Dental Implants - 5 Things You Should Know About Dental Implants

Summary

In this dental-focused video, Dr. Richard Stevenson and his guest, Dr. Juan P. Anfrance, discuss critical factors for successful dental implant procedures. They highlight the importance of controlling health conditions like diabetes and quitting smoking, as these can affect implant success rates. The conversation emphasizes the quality of implant materials, the significance of proper planning and imaging, and the necessity of rigorous training for dentists. Additionally, they clarify that implants are not identical to natural teeth, requiring different care and maintenance. The discussion serves as an informative guide for patients considering dental implants.

Takeaways

• 🦷 Over 36 million Americans have no teeth and 120 million are missing at least one tooth, highlighting the significant need for dental implants.
• 📈 The implant industry has grown into a billion-dollar market in the United States, surpassing other dental industries.
• 🚫 Smoking and diabetes are the top risk factors affecting implant success rates, with uncontrolled diabetes and smoking impacting wound healing and blood flow.
• 💡 Patients with diabetes and smoking habits can improve their implant success rates by managing their conditions and quitting smoking.
• 🌟 Dental implant quality varies by manufacturer, with some using higher-grade titanium; it's crucial to inquire about the materials used.
• 💰 Be cautious of extremely low-cost implant offers, as they may compromise on quality and use additional fees to compensate.
• 📈 Proper diagnosis, planning, and imaging are essential for successful implant placement, and patients should expect multiple visits before implantation.
• 💼 It's important to ask about a dentist's training and experience in implantology, as not all training programs provide the same level of expertise.
• 🦴 Implants are not like natural teeth; they lack sensory feedback and require diligent cleaning and maintenance to ensure long-term success.
• 🧼 Oral hygiene is critical for implant longevity, and patients with a history of poor dental care should be prepared to commit to a strict cleaning regimen.

Q & A

What is the current state of the dental implant industry in the United States?

The dental implant industry in the United States has grown to over a billion-dollar industry, surpassing all other industries in dentistry. It has dramatically increased since the 1990s when only about one percent of people were performing implants.

How many Americans are affected by tooth loss?

36 million Americans have no teeth, and 120 million Americans are missing at least one tooth, which is approximately one-third of the population.

What are the biggest risk factors for dental implant success?

Smoking and diabetes are the biggest risk factors for dental implant success. They can bring down the success rate significantly due to their effects on wound healing, bone metabolism, and blood flow around the implant area.

What advice would you give to patients who are diabetic or smokers to improve their implant success rates?

For diabetic patients, it's crucial to manage and control their diabetes. For smokers, quitting smoking prior to surgery is encouraged. Both habits can negatively impact the success of dental implants.

Is there a difference in implant quality among manufacturers?

Yes, implant quality can vary among manufacturers. Some use the highest grade of titanium, while others might use lower grades, which can lead to more problems and lower success rates.

What should patients consider when choosing a dental implant provider?

Patients should consider the provider's use of high-quality materials, their training, and the technology they use for planning and placing implants. It's also important to ask about the success rates of the brand of implants used.

How important is the planning phase before dental implant placement?

Proper diagnosis, planning, and imaging are essential for the best results in implant dentistry. This includes the use of technologies like CBCT for 3D imaging and guides to ensure accurate implant placement.

What is the significance of a dentist's training in implant dentistry?

A dentist's training is significant as it ensures they have the knowledge and skills to diagnose, plan, and execute implant procedures effectively. Patients should feel comfortable asking about their dentist's training and qualifications.

Are dental implants the same as natural teeth?

Dental implants are not the same as natural teeth. They lack the periodontal ligament that provides sensory feedback, making them more susceptible to damage from excessive biting forces without the patient's awareness.

What are the maintenance requirements for dental implants?

Dental implants require special attention for cleaning and maintenance. Patients need to spend considerable time daily cleaning around the implants, which can be more challenging than maintaining natural teeth.

