Thoughts on LGBT?

​@@IsraelLlerena It should not interfere with a Good Licking

@@IsraelLlerena i do not like trans

they don't make them like they use too!

How old are you??

Thank you for your time and watching the video. As discussed in the video neither treatment is a guaranteed 100% success and the best thing to do is consult with your dentist to discuss and take all factors into consideration. God Bless!

I agree entirely! I had tooth #10 replaced with an implant (the original tooth had a vertical groove on the back side that prevented the gum from sealing properly, leading to recurring infections, a root canal and ultimately removal due to the continual infections leading to beginning of bone loss). After going through all of the time and expense of the removal of the tooth, the filling of the socket with matrix and allowing bone to regrow, then implant placement, healing again and finally placing a tooth on the implant, I had the implant for about 1 year before the periimplantitis set in. After several years of attempts to defeat the infections, re-packing around the implant with matrix to try to replace lost bone, I threw in the towel and had a cantilever bridge installed. That was about 8 or 10 years ago. I wish I had gone with the bridge in the first place, but hindsight is always 20-20. Take care and God Bless.

Thank you for providing this information.

@@thefarmer5677 Ditto! The cost,the pain, the cost, the pain, the cost, the pain; the antibiotics over and over in near emergency situations; & the final cost and pain to remove (while narrowly avoiding osteomyelitis into upper sinus bone area). Huge intact on life,family work - continual infections. No dental decay - perfect teeth - with FATAL GROOVE hidden under gum line, so some bad luck . Had a bridge it was brilliant - but the fatal underlying groove eventually ruined it; Was told back teeth dental implants are less reliable. My top front implants were a disaster. I still use two lower implants to hold dentures in place. I would have removed them too - but they are basically set in rock- bone. Any future problems and I will have them surgically r3moved quickly and just put up with the less aesthetic and or functional problems. If I had my time again, for me, I would have told my younger self to remove all my teeth and learn to live with d3ntures ; but it wasn’t until near the end I did this, and found out about the groove in my teeth, that continually exposed me to gum disease. No one’s fault. All the dentists were very good about teeth, but never addressed iron deficiency, etc. In Australia all health issues stop at the mouth, not connected within health care system. Dental work and infections stop in the gums; a broken jaw is disconnected. A few years ago a man went to emerge with raging infection in gums, essentially sent away as not a “medical problem” only a “dental” problem; 2 weeks later it was “a medical emergency” as it caused a huge heart problem and was a very costly public hospital stay with emergency procedures. Thanks Dr Houlik, for initiating a discussion that gives people a chance to self evaluate their own issues - with regard to making the decision that most likely will work for them🙂. Really liked your presentation. PS:- I was told years ago that 20% implant failure rate was normal. And especially towards rear of mouth. Has this changed?

As soon as I watched this video and before even the doctor discussed the implant, I knew already that his recommendation was to have implants. Please be honest with your patients. There are so many medical conditions that may affect the implants. Be considerate.

Thanks for your opinion! I have to say dental technicians often have better knowledge of these things, the physics and the statics. Dentists mostly care about money and time.

How long will implant last?

Up

@@zohaxx322 Not sure but more than 20 years at this rate.

@@cynthiamurphy3669 I would say Thailand is a good place to go. Lived in Thailand as well. Japan is similar pricing to Thailand but hotels and food is very high in Japan. Chiang Mai is a good starting point city in Thailand.

​@@zohaxx322it stays for a lifetime if u took care of it

Shop around. I've had 2 implants, by a board certified oral surgeon, $1,700 each, including bone graft.

Nope. Absolutely INCORRECT. The implant system they are using is likely an off brand and the “surgeon” has no real training in implantology.

@@AllSven source ?

Where exactly can someone go in Mexico for such surgery on a Single Tooth Implant??!... Asking for a Got Dayum friend mane! 😅😂🤣🤣

​@@AllSvenWhere's your proof??!.... Exactly! Hush!

Xpl😂

"five major players, all have their own tool..." cost $3K is still a bargain. 😛

Because that is that China are sunking your economy...

