Complications with all-on-4 dental implant procedure. 

I love this doctor's sincere, honest and candid professional advice. Lesson learned? You get what you pay for....usually. I wish all health care providers were this transparent.

We need more honest dentists like you. Please, keep making more videos to educate the people. Thank you very much for your great work. I have subscribed to your channel.

I have 4 implants and a zerconia bridge in the front of my mouth. My ex was a dentist and crowned my front teeth and did bad job because he decided to root canal virgin teeth. Long story short, I had my work done at a university dental school, still not inexpensive. Had bone and tissue grafts, 16k but the work is beautiful. Warning, you still need to have good oral hygiene. I never forget to clean my mouth before bed, water pic is your new best friend. Don't think you can ignore your mouth once the work is complete.

I've done my zirconia bridge and all-on-4implants on my down jaw. I can only say that the only case is who has done work for you. My doc is amazing. She does an incredibly quality job. I've done them in Croatia. The cost was 8k. I must say that Croatia has quality dentists.

Thank you so much for this information..I'm researching for myself and I'm so concerned of just what you are bringing to light.

I cannot understand how some people do not understand this.....I am not a dentist but it's PERFECTLY LOGICAL!! to me that 4 implants is not enough and does not distribute the load correctly, the jaw exerts a very high amount of biteforce so it's obvious the more implants the better the load is distributed so therefore a far heavier bite force they will withstand and considering how extremely expensive this procedure is THERE IS NO EXCUSE FOR THEM TO FAIL!! any dentist worth their qualifications will DO RIGHT BY THE PATIENT!! and NOT BY THEIR PAY PACKET!!

You explained so accurately in laymen terms why I should opt for on on 6 and not all on four which concentration is focused at the front of the mouth instead of even distribution where the mollas take the pressure. I'm sold!! Thank you so much.

Great information. 100% true. Just remember with "All on 4," the downside is "none on 3," if one implant fails. If you are interested in the procedure, spend the extra money for a couple of more implants and the zirconia, it is totally worth the extra money.

I really enjoyed your video. It explained a lot. I had started the implant process in my lower mouth and it failed. I spent over 20 grand and I don't have the money to start over. I started this about 5 yrs ago and now I don't have enough bone to start over. I am so disgusted with the way it went down and I doubt I will continue the process now. I was made promises that were not kept and it was really easy for the prosthodontist to tell me I will have to start over. So to say the least it left me in a really bad financial position. If you don't have money this is not the procedure for YOU!

Nice job of explaining the different forms of oral restoration.. I certainly learned something from watching this.. A+

I am very glad I found this video because I was about to make the mistake of having the wrong Implants put into my mouth. God bless!

Thank you for your honesty!

First dentist that didn’t recommend all-on-4! Thank you for a very informative video!!! ❤️🙏❤️

Great job DR. Thank you

Thank you. Keep videos coming

Thanks for the great, and very thorough explanation!!!

I'm training one of my staff members on All-On-4 and how do I come across, one of the greatest. I hope you are well

Very good video, thank you !👍

Very good information. Thank you!

Great video doc love your factual informative honest professional opinion helping us make wise decisions making our investment work harder

Wow! Least you are honest. Even I have to educate myself on what materials are being used.

Thank you so much for all you do

I had a root canal fail at tooth 12 and had an implant put in. I asked the oral surgeon at the time if there was a certain type or way to do the implant so that in the future when I will need dentures this implant post could be used. He said they would just work with this implant. I know in the next 10 years or so I will probably need a full upper denture implant and want to plan future implants to work.

I’m going for my top hybrids in a few weeks. My dentist is very stubborn. He won’t do 4 implants. He always does six. Now I understand why lol

This was excellent information.

So glad I saw th is. Need to have some Dental work done.

I went through domestic violence and I'm trying to get new teeth I've had dentures 8 yrs they never fit I'm terrified to walk around like this forever mu bones recided so far back I found a local doctor who willing to help me and do lower implants he heard my story of childhood trauma never ever had any dental car till foster care and then ultimately domestic violence unfortunately he can't do my upper teeth do too needing bone grafts and he said it's too big a job for them basically I'm so grateful but I'm scared to go forward I pray that with my RU-vid channel 1 day I can get a whole new smile

So informative. Going to see surgeon tomorrow. I thought I was all set for my June 1 "E-Day", but I've since learned about zygomatic implants. I am meeting with him to discuss that. Now I have so much more to talk about. Like materials.