Outlines

00:00

🦷 Introduction to Dental Implants

Dr. Richard Stevenson introduces the topic of dental implants, highlighting the range of dental topics covered on the channel, from endodontics to oral surgery. He welcomes Dr. Juan P. Anfrance, an expert implantologist, to discuss the growing prevalence of dental implants in the United States. The conversation touches on the staggering statistics of tooth loss among Americans, the booming implant industry, and the shift towards more general dentists performing implant procedures. Dr. Anfrance shares his extensive training and experience in implantology, emphasizing the importance of patient education and informed decision-making in dental care.

05:03

🚭 Impact of Habits on Implant Success

The discussion delves into the factors affecting implant success rates, with a focus on the detrimental effects of smoking and diabetes. Dr. Anfrance explains how these habits can significantly lower the success rate of dental implants due to their impact on wound healing and bone health. The conversation suggests that patients with these risk factors can improve their chances of successful implant integration by managing their conditions and modifying their habits. The dialogue also addresses the emerging concern of vaping, which, despite being marketed as a healthier alternative to smoking, contains high concentrations of nicotine that can be harmful to dental implants.

10:06

🔍 The Importance of Planning and Technology in Implant Dentistry

Dr. Stevenson and Dr. Anfrance emphasize the critical role of proper diagnosis, planning, and the use of advanced technology in achieving successful implant outcomes. They discuss the importance of conducting thorough medical history reviews, utilizing 3D imaging like CBCT, and employing computer-aided planning to virtually simulate implant placement. The dialogue underscores the significance of these steps in minimizing complications and optimizing the positioning and integration of implants. The conversation also touches on the potential for geographic success, where implants may appear successful in the short term but lack long-term data on their durability and functionality.

15:09

👩‍⚕️ The Role of Dentist Training in Implant Success

The conversation shifts to the importance of a dentist's training in implant dentistry. Dr. Anfrance stresses the value of comprehensive, long-term training programs that go beyond short courses or quick overseas certifications. He highlights the need for dentists to understand the intricacies of implant planning, execution, and management of complications. The dialogue encourages patients to inquire about their dentist's training and qualifications, advocating for transparency and informed decision-making in dental care.

20:09

🦾 Implants vs. Natural Teeth: Understanding the Differences

Dr. Stevenson and Dr. Anfrance discuss the differences between dental implants and natural teeth, highlighting that implants do not possess the sensory feedback mechanisms found in natural teeth. They explain that implants lack the periodontal ligament, which provides natural teeth with shock absorption and feedback during biting and chewing. The conversation points out the potential for patients to exert excessive force on implants without realizing it, leading to complications. The dialogue also addresses the importance of proper oral hygiene and maintenance for the long-term success of dental implants, emphasizing that implants require diligent care to prevent issues such as peri-implantitis.

Keywords

💡Dental Implants

Dental implants are surgical-grade titanium posts that are placed into the jawbone to replace missing teeth. They serve as a foundation for replacement teeth, which look, feel, and function like natural teeth. In the video, dental implants are discussed as a billion-dollar industry in the United States, with 36 million Americans having no teeth and 120 million missing at least one tooth, highlighting the significant role implants play in dental health.

💡Implant Success Rate

The implant success rate refers to the percentage of dental implants that successfully integrate with the jawbone and remain functional over time. The video mentions that dental implants have a success rate of about 96 to 98% in normal healthy patients, but this can be affected by factors such as smoking and diabetes.

💡Diabetes

Diabetes is a chronic condition that affects how the body processes blood sugar. In the context of dental implants, uncontrolled diabetes can hinder the healing process and increase the risk of infection, thereby reducing the success rate of implants. The video emphasizes the importance of managing diabetes for better implant outcomes.

💡Smoking

Smoking is a habit that negatively impacts dental implant success due to its effects on blood flow and bone healing. The video discusses how smoking can lower the success rate of dental implants and encourages patients to quit smoking before implant surgery.

💡Vaping

Vaping refers to the act of inhaling and exhaling the nicotine vapor produced by an e-cigarette or similar device. The video addresses the misconception that vaping is a safer alternative to smoking. It points out that e-cigarettes often contain high concentrations of nicotine, which can be harmful to dental implants.

