When is All on 4 a Bad Idea? 

This Guy is by far the best dentist I've ever heard from!! And compared to dentist ive been to he's so informative and belive me i've had my share of dentist I been to, the only down side he's in the UK

Love listening to this gentleman, just quietly giving much-needed info on expensive options.

I am a pretty experienced dentist myself and I work in an area with high dentistry demand/volume. I see extensively destroyed mouth everyday to help these people get the maximum result from the most efficient treatment. I don't know if this dentist in the video specializes in surgery only and therefore lacks knowledge/experience in restorative field, but this idea of "the less treatment, the better" is unfortunately not true for most extensively damaged mouth. The first photo shown 0:37. Patient missing all lower posteriors. Upper posteriors already supraerupted. I bet the upper posteriors are already about to touch the ridge on the lower and the ridge on lower is significantly resorbed and has no adequate width for implants. Upper anteriors significantly worn down and not enough ferrules for proper restorations. Even if a dentist manages to restore the upper anteriors somehow and open the VDO, what do you do from there to bring back the missing posterior? The patient is now forced to use partial that won't be able to support the posterior effectively. More failure towards anterior will continue with lacking support in posterior. Why have patients suffer until they realize they are heading towards full edentulism no matter what they do? Photo shown 0:50. Another compromised VDO from entire dentitions worn down. Full mouth rehab case with multiple non restorable teeth being replaced with implants or bridges. Maybe this is one case among all shown here that can be restored. The amount of treatment fee will be enormous. And the hygiene level of this patient that lead to this result most likely will continue to fail over twenty expensive restorations. Photo shown 1:00 What? Whaatt?? How in the world are you going to restore those teeth? I see about 4-5 barely restorable teeth there. Good luck telling your patient to wear partials hanging on to 4-5 crowned teeth. Clinical crown length too short. No way a partial will get any retention grabbing on to those short teeth anyway. I am not even considering this patient's perio situation here. Even if this patient has no boneloss at all, no sane dentist should choose any other option than full mouth extraction. 1:14 Upper is gone. Full upper extractions. If you want to be an "ethical" dentist by not recommending full mouth extraction, you will then say you will save lower premolar to premolar and replace those lower molars with.. whatever you choose to do. But what is the point showing this photo when you know upper is full extraction anyway. Calling other dentists they are putting their financial gain over patients' needs and claiming these patients should go for restorations is you being unethical just to gain the title of good and popular dentist. We have to admit that some patients have gone beyond the restorable stage and help them go through full mouth extractions so they stop experiencing continuous failures and frustrations.

Was looking into all on 4 in Mexico and your videos have been so helpful, every site makes it seem like it is the only solution you have given me information that is invaluable

Thank you Dr Gurs for pretty much confirming the treatment recommended by a Dentist to me. I was exactly that person. Early 40s, teeth in a bad shape and had all on 4 in my own mind, but the dentist I visited immediately disregarded the all on 4 route and said that it would be quite a bad move due to my age and the salvageable condition onf my teeth. I am more than happy I trusted his recommendation and had crown bridges and veneers. The internet is a minefield with clinics pushing for treatment that is not the best option as you say.

That was the most honest and informative video that I've seen regarding implants. Thank you so much

I love the direction the message is here because now i can make the decision in the future i.e. 15 yrs especially since im dealing currently with other more urgent Financial emergencies and i sure dont have the extra stress of decisions

I want to take my Dad to you! I’m from the states, but I can tell you care so much for your patients, he is afraid of the dentist because of some really horrible experiences when I was a child. I wish I could find someone I trust here, but our medical/dental system is a nightmare when it comes to someone who doesn’t just want all of your money.

Great presentation sir..seeing different dentists and weighing all your options before making your choice is surely the way to go...great advice , I do hope people are paying attention!!

This video changed my entire outlook on going to the dentist. I hated the idea of going to the dentist. Thank you!