Thank you very much for your explanations on implants very good

Thank you so much for this very informative video. I had no idea that there were different ways of doing this. I certainly would never get a 4 on after seeing this.

Thank you

I subscribed to learn more

Thank you so much for the info! Ive never heard about all on 6 before! And yes, i heard good things about zirconia! Ill definitely ask for that! Thanks so much for your ⚠ warning i do appreciate it!😂😂😂😮😮😮😊

Great content!!💯😄😄

People like me can only dream of having teeth that are not a nightmare. I’ve spent thousands while uninsured only to have the teeth they worked on get infected and removed. I had all my teeth when I went to him. Now my upper rear molars in the back are gone on both sides. He will no longer help save my existing teeth ? He wanted to pull all my good teeth as the only solution and get dentures ? I’m 64 and I realize I’m not worth helping in this world. It’s heartbreaking knowing that no one will help you , but the life of the poor.

With a fixed system, his advice is correct. You can do 4 implants with removable implant supported overdentures..

I was referred to a local oral surgeon with the intention of getting some implants to replace my lower molars. The surgeon talked me into the all-on-4, and it was one of the most painful things I've ever been through. They referred me to my regular dentist for follow-up be she was clueless as to what to look for. When I insisted on seeing the surgeon, the implants had failed, probably due to the horrific bite of the hybrid in combination with the lack of follow up. They took out those implants, replaced them with a different type, after bone and tissue grafting. Then, when they were uncovered, one of them fell out. I'd had enough and went with a snap on denture. Now the tissue graft has failed, and they have washed their hands of me and sent me to a periodontist to spend more money fixing their work. I'm not a happy camper. I'm going to need work done on my upper arch soon, and they won't work with me because my implants failed.

I admire the fact your trying to give the best smile they can afford at this po8nt. Your upfront n honest which is rare. My dentist removed all mine n gave me dentures. I got sick of scraping out glue all the time. I now know if he did his job they would have fit tight . So I spent 25,000 cash only got from a trust. We did all on 4s. Mind you my dentist office for 13 yrs. I had to travel a d pay all expenses for everything. Teeth kept breaking and just replaced denture again. My top snap in broke. They wanted me to come back down for two weeks. That’s a 12k price tag for everything. So I went to place here to see if they could glue it back together " my other place also said they would have to start over. After 6 yrs of this non sense. As soon as I saw 3D X-ray of my mouth I started cry8ng. What a mess. The screws were not placed right , some were moving so now I would need 5 screws replaced and two new bridge placements also with some bone graphs done. So now it’s 18k total. No way I can do this right now but I have all exposed metal bracket on my top that is all uneven n 5 pc’s like why? So I needed quick fix so he was honest with me and said I know it’s not ideal but we could do molds and make you a fitting denture to go over you metal and fit securely n tight so you can have some kind of comfort. I went in the next day they had these wax teeth to check placement fitting n all. Then had me come back 2hrs later and it was done! It was beautiful they matched it exactly like my real teeth on the other. I don’t like the fact it’s a reg denture but it looks amazing and the entire process. 2 hr consult, 3D X-ray so cool all moldings multiple wax mock ups and finished denture. $ 389.00 yes 389.99 when we do the bottom next month it’s 240 more that’s all. So that was the most affordable way to get something for now.

Hello great vid just found your channel. I yoo have 4 or 5 implants with my problem being unable to place implants to my upper back part of my mouth. I am told I need sinus lifts. I notice all the xrays I seem in the vid none of the pts had or needed sinus lifts? Were they all blessed with plenty of bone in that part of their mouth? They are even older then me?

With the use of zirconia upper and lower prosthetics,does it cause problems with the compression of the bite on the implants?

curious about something. The panoramic x-ray you show around the 8:45 mark.....there appears to be a very significant bone loss around the maxillary implants. But this isn't addressed at all. Sure there are 6, but most are 50% covered by bone at best. Is this the same patient as the pano below it? If so, did you place and restore the maxilla?