💡Implant Materials

Implant materials pertain to the quality and type of materials used in the construction of dental implants. The video discusses the importance of using high-grade titanium for implants and warns against cheaper alternatives that may compromise the quality and success of the implant.

💡Treatment Planning

Treatment planning in dental implantology involves a series of steps taken before the actual implant procedure to ensure the best possible outcome. This includes diagnosis, medical history review, and the use of imaging technologies like CBCT. The video stresses the importance of thorough planning for successful implant placement.

💡Cone Beam Computed Tomography (CBCT)

CBCT is a specialized type of x-ray that creates a three-dimensional image of the jawbones and surrounding structures. This technology is used in dental implant planning to visualize the bone and plan the implant placement accurately. The video mentions CBCT as a crucial tool in modern implant dentistry.

💡Training

Training in the context of dental implants refers to the education and practical experience that a dentist has in implantology. The video emphasizes the significance of proper training, suggesting that patients inquire about their dentist's qualifications and the extent of their implant-related training.

💡Implant Maintenance

Implant maintenance involves the ongoing care required to keep dental implants healthy and functional. The video points out that implants do not have the same sensory feedback as natural teeth, making it essential for patients to maintain good oral hygiene to prevent complications such as excessive biting forces or infections.

Highlights

36 million Americans have no teeth, and 120 million are missing at least one tooth.

The implant industry has grown to over a billion-dollar industry in the United States.

One third of all implants are placed by general dentists, a change from historical trends.

Implant success rates can drop significantly due to medical conditions like diabetes and habits like smoking.

Proper diabetes management and quitting smoking can improve implant success rates.

Vaping, with its high nicotine concentration, is not a safe alternative to smoking for implant patients.

Implant quality varies by manufacturer, with some using higher grades of titanium than others.

Patients should inquire about the materials and success rates of the implant brands their dentist uses.

Some dental operations may cut corners on materials to offer lower prices, affecting implant quality.

Proper diagnosis, planning, and imaging are essential for the best implant results.

Cone Beam Computed Tomography (CBCT) allows for 3D imaging and virtual surgery planning for implants.

Training is crucial; patients should ask about their dentist's training in implant dentistry.

Short courses may not provide adequate training for complex implant procedures.

Implants do not behave like natural teeth and lack the sensory feedback of a periodontal ligament.

Implant maintenance and hygiene are critical for long-term success, even more so than with natural teeth.

Implants require special cleaning methods and are not maintenance-free, contrary to some advertisements.

Transcripts

hi everybody i'm dr richard stevenson and welcome  to five things you should know about x and x  

is dental topics we have demo topics ranging from  endodontics oral surgery implantology veneers etc  

and our channel is here to help patients make  better decisions when you go to your dentist  

i'm really pleased to have our guest today who  is dr juan p anfrance hi juan good to see you  

bud how are you we are old friends he's uh my  surgeon for all my implant cases here at the  

teaching center in san dimas and he is an expert  implantologist and before we get into the topic  

about implantology let's talk a little bit about  what's happening with implants the united states  

well first of all you may not know this but  36 million americans have no teeth 36 million  

it's unbelievable it's it's striking yeah and 120  million americans are missing at least one single  

tooth 120 million americans that's approximately  one-third of americans are missing one tooth  

the implant industry has grown to over a billion  dollar industry in this country just implants  

itself that's just mind-boggling it's basically  surpassed all other industries in in dentistry  

and it doesn't continue to slow down i mean  when it started in about you know in the early  

