Stanley Institute for Comprehensive Dentistry trains dentists to provide excellent care for patients through superior clinical skills & technology. www.stanleyinstitute.com
Thank you for the video. I have 2 questions: 1)When doing a socket preservation for a future implant site, do you recommend loosely placing the bone in place then? 2) when grafting the gap in immediate anterior cases, since we are always trying to preserve that buccal/lingual width, does it make sense to use xeno in all cases. Or if not, what are the main factors that help you decide if you should place xeno or allo? Ramin
What are your thoughts on some of the manufactured products like osteogen, foundation, or the various tricalcium phosphate type materials that we are seeing everywhere?
Interesting perspective. Would you use xenograft material for a sinus lift, allograft, or both ? The slower-resorbing xenograft provides structural support, while the faster-resorbing allograft promotes quicker integration, is that correct? Thanks a lot.
There’s a lot that’s already been said here about half cooked opinion piece, not much for me to add over what Howie, Armando, Ali, Udatta etc. have to say..My two bits, however,after 3 decade in practice and as a researcher,and 12 of those practising socket shield in hundreds of cases - there’s no room for dogma in science..
Thank you for your comment and for contributing to the discussion. I completely agree with your point-there is no room for dogma in science. It's through open dialogue, research, and sharing diverse perspectives that we push the boundaries of our field. With over three decades of experience and 12 years of practicing socket shield in hundreds of cases, your insights are invaluable to this conversation. My intention with the video was not to dismiss any technique, but rather to highlight the challenges and risks associated with the socket shield procedure, particularly for those who may not have the same level of experience. While socket shield can yield excellent results when performed by skilled clinicians like yourself, it's important to acknowledge that it remains a technique-sensitive procedure with potential complications if not executed perfectly. Thank you again for sharing your thoughts and for helping foster a constructive dialogue around these critical topics in dentistry.
I recommend leaving the distal cantilevers off during the healing period to reduce the risk of the implants not healing due to motion. We add the molars to the final prosthesis which also gives the patient something to look forward to. Great question and a keen eye.
Yes. Having enough bone is critical to success and can be determined with the use of a CBCT scan and virtual planning. Almost everyone has enough bone to receive this kind of procedure if you use this method to plan the case.
Hey Doc, I think this is the video you are referring to. In this video I discuss the theory of "pressure necrosis" and why I think it is a red herring. Enjoy. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-VcLk6ydE0Do.htmlsi=ZoyAl0Pvyxtn3cpI
Most of the cases I handle involve moderate sedation, facilitated by a CRNA, allowing me to focus solely on the patient. For patients presenting with intricate medical histories, I consult an anesthesiologist. I strongly recommend sedation for such cases. I tell patients that this procedure is a one-time occurrence so why remember it. I’ve had individuals attend my class and subsequently perform procedures using only local anesthetics, which often leads to patient management challenges.
That’s the kind of question I love! You’re paying attention! The bur is from Brassler, 859.36.010 FGSurg Medium Needle Diamond. They come in different lengths. I like the long ones in the anterior and the short ones in the posterior. Enjoy!
I'd appreciate your opinion regarding the usage of an ultrasonic cleaning instrument during the cleaning of the area around an implant (or split bridge over implants). Would that damage/dislocate the bone or the osteointegration? Alternatively, what is the best protocol to clean the area around an implant? Thank you.
Where to start? From Adam and Eve, I guess. 1. Socket shield is not a non absorbable gap grafting material. It has a life: blood supply and dentogingival complex 2. 1 mm bone thickness + 1 mm graft and everything is fine? Really? None of these 1 mm stays 1 mm. a)Remodelling, b)No graft material maintenance dimensions 100%. And, yes, what about 80% sites with buccal bone thickness < 1mm? I can understand that one rejects therapy because of lack of understanding, but I miss knowledge of alternative approach, presented with so much confidence. 3. When shield fails (extraordinary rare) it doesn‘t look like you take it out and face a perfect buccal bone begging for some graft. When shield failed, the buccal bone suffers. It always amazes me how my patients from human medicine:professors and surgeon are amazed that PET is a new therapy. No one takes out an entire organ if part of it is diseased. You are happy to keep what is functioning. Only loud leading dental clinicians have a problem. Why is it?