Dr. Gurs. You have no idea how badly I wished I was in the U.K. and could ask you to solve my issues. I am losing my ten (yes ten) implants and the rest of my teeth because the practice that did my work missed the occlusion. I went back a half dozen times to fix it but the fact is they missed it so badly they couldn’t repair it unless they replaced all the crowns and decided to dismiss me instead. Let another dentist try to equilibrate things and he burred all of it down 4x and collapsed my bite by several mm’s. Now I have no bite, crowns hit at bad angles, teeth are loose and ready to fall out, and bone is lost around everything. It’s truly been life crushing.

Good (best) honest advice.

Thank you so much for your transparency and honesty! My budget stands in the way of me fixing my teeth right now. Can you tell me, are vendors a lot of money!?

Hi Dr Gurs Sehmi, I've been watching your videos for hours now, I went to a dentist, she sent me to a Prosthodontist, and from there I went to a group that does same day all on four. I don't fit your description here, with nightmare thoughts of dentistry and quite frankly I'm devastated by their prognosis. I had a wonderful childhood dentist, and have seen a dentist pretty regularly all my life. Unfortunately I've also have asthma and allergies and sinus problems all my life. I spent about $6,000 on my teeth just two years ago, and spent at least $1,000 per year before that, due to my open mouth breathing, they said. I have 3 implants as well. I'm 60 years old, a very active wildlife biologist, I have a great smile and use it often, but I'm also often in pain with dental issues, most of my teeth are now crowned or bridges or implants, and now they say I need this all on four for $55,000. I'm just not ready to do this, but I have major issues I know. I have an abscess in a tooth that is part of a bridge, several crowned teeth that are decaying underneath the crowns, and several cavities in the few teeth that are left. After watching this video, I really wish I could get a consultation with you. But at the same time, I realize that if I replaced 4 or 5 crowns, got 3 or 4 implants, and got a few more new crowns, that would be upwards of $20,000 to fix things, and it seems it wouldn't last 5 years, more less 20 years! ( just a year and a half ago I spent $4,000 on a bridge that I was told now has decay) I feel that if I am looking at getting this done in 5 years, then why spend $20,000 now to save everything? Granted the thought of loosing all my teeth is literally keeping me awake at night! Whew, any suggestions?

Far better in this video! You are correct, so many clinicians are heavy-handed when it comes to treatment planning all on four. Our natural teeth are the best option in 90% of all cases. The case like you displayed, where biomechanical damage is the culprit, all on Four can be a great treatment option as it eliminates the risk of future biomechanical damage. It takes just as much home care to clean a fixed implant bridge like all on four as it does natural teeth. In America, most people understand this premise but it’s always best to reiterate the amount of time they will need to spend cleaning the implants and prosthesis. All we can do is educate and inform the patient on the benefits and risks of the different treatment options. It is not our decision to make. Hopefully, you have CariFree as an option across the pond like we do so that you can prescribe it to the case you restored on the natural teeth. It sure is a nice insurance policy to help the patient neutralize decay and erosion.

I was lucky enough to meet with a Dr. Eslami, who gave me a less expensive alternative plan to all in four. I did not understand and was so convinced from the tv ads that I overrode him and wanted the all in four because I didn't want to see two dentists and go several times. I am going to ask Dr. Eslami of he will consider the original plan. Thanks for open honest advice.

The cost of treatment can cost more than the all on 4 when you add it all up

Thank you for all your time and energy,most of all your honesty, city,councilman art

Hi doc,yes,much to be considered in what you say about the magic bullet treatment of the 4,s.the assumption is that there will never be a problem with the implants.not much reserve with 4,1fails,3 wont cut it well.how about 6 implants,the fallback position is much better.but implants only if its the last resort.the smile is fab,but working teeth that are yours even more fab.great tutorial,thank you.

This video was very informative! Thank you for making this one!

Thank you for your advice. More success to you!

It is so comforting to listen to you. Your informative videos are priceless. I am in the USA and am limited to my finances. I am planning to do a couple of implants (two in the lower left on one implant and three in upper right/two implants). It will be done by a graduate student who is specializing in implant dentistry at the UNC-CH Adams School of Dentistry. The teeth have been pulled out last year and seven years ago. After taking a 3D x-ray they are going to determine if a bone graft is needed. I would appreciate as to what is your opinion about doing it in this way and about the school and any advise?

