I Had to Replace My Front Tooth | Refinery29 | Macro Beauty - video Dailymotion

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This week on Macro Beauty, we follow Megan, who will be getting her front tooth extracted and replaced. Megan will go see dentist Dr. Andi-Jean Miro at Apa Aesthetic in Beverly Hills & Dr. Ziv Simon in Beverly Hills. Watch this episode to learn how this process works.   ABOUT SERIES We're getting up close and personal with all things beauty. Have you ever wondered whether or not waterproof mascara really works? Or been intrigued with tattooing your eyebrows? We'll show you this process like you have never seen it before!     ABOUT REFINERY29 Refinery29 is a modern woman's destination for how to live a stylish, well-rounded life. http://refinery29.com/  SUBSCRIBE TO REFINERY29 Subscribe to the Refinery29 channel: http://bit.ly/subscribe-to-r29 Follow Dr. Andi-Jean Miro on Instagram:   / https://www.instagram.com/aestheticsbydrandi/ Follow Apa Aesthetic on Instagram:   / https://www.instagram.com/apa.aesthetic/ Follow Dr. Ziv Simon on Instagram: https://www.instagram.com/simon.ziv?igsh=NTc4MTIwNjQ2YQ%3D%3D Dr. Simon's teaching company: www.SurgicalMaster.com   Follow Refinery29 on Instagram:   / @refinery29   Follow Somos on Instagram:   / @r29somos   Follow Unbothered on Instagram:   / @r29unbothered

Transcript

00:01I went for a regular dental cleaning they took a picture they saw pink which

00:06I've had different doctors tell me was the nerve coming through they found an

00:09x-ray and then they saw all this gray stuff so that's where the whole process

00:12started of seeing different doctors and discovering that I needed to get my

00:15tooth removed one of the biggest things when patients come in to see me is they

00:21have a big fear that they're gonna be walking around without their front tooth

00:25as long as you're working with me you're never gonna go without a front

00:29tooth hi my name is Megan I'm a line producer at refinery 29 today I have to

00:40get my front tooth extracted and I'm going to tell you if it's worth the time the

00:45money the pain and what I recommend this to someone who has to go through the

00:48same thing it's my left front tooth I remember a time when I was nine years old

00:56and I was at a park and I ran into another kid's head and I hit my mouth all

01:00the doctors seem to be in agreement that it could have been that impact something

01:04about the roots and how they get established and then it could have just

01:07been slowly deteriorating since then so I found these doctors who have a

01:11different solution that allows me to have a tooth that doesn't come in and out of

01:15my mouth at all I think success looks like people can't tell that it's a

01:19different tooth when the new tooth is put in my OB and all the dentists said you need to

01:23handle this before getting pregnant to prevent a situation where you wouldn't

01:27have a front tooth the gums would collapse or you would have to have a

01:30surgery while you're pregnant Dr. Andy and Dr. Simon are just the best they are

01:35so caring compassionate and gentle they understand the importance of like having

01:39a tooth in the front of your mouth and why that would matter and why you'd be

01:42embarrassed to take a tooth out every time you eat for up to a year I'm hoping

01:46that other people know there are doctors with other techniques they don't have to

01:50have an Essex or a flipper they can find a doctor who does the ACE technique you

01:54just might have to shop around and interview a bunch of different doctors

01:57to find a doctor that's willing to do a different technique I'm Dr. Zeve Simon

02:03I'm a periodontist and implant specialist practicing in Beverly Hills California

02:07I'm a dental surgical specialist I specialize in replacing broken teeth damaged

02:13teeth with dental implants I also treat gum disease different types of oral cancer

02:18and oral medicine conditions in the mouth I've been in a practice in Beverly Hills

02:22for about 25 years our practice has been in its existence for close to 45 years

02:28extracting a tooth in the front which we call the aesthetic zone is probably one

02:33of the most complex things in dentistry why because it's the front of your face

02:38that's your smile that's how you present yourself to the world and having a

02:42front tooth missing not only affects your function but affects your confidence the

02:48other thing is more biologic Megan's tooth came with a condition called

02:52resorption when we lose a tooth the gum and the bones start to shrink and collapse

02:58because the tooth is no longer there and what that creates is basically a big

03:03defect that's going to complicate things later on we will extract the tooth in a