1990s actually it started in the 1980s late  80s mid to late 80s but in about the 1990s  

only about one percent of people were were  even performing implants and now it's grown  

dramatically and that number is is much much  much higher another interesting thing about  

implants and it's a confusing thing particularly  for patients is one third of all implants are  

placed by general dentists and that did not  always used to be the case and i wanted to uh  

kind of delve into a little bit about some of the  decision-making that you're going to want to make  

before you get to the dentist to get the right  implant for the right reason and our guest today  

is dr juan p and friends he uh is originally from  spain he was trained in new york in implantology  

he came to ucla he went through an extensive  implant training program there for many years  

and uh actually became a faculty member at  ucla he's trained under some of the greatest  

implantologists in the world and he is an expert  surgeon and serves all of our patients here in our  

san dimas teaching center and also i'm pleased  to say that john and i have taught many courses  

together at ucla and now here at our teaching  center so is there something i missed about your  

amazing credentials you did pretty good thank you  nice uh well it's really good to have you here so  

i'm gonna i'm gonna go ahead and challenge you a  little bit with some some questions and and these  

are things i think that every every patient  should really know right and the first one is  

uh implant success is variable  implant success is variable and  

smoking and diabetes are the biggest risk  factors is does that statement ring true to you  

correct yeah generally speaking we can say the  dental implants are about 96 to 98 successful  

that's in normal healthy patients but there  are certain medical conditions and habits  

that can certainly bring down that success  rate to almost too close to 10 points below  

the normal standards and diabetes and  smoking are probably two of the biggest one  

two of the biggest reasons why dental  implants could have some problems  

diabetes has an effect on wound healing and  bone metabolism and bone healing and so patients  

that suffer from uncontrolled diabetes diabetes  especially can certainly have a lower success rate  

these are patients that are perhaps more prone  to developing infections around dental implants  

and smoking is the other big one smoking affects  dental implants by affecting the blood flow around  

the area both in the soft tissue and in bone  and so these are two things that we always worry  

about when dealing with patients is diabetes and  smoking these are two probably two of the biggest  

issues that we see in dental implants  today yeah i was i was thinking  

is there anything a patient can do if they are  diabetic and they are a smoker to better their  

their their healing rates and their chances  of success in the world definitely especially  

in diabetes we want to make sure that the  diabetes is well managed and under control  

um unfortunately we see a lot of patients that are  what we call borderline diabetes which means that  

they they go up and down they're not very well  controlled their sugar levels uh spike and these  

are patients that are very high risk of developing  infections and problems around dental implants  

on the other hand smoking we always  encourage our smoker smoking patients  

to try and quit smoking prior to surgery and we've  actually been quite successful with uh with that  

in some patients you know patients are going to  make a significant investment both in time and  

money and so for some patients that is a good  reason to quit smoking and we've successfully  

been able to do that in some patients um that's  really helpful so a patient with that has both  

diabetes and smoking or either one of those can  improve their implant success rates just simply by  

changing some of their habits and maybe  some of their medications or their their  

their eating habits and things like that uh  but what about vaping i mean isn't that okay  

yeah that's that's that's a big uh that's  that's a big question right now vaping is  

is seem to be considered as the healthy way of  smoking and in fact what vaping does is it it has  

high concentrations of nicotine which is one  of the components in tobacco that is harmful  

for dental implants and so in these e-cigarettes  the the nicotine concentration is is exponentially  

higher than in a cigarette um and there's a  a lot of other chemicals that we don't even  

know really what the effects are yet uh on  on dental implants we do know that there's a  

lot of research happening around e-cigarettes and  and vaping especially at ucla and so we're always  

following very closely that research to see if  there's any new developments in that nice well  

it's really helpful information that the patient  can actually do something for the team if you will  

by improving their success rates right a lot  a lot of patients believe that it's all about  

the doctor's ability and it's all about i went  to a good doctor they took care of it for me  

well and you are a great doctor that is  important patient factors are extremely  

right but i mean it's kind of cool that the  patient actually can take some positive steps to  

improve their chances of success which is really  awesome you know there are a lot of you know i'm  

driving on the la freeways and and if you're not  from l.a that means something to los angeles it  

means you're going to be on the freeways a lot and  one of the signs i see one of these billboards is  

implants for some some dollar 3.99 right 3.99  um can you so my next question is and this is  