This is perfect I have been looking on all on four because I'm so tired of trying to find a dentist who speaks sense like you! I have so many broken teeth and pain... I am really scared of gagging so really struggling with finding dentist who can help and do treatment for me

Love the Grey patches looks amazing

Great video, thankyou for that, the dilemma for me is finding a dentist who has my best interest at heart as opposed to thier business interest, this is a big decision for most people it has to be right. I fully understand dentists are a business and in the current climate its been reported some are not going survive, lots of research and different opinions through multiple consultations may be best policy. Thanks again.

Your videos are very informative and helpful. Thank you very much for making them.

Extremely useful information. I recently had all of my upper and lower teeth removed with encouragement from my dentist, periodontist and oral surgeon. I do have periodontal disease (deteriorating bone, etc.) I had canceled a few appointments to have my back teeth removed because I figured I would have a deep cleaning, keep up with regular cleanings with my dentist and keep my teeth as long as I could. None of my back teeth were causing me pain or discomfort. I did have a "fang" tooth on the top that was barely attached/extremely loose. I did want that tooth removed of course. My front upper and lower teeth are as professionals put it "the best teeth I have". They are however crowded, twisting, leaning and are actually being possibly pushed out on the bottom front. This appears to be getting worse fairly quickly. The idea of having my rear teeth removed was that I would keep my front teeth and wear partial dentures for the back of my mouth. I don't have any teeth that have peaks and valley's for the partials to connect to which is the only partial example I've been shown as far as what I would have. I have darn near decided I mise well get full dentures. What my oral surgeon said has been of help "try eating steak, etc., with your front teeth while your extractions heal and see what you think". It works well with small bites. Now I need to find out exactly how partials will attach to my smooth "single layer" front teeth. I appreciate your video's because you are thoughtful and in depth regarding your patients best overall outcome. I believe this is how dental professionals should present their education, experience and expertise. Thank you.

Nasty dentists have been a huge issue. Nice dentist who did poor work has been my other issue.

Wish you were my dentist. You give Genuine advice

Dr sehmi it's so nice to here someone give out great advice to people like me how have no idea 👍could I please get in touch with you I've got gum disease and I've lost 5 teeth not one of them are rotten they've just fell out! And it's got me in real deep depression I don't even answer my friends calls or meet them anymore could you please help me 🙏

You are one of the smartest dentists I have ever heard. You follow the guiding principles of good medicine. Surgery is always the last resort. I wonder if you do video consultations? Telehealth is growing so much but not sure if it is appropriate for dental treatment? Thanks for the great video!

I l just got the all on four procedure done, I am currently still in my temp's, and let me tell you, it is the worst decision of my life! I saved for 8 years to have this procedure done, and It was going to be a new life for me! I am more depressed then I ave ever been! The cannot get the teeth right for my face shape, and they created my bottom arch too narrow, it is not giving me any jaw/ facial support! The dentist is telling me that he cannot add more acrylic to the bottom piece to fill out my face, for this is not something that can be achieved with teeth or dentures. This were his exact word's! I know it's probably because of the placement of the implant's! I'm heart broken!

I wish I was living closer i like your options not to many dentist are so open

All your videos are excellent… very informative

Thx for your advise. That's why I'm going to visit 3 different dentist. Willl see what happen.

My mom had heart damage at a young age, so was advised to have all teeth extracted for dentures at 20 yrs old. She lived well with them to age 76. I've been advised dentures or implants are my only options. Please advise, Apart from aesthetics, Why plant plants are preferable over to shares how's wise. Thank you!