I have two implants, and this is the first I've heard of being able to tighten implants, although I had to return to the oral surgeon because the temporary abutment he screwed in to the implant itself came out. It is a place holder until I can get the crown done at my regular dentist's later this month. But the implant itself is supposed to adhere to the bone. Did yourbone successfully grow back and adhere to the implant?

@@commonsense6967 As far as I know, yes, there is no problem with adhering to the bone. Something above became lose. I understand from my dentist that this is common and to be expected. After it happened the first time, my dentist sent the crown to the lab to have an ACCESS HOLE made, which makes tightening it much easier.

Glad you've had success with yours!

That’s great! Glad it’s holding up strong

Where did you get it done at? And how much was it?!

Does bridge is very pain full ?

I has mine done in 2015…no problems yet…cross fingers

@@ayeshaabid6823 not at all. No pain.

I'm glad you had success with the procedure!

@Maleko DeSusa: You had a removeable bridge. Mine was a PERMANENT bridge. Huge difference. And yes you must practise good dentil hygene. But you should do THAT anyway.

i had same experience like 7255 did, for me implant is much better.

@@autumnxu9986 Yes, for ONE implant. If it's just a case of a single tooth replacement, an implant IS best. But not everyone can afford this. It's many thousands$$. BUT A FULL upper or lower implant, is still a lot of plastic, to get used to...though not as bad as dentures, which are even bigger, and can shift. No one should be deluded into thinking FULL implants are EXACTLY like real teeth, so you can be careless with the real teeth you have. When it comes to COST, on a SINGLE tooth replacement, if MONEY is an issue...a permanent bridge works like real teeth, (though you MUST floss, under it, around it) ... rather than a REMOVEABLE bridge, which can be a nuiscence, and damage the teeth it attaches to. In the end, it can be ALL about money... the removeable IS the cheapest, though not the best. Bur what i was ALSO saying, PLEASE don't ignore maintenence and care, of your REAL teeth, NOW...asuming they are easily replaceble, with this new option of implants. The least replacement you HAVE to do, the better off you are. Age is ALSO a factor here. What has to last, 10, 20, 30yrs, MAY NOT, If you start young. Implants place great pressure, on 4 areas. Long term, this could cause bone damage in the plug areas. So the LONGER you keep your real teeth, THE BETTER OFF YOU ARE. BE KIND TO THEM. SEE YOUR DENTIST, YEARLY, or WHENEVER a problem occurs.100's spent NOW can save you THOUSANDS, later... You want, afterall, this to last AS LONG AS YOU DO.

@@drhoulikhi dr I just did bridge on top next to the front but there is gap between my gum and bridge what your thoughts on that ❓

Thanks for sharing!

Candyass.

It's a nice way of telling that don't lie to the them They have to know to be able to fix you in the correct way

Yes

How much 😮

How much ?

@@RenaldoDiLucente a bridge cost about $1,500 or more a crown cost about $700 "root canal" cost at least $1,000 - $1,200 "root canal retreatment" cost about $1,600 So 1 bridge + 3 crowns + root canal & retreatment cost at least $8,000 or more....

Agreed. The patients best interest should always be first

@@drhoulik Then it shouldn’t cost that much.

I had issues with an implant that took about the same length of time to repair as yours. Evidently my jaw bone is too narrow and i wasn't a good candidate for an implant but they didnt bother to tell me that until the whole debacle was over. I'll never waste my money with an implant again!

Implants on the upper are ill advised. There isn’t enough bone to grab on to. Been there. Lots of money, lots of misery.

@@bwmcelyaMaybe, but it is also generally inadvisable to go to a general dentistfor implants, IMO. Most have not had adequate training or experience in doing them. My son went to one who did an upper front tooth implant on him which became infected. My adult son, in his 30's at the time, was not diabetic, healthy, not prone to infection. The implant failed and he ended up having a bridge. As for me, I have two lower molar implants, one over 16 years old and one recently done. Used a periodontist for the first and an oral surgeon for the second. BOTH TIMES I had to have bone chips implanted at the time of extraction of the molars, and both times, after several months, they successfully bonded to the rest of my bone, which then had the implants placed in it. I'm a female, age 71, no osteoporosis and generally in good health. If implants can work for me, they "should" work for most people

Sounds like you didn't go to a certified Oral Surgeon. Big, costly mistake. I had an implant 9 years ago, and am currently having one done by the same surgeon. The only bad thing about implants is the cost. You just have to have good hygiene and follow the instructions.