a statement i want you to just tell me if this  makes sense uh implant quality is not the same  

and manufacturers have different standards  make sure you ask for the best materials  

when you receive implants or at least know the  success rate of the brand your dentist is using  

how does that sound yeah i mean the way that  i like to compare it is for example let's take  

gold for example right you have 24 karat gold  you could have 18 karat 14 characters different  

levels of purity of of that material up to  all the way down to gold plating for example  

dental implants are made out of titanium  and titanium has different grades as well  

from one to five five being the highest  uh the highest grade of titanium and so  

most of the well-known reputable brands use the  purest form of titanium which is uh grade five  

uh but there are other smaller companies  that perhaps don't have the funds to  

you know do all the research and uh develop their  their uh their products the the proper way and so  

some of these companies they're cutting corners  by utilizing uh titanium that is not perhaps  

to the highest grade and that's what we see in the  industry we have a lot of smaller companies that  

are using products that are not necessarily the  highest quality they're still dental implants they  

can still integrate in bone but the quality of the  material is not the same and that therefore can  

lead to more problems so would it be safe to say  that you get what you pay for to a certain extent  

yeah i think you could say that um are there some  dental operations that you think might be charging  

really high fees for implants and they're cutting  corners to try to improve their bottom line i mean  

is it a good idea for patients to be aware of  what they're getting yeah i've seen that happen  

and these infomercials and and these billboards  are very misleading um i know for a fact that some  

of these places they'll offer an implant for 3.99  but what they don't tell you uh in the small print  

is that then they'll charge you 3 dollars for a  crown for example and so they're gonna they're  

gonna make their fee up somehow right right right  and typically these are the places that are using  

materials that are not to the highest standards  so that's that's really helpful i i i really  

appreciate that because uh for me as a general  dentist and doing a lot of restorative dentistry  

materials are so critical to our success  and we have to understand the materials  

i mean to a certain extent i mean i think  dentistry has to become like a material  

scientist to be a really good dentist you have  to understand all the chemistry and what have you  

i wanted to move on to sort of planning and  this whole idea about coming in to see a dentist  

and having a workup done maybe that's a  couple of x-rays or maybe there's a cbct  

which is you can talk about and then they go  immediately into implants almost the next day  

is this kind of approach to care a great idea  and here's my statement that you can you can  

discuss or disagree with proper diagnosis planning  imaging which means mainly x-rays different types  

and guides are essential for the best results  and recommending that patients should have  

numerous visits in the planning phase before  the implant is actually placed does that  

make sense generally that's that's absolutely  true i mean planning is is the key to success  

uh not only planning but everything will start  with the proper diagnosis and evaluation of the  

patient review of the medical history review of  the medications we know that there's a lot of a  

lot of medications that can have an effect on bone  metabolism bone healing wound healing in general  

and so those are the first key steps that we  cannot uh skip through good diagnosis good  

review of the medical history and then planning  the case adequately is absolutely a fundamental  

thing in implant dentistry and we can do that  today utilizing a lot of the technology that is  

available to us like cbct three-dimensional  x-rays the way hang on cbct that means  

cone beam compu coming computerized tomography  okay so this is a sort of like an x-ray that  

will take it's a specialized we could say that  it's a specialized three-dimensional x-ray that  

makes slices on on the jawbones and then we can  upload that information into a computer and we  

actually have some computer planning softwares  that can allow us to do a virtual surgery on  

the computer before we even do the surgery on  that's amazing that allows us to choose the right  

size of implants the right components  can give us an idea of any anatomical  

variations or limitations that we could encounter  in these cases yeah i was going to ask you if a  

dentist has made the decision to utilize this  digital technology to plan to to virtually place  

the implant before they actually place the implant  to have these plastic guides made that tell them  

exactly where to drill does that guarantee success  in the implants it does not guarantee success but  

it can certainly improve the chances of success uh  the the more you plan the better prepared you are  

before proceeding with the case the more  chances that you know the case will be  

will be successful so certainly all of  the computer uh technology that we have  

available to us today really helps us in  minimizing the complications that can arise  