Thank you for you honest options. I am lost in dental “hell”. I have 2 implants on the bottom with snap in dentures that will not stay in thus I can not eat. 2 implants on the top with a partial plat on the top that I can not talk with these in much less eat. The last dental visit it was suggested that I have a new denture plat made for the bottom(that would hopefully fit), have my remaining 6 teeth removed from the top and have 2 more implants put in the top. All of this or have everything removed and have full set of dentures. Any words of advice would be greatly appreciated. I am 70 years old but would still like to go out in public and eating would be wonderful. Thank you😊

I think I’d be comfortable with you being my dentist!

I broke one tooth and found a dentist to see me and they pulled all my teeth and gave me the biggest ill fitting denture ever. I do now have the all on 4. I just recently had to purchase another set of teeth to go on my implants and that was very expensive. But over time the teeth wear out and have problems, teeth break out, the whole bridge cracks and breaks etc. and you have to wait to get in to see someone who can take it out and fix it for you. So what I am saying is it would be better in the long run to have the snap on ones that you can take out yourself when there are problems with the teeth.

Thanks doc from Dallas Texas

Ok, so how much did all that dental work cost compared to all on 4. I can't see how it would be cheaper.

You are a god send!

Chief where are you based? Also I could only get this procedure if I am fully unconscious. My last trip to the dentist, I was given sedation, just an injection. I wasn’t fully aware of what was going on, however I did feel some pain and I was awake. Probably my own fault, I was on some beak the night before and I am prescribed diazepam by my doctors so I have a tolerance to a lot of medicines. This was only for a filling, so I could not possibly accept sedation for the implant procedure I would need to be completely knocked out. Do you offer this option?

I like your honesty man 👍.I'm 24 Iv only 6 teeth on my uppers 4 in front and 1 molar on the left and wisdom tooth on my right ......worried about alll on 4 because my age and that it's a big gamble. Because if you get all on 4s They have to remove alot of bone and gum for the all on 4 to be placed and if for what ever reason they fail even getting a half decent fitting denture may not be possible. And as you've said be4 Titanium can only do so well for so long in your body........Realistically how long would you in your own opinion give a time span on all on 4s with good care and hygiene .......

ive had some sort decay on almost all my teeth, i went to a dentist and told me i need crowns in all my teeth, i found a really good dentist to get another opinion, he told me it would be a mistake to crown all my teeth at 29! thank god i took this second opinion, i now have some sort of a filling in almost all teeth but they look like new and im so glad i didnt listen to the fisrt dentist that told me to destroy all my teeth , lesson of the story is treat things conservatively and do not go to extreme solutions right away. cheerio

Very good video.

You just described me at the start of the video. I’m terrified of the dentist and I have gum disease. My teeth are getting bad but I got out of the habit of visiting the dentist and the anxiety I feel about it is keeping me from going. The last time a booked an appointment I panicked and I didn’t go.

I can't tell you how much I wished I had seen your videos before having all my upper teeth pulled! I had 11 teeth (4 gone with braces) . One had been pulled nearly 10 yrs ago and no one suggested an implant to replace it. I had the one on the other side go bad. The entire top had 50%-70% bone loss, but strong roots. the front teeth had begun to protrude and gap from the mobility. I want implants, but I'm now terrified of who to choose to do the work.

I felt really comfortable listening to Gurs educate us on this procedure but the anxiety i suffer over the costs i cannot afford is becoming unbearable. My teeth are a mess and i haven't a clue how to deal with it.

Thank you. I was told about 3 on 6 treatment. My upper arch is healthy. No need for any treatment at all there, but my lower arch is missing four front teeth for unknown reasons, and my lower arch molars are all broken off at the gum line due to crumbling old dental fillings. Can you suggest Who in New York City canI go to for evaluation and treatment options aside from 3 on 6 or all on 4?