Dr. Pohl, As an oral surgeon, lecturer, educator, and mentor, you and I share the same goal of achieving tooth replacement therapy with minimal risk, while ensuring the best possible esthetic and long-lasting functional outcomes. Socket Shield (SS) is indeed an effective technique to achieve these results. However, when compared to the “maintain, not regain” approach, SS carries a higher level of risk without offering additional form or functional advantages. For further details, please refer to my reply in the comments.
This is a very poor narrative to a procedure that is well documented and being practiced successfully all over the world. I’m not sure if Dr Stanley has read the correct technique of the socket shield procedure because this narrative does not do justice to it. Having done procedures like immediate placement with gap grafting, early implant placement and the socket shield procedure in the esthetic zone dozens of times, I have no hesitation in stating that the socket shield when practiced correctly, yields the best and most consistent results over a 10 year period.
Dr. Kher, A recurring theme among the comments on this video is that many contributors, like yourself, have decades of experience, have published extensively, and have taught and lectured widely. This clearly places you among the top 1% of dentists in the field. In your case, with over four decades of experience as an implant dentist and holding an oral surgery certificate, your expertise is evident. The main point of my video on socket shielding (SS) was to highlight that the procedure is technically demanding. The fact that so many leading authorities, including yourself, have weighed in on the topic supports my premise: achieving consistent, repeatable success with SS requires significant time, practice, and a high degree of skill-both mental and physical. The second point I raised in the video addresses what happens when SS fails. When this occurs, the recovery surgery typically involves the removal of the shield and subsequent hard and soft tissue grafting. While the literature does report excellent final esthetic outcomes in such cases, my argument is that we might reduce the risk by bypassing the SS technique altogether and opting for a less risky gap grafting approach, which can achieve similar esthetic results without the added complexity. There’s no denying that the literature supports the success of the SS technique, but it is also well-documented that the procedure is technique-sensitive and carries potential complications. I believe these are points we can all agree on. Best Regards, Dr. Stanley
I have 10 years data on success of Socket shield technique in our practice. Loads of benefits, mainly biologic and added benefits of esthetics and great emergence profile. It has a learning curve just like any other technique in Dentistry. Practice it without short cuts and you will see the success. 4 main rules... See that the apex is never left behind, see that the shield is never mobile, remove all residual endodontic material and do not touch implant to the shield whenever possible (it's always possible). Case selection is the key
Dr. Tunkiwala, Thank you for your thoughtful and constructive feedback. It is both refreshing and rare to engage in professional discourse that maintains a collegial tone while contributing to the betterment of our field. Your "four keys to success" with socket shielding (SS) exemplify the spirit of knowledge sharing for the improvement of our industry, and I commend your efforts in this regard. Given your extensive experience, it is no surprise that you’ve achieved success over the past decade, especially since you quite literally "wrote the book" on socket shielding.[1] As with any technique, mastery comes with time and practice, and I firmly believe that with sufficient repetition, humans are capable of remarkable achievements. However, even with your level of expertise, your insights in Chapter 10: Errors and Complications in Partial Extraction Therapy reflect the reality that no technique is without challenges. The presence of potential complications in SS should not be viewed as a criticism of the procedure, but rather as an acknowledgment of the inherent risks that accompany any advanced technique. I would like to clarify that my video was not intended to question the success that can be achieved with the SS technique. Clearly, when performed correctly, it can yield exceptional results. Instead, my focus was on the technique's sensitivity and the potential complications that arise when the shield becomes dislodged. When this occurs, it must be retrieved, often leaving behind a defect that then requires resolution through hard and/or soft tissue grafting.[2] My proposal offers an alternative approach that minimizes this risk and aims to achieve similar outcomes by directly addressing the soft and hard tissue grafting without the intermediate step of SS and its potential for failure. Dr. Gluckman has graciously suggested a public debate on the topic, which I have accepted. Perhaps you would be interested in joining us on stage to further contribute to this important discussion. Your insights and experience would undoubtedly enrich the conversation. Best regards, Dr. Stanley
@@Stanleyinstitute Surely. We could all get together and brainstorm on this. In the end the patients will only benefit from our deliberations. That's the only way forward.
