I am 33 and my teeth have been failing for as long as I can recall. My top are either rotten, broken, or need extensive work and crowns. I asked my dentist if she would refer me to a periodontist. She refused and said it was ridiculous to even consider this at my age and I should be very worried about the procedure failing. She told me no respectable doctor would extract my top teeth and do all on 4. I’m too young to have these terrible teeth! But am I too young for all on 4?
January 24, 2023
Answer: Am I too young for 'All-on-4'? I agree with your dentist. Most patients don't realize all-on-4 is a very aggressive procedure. In addition to removing all teeth, a significant amount of bone needs to be removed and shaped prior to placing implants. Although most cases are successful in skilled doctors hands, there are plenty of cases that fail. When all-on cases fail, it's a disaster to redo the procedures. Some patients can be left crippled for the rest of their lives. I'm not trying to talk you out of the procedure, but I would encourage you to see if you can save as many teeth as possible and maybe consider placing implants simply where you are missing teeth. Another important fact about all-on restorations is that, homecare is very critical and it is more challenging to keep them clean on a daily basis, especially if the restoration is not properly design. This can lead to gum disease around implants and failure of the the entire restoration.
Helpful 1 person found this helpful
January 24, 2023
Answer: Am I too young for 'All-on-4'? I agree with your dentist. Most patients don't realize all-on-4 is a very aggressive procedure. In addition to removing all teeth, a significant amount of bone needs to be removed and shaped prior to placing implants. Although most cases are successful in skilled doctors hands, there are plenty of cases that fail. When all-on cases fail, it's a disaster to redo the procedures. Some patients can be left crippled for the rest of their lives. I'm not trying to talk you out of the procedure, but I would encourage you to see if you can save as many teeth as possible and maybe consider placing implants simply where you are missing teeth. Another important fact about all-on restorations is that, homecare is very critical and it is more challenging to keep them clean on a daily basis, especially if the restoration is not properly design. This can lead to gum disease around implants and failure of the the entire restoration.
Helpful 1 person found this helpful
December 6, 2022
Answer: Treatment Options Hello!At the age of 33, your skeletal structure had already completed growth and all your teeth are/should be erupted. First off, you need to understand the etiology behind losing your teeth in order to prevent further teeth and bone loss in the lower jaw. The prognosis of the top teeth needs to be better evaluated with a 3 dimensional CT scan, we call it CBCT, to evaluate the amount of bone remaining around each tooth.In general, placing implants at your age provides a better result long term; your bone quality is optimal for implants, your roots are less likely to be ankylosed to the bone, and the healing process proceeds at a much faster rate. That does not mean you cannot get implants in the future, you just need to keep in mind that several medical conditions associated with aging, such as hypertension and diabetes could delay the healing and the implant integration process.Studying your options is the first step, you typically want to think of a long term solution that is sustainable and easy to maintain.Book for a consultation with a Prosthodontist and get their professional opinion.Hope that was helpful!
Helpful
December 6, 2022
Answer: Treatment Options Hello!At the age of 33, your skeletal structure had already completed growth and all your teeth are/should be erupted. First off, you need to understand the etiology behind losing your teeth in order to prevent further teeth and bone loss in the lower jaw. The prognosis of the top teeth needs to be better evaluated with a 3 dimensional CT scan, we call it CBCT, to evaluate the amount of bone remaining around each tooth.In general, placing implants at your age provides a better result long term; your bone quality is optimal for implants, your roots are less likely to be ankylosed to the bone, and the healing process proceeds at a much faster rate. That does not mean you cannot get implants in the future, you just need to keep in mind that several medical conditions associated with aging, such as hypertension and diabetes could delay the healing and the implant integration process.Studying your options is the first step, you typically want to think of a long term solution that is sustainable and easy to maintain.Book for a consultation with a Prosthodontist and get their professional opinion.Hope that was helpful!
Helpful