I have upper halve crowns from porcelaine for 7 years .. well i started garging with hydrogen peroxide and the whole thing came down total 13 crowns on one steele and porcelaine piece !!all my theeth are gone where the crowns were attached to. So i hold it up like it is false denrures and sometimes i cry because i paid so much and i cannot eat now i just start crying now i still have false dentures that i have to glie on to be able to eat .i was so happy with it for 7 years then suddenly all got loose !is this to be repaired dentist say implants but i think it is all about finance . I live in caribbean and i like your way you explain. I also need for under teeth .can i have an email or site where i can find out how much it will cost me to fix my mouth ? I am glad with mask now because of covid but i just want my teeth fixed all my life i was struggling and am fed up of this pls help me

Hi please May I ask you a question? I have cancer but after five years it’s still gone but the massive chemo treatments I had really harmed my teeth I have had to pull 9 so far and four more are in bad shape, the last dentist X-rays and she said even under my caps on my front teeth are going bad so and my teeth hurt a lot now, it’s all over money now so if I picked 6in6 the best how much give are take this May cost so I know if there lieing to me please ,

When I was about 18 my dentist told me a tooth needed to be extracted. I sat on the chair and without any anesthetic, he came over with these pliers things and pulled. It was by far the worst experience in my life, and I havent been to the dentist since. Here I am more than 20 years later with crumbling teeth and thinking of going over to Turkey next to finally do something about it because there's been days I've been suicidal with these teeth.

*"...these teeth aren't bad enough for *all on four*..."* You wouldn't be saying that if you had to live with those teeth

Such honesty- but I am dentally phobic [and embarrassed, to boot]. I don't mind waiting to have effective treatment over a longer period, but the whole area is confusing. I am pretty sure I would need bone augmentation, but you seem to query the possibility of this?

I always took really good care of my teeth and saw a dentist every three months for a check up and did a lot of work and paid a lot of money. In later years stress had me grind my teeth and break some then a family drama did the rest with infections costing me more teeth. I have seen two 'good' dentists last year and asked them for implants and they both said that what I wanted was irrelevant as I would get false teeth. They see my age (66) and thought that it was 'normal' but I come from a cutlture of false teeth and have sworn never to get them. I ended up planning a trip to Turkey as a friend went there and his teeth are amazing. In France where I live they are asking me for 40,000 euros for full overhall and in Turkey they are asking 8000 euros for the best quality crowns. I cannot afford NOT to go.

Dr. Sehmi, what's your opinion on Golpa? I'm considering the All-On-4 but I'm not nearly as bad as your patient around 6 mins.

I went to Mexico in the dentist didn't want to give me all on eight, said I can save some of my teeth and get implants. but only I know the history of my mouth and all the problems I've had over the years many many problems even oral surgeons have left material in my mouth for 8 months before they took it out I just want my teeth gone. I had all my teeth pulled out in one step which was very easy but unfortunately several weeks later I had an infection and I didn't go back to him for 8 months. I honestly don't know what was worse the paint or him yelling at me. he really is a good dentist though. he tried for 2 hours and pull that in plan out but he couldn't so he had to cut a window in my gum and operate that way. it's been a week and a half and I'll have to go back and see him in 2 days and then it will be a couple more months before I complete the operation. the only reason I couldn't get there soon it was because it's too hot in Arizona and I just can't leave my animals to drive two and a half hours to go see him. infection is totally my fault but I'm glad I watch this man's videos cuz now I know how to clean them when I get them.

If you really want a all in four give dreamland dental implant center a call. He does free out of state constaltion. He is the best in the United States. At least watch his videos on RU-vid and Facebook. Also his prices are a lot cheaper than most because him and his staff make the teeth

U best sad it all thanku for telling me the truth.

I’m sixty, and I’ve fighting my teeth all my life . Nothing but pain and tooth loss . Now I’ve got 4 gone on top gone .... I’m tired

I am 67 and have been poorly for a good while. My teeth have suffered and one has today just snapped in half at the gumline, it not hurting but I have a few missing teeth (extracted) and 2 crowns at the front. Think I am heading for dentures but can't stand anything in my mouth. I will go to my dentist for advice, he's very good but I am not good in that chair. I won't be able to get the implants as I am on a state pension. Bit lost !

