Dental Implant Specialist: Ask Me anything about Implants, ALL-on-4, Real, no-BS Answers :)

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Ask anything about dental implants or implant dentures. I will do my best to give you prompt no-BS responses. Ask away!
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Ivan Chicchon

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Posted 4 years ago

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Wanda Burke

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I've had implants on the bottom for about 2 months and am having problems with the fit....I keep going back for adjustments but it still feels like knives sticking in my gums when I eat. The pain is not around the implants, but around the end of the denture on both sides. What do you think the problem is?
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Elizabeth Thompson

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Hi Dr. Ivan I sent you an email several hours ago asking you if it's normal to have to go almost 3 months without top teeth because my doctor/dentist did not offer me an immediate, I don't see my question here and I know I sent it just went back in fact if you could reply I would so much appreciate it regards Elizabeth.
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Ivan Chicchon

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Hello Elizabeth! I am sorry I missed your message! The short answer is no, this is not the standard that is normally followed. I cannot think of a reason that an immediate denture would not be offered. I always offer immediate dentures because no patient can stand to be without teeth for so long! 

Only one of my patient's has gone that long without a denture --but that was his own request. He felt he did not need an immediate denture. 

Will you be getting your permanent teeth soon? Was the fee too high for the immediate denture? Are you recovering well from the procedure? I would like to know more details about your treatment. 

Best, 

Dr. Ivan 
www.drivandds.com
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Meredith

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I went in for an adjustment today and did not get everything adjusted. Looked like everyone was having a very bad day in that office. It took two people to get my upper.aligned, so I have an even bite. I made a comment about my bottoms being way to loose but seems they were more aorried about getting everything cleaned up.so they can go home. I u derstand this because one patient had caused a big disturbance about not being happy with his dentures. They told him to come back in a few bours to.pick them up. Awhile later, they told me the same thing but I was ok with that. My bottom seems to feel like it has aings on the inside on both sides. I travel out of state to go to tbis dentist, so havinv to deal with my toung messing with the hard wing feeling bottoms might become annoying. I don't want to have to go back tomorrow, before I go back to my state. Should I go back or just wait? Is it possible for.to to use EZO to dill the gaps, u til.I go back next month? Thanks
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Ivan Chicchon

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Hello Meredith, 

If I were you, I would go back to the dental office first. The thing is, off-the-shelf denture products can be wonderful, however they most certainly do not replace a well made denture. Your dentist should be able to make it fit & feel better. Once it is as good as it can be, then feel free to use the EZO pads. This is not meant to discourage anyone from using the denture cushions, but I just want to emphasize the importance of a well made denture.  I hope this helps. 

Best, 

Dr. Ivan
  www.drivandds.com
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marcia

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Dr. Ivan, I'm wanting to know more about implants. Permanent ones I had all my teeth pulled back in April of 2016. I had temps for 6 months and then in Oct of 2016 I got my permanent dentures. I still unable to eat much. Can't really chew much. I use secure adhesive+ fixident. It seems pretty much after s take a bite they loosen up and then makes it hard to finish my meal. My cousin had all her teeth pulled snd implants put in right away. Not exactly sure what kind they are though she doesn't remove them. What do you think my luck would be with implants? Though I feel like my dentures are really made right. They are too flat. No sharpness. Since it's been 18 months since I've had my teeth and that pulled could I still get implants? And are there ones that you DO NOT take out? Also how much do they cost? Thank you!
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Wanda Burke

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What is the best way to keep the implants clean? My dentist says to wipe them with a piece of gauze but that does not seem to work; they do not feel smooth to my tongue. I use a child's toothbrush to brush my gums and pay special attention to the part where the implants are. Is this sufficient? I have read that plaque can form on the implants just as it does on teeth and I do not want that!
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Ivan Chicchon

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Hello Wanda, I am responding to your comment below. Thanks!
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Ivan Chicchon

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Hello Wanda,

That depends on what type prosthetics you have. Do you have a denture? Or a single implant crown? It sounds like you have a denture so I will answer accordingly.

