All-on-4 vs 3-on-6 Whats Better For a Full Set of Teeth on Dental Implants
TLDRIn this video, dental professional Gaius discusses the comparison between the 'All-on-Four' and 'Three on Six' implant systems, both designed for individuals who are edentulous or have severely compromised teeth. Gaius explains that while both systems aim to provide a full set of teeth, the 'All-on-Four' uses four implants with two angled ones at the back, and the 'Three on Six' involves six implants with three separate bridges. He emphasizes the importance of a thorough consultation and the option of a temporary denture post-surgery. Gaius also highlights the aesthetic considerations, such as the need for a natural-looking gum line and the impact of missing papillae on the final appearance. He expresses concerns about the trend of self-diagnosis and the 'productization' of dental treatments, advocating for a patient-centric approach that prioritizes the transformation of the patient's life rather than adhering to a specific branded treatment. Gaius concludes by stressing the significance of individualized care and the role of the dental professional in determining the best treatment option for each patient.
Takeaways
- π¦· 'All on Four' is a specific product by Nobel Biocare, involving four implants with two at the front and two angled at the back, typically with a full set of teeth on top including a 'fake gum'.
- π 'Three on Six' is a different system where six implants support three individual bridges for a full set of teeth, marketed without the use of 'fake gum'.
- π€ Both systems are medical treatments being productized, which can be concerning as patients may self-diagnose and seek specific treatments without professional advice.
- π¨ββοΈ The speaker, Gaius, emphasizes the importance of professional consultation and tailored treatment plans rather than choosing a one-size-fits-all solution.
- π The concept of using multiple implants to support a full set of teeth is not new, but companies are branding and selling these treatments as new and unique.
- π¦· The 'Three on Six' system claims not to require removal by a dentist, but Gaius disagrees, suggesting regular inspection and maintenance are necessary.
- π The script discusses the aesthetic considerations in dental implant procedures, like the importance of gum and papillae for natural-looking smiles.
- π¬ There is a critique of the 'Three on Six' system's lack of 'fake gum', which Gaius argues is important for achieving a natural aesthetic.
- π‘ Gaius highlights the importance of patient satisfaction with aesthetics and functionality, suggesting that the best system is the one that transforms the patient's life.
- π° The script does not provide specific pricing details, but it does mention that companies often use FAQs and feature tables to promote their systems.
- π The angle of the back implants in 'All on Four' is explained as a way to avoid the sinus cavity and nerves, which is an important consideration in implant placement.
Q & A
What are the two implant systems discussed in the video?
-The two implant systems discussed are the 'three on six' and the 'all on four' implant systems.
What is the 'all on four' system and which company is it associated with?
-The 'all on four' system is a specific product made by Nobel Biocare, where typically four implants are used to support a full set of teeth, with the back ones angled.
What is unique about the 'three on six' system compared to the 'all on four'?
-The 'three on six' system involves placing six implants for a full set of teeth and creating three individual bridges on those implants, with no fake gum involved.
What is the issue with patients self-diagnosing and seeking specific treatments like 'all on four' or 'three on six'?
-Self-diagnosing can be dangerous as patients may not fully understand their dental needs or the potential risks, leading to inappropriate treatment choices.
Why does the speaker disagree with the claim that the 'three on six' system never needs to be removed by a dentist?
-The speaker disagrees because implant bridges, whether screw-retained or not, should be periodically removed and inspected by a dentist to ensure proper function and health.
What is the aesthetic concern with not having fake gum in the 'three on six' system?
-Without fake gum, there is a loss of the pink gum and papillae, which can compromise the aesthetics of a smile, making the teeth appear more square and less natural.
Why are the back implants in the 'all on four' system angled?
-The back implants are angled to avoid structures like the air sinus at the top and the nerve in the lower jaw, which would require additional procedures like a sinus lift or the use of pterygoid implants.
What does the speaker recommend for achieving a natural-looking smile?
-The speaker recommends adding gum onto the implant to recreate the natural appearance of the pink gum and papillae, which enhances aesthetics.
