Alternatives to All on 4 Part 2
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- Опубликовано: 23 янв 2022
- Board Certified Prosthodontist and Board Certified implant Dentist, Dr. David McFadden, explains in great detail why he doesn’t believe All-On-4 is the best treatment FOR THE UPPER arch, and he shows numerous cases backing up his reasoning. He also shares numerous success cases of Alternative treatments, and revisions for existing unsuccessful All-On-4 cases, to help you educate yourself to all the variables involved in and options available for this type of treatment.
Dr. McFadden is double board-certified in prosthodontics and implantology - a distinction held by less than 20 dentists in the United States. To learn more about the Dental Implant Center and Dr. David McFadden visit www.dentalimplantcenter.com
Video mentioned in this presentation: (2 versions of differing length and depth)
* Buyer Beware: Problems with All-On-4: FULL version 43:52 minutes: • Buyer Beware: Problems...
* Buyer Beware: Problems with All-On-4: MINI version: 16:06 • Buyer Beware: Problems...
*To learn about the 12 specialties, and how to check credentials, visit: www.dentalimplantcenter.com/c...
Very educational and you may have just saved me a lot of heartache and health issues, I was set to have all on 4 top and bottom next week and you have I changed my whole outlook on all on 4, that has been my fear and exactly why I have put the surgery off for the past 8 mo, I knew there was more information out there on the long term outcome of these all on 4, they are pushing these surgeries too hard and you have answered my questions that I have been searching for, my gut feeling was telling me don’t do it, your knowledge and honesty is so appreciated ❤️
You’re welcome. I wish you the best of luck!
I am considering getting all on 4 as well, now I am even more confused on what’s best for me. How are you doing now and what did you ultimately decide? Thanks for sharing.
Holy cow this was informative!! I about died when I saw the sawed off teeth and bone! I'd rather die than have that done!! I had three implants done in Mexico but it wasn't a quick fix. It was a two visit ordeal over about 7 months. I am happy with the work they did so far. I wasn't too thrilled with the corporate fools I saw in the States. I think they did things to my teeth that wasn't needed just to make money. I don't mind paying for an honest dentist regardless of where they are. You are honest and the world needs a lot more people like you. This was well done!
Thank you. I’m glad you found it informative. Good luck with the rest of your treatment 😊.
The problem is to many dentist's,,,we have dentist's in about ewry corner in ewry shopping centres (2-3) small shoping centres
Completely agree with your sentiments and so thankful I've discovered Dr. Mcfaddens' channel. I also had an implant bridge done in Mexico (Tijuana) and was pretty happy with the results; which have now been verified by two prosthodontists here.
So glad I found Dr McFadden
Thank you for your honesty.. these are priceless information you are sharing that helps many. I wish I lived in your city .. Keep the great service you are providing with integrity and honesty.. 🙏
Thank you. And, I will…
Thank you for explaining this so well. Very sobering for someone who has been drinking the 'all on four' hype, happy to find this posts.
I’m glad you did!
Fabulous presentation….I’ve been reviewing all the major dentists and their protocol for years….around the World. Must admit yours is superior. Although many AO4/6 can look attractive, eventually they realize their going to be living with a hockey puck the remainder of their years…could be tough…
Charles, thank you for the message. We agree. Don't forget, the hockey puck also rests on a sinking foundation.
All the cases you have shown have excellent bone condition it's easy to do :implant bridge' in those cases but patients with bad bone and uneven bone you'll have to make space for an fp3 prosthesis.. in good bone cases you are absolutely right.. but majority of our patients don't come with ideal bone
Hi Dr I want to thank you for educating us on this matter, I am recently working in an all on four dental lab in Dallas Texas and I think about a year ago I work in a lower all on four for a Dr McFadden, I don't know if it was yours but if it was I hope everything went well with it, I work on a lot of cases and I try my best to do what I can in the circumstances, I also say a prayer for every patient thanks again, this video remains me that the work I do is for an other human and I have to do my very best.