This is a video from someone who clearly does not know what he’s talking about. There is not a single study and I’m happy to stand corrected that does not show loss of bundle bone when extracting the tooth in 90% of cases as only 10% have 1mm or more. I have published one of those articles. Happy to email them to anyone interested. Secondly to compensate for this we add soft tissue to graft the site so that we can get better aesthetic results. The tissue collapses no matter how much space you have and no matter how much bone you put in. just having 1mm of space in some areas does not guarantee ANY buccal bone over the implant. This is a man who does not understand what he’s talking about when it comes to immediate implants that is clear. Happy to debate him on stage about the topic. Lastly it’s not just about buccal bone it’s about interpoximal bone. No comment needed here
Dr. Gluckman, Your extensive research and numerous publications have rightfully established you as a leading authority in the socket shielding (SS) technique, and your contributions to the field are highly commendable. I am honored to accept your challenge to publicly debate the SS technique versus my “maintain, not regain” method. I believe such a discussion will bring significant value to the industry. May I suggest the AO annual meeting as a venue for this debate? The attendees there are both knowledgeable and discerning, which would ensure an engaging and informed exchange. I have reviewed most of your work on SS, and I would say our methods align on about 95% of the core principles. The key difference lies in my reporting of comparable esthetic outcomes without the potential complications that are often associated with the technique-sensitive SS procedure. In one of the best papers on SS, co-authored by yourself and Dr. Salama, you reported a 19.5% incidence of complications, despite all cases being managed by a single, highly experienced practitioner.[1] This highlights the inherent technical sensitivity of the SS technique, something we both acknowledge. What remains underexplored in this discourse-and what every curious mind should be asking-is how I can claim excellent outcomes with a different approach when existing literature highlights significant volumetric changes in bone after tooth extraction. The answer, grounded in evidence, is well-documented in the literature. For instance, Dr. Tarnow's paper, Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1, provides foundational insights into ridge dimensional changes following extraction and bone grafting. Those seeking more detailed information can turn to Dr. Dennis's book, The Single-Tooth Implant: A Minimally Invasive Approach for Anterior and Posterior Extraction Sockets, which further elaborates on these concepts. Additionally, similar principles are explored in Dr. Carlos Rosa’s work, Immediate Dentoalveolar Restoration: Immediate-loaded Implants in Compromised Alveolar Sockets. The primary distinction being that Dr. Dennis advocates for allograft gap grafting, while Dr. Rosa predominantly utilizes autografts. (A new edition of Dr. Rosa’s book is expected in Q4, 2024.) I firmly believe that a public discussion of these two techniques would greatly benefit the field. By presenting before, during, and after images and videos of cases, we can offer a level of clarity and depth that surpasses what any RU-vid video can provide. Thank you for your comments, and I look forward to discussing the specifics of our debate in more detail. Sincerely, Dr. Stanley 1. Gluckman H, Salama M, Du Toit J. A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites: Partial extraction therapy with up to 4 years follow-up. Clin Implant Dent Relat Res. Apr 2018;20(2):122-129. doi:10.1111/cid.12554 2. Tarnow D, Chu S, Salama M, et al. Flapless Postextraction Socket Implant Placement in the Esthetic Zone: Part 1. The Effect of Bone Grafting and/or Provisional Restoration on Facial-Palatal Ridge Dimensional Change-A Retrospective Cohort Study. International Journal of Periodontics & Restorative Dentistry. 2014;34(3):323-331. doi:10.11607/prd.1821 3. Tarnow DP, Chu SJ. The Single-Tooth Implant : a Minimally Invasive Approach for Anterior and Posterior Extraction Sockets. Quintessence Publishing Co; 2019. 4. MARTINS JC, ROSA D. Immediate Dentoalveolar Restoration: Immediate-loaded Implants in Compromised Alveolar Sockets. Quintessence Publishing; 2014.