One thing you should've mention too, is that all types of implant retain prosthesis should have a minimal thickness to avoid fractures,(4:44) of course, with the help of NG. Also should've mention about flanges is this types of prosthesis should be avoided, (12:51)that helps the ptt. to have a better hygiene. Maybe the waterpick was not used by the ptt like it was recommended. That bar used in that prosthesis...looks like it casted not milled. I'm just a tech....thanks for ur video.

What you recommend for missing molars on one side lower only?

Very well explained thank you so much... I'm in Cali and thinking about getting this done. Can you recommend someone in California..

One thing: as a general rule, zirconia bridge can not be longer than 3-4 units. There is a big risk of breakage. But on your video I see full arch prosthetic restorations without any kind of frame inside..?

Thanks for this video. I can imagine the all on 6 will be more secure and it is better in slowing down bone loss with 6 implants rather than 4, but I understand that cleaning becomes more complicated with more implants. Is that true? Thanks.

I have 8 titanium implants which supports a full upper porcelain bridge for the last 15 years however the bridge is chipping and needs to be replaced. I have a great dentist and he will redo the bridge for me for a good price but I want a zirconia bridge rather than the porcelain. My dentist used the old technology of cement rather than screws. He is also installing 6 implants for the bottom bridge (currently using a partial on the bottom). I am wondering if ziconia is too heavy for the cement install. I use a HydroFloss, flossing and frequent office cleaning to keep them clean. Please let me know your thoughts about the weight or should I do ceramic or porcelain this time. I like the zirconia.

$46,000 seems to be the going cost in FL. That includes pulling ALL teeth, temp set of implants for 6 months while healing, then permanent implants after that. They use Titanium implants with Zirconia teeth. The place is called "New Teeth Now". Anyone have personal information about them or the implants? Doc?

I just had the top teeth pulled with having the 4 implants put in, and my dentist did put 1 on each side where the canine teeth were, then put 1 on each side towards the back where the second to last tooth was in the back, do you think I could be okay with that or should I ask my dentist to add 2 more (one on each side)?

Some really good information... would you happen to have any references for doctors in the Lake Havasu City AZ area?

What about an all on 4 with a Zirconia prosthesis ?

#8:49 How far to the back of the jaw did the mandibular implants go?

I'm curious.... how expensive is that procedure

Ok. The all on 4 case you showed failed because there was not enough inter occlusal space ie bone reduction done at time of surgery. All on 4 with first molar occlusion done properly is a good restoration. Zirconia is not without problems too (the metal cylinders can debond from the zirconia making the prosthesis loose, ). Problems can occur with any case whether it be all on 4 or 6 or whatever. Good pre op discussions with the patient and planning will help minimize complications.

how much difference between real and implant?

All on four REMOVES BONE!

I don't care how good you are or how long you've been doing this, no one can fix my mouth!! They could have, at one time but for some reason chose not to. No doctor or dentist is ever having access to my mouth and thanks to my last experience I won't even go to a doctor anymore. Because of the last dentist I had.

What material options are available or better? Zirchonian or titanium?

I am in NE Oregon and will need a full mouth, I have dentures but can not keep them in my mouth due to an autoimmune condition. Is there a way to get scans here where I am by sending an order to hospital for the scans? What time frame would need to be done? All in a day, or would there be several visits? I have medicare insurance which I know will pay for somethings. I completed the contact questions/comments but have not yet gotten an email. Thanks

Can you make a video showing the best of this like a perfect scenario?

Can All on 4 be done with 2 in the front and 2 in the back?

I’ve been quoted $34k for my full mouth restoration. Its been so depressing trying to figure how I’m supposed to afford that just to have a healthy mouth again on top of just wanting to eat anything harder than bread and….smile again 🥺 How do average people afford this?

Hey Doc I’m a retired Army Combat Medic of 22 years … I was approved for fill mouth implants from the Army DENCOM Command … But the Periodontist as well as the Prosthodontist all PCS and my case fell through … I’m now retired after 22 yrs of Federal Active Service and I’m 100% VA disabled with Tricare Health … VA Health as well as Medicare Part A /B … I wanna do this right the first time even if I have to come out of pocket to do it …. My Teeth 🦷 have continued to deteriorate over the years after getting my mouth in a healthy field and state … But the Army failed Me! … All I did was deploy! To Iraq 🇮🇶 and Afghanistan 🇦🇫 multiple times on combat tours and they pulled teeth while was down range fighting America’s wars 🇺🇸 three 15 to 16 month deployments back to back … I have the letters of approval to verify … Can you please! Help 🤷🏾 doc? … Tell me what must I do?!