from implantation yeah i mean i was thinking  about as a patient again what would i want to  

see from my dentist as a if i were a patient  and i'm thinking i'd want to see that implant  

planned before it was actually placed in other  words i'd like to see a three-dimensional model  

either on a screen or on in somebody i can  hand a hand handhold and see that the implant  

is going in a certain location and here the  doctor talked to me about uh how important  

it is to get the right angles where the bone is  things like that and i think that patients uh  

really have a right to know that information i  mean as a patient receiving an implant i would  

want to know exactly how that was going to be done  and what thought process went on your brain before  

you decide to put something metal in my body  that's going to hopefully last a lifetime correct  

and as you know that's that's what we teach  at ucla i mean that's right our students go  

through extensive treatment planning sessions and  they learn how to diagnose and utilize all the  

computer techniques that's absolutely right and  i'd like to say also plug plug that's what we do  

here at stevens solutions we absolutely teach our  dentist to be amazing uh which beautifully leads  

into the next point which is training training  is really important um would it be okay to ask  

your dentist where they receive their training  is that a fair question is that does it matter  

it absolutely matters i i i think that patients  should be able to ask where a practitioner has  

completed their specialty training if any at all  well wait a minute why don't i just go ahead and  

go to uh i can take a four day course overseas  sure and i can i can place 30 implants and i can  

come back i mean i've got 30 implants on my belt  come on am i not at the right level it's not about  

quantity it's about quality okay so what does  that mean well generally speaking these uh these  

fast track courses right we'll just show you how  to drill a hole and plug it and plug it with an  

implant right they don't necessarily review things  like diagnosis treatment planning proper surgical  

technique what happens when there's complications  how to manage complications how to properly  

place the implant how do we plan an implant right  so like if i if i'm there for a week and i place  

a lot of implants and if something goes wrong with  that implant i'm already home i got off the plane  

yeah i don't even know if that's happened as far  as you're concerned that implant was successful  

we call that a geographic success right so i was  thinking do you um do you have a kind of in your  

mind an idea of what length of time what span  of time would be appropriate for a dentist to  

learn how to place it at the best you know at the  highest level yeah implant dentistry has changed  

a lot uh at the beginning when dental implants  were first introduced it was only reserved for  

oral surgeons they were the only people that  were allowed to train how to play simple so  

the manufacturers restricted that yeah exactly  okay obviously now we're in different times  

we have general dentist placing implants but  there's really good training programs that you  

could follow to make sure that you achieve the  highest standards of training generally speaking  

a two-year program in implant dentistry will give  you good basic fundamental knowledge on how to  

plan how to execute and how to follow up with your  with your implants but we do see unfortunately a  

lot of a lot of weekend courses a lot of um you  know week or or or two-week courses abroad they  

go right they take you to a tropical island and  you place implants for about a week sounds fun  

that sounds fun sounds like fun but it but you're  not really getting much out of that interesting  

yeah and i i i as a consumer uh you know you  know patients should feel okay about asking  

about the dentist training and don't feel that  this is a taboo question and if your dentist  

is offended by the question you might want  to think about getting another opinion  

because if a patient ever asks me about my  training i am full disclosure and i think  

everyone needs to know exactly what we are  able to do and what we're not able to do um  

you know uh i i hear this all the time in these  radio commercials implants are just like your  

normal teeth they're they're just the same and i  heard once a really wise dentist said once to me  

no implants are not replacements for teeth they're  replacements for not having teeth in other words  

right i mean can you talk about that a little  bit i mean what can we expect about what should  

a patient feel when they have implants in their  mouth what are the differences what could what  

do they need to be prepared for when things don't  always work we need to understand that as you all  

said implants do not behave uh like teeth we use  them to replace missing teeth but it's a tooth  

is very different than an implant well what's  one of the ways is different well for example  

a tooth has a natural shock absorber called the  periodontal ligament and when we're biting when  

