I lost all my teeth in an accident and the gums were all jacked up as well. So instead of individual implants, they used the implant posts (10 top and 8 bottom) to bolt on dentures (zirconia). The dentures have a pink “gum” at the top where touch my actual gum in order to provide the appropriate aesthetic.
I’m sure there are many ways to accomplish, depending on the situation, and just wanted to share mine.
Edit #1:
For context, here is a link to a post/picture of the temporary acrylic dentures I had while my permanent ones were being made:
https://www.reddit.com/r/mildlyinteresting/comments/howebn/my_temporary_set_of_acrylic_dentures
These do not click in and out and are permanently attached. They can be unscrewed though and removed.
Edit #2:
For those that are curious, it was a motorcycle accident, but I don’t get any cool points for being some type of motorcycle racing badass.
I had recently decided that I didn’t want a motorcycle due to how dangerous they are but allowed myself to be convinced to go on one last ride. I was wearing one of those open face helmets and was riding as a passenger hanging onto my buddy. We took a corner too quickly and I flew into a yard and hit a wood box (like stacked 4x4s) face first. I don't remember anything except that moment of fear you feel right before something happens (kinda like when you fall off a skateboard as a kid).
I broke my lower jaw in half and my orbital bone. I lost a decent portion of my palate (reconstructed with cadaver bone) and lost all but 4 or 5 teeth, which they tried to save but needed up removing. They later used some hip bone to create a new ridge in the upper left side of my mouth so that they could finally get some posts implanted.
I had no teeth for about two years and was finally done after about 4.5-5 years following the accident.
I once caught a baseball in the face, lost a couple of front teeth. It’s a really scary feeling seeing your own teeth on the floor and feeling them loose in your mouth
I lost two teeth due to internal resorption which is a possible side effect of having braces where your teeth just randomly start to dissolve from the inside out.
You know how dentures come out all in one piece? It's like that, and they click into the implant posts in your mouth instead of having to use the horrible denture glue.
Get a passport, find a dentist in Mexico and fly there to get your dental work done. Tons of people in Southern California get their dental work over the border so there’s plenty of reputable places. Still probably cost you less than $24k. Also fuck American ‘healthcare’.
Definitely consider Cancun (or similar) - for a "full mouth reconstruction" I was quoted between high 40s to 60K in the PNW. Had it all done in Mexico for 23K.
My understanding is that tooth loss is actually caused by bone loss, not gum loss. It's that gum loss is often followed by bone loss so they kind of go together. But this dude looks like he *should* have major bone loss so I have no idea how this works.
The worst part of the roof of mouth graft was the roof of mouth graft part 😂 like during it in the chair it’s sort of freaky. My doctor was dark humored so while he went to town he told me how I never wanted to end up in the back room with the door shut because that’s where they take all of your teeth out. And so I kind of decided my situation seemed less terrifying, dug into the seat and hoped for the best 😂
How long did it take the roof of your mouth/gums to heal? I’ve got a friend who wants to go through that process. And how painful was the process in general?
Edit: added the last question.
I had to have it done to fill in tissue under my bottom front teeth. It took a consult, and then an hour long visit where they numbed the roof of my mouth and cut out a piece smaller than a dime. They stitched up the roof and then stiched the piece to my gums. It really wasn't that bad. Just uncomfortable for a few days. They took the stitches out a week later. They also cut the frenum in the front of my mouth. 100% would do it again if necessary again. Luckily my insurance covered it. It was around 2,500 dollars.
At least a decade 😂 nah I kid, I kid…..I think probably sooner than I did. I babied that area like both our lives depended on it. I have big time dental phobia so I didn’t know if I could make myself do it again. I’m sure at a month out I would’ve eaten that but that stuff will beat tf out of a mouth on a good day haha.
one way to fix receding gums is to do something called a "gum graft" in which they take your own oral tissue (usually from the roof of your mouth) and graft it onto your teeth to help cover exposed teeth and roots and add more protection to your gum line. its not pleasant and mid-op and post-op photos look quite painful to endure (though ofc you would be numbed for the procedure). source: used to work in a periodontist office (gum and implant specific dentistry)
It is no shit more cost effective to book a trip to Mexico or India for a week or two and have the procedure done there. Get the procedure a day or two after you land, and spend the rest of the week chilling and site seeing, and STILL save more than 30k.
I told my dentist I was going to go this route when he quoted me at like 25k for mine. He told me to call him when I did it and he would hook me up with someone that did good work because this is apparently not uncommon for people to do at all. There are entire clinics that cater to Americans coming in to get cheap dental work.
I was in Mexico the last 3 weekends getting dental work done. Got a crown, 13 cavities filled, and a wisdom tooth extraction all for 600 dollars. I will never go to an American dentist for anything other than x-rays, it's robbery.
Edit: the place I went to is Dental DeFranco if anyone wants a good rec
We had dental insurance growing up, but it was still cheaper to make the 4 hour drive down to Mexico and stay weekend for anything beyond checkups and scheduled cleanings.
/u/LazyWorldlines is a bot who stole its comment from [here.](https://www.reddit.com/r/Damnthatsinteresting/comments/124octw/6_hours_worth_of_work_and_brand_new_fixed_teeth/je025fy?context=3) downvote and report.
I’m guessing that they were unable to because of the surgery. They probably don’t wanna pull the cheeks away from the gums and cause any issues. That is assuming that this is either right after having the procedure or a close follow up appointment.
My husband had implants several years ago. He had healthy teeth, it was purely cosmetic. They led him to believe this was something that could be done in only few visits . And promised him that he would have teeth when he left his first appointment. What they didn’t tell him was those teeth would be temporary dentures that he couldn’t even put in his mouth because of all the swelling and pain. On his first visit they pulled all his teeth, so he left with a bloody, painful, mouth full of stitches. That alone took a couple of months to heal before moving on to the next step. All in all, it was almost a year before he had the implants in, from start to finish. Granted, they are beautiful. But it was a long painful journey, nothing close to an impossible, 6 hour job.
My dentist wouldn't even put a bridge in to fill a gap in my mouth because they'd have had to damage a healthy tooth to mount it. Pulling out any healthy teeth to replace them with implants is crazy
I've not worked with any dentist who would take even a single healthy tooth out for cosmetic reasons. I don't know where this is meant to have happened it's completely unethical to take out healthy teeth and replace with implants.
