Dr. McFadden, You are the best dentist I have seen. Every dentist I have ever seen is always out for the almighty dollar, and they all do substandard work. None have any ownership of their work. That’s not what I want to you to hear, and that is you are a great scientist & a artist. You are a Michael Angelo of Dentistry. It would be a great honor to be your patient. I problem is I live in Central Florida. All the dentist that I have seen are pushing All-On-4 or X. Florida Dentistry Law allows any dentist to Advertise and Practice all dental procedures whether they have the training or not. You are a dentist that everyone deserves. Thank you, Alan
Love watching your videos doctor - the only thing that comes to mind when watching is 'Doing good is its own reward' and you really do good, in every sense of the word.
@@davidmcfadden878 I'm actually here in Texas, - raised in San Antonio, and working in Houston now :) Imagine my excitement finding out you're in state!
Your public service announcements have given me so much knowledge and so many questions to bring my prosthedontist and I single handedly credit you for enabling me to know what to ask for and to test his philosophies as well as practices and determine where he agrees with you and where he differs and why. I had some basic knowledge as best friends of ours are a dental family where the husband owns and runs a very high quality lab and his wife(one of my best friends) was my heigenest (sp?) for many many years. They retired and moved away but a lot of “dentistry talk” over the years really benefited me. But now, in a place I NEVER thought I would be,I’m loosing my teeth due to a medication I’ve needed to take for many years. I devastated. I had always taken good care of my teeth and they were, in all honestly as beautiful as pearls. I’m absolutely devastated. I had planned to go to my grave with these teeth, or what’s left of them! So I apologize for v rambling but wanted to thank you in my most sincere fashion for your educational videos. They have genuinely been a life saver me. Fortunately my parents are offering to help with some of the funding for this project or there’s would be no way I could afford to make the choices I am. But I’m so grateful to know all you have demonstrated as I’m confident that this team of master surgeon as well as extremely experienced as well as caring prosthedontist will get me where I need to go over the next year or so of treatment. Again, I thank you from the very bottom of my heart. 🙏🏼♥️
This comment made my day! I put a lot of thought and effort into these videos for people exactly like you. It makes me feel so good to know they’re helpful. Thank you for taking the time to watch them all. My goal is to help educate people, so they can make better decisions and ultimately, better care. I wish you the very best of luck!
Well you’ve changed my mind from the All-on-Four procedure to your bridge procedure. It looks like I’ll be making several road trips 45north bound from from Galveston to Dallas in 2023.
I have been watching for some time. I find your approach fascinating in that you choose to do your own lab work. To the layman it may appear that you could spare yourself some portions of the model making work with the hiring of the correct employee with a similar bent for perfection and patient comfort. I believe I understand your choice to do all of your own lab work on the temporaries. Through doing our niche work I have come to understand the tiniest details that can make or break the end result we produce and so I insist that I be involved in those areas, leaving less critical areas to workers! By contrast, In your work, virtually every step you take lends comfort to the patient and thus confidence in your process and the final result they will see and live with, so i totally get your wanting your hand in every step, as you have been in their mouth and can best interpret what you have seen at the chair. At 11:20 you say the correct manufacture of the temporary can aid in healing and the correct formation of soft tissue. This leads a consumer to ask how in the heck are we supposed to know which temporary is good and which temporary is not? Besides fit and feel is there something for us to look for? I am considering 3 bridges on 6 implants for a 12 unit upper arch and a temporary set is in the proposed process. Whether multiple bridges or a full arch single piece, what am I looking for in a temporary??? Also, assuming a quality temp properly made, what is a time range long and short for soft tissue to form to the temp sufficiently for a patient to be ready for finals? May I say Thank you for a frank, expert, and informative approach to both your work, and your approach to explaining it to us in terms we can easily understand. I have patiently waited over time for more content from you as the more I watch you the more I realize i really have one shot to get this right, and your videos and explanations give me increasing confidence that I can choose the right procedure and the right provider. Thank you again for demystifying the dental realm with an authentic and passionate approach to your work that helps us anchor the learning you offer.