What is the speaker's view on productizing dental treatments like 'all on four' and 'three on six'?
-The speaker has a slight issue with productizing dentistry because it can lead to patients seeking specific treatments without considering their individual dental needs and the potential for more suitable alternatives.
What is the most important factor for the speaker when evaluating an implant system?
-The most important factor for the speaker is whether the implant system transforms the patient's life by improving their ability to eat and their self-consciousness about their smile.
Outlines
π¦· Introduction to Implant Systems: All-on-Four vs. Three on Six
Gaius, an implant and cosmetic dentist based in London, discusses the comparison between the All-on-Four and Three on Six implant systems. Both are designed for patients with no teeth or with severely compromised teeth that need to be removed. The All-on-Four system, a specific product by Nobel Biocare, involves placing two implants at the front and two angled ones at the back, with a full set of teeth and a fake gum. The Three on Six system, on the other hand, uses six implants to support three individual bridges. Gaius emphasizes the importance of a consultation and temporary measures before finalizing the implant-supported prosthesis. He also touches on the trend of self-diagnosis and the commercialization of dental treatments.
π Critique of Marketing in Dental Implant Systems
The dentist criticizes the marketing strategies used by companies to promote their implant systems, noting that the questions on their websites are skewed towards their own products. He disagrees with claims that the Three on Six system never needs to be removed by a dentist and argues for the importance of periodic inspection. Gaius also challenges the notion that the All-on-Four system is bulkier or less natural feeling, asserting that with proper care and design, it can be made very thin and aesthetically pleasing. He emphasizes that the primary goal should be whether the treatment transforms the patient's life, regardless of the brand or system used.
π¨ Aesthetic Concerns with Dental Implant Systems
Gaius addresses aesthetic concerns related to dental implant systems, particularly the absence of pink gum in the Three on Six system. He explains the importance of the pink triangle between teeth and how its absence can compromise aesthetics. To achieve a natural look, he suggests adding gum to the model. The dentist also discusses the positioning of the back implants in the All-on-Four system, which are angled to avoid the maxillary sinus and the mandibular nerve. He concludes by reiterating his stance against the productization of dentistry and encourages a patient-centric approach to treatment selection.
Mindmap
Keywords
π‘Implant Dentistry
π‘All on Four
π‘Three on Six
π‘Cosmetic Dentistry
π‘Productizing Treatments
π‘Implant Bridge
π‘Aesthetics
π‘Papillae
π‘Sinus Lift
π‘Pterygoid Implant
π‘Temporary Denture
Highlights
The comparison between a three on six implant system and an all on four implant system is discussed.
Both systems are designed for individuals with no teeth or in need of full tooth extraction.
All on four is a specific product by Nobel Biocare, involving four implants with two in the front and two angled at the back.
The three on six system involves six implants and three individual bridges without the use of a fake gum.
There is a growing trend of self-diagnosis and seeking specific treatments online, which can be risky.
The all on four and three on six concepts are not new, but have been rebranded by companies for marketing purposes.
A consultation and temporary denture are the first steps in the three on six system, differing from the all on four approach.
A trial smile made from temporary materials is recommended before finalizing the aesthetic and bite.
The three on six system claims not to require removal by a dentist, which the speaker disagrees with.
Implants do not feel exactly like natural teeth due to the lack of movement.
The aesthetic challenge of the three on six system is the absence of fake gum, affecting the natural appearance of the smile.
The importance of the pink triangle (papillae) between the gums for a natural look is emphasized.
The speaker prefers adding gum to the model for a more aesthetically pleasing result.
Productizing dentistry is critiqued for potentially leading patients to request treatments without a professional diagnosis.
The choice between three on six and all on four should be based on what best transforms the patient's life.
The back implants in an all on four treatment are angled to avoid the air sinus and nerves.
The speaker mentions the potential use of a sinus lift or pterygoid implant as alternatives in certain cases.
The video concludes with an encouragement for questions and comments, emphasizing the importance of professional guidance over self-diagnosis.
Transcripts
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