Dentures vs Over-Denture (aka Snap In Denture) vs All-on-4 Dental Implants

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What are the differences? Why do the all-on-4 dental implants have so many options, and how are they different? What’s the best option for me?

If you’ve asked yourself these questions, this video clearly explains the differences and benefits between all of these devices. If you still have questions, then you may need a consultation! These consultations are free and include a free 3D CT Scan. Give us a call at # to book you free consultation today!

Script of video below.

Hi, I’m Dr. Hendriks. Thank you so much for being here with me today. We take an immense amount of time trying to help patients understand why one device might be better for them, why one device might be more expensive, and why some devices just aren’t good options. I’m going to try to go through each one of them and why one device might be better.

Starting off here, if we compare to a bicycle or a denture, a denture is something that is very, very popular in United States. Well, let me tell you why a denture may not be your best solution. A denture completely blocks the inside of the roof of the mouth. The biggest problem with that is that you’re not going to be able to taste the food that you want. It literally is blocking all the taste buds, not all of them, but a majority of them so that most people feel like they just can’t get any enjoyment out of food.

The second thing is that it is really bulky and it has to go into all the corners of your mouth, and so it really can be uncomfortable. For some patients, this makes the whole profile change too. The other reason why I don’t like dentures, to keep the denture fitting well, you have to realign it often, meaning that you have to add material into it. The second that you take your teeth out, you start to lose bone. You never stop losing bone unless you have a healthy tooth or a healthy implant.

When I was doing dentures, they did look beautiful, but the problem is patients would come back and be really frustrated they had to pay for realigns, and the denture was always rocking and moving on them. They couldn’t taste their food. When you go into a denture, you lose two thirds of the menu that you can eat, meaning that you’re only able to generate 30% of the bite that you could generate when you had natural teeth.

The one time I think a denture would be appropriate would be if you don’t have any teeth, all your teeth have been extracted, you don’t have the finances to be able to afford implants at that time. Then if that’s all that you can do, then a denture is better than nothing, but don’t go on a denture just because you want it to look better, because the rest of your life you’re going to struggle with your face falling in. You know, you’ve seen this, right? We’ve all seen it. The person that takes out the denture, and literally their face caves in and they don’t look like the same person. So, don’t let a doctor convince you that a denture is the best option unless you truly have exhausted every resource possible.

Okay, now let’s move on to the next one. An overdenture basically has at least two but oftentimes four implants that are connecting it so that when you put it in, it kind of snaps in like buttons on a shirt, like this. It helps keep it in when you’re talking. As you start to chew and eat, though, oftentimes a denture will dislodge because the reality is that underneath here you see these little black rings. So, when that goes in and out, in and out, what happens is that it’s going to move and it’s going to wear.

So, the biggest reason I don’t like this device is patients typically complain that they’re so frustrated that it costs so much to maintain it. It could be upward of $400 to $500 every time you come in on top of a cleaning fee, on top of a realign fee. This is like a printer, in a sense. You can buy it cheaper than everything else, but it’s the ink that costs you the money. The ink is basically the realigns. It’s these inserts. I would say well over 60% of my patients have upgraded into a different type of device because of these maintenance costs.

So, overdenture is still better than a regular denture, but if you’re going to spend this type of money, then I think it’s best to talk about All-on-4 bridges. The concept is basically putting four implants in the right position and supporting one continuous bridge. So, there’s really two different options. You have a titanium bridge that has acrylic around the titanium bar, and then you have denture teeth that go on top of it. Okay, that’s option one. Here’s an example of just the bar that’s inside there, okay? Option two is what we call a zirconia device. A zirconia device, unlike this one, is built completely all in one piece, okay? So, you don’t have three pieces. You don’t have titanium, acrylic, and then denture teeth. You have one continuous piece, and that piece is super, super strong. So, strength-wise, that’s the biggest difference between the two, okay?