You’re welcome. I’m glad this was helpful to you. If it was you that worked on my case, it must’ve gone well! Ive had great successes thanks, in part, to good lab work! I thank you for always doing your personal best. It’s all we can each do! Glad you found it informative. All my best!
@@mcfaddendentalimplantcenter please keep uploading more videos I wish there were more Drs like you out there, dentistry is hard but let all of us remember that we are going to be patients at least once in our life time.
@@aroncarvajal7080 we sure will! Thank you!
Been feeling so bad😥😢 abt dreading & worrying how im guna get the money, or even in possible debt 2 get the All-On-4 or similar to, i heard even regular teeth implants cld be bad, & tht was 1 of t/ main reasons i wanted them 2 stop bone reduction but they have to remove too much of it just 2 get t/ All-On-4 procedure. 4get that. THANK U SO MUCH 4 UR WORK AND INFO. Im fine with the healthy bone & mouth i do have and even dentures 4 now. Now i kno where 2 go, and if anything snap-on wld be the best and still give me the option 2 convert later on if i decide i may wana go thru with it. Not all docs r gud thank u 4 being 1 that is👍💯
You’re welcome. I’m glad it’s helping you think through all the variables involved. I wish you the best of luck in your progress!
Thank You!
I need the bridge upper and my lowers done. I live in Michigan but will do whatever I need to do
You are right. Well done.
Thanks!
Brilliant❤
Thank you!
Thank you Dr for such a wonderful and detailed video.I would like to ask if the treatment you offer of an 'implant bridge' is possible for a case wherein there is almost no bone in the maxillary molar regions(all 3 molars) and the sinus has dropped way down.How will the implant-bridge be supported in such a case?To put it simply 'how is an edentulous jaw made suitable for implant-bridge'?..Do you do bone grafting first in such cases?.Eagerly awaiting your reply🙏🏼
The answer to this really varies from mouth to mouth, but I'd like to try and help, if I can. Please contact our office during business hours (Mon-Thursday 7am-3pm CST) and we will do our best to answer this question for you. It would help if I could see a current panoramic x-ray or a CT scan to give you a more concise idea, though. Staci or Stephany will be able to help coordinate getting the information I'd need to evaluate, in order to try to answer this for you. 214-956-9100
Hello, great video. It is well needed. All on 4 treatments are being touted as the most beautiful solution in dental history. When I asked for this treatment at a dentist I had been going to for years, the lab wouldn't quote a price for the zirconium because they said the prognosis is so poor, they don't even make them. Because I had worn a round house fixed bridge for so long, under which the back had no teeth, I had significant bone loss. And since I refused a sinus-lift, I was told my only option was an upper overdenture. I do however have a capped tooth at the back of my upper left jaw, the six in the front were extracted and bone grafting and mini-implant placement was done four months ago. There was no temporary, which was fine with me as I have to wear a mask outdoors anyway, and I couldn't imagine anything near my gums after surgery. My question is, do you offer other options (than over-dentures) for those who are clearly in need of a sinus lift? Thank you!
Many patients have bone that other dentists ignore or don't see. And, there are other sinus lift procedures that are not as invasive. I recommend a CT scan and a new treatment plan.
@@mcfaddendentalimplantcenter Thank you!
THIS WAS PERFECT FOR ME. HOW MUCH DO YOU CHARGE FOR UPPER ARCH?
