Front Tooth Dental Implant Gone Wrong. Bone Graft or Gum Graft? How to Prevent This From Happening! 

Thank you Doctor for educating your viewers and I really appreciate it.

Thank you so much fior your Videos!!! I am 43 year old BSN who takes my health seriously! I unfortunately have grade 4 severe dental flourosis. When i was a kid, i had well water wirh levels of flouride of 6.3 ppm... in southern Virginia. My mom was a dental assistant, who worked for a DDS...who saw flourosis while studying in Louisiana. Its rare ib thw US, but it haopens. I had my first set of full (6) upper crowns done at 12. I replaced them at the age of 21..I had an absess, root canal and a post put in. I took super good care of my teeth. I have no guk recession on 22 year old crowns...however vecause of rhe flourosis, the rest of my teeth keep breaking all of rhe time. 3 weeks ago..i lost my K9...bloody root and all...found out today...that the parrelel tooth is undergoing reasorbtion..I now need an implant for my K9 and parallel tooth...and i might need a bone graft... I am terrified and trying to educate myslef..so thank you for good... credible information.

Dr, very beautiful result on that front incisor.

I have regular removable dentures and that is the best and safest for the health. My dentures are very good made.

Fantastic

Thank you for the video. I have all implants. Last week i had an infection on one of my bottom implants because of bone loss. They have been in for about 10 years. i went to my implant surgen and he said I have Peri implantitis. They put me on anitbiotics and i'm waiting for a call from them to see what the repair process is going to be. Your video gave me alot of valuble information. I wish you were closer, you'd be my doctor. thanks again Gregg.

Hi Dr Choi - I just finished your series of 101 videos and this video and they are absolutely amazing! Really helpful as I am needing to replace my front two teeth from a past sports injury and they are now getting infected and I think the buccal bone is also gone (thin biotype). Do you have any advice on the risks of having two adjacent anterior implants or is it the same concepts you presented earlier - namely strong bone foundation and positioning? I am curious how to make sure I understand the implant size will be strong enough but not rubbing against each other etc.

I heard that if you do all-on-4, you will be cut a lot of bone and gum tissue to make room for the denture and it's not easy to clean.

As I approach my #9 extraction and bone graft (not guided bone regeneration 😕) in preparation for a future implant, and I carefully broach the “non-extractable stitches” suggestion several times with my very, very highly regarded oral surgeon and his staff, I’ve been told dissolvable are not as harsh on the gums, as I have very healthy ‘pretty’ papila. I’m not sure of my biotype and not sure I should ask, as I don’t want to shock my surgeon. To me, gravity, like you explained in 101, Part 3, seems like commonsense to use the non-dissolvable. The tooth that I injured as a child, has been root, re-root and re-re-root canaled in its lifetime and has a (long-standing, w/fistula draining) infection and I’m concerned with everything it has going against a positive outcome. I trust my surgeon 100million% but am still worried. Plan to discuss everything again day of, I just don’t want the surgeon thinking I’m questioning his expertise 😂 in your opinion, should I continue to insist, or just trust he knows what’s best for my particular situation?

I like your videos, and the way you think things out. But in this case, I wonder if the patient would have been happy with a Maryland bridge to deal with this instead of implants and bone grafts? I had it done on for missing front teeth and it looks fine to me. And it was a reasonable cost- and minimal time in the dental chair.

@Northtexasdentalsurgery Thank you for these videos Dr. Choi! Can you explain how guided bone regeneration is different than a typical bone graft? Also, would you use a flapless incision or need to do a larger flap generally? Thank you!!!