We can customize these into really different colors. You’ll notice that each one of these is different. The gums can be different. The shade, for example. This is super white. I’m not a big fan of really, really white teeth unless the patient wants them, but we can customize. You’ll see there’s no two devices that are made the same. Here’s another example of some teeth.

So, okay, let’s get back. Now that I’ve done an overview of these, let’s get into specifics. Okay, so the titanium device, okay, as you look here, this is kind of cross-section. So, the device would normally look just like this, okay? But to help you understand, I’ve removed acrylic around this so you can see how the bar comes completely around. So, it’s supported 100% by a titanium bar. That titanium is the same titanium grade that the shuttles are made out of, super strong.

But the biggest problem is when you combine those three things, the titanium bar with acrylic and then a denture tooth, what often happens is you have a patient that isn’t doing anything wrong. They’re just living life, and they bite down the wrong way, and a tooth pops off or breaks off. That can be really frustrating for patients. With all the money they paid, that can be super frustrating. So, here’s the thing, if you’re not one of those people who likes to be inconvenienced with a tooth breaking or wearing down over time, then you shouldn’t get a titanium bar, okay? They look beautiful. They’re gorgeous. I mean, I’ve done thousands of these, and I’m very passionate that they are a good option. They’re just not the best option.

Over time, they do wear. These denture teeth, even if they’re the best quality, they’re going to wear much faster than other materials. It’s really important if you have this made by any doctor that it’s made hygienic, meaning that it’s made so it’s super, super smooth and rounded. I see devices that look good, the teeth look good, but here’s the problem is that the what’s underneath, what’s up against the gums and how if … It’s called a ridge lap. If it comes up over, it makes it difficult for you to be able to clean it. It’s not going to last long-term, okay? So, that’s why you have to have a doctor that builds it super hygienic. That’s one drawback to the titanium, is that acrylic does absorb saliva, and so it, consequently, it can be harder to clean because the surface won’t be as smooth, unlike the zirconia, okay?

So, the zirconia, unlike the titanium, is built out of one material. It’s the strongest material known in dentistry. They call it monolithic. It literally can take so much more pressure and strength, and so we don’t have to worry about a tooth breaking off or a tooth wearing down. This is a device, I call it a … It’s a Mercedes tank, in a sense. This is something that when you feel the difference and you come into my office, you feel a difference. This feels about 10 times heavier, okay, because it is much, much stronger than this. Although it’s heavier and it’s stronger, it’s still super gorgeous. This one here takes a lot more time to do, and that’s why it is a little bit more expensive; but at the end of the day, the cost that you would pay in maintenance with the titanium, you will make that difference up in the zirconia.

Like I talked to you about the hygiene being a problem with the acrylic, the zirconia is a ceramic. It’s like a glass, and so underneath where the surface is actually touching the gums, you actually … It’ll be a lot more hygienic. It’s like glass, so food doesn’t get caught in there as well. What I love about it is it’s fully customizable unlike the titanium where we’re using denture teeth that are stock teeth. They’re still gorgeous teeth, don’t get me wrong, but they are teeth that we pick out of a catalog, okay? With the zirconia, literally we build them in our computer, and we design them there, and we mill them. You will only have those teeth. You’re the only person that will have the teeth that you choose, and I think that’s kind of cool.

Fully customizable, meaning not just the size and shape of the teeth. We’re talking about the shade of the teeth, the way that they’re inclined, the way that they kind of pop. If you want teeth that are super bright and white and you want that Hollywood look, we can do that. But if you want to have some textures in it to make it so it looks like people don’t know that you had your teeth taken out, that’s really easy to do with zirconia. We can customize the gums as well, which is a big deal for some people. These shades can go from … I mean, if you look at this alone, if you look at these three, all three different, or all four different devices here have a different shade. So, I’m super passionate about all of this.