we're chewing if we chew too hard it's gonna it's  gonna give us feedback and say oh that would that  

hurt i shouldn't do that dental implants don't  have that uh that feedback and so a lot of times  

we could see patients that uh will bite too  hard or we can see the occlusion being too hard  

on these implants and that can lead to problems  so that's one of the biggest differences that we  

don't have a sensory feedback from dental implants  like we see with natural i heard someone say that  

that if a tooth is exquisitely sensitive  because it has a nerve it has a ligament  

that gives you all this feedback but when  you extract the tooth the nerve is gone the  

ligament's gone and the bone heals and then  the bone the bone is not really designed  

to have a lot of nerve endings in it it's  essentially not a lot of sense yeah there's  

there's there's no feedback on it and so that's  why we see you know sometimes patients like like i  

mentioned earlier um we can have a lot of problems  are derived from the biting forces being too harsh  

on the implants because we have no way to know  whether we're biting too hard or not and so  

problems derive from heavy occlusion or too much  biting forces or grinding forces on the implants  

that's something that we see that we see commonly  and we need to address yeah and i was thinking  

about maintenance about hygiene you know okay  let's say i've just done a really bad job keeping  

keeping my teeth clean i've done a really  miserable job i hate going to the dentist  

i don't like to get work done and i find myself  25 30 years down the road having a lot of teeth  

that need to be removed i mean it's embarrassing  i feel really guilty about it it's kind of one  

of those things that has always bothered me  i have sleepless nights about my rotten teeth  

and i go to the dentist and have them taken  out and i get implants is it fair to say i  

don't have to worry about my teeth anymore no  absolutely not that's unfair quite quite the con  

quite the contrary actually not implants are for  life you said 98 they have they have the potential  

to last a lifetime okay but they don't come  without complications and hygiene hygiene is is an  

extremely important aspect of implant dentistry  in your scenario let's say that you know you we  

we placed implants because you had rotten teeth  that's because your oral hygiene probably wasn't  

very good to begin with dlt is charged so what  are the chances that that patient is going to be  

good with this hygiene when dental implants are  placed that's a good point yeah right so chances  

are that they're probably not going to take care  of their implants as well and patients should know  

that it is much more difficult to clean around  a dental implant compared to a natural tooth the  

dental implant has a very intricate anatomy and  the tools that we have available to us are not  

really designed to clean around those implants and  so you need to spend a considerable amount of time  

every day cleaning around those implants and so  if you were already not used to doing that when  

you had teeth right chances are that you're not  going to be able to do it when when implants go in  

so that's something that we need to consider also  when we're planning implants on patients because  

am i going to take care of them well if i have  a sense that you're not going to be able to take  

care of them i may not want to place implants  but we can talk maybe i can check we'll see it's  

time for discussion all right very good first of  all your health matters make sure you understand  

the importance of controlling your diabetes and  quitting smoking other health concerns are also  

important make sure you ask your dentist how this  impacts your success two not all implants are the  

same there are various different manufacturers  of implants some of them use the best materials  

in the world others not entirely true make sure  you know what you're having placed in your body  

number three planning is key your dentist should  be utilizing the most innovative up-to-date  

technology possible including 3d imaging and  guides that help the dentist place the implant  

in the correct position four don't be afraid to  ask your dentist about their training dentists  

have various levels of understanding about the  intricacies of implants to make them successful  

they need to have gone through significant  academic level training this can require years  

and five implants are not like real teeth they  don't have a ligament around them like a real  

tooth they don't have the ability to absorb the  types of forces in the same manner as real teeth  

they also require special methods for cleaning  them and maintaining their health well uh that  

really concludes our faint five things you should  know about x today x was implants and i really  

want to thank dr juan p and friends you have that  little name with the hyphen at the end of it i i  

added the hype that's pretty cool um and uh i want  to thank you for your expertise it's uh certainly  

a pleasure to work with you as a colleague and  as a friend and uh thanks for joining us today  

thank you all right everyone uh next time  we'll have a very exciting x topic for you