Expert Advice for All on 4 ®️ Dental Implants After Surgery

during the healing phase after surgery to make sure my implant's healed so whether you're one of my patients or a patient from their practice here's my advice having done thousands of these types of surgeries and seen thousands of patients come through my office this is the advice i would give to my mom his advice i'd give to my dad my brother my sister and of course to my patients so the number one thing is you have to listen to your doctor and if your doctor's a really great communicator he's going to tell you to do some things that are really really critical um so the first thing after surgery um now here's one thing i'll talk about too i recommend all patients wait to get their teeth until the next day um i used to do same-day teeth and i believe that uh what happens in that scenario is patients often times i don't have a great experience when they see their teeth for the first time they're numb um they're they've been sedated all day they're really really groggy and so i highly highly recommend that you convince your dentist to have the teeth put it the next day um the biggest question people say well we'll not be in a lot of pain and if you've gone to my facebook live page received this on youtube also um i always ask patients where they're at on a scale of one to ten as far as pain and uh they'll consistently tell me so somewhere between one and three out of ten and so if you if they follow my recommendations as far as food as far as on their post-op pain management let's talk about that so this is kind of the purpose of the video which is basically to help people know what they can do to be able uh to have success so doctor spends four or five hours uh anywhere from two to five hours surgery you wake up now you want to make sure you do everything right over the next little while to make sure implant fill so let's start with day one it's really important that you understand what the post-op instructions are and so this is why you ask a lot of questions before the surgery because once you already have had the surgery you're gonna be uh kind of out of it the rest of the day and so you're not gonna really be conscious so this is another tip make sure you have uh your friend or family whoever's gonna be driving you the day of surgery make sure they come with you at the pre-surgery or at the visit right before surgery so they have chance to ask the doctor or the staff questions because if you know what's going on but your ride or your caretaker doesn't know that can create a lot of stress for them and create stress for the dental office also and so in our office we actually have a caretaker consent form and we give that to our patients they have to have that signed by them and the caretaker before we actually will schedule surgery and the reason again is because uh we're not great communicators by nature oftentimes we just forget what's important to tell people and so that consent basically tells them what they're going to experience as the caretaker what's going to be important for them to make sure they manage the day of surgery and if everyone's on the same page everyone's happy okay so on day one it's really important and again i'm giving kind of advice on uh what i do for my practice and kind of tell you what i would tell you to communicate with the doctor wherever you're at so number one take all the medications as prescribed right so this is where you need a caretaker to help you too because you may be a little drowsy but it's really important that uh that you take medications by the clock you don't want to wait until you're in pain and then start to take medication so in my office we do ibuprofen and tunnel and we uh we have that uh every four hours we do a low dosage of a profit and tunnel um second thing is make sure you keep your head elevated it's really important you don't go back and take a nap and lay flat or lay on your side because if you do that you're gonna wake up and all that gravity is gonna pulled will have pulled blood um and inflammation that site and now it's going to take a good week to week and a half two weeks for that inflammation to go away okay so make sure you do that next thing is make sure you're icing i recommend 20 minutes on 20 minutes off um whenever you're awake so if you if you sleep i don't necessarily think you should uh go and have to keep eyes on your sleep but anytime you're awake you're icing and that's for the first 48 hours make sure you avoid the sutures and i tell this to the pair take your caretakers also it's really really important that uh if you see that see yourself tell them if you see my kind of playing with my sutures please make me stop because if you're pulling sutures out or you're pushing bacteria it's in your mouth or all of our mouths have bacteria in them you just want to try to avoid that as much as possible number i see here see number five i think make sure you keep your hands out of your mouth i'm going to seem kind of funny about people want to pull it down they want to say take pictures and stuff keep your hands out of your mouth um and don't be pulling your lip down because sometimes pulling your lip down can cause the suture to get pulled also and again we're trying to avoid everything make sure that um we don't create any more swinger inflammation okay all right so i want you to drink lots of protein shakes a day of surgery not lots but it's important that you make sure that uh you get some uh calories inside your body because if you're not uh giving yourself the the right amount of calories then you're not gonna heal well either okay um all right stay hydrated drink lots of water don't use straws because straws will create pressure and the pressure is going to make it so that you start bleeding again that's another thing is it's totally normal for you to bleed the day of surgery okay um that's that's so normal um because that's the way most people it comes not most but a large majority of patients that come through my office have infection in their existing teeth while the body has a way of flushing itself as a way of getting rid of the infections that we we're cleaning out and that is it it bleeds so don't think anything's wrong now if you wake up the next day and you're still bleeding a lot yes um reach out to your doctor um