Hi Rudelle. Thank you so much for sharing your story with us. You make a very good point. To everyone out there, please be very clear about which treatment you are receiving. Just because you're paying a lot of money does not mean that you are getting fixed teeth! Luckily, it all worked out for you. Not everyone is as lucky though. Just because you are getting four implants does not mean you're getting permanent all-on-four implants. Similarly, just because you're paying $10k or $20k does not mean you are getting fixed teeth. Make sure that you understand if you are getting fixed teeth (all-on-four, etc.) or removable ones (snap-on-dentures). I'm glad my video was helpful. I'm also glad you're doing well with your new teeth. Have you been able to eat a nice meal with them yet? Corn on the cobb? Lol. Good luck.

@ Dr John Jazayeri. No, no corn on the cob nor steaks yet. I'm making appointment to have them adjusted. It Is What it is. Will have to learn to love them. My smile is beautiful, If I wanted to just smile all day long But, at some point I have to eat! Thanks again for your videos.

@goated313 thank you for saying how much it cost. Seems everyone wants to say "they are expensive" but no one will tell you how expensive. 55K is out of range for me. I only need my top done so I am hoping they can do that at a resonable price

I have the snaps and i’m very happy.

Hi. Did you get the snap on dentures? I'm thinking of getting them, but wondering how they feel in the mouth? Are they tight enough to eat everything? I'm really nervous about this. I wanted the all on 4, but way too expensive. I've never worn dentures of any kind. Just a partial, and it actually feels like my real teeth. Thank you, maybe you can help answer some of these questions, because you have them. Thanks. ❤

Hi there. This is not a yes or no question. All on 4 implants are very, very expensive, but for people who need them, they are absolutely worth it. Snap on dentures are much less expensive and can be the ideal treatment for many other patients. It’s more about what’s the right treatment for your mouth, rather than what’s the cheapest option. After all, regular dentures are the least expensive treatment, by far, and many people do really well with regular dentures. I recommend that you watch my videos and study up on different treatment options so that you can make an informed decision. This way, you can get the best treatment for your mouth based on your budget.

Thank you for mentioning that. It’s true, most dentists want you to see them even if you have no teeth left for periodic all on 4 checkups. This includes cleaning the teeth, either in the mouth or by removing them, and tightening the supporting screws in case they have loosened up. Each doctor has his or her protocol, so be sure to ask them if they want to see you back after receiving your all on 4 teeth. Have you gone back to your dentist for a followup after your treatment?

Hi Robert. Great question (I was waiting for someone to ask this one!) Personally, I don’t do a lot of bars. I find it better to go with all-on-4 over a bar, since the cost difference is so little in my practice. But of course that’s just me. There are some dentists and prosthodontists who do lots of bars and are very good at doing them. I would say a bar is a good option, so long as the price is not too close to that of an all-on-4 treatment.

Hi Nancy. The answer to your question is yes. However, in reality, this is not a very common procedure. Let's say you have just a few remaining teeth and are wearing a partial denture. You have the option to add one or two dental implants with connectors to hold the partial denture in place. The reason very few people do this is costs and headaches. First off, if you If you already have 3, 4 or 5 teeth, then what is the benefit of adding one or two dental implants to stabilize the partial denture? If you are down to 1 or 2 teeth then this might not be a bad idea. However, what happens if you lose these remaining teeth? Well, you would have to remove the tooth, add it to the snap on dentures, etc. There is quite a bit of headaches and there are costs associated with it. I would say the only time this makes sense is if you are down to very few teeth and are very uncomfortable with your existing partial. Still, most people elect to remove the few teeth they have left before getting snap on dentures. If you choose to save your remaining teeth, then be prepared to invest in crowns, root canals, and possibly extractions and bone grafts as the teeth fail over time.

Hi Stephanie. Great question. The lip support from dental prosthesis comes from the thickness of the denture/all-on-four. This is something that many patients overlook during their treatment. #When the dentist puts the teeth in your mouth during your try-in visit, everyone pays close attention to the teeth shape, color, size, midline, etc. However, many patients overlook their lip position. Don't make this mistake. Are you lips too far out with your denture/all-on-four in your mouth? Or are they too far sunken in? Fixing this is very easy at this stage. The dentist has to have the lab add more material to push or lip out, or subtract material to make them less bulky. In your situation, the teeth have already been processed and you've had them for 2 years. Honestly, adding more material is going to be difficult once the teeth are processed (not to mention the fact that your dentist will want to charge you for it). If it's an actual denture, it's easier to add material, but it's almost impossible for all-on-four teeth. I'd say feel free to have a discussion with your dentist, but be prepared for some resistance, or a hefty bill! Sorry for being honest, but these treatments are very complicated and most dentists don't like to go back and fix things that can cause permanent damage and necessitate a redo. Feel free to reach out if you have any additional questions. Other than this, how are you liking your new teeth?