A number of years ago my dentist recommended replacing several old crowns. Using your theory, which I share as a rule, I didn't follow that recommendation. In the course of the next few years after I turned that down, I had repeated toothaches dues to crowns leaking and getting infected. Most required a root canal and then a new crown, but one had damaged enough toothe to require an expensive implant. After completing the lengthy implant procedure, I asked the dentist to evaluate whether there were still crowns that should be replaced. There was still one, and I had the crown only replaced. If I'd followed his original suggestion, I likely would have saved myself several root canals and an expensive and burdensome implant procedure. The bottom line for me has been revised to pay more attention to the recommendation of a trustworthy dentist than to the platitude of "if it's not broke, don't fix it."

Damn for real?

Thank you for your time and the kind words! Glad they are working for you.

Do you ever experience pain from cold weather or drinking cold drinks from the metal implant?

I feel like crowns are just delaying the inevitable. My teeth seem to rot at the gumline, causing me to lose the structure necessary to support the crown unless I get filling after filling. Just give me an entirely artificial tooth. I have one implant that I've been chewing on for 7 years now. Needless to say, it's my favorite tooth.

@@utubewillyman I have a friend who has removable dental bridges. If he takes them out he looks like a jack-o-lantern. Also have a brother and sister in law with a few missing teeth. They both have good smiles otherwise. They'll spend money on ocean cruises, but not on dental implants.

@@alfredeneuman6966 I'd hate to deal with the hassle of removable teeth. Maybe I'd feel differently if I was in my 80s and would prefer to leave a few thousand bucks to my heirs.

Thank you for the comment and checking out the video. It's always about doing best for the patient :-)

Was that done in Thailand? Do you reside in the US or Thailand? Did you travel for dental work?

@@MrJerobona Australian , combine holiday with dentist. Sad he has shut up shop.

Visited Thailand in 2006, for dental, but the 'entertainment' and time constraint changed my decision to sit in a torture chair after watching " The Boys from Brazil" movie in the hotel at Bangkok. Phu Ket, Chiagmai were great. The dentists in Bangkok have as good Aussie facilities. Met Aussie expats there who support Thai docs.

Which hospital im thinking to do bridge or implant we are in thailnd now

I don't think implants and the tools from 43 years ago are relevant today. Also the knowledge acquired since then is very important. Also, there is VAST difference between the different implant systems, and of course the dentist skill matters a lot. I had 3 implants done - 5y ago, excellent work, not a slight discomfort. The cabinet had very modern tools, big screens - showing the bone in detail, all the nerves etc... The cost was about 1200 euro per implant. The doctor cared to explain everything in detail. He used a Swiss-made implants. I had a bridge before the implants - it was a dirty, unhygienic thing, and felt unnatural,.. Not to mention with the years it will become worse.

@@gregpeterson3144 My concern here is you had a bridge that had been recently fitted and gave you issues and Ron has a bridge that had been fitted just over 4 decades ago with no issues. If this is according to technological improvement this can be identified as degrading standard of treatment. Meanwhile you recently had an implant without problems and Ron had an implant 4 decades ago with problems. I don't believe technology had anything to do with both situations but each scenario is dependent to the dental examination; the conditions surrounding it, and best relevant solution

@@siya729 the technology is quite important actually. The diagnostics is much better today due the computers, better scanning tools etc. In my case, during the diagnostics, the surgeon examined if I had enough bone, if it was dense enough, and where the blood vessels were etc. This was done on a big screen , very detailed image. I kinda doubt this was done in Ron's case 43y ago. The technology advancements definitely matter - diagnostics, materials used etc