So, I’ve covered a lot of information here. The hard thing is that each one of these work for certain people, and I really need to know you to know what’s best for you. Please come into my office, and we’ll sit down and talk personally about what you want in your new smile and what’s most important to you. Then we can find the device that fits your needs and your wants. I promise you this: If you come to Dream Dental, the time that you spend with me or with one of my doctors will be well worth it. We truly change more than smiles. We change lives, and we would love to change your life. So, please don’t hesitate to fill out the form below and give us your information so one of my awesome staff members can reach out to you and start the process of changing your life. Look forward to seeing you.

Top 10 Factors that Influence the Cost of All on 4 Dental Implants

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We just released two new videos discussing these things below. The first video is the summary version, and the second is the extended version

 

 

Patients are often confused and frustrated as to why All on 4 dental implants costs vary so much. From the outside perspective, this frustration is warranted! Cost can vary as much as $15k-$35k per arch depending on these factors:

  1. Geographical location – Depending on where you live, the cost of All-on-4 dental implants can vary up to $20,000 per arch. The lower the cost of living usually leads to a lesser price.
  2. Two Office specialist approach vs One Office that does both Surgical and Restorative – When two offices are involved the fees are almost always more expensive versus an office that handles the surgical phase as well as the restorative phase.
  3. The Surgeon’s Experience (Specifically with All on 4 Dental Implants) – Unfortunately many dentists have a desire to begin doing All-on-4 implant procedures, but they also have so little experience that they will often lower the cost to win a case. This is often done without letting the patient know of the level of experience. This is a big factor in the price, and their inadequacy will usually result in tacking on costly and often times unnecessary warranty fees. Labs that have more experience and provide extra customization charge more to the doctor and therefore the price increases. Some doctors do not disclose that they send their work overseas to other countries with lower cost of labor and no regulation of materials. These devices often look similar to other dental offices but lack the integrity and can fail 3-5 years later.
  4. Number and type of Implants – Although four implants per arch is the perfect and ideal number, at times additional implants must be placed. This can be due to loss of bone, severe infection or the density of inner bone.
    1. Majority of implants are placed in the maxilla or mandible but in certain cases with severe bone loss, longer implants, which are more invasive must be placed in zygoma bone just below the eye.
  5. Sending out Lab Work – offices that can keep most and in some cases all of the lab work in the office are able to lower price as well due to economies of scale. Most offices have the final device made outside of their office.
  6. Cosmetics and Functional Demand varies by Patient – The material used for an all-on-4 dental implant bridge can vary in price significantly .
    1. Titanium Bar is the most commonly fabricated and will usually be cheaper than zirconia because stock denture teeth are used to save money in most cases.
      1. With Denture teeth
      2. With Monolithic polymer
    2. Zirconia is more expensive because it is 100 percent customized to the patients mouth and cosmetic needs, as well as being the most durable bridge
      1. Stained Monolithic
    3. Other Materials not as common – generally these are less expensive than the titanium or zirconia due to the type of mill needed to fabricate titanium or zirconia and are only the substructure attached to implants and need other materials for the teeth and gums.
      1. Trilor substructure
      2. Trinia substructure
      3. Pekkton substructure
    4. The presence of any porcelain for gums and teeth and how it’s veneered or crowned (Porcelain weakens the device but gives it an even more customized appearance)
  7. Level of Anesthesia – This procedure can be done under local anesthetic, I.V Sedation, or General Anesthesia, which increases the price with each level of anesthesia, as well as the location it is rendered in. A hospital setting will be much more expensive than a dental office that brings in an Anesthesiologist.
  8. Additional advanced techniques required to deliver the all on 4 dental implant bridge
    1. Existing implants that are used or removed can increase the price in both scenarios because it creates more work for the doctor and staff to research the implant system or remove the implant/s.
    2. Excessive infection in bone and soft tissue
    3. Excessive bone loss
    4. A maxillary sinus that is positioned more anterior
    5. A mandibular foramen that is more anterior and has branches reaching into anterior chin
    6. Lack of keratinized leather tissue over ridge
  9. Overall level of Difficulty and Risk Factors in healing and long term success with All on 4 Dental Implants
    1. Teeth Grinders – Often break temporaries and have more failures and some doctors will increase the price in anticipation of the higher likelihood of complications
    2. Smokers – Carry an implant complication risk that is 3 times higher than a healthy patient that does not smoke.
    3. Diabetics – As long as the diabetic is controlled with an A1c of 7 or lower, there is no need for higher fees.
    4. Previous drug abuse – Can make the treatment more complicated depending on the likelihood of rebound
    5. High smile pull – One of the most challenging presentations that often carries with it added surgical procedures and restorative appointments in order to satisfy the patient and produce a bridge that is comfortable and easy to clean.
    6. Skeletal deficiencies – Can increase the price because more visits are often needed to systematically create the skeletal appearance that is pleasing, as well as comfortable for the jaw.
  10. Time If you want to have your All-on-4 Dental Implant procedure expedited, this is great for someone who is extremely busy or someone from out of state that doesn’t want to fly back in 4-6 months, you can have your permanent implants in one weeks time! This expedited procedure, if the patient qualifies, can be a little more costly, but it is definitely something we can have done at Dream Dental!

