This is hands down the most informative video I have watched on the subject of dental bone grafting. I wish I could come to you to have my implant done, but alas, not feasible as I live in Ireland. However, I now feel armed with more knowledge thanks to your video.
Well said, doc, it's not a small step, and it takes an informed patient to have a trusted referral to get it done properly. Buy cheap, pay twice, more pain, heavy cost.
Thank you so much! I needed up with bone grafting today. Watching your video helped me to understand what this is all about. My surgeon is an amazing one but your information helped me see the true reason for this process. I really appreciate it.
Thank you so much for sharing this informative video. This is helping me to know what to ask my dentist before I get my bone graph. May God continue to bless you and grant you tranquilly of mind, body, soul, and spirit..
Dear Dr. Daniel Choi! I only wish I could find someone as knowledgeable and honest and kind and understanding of what patients need to know! Thank you so much for the incredibly helpful and detailed overview of the Dental Implant procedure including almost all the Mechanical Engineering which goes in construction site for the Perfect Implants to last, as well as the outline of the teeth and bone healing and the miracle of implants surgery. Sadly too many people think they could get an implant done cheaper at any dentist office, and ideally they should find only a board certified specialist like you, dear Doctor! Could you please advise which kind of Dentist would be the best for Oral Surgery and Bone Grafting for the entire all front and back teeth and do it in a way not to ruin the orthodontist treatment bite: Prostodontist, Periodontist, Oral Surgeon (but most of them do the Implant and don't do the Crown)? Also, can Orthodontic treatment cause bone loss under crowned root canal teeth or what typically causes infection and bone loss on the root canal crowned years ago teeth? Could heart desease or something like slightly elevated blood sugar (not Pre-Diabetes but just a bit below it) or is it Oral Hygiene, poor Nutrition and lack of Vitamins or bad Oral Health genetics or perhaps just not being lucky to be treated frequently and regularly by an experienced and honest General Dentist? Lastly for the Bone Grafting or natural Bone regeneration after extraction, would you recommend any specific Vitamins (either supplements or food sources) which would help an Implant surgery to be a lasting successful procedure?
This was so helpful. I was in car accident 10yrs ago front tooth knocked out. I have no bone at all and this made me feel more comfortable because the bridge just doesn’t sit well for me.
I really appreciate this video…my son was born with only one front tooth…fast forward to today he is old enough for an implant…but since he has never had a tooth there, the chances of it working is slim. But we took the chance on the bone grafting and hoping it works. Ugh it’s very stressful. I’ll report back in December of 2022 🥴😵💫
Well, that is very sad. I’ll pray for you guys. Especially the little man. Hopefully a surgeon will do it for free and find it and it’s hot. It’s not about the money. It’s about the love. God bless.
Reporting back: we are now December 2023. Bone grafting was successful and now has a permanent implant with a crown. He was a beautiful smile. Thank you everyone. 🙏🏼🫶🏽
Thank you for this ! I have had 3 failed implants because the original periodontist never added bone !!! Now I have to have a major bone graft on lower right . This video confirmed what new doctor advised ! Thank you
I had bone grafting after my wisdom tooth was removed. The doc told me is not necessary but is better to get one. As I was alone and no one with whom I could talk about it, I said yes. I hope it was a good decision.
Hello Dr. Thank you for your time and consideration - Question: Does membrane or something always have to be used now? Do you think I should have the bone graft right away or wait and see? Here is my story - I have an issue with tooth #3 it has a Root canal, Crown and an Apicoectomy now a cavity under the crown. I choose to remove the tooth and replace it with an implant from Mexico. I visit there regularly and have already had 1 successful implant done there. I did the extraction and bone graft at a general dentist in the states w/o membrane last time. I have been to 3 Maxillofacial Oral surgeons within the last 2 weeks. Of course 3 different approaches and quotes. I have no dental insurance. (1.) extraction $325 , (optional) autologous blood $475 , bone graft $615 = $940 or $1415. (2.) extraction $284 , membrane $962 , bone graft $791 = $2037 . (3.) extraction $440 = $440 with no bone graft at the time of extraction he thinks the bone will grow back and fill in fine. Plan to place graft with implant if needed. The reason I am confused is because the last time I wasn't even offered a membrane or blood platelets. And the graft price was much lower. (1) I was leaning toward option (1) $940 because I felt like I really trusted her. (2) I did not like the option (2) at all. Interesting though, they were the only ones to mention a membrane being placed (3) Then option (3) sold me because of price and the conservative's approach. This guy is a 30yr long bone specialist and I feel I trust him too. Its just a different approach I guess. I wish I could send you xrays for your opinion. I know you said in your video "you" would want grafts done on yourself and I'm thinking that's the final answer. I am just trying to educate myself more. And of course I want to do it without a graft because I don't want to spend the extra money if I don't have to. Ughh and thank you RW
Be careful,I had implants made in Mexico and I lost 3 our of 4 because of poorly made work made by an incompetent dentist( is not Mexican, is from Venezuela but he is undermining the Mexican dentistry ) I was told my bones are very thin to hold the implants but this dentist did not told me after he did CT scan.
Can graft at the time of implant take care of insufficient bone in the area of the implant? Also, I am very curious about the nature of the implant/gum/denture relationship. In a normal denture, the gums take the chewing load. I don't understand why everyone keeps saying the implant needs to be strong enough to take ALL of the chewing load. Why are the implants not placed as "locators and fixators" and allowing the gums to take much of the chewing load as a denture does ? Especially on premolar and rear where aesthetics is no big deal. I am looking at having a bunch of this done (graft/implant) the healing of 4 months here/ 5 months there etc, it's a year plus to get finished......
Great video doc your so relaxed and master of your trade. This is foundation of your mouth if this is not done how can you build on top of this weakness ? I love to know your thoughts on all on 4 I find it a very odd system where implants are all loaded at front nothing at back and only 10 or 12 teeth with only ine molar how do you chew ?
all on 4 is great. we do it a lot at our practice. typically we have 12 teeth on the prosthesis. patients can chew great with it. check out my all on 4 videos
Hi Doc, great videos. I have had a molar extracted in the back left of my mouth for 9 years...I am just now seeing gum recession around the surrounding tooth. Is it too late in your opinion for an implant and/or would a bridge be a better option, it affects my smile from a small amount but I don't want to lose the other teeth. Thanks again for this amazing video.
hey cody. its a possibility that you have lost a quite a bit of bone but you need a cbct 3d scan to confirm how much bone you have before saying we can do a bone graft or you're better off doing a bridge.
Great info! I'm having issues with my lower front teeth, bone is quite thin at the front and gums are receded. Back side is pretty decent, though. Only the front side is concerning. What are my options in this case? Is gum/bone graft possible, would it make any difference? Or just wait for the implant, and if so, what is the success rate of GBR for lower front teeth with moderate bone/gum loss? Thank you.
Hi Dr. Choi My name is Luis. Your videos are fantastic. Extremely instructive. If I can ask you a question. I need extensive dental work; couple of implants which very likely will need bone grafting, tooth extraction etc.,etc., I live in Los Angeles, CA I have dental insurance. Now the great thing is that within a 10 mile radius I have about maybe at least 20 periodontists I can choose from. However, I am not sure how to choose the best periodontist. I've checked the education and years of experience of each Dr. Any other advice that will help me make a better educated decision or should I basically take the scientific method of "eenie meenie...." Your attention to this matter will be greatly appreciated. Thank you.
Is it true that bone grafting accelerates healing from wisdom tooth extractions because it prevents food from getting into the socket and helps protect the blood clot?
I had tooth #8 extracted 3 years ago. My dentist filled the socket with Ossix allograft (the kind that you cut and it goes in as one piece to fill the hole instead of the bone granules) and he put in only one stitch but did not use a membrane. Afterwards, it felt like I was losing bone graft material out of the socket because there was no membrane to hold it in. Five months later the oral surgeon put the implant in. It wasn't too bad until the implant was loaded 4 months later with the abutment and crown because then I started losing alveolar bone on the palatal side. I have lost all the alveolar bone behind the front tooth which drives me nuts. Not sure why my dentist did not use a membrane to hold the bone in, but is there any way to get a bone graft placed behind and above the crown on the palatal side to replace the missing alveolar bone?
May I get your thoughts on a child who has hypodontia (missing adult teeth) for upper right and lower left premolars? Should we try to protract teeth to avoid implants or how does she prepare for dental implants in the future? I know that it will be years before she can do an implant but that to me means she will not have the proper bond density for implants and will need invasive bone grafting. My question is what is "invasive" and are min-implants now an option to build/maintain bone structure now vs getting bone grafting in the future?
You seem to be discussing individual implants, what about AO4, can you place the implants and bone graft at the same time, allowing for teeth in a day?
Very good information, thank you! My tooth #19 is an implant. X-ray has showed gradual bone loss (between #19 and #20) over the last 5-7 years around the implant screw - more threads are exposed based on X-ray. I'll see a periodontist soon for an evaluation. As a senior citizen (68), what kind of bond grafting method would you recommend? Unfortunately I'm too far from you and cannot see you in person. Thanks again if you read this message!