Hi there. Glad you learned something! Regarding your question, you're kind of on the right track. If you need one implant, the implant screw has to go exactly where the missing tooth is. If there's not enough bone, you will require a bone graft. This means that almost all single-tooth implants require bone grafting. In contrast, with the all-on-four techqniue, you only need to place four implants anywhere inside the jawbone. So if an area has extensive bone loss, you can ignore it and place the implant elsewhere. Of course, most all-on-four treatments still require some bone grafting. However, you may be a candidate even if you have had substantial bone loss. I have had patients that kept losing tooth after tooth and did not bother grafting them. These patients are still a candidate for all-on-four despite the fact that they didn't graft their teeth and lost a ton of bone over the years. Hope this helps, and good luck with your treatment.

@@johnjazayeri TY for responding to my question. I would fly out to CA in a heatbeat and have you be my dentist, but I'm located in the DC area. Is there anyone that you might recommend?? I need to get dental implants (Allon4). Again, thank you!

In theory, you are able to convert a snap-on-denture to an all-on-4 or full mouth implant case. In reality, I have seen but a handful of such instances. There are a few big challenges in converting a snap on denture to an all on 4 case. First off, your implants need to strong enough to support permanent teeth. A lot of times dentists use tiny, weak implants for snap on dentures (often times referred to as mini implants). These smaller implants are strong enough to support dentures, but not strong enough to support permanent teeth. As such, you may have to redo your implants, or add a few additional implants to support permanent teeth (typically 2 to 4 more implants, bringing the total to 6 to 8). You may also need to change the connectors, from a snap on denture connector to an all on 4 connector with different angulations. Not to mention that you will also need a new set of teeth. As you can see, this is very time consuming and expensive. In fact, the cost of converting a snap on denture to an all-on 4 is almost the same as a brand new all-on-4 case. Meaning that you won't get much credit from the existing implants that you have in your mouth. In summary, my recommendation is to think hard and go with the option that is best for you, even if it is more expensive. Very few people go through the trouble of adding several more implants, replacing their implant connectors, and converting a snap on denture to an all-on-4. Can it be done? Sure, anything is possible. Is it worth the time and money for most people? Not really!

For all-on-4 dental implants you don’t need a lot of bone. So long as you have some bone in the front region, you should qualify. About 90-95% of the population has enough jawbone to qualify. Of course, you would need a CT scan to be certain, but the vast majority of patients are good candidates for this treatment.

Hi Heather. Great question. The answer is, technically, yes, you might be able to convert snap on dentures to all on 4. The dentist can switch out the overdenture (snap on) connectors and replace them with multi unit abutments (used for all on 4) and convert it to an all on 4. Of course, this is only possible if the implants are large enough and spaced out properly. If you saw my video, there’s an X-ray of 4 lower implants used for snap on dentures. These implants are shorter, so they wouldn’t support all on 4. I would probably add 2 additional implants and convert it to all on 6, if the patient was interested in conversion. Now in real life, this is a huge headache. Plus, cost wise, you almost have to pay for both treatments. It’s best to decide which route you want to go with in advance and stick to that.

@@johnjazayeri thank you , I'm at stage having temp dentures 6 mths what next ? Perms , snap on , other ? need to consider all my options as limited budget also future costs involved.

Hi there. Here are the answers you're looking for: With the snap on dentures, does the top denture have that huge, plastic palate, or are they just on the gum line, like the bottom denture? It depends on how many implants you get. If you only get two implants, then the denture will have to cover the entire roof of the mouth, thus you get a large bulky upper denture. However, if you get four dental implants, then you can remove most of the palate portion to improve speech, taste, and comfort. You can learn more about 2 vs 4 dental implants to support snap on dentures in my video: kzfaq.info/get/bejne/a9Z0ipuamNWqhnk.html Another question, can the uppers be customized? To an extent. For example, you can place small gaps between the teeth, make the teeth a bit crooked, etc. You actually can't make the front two teeth longer since that will interfere with the bite. Full dentures need to have an even bite across, otherwise, they get dislodged. Your dentist can make the lateral incisors a bit shorter to give the illusion that the front two teeth are longer. Talk to your dentist during the denture fabrication. The best time is during the wax teeth tryin step, when you can have your dentist move the teeth around to make them look the way you desire. Would that mean the snap ons might be easy for me to get used too? To an extent. The more experience you have with wearing dentures, the easier it is to get accustomed to a new set. This is why patients who transition to dentures in their 20s and 30s do much better than those who are in their 60s and 70s and want to wear their first set of dentures. Having said that, a full upper denture is a much different feel than a lower partial denture. There will be some getting used to period. Let me know if you have any other questions. Best of luck with your treatment!

