SEDA Dental – Everything Dental Implants

SEDA Dental – Everything Dental Implants


– Welcome back to “SEDA Dental Smiles.” Today we’re gonna be talking about dental
implants. What is a dental implant, what is an All On
Four case, what we can do with dental implants today. You’re not gonna wanna miss this show. Today I’d like to introduce our guest, Dr.
Omar Abdo, welcome to the show. – Thank you. – Dr. Abdo, tell us where you went to school. – Went to school at the University of Illinois
at Chicago, graduated from the Prosthodontic Program in 1998, and have been a board-certified
prosthodontist now since 2003. – So tell me, what is a prosthodontist? – [Omar] Our specialty involves restoration
and replacement of missing teeth, damaged teeth due to periodontal disease, or decay. We also specialize in restoring and treatment
planning, dental implants. – Technology is continually changing. – [Omar] Absolutely. – Okay, so we’ve seen what works and more
importantly, what does not work. – Absolutely, and I’ve seen seismic shifts
developing in dentistry. And it’s, as I joke with my patients, and
it’s a good time to be a dental patient. – [Kenneth] So what is a dental implant? – A dental implant is, in simple terms, a
replacement for the natural tooth root that is inside the bone. When a tooth has decayed, or has periodontal
disease, or fractured, and so the root is extracted and then the implant is inserted
in the bone to allow us, in the future, to put a crown, or sometimes a bridge, to replace
the missing tooth. Dental implants are made out of high-grade
titanium. All our implants are made in the United States. We only use implants that have enough research
and scientific backing that we know they’re gonna work longterm for the patient. – How long does a dental implant last? – [Omar] If it’s done right, and it was designed
and treatment done correctly, it’s a lifetime prosthesis. – [Kenneth] So we need to do a dental implant. – We have to extract a tooth. – [Kenneth] You did great, tooth’s out. – Now we have a choice here for the patient. Do we prepare the adjacent teeth that, in
most cases, are perfectly healthy and grind them down to place a traditional bridge, which
is something I don’t recommend for most patients nowadays, or do we use a dental implant and
keep those two healthy teeth intact? – What are the disadvantages of this? – The disadvantages to this is number one,
in my opinion, we’re grinding down perfectly healthy enamel and dentin off of natural teeth. That we cannot replace, and that could invite
root canals to the abutment teeth or the teeth that hold the bridge. The average survival rate of a fixed bridge
like this without any further complication, doesn’t exceed 12 to 15 years. However, with implants now, we have 40-plus
years of success. So the way we would do that is when we extract
the tooth, my preferred protocol is to place the implant immediately after that. Several advantages to that is the healing
process is faster, the socket where the root was is already primed with healing factors
and hormones that lead to better integration and faster integration or adhesion of the
implant to the bone. Secondly, you don’t need a second surgery. It’s the same day we pull the tooth, place
the implant at the same time, and it cuts about three months off of the healing process. So we can get to the final result, which involves
the insertion of either a custom abutment, what is an abutment? It’s this piece that connects the root-shaped
screw inside the bone to whatever we’re gonna restore on top of that. We simply put a crown on top of that. Sometimes it’s screwed in as a whole unit. In this case we have perfectly intact tooth
on each side. After we replace the tooth, now we can floss
in between, it’s low maintenance, it acts and functions as if it’s their own tooth. – If a tooth is removed, is it important to
replace that tooth? – Absolutely. Placing the implant at the time of an extraction
is the best way to preserve that bone and that gum tissue, where waiting on healing
without an implant can result in a big gap in the bone and the gum that is very difficult
to restore back to something that’s cosmetically pleasing and looks natural. So the advice that I give to all my patients,
at a minimum, if they cannot afford to place an implant on the day extraction, is to add
bone graft to that site. – So this is the most recent X-ray of where
you are. You have all the bone graft that we’ve placed,
took. – It that allows that site to heal and not
collapse, and it gives the patient a window of a few years where they can actually place
an implant in the future. – So now we’re ready for the second step,
which is basically replacing the foundation, placing those implants, and getting us ready
for the next step, which is teeth, and then giving you those teeth for a lifetime. Let’s just go through the steps on what happens
in the chair. – If it’s a single tooth, we’ll start with
that, my preferred protocol is to remove the tooth and place the implant the same day. There are occasions where the patients will
be good candidates to have that done actually on their first visit, there are some cases
where the patient might have medical issues, or other things that we have to consider,