@@gregpeterson3144 I strongly agree with you. The technology used 43yrs ago will not be equivalent or the same to the technology applied today hence the wrong procedure was applied on Ron's case. That doesn't mean implant was bad but It was not suitable for Ron's condition as well as it was perfect for yours. Also that does not mean the bridge is bad because it worked perfect for Ron. Proper diagnosis for a right kind of procedural treatment is the key.

now implant got changed for better now they are using titanium as screw before it wasn't technology kinda improved for implant from 2011 like that a lot of people had successful implant who had failure rate either he drinks alcohol too much or smoking / bad oral hygiene

Im confident you will success with the procedure! Thank you for your time and watching the video.

What is the maximum number of teeth that can be replaced by a bridge?

@@drhoulikwhat do I do with a tooth that hasn’t got a crown in years after a root canal. Dentist says I need to extract it. Can I just get another root canal to clean the tooth up. I don’t want to get rid of it

Agreed. Should be a comprehensive discussion including best options taking all things (health, oral health, treatment, etc..) into account

Agreed. It all depends on the site and the patient. Thank you for the comment and watching the video.

Gum AND bone recidivism is par for course in 5-14 years depending on lifestyle choices,( smoking, boozing, candies). The ' bridge' can collapse like on the River Kwai, if foundational support has gone. It ain't the dentist's fault.

So true. I just learned about this today. I was told I need a dental Flipper first in order to get my implant is that true? I will find out in two weeks if I have enough bone, but the dentist doubts it. I am torn about what to do.

@@suzettebarclay6423 You don't necessary have to have a flipper but most patients prefer it so they aren't missing a tooth while things are healing. You could also do an Essex retainer (looks like an ortho retainer with a tooth in it) Once things are healed. Assuming it's a front tooth , if there is enough bone, I would ask you provider about a guided surgery. If there isn't enough bone you could go back and graft more or move forward with a bridge. Like we discussed in the video if you decide on the bridge be sure to ask about the quality of the adjacent teeth structurally, periodontally. I hope that helps!

Old people don’t do implant that tortured yourself without benefits at all but dentist always try to deceive you for making money for himself!

My front lower teeth are pretty bad. Some are loose because I have pretty good bone loss. How long was the healing process for the bone implant to build it up? And did you get to wear temporary teeth? My worry is going around without any for a couple months.

Ohh, what did that kriss said?

@@shyrahgail dental implants are often considered the better option in the long term due to their durability, functionality, and the benefit of bone preservation. However, they are more expensive and involve a surgical procedure. so yahhh, it really depends on you, your case and also budget, haha

I agree, Dr. Houlik's explanation is clear and well-presented. However, I'm also curious about what you mentioned regarding the similarity with Kriss's explanation. Is that the dental chatbot that my friend mentioned also..

Totally agree with Dr. Houlik, and it’s crazy how Kriss ai is saying the same stuff about implants. Makes deciding a whole lot easier!

Agreed. Being a solid candidate and having a skilled/experienced provider are very important.

Is implant good please tell me I am from India🇮🇳

Not all implant or bridge are created equally, some implant fail after 10years so are some bridge, if you are short on money im going with the bridge, every 10y you can redu a bridge but you cant redu an implant it will cost more.

⁠@@drhoulikI’m currently going thru this situation on my front 2 teeth and due to bone loss I was sent to get a ct scan on my upper arch mouth . I guess in my case it was presented that a bridge will be better option

@@erickaolivas2166 The front two teeth can be a more difficult area. If there isn’t enough bone sometime we can go in and graft (plump up the bone) and then go back in and do implants. This is of course pending if there is enough space, health, esthetics, etc… If there isn’t enough bone then yes a bridge is another option. They may have to end to using more than the adjacent teeth to help support the bridge (eg using laterals and canines). It’s tough to say without seeing myself but I’m confident whichever route you go it’ll work out great. Let me know if you have any more questions. Thank you!

what does reset mean?

@@Miamiflow885 reset means the bridge is removed and cleaned and reset. In my case they also had to do root canal on two existing teeth that had deteriorated due to the loose section of the bridge.