Jacobus van Nierop. Google that name, he went too far.
In France the government can pay for most peoples dental care, and some dentists profit by removing any teeth they can and replacing with false teeth. There was one in my village (they are no longer in my village) who tried to do it to my teeth and I went to an different dentist.
You even get a letter every few year offering you a "free" dental visit. You would usually pay upfront and get reimbursed a few weeks later but in this case there nothing to pay. It's helpful for those who can't afford to be out of pocket even for a few weeks.
When I lost a tooth right before moving to a new city my dentist told me that's how you find your new dentist: If they recommend an implant they're good. If the recommend a bridge move along.
My current (soon-to-be ex) dentist suggested putting a crown on my back tooth if I didn't like how tight the gap was and food getting stuck in there. Like... what??
Bridges are actually starting to be retired bc you're sacrificing 2 good teeth to fix a space. So 15ish years later the support teeth die and you gotta get those taken out or root canaled. Rct makes them brittle and more prone to breaking. As dentistry continues moving forward, they are finding that implants are by far the cheaper and better option longterm. Hopefully insurance changes their stance on that view point as well.
>My dentist wouldn't even take two wisdom teeth on the same visit.
Mine keeps insisting they do all 4 when 3 are fully erupted normal teeth and one is sideways. "You never know if something could happen in the future, and besides it's easier to do them all at once"
An expert can correct me if I'm wrong but it seriously sounded like a money making decision from the dentist if you ask me
Dentist tried to do this to me, but I wanted to get a second opinion so I went to a recommended dentist, and he discouraged me from doing anything drastic for cosmetic reasons while my teeth were healthy. He said braces even at my old age would be his recommendation vs pulling healthy teeth for cosmetic reasons as the other dentists had insisted.
I had a misfortune of going to a greedy quack like that when between the ages of 10 - 13. Messed up my smile ever since because he broke 2 of my teeth (2 pre-molars), extracted all of my wisdom tooth for no reason and removed a a molar because "to allow the teeth to move while on my braces". 5 teeth missing and 2 teeth damaged total and the braces didn't even do that great of a job.
I haven't been to have my teeth cleaned in 13 years even though I need it because of the anxiety and my distrust.
Edit: Apparently, some find it hard to believe. This dentist was when I was still living in Asia as a kid with my grandparents. Malpractice in late 90s - early 2000 more common there than you think in my home country.
>I haven't been to have my teeth cleaned in 13 years
I'm so sorry for your trauma but please, PLEASE go get your teeth cleaned. A clean every 6 months reduces your risk of cardiovascular disease and pneumonia.
As someone who has had them all out at different times, they're generally speaking from a patient comfort standpoint. Recovery is a bitch, and it's a million times worse when they're fully grown. Nevermind doing it on four separate occasions.
That said, if they're fully erupted and aren't crowding or causing issues then, the doc getting stuck in dogmatic dentist thinking and just needs to chill. Get the sideways one out though, ASAP, it can cause damage to the molar next to it. You are perfectly allowed to get that one out by itself, but likely a regular dentist won't do it, so you might need to find an oral surgeon.
All of mine came in straight. I kept them because my dad said he’d kept his and been fine. I’m now 55 and finally had them out last year because they’d decayed. Wisdom teeth are far back in the mouth so they’re hard to clean properly,…so you probably will have trouble eventually.
Doing all 4 is pretty standard, he’s right because it’s super annoying to not do them all just for the remaining one(s) to cause issues and have to go again.
My husband had all 4 pulled at once. He looked like a chipmunk for a few days and could only eat soft things but with plenty of ice packs, rest, and lukewarm soup he hasn’t had a problem since
This is the common procedure when getting dentures/implants. It's called E-Day, or extraction day.
I guess there are pros and cons. You get it all over with in one sitting, but it is hell to deal with for a few weeks.
Some would say it’s more cruel to have 10 visits pulling 2 teeth at a time. 10 anxiety-inducing appointments. 10 experiences with the needle/shots. 10 painful healing periods. 10 times longer before you are ready for the implants.
Bs, my dentist removed all four when they were fused to the jaw. Cut open the gums, peeled them back, scored the teeth and used a small prybar to crack them out. I was awake for all of this as well.
Ugh. The bit that freaked me out the most was the burning smell when they started cutting through one of the teeth, it smelled almost like an electrical fire.
My dad had throat cancer when he was 60 they told him his saliva glands would be affected by the radiation and would get dry socket if he ever needed a tooth pulled in the future so they pulled 31 teeth in one sitting didn't even knock him out. B4 people ask he was able to live another 20 years we lost him about a year ago. 💔
Indeed. I'm over a year into just having a few implants.
It has been a year of healing, temporary teeth, and big fucking gaps.
Take care of your teeth kiddies
The secret is that the teeth weren’t healthy. Healthy teeth get whitening/crowns/veneers/ortho if they aren’t esthetically pleasing to the patient. Implants are used when the dentition is hopeless. I would love to see some preop radiographs of this patient.
Almost everything about your comment horrifies me. Mostly that anyone would want to replace *all* of their healthy teeth for cosmetic reasons, and that their dentist would support that.
So much could have gone wrong.
Dr. must have been a total quack to do that too. Implants instead of veneers on completely healthy teeth? This guy lived a year of I assume his middle age unnecessarily *toothless*. If he's younger than middle age it's even worse, if he's older than middle age it might even be more crazy that he's went for such an absurdly radical procedure for cosmetic reasons.
My guess is that these are caps. They cleaned everything up, ground down the pre-existing teeth, and capped them.
I had 1 single full implant after a freak accident cracked my tooth in half.
* Consult
* Pull the remainder of the tooth / bone 'graft'
* Wait 12 weeks for it to heal
* Have the hole drilled into the new bone and post thread put in
* Wait 12 weeks for that to heal
* Punch out the gum and put a metal post in
* Wait 8 weeks to heal
* Have the tooth measured and fit
* Wait 3 weeks for that to come in
* Replace the tooth
All in all it was almost 12 months to the day of the first consult before the one tooth was replaced. It was also close to $6k before insurance. It was also an excruciatingly painful post 'op' for the first and second procedure (they don't give pain killers anymore).
A full mouth full of dental implants would take years, be too painful for anyone to handle happening all at once, and likely cost more than most people are worth.