Is there a possibility that the oral surgeon can hit the nerve? My tooth #19 needs to be removed because the infection ate away at the bone and the oral surgeon showed me the x rays and said that there’s possibility for nerve damage because it’s touching the nerve.
Thank you so much for all these beneficial information. How painful it is to have a tooth extract and bone grafting ? I have to go Thru this process this week and I am freaking out. I have gastroparysis condition in my stomach and can’t take medications. Is Tylenol enough to manage the pain? Any advice is appropriate it. Thank you 🙏🏽
@@northtexasdentalsurgery Thank you so much for your reply.. much appreciate it. I wish you are close to where I live. My only concern is - if Tylenol enough to manage that kind of pain?
I had a root canal fail, gum graft, and then a cone ct scan identified rarifying osteitis, had the tooth pulled, bone graft and waiting 4 months to heal, had implant post put in, it got infected, had implant removed, another bone graft was placed right after implant removed, now I think the bone graft is infected again… I am 37 and healthy. What the heck do I do now?
I had bone grafts on teeth 6-7 and 10,11,12 3.5 years ago with plans of implant supported bridges on both sides of 8 and 9. Took me longer than expected to complete getting all other teeth 100% repaired and healthy and had to recover financially. My question is can I now go forward with placing implants or was it more than likely too long and a waste of money? Obviously It's a case by case basis but I'm just wondering my chances of the graft still possibly being successful all these years later.
Greetings, I hope you will answer me, doctor. I had a congenital problem with the color of my teeth, and at the age of 18, for aesthetic reasons, I made my mouth complete with porcelain metal bridges, (I emphasize on both jaws) now after 10 years, I am 28 and my teeth almost all of mine are infected and all to be removed.. I have significant bone loss in both my jaws which cannot support implants. a doctor gave me the possibility of zygomatic implants but it didn't seem like a good idea.. now I'm in Germany and here they suggest the method of bone grafting by taking it from my body or from my jaw. I wanted to ask if this is a good idea for such a large bone loss and for the rehabilitation of all my teeth.? and considering my age, is there a good success rate.? or finally any other solution besides traditional prostheses. Thank you in advance..
I just had a tooth removed. I'm unsure whether it was a wisdom tooth or not but now I'm being told I need an implant because it's gonna affect the tooth above as it is coming down. My question is the tooth was just removed in early October. Can I wait till March to get the implant without much affect to my bone since it's very expensive and can't afford it currently
If i am 76 and have had two different upper prosthetics and recently have had one implant fracture after 8 years of use, and have two possibly three implants left, but are told by the surgeon that i would need some very little bone graft for addition of another implant do I have choices to eliminate costs or would I have to do this even if I go with upper denture and snaps. In other words, what choices do I have at this point?
I had been told to get tooth implant in canada and in Pakistan. When I went to the dentist he did my lower right end tooth implant but the top left 3 rd from the insizers he said the lab told him to do the bridge as implant wouldn't give her the chewing power. That's the first I heard about it. The left and right tooth from the missing tooth are already not good. Ie one is caped and another needs a cap. The dentist suggests I do bridge as if he puts implant he has to put it at an angle and graze the lower tooth. I am confused
I have a question. On my jaw, I had the left first molar removed closed to 4 years ago and on the right I had my second molar jaw removed 5 years ago. Now I'm thinking I should go get implants and straighten my teeth while at so I'm guessing I would need bone grafting after so long. The question is, would I get braces first or grafting first and then braces later. I also read(googling) that the implant would come after the braces have done their work. I'm just trying to mentally prepare myself.
EXCELLENT VIDEO IF YOU ARE THINKING OF GETTING IMPLANT, watch this NOW I had tooth 30 pulled today, dr inserted bone graft and used dissolvable sutures. He explained the sutures to me and I am kinda pissed now after watching this video. I go back in three months to get the implant
Worse come to worst, what is the most costly expense (or at least, the price range) for people to expect when they loose most/all of the dental bone (both upper/lower)? Before anyone hoping for a permanent dental implant Thanks for your help.
My front tooth has reabsorption after root canal 5 months ago. They say they need to remove all existing bone and graft it. Why don't they just fill it in?
What do you recommend if bone is gone ? I got a root canal over 15 years ago and now have an infection on my canine tooth. Taking antibiotics for 1 week. I may have to get it pulled out:(
vA failed to put a mesh on mine , end result the boneceaft disappeared after 8 months the implant is only catching on 3 treads- they are undecided of what to do theres a big hollow void under the implant they say it looks infected
Great video doctor. I have been missing one of my upper incissor for 8 years after losing it due to an infection. When I touch the site I feel my gum has shrinked. Am I most likely to be in need of a bone graft?
I had a bone graft done last week emergent my after my five years old lower crown fell out from my tooth with cavity which has been removed before the bone graft. The suture has broken off now and there is a pretty deep hole exposed and food will get stuck inside every time I eat. I can’t even tell if there is a membrane inside and I was not told there is one put in by the dentist.. I would like to go ask for a membrane placed if the bone graft is still viable but also reluctant to have the same dentist do it since he seems inexperienced based on the information you provided in this video (shout out to you for sharing the information!). I would really hate to have to go through the ordeal again in fixing that tooth I’ve already paid too much money for. Any advice is appreciated. Thank you.
hate to tell you this but you wasted your money. if you have a deep hole there then basically all the bone graft came out. at this point you probably have to wait till you're totally healed 4 months from now and wait to see how it heals. you can get more bone added at time of implant. maybe a good idea to go to somebody with more experience? not sure, I dont want to throw anybody under the bus without looking at your case, how bad the tooth was, what they did at the time of surgery, what it looks like now etc. I'd like to give this dentist the benefit of the doubt so hard to say
Is it possible to get a bone graft while undergoing Invisalign treatments? I knocked out my two front teeth and want to get implants as soon as possible after straightening my teeth.
I haven't had any teeth at all not even dentures because I tried two different times to wear dentures and I couldn't because I didn't have enough gum to hold it in and I haven't had any teeth since 2006 so I would probably need a full mouth bone graft is that possible and would it be a lot of money
A question I can't seem to find a proper answer to is -- if you have a tooth that needs to be pulled and you have absolutely no plan or desire whatsoever to ever put an implant there (let's say the tooth is further back in the mouth where the lack of tooth wouldn't be noticeable -- or let's assume you're older in age and just don't want to do the implant), how necessary would it be to have bone grafting done there when pulling the tooth? In other words, is the only reason for bone grafting to be able to later do an implant? Or are there other crucial benefits to it that are still important even if you never get an implant? The reason I ask is because my wife has a bad tooth in the back of her mouth (not a wisdom tooth, one tooth closer to the front) that she needs to get pulled. The dentist she went to for a consultation insists that she must do bone grafting there, despite that she has no plan to ever do an implant there. He's taken it as far as saying that he will not do the extraction unless we agree to the bone grafting (which, not to mention, is not covered by insurance). The money is not the primary concern, though it's a factor as well. The primary concern is that we don't want to be bullied into doing something that doesn't seem to be necessary, and so far, based on all the research I've done online, bone grafting seems to be always tied to implants. In other words, if you don't plan to do an implant then it seems that bone grafting is not necessary. The only reasoning this dentist has given us so far for insisting on the bone grafting, even with us telling him that she doesn't plan to ever do an implant, is -- "you might change your mind in a few years." That's not a valid reason to refuse service, in my opinion. I've tried calling other dental offices for a second opinion, but none are willing to give their opinion by phone. All insist that we'd need to come in for a consultation, redo all the x-rays, etc., just to get a simple straight-forward answer to this question.
Super helpful video. What are the pros and cons of different types of bone grafts? eg synthetic, bovine, donor, autologous? Which has the best results? If you ever felt like making a video on this…!
My teeth # 19 is very loose and I'm sure it needs to be pulled out. Is it a good idea to also get bone graft even if i'm not sure I will want an implant? I definitely not interested in denture.
Not sure if you’re still reading, but can i get a bone graft, see if i’m happy with it alone, and then anytime in the future add an implant if i’m not content with just the BG?
Hai, I'm from India.I have a doubt.My mother is 54 years old,a psychiatric patient,has lost her teeth over many years due to poor oral hygiene.Hypothyroidism patient.Lost weight of around 5-10 kgs recently due to not eating, probably due to pain from few remaining loose teeth.A periodontist suggested implant immediately after tooth extraction. My doubts - Is the implant necessary or dentures are okay? Should we wait for few months after extraction ,and then go for implants as her oral hygiene is poor and she has lost weight recently? Periodontist suggested implants as her bone loss is more,he also suggested cantilever for right lower teeth as bone present is very thin. Sorry for the long question.