but a little bit of just uh uh bleeding is completely normal and not to be worried about okay but stay hydrated so you don't you know in the case you are bleeding a little bit more that you don't get yourself dehydrated and then you can have low blood pressure and that can create a whole series of things um uh you do want to rinse your mouth so we give people syringes uh in little bags with our post-op instructions and so if you go home and have a protein shake or you eat some something that's completely soft like some eggs or some some soup or some mashed potatoes um make sure you rinse it with we we put a paradex uh or it's called quark hexadine gluconate we give it a prescription we give to patients um but you want to make sure you keep the site clean you don't want to get any even even a protein shake or something really soft we just want that over the site it can create a potential early stage infection okay um another thing is stay positive a lot of times patients they go through surgery and they they get they get really stressed and um i really believe that a healthy mindset that helps the attitude um it cures everything i truly believe that i believe that if you stay positive um and you stay upbeat you're gonna heal much faster okay all right so let's talk about the temporary teeth the temporary teeth um that we give our patients and and i hope that it's it's standardized across um you know most doctors but i truthfully i don't see it a lot i so you're getting so the teeth that we give are going to be screwed in they're going to be beautiful and if anyone's seen my smile reveals um you're going to see that people's teeth look amazing however they're not built for chewing they're not i mean i tell people it's kind of my evil plan but i tell them on the front end like these teeth are not not for chewing they're not for grinding they're strictly just for confidence they're just to help you make you feel yourself feel good about yourself while you heal um but i i give no illusion that i'm trying to give them teeth to chew or eat with it's it's quite the opposite so what that means is the teeth in the back are going to be very flat okay and that's normal um the teeth will also be uh they're not going to be long they're not going to extend all the way back they'll go as far back as the last implant but there'll be no extension back because that if that was the case um you'd break your temperatures very easily uh it's um let's see here uh it's really important that you're rinsing um really well with your temporary teeth and what happens all the time as patients feel like as they heal over over the three or four months they're healing um they feel like they have space it develops underneath there and that that's actually the case i tell patients expect that don't be frustrated or mad that's just god's way of remodeling your tissue and so if you expect it and realize that you're going to have to clean as that tissue goes down which is normal you're going to have to clean harder and harder if you stop cleaning then you're going to cause inflammation on your gums which potentially could lead to bone loss and even potential implant uh complications and problems where the implant is not doesn't integrate or you get infection and the implants be taken out and so it's really important that you you clean really well so if you notice that and you're looking at your temporaries you see that um there's like some long edges um or it's it's not rough or sorry it's rough um in those areas uh you need to go back to your dentist and have him adjusted um the most important thing biggest complication that we see number one number one complication is lack of hygiene or patient compliance and so we want you to build a clean but if we've created a temporary where it's not cleansable that is something you need to have adjusted in the first week after the week first week we really don't want to take the temporary on and off and so um we want to make sure that you have it adjusted uh really a dentist that's done this a lot is going to make sure your temper is super super cleansable because they understand that's the biggest problems we have is keeping everything clean right there another word about the temporary teeth you can start to use you can start to use a water pick after about two to three weeks um the biggest risk with the water pick early on is that you will cause the sutures to uh to rip and so we just want to make sure that after after this you know after the tissues kind of come together we're not worried about it um you know the tissue coming apart at that point you can start to to water pick up until that point you're just gonna use a syringe or the mouth rinse to keep your mouth nice and clean it's totally fine to brush your teeth uh you just don't want to be brushing onto the gums causing uh irritation or inflammation around the the gums and the implants uh now here's another thing too is um speech will be off it's totally normal for you to wake up or get your device and be like i can't talk i i pre-frame my patients to realize that that's normal for you know for all your life you have a different set of teeth now we just gave you something completely different your tongue has to connect back to your brain and figure out okay how do i say and talk these the same way and so the thing is the only way that i could wake you up or give you teeth that where you wouldn't have any problems with speech would be to give you back the exact same teeth you don't like right so if you can speak perfectly right out of surgery it's it's probably because you've got the exact same teeth which you're probably not going to have about either so it's normal now there are times when doctors and i see this often and i even did this early on in my career where you lose reference to where the back of the teeth were and if it's grossly off and and the tongue doesn't have enough space or it has too much space it's kind of it's kind of an interesting thing um then in that case uh uh it should be adjusted but um i tell people in that case uh let's wait until we get to the after you're all healed wait two four months then we'll come back and we'll revisit that conversation 99 of the time patients come back they're speaking great their tongue is adapted and they're good but if you're like you know two