Thank you for the kind words. Yeah.... tough answer. The 3-on-6 approach is somewhat better than All-on-4 mostly because it doesn't require bone removal. However, the temporaries and permanents are cement retained instead of screw retained. For over 10 years, we (the dental industry) have known that dental cements are toxic to the gums and bone around implants. Therefore, the Achilles Heal of 3-on-6 is that they use cement. They do this because it is much easier and less expensive for them you the patient. A "bridge" type temporary will hold the tissues and facilitate proper healing. Again, the person who makes the bridge is what makes the difference, not so much the bridge itself (it's the Indian not the arrow quote). So, I must apologize for the far from ethical, far from talented, far from selfless industry that you are trying to trust to get the best possible long-term outcome. Aside from a handful of us doing true "implant bridges" I don't believe any other outcome for full, upper implant treatment is acceptable. I am happy to have a phone call or a video conference call with you.
@@mcfaddendentalimplantcenter The group in Salt Lake switched to using Screw in technology about a year ago and they will allow the use of an "immediate denture" post grafting if the gum tissue does not need "help" from one of their temps to properly heal and form. As a result of the screw in change their price has escalated a fair hunk but the common sense inherent in the bridge approach has definitely won me over.. I pick up a cat scan on a thumb drive Monday and will email you a link to it on my google drive and then perhaps we can have a call once you see it. Thank you for your kind offer. S
Thank you for the great information you have put out My question is how they do it faster and you do all your self ? that is why i probably cannot afford
So sorry for the delay, Juli!! I've been busy fixing teeth!! Yes, my protocol is more expensive and it does take longer but no so much that it isn't worth it. The differences between All-on-4 and implant bridges is profound in every way. I am happy to have a Zoom call with you. Can you get me a panoramic x-ray?
Do you do zirconium implants? What is your opinion about them? I read that they are better for numerous reasons one being that are more bio compatable then titanium implants along with being the same color as the tooth placed or bridge placed on the implant.
I believe they are the implants of the future. I do not do them. I am hesitant because we don't have long term data and I am concerned about the connection of zirconium implant to zirconium abutment (longevity). Some manufacturers make them in one piece (implant and abutment together). This requires preparing the implant like a tooth which generates heat (bad for bone) and requires cement retention which is also bad for bone. So, I believe we are a few years away from this option being predictably successful.
That would depend on a variety of factors, which we can evaluate in order to give you an exact fee. Our consultation is complimentary, and includes any necessary x-rays. I hope this helps.
I watch these videos with absolute envy. Since having to entertain the chance of getting more than the single implant I've been able to so far, this is the first technique/process that makes complete sense to me. In small, rural areas you're given perhaps 3 options- implant, bridge or dentures and the latter 2 never made sense. Given the inexperienced care I've had so far, the complications and failures, even going through the implant procedure filled me with uncertainty. Never explained how to make sure under the implant can be kept clean (floss slides under one side only and food really jams up there). Like many, the likelihood is living without any prosthetic to replace all my back teeth at. With the exception of the single implant, barring any complications with that as well, in the future. A patient knows what they need to maintain good health but rarely are able to get it. The level of professional pride in doing it right is great to see.
The argument can be made both ways! If you do one, full-arch bridge and one implant fails, the bridge may be salvable. If you have six or less implants, it must be one bridge (you cannot make it multiple pieces). So, with eight implants you can do it either way. With eight implants, I now use the length of the clinical crowns to determine one piece or several. Long clinical crowns, one piece. Normal size clinical crowns, multiple pieces. Don't forget, even with multiple bridges, the patient must still use a floss threader in all areas except the two proximal contacts between each bridge. Therefore, it is only slightly easier home care. Complicated question... confusing answer. I would be happy to discuss this with you in a phone call.
With regards to the three bridges for the upper jaw and having only three implants and three teeth. Is it possible to have the one implant connected to four open spaces, no teeth in the four spaces to be connected with a bridge ? Or is it absolutely necessary to have an implant bridge for only three teeth spaces.. thank you, from South Africa
Dr. McFadden, You are the best dentist I have seen. Every dentist I have ever seen is always out for the almighty dollar, and they all do substandard work. None have any ownership of their work. That’s not what I want to you to hear, and that is you are a great scientist & a artist. You are a Michael Angelo of Dentistry. It would be a great honor to be your patient. I problem is I live in Central Florida. All the dentist that I have seen are pushing All-On-4 or X. Florida Dentistry Law allows any dentist to Advertise and Practice all dental procedures whether they have the training or not. You are a dentist that everyone deserves.
Thank you,
Alan
Thank you, Alan ! We currently have four patient travelling from Florida for our services. We would be delighted to make you the fifth !!