03:08way that will preserve the soft tissue in the bone if you have surgical

03:12intervention or any type of infection in the mouth we need to take medications

03:17that might affect IVF so we are timing the procedure before the IVF and then Megan

03:23will be on a holding pattern until she conceives until she has her baby and then

03:28she'll get a tooth after that and Dr. Andy will place an immediate provisional so

03:35Megan she can have still a confident smile without the tooth while we're working on

03:39replacing it I'm Dr. Andy Jean Miro and I'm a cosmetically driven dentist located in

03:45Beverly Hills California my job would be to photograph the teeth to replicate the

03:53details that we're seeing in the natural tooth into the final implant

03:57restoration one of the most common things in dentistry that we use to replace a

04:03tooth is something called a flipper now for a certain clientele that speaks for a

04:09living or is in front of other people having something that's removable for

04:13me really isn't an option for Megan's case we were able to make something

04:18called a Maryland bridge basically a fake tooth that attaches to the two

04:24adjacent teeth for stability it's fixed in place it doesn't come out and this

04:29allows our patients to heal and have something that's really final for the time

04:34that they're healing in the temporary phase

04:39once we did the simulation we 3d print a surgical guide and that's placed in

04:45Megan's mouth and through that guide we are extracting the tooth and also placing

04:50the implant so it replicates what we did in the software in the patient's mouth

04:55and that gives us the most precise solution I'm gonna take Valium and

05:00laughing gas so I'm gonna be a little bit relaxed while this is happening and

05:05I'm a little nervous to see when I'm done with the day and I'm realizing the

05:08implant did or did not happen because that means that I have to have a dental

05:12surgery once I've had a baby that is stressful to me the first thing we do is

05:16called the timeout protocol part of this protocol is to mark the tooth to avoid

05:22any medical errors and then we start local anesthesia and we wait a few

05:26minutes to make sure that the anesthetic takes effect and then we start the

05:31procedure the first step is to create a few small sections in the tooth to

05:41separate the crown part and the root part from the part that is facing the gum

05:46we leave something called the anti-collapse extraction segment and that's

05:50gonna fool the body in thinking that the tooth is still there while we remove

05:53about 95% of it the next step we're going to place the implant through that

05:58surgical guide an implant is an artificial root and it's basically a tiny little

06:02screw made out of titanium it fits inside the jaw bone and once the bone

06:07heals around it then the dentist can build a tooth on top of it we'll mix blood

06:12with a bone graft that's going to create sticky bone and we'll take this sticky

06:16bone and we're going to place it inside the socket and that's going to create

06:20the foundation for an implant and preserve it we don't want anybody to know that

06:27she has a fake tooth in the front of her smile we wanted to have a tooth that she

06:31can bite with and feel confident with and that's what an implant does her

06:37original tooth was a little shorter so we're actually going to make it the same

06:41length as the adjacent tooth and then on the inside these are the two little

06:47attachments that go on to the adjacent teeth from the kind and allow us to get

06:53more stability of the restoration what really brings it to life is these

06:59amazing technicians bringing it to life with beautiful color so that it matches

07:05the adjacent tooth and doesn't stick out

07:12literally seen this in five minutes her teeth have these white hypo calcifications

07:18and now we have it in the temporary I'm using the blue etch this opens up the

07:24porosities of the tooth I then put some bonding agent getting it ready to place

07:30that final restoration I'm putting some cement on the bridge placing it into

07:36place and then curing it with the curing light the curing light will make the

07:40material hard and now this temporary is fixed in place for the next two and a

07:46half months to three months while she heals and really working to shape that

07:51tissue and make it the most ideal for our final restoration you can hold that up

08:01wow so this is not my actual tooth okay you didn't do that do you see how it looks so

08:07much like that's so crazy it will get better and it will all heal in it just

08:13gonna take a little time I'm gonna give you some instructions so that you have

08:16great healing how to brush your teeth what to do and what not to do and the

08:21best you follow the instructions the faster you heal thank you so much I

08:25really appreciate it my pleasure dr. Andy and dr. Simon I think of them as my

08:30angels these doctors have a plan that preserves my smile and helps me prevent

08:34that embarrassment so success rates with implants are very high there around 93

08:3994% the health of the implant needs to be checked at least once a year you still