we might schedule that surgical extraction for a later date. On that first visit, treatment planning and
the ultimate result is all clarified and discussed, and the patient is informed of all his or
her options, and then we proceed to the placement of the implant after extracting the tooth. – Raquel wanted to have her teeth straightened,
so she was gonna get braces. We knew she had a fractured tooth, so we extracted
the tooth and we’re at a point now where the teeth are exactly where they’re supposed to
be, and we can go ahead and place that implant in a position where it’s gonna last you for
the rest of your life. – I didn’t even know I can get an implant
while I have my braces on. – Yeah, usually we’ll bring them back for
one post-operative visit a week later to check on healing, make sure everything’s okay, then
we bring them back at the six-week mark, and that’s a critical time. We find that implants will integrate and stabilize
at the six-week mark. – That is a perfect X-ray, and it’s exactly
what I wanted it to be, can’t look any better. This is gonna last year for the rest of your
life. – This is the end. I’m so happy this is my last appointment,
I get my real tooth put in. Welcome back, are you excited or what? – Yeah. – It’s Toothday. – Yeah. – Cool, so let’s– – Can’t wait. – Exactly. So we took a temporary op and now we’re gonna
go ahead and fit the crown, and see how that looks. The guy who did this is a genius. How does that feel? – I feel fine. – Good. Are you happy? – Yeah! – Okay, is it better than you thought or worse
than you thought it was gonna be? – Oh, it’s much better. I feel like I have fresh tooth, like when
they first come in, I love it. – You have to answer one question, because
this is the question that every single patient asks, does it hurt? – I’ve never had an implant before. I’m a little bit nervous ’bout it. – Going to the dentist, I get scared when
I pull up in the parking lot. – For this kind of procedure, this approach,
most of the time it’s a little sore spot on the gum where the Novocain was injected, and
most of the time, they do not even take their pain medication afterwards. – I came in, I was a little bit nervous, I
thought it’s gonna hurt, it didn’t hurt at all, and he was fast. – Way easier than I expected. You keep waiting for some kind of pain ’cause
you know there’s gotta be pain, there was no pain, there was nothing. Kind of amazed at how fast and easy it was. – Key to this, why? Because we are not cutting any of the gum
tissue, we’re simply removing your tooth without breaking any bone or cutting the gum. So the same hole that is already open now
is gonna be where the implant goes. So there’s no additional surgery, rarely I’ll
ever use a blade to do this, or rarely we ever use even a suture. – To me, this is a routine procedure at this
point. – [Omar] The insertion of the implant itself
actually takes literally two minutes. – [Kenneth] It’s a very quick procedure. – [Omar] I spend more time removing the root
because that’s the key to the success of this process. – [Kenneth] Right, that’s the most technique-sensitive
part– – Exactly, minimal trauma to the gum and the
surrounding bone is key to make this work. – So that’s how we do a single-tooth implant
where if a single tooth is extracted or removed, the adjacent teeth were healthy, we replace
just that one tooth with a single implant, straightforward, simple, easy. – [Announcer] Seda Dental is offering free
second opinions. Have you been presented with a treatment plan
for dental work that you’re just not sure about? Whether it’s All On Fours, dental implants,
crowns, bridges, we can help. Come see why the experts at Seda Dental are
the most trusted dentists in Florida. Call us now to schedule your free consultation
at 877-987-4321, or visit us at floridateeth.com to find out more. Seda smile, Seda difference, Seda Dental. – What happens if that person is missing a
single tooth but we see that same patient, that their adjacent teeth are also not healthy,
whether it’s decay, gum disease, fracture? So now we’re looking at an area of three teeth
that needs to be replaced, what are our options? – If the teeth are present, I would extract
the two teeth, place an implant in the socket of the extraction site and then replace this
bridge with an implant-supported three-unit bridge as if nothing happened. It does two things for us, it actually reduces
the cost and reduces the chances of having additional surgery on the third site, and
cuts the healing time by about three months. And the replacement bridge is very predictable,
very solid. I use a protocol of usually screwing these
in in a retrievable way so that, let’s say in the future, something happens, we can always
retrieve that bridge, fix it and put it back in. However, with the current materials that we
have, especially designed bridges, this material is unbreakable. So we actually guarantee that it’s gonna survive
the lifetime of the patient. – We’re simplifying a technique, and we’re
making it more affordable to the patient, which is really important. – Correct, cutting the cost and reducing the,
what we call treatment time. – Let’s talk about another scenario. When somebody comes into our office with a