@@johnjazayeri Thank you so much, Dr.J., for taking the time to reply to my questions in detail. I appreciate it very much. I'm doing a lot of researching before I decide what to do. Your videos have been the most helpful, even the comments and replies help a lot. On another note, I watched your video on the top reasons people lose their teeth. When you covered people being scared of the dentist. You said, "Scared of the dentist," and then pit your hands out and went "Raaaarr!!" like a monster! 🤣 That was so funny, I laughed so hard! You have a great sense of humor! Thanks. "Raaaarr!" 🤣🤣🤣❤

Hi Mohammad. Dentures are not made from zirconia. Zirconia is too heavy, and it can’t be repaired. Acrylic is the material of choice for snap on dentures, and most other dentures.

@@johnjazayeri Why is it then, that I've read to stay AWAY from acrylic based dentures & that fully ceramic are the best? Also, what are your thoughts on converting one's dentures into horseshoe dentures? And thoughts on chrome dentures which have no palette attached? - Susan Burns

Hi Mindy. I'm so sorry that you were disappointed with the treatment that you received. This is why I make my videos, to help people better understand exactly what each treatment offers them. You certainly don't want to pay that much money for a removable option while thinking that you're receiving permanent teeth. In terms of costs, snap-on-dentures can start from a few thousand dollars. Of course, once you start adding tooth extractions, bone grafts, additional implants (4 instead of 2, etc.), then the cost can quickly become tens of thousands of dollars. At this point, it's usually worth researching all-on-4 implants. Many people find it worthwhile to invest the extra money in all-on-4 implants and get permanent teeth instead. It is true that all-on-4 teeth can trap a bit of food, however, this is a minor inconvenience in exchange for having permanent teeth in your mouth. Plus, you can visit your dentist and have them cleaned annually. $6,000 to remove and clean them sounds absurd, it takes about 30 minutes to remove the teeth and clean them, I would consider a 2nd opinion if confronted with these numbers.

@@johnjazayeri Hi and thanks so much for your reply. Just so you know, I didn't need any bone grafting at all. My gums were and still are healthy with plenty of bone in my jawline and upper as well. Thank you again. Can I ask you Dr., is it a very big deal or possible at all to go from what I have to All on 4 or 3 on 6. There isn't a 3 on 6 doctor in my area of South Florida but they do look very interesting. Thank you so very much for your time, knowledge and kindness. I did want you to know that my dentist is great but unfortunately, the salesperson was not great All the best, Mindy

Hi Pat. Sorry to hear about your dental plight. Let me try to answer your questions to the best of my ability: 1. Will all on 4s give me 55 years without bone atrophy? Most definitely not! As you know, all-on-4 implants are where you place 4 dental implants in each arch (could also be 5 or 6 implants) and attach a complete set of teeth to these implants. If you've done your research then you know that all-on-4 is very extensive and quite expensive. All-on-4 does prevent bone loss, but only in areas where the implant posts are actually placed. It does not prevent bone loss where there are no implants. With the all-on-4 technique, we typically place all of our implants in the anterior region, the chin, and the nose (highest quality jawbone). This means that you will preserve most of the jawbone in the front, but lose a significant amount of jawbone in the back. If you want to preserve your entire jawbone you would have to place more dental implants, particularly in the posterior region. I refer to these as full-mouth dental implants. 2. Does it prevent bone loss or would i be better off prolonging the dentures as long as i can and spend the 10-20k to give me an extra 10-15 years of my natural teeth before transitioning to all on 4. I would do everything I can to avoid all-on-4 at your age. I love doing all-on-4 on senior patients, but being only 26, I would try to avoid all-on-4 if at all possible. I would try to get as many individual dental implants and implant bridges as possible and also try to save whatever teeth I can via crowns, etc. I've had patients with a similar dilemma as yours. I encouraged them to get several crowns and a handful of individual dental implants. This is easier financially since you can spread the work over the course of many years. It's also less embarrassing not having to walk around toothless for a whole year. Finally, you preserve more of your jawbone this way. Much more. I should mention that you can only do this if you have so many bad teeth, plus you can not have end-stage gum disease. So if you have something like 10 large cavities, then this is the best option for you. Get 5, 6 crowns and 7, 8 dental implants and save what you can. However, if all of your teeth are bad, or if you have end-stage gum disease, then you won''t be able to save your teeth. In this case, you should remove all of your teeth, and if you can afford all-on-4 treatment, then it is certainly your best option. 3. Another question is, does increasing the anchors points decrease bone loss over time, like all on 6 over the all on 4. Sure. The more implant posts (screws) you place in your mouth, the more jawbone you will preserve. Having said that, the difference between 4 and 6 implants is not astronomical. If you're losing all of your teeth, it really won't matter much which option you go with. Sure, you get to preserve about an inch more of bone around the 5th and 6th implant screw. However, if it adds 10k to 20k to your treatment and you can't afford it, then I would simply pass and go with all-on-4 instead. If you can afford it, I would just place 8 to 10 implants per arch to maximize bone support and get individual crowns and bridges. Between me and you, 90% of patients in this scenario end up choosing all-on-4 and are happy with the end results. The only risk of transitioning to all-on-4 at your young age is the longevity of the prosthesis. If god forbids one implant becomes infected, or if the all-on-4 breaks were to break in half, you're in big trouble. That is another reason I prefer doing separate implants for younger folks. This way, if something does happen, and believe me things do happen, you won't lose your whole set of teeth. Hope that helped answer your questions. If you want, you can post your Panoramic X-rays in the comments and I'll try to guide you in the right direction. Good luck!