08:44need to get your regular cleanings and your checkups with your dentist to make

08:47sure everything is long-lasting our patient is going through some fertility

08:52treatments and trying to get pregnant now that the implant is done she doesn't

08:56even need to be anesthetized anymore when she comes back in three months we

09:02don't have to use anesthesia we basically will take a little impression of the

09:07position of the implant and then the next week she'll have her new front tooth it is

09:12about five weeks post tooth extraction and some things that I've noticed are no

09:18one can tell that I have a fake tooth the only thing that's like a little bit

09:21different is that I eat on the sides like I don't put food directly right here

09:25right now healing process is going great I don't have any sensitivity swelling

09:29anything like that it was a little bit uncomfortable I was probably taking

09:32Tylenol and Advil for a week it took like a stronger than an Advil medicine one

09:36time it was not as painful as I was expecting it to be and I was able to heal a

09:40lot faster I would say it was easier than getting wisdom teeth removed I guess my

09:44lips maybe were like a little bit bruised or swollen for a couple of days

09:47day-to-day the temporary tooth I don't even notice it's there the only thing is

09:51I can kind of feel the cement used on the back of my teeth to hold it and adhere

09:55it to other teeth so I feel that a little bit with my tongue but I have

09:58learned to work around it up close you can kind of see the different artistic

10:02designs that Dr. Andy put into it from the moment I found out I needed to have my

10:06tooth removed until this surgery happened I was really struggling with

10:10sleep and I don't think I realized how stressed I was and then once they told me

10:14they could put the tooth in so really I'm back here Dr. Andy's office I have my

10:18temporary tooth and they're gonna put in the permanent tooth today they're

10:21taking out my temporary tooth they'll unscrew it pull it out and put in the

10:25permanent tooth that I should have the rest of my life fingers crossed I'm

10:28really excited because this is the end of the process and now I'll have a really

10:31strong tooth in my mouth this tooth looks so good that no one has noticed if

10:35anyone knows that I have a fake tooth it's because I said to them check out

10:38this tooth it's not the real tooth I even got family photos done I didn't

10:42think about that twice because it looked to me just like my regular tooth I'm

10:45nervous to be here today because it's not so comfortable to take a tooth out and

10:50put it in Dr. Andy's the best she goes really slow so it's not painful and she

10:54makes it really easy but it's just I'm a little bit nervous the fun part of this

10:58process today we're gonna give Megan her implant crown and she doesn't even need

11:03to be numb for this we essentially are going to unscrew our temporary and we're

11:09gonna screw in this new tooth and she'll go home today does not even have to be

11:14numb I actually put a little bonding on her adjacent tooth because when we were

11:18designing this restoration we want to make sure that the front two teeth are

11:24mirror images of each other as we were starting to design the restoration

11:28I noticed that her other tooth was a little bit smaller in dimension so we

11:32added a little volume so that we can make it a little bit more comparable to

11:37each other now that that permanent tooth is in there are really no

11:40restrictions for Megan she can go live her life bite into food unrestricted and

11:47really be able to enjoy her smile as it was before the gum and the bone around

11:53the tooth really dictate how long this restoration will last and so in Megan's

11:57case I am hopeful that it will last 20 plus years but it is always possible that

12:03we may have to change it in time as her other teeth change around it and that's

12:08not something that is uncommon when we're just doing one tooth all right you

12:13ready ready I love it it fits perfectly it's really smooth so much smoother than

12:22the temporary right yeah it's even just in the back and the front all of it just

12:26feels more like a real tooth and it's like you it's the same length as the tooth

12:31which my other one wasn't it looks great thank you we did it Dr. Andy and Dr. Simon

12:38were the best that I could have ever had they listened to me they advocated for me

12:42they understood the importance to me and they also worked with my timeline of

12:44knowing I wanted to do IVF have a baby but I couldn't have this like potential

12:49tooth problem in pregnancy so I needed to get it done quickly they work with my

12:53different doctors and the different medications I needed so overall an

12:56amazing experience totally would recommend these doctors totally would

12:59recommend advocating for yourself to find a solution that is not a temporary

13:03tooth if that's what you want to watch our videos like this subscribe here

I Had to Replace My Front Tooth | Refinery29 | Macro Beauty

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