partial denture or a prosthesis, some people call ’em a flipper, it’s a prosthetic piece
that comes in and out of your mouth, that replaces multiple teeth. – So Zeke’s got a host of dental problems. He’s got some missing teeth, broken teeth. – I wear a flipper, which is very annoying
when you go out to dinner and you can’t eat, and I wanna take it out, and it’s embarrassing
sitting at a restaurant pulling your tooth out. – By wearing this removable denture, it made
his life difficult in terms of eating, talking, so it’s something that he wasn’t happy with,
he wanted something that was more permanent. So we’re looking at your front tooth, we could
replace it with the implant, which is something that’s more permanent. – I’ve never had an implant, I don’t know
what I’m in for, Yes, I am very nervous right now, but I think the outcome is gonna be worth
it. – Excited? – Real excited. – All right. – [Zeke] I’m allergic to pain, I didn’t tell
you that part. – We’re gonna try and do it where it doesn’t
hurt. How’s that? First we’re gonna put some little topical
stuff just kinda numbs it up. We got him calmed down and comfortable, and
we took out what was left of that tooth. Wanna get it out without destroying the bone
around it. We’re just gonna suction it right out. Perfect. We took it out, cleaned it out, and we were
able to place the implant immediately. This implant’s a little bit smaller at the
neck region. The reason being is this tooth is gonna be
a smaller tooth, so we have to make sure we get the right size. Now I can put the rest of the implant in by
hand, which gives me more control. It was maybe 10 to 15 minutes from start to
finish, in terms of getting his tooth out, putting the implant in, and getting him on
his way home. All right, so the girls got the final X-ray
on their implant, right, things are looking good as you can see where the implant is,
we’re not near the sinus, so we’re in pretty much perfect shape in terms of where it should
be. So I get lucky every now and then. How’s it going, Zeke? – Doctor Wang. – Any issues? – No issues. – Good, good. So we’re gonna take the impressions and once
it sets, it will have the impression of what your mouth looks like and then we’ll be able
to make the crown off of that. We’ll start to put the other components on
top of the implant so that you can have a tooth on top, the actual tooth, the crown. We now have something that the crown has a
hole in there, and we just kinda cement it on, just like a normal crown would be done. So just let it cement and we’ll call it a
day. So now you’ll be ready for some steak dinners. – All right! – So we have the ability to take away that
framework and to replace it with something permanent. – And fixed. – And fixed so they do not need to wear anything
removable in the mouth. – No adhesive, no glue, you don’t have to
remove it and clean it, it functions, and looks, and behaves in the mouth as if it’s
your own teeth. – That’s great. – Now, three years, I’ve had a flipper, now
I got a real tooth, and it feels good, I can’t wait to eat a steak. I’m very happy, very happy. – A scenario where someone’s missing all of
their teeth, are there any things that we can do so we can get rid of that full upper
clumsy denture? Hand them over, baby. – Hand them over! There you go. – Great transitional thing to get us to where
we are, right, but this palate, it’s outta here. – So typically the patient will walk in complaining
about a denture that kind of looks like this, especially on the lower, in most cases where
the tongue is interfering with the stability of the denture and knocking it out of the
way. There’s a simple solution for that, if we
wanna go the economic route, is we add two implants, sometimes three, and attach that
denture in what we call a clip-on or snap-on denture to those implants and it makes that
click, and now it becomes more attached to the implants, it doesn’t bounce around, the
tongue cannot knock it out. So this is the most economic way of solving
problems with lower dentures that are sore, painful, unstable, cannot chew with them,
“They keep jumping out of my mouth,” that’s usually the typical complaint of the patients. On upper dentures, usually the complaint is
the palate, this palate part that covers the the patient’s palate precludes them and prevents
them from enjoying the texture of the food, the temperature and the taste. “It’s wobbly, it drops out when I smile or
laugh, “it’s not stable, I can’t chew my food, “I have to use a lot of the glue inside it
“to keep it in place, it smells bad, it causes an odor, “it’s yellow, it discolors, a lot
of complaints.” – When Kathy came into our office, she had
so much gum disease that all the teeth were shifting at an alarming rate. In Kathy’s case, we placed four implants. It allowed us to take her full upper denture. Okay, so what I’m gonna do now is I’m gonna
remove the old denture, and I’m gonna snap ’em in, and you’re gonna let me know how you
look and how you like ’em. Is that fair? – Yep. – And we were able to put the implants in,
spread them apart, and allowed us to put a horseshoe denture in place, that snaps in
and out, and she’s able to, A, feel more comfortable ’cause it snaps in and out, and B, she’s able