Do your implants look sort of like this picture?



If so, brushing the implant itself is a good idea. If you feel like you get stuff stuck inside of the implant, you can get these little brushes to GENTLY clean the top surface of the implant. Here is a link to an example of the brushes on Amazon:

http://www.amazon.com/Health-Beauty-L...

If there is a risk of infection or there appears to be bone loss around the implants, the dentist can also prescribe a mouth-rinse called Chlorhexidine.

Aside from these measures, there is not much you can do aside from keeping healthy and going for regular check-ups and cleanings with your dentist. The dentist or hygienist has special equipment that can thoroughly clean the implants better than you can at home.

I hope this helps!

Best,
Dr. Ivan
www.drivandds.com
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Wanda Burke

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Thank you for your advice.........I ordered the brushes from Amazon.com as you suggested. My implants are smaller than those in the picture....the ones in the picture look like they have female connections whereas mine have male connections that fit into a female connections in the denture.  Oh how I wish you were here in Dallas!
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Ivan Chicchon

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:) Thank you Wanda. Also, these brushes are best for cleaning the "female" attachment, but they should work for the type you have also. Another thing that works to help clean the "male" attachment is something called Proxi-brushes. Your dentist should have some and can give you several to try. You just have to be careful to not brush aggressively at your gums around the implants. Brushing your gums too much can cause recession around the implants.

Best,
Ivan
www.drivandds.com
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Elizabeth Thompson

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Hi Dr. Ivan, this is me Elizabeth I sent you a very lengthy email yesterday explaining what I've gone through so far but I don't see it here so I don't know where it is can you tell me if you received it yet please ?
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Ivan Chicchon

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Hello Elizabeth, I'm sorry. I see that I have an outdated email on my profile.  Would you please mind re-sending the message? 

Or you can just re-post it here on the forum. Whatever you prefer.

Thank you!
(Edited)
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Elizabeth Thompson

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OK Dr. Ivan I sent you an email about six hours ago.
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Carley Phillips

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HI Dr. Ivan, I had my top implants done on April 14, 2017 and the bottom done on May 10, 2017! I am having a problem with getting temporary dentures after being to 3 different Dentists due to my Dental Insurance. Is it too late to get Immediate Dentures? Any other options?
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Heidi Ford

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I had all of my top teeth and five on the bottom removed on June 15th . I got an immediate denture in the top but nothing for the bottom yet. I was going to go with a partial on each side but would implants be better? I have read comments on here and I'm not sure which one would be better to have? Also around what would be the average cost of implants for the bottom?
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Rick

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Will implants/posts hold my full bottom denture in place after all teeth are gone? Is it worth the money? I don't want to buy something that will not work. I have full bottom denture ordered and will be getting bottom teeth pulled next month, top is done and holding great. Considering something of this nature to hold the bottoms in place, if it is necessary.
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Rick

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https://getsatisfaction.com/dentureliving/topics/crooked-top-denture
The link above is a thread about my crooked top dentures. Can you please look over the thread and add your valued professional input please.
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Elizabeth Thompson

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Dr. Ivan, I don't know if you remember me but two years ago I asked you a question I just saw the answer a little while ago. I have not been on this site that much lately, anyhow I was the person who asked you if it was normal to have to go 3 months with no top teeth. My bottom teeth are my own. anyway you said the answer was no and you asked if it could have been related to finances and I'm guessing it was because I went to a dentist who was in the donated dental program and he is the one who made the Denture for me after I went to an oral surgeon who was also affiliated with the donated dental service, to have my remaining 7 top teeth pulled only because one of them was loose right in front otherwise I was fine with my own teeth and I had a partial. I cannot stand my denture it hurts I've had two hard relines but stilll it always feels like it's going to fall out. I cannot stand any of the adhesives every one of them makes me feel sick to my stomach. I only wish I was in a position to get implants so I didn't have to go through this, I take my denture out all the time when I am in the house because I can't stand the way it feels.