Very educational video. Thank you. Any advice for vegans with ethical concerns who would prefer synthetic grafts not human or bovine bone ? Also I noted you said you are a periodontal professional. Can you explain ideally what type of professional should do each step of the process?
dont bother with a synthetic graft. if you dont want human or bovine bone, just go without a graft. synthetic is a waste of money as it will not turn into your bone
I have to remove my molar top 14 and 19 ? Due to root canal infections. My question is do I need to replace those teeth if they are nothing touching each other when I chew? I have a problem deciding if I want an implant because I know they fail? Can I just get bone graft?
if you're talking about 14 and 19, they typically oppose each other so i'm not sure what you're talking about nothing touching htem. if implants are done properly, they typically wont fail.
Hello Dr, I am in a situation. I got my teeth Removed on 1/5/23 and 4 implants placed on the bottom. The two front implants already failed. There is a big indention where the implant was placed and the implant has traveled down and is situated in the valley i would call it between my jaw and lip. This dentist had a woman with no experience actually being voice coached taking my impressions for my beginner dentures and she had me bite down open up and then used her hands to smush them up wards with so much force her hands were shaking and I guess that is why my dentures have never fit at all. My mouth will not close with them in and i cannot talk and i wont even try to eat. Everything is all wrong with this whole situation and I am really worried thAt this dentist does not care at all. He didn’t even have me wearing my dentures when I left, my wife said they acted as if they didnt care or want to mess with it as it was toward the end of the day so once they discovered the dentures didnt fit at all they blamed me not wearing them out on the fact that I was acting slightly loopty from the oral sedAtive. I am supposed to go in on the 27th for them to see whats going on with the implants and i am very skeptical about anything else with these people. It seems like he barely put the implant in like right behind my bone not even down evenly in the thick part of it. I had confidence these people could do this with my reasoning being it was an affordable dentures and implants and I figured they must have performed 1000’s of these procedures. I am worried its going to be a complete shit show with these people and I live in the Area and feel like i would be better off if i came to talk to you or your establishment. I watch your videos and feel like I should have just came there. I paid 9000 for 4 bottom implants, 17 teeth removed, several still good but mostly cavities and breaks and then those rediculously wrong dentures. Idk but i am stuck out here in West Tx working and i am freaking stressed. Anyway i would like to speak to you or someone on your level and maybe get some work done the correct way. Dm me please or message or whatever they say. Thank you
Hi Dr Choi, my Mom had a tooth implant extracted about 4 months ago and her perio also extracted an adjacent "good" tooth at the time telling her it was b/c it was unstable. At that time the perio also did a bone graft(human/bovine mix). But after checkups her perio said the gum wasn't healing right and needed to do FGG. She lost confidence in this perio for that and other reasons so sought out 2nd opinions: 1st perio: Took x-rays. Also said gum was not suitable for implant. Described the gum as "mushy". He couldn't tell if the bone grafting was integrated or not and recommended trying to "scoop" out the mushy gum and see if the bone graft is good. He said if the bone graft material integrated ok, let the gum heal again and see if heals properly next time. He also thought CTG would be ok for it, if it's even needed at all. He thought CTG is better over FGG because it's more comfortable in the healing process. 2nd perio: Took 3D CT scan. Said gum was not suitable. He said that from the scan, the bone graft looked ok but didn't look fully integrated yet. He said there was some detached layer of floating material which probably causing the mushy gum..like inflammation. And that body will expel the foreign material over time. He said FGG was needed though because of not enough gum. He also never mentioned using a palatal stent to help with healing comfort or mentioned CTG as an option. When asked why FGG over CTG, he didn't really describe why but said for this situation FGG was better. After also viewing your gum grafting video you said you perform CTG 95% of the time and that it's a lot less painful and less bleeding compared to FGG. I'm wondering what situations FGG material is better than CTG material. Seems CTG would be preferable if possible. For me, I preferred the first perio, he took more time to answer questions but I wonder why he didn't do a 3D CT scan. Can the 3D CT scan really show definitively if the bone graft integrated ok? I think my mom preferred the 2nd because he seemed to be very booked and have more patients. But don't think that's necessarily a good thing. Anyways we're going to visit the 2nd perio again to ask more questions and get a copy of the CT scan....and also visit the 1st one and have him look at the CT. Appreciate any advice/recommendations. Thanks for videos....learning a lot!
Currently I have a Front upper dental bridge - 6 Units - almost 40 yrs old and need replacing. Have some bone loss, therefore will need bone grafting as well. Please can you tell me which would be a better option - an Implant supported bridge OR six individual implants ? Thanks
@@northtexasdentalsurgery Thanks a lot Doctor, for taking time to reply and for your point of view. If we put aside the cost issue, with massive bone loss, in my understanding, doing each individual implant can put a lot of strain on the bone causing it to fail - is that true ? Thanks again Shema
Hello I’m about to have a bilateral sinus lift this coming week and I’m so nervous! I will be sedated for it. Dr said it’ll take about three hours! I unfortunately have an extreme case. It’s been a year that my top teeth got pulled due to unfortunate circumstances. How long do you think it’ll take to recover fully? I was told to expect some pain, swelling and bruising due to the lengthy surgery.
I have a question Doc. I have an extraction with grafting membrane on 12/21. I guess my grafting failed bc im missing the outer part of the socket. I go for a visit with my periodontist this coming monday. When stuff like that happens, is a implant still possible? Like the whole outer part of the socket is missing. The perio had troubles getting the tooth out bc it was damaged and broken. I dont understand why it failed. I didn’t have any signs of infection or dry socket and i dont have periodontal disease either. But is an implant still possible since half the socket (gum) is missing?
My hubby had a sinus lift, bone graft, dental implant for just 1 tooth. We didn’t realize how much it would cost. Abutment and crown to follow. Total will be $8k, and over 1 year. Not sure we would do it again.
Should have gotten the sinus lift and bone graft here in the States and the Implant done in Mexico.. Mexican dentists are very good, and Much, much cheaper.
HELLO DR. THANK YOU FOR YOUR TIME - QUESTION I WENT TO A DENTIST HERE IN LEWISVILLE FOR ALL ON 4 IMPLANTS AND THEY SAID I NEEDED A BONE GRAFT AND THEY DID A BONE . OK THEY DID A BONE GRAFT ON UPPER FOR THE IMPLANTS AND I WENT HOME WITH A TERRIBLE BRUSED FACE AND NO TEETH ON TOP. I REALLY DON'T TRUST THEM TO DO ANYTHING ELSE. MY QUESTION IS SHOULD MY FACE HAVE BEEN SO BRUISED. THAT WAS ON JUNE 21 AND I'M STILL WITH NO TEETH EXCEPT IN THE BOTTOM AND THEY ARE NOT RIGHT. THANK YOU FOR YOUR TIME SHIRLEY GOMEZ
hi shirley. I know exactly where you went. sorry to hear that. the reason they didn't give you teeth is probably because they weren't able to achieve stability of the implants. in regards to bruising, I find that everybody is different and some people bruise more than others. make sure to keep icing and keep your head elevated, even when sleeping. also in regards to not trusting them, I'm sorry to hear that. unfortunately once you pay, you're pretty much stuck to finalize the process with them. hopefully things will end up ok. let me know if you have any other questions in the future I can't help you out with.
A week before my implant surgery I was told I need a bone graft and sinus lift. Why would it take so long to know that I need this type of surgery? I thought I would have been told this earlier on. My periodontist said he could place the implant but he wants to prevent failure long-term. I'm just disheartened that I'm just now being told about the lack of bone, 1 week before surgery. This sets me back at least 4 months 🥲
maybe they realized it pretty late in the process?? a cbct scan shouldve indicated the need. honestly you can do a sinus lift and implant at the same time. you dont need to wait 4 months after the lift before the implant
I’ve had more than 3 bone grafts with failed implants and the reasons are different every time. Now the issue is, my bone is too weak after getting a bone graft. Is there any other solution for getting an implant? I spent thousands of dollars and wasted year’s tree nag to get one. Now I have another bone graft and have to start over. Thanks.
@@northtexasdentalsurgery No. Thus time they said the implant didn’t anchor. I ho back Monday for a follow up on this bone graft. I always heal good, but I keep getting different reasons why an implant failed.
thanks for your video, I have a question my Dr after extraction he did bones graft and after three months I see him again he did another bones graft and then insert screw how come he did two time bones graft thanks
I am ready, but where will I stay while I am there, how much a hotel costs. I to take until consideration airfaire I know I need a bone transplant for my 3 front tooths, how much ah we talking about, ball park figure, Thanks, Juan.
Autograph is best material for grafting but if not available then what about zinthetic? Cause I don’t like the idea of cadaver and animal grafting material in my mouth. Or maybe can you make a video about it? 🙏
Hello Dr., Can you help answer this question? My aunt is 79 and is having all her 19 teeth removed. Does she need bone grafts for each extraction if sh will getting regular dentures that come off and on? Please help if you can, we cannot afford the $9,500 for all this bone grafting. Thank you, -Jimmy
I am no dentist but wouldn’t think she needs bone grafts for normal full removable dentures. I would of thought the dentures would be made to suit and fit her gums as they are and once gums have shrunk more just realigned . Normally bone grafts are for implants. Maybe get a second opinion.