to taste food ’cause it has no palate. Open Jim. We’re gonna remove these guys. – Bye bye. Their job is done, their show is over. – Adios. Snap in. Bite down a little bit. Bite is perfect. Tell me what you think. – Oh, wow, wow. They’re beautiful. Now I’m excited to go show ’em off. – So again, someone’s missing all their teeth. – Correct. – They have dentures, and we have the ability
on the lower to place two to four implants, which allows us to stabilize the denture– – And make it into a snap-on. – And retain it, and it allows it to function
more comfortably. And the same thing on the palate, if we’re
doing those implants, theoretically we could take away that portion of the palate so we
can start to taste food again. – Correct. – [Tom] I neglected my teeth more than I should
have. I was missing so many teeth, I didn’t smile,
or I didn’t go out of my way to interact with people. I do lawn maintenance for a living. Even with customers I didn’t smile because
you don’t feel confident, you really shy away from even your friends just because you feel
inadequate. Once I decided to invest in my smile, I chose
Seda Dental. – [Announcer] With a Seda Dental team of specialists
working together in the same facility, Tom was able to receive his new smile in just
one day. It has never been easier for people in South
Florida who have missing, broken, or failing teeth, to receive their new teeth in a day. – [Tom] Since I’ve gotten the new teeth, my
customers, my friends, they all notice, they all say, “Oh wow, you got such a nice smile. “You look so happy.” – [Announcer] Schedule your free consultation
at Seda Dental today and ask us about financing options. – [Tom] Having a smile from Seda Dental really,
really changed my life. – [Announcer] Call Seda Dental today. – Let’s talk about someone is missing all
their upper teeth or their lower teeth, or maybe both, upper and lower. What type of procedures can we do to help
that particular patient? – We make sure that the patient is a good
candidate for this procedure, first. – Who’s the candidate for that? – A large number of patients do not know that
they’re candidates for that, including patients that have dentures, upper or lower, or a combination
of dentures and partials, patients that have lost multiple teeth, and they’re only left
with four or five teeth in each jaw bone, patients that have medical issues that could
get complicated by infected teeth, patients that have advanced gum disease, or that the
gum disease is so advanced at this point that their teeth are becoming unsightly, unhealthy,
ridden with infections and abscesses, this is a great option for them. There are patients that are actually sent
by their physicians to remove all their teeth because they’re either undergoing cancer treatment,
radiation therapy, or sometimes hip bone or joint replacement that could be negatively
affected by the presence of infected teeth. So, in eliminating the presence of infected
roots and potential decay on dentin and enamel of the teeth. – There are other names for an All On Four,
teeth in a day, teeth express, we call it the One day SEDA Smile, they all have the
same thing in mind, where you don’t have your teeth and replacing the dentition with four
to six implants and a fixed prosthesis. – This protocol allows us to solve complex
dental problems for our patients, most of the time in one day, and give them a permanent
solution where they do not have to worry about investing more money over the years into their
teeth again. It’s a one-time investment but it’s a lifetime
of investment. – That’s a lifetime change. – And a lifetime change. – Oh my God, look how nice daddy looks. – You see daddy’s teeth. And you gotta be the greatest dentist in the
world. I feel like a different person, I feel great,
I feel awesome. – It’s a treatment approach and treatment
protocol that is available for the masses. We advise our patients to select and interview
their providers, their doctors, and choose the right set of skills and the appropriate
amount of training and experience in this protocol and this procedure because it’s a
unique procedure that’s been around for about 20 years now. We’re very unique here in Seda that we have
the restorative and the surgical aspect of this covered by board-certified specialists
that can perform procedures from start to finish, stand behind the work, and where you
don’t have to have to go to multiple locations to get this one procedure done. One of the questions that our patients pose
to us is, while you say this is a one-day procedure or teeth-in-a-day, how does this
work? In most cases, it requires two visits prior
to that one big day where we deliver the implants. During those visits, usually we take photos,
records, impressions of the existing condition in their mouth, whether it’s teeth or dentures,
and then we start treatment planning, and ordering parts and components from the lab
and the implant companies that we have custom-made to fit that specific patient. Once we go through what we call the workup
of the case, the big day is that one day, lock in the schedule, where we give our patients
full attention so that it’s done correctly, in the right amount of time to reduce discomfort
and anxiety of the patient. It varies from case to case, some patients