months out and you can't speak then um it's possible that your doctor has um maybe over calculated all in good faith and good you know good intentions and um and so you have to just go in but don't don't let them take off the temps um during that a critical hearing healing phase here's the deal with healing you may wake you know you may get your first set of teeth and and there's a really one or two responses in my office i can honestly say that 99 patients are ecstatic about their teeth everyone will have a patient that that's like oh i they're too white or or you know where it's like they would they were looking for chocolate and i gave them vanilla despite my best efforts even in those efforts i also tell my patients listen once these teeth go in we we can't we can't be playing with them um we can't be going back and forth and uh changing them because if we're taking the teeth on and off while they're healing um then they're not gonna heal properly so this is where you have to have a little bit of faith it might be a little uncomfortable but uh you'll have a bigger risk if you have a doctor that's a pleaser um meaning well-intentioned but he's just so worried that a patient gets mad at him or her then uh and they and they take your temps off by month out it could completely damage all of your implant integration and healing and so so uh don't push a doctor to do something he doesn't feel comfortable with and and this is why i communicate a ton up front it's so important just to to trust the process ask all the questions up front um i i in my in my attempts i never promised perfection because the reality is that i don't know what perfect is for you you really need to have it's called the law of contrast you have your original teeth or dentures you go into the first set and now you have something to contr contrast it with it's like dating right the more people you date the more clear you give out what you want so once you have your original teeth and then something to look at now you become a better educated person about what you want and day one right after surgery is not a great day to be making decisions right uh because everything is so new and i guess all the time doc we do this this is i'm like trust me just trust me and the things that they're so important to them on day one they come back uphill and going oh it's great and so you gotta remember you're gonna have sensory overload you know everything's gonna feel so crazy and and and weird in your mouth so you really have to just prepare yourself that listen they're gonna look gorgeous or they're gonna look good but hopefully they're gorgeous but the inside's gonna feel foreign you can't speak awesome right off the bat you're not gonna chew and that's good um and they're gonna feel bulky that's the other thing is no matter what the teeth are gonna feel bulky okay that's because anything that's different in your mouth the tongue goes wild and crazy and it's trying to find to make sense of it and so it's going to give you the sensation that something's not right that is too bulky you're not a great judge of that at the beginning you know and that's the thing is you have to trust your doctor that he knows what he's doing or she knows what he's doing be careful right matter of fact i would love to have a female dentist in my practice if you guys know one that's awesome please i would love to i mean ideally i go to all female uh physicians myself i think they're the best because they're better communicators anyways i i kind of detract here but um so if you don't let me know text me email me but uh let's get back on subject here the big thing i think about with um all on four is that um you have to be prepared you have to understand what you're doing at the you have to communicate super clear with the doctor your expectations and you have to trust the process and so the temporaries are always the biggest thing for concern um i say i wrote some other things down here now that i'm in my office i can focus on more um let's see speech troubles um teeth are model shaded yes so people sometimes say well hey you know i'm that can you can you change the teeth and the temporaries to look more natural i tell people that in the end we're going to custom shade them exactly the way you want and we'll have a custom shade and we're going to basically use lots of different colors we'll use grays and and and blues and and everything to make the teeth pop and look natural and temporarily though we have a limited amount of teeth we can choose from and um and so if the teeth look a little bit like um they're a little like that they should you know that they're temporary teeth that uh and so don't get too stressed about it just know that it's gonna change a lot in the in the finals uh let's see here now as far as the first two weeks okay so that's the word about temper is in the first two weeks uh there's areas that you can't rinse make sure that you you talk to your doctor because after you've reached two weeks the doctor should never be taking that device off okay um unless there's like an emergency you're in so much pain and the risks outweigh the reward um if your bite's off a ton so we have our patients come back you know the day after surgery get their temps we check the bite when they're not numb and then we have them come back a week to two weeks later to check the bite one more time but if your bite's hitting really hard you don't want to go four months with it like that okay you want to definitely make sure it's adjusted but they can adjust that in the mouth they have to take the device out um if you're biting your tongue that's something that's not normal you should make sure that i mean it is it will feel full but if you're biting your tongue consistently um then they probably should adjust that also and that can be adjusted in the mouth without taking it out um if you're biting your cheeks same thing the first few days not a great not a great time to make that decision it's when you've been out a week and if you're still biting it um then they can adjust that pretty easily also but the first you know first couple days if people haven't had back teeth oftentimes they'll bite their chicken that's completely normal okay it's like your tissue's gotten lazy and so you really have to uh give it some time to make it uh so your