A week and a half ago i had to have tooth 13 removed. A root canal from maybe 4 years ago went bad and my face swelled up and it was abscessed very bad. The oral surgeon x ray and pulled it out. Showed me the stuff hanging on the bottom which he said was proof of abscess and infection. I told him i want dental impant. He said i am to come back in i think 12 weeks time and if it heals to his likes we will talk about dental implant options. He did not do a graft or offer one. He did a x ray with a machine that goes 360 degrees around my head before pulling the tooth. I went to my gen dentist yesterday to check in with them and he looked in my mouth and said the extraction site is healing very nice. The huge abscess lump has went down, i just used up all my amox i was given for the infection. My gen dentist said when i go back to the oral surgeon for the healing check if they like everything they will then set a implant surgery time and date. Then after that i must wait 3 to 4 months and then go back again. If it looks to the surgeons likes they then issue a formal letter to my gen dentist who then has the clearance to go forth and order the abut , crown and get ready for impression work. I can only think the reason no bone graft was done or talked of was either plenty of bone there? or maybe due to a bad root canal abscess infection during time of extraction? Its a waiting game now but i am putting money aside every friday so this can happen. Please let me know if all this sounds spot on or if i am off on it? Thank you for your time and your channel.
I think that the plan sounds reasonable. everybody does things a little different. some people may not want to graft if you have an infection. I dont agree with that personally. if you had a very infected root canal and wanted an implant in that site, I''d definitely want to graft because you could have a lot of bone loss otherwise. however like I said, many people like to do things differently. best of luck!
Please help 🙏🏼 😢 my dentist said I have periodontitis. Initially they were going to pull out 11 teeth in total and they said bone grafting is needed for the partial denture I will be getting. I payed in advance to get a discount for 11 teeth bone grafting. On that day they only pulled out 2 teeth since they needed to get approval from my insurance for partial dentures. Btw, i have medi-cal and they denied the partial dentures requested by my provider. I called insurance and asked why they denied it and cause my teeth are all bad. Full dentures for upper/lower is the best for me. Which I understood and agreed. My question is do I need bone grafting for each teeth they will pull out to get full dentures. I have no plans to get implants ever and I don’t have anymore money to pay for more bone grafting. I have 28 teeth in total and remember I already paid in advance for 11 bone grafting. Will my provider deny me my dentures if I refuse to pay for more bone grafting. Will I be forced to pay for more bone grafting in order to get my dentures? My appointment is next week already. Please help 🙏🏼
you dont need the bone grafting if you're only going to get dentures. save yourself the money. they may try to tell you that you should bone graft to preserve your bone but that will only last a year
Thank you so much for responding and for the advice. I had gone to my appointment and they had proposed a new procedure. Since I already had paid in full for 11 bone graft, which was almost $5k. Instead of pulling five teeth on the top, they will only pull one. On the bottom, they will pull out six teeth and replace it with a stayplate. If I agree, I will not have to pay anymore. When I looked up stayplate, it is a temporary denture to be worn while you wait for your partial denture. They did not tell me this. I feel like they are ripping me off and had enough of their business. My next appointment is next month on the 14th. I will request for my money back and just find another dentist. Thanks again for your advice.
My old man had terrible teeth when he was young and had them all extracted when he was around 20 years old. That was around 1925. When he was in his 60s I remember him crunching on radishes and green onions before dinner. My mother had dentures as well and when she was in her 80s she could eat corn on the cob, ribs, chomp on apples. That was also 40 years on. Only thing they ever did was get a new set of "china chippers" every 15 or 20 years. Now dentists need to do bone grafts, need implants just to keep dentures in place, big expensive deal. Even for regular dentures they want to do bone grafts. I remember my mother telling me the key to getting a good fit with a set of dentures was finding a dentist that knew what he were doing. These days they don't have to know what they are doing - they just fill your mouth with bone grafts, drill in the implants, pop on the dentures and hand you the bill. If you opt out of the bone grafts and implants I wonder how many would know how to do a good job fitting regular dentures? Would they even try? Or would they deliberately slop it up so after you pay for the dentures things are so messed up they will tell you, see?, now we have to do those bone grafts and implants to get things right. $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$++++++
,@Doubledog,, Yes you are right in everything you wrote, dentist these days don't want to bother with dentures and partials that's ole skool plus they probably don't have the know how to do dentures,/partials correctly or interested in learning the correct way ,I read a few comments on dentist office sites which some patients had dentures done and they have to come back to have them adjusted a couple of times , Dentist /periodontist want where the big big bucks at which is implants.
To be honest in my opinion I believe dentistry/periodontist wants dentures and partials to be the thing of the past. Make it obsolete. They interested only in implants. Money money money. It's a money pit for patients. United States is a money hungry greedy country especially in the medical industry. Just awful the prices they charge. Sickening!!!!!!
My problem is that you do not consider that an Inplant could just break just because of natural causes. Or perhaps a person chewed on something hard, I had all the cleanings one should have and 3D scans but is was never detected that implant was failing. My bottom teeth are all implants and are over 20 years. Over the years I have spent about 45 000. I would like to know would you ever recommend a denture for someone instead, under what circumstances would you tell a patient to forget about implants, Would you ever feel like the patient may have had enough. I believe I had a bad implant. What are your thoughts, would you do it all over again or would you just use a removable denture
yes you can bone graft without implants and bridges. bone graft will fade away after 12-18 months unless you put an implant there again because there will not be any stress on the bone in the area that you used to have with a tooth. if you want bone to persist then you will want to use bovine (cow) bone because it will not resorb like human bone does.
@@northtexasdentalsurgery Does bovine (cow) cost more? Main reason for my inquries on bone graft is because i have 3 tooth (last 3 upper left molars) that were root canal and crowned several years ago. Now the middle tooth&crowned broke just a couple of weeks ago. My dentist said this broken tooth is unrepairable and needed to be extracted and bone grafted. I am not planning on getting an implant knor bridges because i just couldnt afford the cost. If i dont have it bone graft. Will the area of the tooth cave in?will it jeoperdize the 2 other root canaled tooth next to it? Also if i get this root canaled broken tooth extracted. Will the hole closes back naturally? I told my dentist that i do not plan on getting implant/bridges but he’s adamant that i should still get bone graft. But what for? If this bone graft will Fade away in 12-18months if no implant and bridges will be done to it. And he’s’charging me $250 out of pocket share for extraction and $1400 for the bone graft. Bone Graft is not Covered by my insurance at all. Thank you
Hello Dr Choi, I am looking at having all on 4/6 dental implants. From watching this video it would seem I would need bone grafting as full extraction is required due to receding gum line. They have advised some bone grafting, but was wondering if more would be required?
Wow i took my grandma to a dentist to have two of her front tooth extracted due to pain and they said she needed bone grafting too ended up paying for that too idk if its a good idea damn
Castle dental put implants in without a 3D xray and 3 failed and 1 is stuck..I have been cut, stitches, infection, puss..and I end up with a cheap denture that is not wearable .then I get a consult from affordable dentures and implants for 30k for permanent dentures.. who can I trust..
This is hands down the most informative video I have watched on the subject of dental bone grafting. I wish I could come to you to have my implant done, but alas, not feasible as I live in Ireland. However, I now feel armed with more knowledge thanks to your video.
Wow, thank you!
Well said, doc, it's not a small step, and it takes an informed patient to have a trusted referral to get it done properly. Buy cheap, pay twice, more pain, heavy cost.
Thank you for sharing your knowledge. All of it is so helpful. Thank you.
Thank you so much! I needed up with bone grafting today. Watching your video helped me to understand what this is all about. My surgeon is an amazing one but your information helped me see the true reason for this process. I really appreciate it.
Thank you so much for sharing this informative video. This is helping me to know what to ask my dentist before I get my bone graph. May God continue to bless you and grant you tranquilly of mind, body, soul, and spirit..
Dear Dr. Daniel Choi! I only wish I could find someone as knowledgeable and honest and kind and understanding of what patients need to know! Thank you so much for the incredibly helpful and detailed overview of the Dental Implant procedure including almost all the Mechanical Engineering which goes in construction site for the Perfect Implants to last, as well as the outline of the teeth and bone healing and the miracle of implants surgery. Sadly too many people think they could get an implant done cheaper at any dentist office, and ideally they should find only a board certified specialist like you, dear Doctor! Could you please advise which kind of Dentist would be the best for Oral Surgery and Bone Grafting for the entire all front and back teeth and do it in a way not to ruin the orthodontist treatment bite: Prostodontist, Periodontist, Oral Surgeon (but most of them do the Implant and don't do the Crown)? Also, can Orthodontic treatment cause bone loss under crowned root canal teeth or what typically causes infection and bone loss on the root canal crowned years ago teeth? Could heart desease or something like slightly elevated blood sugar (not Pre-Diabetes but just a bit below it) or is it Oral Hygiene, poor Nutrition and lack of Vitamins or bad Oral Health genetics or perhaps just not being lucky to be treated frequently and regularly by an experienced and honest General Dentist? Lastly for the Bone Grafting or natural Bone regeneration after extraction, would you recommend any specific Vitamins (either supplements or food sources) which would help an Implant surgery to be a lasting successful procedure?