Idk.. :I i'm in the same boat, accept i'm 26 but there's probably 7-8 teeth that need exstractions, and a handful need a root canel, front tooth needs an implant, etc. Every dentist i've seen recommends something different, one wants to put all crowns and implants, this new one just flat out told me "look we can fix it it but in 10 years you'll need dentures anyway.". So idk what to do

I have a few missing teeth in the back and I need serious work on my whole mouth. It looks nowhere near as bad as your examples though. I admit it’s because of my neglect. I didn’t take care of my teeth because I was obese as a kid and hated myself. I’m 33 now and I’m surprised I still have normal looking teeth front the front despite everything, I naturally have good genetics for teeth but I took it for granted. I want to restore my smile and teeth to like new but I also want them to last all my life. I’m willing to spend like 50k for an amazing job.

you said it 👏 budget was holding him back, and that's the only reason why people go to another country to spend half the price

Had teeth pulled out as kid in foster care endured caps, dentures and bullying now im mid 30s and want this fixed but so expensive

So..let me get this straight - . its better to spend thousands of dollars getting crowns and bridges when someone is in their 40', then after those fail.. spend thousands of more dollars getting implants when your in 60's and 70's... which is at an age that takes longer for your body to heal and for bone to grow? I'm sorry if I seem skeptical. Wouldn't it be better to get implant treatment when you are still younger, and bonding with the implant would result in a higher rate of success? Especially for women, who are notorious for bone loss in menopause?

Can you do a program where you visit developing countrys like JAMAICA for a few weeks a year where you give a couple of procedures and talks ....i have a really bad situation and as someone who has worked there entire corear in the JAMAICAN hotel industry, where the smile is important is important, i had to switch my profession at 50..and would pay for the rest of my life to have a 4 on one..HELP I ONLY HAVE 3 UPPER JAW LEFT....there's more...but ...HELP👍🏿😊

Then in 10 or 15 years you are paying again so why try to save something not worth saving?

I wish you were nearby!

My teeth are wiggly after braces, I'm 16 and I got them a week ago. And I don't want to lose a teeth with braces in

Dr. Gurs you didn't really talk about pain tho, I noticed throughout this whole thing you dont talk about pain management. Even if you do a root canal therapy on every single tooth there, there can still be some pain and this is why the implant option is really looking great now in a lot of peoples opinion, They dont have to worry about pain in the future of a tooth going bad, and so its less pain and less worry and such. I have had a lot of root canal therapy and fillings on my teeth and now suffer from sensitivity in those teeth that is sometimes unbearable, so what I would suggest is that if you're susceptible to pain and having such pain all the time, you should consider other avenues.

Thank you!

4 or 5 other dentists? Just shoot me now.

What are Basal Dental Implants, how can a crown be fitted to them within five days. Would they be a good option for three missing upper front teeth. Do you place Basal implants. Thank you James

For the record, teeth removal is also the CHEAPEST route (yes, even vs fillings from the dentists I've gone too). That's where I got tripped up. When I was younger I had 3 teeth that required root canals. I had no insurance and a poverty level job. So what did you think I went with??? Yeah. That's the state of dental care. I have a sob story of when I was younger, blah blah blah, but the fact of the matter is, there is almost zero incentive to want to take care of teeth in the long run, especially when you could go to 4 different dentists and receive 4 different treatment plans. All costing upwards of tens of thousands of dollars. Basically to restore my teeth at the end, would've been a cool 30 grand. OR. For an additional 10, just get em all pulled and start over. Ultimately dental work has absolutely nothing to do with dental advice because 1. It's inconsistent as all get out and 2. At the end of the day, it's all about cost effectiveness and not what's best for your mouth since we live in a country that hasn't improved dental insurance in over 60 years. And the costs are outrageous. On a side note, had I taken the restoration route at 30k with insurance only covering 2k a year, it would've taken 15 years to completely restore my mouth. Additionally, there's a TON of scam artist dentists out there who will do things like try to restore unrestorable teeth which makes the tooth fail again which requires you to go back and pay MORE for an operation you never should have had in the first place. To be honest, I really don't care if my teeth were ACTUALLY restorable in today's climate. I'm much, much happier with all on 4s

I wish you were in Fl.