cheek starts to pull out of the way you start to use those uh muscles again um to keep your cheeks happy when you bite down okay so if three weeks to four months you know uh it's important that you your tissue is gonna change like i said and you're gonna get food cotton there the biggest thing is make sure you rinse it out with the water pick keep it super clean um but don't rinse too much if you rinse too much it can cause trauma also so especially on the front of your doctor doesn't do any gum grafting if you rinse really hard here in the lower you can cause trauma and trauma can lead to bone loss and inflammation irritation and create more problems so just be really careful uh see don't give uh now this is the big thing you can't eat you can eat but don't eat um i really hard foods and so i tell my patients that uh make sure i don't want to get a okay hold on there one second turn that off so i don't get there we go so i don't get a phone call here don't give any temptation of chewing and eating remember the temps were not built to chew or eat with if the temps break don't be mad i tell my patients that if you break the temps they are your responsibility it will be an inconvenience um and and you'll have to come in to have them fixed and we'll get you in right away but uh i tell people that if if you're breaking your temps i mean you're putting too much force on them so if you're a grinder or you're a clincher and you just generate a lot of force then i always give my patients the option i say listen if you think that you're gonna grind or clench your teeth and don't wear the lowers meaning that we we have the lowers made but we don't put them in until four months and this may seem extreme to people but if you're a severe grinder or clencher i can't control that and you can't either and so if you have an implant fell or the device breaks um you're gonna be responsible to pave the difference and that's frustrating to patients but again i don't i don't like to be responsible for things i can't control and i think most doctors should feel that way but people keep breaking their temps you're gonna risk breaking or the implant's not healing okay and so make sure you don't give in to temptation don't chew or eat on things let's talk about diet diet is so critical okay so it's okay to push your teeth together up and down but what you don't want to do is if you've seen like a cow when they bite when you when you chew we all do this we're not cows but we have the same motion when we we bite down and we make a lateral movement and then go down up sideways down over up so when we go this direction sideways lateral movement that's the chewing aspect that's when we're in danger of causing implants to fill any horizontal movement on plants causes micro movements that basically sends flags to the body that hey i don't know what this is and now the body instead of integrating we're healing around it's going to wall off and basically isolate and it's not going to help so that's why you don't want to chew so i tell my patients here i'm very we give actually a list of 50 foods that you uh you can eat um but let me just can i give an idea i tell them you know pizza off the menu 100 no pizza no no steak no chicken no hamburgers like the all-american diet is off and i say i make them sign consensus realizing that you may think that the biggest expense is going to be financially and i would i would argue that it's actually more uh it's it's making your whole life fit around for about four to six months this whole system of having a very soft diet you're going to be in situations you're going to be at restaurants you have to order things they're going to be consistent with keeping you safe if you start to break the rules you're going to break your temps and those in the temps break it can cause the implants to break so you really have to stem a soft diet so again biting up and down right that's okay but when you start to chew and go outside that action of chewing that's what you can't be doing so no chewing no grinding so again if you have to chew food then it's not okay but there's some food you don't really have to chew and that's the stuff that we tell people it's okay you know like the pastas you can obviously mashed potatoes yogurts um but you have to be really clear careful this is why i make my teeth flat too so it helps my patients um so think about if my teeth are really flat you're not going to chew well anyways and so it kind of helps patients stay on this right track this video ended up going a lot longer um let's see here now here's the two 911 emergencies while you're healing in temps if the two if the device starts to move or temporary breaks that's where you got to call we come in on the weekend we make sure you get in right away um jump on a plane or come right in but we need to tighten the device back up because if you don't tighten it up will happen is uh you're gonna have um it'll cause micro movements the same problem can cause implants to fell where a stroke can break and that becomes a very big problem okay so trust the process um oh if you have pain after three weeks two or three weeks go see your doctor that's not normal typically means something's wrong and so unless you have we have delayed healing and you're not a healthy patient but as a whole you shouldn't be feeling any pain two three weeks later okay um okay so let's go on to okay so preparing for the lat the next visit where they're going to make your teeth it's really really important again you want to walk in the office and have everything right so we go from surgery day to smile reveal today next day so like mondays we do surgery tuesday you get your smile sometimes it might be wednesday morning if i'm still tweaking it but tuesday or wizzy um and then after that we don't see our pickle we'll have them come back in a week for a bite check in after that now we're not going to share patients for four months and the next visit would be basically called testing day and testing days basically is to find out did the implants heal we call it um big smile testing day and so what it means is we look at the bone is the bone healthy is the implant healthy is there bone around it do we have bone loss are the gums healthy and then we look at the overall smile and facial proportions and say does this do pass the