Thank you so much for this information!
You are so welcome!
Thank you so much for such great information.
You are so welcome!
Thank you so very much for your information!
You are so welcome!
This was so helpful. I was in car accident 10yrs ago front tooth knocked out. I have no bone at all and this made me feel more comfortable because the bridge just doesn’t sit well for me.
glad to help
Useful and informative, thank you.
I wish I lived closer to your practice! At least I have learned a lot but have a six-month wait before I can even get in for consultation.
I really appreciate this video…my son was born with only one front tooth…fast forward to today he is old enough for an implant…but since he has never had a tooth there, the chances of it working is slim. But we took the chance on the bone grafting and hoping it works. Ugh it’s very stressful. I’ll report back in December of 2022 🥴😵💫
hope it goes well!
We’re almost at Dec i hope he’s doing good
Well, that is very sad. I’ll pray for you guys. Especially the little man. Hopefully a surgeon will do it for free and find it and it’s hot. It’s not about the money. It’s about the love. God bless.
Reporting back: we are now December 2023. Bone grafting was successful and now has a permanent implant with a crown. He was a beautiful smile. Thank you everyone. 🙏🏼🫶🏽
Thank you for this ! I have had 3 failed implants because the original periodontist never added bone !!! Now I have to have a major bone graft on lower right . This video confirmed what new doctor advised ! Thank you
Thank you .
Thank you so very much for this important information! I hope by going to a board certified periodontist I will get a good surgeon!
Best of luck! Glad to help :)
Thank you 😊
You're welcome 😊
I had bone grafting after my wisdom tooth was removed. The doc told me is not necessary but is better to get one. As I was alone and no one with whom I could talk about it, I said yes. I hope it was a good decision.
Hello Dr. Thank you for your time and consideration -
Question: Does membrane or something always have to be used now? Do you think I should have the bone graft right away or wait and see?
Here is my story -
I have an issue with tooth #3 it has a Root canal, Crown and an Apicoectomy now a cavity under the crown. I choose to remove the tooth and replace it with an implant from Mexico. I visit there regularly and have already had 1 successful implant done there. I did the extraction and bone graft at a general dentist in the states w/o membrane last time.
I have been to 3 Maxillofacial Oral surgeons within the last 2 weeks. Of course 3 different approaches and quotes. I have no dental insurance.
(1.) extraction $325 , (optional) autologous blood $475 , bone graft $615 = $940 or $1415.
(2.) extraction $284 , membrane $962 , bone graft $791 = $2037 .
(3.) extraction $440 = $440 with no bone graft at the time of extraction he thinks the bone will grow back and fill in fine. Plan to place graft with implant if needed.
The reason I am confused is because the last time I wasn't even offered a membrane or blood platelets. And the graft price was much lower.
(1) I was leaning toward option (1) $940 because I felt like I really trusted her.
(2) I did not like the option (2) at all. Interesting though, they were the only ones to mention a membrane being placed
(3) Then option (3) sold me because of price and the conservative's approach. This guy is a 30yr long bone specialist and I feel I trust him too. Its just a different approach I guess.
I wish I could send you xrays for your opinion.
I know you said in your video "you" would want grafts done on yourself and I'm thinking that's the final answer. I am just trying to educate myself more. And of course I want to do it without a graft because I don't want to spend the extra money if I don't have to.
Ughh and thank you RW
hold on my friend. I will make a video for you.
Be careful,I had implants made in Mexico and I lost 3 our of 4 because of poorly made work made by an incompetent dentist( is not Mexican, is from Venezuela but he is undermining the Mexican dentistry ) I was told my bones are very thin to hold the implants but this dentist did not told me after he did CT scan.
Can graft at the time of implant take care of insufficient bone in the area of the implant? Also, I am very curious about the nature of the implant/gum/denture relationship. In a normal denture, the gums take the chewing load. I don't understand why everyone keeps saying the implant needs to be strong enough to take ALL of the chewing load. Why are the implants not placed as "locators and fixators" and allowing the gums to take much of the chewing load as a denture does ? Especially on premolar and rear where aesthetics is no big deal. I am looking at having a bunch of this done (graft/implant) the healing of 4 months here/ 5 months there etc, it's a year plus to get finished......
Great video doc your so relaxed and master of your trade. This is foundation of your mouth if this is not done how can you build on top of this weakness ? I love to know your thoughts on all on 4 I find it a very odd system where implants are all loaded at front nothing at back and only 10 or 12 teeth with only ine molar how do you chew ?
all on 4 is great. we do it a lot at our practice. typically we have 12 teeth on the prosthesis. patients can chew great with it. check out my all on 4 videos
Hi Doc, great videos. I have had a molar extracted in the back left of my mouth for 9 years...I am just now seeing gum recession around the surrounding tooth. Is it too late in your opinion for an implant and/or would a bridge be a better option, it affects my smile from a small amount but I don't want to lose the other teeth. Thanks again for this amazing video.
hey cody. its a possibility that you have lost a quite a bit of bone but you need a cbct 3d scan to confirm how much bone you have before saying we can do a bone graft or you're better off doing a bridge.
Great info! I'm having issues with my lower front teeth, bone is quite thin at the front and gums are receded. Back side is pretty decent, though. Only the front side is concerning. What are my options in this case? Is gum/bone graft possible, would it make any difference? Or just wait for the implant, and if so, what is the success rate of GBR for lower front teeth with moderate bone/gum loss? Thank you.
Hi Dr. Choi
My name is Luis. Your videos are fantastic. Extremely instructive. If I can ask you a question. I need extensive dental work; couple of implants which very likely will need bone grafting, tooth extraction etc.,etc., I live in Los Angeles, CA I have dental insurance. Now the great thing is that within a 10 mile radius I have about maybe at least 20 periodontists I can choose from. However, I am not sure how to choose the best periodontist. I've checked the education and years of experience of each Dr. Any other advice that will help me make a better educated decision or should I basically take the scientific method of "eenie meenie...." Your attention to this matter will be greatly appreciated. Thank you.
Is it true that bone grafting accelerates healing from wisdom tooth extractions because it prevents food from getting into the socket and helps protect the blood clot?
I had tooth #8 extracted 3 years ago. My dentist filled the socket with Ossix allograft (the kind that you cut and it goes in as one piece to fill the hole instead of the bone granules) and he put in only one stitch but did not use a membrane. Afterwards, it felt like I was losing bone graft material out of the socket because there was no membrane to hold it in.
Five months later the oral surgeon put the implant in. It wasn't too bad until the implant was loaded 4 months later with the abutment and crown because then I started losing alveolar bone on the palatal side. I have lost all the alveolar bone behind the front tooth which drives me nuts. Not sure why my dentist did not use a membrane to hold the bone in, but is there any way to get a bone graft placed behind and above the crown on the palatal side to replace the missing alveolar bone?
May I get your thoughts on a child who has hypodontia (missing adult teeth) for upper right and lower left premolars? Should we try to protract teeth to avoid implants or how does she prepare for dental implants in the future? I know that it will be years before she can do an implant but that to me means she will not have the proper bond density for implants and will need invasive bone grafting. My question is what is "invasive" and are min-implants now an option to build/maintain bone structure now vs getting bone grafting in the future?
Excellent report 😉
great video
Does a tooth always have to be extracted? Can bone graft be placed at base of an exhisting tooth to shore up support?
Great vidoe by the way!!
You seem to be discussing individual implants, what about AO4, can you place the implants and bone graft at the same time, allowing for teeth in a day?
Very good information, thank you! My tooth #19 is an implant. X-ray has showed gradual bone loss (between #19 and #20) over the last 5-7 years around the implant screw - more threads are exposed based on X-ray. I'll see a periodontist soon for an evaluation. As a senior citizen (68), what kind of bond grafting method would you recommend? Unfortunately I'm too far from you and cannot see you in person. Thanks again if you read this message!
The bone graft is an artificial composite. My hubby went to a dental surgeon.
Is there a possibility that the oral surgeon can hit the nerve? My tooth #19 needs to be removed because the infection ate away at the bone and the oral surgeon showed me the x rays and said that there’s possibility for nerve damage because it’s touching the nerve.
Thank you so much for all these beneficial information. How painful it is to have a tooth extract and bone grafting ? I have to go Thru this process this week and I am freaking out. I have gastroparysis condition in my stomach and can’t take medications.
Is Tylenol enough to manage the pain?
Any advice is appropriate it.
Thank you 🙏🏽
its honestly not that bad. just followup the postop instructions well and you should be fine. just make sure you go to somebody who's good
@@northtexasdentalsurgery Thank you so much for your reply.. much appreciate it. I wish you are close to where I live. My only concern is - if Tylenol enough to manage that kind of pain?
Professional!
Quick question? In the case that I need a bone graft. Where do they get the bone graft from?