will have dentures, so we can use those to convert them to the fixed bridge, or make
a new set to convert to a new bridge, and some patients have multiple teeth missing,
most of their teeth missing regarding of the case, it’s using the same protocol. All the teeth are removed and then the implants
are placed, at the same time, through those existing sockets that are already open now
to receive the implant. At the end of the day, the patient will walk
out with a fixed bridge that is attached permanently, but they can function immediately that day,
they can chew the next day, or the same day of implant placement. – With the dentures, you’re always a little
worried about them falling out, they’d slip on you, and stuff, but now these feel so great. They’re in there tight, and I feel I can chew
glass. – For the right candidate, we can actually
remove the teeth, place the implants and give the patient a fixed permanent bridge that
is not removable, with no palate coverage on the upper by 5:00pm that day. So they go home with a brand new beautiful
smile. – Age is definitely not a factor when you’re
considering doing this All On Four procedure. For example, we have 75-year-old patient Muna. – I have to have implants because the two
bridges that I have, the big one at the left, it’s broken. – My recommendation was you need to take these
teeth out ’cause there’s no other choice. Otherwise it’s gonna cause pain and infection. – She’d nine teeth extracted in one visit. – [Muna] I trust that he will do the best. – There’s definitely longterm benefit with
doing the implants now than later. – He placed implants and gave her full set
of teeth. She was smiling at 5:00pm that same day. – We’re all set. – I didn’t feel discomfort at all. New teeth. – Who should you choose to do your All On
Four procedure? – An ideal combination you would need someone,
or maybe a team of two that have combination of skills in the surgical aspect of the procedure
and the restorative, or the prosthetic aspect of it. I would emphasize here, seek a specialist
that went through a formal training program and fully understands the intricacies of this
protocol and this approach. – There’re patients who come to us with, who’ve
seen dentist, upon dentist, upon dentist, and they’re just constantly being treated,
and they’re spending a lot of time in the chair not getting the treatment that they
need to have done. – That’s a great point. Some of the patients’ concerns when they present
is, “Do I have to see more than one doctor for this, “and do I have to go somewhere else?” And you’re seeing two or three doctors for
the same procedure at different locations, the cost goes up. Ideally, like what we have in Seda Dental,
we’re all under one roof, we can work as a team under the same umbrella. – By bringing all these specialists, whether
it’s a general dentist, periodontist, prosthodontist, oral surgeon, under one roof, brings in a
level of care that is much better for the patient by allowing them to stay in one place. History has shown us implants work. – Absolutely. – Now, we’re at a point where we can do things
faster, and do things better. – And immediate function, that’s the key to
this. One of the biggest concerns of denture patients,
or patients that are about to lose all, or most of their teeth is like, “What am I gonna
do when I lose my teeth? That’s a big threshold for everybody then,
that crosses into the world of implant dentistry. With this protocol, the patient is not without
teeth at all. – Well, thanks for joining us today. Thanks again to our awesome guest, Dr Abdo,
thanks for joining us. – It was a pleasure. – We hopefully explained what a dental implant
is, indications for dental implant, how to use a dental implant, whether it’s partial
dentures, replacing a single tooth, replacing multiple teeth, or even getting the All On
Four technique. At Seda Dental, we are always glad to offer
you a free second opinion, free exam and X-ray, so please feel free to explore our website
or give us a call, we’re all about giving you the information you need to make an educated
decision on how to move forward and get that dental health that you really deserve. Until next time, Seda the smile, Seda difference,
Seda Dental. – [Announcer] Frustrated with loose and missing
teeth, but you can’t stand the idea of having dentures, or perhaps you already have ill-fitting
dentures and wanna have fixed teeth that look and feel like your own again. Then the One day SEDA Smile may be right for
you. With the latest dental implant technology,
Seda Dental can replace your missing or lose teeth with fixed non-removable teeth all in
the same day as you receive your implants. – Place the implants in such a manner that
they are able to house and hold full complement of teeth in one day. – [Announcer] We are offering free consultations
and exams at all of our convenient South Florida locations. To see if you’re a candidate for the One day
SEDA Smile, call 877-987-4321, or go to floridateeth.com to see if dental implants are right for you. And don’t forget to ask about our affordable
financing and custom payment plans. Seda smile, Seda difference, Seda Dental. ♪ That sweet smile ♪

Author: Kevin Mason

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