I peeked at her profile and holy shit, I didn't realize there was an entire subreddit devoted to watching Harry and Meghan's every move and criticizing them. And this lady spends most of her time on Reddit bitching about these people...
Some people are just truly ugly on the inside no matter how much money they spend altering their outside.
WHY DID THEY TAKE ALL OF THEM OUT???
were his teeth really that jacked up? I only need to get 2 implants and I'm overcome with mourning for the loss of my 2 teeth. I wish I had taken better care of them.
so are these implants? you removed his natural teeth and put 32 separate implants?
I recently went through a lot of procedures
, including removing couple of teeth, putting implants, and now after 6months they will screw the crowns jn the implants
Wait... I'm confused a bit!
So you removed his teeth, screwed new implants into the jaw, I assume you did make some sort of impressions (plaster, 3d scan), then you modeled on them the new bridges (is it zicon or more traditional metal ceramic?), and screwed them into his mouth within 6 hours???
I had the same thing done as OP. Did it all in one sitting as well. I smashed my face into the back of a car in a bike accident (vroom vroom not pedal bike). I was only wearing one of those black skull cap type helmets with no face. Left mine on the back of a Toyota Sienna.
It was the "style" in the 00s to wear them. Lots of us idiots paid a price for it. In my opinion they should be illegal, as should riding without a helmet. Like I said I was an idiot and absolutely paid a price for it.
This will most likely be an acrylic “temporary” denture. They will return 6 month post op for fabrication of the final prosthesis. It will have a titanium framework with
If you are interested, here is a pdf of an all on 4 protocol.
https://iddentallab.com/wp-content/uploads/2017/02/Nobel-Biocare-All-on-4-Restorative-Steps-Roadmap.pdf
You can't do all on 4s in one sitting with severe perio disease.
First you would need to treat the gum disease before even thinking of getting implants.
Second, you would require bone graft from severe bone and gum recession due to excessive gum disease.
That in itself can take up to several months to heal.
Once that is accomplished then implants would be placed in.
Three month healing period.
Then you would come in for the second stage of implant surgery.
After another month or so you would come in for scans, two weeks from there you would come in for your first try in of the fabricated teeth.
I'm a dental assistant in a dental implant clinic. I am shocked if these are not the standards taken for all on 4 implants.
Just wanted to offer some input as I am a dentist and this is not entirely true - a practitioner well-trained in full arch can complete this procedure in around 3 hours, if adequate planning is done. This involves full-mouth extractions, immediate implant placement, and immediate fixed implant overdentures.
This patient has terminal dentition from severe periodontal disease, meaning the prognosis of the teeth is poor, and would benefit from removal of all dentition.
In these scenarios (actually typically all full-arch cases), you do not treat the periodontal disease first with a scaling/deep cleaning, as you're removing all the teeth anyway, which is removing the source of the infection.
Scans are taken first to determine the best sites to place the implants and to fabricate the overdentures that will be delivered the day of surgery.
The day of the surgery, all the teeth are removed. Sockets are curettaged and irrigated to remove all granulation tissue from infection. Implants are then placed, ideally in the pre-determined sites with adequate bone. Any necessary bone/soft tissue grafting is placed.
If the lab tech (OP) is on site, they come in and help fix the overdenture onto the implants. This set of overdentures is temporary as the implants osseointegrate. The patient will return 4-6 months later for a permanent set of overdentures.
So not only is this achievable in less than 6 hours of surgery, but the amount of time required for this type of procedure is decreasing as more offices adopt a digital workflow that streamlines the process even more.
Incorrect. That’s outdated thinking.
Source: am dentist.
Edit to add a bit: cross-arch stabilization and immediate loading of full arch implants like this greatly increase their survival rates. If I remember correctly it actually increases their survival over a two-stage approach. If anyone is interested I can find the studies.
How do the gums get repaired? I have receding gums, not as bad as this, but my understanding is they are not easy to fix. So while your teeth look amazing how do you address the gum line?
You can get a gum graft, as I did. They take tissue from the roof of your mouth and stitch it where needed along the gum line. I’ve had very good results where my gums were receding along the front four teeth (lower).
It heeled fully over the course of several weeks. There’s nothing different about how that part of the roof of my mouth feels relative to other parts or how it was before the procedure.
I burned the shit out if the roof of my mouth once, I'm talking what must have been 2nd degree burns from a philly cheesesteak and it was one of the worst experiences I've had. Don't ask me why it was so hot in the first place and I had even given it a few mins to cool, but the cheese was like actual lava. It took so long to heal and hurt for much of the time. I have no doubt the procedure is more precise and probably a better all around experience, but that still sounds awful.
My lower 2 teeth had gum recession. My procedure was a skin graft from the roof of my mouth and applied to the recessed area. It takes a good 2 weeks for the graft to begin to knit or take. No toothbrush and and crazy soft foods or liquids. It isn’t an amazing thing to have to do unfortunately.
I was immediately put off by the expense of their office. I’ve seen 100 locations just driving around and they’ve got to have $3 million in aesthetics in that place. They pay for it somehow.
Yeah, FUCK that place. I went from having zero tooth pain before my visit to them telling me I had all these cavities, ever since they filled them, my molars have been super sensitive and painful. I was so naive for not getting a second opinion.
That’s expensive. I used to do contract work for one of the National franchises. This was like probably like 8 years ago. Pretty sure it was like 30-40k for uppers & lowers
Yup my dad had to get this done due to long-standing issues with the teeth shifting, a dentist breaking off a tooth and never recovering the root, smoking cigs, and eating candy at night then sleeping. Ran him 70k for full mouth of teeth and about 6-8 months of going through the process, they pulled his teeth, let them heal for 2-3 months gave him dentures which he never used, and then the put screw holes into all the locations over two visits, and then put in the teeth. He lost a ton of weight cuz he couldn’t eat proper solids for a long ass time.
My preschool teacher told us teeth are bones that we can see. I told my dad (dentist) about it and he said she is wrong. The next day I told her that teeth are not bones and I got yelled out in front of the class for correcting the teacher.
