Thank you for sharing your thoughts and checking out the video.

How can I help?

How can I help?

Thank you for sharing!

Thank you for sharing. I’ll get back to you in more detail within the next day or two.

@@drhoulik Thank you so much for your help !

Hopefully this helps... 1- Yes - you don't necessarily have to replace the tooth. I have a lot of patients who are missing this tooth and do just fine. The top teeth could drift down, but the main takeway is you don't always have to replace it 2- The process can be long. It takes about 3 months for the bone to heal after the extraction and a couple months for things to heal after the implant is placed. In my experience taking out the tooth- patients have more discomfort with this compared to placing the dental implant (we do a lot of guided surgeries that are very precise and honestly patients experience minimal discomfort). So although it takes time to heal, it most often doesn't change their lifestyle, habits, etc... 3-To graft or not graft - per research- the area will typically heal better with a bone graft compared to not grafting the site. However, if the socket is in good shape after the tooth comes out and you haven't lost a lot of bone then grafts aren't always necessary. I have a lot of patients who elect not to do the grafting and we're still able to place an implant when everything heals up. For a 2nd molar -#18- your jaw bone anatomy, shape, etc... can be the trickier determinant in placing an implant versus did we graft or not. If you're leaning towards an implant I typically encourage patients to graft just because things typically heal better with it. Keep in mind though it's not always a make or break thing-I'm just trying to give you peace of mind and not feel like you have to make all of these major decisions within a week. You're dentist should do what's best for you :-) 4-With the metal allergy- this is a bit trickier. Have you done the MELISA test? They do make zirconia implants for these types of situations, they are new and more research underway. I have had one patient in 7 years who did report a metal allergy, after we placed the implant and we did in fact have problems with the implant integrating successfully (this patient also had other medial conditions that contributed as well, so not sure if this was purely a metal allergy problem or just all things taken into consideration). Each patient is different and needs to be treated as such. 5-I hope some of this helps, let me know if I can help in any other way or you have any other questions.

@@drhoulik Thank you so much! I really appreciate your detailed response to my questions. I have been wearing my retainers religiously unless there’s something wrong that I can’t for example I am having infection and swelling right now that the lower retainer is just too painful to wear. So I assume if I continue to wear my top retainer ( the bottom one may not fit anymore) after the extraction, it might help lower the chance of the top tooth drifting down. Good to know the bone graft helps with the healing after the extraction. Is there any chance someone could be allergic to the bone graft material? I will discuss with the oral surgeon before the extraction. I do intend to get implant so I can maximize the chewing power of my teeth and avoid using the other side more than I should. But the last thing I want is to get an implant then find out it’s more trouble than benefit. So I will get tested and do more research down the road. B.T.W. I have a square jaw so I should be a good candidate for the implant even without bone graft. Again thanks so much for your time and help!

Possibly. That’s why it’s important to gather all the info and make an informed decision. The bridge becomes a better option is the adjacent teeth need work as well versus being perfectly intact.

Thank you for checking out the video and sharing!

Are the adjacent teeth in good shape or were they damaged in the accident as well?

Dental professionals who do implants on front teeth admit that they are not easy ... age, the thickness of the gums, placement, are all factors. Mine is bad after only 2 years, gum is disappearing, etc. If I had it to do over, I would get the best partial possible, and make sure it is comfortable, looks perfect, and you can chew with it.

@@paulettesgoo Thank you for sharing your story, I'm sorry you're having those problems. Front teeth are more difficult and require more consideration and precision to get great long term results.

A removable partial denture could possibly be an option. Lmk if I can help in any way!

Thank you for checking out the video and sharing your story. We have a lot of patients who elect not to replace as well and are happy with their decision.

You can try using desensitizing toothpaste or gels. I have also checked with kriss ai and it said that the sensitivity might be due to the bone graft, the healing process, or another underlying issue such as infection or inflammation so it's best to visit your dentist and have it checked 😄

Hi can you tell me more about that kriss?

I think she's talking about this ai dental assistant which is a great resource for dental info

@@allisondarcy how can i access that?

@@allisondarcy I tried this, Kriss, and it actually works great to solve my problem.

Thank you for the comment and checking out the video. I’m confident it will go well!

It depends on each patient and situation :-) hopefully the video gives you some more insight. Thank you for the comment

In California? I don't of anywhere out there that I could personally recommend. What treatment are you curious to discuss, interesting in pursuing?

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

Thank you for the comment and checking out the video

Thank you for the comment and checking out the video. I agree the tongue is important to keep in mind. Autobrush is supposed to have a tongue cleaner insert, I have not tried it or personally reviewed it. Big picture wise start to finish, it seems you can't go wrong with the proven electric TB, or electric TB and tongue scraper. The autobrush like discussed in the video. Could work well for people with dexterity problems but has it's limitations. At the end of the day, there are a lot of products out there-but most important is-whatever will help the patient work towards and maintain a healthy mouth the best.

I feel like brushing your tongue doesn't do much anyways, so you'd just continue your normal routine of using a tongue scraper and water flosser after the autobrush

Which tooth has the resorption?

@@drhoulik First molar

@@MohammedAsif-lz3yn I'm curious if you have sufficient bone and are a candidate for an implant where the first molar was. Also how good of shape the adjacent teeth are in.

Thank you for sharing. That does seem high. I wonder what all procedures they included in that estimate. Like discussed in the video a lot will vary based off of where you live.

Thank you for checking out the video!

Have they taken X-rays and made sure the root and bone surrounding the tooth look ok? Assuming everything looks good, if you are grinding they could possibly adjust your occlusion (bite) if you're putting too much stress on it to see if that helps.

Thank you for the comment!

Thank you for sharing your thoughts!

Thank you for watching the video and sharing your thoughts.

Glad you had success with the procedure!

@@drhoulik thank you for the info!

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!

Thank you for the comment and checking out the video!

Great question... Are you considering these as options or just curious about the materials themselves.

Assuming we stay a safe distance away from vital structure, no infections, no other neurological conditions present that present as pain, paresthesia, etc... then nerve damaged. The main thing is to find a Dr. you trust and has experience placing them. They should be able to tell you if you're a candidate for an implant (health, oral health, bone quality, proximity to vital structures, etc..) Assuming it's planned well, executed well, and taken care of well- success is most likely with the procedure. I hope that helps.

Thank you for the comment. If it’s not to replace a tooth but rather enhance or change the esthetics then yes. I hope that helps!

There are a lot of different options. Patient preference and ideal way will vary but a few are Waterpik, floss threaders, little xmas tree brushes.

Have you had it evaluated by your dentist? The crack may not be significant enough or it's possible it how a low grade chronic infection and may never actually end up hurting that bad. I hope that helps. When in doubt always best to see you Dentist :-)

I want to make sure I understand correctly. When you say hanging is it loose? Or why is it they're wanting to remove it?

Thank you for the comment. That can be common on the bottom depending on which teeth they are. Lmk if I can help in anyway.

Thank you for the kind gesture and supporting our channel!

Please let me know if I can ever help with anything.