​@@ronaldmacpherson3345 Never heard of a bridge being reset without it being desyroyed.

Thank you for checking out the video!

Yup those darn pits and yummy bones. 1992 a friend just had implants in Bombay, and the cheeky fellow bit down on a guava ( slightly harder than an apple) to show off, he broke his crown, metal implant and jaw-bone. Feel sorry now laughing at his predicament. 70 now, 7 implants since 2008, best bucks I ever spent, but always careful before I bite down hard. I cringe when I see the younger generation using their teeth to open beer bottles. Having a clean healthy mouth also is beneficial to one's heart, as rotting food builds up crappy plaque, not to mention bad-breath.

Thank you for the kind words and checking out the video!

Thank you for the kind words and taking the time to watch the video and comment!

Glad the implant has worked well for you.

Heh, heh! If that was your worst experience in the military, you were LUCKY!

Glad it was helpful! Thank you for the comment

Thank you for the comment and checking out the video! Glad you enjoyed it :-)

Thank you for checking out the video and your comment!

I am from Canada , the bridge here is $3500 minimum, implant starts $4500

@@koljan3668 I'm going to emigrate to Canada 🙃

@@koljan3668 That's pretty close to costs in US

I am in france. I am planning an implant. He quoted me 2300 euros for everything including the crown but I don’t need bone grafting. But I’m worried because the manufacturer of the implant is a French manufacturer. Not one of the top five. Is that an issue ?

Glad it's still holding up well!

Thank you for the kind words and checking out the video!

Thank you for the kind words and checking out the video!

Where do you work because I just saw an Endontist today & to replace #3 tooth, he quoted me $10K. WTF.

​@@andreah6379 Sounds like street tax 😂😂😂

Thank you for the comment and checking out the video! Glad yours is still going strong!

Good to hear. I have 3 bridges since 29 years. Also in good condition ... still 😂

NHS or private?

@@Neil070 I'm from Germany. I think it's best comparable with your NHS.

​@@drhoulik hello Doctor

Thank you for the comment and checking out the video!

Thank you watching and the comment. I’m glad you found it helpful!

Agreed. Transparency cost wise is always essential

Thank you for your time and watching the video!

Thank you for checking out the video!

To me it’s wild that people got implants 26 years ago and I haven’t even heard of them before the last decade

@@jmwlife2k I worked for dentists most of my life so I had insider knowledge 😉

@@willo8794 wil insurance pay for implants

@@phonglam4889 I don’t think so. I was lucky enough to have an inside track working for dentist. I never had dental insurance

@@phonglam4889 I never had insurance because I worked for dentist, so I’m no sure.

Actually they are better.

​@@Jarboe420 What is better?

Thank you for the comment. I've seen a lot of cantilevered bridges that have withstood the test of time. Glad yours is still functioning for you!

​@@drhoulikwhats a cantilever Bridge apart from the obvious. Sorry Doc 😁

as someone who has had a bunch of bridges done, I'd have to say the risk of gum infection is almost nil because the area where the tooth was removed will heal over before they add the bridge. The worst part is bad breath from not doing proper hygiene. (food build up) A water pic on a daily basis is the way to go.

floss five times a day, brush two or three times, rinse mouth with listerine liquid or gel tooth paste, water pick daily , not one cavity in over forty years:) I have one implant = PERFECTION!

I have 4 bridges and I have no problem. I rarely clean under, almost never. Just flossing.

Thank you. I'm about to get mine

I'm glad it's still holding up!

Thank for for checking out the video!

Glad the video was helpful. Let me know if I can help in anyway!

What you said is what ppl say who either have lots of $$$$ and/or insurance that covers it. My Endontist just quoted me $10,000 for implant of #3 tooth. What you say is ridiculous.

Yearly dental benefits have not increased much in the last 40 years.

Thank you for the comment and checking out the video!

Thank you for checking out the video. Best of luck with your treatment!

What I’ve never heard of this happening how long did it take to get adult teeth did you and the baby get teeth at the same time

I'm confident you will have success with the procedure. Always good to ask your provider about their experience placing and possible guided surgery as well :-) lmk if I can help in anyway.