Love watching your videos doctor - the only thing that comes to mind when watching is 'Doing good is its own reward' and you really do good, in every sense of the word.
Thank you James. What comes to mind for me when I read your message is, "my parents raised me right"! From what part of the world are you watching?
@@davidmcfadden878 I'm actually here in Texas, - raised in San Antonio, and working in Houston now :) Imagine my excitement finding out you're in state!
Your public service announcements have given me so much knowledge and so many questions to bring my prosthedontist and I single handedly credit you for enabling me to know what to ask for and to test his philosophies as well as practices and determine where he agrees with you and where he differs and why. I had some basic knowledge as best friends of ours are a dental family where the husband owns and runs a very high quality lab and his wife(one of my best friends) was my heigenest (sp?) for many many years. They retired and moved away but a lot of “dentistry talk” over the years really benefited me. But now, in a place I NEVER thought I would be,I’m loosing my teeth due to a medication I’ve needed to take for many years. I devastated. I had always taken good care of my teeth and they were, in all honestly as beautiful as pearls. I’m absolutely devastated. I had planned to go to my grave with these teeth, or what’s left of them! So I apologize for v rambling but wanted to thank you in my most sincere fashion for your educational videos. They have genuinely been a life saver me. Fortunately my parents are offering to help with some of the funding for this project or there’s would be no way I could afford to make the choices I am. But I’m so grateful to know all you have demonstrated as I’m confident that this team of master surgeon as well as extremely experienced as well as caring prosthedontist will get me where I need to go over the next year or so of treatment. Again, I thank you from the very bottom of my heart. 🙏🏼♥️
This comment made my day!
I put a lot of thought and effort into these videos for people exactly like you. It makes me feel so good to know they’re helpful. Thank you for taking the time to watch them all. My goal is to help educate people, so they can make better decisions and ultimately, better care.
I wish you the very best of luck!
@@mcfaddendentalimplantcenter Oh, God bless you! Sincerely!!! 🙏🏼❤️🩹
Well you’ve changed my mind from the All-on-Four procedure to your bridge procedure. It looks like I’ll be making several road trips 45north bound from from Galveston to Dallas in 2023.
I’ll be happy to see you, when you’re ready. (My office number is 214-956-9100)
Meanwhile, Happy New Year to you !😁
This is incredibly well done. I will be calling for an appointment.
Thanks! I’m glad you found it informative. 😊
I admire your dedication and resolve to do the very best work for each patient.
I have been watching for some time. I find your approach fascinating in that you choose to do your own lab work. To the layman it may appear that you could spare yourself some portions of the model making work with the hiring of the correct employee with a similar bent for perfection and patient comfort. I believe I understand your choice to do all of your own lab work on the temporaries. Through doing our niche work I have come to understand the tiniest details that can make or break the end result we produce and so I insist that I be involved in those areas, leaving less critical areas to workers! By contrast, In your work, virtually every step you take lends comfort to the patient and thus confidence in your process and the final result they will see and live with, so i totally get your wanting your hand in every step, as you have been in their mouth and can best interpret what you have seen at the chair. At 11:20 you say the correct manufacture of the temporary can aid in healing and the correct formation of soft tissue. This leads a consumer to ask how in the heck are we supposed to know which temporary is good and which temporary is not? Besides fit and feel is there something for us to look for? I am considering 3 bridges on 6 implants for a 12 unit upper arch and a temporary set is in the proposed process. Whether multiple bridges or a full arch single piece, what am I looking for in a temporary??? Also, assuming a quality temp properly made, what is a time range long and short for soft tissue to form to the temp sufficiently for a patient to be ready for finals? May I say Thank you for a frank, expert, and informative approach to both your work, and your approach to explaining it to us in terms we can easily understand. I have patiently waited over time for more content from you as the more I watch you the more I realize i really have one shot to get this right, and your videos and explanations give me increasing confidence that I can choose the right procedure and the right provider. Thank you again for demystifying the dental realm with an authentic and passionate approach to your work that helps us anchor the learning you offer.
