triple bypass and still pay less money then getting two fillings.
Yearly dental benefits have not increased much in the last 40 years.
In 2007 I traveled from Australia to the Philippines for a full dental makeover. 24 Porcelain fused to metal crowns in upper & lower horseshoe bridges. 16 years later they have not given myself a single problem. Can eat a green apple now where as before not possible.
From my front door to my return my total outlay was AUD5,050. this included airfares, food, hotels & the dental work as well as a 2 week holiday. Quoted prices for similar work in Australia was from 18 to 38 thousand Australian dollars.
Can highly recommended the lady dentist who fixed my smile.
Had a front tooth capped in my 20’s , then had to have it re-capped with a crown post later. Crown post later worked loose. Recommend to do an implant . Dentist tried twice to do the implant but failed each time. They did a bridge which has lasted for close to 20 yrs but 2 yrs ago I told my dentist I thought it was coming loose. He checked it and said my adjoining teeth that are moving. Was told sometimes the bone structure in the front of your mouth won’t support an implant. I’m 68 yrs old, when the bridge fails I’ll considering an upper plate, I’m not going to screw around with an partial plate. I’m not even going to consider a upper plate with implants. Probably cost 50,000$.
The only thing they forget to tell you that it’s for 15 years, maybe a little longer. Had 4 implants in my lower jaw and after respectively 18 and 19 years they started inflammations and had to be taken out. At my age 74 I opted for a wonderful click system because I still have a lot of front teeth left. It’s okay as long as it works but beware there is an expiration date especially if you are younger.
Thank you for the comment and checking out the video!
It casts about $1000 per implant in korea, including extraction of old tooth, bone graft if needed, implant and crown. And they are very good.
I saw x-rays of someone that had them done in South American. It looked bad. Like they didn't care about the diameter of the implants VS the crowns.
An excellent explanation supported by clear videos of each procedure. Thank you.
Glad it was helpful! Thank you for the comment
Thank-you. This is helpful. I'm about to make this decision and was wondering about the pros n cons of both procedures.
Thank you for checking out the video. Best of luck with your treatment!
What is BEST? Taking care of what you given naturally. Nothing a dentist can do for you is anywhere near as good as that, so be smart, and take good care of it!
Great idea! Only problem is that these habits need to be formed at an early age. Not many children will without parent urging develop those habits.
Hence why most of us are watching this video! Jesus the thought processes of some peoples.
@@gregmcfarland5189 I couldn’t agree more!
I have had a bridge & crown for 50 yrs! The back molar has a metal filling. I have been told I should replace it. 😳 Nope! It’s absolutely fine.
Thanks for the information I've been searching about these two methods I'm missing The front tooth has a temp for right now but it's all about what you can afford at the end of the day. I just got to shop around for this implant because like anything else never know who will put cheap materials in your mouth.
Thank for the comment. Front teeth and be a little bit trickier as far as the technical/skill level of the provider because of smile line, tissue, angles, etc... Guided surgeries for anterior implants (if that's the route you decide to go would seem worth inquiring about).
I did the implant part 2 months ago, so far so good. The crown part comes later. My benefits will cover some but will cost me $ 2 ,000 total for implant and crown . I fell asleep during the procedure.
There are two types of dental implants, the dentist can cement it in place or just screw it in. If it’s screwed in it will probably need to be tighter at some point. Make sue you know the tool required to tighten it, multiple tools and not all dentists have all of them. If the dentists chooses cement then there is no room for error, if something goes wrong you will have to have the implant drilled out. If the cement spreads to any part of your gums you will have bone loss, a very big deal. Most dentists don’t give the choice, they decide for you without telling you the cons. ALL IMPLANTS SHOULD BE DONE BY AN ORAL SURGEON. I’ve had both types, I would always choose screw it in only, no cement.
I got 4 implants done this year in 2023 already. 1 in February with a sinus lift and 3 in the month of May a little over 2 weeks ago . It was painful but it's worth it.
Glad it went well. Thank you for the comment and checking out the video.
@@drhoulik yessirrrr
Dr. Houlik's explanation solidified my decision on getting implants 🤩! His breakdown of the pros and cons totally aligns with what Kriss was saying. Implants seem like the best long-term solution 💗. Thanks for the clear video!