I had a root canal fail, gum graft, and then a cone ct scan identified rarifying osteitis, had the tooth pulled, bone graft and waiting 4 months to heal, had implant post put in, it got infected, had implant removed, another bone graft was placed right after implant removed, now I think the bone graft is infected again… I am 37 and healthy. What the heck do I do now?
find another dentist??? not sure without seeing the case
I had bone grafts on teeth 6-7 and 10,11,12 3.5 years ago with plans of implant supported bridges on both sides of 8 and 9. Took me longer than expected to complete getting all other teeth 100% repaired and healthy and had to recover financially. My question is can I now go forward with placing implants or was it more than likely too long and a waste of money? Obviously It's a case by case basis but I'm just wondering my chances of the graft still possibly being successful all these years later.
3.5 years is a lot longer than I would like to see. but every patient is different. you need another 3d scan to confirm
Greetings, I hope you will answer me, doctor. I had a congenital problem with the color of my teeth, and at the age of 18, for aesthetic reasons, I made my mouth complete with porcelain metal bridges, (I emphasize on both jaws) now after 10 years, I am 28 and my teeth almost all of mine are infected and all to be removed.. I have significant bone loss in both my jaws which cannot support implants. a doctor gave me the possibility of zygomatic implants but it didn't seem like a good idea.. now I'm in Germany and here they suggest the method of bone grafting by taking it from my body or from my jaw. I wanted to ask if this is a good idea for such a large bone loss and for the rehabilitation of all my teeth.? and considering my age, is there a good success rate.? or finally any other solution besides traditional prostheses. Thank you in advance..
I just had a tooth removed. I'm unsure whether it was a wisdom tooth or not but now I'm being told I need an implant because it's gonna affect the tooth above as it is coming down. My question is the tooth was just removed in early October. Can I wait till March to get the implant without much affect to my bone since it's very expensive and can't afford it currently
I'm getting my impacted canines extracted and having my incisors take up the space. Will I need bone grafts ?
I would love to do a consultation with you, the problem is I don't live in Texas. Do you do online consultations?
If i am 76 and have had two different upper prosthetics and recently have had one implant fracture after 8 years of use, and have two possibly three implants left, but are told by the surgeon that i would need some very little bone graft for addition of another implant do I have choices to eliminate costs or would I have to do this even if I go with upper denture and snaps. In other words, what choices do I have at this point?
I had been told to get tooth implant in canada and in Pakistan. When I went to the dentist he did my lower right end tooth implant but the top left 3 rd from the insizers he said the lab told him to do the bridge as implant wouldn't give her the chewing power. That's the first I heard about it. The left and right tooth from the missing tooth are already not good. Ie one is caped and another needs a cap. The dentist suggests I do bridge as if he puts implant he has to put it at an angle and graze the lower tooth. I am confused
I have a question. On my jaw, I had the left first molar removed closed to 4 years ago and on the right I had my second molar jaw removed 5 years ago. Now I'm thinking I should go get implants and straighten my teeth while at so I'm guessing I would need bone grafting after so long.
The question is, would I get braces first or grafting first and then braces later. I also read(googling) that the implant would come after the braces have done their work.
I'm just trying to mentally prepare myself.
do your braces first
Hello Doctor. Do you know a specialist like you in sourh part of Georgia ?
EXCELLENT VIDEO
IF YOU ARE THINKING OF GETTING IMPLANT, watch this NOW
I had tooth 30 pulled today, dr inserted bone graft and used dissolvable sutures. He explained the sutures to me and I am kinda pissed now after watching this video. I go back in three months to get the implant
Worse come to worst, what is the most costly expense (or at least, the price range) for people to expect when they loose most/all of the dental bone (both upper/lower)?
Before anyone hoping for a permanent dental implant
Thanks for your help.
My front tooth has reabsorption after root canal 5 months ago. They say they need to remove all existing bone and graft it. Why don't they just fill it in?
My bone grafts that didn't heal right used disovable sutures
I have very little bone where there should be a back molar. The surgeon today insisted i dont need a bone graft. Not sure how i feel about this😂
What do you recommend if bone is gone ? I got a root canal over 15 years ago and now have an infection on my canine tooth.
Taking antibiotics for 1 week.
I may have to get it pulled out:(
vA failed to put a mesh on mine , end result the boneceaft disappeared after 8 months the implant is only catching on 3 treads- they are undecided of what to do theres a big hollow void under the implant they say it looks infected
Great video doctor. I have been missing one of my upper incissor for 8 years after losing it due to an infection. When I touch the site I feel my gum has shrinked. Am I most likely to be in need of a bone graft?
definitely sounds like it
What is dental bone graft success rate? Thank u
I had a bone graft done last week emergent my after my five years old lower crown fell out from my tooth with cavity which has been removed before the bone graft. The suture has broken off now and there is a pretty deep hole exposed and food will get stuck inside every time I eat. I can’t even tell if there is a membrane inside and I was not told there is one put in by the dentist.. I would like to go ask for a membrane placed if the bone graft is still viable but also reluctant to have the same dentist do it since he seems inexperienced based on the information you provided in this video (shout out to you for sharing the information!). I would really hate to have to go through the ordeal again in fixing that tooth I’ve already paid too much money for. Any advice is appreciated. Thank you.
hate to tell you this but you wasted your money. if you have a deep hole there then basically all the bone graft came out. at this point you probably have to wait till you're totally healed 4 months from now and wait to see how it heals. you can get more bone added at time of implant. maybe a good idea to go to somebody with more experience? not sure, I dont want to throw anybody under the bus without looking at your case, how bad the tooth was, what they did at the time of surgery, what it looks like now etc. I'd like to give this dentist the benefit of the doubt so hard to say
Is it possible to get a bone graft while undergoing Invisalign treatments?
I knocked out my two front teeth and want to get implants as soon as possible after straightening my teeth.
yes it is possible
I haven't had any teeth at all not even dentures because I tried two different times to wear dentures and I couldn't because I didn't have enough gum to hold it in and I haven't had any teeth since 2006 so I would probably need a full mouth bone graft is that possible and would it be a lot of money
A question I can't seem to find a proper answer to is -- if you have a tooth that needs to be pulled and you have absolutely no plan or desire whatsoever to ever put an implant there (let's say the tooth is further back in the mouth where the lack of tooth wouldn't be noticeable -- or let's assume you're older in age and just don't want to do the implant), how necessary would it be to have bone grafting done there when pulling the tooth? In other words, is the only reason for bone grafting to be able to later do an implant? Or are there other crucial benefits to it that are still important even if you never get an implant?
The reason I ask is because my wife has a bad tooth in the back of her mouth (not a wisdom tooth, one tooth closer to the front) that she needs to get pulled. The dentist she went to for a consultation insists that she must do bone grafting there, despite that she has no plan to ever do an implant there. He's taken it as far as saying that he will not do the extraction unless we agree to the bone grafting (which, not to mention, is not covered by insurance). The money is not the primary concern, though it's a factor as well. The primary concern is that we don't want to be bullied into doing something that doesn't seem to be necessary, and so far, based on all the research I've done online, bone grafting seems to be always tied to implants. In other words, if you don't plan to do an implant then it seems that bone grafting is not necessary. The only reasoning this dentist has given us so far for insisting on the bone grafting, even with us telling him that she doesn't plan to ever do an implant, is -- "you might change your mind in a few years." That's not a valid reason to refuse service, in my opinion.
I've tried calling other dental offices for a second opinion, but none are willing to give their opinion by phone. All insist that we'd need to come in for a consultation, redo all the x-rays, etc., just to get a simple straight-forward answer to this question.
I’m in the same boat exactly
Good question
Can you get an infection in bone graft healing process? How do you know if you have an infection
Super helpful video.
What are the pros and cons of different types of bone grafts?
eg synthetic, bovine, donor, autologous?
Which has the best results?
If you ever felt like making a video on this…!
My teeth # 19 is very loose and I'm sure it needs to be pulled out. Is it a good idea to also get bone graft even if i'm not sure I will want an implant? I definitely not interested in denture.
if you want flexibility to place an implant in the future then the answer is yes
Not sure if you’re still reading, but can i get a bone graft, see if i’m happy with it alone, and then anytime in the future add an implant if i’m not content with just the BG?
what if i don't want a dental imaplane is a bone graft still necessary
Hai, I'm from India.I have a doubt.My mother is 54 years old,a psychiatric patient,has lost her teeth over many years due to poor oral hygiene.Hypothyroidism patient.Lost weight of around 5-10 kgs recently due to not eating, probably due to pain from few remaining loose teeth.A periodontist suggested implant immediately after tooth extraction.
My doubts -
Is the implant necessary or dentures are okay?
Should we wait for few months after extraction ,and then go for implants as her oral hygiene is poor and she has lost weight recently?
Periodontist suggested implants as her bone loss is more,he also suggested cantilever for right lower teeth as bone present is very thin.
Sorry for the long question.
WOULD IT BE POSIBLE TO DO BONE GRAFTING AND DENTAL IMPLANTS IN SAME TIME?
Dr. Choi, is percutaneous autologous cancellous bone grafting applicable to periodontology? If so, have many CC's would you typically need?