Unfortunately I live too far away. I am way over in west central Texas. I would not be looking for all on 4 or all on 6. I would be looking for single implants in multiple scattered locations.

So what is the alternative if “all on 4” not a good option

I work for a prosthodontist and this is why we hate The All in 4 approach, patients come in asking for it and we have to use this very example to talk them down and some still want them

How much does the upper dental implant cost without insurance?! Dental insurance is hard to find which to trust in Texas. Which dental insurance is best nowadays?

Hello Doctor I'm having fixed bridges with 4 implants or 6 implants. If I don't like the temporary fixed bridges can I have snap on dentures with the same implants ?

Hello, I tried to send applying for the grant and it keeps giving me an error. Is there an email I can send it to?

Were are you. Located at

I’m scared of pain in this procedure. How is this managed?

I have a nickel allergy and have heard horror stories due to material used. Does zirconia contain any nickel?

With severe bone loss of upper jaw, I was told that quad zygomatic implants were my only alternative. From what I understand, this is a form of all the on 4 process, So, are we talking the same thing? Somewhat confused.

What do you think about dr Golpa 4G implant in Las Vegas

Hello Doctor. My name is Louis Cross, I live in Brazil, I watch your videos and how I dream that maybe one day I can meet you and who knows, you can make my dream come true

Can zirconia implants be used with zirconia prosthetic so that one can have a solution whereby no metal is used in the mouth? Thanks

What about people that have autoimmune issues and also metal sensitive?

Where r u located. Same here all on 4 failed. I’m in chicago I need someone experienced to help me out.

Very nice sir looking good pleas can you tell me how much money i need for 8 implants .

I just had the all on 4 done a month ago and one point in my lower jaw is still in extreme pain is that normal?

I am devastated after selling everything i had to get all on 4 done in Turkey by medlife group. 16 /24 teeth broke and the company are just ignoring me. I now also have TMJ problems. They quoted me for zirconium and gave me ceramic and increased 'worse case scenario' by 1000 GBP.

I have crohns disease and I lost 4 teeth beacuse of my health i had scurvey is it possibile for me to have a bridge

Where are you located

Price what is the price of this procedure?

Where are you located at.

Hi iam from suriname what isxthe cost off a full mouth inplant

Dear Doctor Firstly thanks for all your help and I'm sorry for been a nuisance . I was told that it is £250 GBH for 1 hour to have conscious sedation. I have 3 teeth and 1 root to be extracted . How long will the procedure take to have 2 fixed bridges and will it hurt in the procedure ? Would it be okay to have conscious sedation for the hour to have the worst of it over ? Very kind regards Dennis

what is a price range of these upper and lower implants?

It all sounds like a lot of pain!

Is it done under I.V. sadation?

Are there ever cases that a patient is sensitive(allergy) to any of the material put in the mouth?

Still think having these are still bad designed. What can they not put these under the natural gum? Just have to make the tooth longer and add a very fine nurl , so the gum grips the new tooth.

I wanted implants but now considering dentures after seeing this

I would love to share with you my story so you could give me advice

How much for zirconia implants?

HELP Question for whoever sees this..I'm a disabled veteran. My rating is 90% and in order to qualify for dental you must be 100%..After a recent car accident that left me with about 11 teeth altogether, my mouth health is affecting EVERYTHING now. I cant eat so I"m losing weight ..I can't smile, I cant go to job interviews and it goes on and on. Does anyone know of a Pro Bono dentist....Or a dentist that provides donation dental for simple dentures ?? Of course implants would be better but beggers cant be choosers. Im open to ANY help from anyone. Thank you

I was about to get implants & just watched the Doc on millions complaining with the FDA & it's basically being covered up.

What if only two front teeth needed

How can I reach you ? Plz

The thumbnail looks like someone got shot in the mouth with a blunderbuss full of screws!😁