My dentist remove all my upper teeth last year, watching this video I realise it was a bad idea my teeth where no where as near as bad as any of those photos, I'm looking to get implants based in the UK where would you recommend me to go I'm willing to travel also what is the average price, I would really like your insight on this!

Their own Financial gain. Thank you.

I'm heading to Turkey for All on Four on both gums and having all my remaining teeth removed. Here in the UK the dentist will charge £24,000 and in Turkey it will cost close to £9,000 which includes hotel room, flights and all pickups. To me its a no brainer. I will also take out an insurance policy which will cover the dental work just in case.

PLEASE I NEED YOU.TO LET ME KNOW CAN I USE COCONUT OIL TO BRUSH MY TEETH. MY DOGS LOVE IT AND THERE TEETH R SO WHITE. TY

All on 4 is around $52,000 in Australia for top and bottom

it seems you want him to come back later when they worsen underneath and and then you can give him implant all on 4. you are dragging out the process and it will cost more in the long run and you call yourself a good honest dentist. its sad really

I have had 4 regular implants originally 5 but 1 had to come out since before I served in the military in 2008. These things have not been to positive to say the least. Every 6 months adjustments have to be made for comfort. It’s really uncomfortable with just that 1 for an entire upper denture. Also there is 1 in the back on the left which is where I chew most of the time snd nothing on the back right. They have offered to insert another one on the back right but I have been extremely fearful due to the nerve and what the side effects of hitting that nerve are. I’m curious if I did have that vital other implant on the back right could these then be used for the all on 4 for a bottom denture? Also if that nerve is aggitated or affected would it not heal over time or have you seen permanent nerve damage from this? I really wish to god I had someone like uou in the states that I could talk to. The VA sends me to the lowest bidder which is not reassuring and I’m now in a blessed state financially where I could do something like this now. Mind you I’ve been dealing with this life altering experiance since 2008 I’ve had full upper and lower denture. God I tell people all the time even if your teeth are in bad shape do anything to keep your real teeth NOMATTER what. As bad as mine were from dealing with cancer as a child I wish I would have gotten root canals on them all and capped them all rather than goin the impact route. But now I’m here and have been and I have no choice. Maybe there is a decent implant doctor you can refer me to in the states? I’m willing to travel and actually have a RV so I can go anywhere plus I’m retired military so that allows me to go anywhere also. Thank you so much for what you do

Dear Dr, my name is Trisha Le and I am a genral dentist who has been doing Full arch implant reconstruction for years. My comment on this issue is (even I do agree with you that there are dentists who treatment plan too agressively for full arch teeth replacement) is that some cases can be savable through restorative dentistry. But patients get there for a reason. For patients who hve advanced problem with decay, put their money towatd RCT, crowns bridges may get them back in 2,3 with gross decay again. Something to consider. And sometimes 2 3unit bridges on implants will cost almost a whole mouth???!!! We still have to work based on case to case basis

Does anyone know, if a All-on-4 is reversible, where you can go back to wearing a Partial???

What you're saying is that some dentists only have a hammer in their toolbox so to them every problem can only be fixed with a nail.

Interesting video, really need all the help i can get at moment, as i will be having implants this year, in the next few months, i am already corresponding with one dental practice at present! Not sure i agree with this video, as he mentioned dentists are just trying to make money by taking all your teeth out and doing the all on 4 treatment, so my situation is i have 7 apparently ok teeth on the bottom, and 6 on top and 4 got to be removed,found this out by local dentist today. This is a private dentist i went with today, as my national health one wouldn't fit me in, and i needed an appointment asap, i have an abscess, ended up paying £73 for some antibiotics basically, and a treatment plan, that is apparently going to cost me just over £1000 for 2 fillings and to take 4 teeth out, seriously? get me all ready for if i want implants, so first off right there all that is a total waste of money,and a rip off as obviously the place that i choose to do my implants can take those teeth out. i'm not stupid, he has even added a hygienist appointment to the list of crap at £70, really? with the state of my teeth! The point i am trying to make, in a long winded way, is i think dentists like to draw out the work sometimes, more appointments then needed, and defiantly unnecessary work, so i have to strongly disagree with Dr Gurs Also going on from this where i am talking to about my implants, they have said they want to put in individual ones and won't take out my bottom teeth, as it is against the law, i desperately want all on 4, iv'e been through hell with my teeth, pain and suffering for years, no confidence, i want a bright white Hollywood smile that people notice, never had that, i deserve it i think, how the hell do they intend to match up my very off white verging on yellow failing teeth, they can't without using more expensive veneers, and i am not paying thousands of pounds for a yellowish smile, who the hell would, this is heartbreaking to me, and i don't see how Dr Gurs argument holds up here really, please inform me how i am wrong!