Dr. Natale, With three decades of experience in comprehensive dentistry, your recommendation to use a microscope and your dedication to practicing in one of the most beautiful and artisan environments in the world are a testament to your passion for the craft. Your commitment to giving back to the profession through your courses is truly admirable, and it's no surprise that your recent case series, featuring 50 sites treated with socket shielding (SS), achieved 100% success.[1] You are undoubtedly among the top 1% of dentists globally. One of the key points of my video is the acknowledgment that SS is a highly technique-sensitive procedure, and only a select group of clinicians, like yourself, possess the skill set necessary to consistently achieve success. In my own courses on extraction techniques, I’ve seen firsthand how many dentists lack the foundational training required for atraumatic extractions, let alone the precision needed to section, avulse, and contour a failing tooth for SS. While I agree that the SS technique can yield excellent results, the purpose of my video was to introduce a less technique-sensitive alternative that reduces risks while still delivering outstanding esthetic outcomes for the remaining 99% of practitioners. When performing Immediate Implant Placement, do you find that in cases where SS is not feasible, your alternative techniques consistently yield esthetic outcomes that meet your standards? As you well know, dentistry is a constantly evolving field. When new ideas and techniques are introduced, the most enlightened and open-minded approach is to explore their merits, rather than quickly defending the status quo. The latter response can hinder progress. After all, one day we may have the ability to grow new teeth, and the entire body of knowledge around dental implants may be viewed as a primitive step in the evolution of our profession. I look forward to continuing this important dialogue with you and learning from your vast experience. 1. Natale M, Soardi CM, Saleh MHA, et al. Immediate Implant Placement Using the Socket Shield Technique: Clinical, Radiographic, and Volumetric Results Using 3D Digital Techniques-A Case Series. The International journal of periodontics & restorative dentistry. Mar 20 2024;44(2):187-195. doi:10.11607/prd.6531
Sorry to say you do ignore any elementary notion of anatomy physiology and physiopathology. All you describe makes little sense and SS outcom is not the one you describe. Your motivation for not doind it is a respectful choice but lacking of any true data of actual and later result. So you are expressing your opinion, but not any true fact based on data. BTW I am doing SS 13 years now and my data do not match with any of the opinion you say here.
Dr. Ponzi, I noticed that you are a colleague of Dr. Natale. I would encourage you to read my response to his comment, as it provides further clarification on my position regarding the socket shield (SS) technique. I believe it will help shed light on the points I’m making. Best regards, Dr. Stanley
Do you have the part number for the pocket packer ? Thanks! Also do you have any good videos on making a custom healing abutment with resin. I seem to have issue making them and having immediate implant failures. Also can a bone plug be used as a graft in this case?
the Salvin product is called "Salvin Curved Titanium Pocket Packer - 2.5mm Radius" the Hu-friedy products are called "buccal lingual - PLGROMP1X, mesial distal - PLGROMP2X". If it is okay let me make a video on custom healing abutments? A bone plug could be used but the particulate graft is easy and effective. Thanks for the comments Dr. MaCall and keep em coming.
Just flap it and graft accordingly if you are worried about not having enough bone. Even if you get a dehiscence or fenestration, it's only a problem if you get recession
I appreciate the clarity of your thoughts. If you're following a prosthetic protocol and determine during the planning phase that there's insufficient bone for optimal implant placement, grafting becomes the clear choice. However, it's important to avoid raising a buccal/labial flap unless absolutely necessary, as this soft tissue is the primary remaining blood supply to the delicate facial hard tissue, and preserving it is crucial for maintaining tissue health.
It know nothing about dentistry but it seems to me the upper teeth could have been capped her face which is the most imported to a women could have looked much better as she got older.
Thank you for your thoughtful comment. Dentistry offers numerous ways to restore teeth, and a conscientious dentist carefully considers all available options, weighing each in terms of longevity, patient health, and cost. Through this process, one solution often emerges as the best choice for the patient’s overall well-being, functionality, and esthetics. In this particular case, opting for traditional dentistry to restore the teeth would have cost the patient significantly more than the All-on-X solution we performed. Additionally, traditional methods often face the risk of breaking down over time, leading to further discomfort, suffering, and financial burden for the patient. In contrast, the All-on-X solution, when executed correctly, is designed to last a lifetime, maintaining both form and function without the need for additional intervention. I appreciate your engagement in this discussion.
Correct. It takes about 1 minute to plan the case and 23 minutes to print on my SprintRay printer. Usually long enough to sign the paper work and initiate anesthesia.
I cover this in my class, but I don’t have any content on social media at the moment. We encourage doctors to bring their key assistants to the class, as they will learn everything necessary to acquire and merge the data, plan the initial implant, and queue it up for the doctor. Once the plan is Doctor approved, they can design the guide in just 3 minutes and print it in 23 minutes. Implant dentistry is truly a team effort, and having a well-trained support team makes all the difference.
Hi doc, nice comments on the technique, but socket shield is not only used or employed to maintain buccal bone! In many cases, there is an important ankylosis of the tooth and its extraction can lead to a complete fracture of the vestibular cortex, so if you plan accordingly and analyze the case, in some clinical scenarios in which you have a long tooth with a root canal done on it, you might prevent the loss of the vestibular cortex by leaving a small 1 mm layer of the tooth attached to the buccal bone. For example, in canines with long roots that have a root canal done on them, it is an exciting option to go for a socket shield which prevents a probable buccal bone loss or fracture during the extraction, ensuring the presence of bone on the buccal side of your implant. Apart from that, it also helps maintain the natural bone and soft tissue contour. Nice video as always!