Very educational video. Thank you. Any advice for vegans with ethical concerns who would prefer synthetic grafts not human or bovine bone ? Also I noted you said you are a periodontal professional. Can you explain ideally what type of professional should do each step of the process?
dont bother with a synthetic graft. if you dont want human or bovine bone, just go without a graft. synthetic is a waste of money as it will not turn into your bone
I have to remove my molar top 14 and 19 ? Due to root canal infections. My question is do I need to replace those teeth if they are nothing touching each other when I chew? I have a problem deciding if I want an implant because I know they fail? Can I just get bone graft?
if you're talking about 14 and 19, they typically oppose each other so i'm not sure what you're talking about nothing touching htem. if implants are done properly, they typically wont fail.
Hello Dr, I am in a situation. I got my teeth Removed on 1/5/23 and 4 implants placed on the bottom. The two front implants already failed. There is a big indention where the implant was placed and the implant has traveled down and is situated in the valley i would call it between my jaw and lip. This dentist had a woman with no experience actually being voice coached taking my impressions for my beginner dentures and she had me bite down open up and then used her hands to smush them up wards with so much force her hands were shaking and I guess that is why my dentures have never fit at all. My mouth will not close with them in and i cannot talk and i wont even try to eat. Everything is all wrong with this whole situation and I am really worried thAt this dentist does not care at all. He didn’t even have me wearing my dentures when I left, my wife said they acted as if they didnt care or want to mess with it as it was toward the end of the day so once they discovered the dentures didnt fit at all they blamed me not wearing them out on the fact that I was acting slightly loopty from the oral sedAtive. I am supposed to go in on the 27th for them to see whats going on with the implants and i am very skeptical about anything else with these people. It seems like he barely put the implant in like right behind my bone not even down evenly in the thick part of it. I had confidence these people could do this with my reasoning being it was an affordable dentures and implants and I figured they must have performed 1000’s of these procedures. I am worried its going to be a complete shit show with these people and I live in the Area and feel like i would be better off if i came to talk to you or your establishment. I watch your videos and feel like I should have just came there. I paid 9000 for 4 bottom implants, 17 teeth removed, several still good but mostly cavities and breaks and then those rediculously wrong dentures. Idk but i am stuck out here in West Tx working and i am freaking stressed. Anyway i would like to speak to you or someone on your level and maybe get some work done the correct way. Dm me please or message or whatever they say. Thank you
Your case sounds horrible! How are you doing now?
Hi Dr Choi, my Mom had a tooth implant extracted about 4 months ago and her perio also extracted an adjacent "good" tooth at the time telling her it was b/c it was unstable. At that time the perio also did a bone graft(human/bovine mix). But after checkups her perio said the gum wasn't healing right and needed to do FGG. She lost confidence in this perio for that and other reasons so sought out 2nd opinions:
1st perio: Took x-rays. Also said gum was not suitable for implant. Described the gum as "mushy". He couldn't tell if the bone grafting was integrated or not and recommended trying to "scoop" out the mushy gum and see if the bone graft is good. He said if the bone graft material integrated ok, let the gum heal again and see if heals properly next time. He also thought CTG would be ok for it, if it's even needed at all. He thought CTG is better over FGG because it's more comfortable in the healing process.
2nd perio: Took 3D CT scan. Said gum was not suitable. He said that from the scan, the bone graft looked ok but didn't look fully integrated yet. He said there was some detached layer of floating material which probably causing the mushy gum..like inflammation. And that body will expel the foreign material over time. He said FGG was needed though because of not enough gum. He also never mentioned using a palatal stent to help with healing comfort or mentioned CTG as an option. When asked why FGG over CTG, he didn't really describe why but said for this situation FGG was better.
After also viewing your gum grafting video you said you perform CTG 95% of the time and that it's a lot less painful and less bleeding compared to FGG. I'm wondering what situations FGG material is better than CTG material. Seems CTG would be preferable if possible. For me, I preferred the first perio, he took more time to answer questions but I wonder why he didn't do a 3D CT scan. Can the 3D CT scan really show definitively if the bone graft integrated ok? I think my mom preferred the 2nd because he seemed to be very booked and have more patients. But don't think that's necessarily a good thing. Anyways we're going to visit the 2nd perio again to ask more questions and get a copy of the CT scan....and also visit the 1st one and have him look at the CT.
Appreciate any advice/recommendations. Thanks for videos....learning a lot!
Currently I have a Front upper dental bridge - 6 Units - almost 40 yrs old and need replacing.
Have some bone loss, therefore will need bone grafting as well.
Please can you tell me which would be a better option - an Implant supported bridge OR six individual implants ?
Thanks
probably an implant supported bridge. you probably have a ton of bone loss so 6 individual implants would cost way too much
@@northtexasdentalsurgery Thanks a lot Doctor, for taking time to reply and for your point of view.
If we put aside the cost issue, with massive bone loss, in my understanding, doing each individual implant can put a lot of strain on the bone causing it to fail - is that true ?
Thanks again
Shema
Hello I’m about to have a bilateral sinus lift this coming week and I’m so nervous! I will be sedated for it. Dr said it’ll take about three hours! I unfortunately have an extreme case. It’s been a year that my top teeth got pulled due to unfortunate circumstances. How long do you think it’ll take to recover fully? I was told to expect some pain, swelling and bruising due to the lengthy surgery.
After bone graft , why do I have bone grow on the side of the outsides wall gum ? It is bumpy
Just looking at treatment. All teeth. Dentist recommending bone graft and membrane as i have bone loss.. Do they do graft in implant sights?
Wish you were in Savannah Georgia I would be taking money out of my piggy bank to come and see you.😅 Very informative video thanks
If I had a bone graft done with my frontal teeth, am I still able to use my denture ?
tough question. sometimes yes and sometimes no
I was told I need a graf but Iam not having implants or any replacement of tooth. Why I still need a graf
I have a question Doc. I have an extraction with grafting membrane on 12/21. I guess my grafting failed bc im missing the outer part of the socket. I go for a visit with my periodontist this coming monday. When stuff like that happens, is a implant still possible? Like the whole outer part of the socket is missing. The perio had troubles getting the tooth out bc it was damaged and broken. I dont understand why it failed. I didn’t have any signs of infection or dry socket and i dont have periodontal disease either. But is an implant still possible since half the socket (gum) is missing?
My hubby had a sinus lift, bone graft, dental implant for just 1 tooth. We didn’t realize how much it would cost. Abutment and crown to follow. Total will be $8k, and over 1 year. Not sure we would do it again.
Should have gotten the sinus lift and bone graft here in the States and the Implant done in Mexico.. Mexican dentists are very good, and Much, much cheaper.
HELLO DR. THANK YOU FOR YOUR TIME - QUESTION I WENT TO A DENTIST HERE IN LEWISVILLE FOR ALL ON 4 IMPLANTS AND THEY SAID I NEEDED A BONE GRAFT AND THEY DID A BONE . OK THEY DID A BONE GRAFT ON UPPER FOR THE IMPLANTS AND I WENT HOME WITH A TERRIBLE BRUSED FACE AND NO TEETH ON TOP. I REALLY DON'T TRUST THEM TO DO ANYTHING ELSE. MY QUESTION IS SHOULD MY FACE HAVE BEEN SO BRUISED. THAT WAS ON JUNE 21 AND I'M STILL WITH NO TEETH EXCEPT IN THE BOTTOM AND THEY ARE NOT RIGHT. THANK YOU FOR YOUR TIME SHIRLEY GOMEZ
hi shirley. I know exactly where you went. sorry to hear that. the reason they didn't give you teeth is probably because they weren't able to achieve stability of the implants. in regards to bruising, I find that everybody is different and some people bruise more than others. make sure to keep icing and keep your head elevated, even when sleeping. also in regards to not trusting them, I'm sorry to hear that. unfortunately once you pay, you're pretty much stuck to finalize the process with them. hopefully things will end up ok. let me know if you have any other questions in the future I can't help you out with.
A week before my implant surgery I was told I need a bone graft and sinus lift. Why would it take so long to know that I need this type of surgery? I thought I would have been told this earlier on. My periodontist said he could place the implant but he wants to prevent failure long-term. I'm just disheartened that I'm just now being told about the lack of bone, 1 week before surgery. This sets me back at least 4 months 🥲
maybe they realized it pretty late in the process?? a cbct scan shouldve indicated the need. honestly you can do a sinus lift and implant at the same time. you dont need to wait 4 months after the lift before the implant
I’ve had more than 3 bone grafts with failed implants and the reasons are different every time. Now the issue is, my bone is too weak after getting a bone graft. Is there any other solution for getting an implant? I spent thousands of dollars and wasted year’s tree nag to get one. Now I have another bone graft and have to start over. Thanks.
that's very odd that you had 3 bone grafts with failed implants. do you smoke or have diabetes?
@@northtexasdentalsurgery No. Thus time they said the implant didn’t anchor. I ho back Monday for a follow up on this bone graft. I always heal good, but I keep getting different reasons why an implant failed.
thanks for your video, I have a question my Dr after extraction he did bones graft and after three months I see him again he did another bones graft and then insert screw how come he did two time bones graft
thanks
either the bony defect was too large from the beginning, he didnt follow post op instructions, or the graft wasnt done well
What if you have too much bone?