Ohh, what did that kriss said?
@@shyrahgail dental implants are often considered the better option in the long term due to their durability, functionality, and the benefit of bone preservation. However, they are more expensive and involve a surgical procedure. so yahhh, it really depends on you, your case and also budget, haha
I agree, Dr. Houlik's explanation is clear and well-presented. However, I'm also curious about what you mentioned regarding the similarity with Kriss's explanation. Is that the dental chatbot that my friend mentioned also..
Totally agree with Dr. Houlik, and it’s crazy how Kriss ai is saying the same stuff about implants. Makes deciding a whole lot easier!
I got an implant some years ago and love it! I am getting another one next month for a tooth that I wasted money on doing a root canal and crown on years ago. I will never take the root canal/crown route on a tooth again. If I have a problem with a tooth, I am going to straight to extraction and replace with implant.
Thank you for sharing and the comment!
Great video and very helpful. Just had 2 back teeth removed and my dentist suggested implants. Seems like the implant is the best way to go. I’m not worried about the cost can’t put a price on my health. Thanks!!!
Glad the video was helpful. Let me know if I can help in anyway!
What you said is what ppl say who either have lots of $$$$ and/or insurance that covers it.
My Endontist just quoted me $10,000 for implant of #3 tooth. What you say is ridiculous.
My mother was prescribed a biphosphonate drug and it caused "jaw rot" -- her teeth started to fall out (including a bridge) and her dentist told her she was not a candidate for implants because her jaw was compromised. It was a shame. The doctor took her off the drug and never prescribed anything else -- wasn't that necessary after all. Biphosphonates aren't prescribed like they used to be -- wonder why?
Thank you for this wonderful video.
Thank You, really appreciate this video. Learned a lot 😉
Thank you watching and the comment. I’m glad you found it helpful!
I was having implants on the 2 back teeth bottom right. Unfortunately the implant failed (I believe the bone didn't adhere to the implant) and they were pulled out. Now I'm still missing these 2 back teeth and have nerve damage on the right side of my bottom lip. That was a couple years ago and I can tell there has been bone loss but decided I could just live with it since a bridge isn't an option.
Sometimes that happens if the amount or quality of bone is questionable.
@@drhoulik ...why then would a Dentist go ahead with that procedure in the first place.. sounds like he should be reported to the ADA?
@@EdwardAmesCastellano I'm a retired dentist but before that I was a 20yrs medical lab tech. I often argued with my dental school instructors about their lack of getting medical information from a patient ( found many give selective information.) . An example would be blood disorders bleeding ,healing ,drug use,alcohol use,osteoarthritis or osteoporosis ( bone loss) ,even oral hygiene. Sorry you went through this , if you really want back/ posterior teeth you may need a partial denture to replace them .
Implants do fail something they don't talk about often. Anyway I had one fail and the dentist tried again with a different type implant after letting the site heal and the second one is bone solid.
@@EdwardAmesCastellano Implants could have problems for various reasons. It is not as simple as enough or not enough bone. Overall health, oral health, patient selection, site, etc.. all things that can impact success. Wish you the best with any future treatment you have. God Bless!
I had a post prepped for an implant. It was an arduous procedure all for naught. It created immense pain for hours and hours, everntually it unscrewed itself. I was told the bone rejected the post.
That happens.
Thank you for sharing such vital information. Much appreciated 🙏.
Thank you for checking out the video!
Very informative! Thank you. Please consider making a video in choosing a dentist who is highly qualified in doing implants and bone grafting. What questions to ask to detemine qualifcation. Unfortunately any general dentist can advertise and do implants with no state training requirements.
Thank you for checking out the video and your input. Will do!
Excellent description. Two aspects that were not fully explained are the pain associated with implants vs bridges and the time required to complete the procedure (you did mention that bridges can be quick).
Having your jaw bone drilled into, for the implant, is very painful and you will likely need strong pain medication to control it. As far as time, my implants took over 18 months to complete. This includes an extra 8 months because I needed a bone graft (also quite painful) before one of the implants needed to be done.
In Canada, in 2023, the cost of one implant will run you between 3 700 and 5 000$ according to my research.