I may be mistaken but your assumption is that you can tell if that tooth is a problematic one before extracting it which I personally dont think it possible with just an x-ray. Or do you pivot to a socket shield if you see the tooth is hard to extract. The follow-up if that is the case is how do you weigh the pros and cons of staging it vs doing a socket shield then?
@@mimetrickster Hi there! Glad to have a chat with you! When you decide to place an implant you have many more clinical factors to take into account before going for the surgery. You need to check first of all, depth on probing, mobility of the tooth, thickness and width of the buccal plate on the CT SCAN, and the presence or no presence of the buccal bone on the CT SCAN. After you have all that information you can decide if you will be doing a socket shield or not. After all that planning, if you have failed to acquire sufficient clinical information and you find yourself with a difficult tooth to extract, you should have the clinical knowledge and experience to do a socket shield. It is always useful to be resourceful and manage different techniques. I assume that staging the implant means not going for an immediate implant, if you check systematic reviews in the literature you will find plenty of information about why you should always try and go with immediate implant placement whenever is it possible as it preserves bone and soft tissue, and reduces surgical appointments for our patients as long as the implant can be placed prosthetically guided. Apart from that, implants placed with the socket shield technique have shown a great survival rate in systematic reviews and no statistically significant complications. I am not a great fan or defender of the method, but I think it shouldn't be discarded from our surgical armament. Regards!
@@edwardeu7202 To be clear, I meant knowing if every tooth is problematic before extracting it, not just the obvious ankylosed cases. The condescending tone of implying I don't know the basics isn't productive to conversation by the way.
@@nareshkewalramani3712 Thank you for that information. I did a quick glance of some of the top 2 articles that appeared when searching meta analysis and socket shield. Neither one had a follow up greater than 5.5 years and one of them that had a follow up of 3-60 months had 9.5% of implants with complication related to the socket shield. And in both of these studies there were many case studies which can have have a bias towards cases that do work. Is there an article you can point me to that was a proper RCT with a large sample size and and much longer follow-up?
There are people that have a very thin biotype, hi lip line and hi esthetic demands. I would socket shiels these. Often its hard to get 2mm gap -especially on lateral incisors. It has its place, but you are right in that it is somewhat rare to NEED it. That said, I have loved the facial contour on every shield I have done. So far no failures. Probably have only done a couple dozen.
It becomes a problem when you get lawyers involved and there are procedures being done that are not accepted as standard of care. Until one gets caught, it is always no problem!
I agree with your point. What's particularly interesting is that it's now possible to iatrogenically place an implant into a tooth and cite literature to support the practice. It almost feels like dentists now have a convenient "get out of jail" card when it comes to such cases.
Hello Dr. Chadd, Thanks for the kind words of support. In one of the best papers on SS, co-authored by Dr. Gluckman and Dr. Salama, reported a 19.5% incidence of complications, despite all cases being managed by a single, highly experienced practitioner.[1] This highlights the inherent technical sensitivity of the SS technique, which is something Dr. Gluckman and myself both acknowledge. 1. Gluckman H, Salama M, Du Toit J. A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites: Partial extraction therapy with up to 4 years follow-up. Clin Implant Dent Relat Res. Apr 2018;20(2):122-129. doi:10.1111/cid.12554
We're in a tough situation because I dont think you can house a custom jig for each patient for each implant you place, you would have a storage and retrieval issue. What do you think about using PA's where the threads are parallel only and while you may not have it EXACTLY perfect, it oftentimes is accurate enough to measure bone loss up to different threads.
You certainly have a valid point here. I’m not suggesting this for daily practice. Instead, I recommend it for all research focused on crestal wound healing and bone loss. This way, we can be more confident that the findings are relevant and not merely random noise.
Another thing: not placing an implant deep enough doesn't allow for a proper emergence profile and thus increased chance of peri-implantitis. I've found most restorative dentists are not aware of the concave/convex part of the emergence profile
You are absolutely correct. It is unfortunate that many people refer to the implants as bone-level implants. The unspoken assumption here is that the location of the implant platform should be determined by the bone level rather than the desired prosthesis.