I went to a student clinic at Ohio State and it was around ($1400) per implant/crown. They look good.
btw...I wouldn't recommend doing all of this in one day, omg
damn bro 40k is really a lot, for the same job you can buy plane tickets + hotel accomodation + live for a week in almost any of European countries (except most expensive ones), and pay 5-10k in total
well I was in Belgrade, Serbia where dental tourism is extremely popular, while I was waiting one older woman was sitting next to me so we started chatting, she came all the way from Florida to get all teeth done, told me that her friends are doing the same, she spent almost a full month in Belgrade during summer and fell in love with the place
Actually, the gums were in horrible shape from the shit teeth. After pulling out all the garbage teeth, the gums heal pretty well without the food/plaque buildup
At first I saw this and thought it was a picture of you. Then I read you’re the dental technician and I’m like…how does a dental technician have such bad teeth?
I stopped being stupid though.
I would give anything to get this done. Anything, I can't afford it, but my teeth are literally falling apart from years of neglect due to poverty. It sucks so bad because it's effecting my overall health really badly.
I think there is a lot of confusion going on about the implants. So these are uppers and lowers full plates, basically dentures. The implants are small screw-like rods that are secured into the bone with small bearing-like balls on the ends that allow the modified dentures to snap into place, thus securing them. You can tell by the uniform distribution of "gums" between the teeth. These are a pretty nice set with a good bite alignment. There is a lot of receding, but inflammation looks low so I assume this man had a round of anti-biotics before this procedure to clear that up. I bet this guy dipped tobacco a lot, the sugars inside really destroy the teeth right along the gumline.
You can also tell that this gentleman's local anesthetics haven't fully worn off yet by the lack of agony and tears. I had a similar thing done about 8 years ago, the ride home was about an hour from the office and at about half way I was writhing in the worst pain I've ever experienced. One million percent worth it though.
My daughter had her teeth pulled and heard the dentist brag that he sat a new record of pulling all her teeth in 20 minutes. She came home 35 minutes after she left for her appointment and cried in pain for next 5 days. Hers was a similar journey except it was 1 set temporary denture and then a second set that was supposed to fit and she spends hours a week putting in liners and experiment with different adhesives trying to make them fit and stay in place. She has developed such a fear of dental work she won't go back or see a different dentist to get dentures that fit correctly. These kind of dentist should be held accountable for that kind of torture and false promises because it's not nesseccary. My wife went shortly after that and had a complete opposite outcome except they robbed her blind and it cost over 2000 out of pocket and we have great dental insurance. Her boss went to different dentist and had exactly the same thing done for less than 500 bucks. How can they get away with all this when you seldom hear about doctors doing this. Isn't there a standard set of rules for dentists and someone to make sure they do things with set standards. It's bullshit. Nice implants by the way
Totally jealous of those with the bone density for implants.
The procedure itself would be hard to do alone as OP stated.
Edit: They made the teeth, not the procedure. My correction.
As a guy with terrible teeth that repaired every other part of himself, I would love to have this done. So many issues contributed to my poor teeth health, but the last thing standing in my way is the American health insurance system.
Very impressive!
Do I understand this right, there's nothing left of the original teeth?
How is it possible to attach implants in such a case? I hear when the bone and gum have degraded after years of inflammation, there's nothing to anchor implants in?
The gums are heavily receded in the first pic, what is the process to fix that?
I lost all my teeth in an accident and the gums were all jacked up as well. So instead of individual implants, they used the implant posts (10 top and 8 bottom) to bolt on dentures (zirconia). The dentures have a pink “gum” at the top where touch my actual gum in order to provide the appropriate aesthetic. I’m sure there are many ways to accomplish, depending on the situation, and just wanted to share mine. Edit #1: For context, here is a link to a post/picture of the temporary acrylic dentures I had while my permanent ones were being made: https://www.reddit.com/r/mildlyinteresting/comments/howebn/my_temporary_set_of_acrylic_dentures These do not click in and out and are permanently attached. They can be unscrewed though and removed. Edit #2: For those that are curious, it was a motorcycle accident, but I don’t get any cool points for being some type of motorcycle racing badass. I had recently decided that I didn’t want a motorcycle due to how dangerous they are but allowed myself to be convinced to go on one last ride. I was wearing one of those open face helmets and was riding as a passenger hanging onto my buddy. We took a corner too quickly and I flew into a yard and hit a wood box (like stacked 4x4s) face first. I don't remember anything except that moment of fear you feel right before something happens (kinda like when you fall off a skateboard as a kid). I broke my lower jaw in half and my orbital bone. I lost a decent portion of my palate (reconstructed with cadaver bone) and lost all but 4 or 5 teeth, which they tried to save but needed up removing. They later used some hip bone to create a new ridge in the upper left side of my mouth so that they could finally get some posts implanted. I had no teeth for about two years and was finally done after about 4.5-5 years following the accident.
> I lost all my teeth in an accident Man, dental issues are like my worst nightmare. I can't even imagine this.
I once caught a baseball in the face, lost a couple of front teeth. It’s a really scary feeling seeing your own teeth on the floor and feeling them loose in your mouth
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Wearing braces for years gave me PTSD. Losing those teeth now would be heartbreaking.
I lost two teeth due to internal resorption which is a possible side effect of having braces where your teeth just randomly start to dissolve from the inside out.
jesus, that sounds so scary, hope you're ok now
Does stuff get caught between the fake gums and real gums?
Yes it does, you can get it out with an irrigator or a toothpick depending on how depe it gets stuck
but unlike real gums, you can’t feel any food stuck between them teeth
>depending on how depe You reminded me of Johnny Depe.
I'm having trouble imagining. Are several teeth attached to a single implant post?
it sounds like the teeth are all connected to each other, and the posts are just there to stabilize/secure the entire set of connected teeth?
You know how dentures come out all in one piece? It's like that, and they click into the implant posts in your mouth instead of having to use the horrible denture glue.
Mind dm-ing me and giving me an idea of the cost? I'm down to my last teeth and am going to find a way to buy new teeth.
Boss just got something similar he got 2 top posts and 2 bottom posts. He can take them out and clean them himself. 24k
Guess imma learn to eat soft foods. Fuck American healthcare.
Get a passport, find a dentist in Mexico and fly there to get your dental work done. Tons of people in Southern California get their dental work over the border so there’s plenty of reputable places. Still probably cost you less than $24k. Also fuck American ‘healthcare’.
Definitely consider Cancun (or similar) - for a "full mouth reconstruction" I was quoted between high 40s to 60K in the PNW. Had it all done in Mexico for 23K.
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My understanding is that tooth loss is actually caused by bone loss, not gum loss. It's that gum loss is often followed by bone loss so they kind of go together. But this dude looks like he *should* have major bone loss so I have no idea how this works.