However, despite these significant negative points for implants, I would still choose them over bridges because of how natural they feel and their durability.
Thank you for checking out the video and your comment!
I had an implant which involved no pain or difficulties. But it took six months or so to complete with quite a few appointments which became somewhat burdensome.
My two implants totaled , from beginning to end 13,000 . 6,500 each . That’s counting hidden cost . This is true I have the paperwork to prove it. I had tooth extractions bone grafts , implants and the final dentist part was 3,000 per tooth for the abutment and crowns . Very expensive. I know many people who just keep the missing space and learn how to live with them gone. Sad that this cost so much.
Mine were quite expensive too.
Why do implants when bridge can help
@@fabstouchcosmetics3191
Bridges don’t work for everyone. I was a dental assistant until the early 80s. If you don’t have solid anchor teeth it won’t work.
You overpaid unless you got bone grafts and other..
@@CeeTeeUSA I had bone grafts. There is no point doing them if you don’t
I have a dental implant for tooth number 30 first molar. My first implant failed because I did not have sufficient gum tissue to properly seal around the implant. The second implant was successful with gum tissue graft. However, I keep breaking the abutment at the base of the crown, snapping it in half. Each time the abutment breaks it cost over $1200 to extract the broken screw and abutment and install a new healing cuff. My dentist is at wits end about why this keeps occurring. Any suggestions for correcting this issue. I wonder can you install a bridge in conjunction with the implant.
🙏 Thank You So Much Dr. Houlik for the valuable advice! 🌷🌿
Thank you for the kind words and checking out the video!
Dental implant for sure.. I have had two done.. Zero regrets.. $1600 each in Europe... Cheaper in the East/Asia and of course our American friends unfortunately pay much, much more...
Do you feel that it's different than the natural teeth? Do you need to take care of them differently?
If you have poor hygine and/or gum disease issues do not let any dentist comvince you to install a implant it will be lucky to make it 10 years. Im contending with one implant that has been in 15 years but has almost zero bone left. I have tried bone grafts, lazer surgery and over 7k later i should have just has it removed not had laser surgery. If you are young and have good oral health with the technology today (cone beam 3d imaging) and basically😢 cad/cam pin point installation. The risk if implant failure is highly reduced. Never the less if you smoke, eat a high glycemic, garbage diet and/or have poor dental hygiene you should not have a dental implant.
Thank you for your input and thoughts.
So what do you recommend instead if you have poor hygiene and advance gum disease? Denture?
@@vincentnnyc im talking about a situation where you still have most of your teeth. If you have gum disease and it cannot be addressed then the likelyhood of sucess with implants is poor. These are qurstions for an oral surgeon or periodontist. Unfortunately every dentist now thinks they can install implants and its become more about profits than what is best for the patient. The biggest problem with advanced gum disease and teeth loss is bone loss in the jaw and once that happens it is very hard for an oral surgeon to grow new bone on a ridge. This is my issue. The implant sits between two ridges in your jaw well my outer ridge has degraded to where there is nothing much of it left just the very tip of the implant is still embedded in bone and it has an active infection that will not go away using antibiotics, water pick and various rinses, nothing works. I no longer eat sugar, starch, grain or sugary fruit, beer, etc. so my good bacteria are primarily in my mouth now but i still cant get the implant to heal. So before you invest in implants ask the oral surgeon a lot of wuestions about with your oral health issues what the longterm prognosis will be. Last thing you want is an mouth full of infection and the older you get the more dangerous infections in your mouth are.
@@vincentnnyc That can be tough because everything must be taken care of in addition to overall health and not sure of your factors in bone loss. You can never go wrong finding a provider or get referred to one who will do right by you, be transparent and give you their honest opinion.
@@vincentnnyc start cleaning your teeth better if not why invest money in them
Thank you so much for giving knowledgeble and good information about teeth
Thank you for the kind words and checking out the video!
I was advised by the dentist that I should have implant done for the lost teeth . Hearing what you said, the dentist drill into the bone and install with titanium screw but I wonder whether it have any physical impact to the bone and mouth? How long would it take so I can eat after having the dental implant since I think the mouth would be swollen after drilling in the procedure? Thanks for your advice Sir.
What are the pros and cons for not doing anything after the tooth is removed? If you are older, maybe thats the better choice for some?