Improved mechanical retention and physics and emergence profile and hygiene with a custom abutment EVEN WITH perfect implant placement. Why NOT just use a custom abutment whenever possible?
A monolithic zirconia crown on a stock hybrid base can provide custom emergence profiles with equivalent strength, reduced part count, no cementation interface prone to failure, reduced chairtime required for delivery, less technique-sensitive, no risk of excessive cement in the sulcus, and ultimately, it is more cost-effective for the patient.
I’m delighted to hear that! You’ll soon discover the immense power of our fully guided solutions, which reduce stress for you and provide low-risk, aesthetically pleasing, and long-lasting solutions for your patients. If you have any questions, please don’t hesitate to reach out.
I have a titanium implant in a top front tooth. No problems mechanically, however I have had multiple issues with the metallic taste and nerve pain sensation. I had to do a mild heavy metals detox and my body went into rejection mode. I've since got it calmed down, but everyone should know the dangers and possible complications moving forward with this procedure. I was not made aware of this prior to the procedure. I also have a cervical fusion with a titanium plate that causes unique and often sensations through out my cervical area not related to a impingement of a nerve. Things to consider when deciding to have a procedure that requires a toxic metal to be implanted in your body.
Thank you for sharing your experience and I'm sorry to hear about the difficulties you’ve had. It’s important for patients to be fully informed about potential risks and complications. Both dental implants and spine surgeries can indeed have complex outcomes influenced by many factors-such as surgical technique, healing process, and individual body responses. However, it’s important to note that extensive research shows that titanium is generally considered biocompatible and not toxic for most people. While some individuals may experience rare sensitivities or reactions, the literature doesn’t support the idea that titanium itself is inherently toxic. That said, it’s always crucial for patients and healthcare providers to discuss all potential risks and benefits, and I'm glad you’ve found ways to manage your symptoms. Every body is unique, and I hope your experience encourages others to ask questions and explore all options when considering implants or similar procedures.
after this video i regret every single time i didnt brush my teeth. props to yall for doing such a hard job, i couldnt even continue watching after a certain point. gonna brush my teeth once more now.
nice video, but with this one-half rule, most implants would need bone grafting to satisfy the 2B rule. That means more cost and morbidity for the patient. while this rule considers the MD width of the tooth it does not consider the BL width of the bone.
Great observation! You’re absolutely right. The 1/2 rule is the starting point, and the implant diameter is then adjusted to meet the 2B rule. If both criteria result in a diameter that is mechanically insufficient, only then would grafting be necessary-minimizing the incidence and cost of unnecessary bone grafts.
Enjoy! Tarnow DP, Chu SJ. Human histologic verification of osseointegration of an immediate implant placed into a fresh extraction socket with excessive gap distance without primary flap closure, graft, or membrane: a case report. The International journal of periodontics & restorative dentistry. Sep-Oct 2011;31(5):515-21.
Our courses are available online for distance learners. For more information, visit stanleyinstitute.com. If you have any questions, feel free to email our team-we're here to help
hello, 1st thank you for all of your informations, please can u tell me the title of the article that talked about moving a tooth and wait for 8 mins before extracting it to make the blood do the work?
There are two factors to consider here: creep and Hyaluronic Acid. Creep refers to the gradual deformation of bone under constant load and is a well-known biomechanical phenomenon. The release of Hyaluronic Acid, as mentioned on this www.physicsforceps.com/physics-forceps, claims to play a role in this process. However, after further investigation, I was unable to find any scientific references supporting this claim. Thank you for bringing this to my attention. I will continue to look into this issue.
Thank you for your comment! While dentures are indeed a solution for edentulism and can work well for many people, they are often considered an entry-level option in terms of comfort and function. The screw-retained All-on-X solution presented in this video offers superior stability, comfort, and function, closely mimicking natural teeth. The risk of infection or rejection is very low if the procedure is done correctly by a skilled professional, as we use advanced techniques and materials to ensure long-term success. Ultimately, this approach provides the best quality of life in modern dentistry.
Hi there .thanks for deep explanation .I just found the video a bit cruel and I believe too much pain will be followed for weeks and weeks after the surgery.I do also understand that the client had no choice but to get new teeth.this surgery is costly and not every one can afford it.on the other hand the stuff are very professional and I respect that ,I m sure if you’re based in my area I could surely choose you for my future denture. Thanks very much and have great day