Hi doctor. I have a few questions. First when can I start cleaning my all on 4 teeth with an electric sonicare toothbrush? Do you recommend using it? I've read somewhere that the vibrations from the electric toothbrush can cause the implant screws to loosen up. Whats your opinion on that? My cleaning routine on my final zirconia all on 4 would be : 1. Waterpik between fake and real gum 2. Cleaning the area between the fake and real gum with an interdental toothbrush. 3. Brushing with sonicare electric brush 4. Mouth rinse with an alcohol free mouthwash. Is that a good routine? I know its alot of queations but I hope you will find the time to answer them. Thanks in advance for your reply

Good day sir. Where exactly do you take the bone graft? I mean the donor site. Thank you

Thank you for this video. Very informative. I wish I lived close by so I could visit the clinic. This is one of my main problems since my implant was placed. I was really hoping that bone grafting was an option but now I learned it’s unfortunately not My implant (that replaced tooth 23) is placed outside of my tooth row. I think it’s called outside the apparent axis? + there is a black triangle. My natural tooth on the other side is longer than the implant, the part in my gum) so now the technician and I are puzzling everything out. He adjust the crown (he’s trying to shape the gum with a temporary crown) so he eventually make the final crown longer and he thinks the triangle will become less. but I feel like it won’t fix the triangle. Is it possible for the gum to grow between the implant and healthy tooth next to it by these actions? He told me it might be possible when the crown gives more pressure to the gum and time will tell if my triangle will close by these adjustments

In your opinion, Who is responsible for cost if a sinus lift / bone graft causes infection and Augmentin does not eliminate the infection and the bone graft has to be removed? The patient or the oral surgeon who did the sinus lift / bone graft?

I have watched a few of your videos. My question is, have you done any zygomatic procedures? If so, I'm interested in viewing one

Hello, thank you for your infovideos, but it is not clear whether bone grafting is possible for example in case of a botched implant when it has to be removed , I would assume in this scenario it should be possible to do bone grafting ( that guided type you mentioned). Also, I wonder if you have discussed in any of your vids rapairing/replacing messed up implants. Thank you again.

Always refer to periodontist or OS for anterior implants if you are a GP, a little mess-up and you could be dealing with the same patient for years and potentially losing money. You'll end up referring to periodontist or OS anyway if it doesn't work out. Just my 2 cents.

Hi Dr Choi Do you offer 3 on 6 implants bridges that get rid of the artificial gum line I saw it in a advertisement, that it makes you feel much more comfortable you don’t have to learn how to speak with a large piece of acrylic in your mouth .Not like all on four dental implants are done, on all 4 you have to remove bone to accommodate th fake gum line. The three on six gets placed directly onto your actual guns without removing any bone. Hi Dr Choi do you offer 3 on 6 implants bridges that get rid of the artificial gum line placing in directly onto your actual gums makes it much more comfortable you don’t have to learn how to speak or eat , Please advise Thank you

Dr question what happens if the dr hits the nerve ? What’s the process do u guys take it out and replace it ? I have one that’s touching the loop and I’m having lots of pain

What are your thoughts on 7 star vs. zirconia?

Hello i just had all of my teeth pulled and the dentist told me he did a ton of bone grafting so i felt he was lieing to me so i got a cbct scan on my own which im going to try and upload to this post in hopes to get a second opinion. Please advise thank you

U smart❤❤

What do you think about hollistic extractions? I was quoted for $1800 with prf, laser and ozone. This was 17 & 32.

I had a root canal done in Mexico 2 years ago. My tooth after a month became sensitive when I push it with my finger but I have no pain . I was told by a dentist I sent my x ray that I have infection and that root canal should be redo it again. But here in Canada the dentist sent me to a specialist who told me I have no infection. The dentist told me the same but he was not sure,that is why he sent me to another specialist. I did have a 3D scan as well but nobody gave me an explanation of what is in . All I know is nobody wants to treat me,they send me to one specialist to other.

I had a dental implant with a bone graft in the front. I didn’t have a root canal. I suffered for ten years because every time I bit down on it it was very tender. The dentist refused to take it out. Only the last three months was I able to find a dentist to take it out. I’m getting a bridge placed in three weeks. Are you saying you can’t put an implant to replace a missing tooth in the front?

I would love to come to you- I have a situation- you may know my dr’s

Better do dentures and be healthy u dont pay horrible money for implants and crowns or bridges, cause u pay huuge money for very risky tooth, i think denture is much safe and cheap option, if u do implants u still have something into your body and to be honest they say u yeah u easly can use it for rest of your life in reality maybe 10 or less percent young people who got implants got zero problem to rest of life rest, be paying for repair or new implants etc infections bone loss etc many thing can go wrong with your implants for many years. Dentures u just buy new sometimes.