This Drntist seems both a good Dentist and man. Very kind to see.him answer back to all the questions. Also rare, a dentist takes the time to help even if he doesn't do the work. Thank you for the helpful videos.

Hi there. Great observation! From an engineering perspective, you're absolutely right, you want the dental implants to be as spread out as possible. Unfortunately, there are anatomical restrictions that get in the way. At the top, it's the sinuses. At the bottom, it's the IA nerve and mental foramen. In other words, you can't place the implants too far back because you will damage the sinus or nerve. What we do is, place larger implants to handle the forces in the back. You can also put the more distal implants at an angle to accommodate a larger implant. This technique is commonly used for all-on-four treatments. I hope this helped answer your question, and good luck with your treatment!

Hi there. You are correct, all-on-four and all-on-six dental implants can fail and run into problems. However, your dentist should fix these problems, if they don't want a lawsuit on their hand! The most common failure with all-on-4/6 failure is a tooth falling off. Typically the tooth can be added in a single day, or maybe a few days at most. A more serious issue is implant failure. This is extremely rare. There are other issues, however, 95% of problems happen within the first year when the treatment is under obligatory warranty. I suggest you get a written statement of what is covered if there is a potential failure before starting treatment. Also, be sure to go to an experienced and reputable dentist. There are far fewer issues and redos for dentists who have been successfully doing these treatments for 10+ years as compared to newbies. Tell me a bit more about your situation. Is your gum infected? Or did one of your implants fail? FYI, if an implant does fail, as rare as it may be, you're much better off with an all-on-6 as compared to an all-on-4. Your dentist can simply remove the infected implant, let it heal, and re-attach the prosthesis (fake teeth) to the remaining 5 implants without losing a beat. How old was your all-on-6 treatment? Can you post the X-rays? Thank you.

Hi Heidi. I agree with you, dentistry, particularly dental implants, is very expensive. Believe it or not, most patients who afford these bigger treatments, aren't rich. There's just your average folks who care a lot about their teeth/ smile and decide to make a big investment into fixing their mouth. This explains why there are so many different financing companies that offer dental financing (CareCredit, LendingClub, Alpheon, etc. etc.) I wish there was a way to offer dental implants for less. Unfortunately, unless a newer technology is introduced, that's not going to happen anytime soon. Check out this video I made explaining why dental implants are so expensive: kzfaq.info/get/bejne/sMujmZikx8uqqX0.html Also, if you have time, check out this other video where I explain how I offer my dental implants for less without making any compromises: kzfaq.info/get/bejne/mbSKjcyjrJq8gps.html

99% out of that 1% is personal accountability.

It’s mostly coming from the manufacturers of the titanium and zirconium materials.

​@@johnjazayeri can a patient have anap ons and then later on when they can afford it move up to the all on 4 option? Or once you make a decision you're stuck with that choice? Also when having snap ons with 4 implants on top and 4 on bottom can the upper denture be with out the pallet? By the way this video was so helpful, answered many questions I had.