I will do a video on this! Thank you for checking out the video.
Neither! Implant is a wick for bacteria to enter your jawbone and a bridge requires grinding ( ruining ) the 2 teeth on either side of the space. You will quickly lose those ground teeth to decay and the bridge will fall off repeatedly. If you’ve lost a back tooth just leave it, you’ll manage. If it’s a front tooth get a denture plate.
My bridge lasted thirty four years without any problems.
I'm thinking the same...thanks
This was very informative. Thanks!
Thank you for the comment and checking out the video! Glad you enjoyed it :-)
Interesting presentation...all the things my dentist didn't explain about the differences. I wish it was a little longer to talk about those options when you have bone loss that will either have to be replaced with cadaver bone or the newer composite before the implant is installed.
Thank you for the comment and checking out the video. Are you referring to… having a missing tooth already and then needing to graft the area in order to replace it with a implant or bone loss on the teeth next to the missing one?
I just got quoted 5K for a single tooth implant. However they said my sinus cavity is very close to the bone and that I may experience sinus issues with the implant. I have not made a decision yet......
That sounds about right price wise. Anywhere from 4-5k seems average. Regarding that area... There are some studies that shorter length implants can do well assuming they are wider in those areas.
Somethings to think about or ask...aside from overall health and being a candidate for procedure.
-How long and wide would the implant be
-How good is the bone quality in the area
-How big is the tooth relative to the implant (ratio between the two)
If any doubts could always sinus lift the area and then place implant. This costs more and is an additional procedure but sometimes makes things more predictable. Hope that helps.
The best is to brush your own teeth. There is nothig better than the natural bone.
How is this helpful?
A neighbor had bridgework done many decades ago in Poland. She said the cost was very low since the national health ins. paid for almost everything. It looked very natural and she loved it. Her dentist here in the US said that it was a work of dental art. I read of a sailor who had a dental emergency while cruising. He pulled into an Italian port and found a dentist who did a root canal and crown. The cost was very low compared with the US and his dentist in the states pronounced the work "beautiful".
Hello from Geelong Australia. Getting a dental implant (hopefully) in a couple of weeks.
Really enjoyed your talk, put my mind at ease.
I'm confident it will go great!
@@drhoulik had my implant this morning. All went perfectly!
@@vernongrant3596 That's great. Keep me posted if I can help with anything!
@@drhoulik had my crown put in yesterday. Looks and feels amazing. Well worth and time and the money.
That's great! I'm glad to hear everything turned out well. Thank you for keeping me in the loop@@vernongrant3596
Thank you for this very informative video. It leaves a lot for me to consider.
What would you suggest to be the better option for my 4 front teeth? Thank you
If esthetics is most in mind, but financially you can't afford it- a well constructed partial denture ( note the design - PLEASE No Chiclet square 🙏), note the color of teeth( smoker, red wine drinker, etc). Now if you're near a dental school this may be an option ( must have time ) .
This area is a little bit trickier because of the esthetics.
Options to discuss with your dentist...
1-Something that stays in all the time (fixed)
-Implants (you typically don't need 4 to replace all 4 teeth)
-Bridge
2-Something removable like a partial.
All of these depend on a lot of things like health, oral health, patient preference, cost, gum tissue, bone available, smile line, amount of space, the list goes on honestly. Tough to say without seeing it myself and give you a recommendation I'm confident in.
@drhoulik Thank you very much. All valid options to consider ✨️
If money is no object get an implant for each missing tooth. Make sure the dentist does a bone graft if there's been any bone loss (especially if you haven't gotten those teeth extracted yet because the bone level will change after the extractions) and has you in individual temporary crowns for a few months before taking impressions for the final crowns.
Wait a minute here, just watched this and to me sounded fishy when you didn't list multiple pros/cons for the implant like you did for the bridge.
Does the bone not have the same reabsorption issues no matter which choice? Surely using the metal screw in the bone to me weakens it, plus you're body now has metal which can cause health issues like fibro.
The cap that goes on top of the implant can get loose which can lead to infection due to difficulty maintaining hyegein; similar problem with any crown structure. I would think of replacing the tooth I lost to an accident when they come up with tooth cloning
Excellent explanation