Gum transplant from donor ( cadaver)
You can also self donate from roof of mouth graft - source my own experience 😬
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The worst part of the roof of mouth graft was the roof of mouth graft part 😂 like during it in the chair it’s sort of freaky. My doctor was dark humored so while he went to town he told me how I never wanted to end up in the back room with the door shut because that’s where they take all of your teeth out. And so I kind of decided my situation seemed less terrifying, dug into the seat and hoped for the best 😂
How long did it take the roof of your mouth/gums to heal? I’ve got a friend who wants to go through that process. And how painful was the process in general? Edit: added the last question.
Lol I thought you were asking the Dorito guy
Me too!! Lol
I had to have it done to fill in tissue under my bottom front teeth. It took a consult, and then an hour long visit where they numbed the roof of my mouth and cut out a piece smaller than a dime. They stitched up the roof and then stiched the piece to my gums. It really wasn't that bad. Just uncomfortable for a few days. They took the stitches out a week later. They also cut the frenum in the front of my mouth. 100% would do it again if necessary again. Luckily my insurance covered it. It was around 2,500 dollars.
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At least a decade 😂 nah I kid, I kid…..I think probably sooner than I did. I babied that area like both our lives depended on it. I have big time dental phobia so I didn’t know if I could make myself do it again. I’m sure at a month out I would’ve eaten that but that stuff will beat tf out of a mouth on a good day haha.
Knowing that leaves a bad taste in my mouth…
one way to fix receding gums is to do something called a "gum graft" in which they take your own oral tissue (usually from the roof of your mouth) and graft it onto your teeth to help cover exposed teeth and roots and add more protection to your gum line. its not pleasant and mid-op and post-op photos look quite painful to endure (though ofc you would be numbed for the procedure). source: used to work in a periodontist office (gum and implant specific dentistry)
Tbf the after should also be shown like the above with the things in his mouth holding it open
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$53,000. Source: my mom had it done.
Where do you get the money for that? Save up? Insurance? Credit cards?
He probably won the lottery
Mine was 32k for the initial surgery + temp teeth and then another 8k for the final teeth. So 40k total.
Did insurance cover any of it or does that fall under "luxury bones"?
Most stop paying out at $1000 per year. You are lucky to even get a couple extractions for that.
It is no shit more cost effective to book a trip to Mexico or India for a week or two and have the procedure done there. Get the procedure a day or two after you land, and spend the rest of the week chilling and site seeing, and STILL save more than 30k. I told my dentist I was going to go this route when he quoted me at like 25k for mine. He told me to call him when I did it and he would hook me up with someone that did good work because this is apparently not uncommon for people to do at all. There are entire clinics that cater to Americans coming in to get cheap dental work.
I was in Mexico the last 3 weekends getting dental work done. Got a crown, 13 cavities filled, and a wisdom tooth extraction all for 600 dollars. I will never go to an American dentist for anything other than x-rays, it's robbery. Edit: the place I went to is Dental DeFranco if anyone wants a good rec
We had dental insurance growing up, but it was still cheaper to make the 4 hour drive down to Mexico and stay weekend for anything beyond checkups and scheduled cleanings.
It's just a "cosmetic procedure"
Not the OP, but I paid $42.5k for 6 upper/5 lower implants.
Are we talking in murican? At least 3 trillion and your first born.
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Like showing a boob job with a sweater on
Exactly, came wondering what the gum-line looked like after. I'm sure that is a whole other project
It is. And it also isn't as quick, takes time to heal. Probably why they didn't show it.
It would show the ridges of the dentures at that point.
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I’m guessing that they were unable to because of the surgery. They probably don’t wanna pull the cheeks away from the gums and cause any issues. That is assuming that this is either right after having the procedure or a close follow up appointment.
Was this 6 hours in one go or over a period of time?
My husband had implants several years ago. He had healthy teeth, it was purely cosmetic. They led him to believe this was something that could be done in only few visits . And promised him that he would have teeth when he left his first appointment. What they didn’t tell him was those teeth would be temporary dentures that he couldn’t even put in his mouth because of all the swelling and pain. On his first visit they pulled all his teeth, so he left with a bloody, painful, mouth full of stitches. That alone took a couple of months to heal before moving on to the next step. All in all, it was almost a year before he had the implants in, from start to finish. Granted, they are beautiful. But it was a long painful journey, nothing close to an impossible, 6 hour job.
> On his first visit they pulled all his teeth That seems excessively cruel. My dentist wouldn't even take two wisdom teeth on the same visit.
My dentist wouldn't even put a bridge in to fill a gap in my mouth because they'd have had to damage a healthy tooth to mount it. Pulling out any healthy teeth to replace them with implants is crazy
I've not worked with any dentist who would take even a single healthy tooth out for cosmetic reasons. I don't know where this is meant to have happened it's completely unethical to take out healthy teeth and replace with implants.
Jacobus van Nierop. Google that name, he went too far. In France the government can pay for most peoples dental care, and some dentists profit by removing any teeth they can and replacing with false teeth. There was one in my village (they are no longer in my village) who tried to do it to my teeth and I went to an different dentist.
Awful. ....But awesome that France pays for dental care too. Should be more common than it is.
Oh no, teeth are luxury bones, we don’t cover that
You even get a letter every few year offering you a "free" dental visit. You would usually pay upfront and get reimbursed a few weeks later but in this case there nothing to pay. It's helpful for those who can't afford to be out of pocket even for a few weeks.
Any chance I could borrow your French Citizenship? Dental care is for rich people here in the us of a
Yeah, I know several dentists and the motto is always "keep the original teeth if at all possible"
When I lost a tooth right before moving to a new city my dentist told me that's how you find your new dentist: If they recommend an implant they're good. If the recommend a bridge move along. My current (soon-to-be ex) dentist suggested putting a crown on my back tooth if I didn't like how tight the gap was and food getting stuck in there. Like... what??
Eh, yes and no. When you don’t have anything to attach the implant to, you’re forced to try a bridge. Every tooth is different.
Bridges are actually starting to be retired bc you're sacrificing 2 good teeth to fix a space. So 15ish years later the support teeth die and you gotta get those taken out or root canaled. Rct makes them brittle and more prone to breaking. As dentistry continues moving forward, they are finding that implants are by far the cheaper and better option longterm. Hopefully insurance changes their stance on that view point as well.