Who would pay the least for All on 4 Dental Implants?

  • Someone living in, or willing to, travel to an area with a lower cost of living and a competitive market (such as Salt Lake City, Utah!)
  • A denture-wearer who hasn’t experienced excessive bone deterioration and still has healthy, leathery tissue
  • Someone who chooses a titanium bar with denture teeth
  • Being awake for the surgery
  • Choosing a single office that does the surgical and restorative work with an in-house lab

The price could be as low as $15,000 per arch!

Who would pay the most for All on 4 Dental Implants?

  • Someone who lives in a city with a high cost of living such as LA, NYC or Miami
  • Someone who needs additional implants or zygoma implants
  • Someone whose teeth are extremely infected
  • Someone who has severe bone loss in the areas where the implants need to be placed
  • Someone with high cosmetic and functional needs
  • Anyone wanting a zirconia bridge with individual porcelain crowns and porcelain gums
  • Choosing to have it done by two offices, an oral surgery and restorative without an in-house lab
  • Choosing to use Full General Anesthesia (generally patients with high anxiety choose this option)
  • Someone requiring removal of existing implants
  • Someone with a high smile pull
  • Anyone who is a smoker, has diabetes, grinds their teeth, or has a history of drug abuse with a deep bite

The price could be as high as $35,000 per arch!

Want to know your cost? Schedule your free consultation today: Book Consultation

Top 5 Most Important Questions to ask your All on 4 Dental Implant Provider

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Cost isn’t the only thing you should be asking when it comes to something as important as dental implants! Especially if you’re opting for the All-on-4 Dental Implant procedure. It can mean the difference between a happy, exciting dream come true, or a costly, time consuming battle. So how do you choose the right dentist? In this video, we share with you the top 5 questions that you should ask during your consultation before committing to any surgery. Want to ask us these questions, and more? Come on in for a free consultation!

 

5 Most Important Questions Video Script

Hi, I’m Dr. Hendriks. I am so grateful to be able to share with you the five most important questions that you should ask before you choose a provider for your dental implant surgery.

Number one, you need to make sure that you do all your homework on the doctor and how much experience he has. You want to go through the website, you want to go through Google reviews, you want to go through even Better Business Bureau, you want to find out if they’d been sued for anything. I’m not saying that people had been sued or guilty, but if you have multiple lawsuits out that might say that there’s been some miscommunications and possibly some negligence. When you’re looking at for a doctor to do your implant surgery, you’re looking for someone that can show you by examples that they’re really good at what they do.

Number two, unlike buying a car, a truck implant procedures are so different, and going to one office or another office, it can be a completely different product and service. You should ask the doctor where do you send the lab work? Is it here in the United States? Is it here locally? They should have some type of website. I recommend you go to the website and look and see what the expertise of this lab is. No matter where the lab work is sent, this question should always be answered. I think you should also ask the question are there any warranties in place in case something happens in the future?