I've decided to just keep the 8 teeth I have left and continue to not smile and become more reclusive. On the bright side. I will save money.

My teeth aren't close to being that bad and I thought I needed all on 4

Good vid

"he can spend his savings now and always pay his full savings again in 10 or 20 years" dude you are INSANE. listen pal. a lot of us aren't paid like you and have families. we don't want to spend our whole life trying to save up for your treatments.

I dont know what to do they were perfect and after 35 yerars started to decay one by one here dentist just pull them out dont fix much ,no x rey i am so sad i dont eat 😢

Dentists make so much money on making one tooth last a little bit longer knowing it’s going to fail soon

Think about what we had to go through 55 years ago!! It was done for me!! 🤨

Dentists are so out of touch as to what this actually costs people; time, money, pain, self-confidence. How many of your patients with these long term plans actually complete the whole plan? Why would people spend $10k if they can spend 50% more and have a permanent solution now that eliminates pain, inconvenience, the additional financial burden in the future? If someone in their 30-40s needs dental treatment and they'll have to eventually have implants there is no need to go through dozens for dental appointments and spend $5-10k a year to save teeth that will eventually be removed anyway.

It’s only a bad idea if you don’t have an extra 50K laying around. I have all on 4 Zirconias. LOVE EM

My teeth are in rough shape due to a combination of genetics, eating sugary foods, and not going to see a dentist/hygenist nearly enough. I'm 44 I live in NYC and now my teeth are getting worse & worse. I am in photo/video production. This often puts me in front of big money clients. I don't smile anymore without covering my face. I enjoy laughing.. but I cover my face. I don't fear the dentist but the costs here in the US are abhorrent & steep compared to the rest of the world. So, I just want the same quality care without shelling out enough money to buy a new car. I had been told that most all of my top teeth will have to be removed. And the options I'm ok with if that is the case we're implants or the All on 4 overdenture or permanent implants. Which I was quoted between $25000 - $60000 depending on certain procedures & options. Costs in the $10k plus range years ago is what kept me from doing things sooner and my teeth continue to decline. So now I'm extremely depressed and have heard about Medical tourism. Your video is one of the videos I found on my search so here is my comment. I'm not sure where you are located but any feedback would be helpful. I recently had all of my teeth CT scanned in the full head machine March 22, 2022. Of course I'd be open to other options if possible. Thank You.

The problem with your theory is that doing the piece mill treatment can cost much more over time that just having the one time treatment that deals with a lot of the long term problems that people will have with their natural teeth. For instance, I went to a cosmetic dentist to get a plan started. They did a deep cleaning, all the imaging and x rays, did a root canal on one of my upper teeth and extracted all four of my lower back molars. Those teeth were rotting and in bad shape. Then came the bone graphs on both lower sides in the back. By that time, the bill was already 10K and I could see that getting the back lower implants put in was at least going to be another 10K, maybe more. That would mean that I would have spent 20K and none of the teeth that are visible, when I smile would have even been worked on or touched. At that point, I got cold feet when they would not give me a price for the overall plan to do my whole mouth. So, I left, having spend 10K and I still had no teeth on both sides of my back lower jaw. I know another person who got four implants put on one side of his upper gums and it was 22K. He still has teeth missing on the other side of his mouth but cannot continue because of the expense. So there that.

In other words veneers first and once theyve finished all on 4s