Not knowing specifics, and never having seen you, I can’t tell you that, but my consultation is complimentary, if you’d like to come in so I can give you an exact amount. Call my office at 214-956-9100
Thank you for all the information. Since these are bridges, what is the rationale for having the entire arch be one piece rather than placing several teeth at a time across the implants? Also, do you have a referral service for people who are very far away from your practice? I have searched near me and every provider offers all-on-4. Edit: Also what do you even call this in terms of being able to Google locations? When I search full mouth dental implant bridges, all the results discuss all-on-four and might mention traditional bridges as well. It's very difficult to search for because of the overlapping terms (traditional bridges on crowned natural teeth) and because all-on-4 is so much more common. Edit 2: I hope I don't sound ungrateful in asking about other providers--I just saw on your site you all cater to out-of-towners. I am disabled and truly mostly bedbound, not able to fly, and have many, many chronic health issues besides my dentition, so finding something local is more realistic--although I'm in a stressful situation where after living with my caregivers for the last 20 years am moving cross country (not by choice)--so what is local for me will be changing soon--I know I said traveling is difficult which sounds at odds with moving cross country, but I honestly don't even know if I will make this cross country car trip (I'll be on a mattress in the back of a van with oxygen) and it will be the most herculean thing I've had to do. I've searched for providers both where I am now and where I'm moving to and don't see or haven't been ablet to find providers offering what you do. EDIT 3: Searching more the closest I've been able to find to what you offer elsewhere is "3 on 6" --3 individual bridges on 6 implants--it has no artificial gum and uses the natural gum. What do you think of that option?
Thank you ! We almost always do one bridge per arch. Only when we can get eight implants in do we do separate bridges. I will tell you that I have gone back and forth on one piece versus multiple pieces. In 2023, 95% of our treatments were a one piece bridge. Not everyone has enough bone for eight implants. Also, I used to say, they are easier to clean, which is true, but only in two spots where the three bridges meet. Finally, if an implant should fail on a one piece bridge we can often take that implant out and modify the bridge without adding implants or months of treatment. I hope this helps. Sadly, there are so few dentists who do this treatment, we can't find them either. We could do a Zoom call if you have a panoramic x-ray. All the best!!
Really appreciate your professionalism and compassion. I was good until you mentioned taking tissue from the roof of the mouth. I have read testimonies of people who suffered much pain and difficulty eating from that. Can it be taken elsewhere? Bridges do sound like the best option but I think perhaps I may only afford the All on 4's. Both Arches.
I have a virtual appt. with you set for march 7, at 2pm.
I'm on Maui Hawaii. I sent an email to Stephany with a link to my "oneDrive" storage containing my 3D Xray. Please let me know if you're able to access it. If not, I could mail you the DVD Disk but would like to hold on to it if I could. So until then, would you please address my question regarding Tissue from the roof of mouth?
Mahalo.
Joseph
When I say, "tissue from the roof of the mouth", I do not mean taking it from... I mean making the incision favoring the roof (palate) of the mouth. An incision for the implants must be made, either way. By favoring the roof it allows me to bring more of the good tissue (keratinized) to the cheek side of the implant which gives many benefits. It is not a soft tissue graft from the palate but rather using what is already there, in abundance. I hope this answers your question. We have trouble opening the "sent" 3D scans. Could you please mail the DVD?
It depends on where you go for all on 4s. Any dental procedure can be a disaster if you don't go to an experienced facility
Cost is a very important factor
Doc may I ask a question about the procedure of the lady with carries
Sure
@@mcfaddendentalimplantcenter well I am curious about such a dramatic decision is taken she cavities for sure is nt better conserve natural dentition was it impossible for her restore those teeth
@@babacanoflaz1403 Absolutely! If the teeth have a good long-term prognosis (good chance to survive 10-years) it is worth considering. However, if they don't have a good long-term prognosis it's usually a waste of time and money.
Is it always possible to give an FP1 prosthesis to the patient..?
No. Not always. Especially when they present edentulous. But for those with some teeth and decent bone? Usually.
Dr. McFadden, will you still be practicing in two years? Your videos have repeatedly astounded me, and disregarding your obvious top tier knowledge and product, I'd purchase from you just to encourage more of this knowledge sharing and stuffing it to the big guys. I say two years because I'm set to start a much better job then, and I'd pick you instantly when I get a salary able to afford your expertise.
Yes. I’ll still be here in two years. 😁
Great v doc learned so much about history of implants why all 4 was invented for ie people with no teeth. I think it’s criminal to offer this knowing how much healthy bone and tissue would be lost forever to accommodate this procedure ! I agree this is not process as every where you look it’s one system thank you for giving us education and allowing patients to make informed decision. I am in this process after suffering advance gum disease. I want my investment to last me as it’s one time I can afford to do this.