I saw x-rays of someone that had them done in South American. It looked bad. Like they didn't care about the diameter of the implants VS the crowns.

Great idea! Only problem is that these habits need to be formed at an early age. Not many children will without parent urging develop those habits. Hence why most of us are watching this video! Jesus the thought processes of some peoples.

@@gregmcfarland5189 I couldn’t agree more!

Thank for the comment. Front teeth and be a little bit trickier as far as the technical/skill level of the provider because of smile line, tissue, angles, etc... Guided surgeries for anterior implants (if that's the route you decide to go would seem worth inquiring about).

Glad it went well. Thank you for the comment and checking out the video.

@@drhoulik yessirrrr

Do you feel that it's different than the natural teeth? Do you need to take care of them differently?

Thank you for sharing and the comment!

Thank you for your time and watching the video!

Thank you for checking out the video and your comment!

I had an implant which involved no pain or difficulties. But it took six months or so to complete with quite a few appointments which became somewhat burdensome.

Mine were quite expensive too.

Why do implants when bridge can help

@@fabstouchcosmetics3191 Bridges don’t work for everyone. I was a dental assistant until the early 80s. If you don’t have solid anchor teeth it won’t work.

You overpaid unless you got bone grafts and other..

@@CeeTeeUSA I had bone grafts. There is no point doing them if you don’t

Thank you for checking out the video!

@@drhoulik Welcome sir.

Sometimes that happens if the amount or quality of bone is questionable.

@@drhoulik ...why then would a Dentist go ahead with that procedure in the first place.. sounds like he should be reported to the ADA?

​@@EdwardAmesCastellano I'm a retired dentist but before that I was a 20yrs medical lab tech. I often argued with my dental school instructors about their lack of getting medical information from a patient ( found many give selective information.) . An example would be blood disorders bleeding ,healing ,drug use,alcohol use,osteoarthritis or osteoporosis ( bone loss) ,even oral hygiene. Sorry you went through this , if you really want back/ posterior teeth you may need a partial denture to replace them .

Implants do fail something they don't talk about often. Anyway I had one fail and the dentist tried again with a different type implant after letting the site heal and the second one is bone solid.

@@EdwardAmesCastellano Implants could have problems for various reasons. It is not as simple as enough or not enough bone. Overall health, oral health, patient selection, site, etc.. all things that can impact success. Wish you the best with any future treatment you have. God Bless!

Thank you for your input and thoughts.

So what do you recommend instead if you have poor hygiene and advance gum disease? Denture?

@@vincentnnyc im talking about a situation where you still have most of your teeth. If you have gum disease and it cannot be addressed then the likelyhood of sucess with implants is poor. These are qurstions for an oral surgeon or periodontist. Unfortunately every dentist now thinks they can install implants and its become more about profits than what is best for the patient. The biggest problem with advanced gum disease and teeth loss is bone loss in the jaw and once that happens it is very hard for an oral surgeon to grow new bone on a ridge. This is my issue. The implant sits between two ridges in your jaw well my outer ridge has degraded to where there is nothing much of it left just the very tip of the implant is still embedded in bone and it has an active infection that will not go away using antibiotics, water pick and various rinses, nothing works. I no longer eat sugar, starch, grain or sugary fruit, beer, etc. so my good bacteria are primarily in my mouth now but i still cant get the implant to heal. So before you invest in implants ask the oral surgeon a lot of wuestions about with your oral health issues what the longterm prognosis will be. Last thing you want is an mouth full of infection and the older you get the more dangerous infections in your mouth are.

@@vincentnnyc That can be tough because everything must be taken care of in addition to overall health and not sure of your factors in bone loss. You can never go wrong finding a provider or get referred to one who will do right by you, be transparent and give you their honest opinion.

@@vincentnnyc start cleaning your teeth better if not why invest money in them

Thank you for the kind words and checking it out!

That happens.

Thank you for the comment and checking out the video!

I'm confident it will go great :-) Thank you for the comment and checking out the video.