Thank you for the kind words. Yeah.... tough answer. The 3-on-6 approach is somewhat better than All-on-4 mostly because it doesn't require bone removal. However, the temporaries and permanents are cement retained instead of screw retained. For over 10 years, we (the dental industry) have known that dental cements are toxic to the gums and bone around implants. Therefore, the Achilles Heal of 3-on-6 is that they use cement. They do this because it is much easier and less expensive for them you the patient. A "bridge" type temporary will hold the tissues and facilitate proper healing. Again, the person who makes the bridge is what makes the difference, not so much the bridge itself (it's the Indian not the arrow quote). So, I must apologize for the far from ethical, far from talented, far from selfless industry that you are trying to trust to get the best possible long-term outcome. Aside from a handful of us doing true "implant bridges" I don't believe any other outcome for full, upper implant treatment is acceptable. I am happy to have a phone call or a video conference call with you.
@@mcfaddendentalimplantcenter The group in Salt Lake switched to using Screw in technology about a year ago and they will allow the use of an "immediate denture" post grafting if the gum tissue does not need "help" from one of their temps to properly heal and form. As a result of the screw in change their price has escalated a fair hunk but the common sense inherent in the bridge approach has definitely won me over.. I pick up a cat scan on a thumb drive Monday and will email you a link to it on my google drive and then perhaps we can have a call once you see it. Thank you for your kind offer. S
Thank you so much for this video explaining the process for implants.
You’re very welcome 😁
WOW! master craftsmanship
Thank you!
Very good!! Thanks from Brazil 🙏🙏👍
Thank you too!
Thank you for the great information you have put out My question is how they do it faster and you do all your self ? that is why i probably cannot afford
So sorry for the delay, Juli!! I've been busy fixing teeth!! Yes, my protocol is more expensive and it does take longer but no so much that it isn't worth it. The differences between All-on-4 and implant bridges is profound in every way. I am happy to have a Zoom call with you. Can you get me a panoramic x-ray?
Do you do zirconium implants? What is your opinion about them? I read that they are better for numerous reasons one being that are more bio compatable then titanium implants along with being the same color as the tooth placed or bridge placed on the implant.
I believe they are the implants of the future. I do not do them. I am hesitant because we don't have long term data and I am concerned about the connection of zirconium implant to zirconium abutment (longevity). Some manufacturers make them in one piece (implant and abutment together). This requires preparing the implant like a tooth which generates heat (bad for bone) and requires cement retention which is also bad for bone. So, I believe we are a few years away from this option being predictably successful.
thank you for educating me dr, ive also have been doing my own research and your on my list of doctors to consult with
Happy to be of help!
How much cost for this treament procedure, please? Look amazing!
That would depend on a variety of factors, which we can evaluate in order to give you an exact fee. Our consultation is complimentary, and includes any necessary x-rays. I hope this helps.
@@mcfaddendentalimplantcenter I live in Connecticut. Where are you located?
I watch these videos with absolute envy. Since having to entertain the chance of getting more than the single implant I've been able to so far, this is the first technique/process that makes complete sense to me. In small, rural areas you're given perhaps 3 options- implant, bridge or dentures and the latter 2 never made sense. Given the inexperienced care I've had so far, the complications and failures, even going through the implant procedure filled me with uncertainty. Never explained how to make sure under the implant can be kept clean (floss slides under one side only and food really jams up there). Like many, the likelihood is living without any prosthetic to replace all my back teeth at. With the exception of the single implant, barring any complications with that as well, in the future. A patient knows what they need to maintain good health but rarely are able to get it.
The level of professional pride in doing it right is great to see.
Thank you. I'm glad you found this helpful!
So I am in England...any ballpark figure for all on 6 [or 7 or 8].
You can read about cost here: www.dentalimplantcenter.com/fixed-bridges-non-removable/
Why make one big bridge? Why not segment to allow improved access for hygiene and limit the consequences of an implant failing? Thank you!
The argument can be made both ways! If you do one, full-arch bridge and one implant fails, the bridge may be salvable. If you have six or less implants, it must be one bridge (you cannot make it multiple pieces). So, with eight implants you can do it either way. With eight implants, I now use the length of the clinical crowns to determine one piece or several. Long clinical crowns, one piece. Normal size clinical crowns, multiple pieces. Don't forget, even with multiple bridges, the patient must still use a floss threader in all areas except the two proximal contacts between each bridge. Therefore, it is only slightly easier home care. Complicated question... confusing answer. I would be happy to discuss this with you in a phone call.
With regards to the three bridges for the upper jaw and having only three implants and three teeth. Is it possible to have the one implant connected to four open spaces, no teeth in the four spaces to be connected with a bridge ? Or is it absolutely necessary to have an implant bridge for only three teeth spaces.. thank you, from South Africa