Why such a big price difference with All on 4? Dont be bait and switched!
TLDRDr. Daniel Choi from North Texas Dental Surgery Wisdom Teeth and Denture Implant Center addresses the confusion and price discrepancies surrounding the 'All on Four' dental implant procedure. He explains the two main components: the implants and the prosthesis, emphasizing the importance of understanding the healing process, which takes about three to four months for the implants to fuse with the bone and an additional six months for bone and tissue remodeling. Dr. Choi outlines the differences between temporary and final prosthesis, highlighting the risks of opting for a final prosthesis too soon after surgery. He also discusses various prosthesis materials, including acrylic hybrids, zirconia, and nano ceramics, and their respective advantages and drawbacks. The video aims to educate patients on making informed decisions to avoid common pitfalls and ensure long-term satisfaction with their dental implants.
Takeaways
- đź’ˇ Researching 'All on Four' dental procedures reveals a significant price discrepancy among dentists due to various prosthetic options and materials used.
- 🦷 Dr. Daniel Choi from North Texas Dental Surgery explains that 'All on Four' involves two main parts: the dental implants embedded in the bone and the prosthesis (artificial gums and teeth).
- ⏱️ The healing process after 'All on Four' surgery is critical, involving both implant integration with the bone and bone/gum remodeling, which can take several months.
- 🔍 Patients can be confused by the different prosthetic options such as zirconia, nano ceramics, or hybrids, each with its pros and cons, and a significant cost difference.
- đź“… The typical 'All on Four' timeline starts with surgery, followed by a temporary prosthesis worn for about five to six months, and then a permanent prosthesis if the implants integrate well.
- ⚠️ Avoiding 'bait and switch' tactics is crucial; some dental offices may advertise a lower price but provide a cheaper, inferior prosthesis.
- đź’Ą Temporary prosthesis made via the chair side conversion process can be brittle and break often, while those made with digital design are more durable.
- đź‘Ť Digital designed temporary prosthesis is preferred for its strength and lower likelihood of breakage, and if it does break, it can be quickly replaced.
- đźš« Be cautious of dental offices that put patients in a final prosthesis immediately after surgery, as this can lead to improper fit and functionality.
- đź’° Understand the long-term costs associated with different final prosthesis options; while hybrids may be cheaper initially, they may require more frequent and costly replacements.
- âť“ Ask potential providers if they offer a temporary prosthesis, the method used (chair side conversion or digital design), and the true cost of different final prosthesis options to make an informed decision.
Q & A
What is the main focus of Dr. Daniel Choi's video?
-The main focus of Dr. Daniel Choi's video is to clarify the confusion around the 'All on Four' dental implant procedure, specifically addressing the different prosthetic options and the price discrepancies among various dentists.
What are the two main parts involved in an 'All on Four' procedure?
-The two main parts of an 'All on Four' procedure are the implants that are embedded in the bone and the prosthesis, which includes the artificial gums and teeth above the gums.
Why is it important to understand the healing process after dental implant surgery?
-Understanding the healing process is crucial because it impacts the timing and fit of the prosthesis. The bone and tissue remodeling that occurs after surgery can affect how the prosthesis meets up with the natural gums.
What is the typical timeline for an 'All on Four' procedure?
-The typical timeline involves surgery, extraction of teeth (if present), placement of dental implants, and recontouring of the bone. Patients are then sent home with a temporary prosthesis, which they wear for about five to six months until the dental implants have integrated with the bone. After this period, if all is well, the patient is fitted with a permanent prosthesis.
What are the two types of healing that Dr. Choi discusses in relation to dental implants?
-The two types of healing discussed are the integration of the dental implant into the bone, which typically takes about three to four months, and the bone and tissue remodeling, which can continue for up to six months post-surgery.
Why is it not advisable to place a patient in a final prosthesis immediately after surgery?
-Placing a patient in a final prosthesis immediately after surgery is not advisable because the bone and gums will continue to shrink and change shape during the healing process. This can lead to gaps forming between the prosthesis and natural gums, causing issues like food impaction and speaking problems.
What are the two methods for creating a temporary prosthesis after the 'All on Four' surgery?
-The two methods for creating a temporary prosthesis are the chair side conversion, where a conventional denture is retrofitted to the patient's mouth after surgery, and the digital design and conversion, where an intra-oral scan is taken, and a prosthesis is digitally designed and milled out.
What are the drawbacks of using a temporary prosthesis made via the chair side conversion process?
-Temporary prostheses made via the chair side conversion process tend to be more brittle and weaker, which can lead to frequent breaks. They also require follow-up visits for repairs, which can be time-consuming and frustrating for the patient.
What are the three main options for final prosthesis in 'All on Four' procedures?
-The three main options for final prosthesis are the hybrid option, which uses acrylic teeth and gums on a titanium substructure; zirconia, a very strong and aesthetic ceramic material; and nano ceramic, a blend of polymer and ceramic materials that is highly aesthetic and flexible.