I am ready, but where will I stay while I am there, how much a hotel costs. I to take until consideration airfaire I know I need a bone transplant for my 3 front tooths, how much ah we talking about, ball park figure, Thanks, Juan.
Autograph is best material for grafting but if not available then what about zinthetic? Cause I don’t like the idea of cadaver and animal grafting material in my mouth. Or maybe can you make a video about it? 🙏
Hello Dr.,
Can you help answer this question? My aunt is 79 and is having all her 19 teeth removed. Does she need bone grafts for each extraction if sh will getting regular dentures that come off and on?
Please help if you can, we cannot afford the $9,500 for all this bone grafting.
Thank you,
-Jimmy
I am no dentist but wouldn’t think she needs bone grafts for normal full removable dentures. I would of thought the dentures would be made to suit and fit her gums as they are and once gums have shrunk more just realigned . Normally bone grafts are for implants. Maybe get a second opinion.
Your patients that need implants should watch this video as pert of their consultation.
How soon after bone graft can I brush the gums where bone graft was done? Thank you
never brush over a bone graft until a month after. you can brush the teeth around the bone graft carefully.
@@northtexasdentalsurgery Thank you so much
A week and a half ago i had to have tooth 13 removed. A root canal from maybe 4 years ago went bad and my face swelled up and it was abscessed very bad. The oral surgeon x ray and pulled it out. Showed me the stuff hanging on the bottom which he said was proof of abscess and infection. I told him i want dental impant. He said i am to come back in i think 12 weeks time and if it heals to his likes we will talk about dental implant options. He did not do a graft or offer one. He did a x ray with a machine that goes 360 degrees around my head before pulling the tooth.
I went to my gen dentist yesterday to check in with them and he looked in my mouth and said the extraction site is healing very nice. The huge abscess lump has went down, i just used up all my amox i was given for the infection.
My gen dentist said when i go back to the oral surgeon for the healing check if they like everything they will then set a implant surgery time and date. Then after that i must wait 3 to 4 months and then go back again. If it looks to the surgeons likes they then issue a formal letter to my gen dentist who then has the clearance to go forth and order the abut , crown and get ready for impression work. I can only think the reason no bone graft was done or talked of was either plenty of bone there? or maybe due to a bad root canal abscess infection during time of extraction?
Its a waiting game now but i am putting money aside every friday so this can happen. Please let me know if all this sounds spot on or if i am off on it? Thank you for your time and your channel.
I think that the plan sounds reasonable. everybody does things a little different. some people may not want to graft if you have an infection. I dont agree with that personally. if you had a very infected root canal and wanted an implant in that site, I''d definitely want to graft because you could have a lot of bone loss otherwise. however like I said, many people like to do things differently. best of luck!
Please help 🙏🏼 😢 my dentist said I have periodontitis.
Initially they were going to pull out 11 teeth in total and they said bone grafting is needed for the partial denture I will be getting. I payed in advance to get a discount for 11 teeth bone grafting. On that day they only pulled out 2 teeth since they needed to get approval from my insurance for partial dentures. Btw, i have medi-cal and they denied the partial dentures requested by my provider. I called insurance and asked why they denied it and cause my teeth are all bad. Full dentures for upper/lower is the best for me. Which I understood and agreed. My question is do I need bone grafting for each teeth they will pull out to get full dentures. I have no plans to get implants ever and I don’t have anymore money to pay for more bone grafting. I have 28 teeth in total and remember I already paid in advance for 11 bone grafting. Will my provider deny me my dentures if I refuse to pay for more bone grafting. Will I be forced to pay for more bone grafting in order to get my dentures?
My appointment is next week already. Please help 🙏🏼
you dont need the bone grafting if you're only going to get dentures. save yourself the money. they may try to tell you that you should bone graft to preserve your bone but that will only last a year
Thank you so much for responding and for the advice. I had gone to my appointment and they had proposed a new procedure. Since I already had paid in full for 11 bone graft, which was almost $5k. Instead of pulling five teeth on the top, they will only pull one. On the bottom, they will pull out six teeth and replace it with a stayplate. If I agree, I will not have to pay anymore. When I looked up stayplate, it is a temporary denture to be worn while you wait for your partial denture. They did not tell me this. I feel like they are ripping me off and had enough of their business. My next appointment is next month on the 14th. I will request for my money back and just find another dentist. Thanks again for your advice.
My old man had terrible teeth when he was young and had them all extracted when he was around 20 years old. That was around 1925. When he was in his 60s I remember him crunching on radishes and green onions before dinner. My mother had dentures as well and when she was in her 80s she could eat corn on the cob, ribs, chomp on apples. That was also 40 years on. Only thing they ever did was get a new set of "china chippers" every 15 or 20 years.
Now dentists need to do bone grafts, need implants just to keep dentures in place, big expensive deal. Even for regular dentures they want to do bone grafts. I remember my mother telling me the key to getting a good fit with a set of dentures was finding a dentist that knew what he were doing. These days they don't have to know what they are doing - they just fill your mouth with bone grafts, drill in the implants, pop on the dentures and hand you the bill.
If you opt out of the bone grafts and implants I wonder how many would know how to do a good job fitting regular dentures? Would they even try? Or would they deliberately slop it up so after you pay for the dentures things are so messed up they will tell you, see?, now we have to do those bone grafts and implants to get things right.
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,@Doubledog,, Yes you are right in everything you wrote, dentist these days don't want to bother with dentures and partials that's ole skool plus they probably don't have the know how to do dentures,/partials correctly or interested in learning the correct way ,I read a few comments on dentist office sites which some patients had dentures done and they have to come back to have them adjusted a couple of times , Dentist /periodontist want where the big big bucks at which is implants.
To be honest in my opinion I believe dentistry/periodontist wants dentures and partials to be the thing of the past. Make it obsolete. They interested only in implants. Money money money. It's a money pit for patients. United States is a money hungry greedy country especially in the medical industry. Just awful the prices they charge. Sickening!!!!!!
My problem is that you do not consider that an Inplant could just break just because of natural causes. Or perhaps a person chewed on something hard, I had all the cleanings one should have and 3D scans but is was never detected that implant was failing. My bottom teeth are all implants and are over 20 years. Over the years I have spent about 45 000. I would like to know would you ever recommend a denture for someone instead, under what circumstances would you tell a patient to forget about implants, Would you ever feel like the patient may have had enough. I believe I had a bad implant. What are your thoughts, would you do it all over again or would you just use a removable denture
is it possible that a person has lost to much bone, that a bone graft can't be done.
Can you have a bone graft without implants and bridges?
Is bone graft permanent or does it dissolve over time?
yes you can bone graft without implants and bridges. bone graft will fade away after 12-18 months unless you put an implant there again because there will not be any stress on the bone in the area that you used to have with a tooth. if you want bone to persist then you will want to use bovine (cow) bone because it will not resorb like human bone does.
@@northtexasdentalsurgery Does bovine (cow) cost more?
Main reason for my inquries on bone graft is because i have 3 tooth (last 3 upper left molars) that were root canal and crowned several years ago.
Now the middle tooth&crowned broke just a couple of weeks ago.
My dentist said this broken tooth is unrepairable and needed to be extracted and bone grafted.
I am not planning on getting an implant knor bridges because i just couldnt afford the cost.
If i dont have it bone graft. Will the area of the tooth cave in?will it jeoperdize the 2 other root canaled tooth next to it?
Also if i get this root canaled broken tooth extracted. Will the hole closes back naturally?
I told my dentist that i do not plan on getting implant/bridges but he’s adamant that i should still get bone graft.
But what for? If this bone graft will Fade away in 12-18months if no implant and bridges will be done to it.
And he’s’charging me $250 out of pocket share for extraction and $1400 for the bone graft. Bone Graft is not
Covered by my insurance at all.
Thank you
@@rickcooper3180 after reading that, I wouldnt bother bone grafting if you're never gonna get an implant. it won't affect the adjacent sites
@@northtexasdentalsurgery thany you so much for your professional advice.
@@rickcooper3180 my pleasure
I need this information
glad it was helpful
Hello Dr Choi, I am looking at having all on 4/6 dental implants. From watching this video it would seem I would need bone grafting as full extraction is required due to receding gum line. They have advised some bone grafting, but was wondering if more would be required?
Is Bone Grafting absolutely necessary for wisdom tooth removal?
no
@@northtexasdentalsurgery Only asking because it’s extra $, what would you recommend Doctor?
@@northtexasdentalsurgery why do they recommend it? My dentist recommended one for my impacted wisdom tooth
Wow i took my grandma to a dentist to have two of her front tooth extracted due to pain and they said she needed bone grafting too ended up paying for that too idk if its a good idea damn
Castle dental put implants in without a 3D xray and 3 failed and 1 is stuck..I have been cut, stitches, infection, puss..and I end up with a cheap denture that is not wearable .then I get a consult from affordable dentures and implants for 30k for permanent dentures.. who can I trust..