Once you know exactly where you’re going to have the lab work sent, this is an important question you should ask your doctor, and that is what type of materials are you going to use? There are lots of different materials and all on for procedure is just a surgical procedure. What you put on top of it, the bridge that we place on top, can be a number of different things. You could have an all acrylic bridge, you can have a tenia bridge you can have a trilor, a pectin, you can have a titanium, or you can have zirconia. Six different types of bridges and I’m just naming a few of them, and depending on what material is being used, it can come with certain complications. If you asked the question, “Hey doc, what type of materials are using?” and they act funny about it all, this might be an indication that there may be corners being cut.

Number three, I call them contingency plans. When things go right, it’s awesome, but no matter what you do, in what profession, there’s always speed bumps, and sometimes you might have things come up that you’re not planning on. This is why I have to ask the doctor, what contingency plans do you have in place for failed implants, for devices that break prematurely? What if you get infection a few months out? If something doesn’t work out? Is there a plan in place now that’s going to help us save us time, money, or future emotional pain so that we don’t have to experience a worst case scenario?

It’s really important also to remember that there always will be the cost of cleanings in the future and there’ll be some maintenance associated with any device that you have put in your mouth. It’s important to find out what those costs are upfront, because sometimes our some really big costs that can come behind that if you’re not prepared for it, you can be very upset with. I know offices here locally that actually will put their price super high so they don’t have to worry about cleaning their patient’s teeth. You should ask these questions upfront.

Number four, timeline. This is something that can really frustrate patient. Some doctors say they’re going to be in treatment for six months, but end up taking a full year, and so if you talk to them and say, “Doc, can I see a timeline of when the surgery starts and every appointment that you plan to have so I can guesstimate when we’re going to be finished?” It’s not a perfect science, but a doctor that doesn’t have a game plan for you is a doctor that might be confused as to what the treatment should be or could be.

In really great offices, they’re going to give you a sheet that says we have five different appointments or 10 appointments, and this is how long the appointments going to last. This is what you should expect, and this is how much you should pay. I have experienced times where treatment has gone much longer than I expected also. But here’s the thing, doctors offices that have done it over and over again get better and better, and that’s why you want to find a doctor who has tons of experience, has been through the rodeo, has worked with lots of labs, and seen the worst of the worst. The cool thing is that today in certain offices, you can actually condense that time into as little as a week. That’s the cool thing. Instead of being in treatment for six to 12 months, you literally could have the treatment done in less than a week.

And lastly, number five, what is the focus of the practice? Is this a practice that does lots of general dentistry and a little bit of all on four or is it a practice that does mainly all end for, and just a little bit of general dentistry? Would you rather have someone that does that procedure every day or once a month? When an office focuses squarely on all on four, that means that there’s going to be a team of well-qualified people that are going to help support you. The doctor is just one person. It’s so important to do the research on the doctor, but here’s the thing, the doctors one of probably 10 or 15 individuals. And so as you look at the practice, look at the people when you walk in, how do they treat you?

The doctor could have amazing experience and you may like them a ton, but the reality is he’s probably just going to do the surgical portion of the procedure. The majority of the work is done by the staff, the assistants, and the team. Even though you want to develop that relationship with the doctor, if you don’t have a good feeling about the people that work around him, that’s a pretty good indication that you probably should find somewhere else.

All right, let’s go ahead and recap. These are the top five questions you ask before picking an all on for dental implant provider. Number one, doctor experience. Number two, what materials are being used and where are they coming from? Number three, contingency plans the doctor has in place in worst case scenarios. Four, the timeline. How long is it going to take? And five, the team. Are they going to fit with your personality, with what needs you have?

 

Thank you so much for watching. If you have any other questions, please reach out to us and we’ll answer those questions. If you’d like to interview me and ask me these five top questions, I would be happy to. If you look at other videos, you’ll see that we have answers to all these questions. We love what we do at Dream Dental. We’d love to be able to help you. Please call us, let us know how we can serve you. What we say here every single day is we don’t just change smiles, we change lives.