I wish you the very best!
Do have out of state patients?
Yes, we do. (Quite a few.)
What are the options left for those who got implants already ? Shaved bone and all. No permanent yet.
Oh how I wish I saw this video a week ago before surgery.
Your options are few but a properly designed prosthesis is now the goal.
Good day Dental Implant Center Team, I would like Dr. M. to do a video on Fast and Forever Smile ie... Implant Bridges vs. 3 on 6 from Smile Systems. Are these the same ? just different marketing name? I am on the fence and need more information about both proceedures, I am very hesitant about the 3 on 6 because of the TM, it seems like its a corporation thing vs. Dr. M. personal hand crafted bridges. please explain I am very close to make my decision with Dr. M. Thank you ahead of time, your team rocks. !!! From SF, CA. JKD
JKD, Unfortunately, at the moment, I'm unable to-respond at length, but I WILL. If you will please, send your email address to my staff member, Barbara, at Barbara@dentalimplantcenter.com. She'll forward it to me privately (so it's not shown on here, publicly) and I'll respond tomorrow evening.
I wish I had not found this information, NOT!!! I’m in the first year of the A on 4 process , and not very happy, this practice got my lower arch, wrong, because it loosens up, are. As well as the most front post is painful so I can forget eating corn on the cob or a apple. So as you can imagine, I’m the fish, hamburger, chili, or all the other things that we tend to eat with teeth problems. So tomorrow I’m calling the office to put them on notice that we need to fix this. FYI , my first two temps on the bottom broke, and I’m thinking that they should have taken the hint that something was wrong with the bottom.
Wow! I knew something didn’t seem right about how easy they make the all on four sound. I am trying to find a good prosthedontist in the seattle area but most recommend the all on four with angled abutments. Is there anyone in WA state you would recommend? I wish your practice was in my state.
Unfortunately, I do not know anyone I can recommend in your area. I wish I did. If you're able to travel to Dallas for treatment, we'd be happy to help you. We see patients all the time from out of state, and do our best to make the visits efficient and as few as possible.
If you want to research on your own there in Seattle, I would advise:
1) Calling Prosthodontists (find in the American College of Prosthodontics directory at www.gotoapro.org/) in your area and say, "I need full arch (or full mouth) dental implant treatment. I’ve done my research and decided I do not want All-On-4. I’d like implants and fixed porcelain bridges, without any angled implants or angled abutments. Do you do this type of treatment?"
2) "Do you have photos and x-rays of before and after cases of this type of treatment that you’ve done that you could show me when I come for my consultation?"
3) "Do you place your own implants? (If not), "Do you work with an oral surgeon or periodontist who is able to place non-angled implants for screw-retained, fixed implant bridges?
I wish you the best of success in your search!
@@mcfaddendentalimplantcenter thank you so much for your detailed reply. I will follow your advice and scrutinize the providers I have in my local area. If I cannot find one who is able to to the work properly I have not ruled out traveling to your practice. I appreciate you taking the time to respond.
@@mrc6993 You’re welcome. I wish you the best of luck. If your search proves to be unproductive, I’m always here 😊
how much is an upper implant bridge?
It can vary, according to how many surgeries are needed, whether or not bone grafting is required, and the method of temporization. I offer a complimentary consultation and would be able to give you an exact price once I examine your mouth and take necessary records, which are included. Call my office Monday and make an appointment at 214-956-9100 and I’ll be happy to give you an exact quote.
What about the sinus ?
Please elaborate….
@@mcfaddendentalimplantcenter
Sinus lift for one implant
@@nicolemorin14 Depends… I would need to see a panoramic radiograph to advise… if you’d like a 2nd opinion, I can try to do it remotely, if you have a current one you can forward for me to look at. If you’d like to do that, feel free to contact my office at 214-956-9100. The girls at the front desk will help coordinate this for you.
to be honest, western dentist extracted too much health teeth and bone .I don't
think it is reasonable.
we need more conservative treatment instead of extraction
Agreed!
OMG terrible