test meaning if it feels bulky in one area and it pushes the cheeks out we need to adjust that before we go into our final calculations so if you pass all the testing then we schedule you for final calculations or impressions and that's where basically we come back now instead of we're just saying is it good or bad now we're saying okay but where is it exactly that's where we're going to say okay we need to take it we're going to get the calculation of exactly where the implant is with relation to the gums and to the teeth and to the face and so you get calculations and locations for every single important thing in the big smile uh world meaning bone implants gums face and so then we start to take all those calculations and we overlay them on top of each other and then we start to basically say okay what do we want to change and this is where if uh if we if i've given you chocolate or the doctor's giving you chocolate and you're like a vanilla or maybe your chocolate with little sprinkles um basically meaning that you want to change your sponge a little bit here there that's where we have something to go from and we really can't change it until we have all that data all the calculations and so here's my advice for patients that um excuse me sorry about that um i think iphones they always put the thing right there and you touch it it turns off drives me nuts um here's my advice for patients that are coming in after they're all healed first of all don't rush the doctor let him take his time to really evaluate and analyze your smile okay the way i do it is i first come in and ask my patients what are the key things you'd like first of all what do you like about your smile okay compare it from the original now this one what do you like what changes did we make that were awesome secondly what would you like to change write those down word for word exactly what you say i'm going to write down then i come in and i look at all those calculations and i say okay i see what you're saying now i'm gonna start to put a list together to make your final smile the clearer you are the easier it is for us to get to there so this is where that four months is so critical um you make sure that you get clear about what you want so if you i tell people do your homework um if there's a smile that you really like like now that you have had your originals now you have temperatures now you can sit down and you can put a folder together of smiles really like and this will make it so the doctor can get to where you want faster and so it's like if you don't know where north is you're not likely going to hit it i mean there's 360 degrees if i know where north is for you i'll get there much faster so bring in pictures and just put down pictures and um i love when my patients bring in stuff to help me get an idea of what they want um but most of this should be handled really at the front end most time already know what patients like from the pre pre-surgery but if patients uh want to make changes i tell them we give notebooks to our patients bring in your notebook every time and write down questions that you have and ideas about what you want to see in your final smile because there's all these questions you know you know there's not a lot of time like i love to answer questions i'm very very social i love my patients to feel very very connected to me but the more prepared you are i could just knock them off right sometimes people forget their questions until they're gone and then they call in and then i'm with another patient it's hard to step out and so bringing those questions with you at the same time is great um i think i've kind of covered that but i hope that you this has been a good video um i know it's been you know not necessarily the best quality but the content has been awesome and so for patients that are currently healing for all and for i hope this has been useful for patients that are going to have all on four um these are things your doctor should be talking to you about but a lot of doctors are new at this and they mean well they just haven't experienced the repetition that most of us that do this every day and so these are things are going to make you successful it is a marriage between the doctor and the patient and i can't win no doctor can win if we're not on the same team so um help your doctor communicate well with him or her and they will come in and they'll do the same back to you um and give them time because sometimes we don't know what you want and i told you i will get there every time give me you know be patient you see my reviews you see my smiles you see all the pictures and in the reviews and the uh youtube videos i'll get there i just got to get into your psyche to understand what it is that you want and so cause love you know love uh beauty is all that i have to build right and so but we do want to have your dream smile teeth and and so anyways hope this has been helpful if you have questions i i don't know if there were comments um i have to run in i have a patient right about four minutes so i have to run in there um but if you have questions later today i'll have i'll respond to them subscribe to my youtube channel so that you can see when i'm going live so it alerts you um something i've been really great at but i'd like to get people to subscribe to my channel i'm doing a lot more of these just impromptu patient had a question like if you ask a question in the comments i will with the next month i will put that a part of one of these conversations so that i answer them and in the moment when i'm doing these i can answer answer questions also for you so um anyways appreciate you guys watching and thank you we'll see you guys later

Channel: DREAM SMILES by Dr. Hendriks

Views: 8,357

Rating: 4.8532109 out of 5

Keywords: utah dental implants, dental implants, dentures, tooth, decay, smile makeover, testimonial, oral health, titanium, all on 4, vlog, patient, reviews, teeth, mouth, makeover, cosmetic, missing teeth, solution, all-on-4, treatment, surgery, new teeth, replace teeth, restore teeth, restore smile, extreme smile make over, before and after, teeth replaced, teeth whitening, white teeth replacement, broken tooth, replace my teeth, dream dental implant center, oral surgeon

Id: kQ82Mzx61Wc

Length: 30min 35sec (1835 seconds)

Published: Fri Mar 12 2021