Why does Dr. Choi recommend against using the hybrid option for final prosthesis?
-Dr. Choi recommends against the hybrid option due to its potential for staining, the risk of teeth and gums fracturing off the titanium substructure, and the need for replacement of teeth every five to seven years, which adds to the long-term costs and maintenance.
What are some key questions to ask a dental implant center before deciding on an 'All on Four' procedure?
-Key questions include whether the center provides a temporary prosthesis or goes straight to a final one, the method used for creating the temporary prosthesis (chair side conversion or digital design), the listed price online and what it includes (temporary or final prosthesis), and the cost of different final prosthesis options such as hybrid, zirconia, or nano ceramic.
Outlines
🦷 Understanding All-On-Four Dental Implants and Prosthesis Options
Dr. Daniel Choi introduces the topic of All-On-Four dental implants, addressing patient confusion regarding the procedure and the various prosthetic options available, such as zirconia, nano ceramics, and hybrids. He emphasizes the importance of understanding the healing process, which includes implant integration and bone/gum remodeling. The video aims to clarify the differences between temporary and permanent prosthesis, the materials used, and the potential for bait-and-switch tactics by some dental offices.
🔍 The Importance of Temporary and Final Prosthesis in All-On-Four Treatment
Dr. Choi discusses the two stages of healing after All-On-Four surgery: implant integration and bone/gum remodeling. He explains the risks of rushing the placement of a final prosthesis, using the analogy of a custom shoe made when the foot is swollen. The paragraph outlines the process of chair side conversion and digital design for temporary prosthesis, highlighting the weaknesses and breakage issues associated with the former. The doctor also shares a patient's experience with frequent breakages of a traditional temporary prosthesis and contrasts it with the digital design process, which is more reliable and less prone to breakage.
đź’° Navigating the Costs and Options for Final Prosthesis
The focus shifts to the final prosthesis, which is meant to be worn for life after the temporary one. Dr. Choi describes three options: hybrid, zirconia, and nano ceramic. He advises against the hybrid due to its potential for staining and breakage. Zirconia is praised for its strength and aesthetics but noted for its weight and the need to replace the entire prosthesis if an implant fails. Nano ceramic is presented as a newer, highly aesthetic option that is strong, flexible, and allows for easier adjustments if an implant fails. The doctor warns against bait-and-switch tactics and emphasizes the importance of understanding the differences between temporary and final prosthesis to avoid frustration and additional costs.
⚖️ Weighing the Pros and Cons of Different Final Prosthesis Materials
Dr. Choi provides a detailed comparison of zirconia and nano ceramic for final prosthesis, noting that both are strong and aesthetically pleasing. He mentions that zirconia is heavier and less adaptable if an implant needs to be added in the future. In contrast, nano ceramic is more flexible and can be worked with if an additional implant is required. The doctor advises patients to inquire about the process and costs associated with temporary and final prosthesis during consultations. He stresses the importance of not rushing the final prosthesis placement and the benefits of choosing a durable and flexible material like nano ceramic for long-term success.
Mindmap
Keywords
đź’ˇAll-on-Four
đź’ˇDental Implants
đź’ˇProsthesis
đź’ˇBone and Tissue Remodeling
đź’ˇTemporary Prosthesis
đź’ˇFinal Prosthesis
đź’ˇZirconia
đź’ˇNano Ceramics
đź’ˇHybrid Prosthesis
đź’ˇChair Side Conversion
đź’ˇDigital Design Process
Highlights
Price discrepancy for All-on-Four procedures due to different dentists and options.
Dr. Daniel Choi's video aims to clarify different prosthetic options for All-on-Four.
All-on-Four consists of implants embedded in the bone and a prosthesis above the gums.
Confusion among patients regarding temporary and final prosthesis options.
Different materials and types of prosthesis, including temporary and permanent.
Importance of understanding bone and tissue remodeling for proper healing post-surgery.
Typical All-on-Four timeline involving surgery, temporary prosthesis, and final prosthesis.
Risks of placing a final prosthesis too soon after surgery due to gum and bone shrinkage.
Temporary prosthesis options: chair side conversion and digital design.
Advantages of digital design over chair side conversion for temporary prosthesis.
Patient testimonial on the difference between traditional and digital design processes.
Bait and switch tactics in advertising cheap prices for temporary prosthesis.
Different final prosthesis options: hybrid, zirconia, and nano ceramic.
Drawbacks of the hybrid final prosthesis, including staining and fractures.
Benefits of zirconia and nano ceramic final prosthesis in terms of strength and aesthetics.
Zirconia and nano ceramic as durable and long-term options for final prosthesis.
Importance of asking the right questions before committing to an All-on-Four procedure.
Dr. Choi's emphasis on long-term results and doing the procedure right at North Texas Dental Surgery.
Final thoughts on choosing the right final prosthesis for All-on-Four to avoid future issues.
Transcripts
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