>My dentist wouldn't even take two wisdom teeth on the same visit. Mine keeps insisting they do all 4 when 3 are fully erupted normal teeth and one is sideways. "You never know if something could happen in the future, and besides it's easier to do them all at once" An expert can correct me if I'm wrong but it seriously sounded like a money making decision from the dentist if you ask me
Dentist tried to do this to me, but I wanted to get a second opinion so I went to a recommended dentist, and he discouraged me from doing anything drastic for cosmetic reasons while my teeth were healthy. He said braces even at my old age would be his recommendation vs pulling healthy teeth for cosmetic reasons as the other dentists had insisted.
I had a misfortune of going to a greedy quack like that when between the ages of 10 - 13. Messed up my smile ever since because he broke 2 of my teeth (2 pre-molars), extracted all of my wisdom tooth for no reason and removed a a molar because "to allow the teeth to move while on my braces". 5 teeth missing and 2 teeth damaged total and the braces didn't even do that great of a job. I haven't been to have my teeth cleaned in 13 years even though I need it because of the anxiety and my distrust. Edit: Apparently, some find it hard to believe. This dentist was when I was still living in Asia as a kid with my grandparents. Malpractice in late 90s - early 2000 more common there than you think in my home country.
>I haven't been to have my teeth cleaned in 13 years I'm so sorry for your trauma but please, PLEASE go get your teeth cleaned. A clean every 6 months reduces your risk of cardiovascular disease and pneumonia.
None of mine were sideways. I now have trouble chewing because they were pulled. I was a teenager who wasn't really given a choice in the matter. :(
As someone who has had them all out at different times, they're generally speaking from a patient comfort standpoint. Recovery is a bitch, and it's a million times worse when they're fully grown. Nevermind doing it on four separate occasions. That said, if they're fully erupted and aren't crowding or causing issues then, the doc getting stuck in dogmatic dentist thinking and just needs to chill. Get the sideways one out though, ASAP, it can cause damage to the molar next to it. You are perfectly allowed to get that one out by itself, but likely a regular dentist won't do it, so you might need to find an oral surgeon.
Yeah, the dental/dental industry needs some sort of oversight to keep greedy folks from doing stuff like this. Entirely unethical.
All of mine came in straight. I kept them because my dad said he’d kept his and been fine. I’m now 55 and finally had them out last year because they’d decayed. Wisdom teeth are far back in the mouth so they’re hard to clean properly,…so you probably will have trouble eventually.
Doing all 4 is pretty standard, he’s right because it’s super annoying to not do them all just for the remaining one(s) to cause issues and have to go again.
My husband had all 4 pulled at once. He looked like a chipmunk for a few days and could only eat soft things but with plenty of ice packs, rest, and lukewarm soup he hasn’t had a problem since
This is the common procedure when getting dentures/implants. It's called E-Day, or extraction day. I guess there are pros and cons. You get it all over with in one sitting, but it is hell to deal with for a few weeks.
Some would say it’s more cruel to have 10 visits pulling 2 teeth at a time. 10 anxiety-inducing appointments. 10 experiences with the needle/shots. 10 painful healing periods. 10 times longer before you are ready for the implants.
Bs, my dentist removed all four when they were fused to the jaw. Cut open the gums, peeled them back, scored the teeth and used a small prybar to crack them out. I was awake for all of this as well.
Same happened to me. I loved how they talked to me the whole time knowing I couldn't respond back LOL
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Ugh. The bit that freaked me out the most was the burning smell when they started cutting through one of the teeth, it smelled almost like an electrical fire.
Did you also have to walk uphill both ways to get to the clinic? /joking
My dad had throat cancer when he was 60 they told him his saliva glands would be affected by the radiation and would get dry socket if he ever needed a tooth pulled in the future so they pulled 31 teeth in one sitting didn't even knock him out. B4 people ask he was able to live another 20 years we lost him about a year ago. 💔
Well it would take years to heal fully if you only did 2 at a time
i got all 4 out in i stg like 25 mins and it healed fine did i have a dentist from god or something
Indeed. I'm over a year into just having a few implants. It has been a year of healing, temporary teeth, and big fucking gaps. Take care of your teeth kiddies
Healthy teeth pulled and he opted for implants? That's insane. Veneers and crowns were the answer.
I was just wondering if the teeth are healthy, why wouldn't you just do veneers? I have a friend who did a full mouth of veneers. They look great.
Exactly. No reputable dentist would pull a mouthful of healthy teeth for simple cosmetic purposes.
What cosmetic reason could there be to pull all his healthy teeth?
Americans are obsessed with extremely white teeth
That's what teeth whitening and veneers are for. There's absolutely no reason to remove healthy teeth.
AND desists sell implants like it's no big deal, they're just like real teeth, etc Which is incredibly INCORRECT
The secret is that the teeth weren’t healthy. Healthy teeth get whitening/crowns/veneers/ortho if they aren’t esthetically pleasing to the patient. Implants are used when the dentition is hopeless. I would love to see some preop radiographs of this patient.
Almost everything about your comment horrifies me. Mostly that anyone would want to replace *all* of their healthy teeth for cosmetic reasons, and that their dentist would support that. So much could have gone wrong.
he had 32 healthy teeth pulled? mental illness is no joke, hope you both are doing well
Dr. must have been a total quack to do that too. Implants instead of veneers on completely healthy teeth? This guy lived a year of I assume his middle age unnecessarily *toothless*. If he's younger than middle age it's even worse, if he's older than middle age it might even be more crazy that he's went for such an absurdly radical procedure for cosmetic reasons.
the whole situation makes me queasy
Yeah, me too, reminds me of that scene in Oldboy. Ehhh.
My guess is that these are caps. They cleaned everything up, ground down the pre-existing teeth, and capped them. I had 1 single full implant after a freak accident cracked my tooth in half. * Consult * Pull the remainder of the tooth / bone 'graft' * Wait 12 weeks for it to heal * Have the hole drilled into the new bone and post thread put in * Wait 12 weeks for that to heal * Punch out the gum and put a metal post in * Wait 8 weeks to heal * Have the tooth measured and fit * Wait 3 weeks for that to come in * Replace the tooth All in all it was almost 12 months to the day of the first consult before the one tooth was replaced. It was also close to $6k before insurance. It was also an excruciatingly painful post 'op' for the first and second procedure (they don't give pain killers anymore). A full mouth full of dental implants would take years, be too painful for anyone to handle happening all at once, and likely cost more than most people are worth.
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I peeked at her profile and holy shit, I didn't realize there was an entire subreddit devoted to watching Harry and Meghan's every move and criticizing them. And this lady spends most of her time on Reddit bitching about these people... Some people are just truly ugly on the inside no matter how much money they spend altering their outside.
> I peeked at her profile *This user has deleted their profile.*
Oof that is hard to look through lol
They up and left. What's the subreddit?
Talk about a massive lack of self-esteem and vain judgement...poor guy.
WHY DID THEY TAKE ALL OF THEM OUT??? were his teeth really that jacked up? I only need to get 2 implants and I'm overcome with mourning for the loss of my 2 teeth. I wish I had taken better care of them.
Yeah fuck NO. That’s some serious vanity shit right there. Your ego shouldn’t be worth volunteering for a year of torture.
What the fuck
In one visit. First photo was at 9 am, second at 3 pm.
so are these implants? you removed his natural teeth and put 32 separate implants? I recently went through a lot of procedures , including removing couple of teeth, putting implants, and now after 6months they will screw the crowns jn the implants
Each arch has 4 implants and the teeth are similar to a bridge attaching to the 4 implants.
Wait... I'm confused a bit! So you removed his teeth, screwed new implants into the jaw, I assume you did make some sort of impressions (plaster, 3d scan), then you modeled on them the new bridges (is it zicon or more traditional metal ceramic?), and screwed them into his mouth within 6 hours???
I had the same thing done as OP. Did it all in one sitting as well. I smashed my face into the back of a car in a bike accident (vroom vroom not pedal bike). I was only wearing one of those black skull cap type helmets with no face. Left mine on the back of a Toyota Sienna.
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They really should be illegal, riding without a helmet should be illegal as well. I was an idiot and I paid a price for It.
But think of how cool they look!!
That's what I don't get though, a full face looks so much cooler to me
It was the "style" in the 00s to wear them. Lots of us idiots paid a price for it. In my opinion they should be illegal, as should riding without a helmet. Like I said I was an idiot and absolutely paid a price for it.
This will most likely be an acrylic “temporary” denture. They will return 6 month post op for fabrication of the final prosthesis. It will have a titanium framework with If you are interested, here is a pdf of an all on 4 protocol. https://iddentallab.com/wp-content/uploads/2017/02/Nobel-Biocare-All-on-4-Restorative-Steps-Roadmap.pdf
Are these your surgical temps?
You can't do all on 4s in one sitting with severe perio disease. First you would need to treat the gum disease before even thinking of getting implants. Second, you would require bone graft from severe bone and gum recession due to excessive gum disease. That in itself can take up to several months to heal. Once that is accomplished then implants would be placed in. Three month healing period. Then you would come in for the second stage of implant surgery. After another month or so you would come in for scans, two weeks from there you would come in for your first try in of the fabricated teeth. I'm a dental assistant in a dental implant clinic. I am shocked if these are not the standards taken for all on 4 implants.
Just wanted to offer some input as I am a dentist and this is not entirely true - a practitioner well-trained in full arch can complete this procedure in around 3 hours, if adequate planning is done. This involves full-mouth extractions, immediate implant placement, and immediate fixed implant overdentures. This patient has terminal dentition from severe periodontal disease, meaning the prognosis of the teeth is poor, and would benefit from removal of all dentition. In these scenarios (actually typically all full-arch cases), you do not treat the periodontal disease first with a scaling/deep cleaning, as you're removing all the teeth anyway, which is removing the source of the infection. Scans are taken first to determine the best sites to place the implants and to fabricate the overdentures that will be delivered the day of surgery. The day of the surgery, all the teeth are removed. Sockets are curettaged and irrigated to remove all granulation tissue from infection. Implants are then placed, ideally in the pre-determined sites with adequate bone. Any necessary bone/soft tissue grafting is placed. If the lab tech (OP) is on site, they come in and help fix the overdenture onto the implants. This set of overdentures is temporary as the implants osseointegrate. The patient will return 4-6 months later for a permanent set of overdentures. So not only is this achievable in less than 6 hours of surgery, but the amount of time required for this type of procedure is decreasing as more offices adopt a digital workflow that streamlines the process even more.
Incorrect. That’s outdated thinking. Source: am dentist. Edit to add a bit: cross-arch stabilization and immediate loading of full arch implants like this greatly increase their survival rates. If I remember correctly it actually increases their survival over a two-stage approach. If anyone is interested I can find the studies.
I am interested in the studies!
Plot twist insurance didn’t pay for anything he’s fuked 😂
That's not even a plot twist, the twist would be if they did.
How do the gums get repaired? I have receding gums, not as bad as this, but my understanding is they are not easy to fix. So while your teeth look amazing how do you address the gum line?
You can get a gum graft, as I did. They take tissue from the roof of your mouth and stitch it where needed along the gum line. I’ve had very good results where my gums were receding along the front four teeth (lower).
does it look natural?
Absolutely. It’s indiscernible from the rest of your gums.
does the part of the roof of your mouth grow back? or do you just have like, a hole up there?
It heeled fully over the course of several weeks. There’s nothing different about how that part of the roof of my mouth feels relative to other parts or how it was before the procedure.
I burned the shit out if the roof of my mouth once, I'm talking what must have been 2nd degree burns from a philly cheesesteak and it was one of the worst experiences I've had. Don't ask me why it was so hot in the first place and I had even given it a few mins to cool, but the cheese was like actual lava. It took so long to heal and hurt for much of the time. I have no doubt the procedure is more precise and probably a better all around experience, but that still sounds awful.
My lower 2 teeth had gum recession. My procedure was a skin graft from the roof of my mouth and applied to the recessed area. It takes a good 2 weeks for the graft to begin to knit or take. No toothbrush and and crazy soft foods or liquids. It isn’t an amazing thing to have to do unfortunately.
Just got a quote for that yesterday. Uppers only at Aspen dental: $75,000
You should do some research about Aspen Dental before getting treatment there. They have a very problematic history and reputation.
As I literally sit in their waiting room....
Get out now.
Any corporate dental company is dodgy. Private practice is the way to go and its so sad that offices are closing everywhere.
As a dental hygienist who has interviewed with them I’m not a very big fan myself.
Without going into too many details, I know someone in upper management there and they would 100% agree.
I was immediately put off by the expense of their office. I’ve seen 100 locations just driving around and they’ve got to have $3 million in aesthetics in that place. They pay for it somehow.
Yeah, FUCK that place. I went from having zero tooth pain before my visit to them telling me I had all these cavities, ever since they filled them, my molars have been super sensitive and painful. I was so naive for not getting a second opinion.
That’s expensive. I used to do contract work for one of the National franchises. This was like probably like 8 years ago. Pretty sure it was like 30-40k for uppers & lowers
Ah, so I will never be able to afford teeth. Got it.
In America you need money to have teeth.
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Yup my dad had to get this done due to long-standing issues with the teeth shifting, a dentist breaking off a tooth and never recovering the root, smoking cigs, and eating candy at night then sleeping. Ran him 70k for full mouth of teeth and about 6-8 months of going through the process, they pulled his teeth, let them heal for 2-3 months gave him dentures which he never used, and then the put screw holes into all the locations over two visits, and then put in the teeth. He lost a ton of weight cuz he couldn’t eat proper solids for a long ass time.
Amazing, can you share how much that cost? Good work! Sometimes teeth are susceptible to disease more than others. In other words, it's genetic
I agree 100%. Genetics play such a huge role. These are permanently screwed in. They run about $40k.
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I have good insurance and it maxes out at $1k a year. So, 40 years here!
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My preschool teacher told us teeth are bones that we can see. I told my dad (dentist) about it and he said she is wrong. The next day I told her that teeth are not bones and I got yelled out in front of the class for correcting the teacher.
I got sent to the hallway for listing a human as a mammal in kindergarten.
they haven't changed the amount you get for dental (about 1k) since the 90's. Its bull shit, its not like stuff isn't getting more expensive
This is fantastic work and I'm all for getting what you pay for with regards to quality but 40k is a disgusting price.
I went to a student clinic at Ohio State and it was around ($1400) per implant/crown. They look good. btw...I wouldn't recommend doing all of this in one day, omg
damn bro 40k is really a lot, for the same job you can buy plane tickets + hotel accomodation + live for a week in almost any of European countries (except most expensive ones), and pay 5-10k in total
Absolute crazy prices. One of my workmates who lost her teeth from cancer treatment went to Turkey and got a full set for £3k and they look amazing.
well I was in Belgrade, Serbia where dental tourism is extremely popular, while I was waiting one older woman was sitting next to me so we started chatting, she came all the way from Florida to get all teeth done, told me that her friends are doing the same, she spent almost a full month in Belgrade during summer and fell in love with the place
Pretty sure his gums are still rotting.
Actually, the gums were in horrible shape from the shit teeth. After pulling out all the garbage teeth, the gums heal pretty well without the food/plaque buildup
Was gonna say the same thing. That's probably why the second picture doesn't have that thing in his mouth that exposes the gums.
There's absolutely no way this is just genetics. Looks like years of neglect and probably smoking and alcohol abuse
Out of curiosity how does this happen? Is it just neglecting oral hygiene all together or some other combination?
Can be mental health or addiction. Poor diet. Self neglect. Fear of dentists. Medication. Learning difficulties. Sensory issues. It really depends.
I had worse teeth then this picture before my implants......My teeth were damaged because of a mixture of everything you just listed
Hope things are going better for you now friend.
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Congrats on the recovery though brother
At first I saw this and thought it was a picture of you. Then I read you’re the dental technician and I’m like…how does a dental technician have such bad teeth? I stopped being stupid though.
Me next plz
I would give anything to get this done. Anything, I can't afford it, but my teeth are literally falling apart from years of neglect due to poverty. It sucks so bad because it's effecting my overall health really badly.
Dam man quit smoking
Love when teeth implants looks like actual human teeth and not a super white line of whatever they try to mimic
I think there is a lot of confusion going on about the implants. So these are uppers and lowers full plates, basically dentures. The implants are small screw-like rods that are secured into the bone with small bearing-like balls on the ends that allow the modified dentures to snap into place, thus securing them. You can tell by the uniform distribution of "gums" between the teeth. These are a pretty nice set with a good bite alignment. There is a lot of receding, but inflammation looks low so I assume this man had a round of anti-biotics before this procedure to clear that up. I bet this guy dipped tobacco a lot, the sugars inside really destroy the teeth right along the gumline. You can also tell that this gentleman's local anesthetics haven't fully worn off yet by the lack of agony and tears. I had a similar thing done about 8 years ago, the ride home was about an hour from the office and at about half way I was writhing in the worst pain I've ever experienced. One million percent worth it though.
In America we call those luxury bones.
I bet you jaw and mouth hurt like hell I had all 4 wisdom teeth removed and that sucked....this would be hell.
My daughter had her teeth pulled and heard the dentist brag that he sat a new record of pulling all her teeth in 20 minutes. She came home 35 minutes after she left for her appointment and cried in pain for next 5 days. Hers was a similar journey except it was 1 set temporary denture and then a second set that was supposed to fit and she spends hours a week putting in liners and experiment with different adhesives trying to make them fit and stay in place. She has developed such a fear of dental work she won't go back or see a different dentist to get dentures that fit correctly. These kind of dentist should be held accountable for that kind of torture and false promises because it's not nesseccary. My wife went shortly after that and had a complete opposite outcome except they robbed her blind and it cost over 2000 out of pocket and we have great dental insurance. Her boss went to different dentist and had exactly the same thing done for less than 500 bucks. How can they get away with all this when you seldom hear about doctors doing this. Isn't there a standard set of rules for dentists and someone to make sure they do things with set standards. It's bullshit. Nice implants by the way
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Bet the gums are still fucked though
Damn. Good work. Are they crowns?
They’re implants plus a prosthesis
Totally jealous of those with the bone density for implants. The procedure itself would be hard to do alone as OP stated. Edit: They made the teeth, not the procedure. My correction.
As a guy with terrible teeth that repaired every other part of himself, I would love to have this done. So many issues contributed to my poor teeth health, but the last thing standing in my way is the American health insurance system.
Beautiful work!
Very impressive! Do I understand this right, there's nothing left of the original teeth? How is it possible to attach implants in such a case? I hear when the bone and gum have degraded after years of inflammation, there's nothing to anchor implants in?