Why not to get Full Mouth Implants in One Day

Why Not to Replace All Your Teeth Permanently In One Day

The reason not to get a full mouth of implants in one day is because the cosmetic result may look bad due to the gum and bone levels lowering a lot for the first three months after having all your natural teeth removed. Of course the gums are going to heal and the “lowering” always happens. How would you feel if 3 months after you got your new implant teeth, the gum levels lowered to where you see spaces between your teeth and gums? Or worse yet, the metal where the teeth connect to the implants is exposed. Showing metal in the mouth is a real eye sore. And lots of food and bacteria is going to collect and be difficult to clean. Rushing the case to the finish line can be a costly mistake that you will live with forever.

full mouth implants same day problems

Disadvantages of Getting Full Permanent Implants in One Day

You’ve seen all the TV commercials and online google paid ads about getting all your teeth replaced with Implants in one day. Now you are excited about getting a beautiful new smile in one day. The truth is you can get permanent implants in one day, but there is a lot of risk in doing so. And the results can be sub par. This article will discuss the risks and disadvantages of getting implants and permanent full mouth implant teeth installed in one visit. Or within a period of days.

Full Mouth Permanent Implants is a complex decision

Where and how to get all your teeth replaced with implants is a big decision. Many people travel long distances to get full mouth implants. Getting the procedure done in as few visits as possible is important. But the result should last a lifetime and the result is what you will live with. There’s a reason why 99.9% of dentists allow a healing period prior to installing the permanent teeth. A great compromise, is to live with a cosmetic set of temporary teeth while the gums and implants heal. Lets take a deeper look since this is a big and expensive decision.

Get a no cost consultation for Full Mouth Implants including 3D Xray 

The Full Mouth Implant Procedure in One Day:

  1. Remove All Remaining Teeth. Many of the remaining teeth are not any good or worth fixing or worse yet, abscessed and causing jaw bone infection and bone loss.
  2. Bone and Gum Grafting: the extraction sites where teeth were removed need to be grafted and heal with new bone and gum tissue. Depending on how much infection is in the jaw, bone grafting may not be possible on the day of tooth removal.  In this case, the patient would need to have the graft on a later day. When grafts are done in areas of infection, the grafts can fail and there can be additional infections associated with a rejected bone graft.
  3. Placement of dental implants or postsImplants take 2-3 months to heal and reach full strength. You are waiting for bone to grow around the new implants. The implants need to be perfectly placed so as to properly support the zirconia implant teeth. But what if there is infection right where you need to place an implant? Is the implant dentist going to place the implant and possibly even do a bone graft anyway? And then, hope they are lucky and it heals perfectly while it supports an expensive new zirconia implant bridge? And all this is going to magically happen before the implants, gum and bone has even healed? I don’t think this will always happen and it certainly is not predictable. Replacing a full mouth of teeth in one day can lead to many problems, complications and undue risk.
  4. Impressions or scans of the mouth and implants need to be taken to make a good fitting set of permanent implant teeth. But how can that happen since after all the teeth are removed the gums and bone are going to change shape and position as the mouth heals. It is possible to get an scan of the mouth but there is going to be a lot of guessing about where the gum levels will be. Scanning technology has come a long way, but it cannot guess about where the gum level will heal. What if there is a lot of space between the teeth and the gum level? Food will get stuck and you may hear weird whistly air sounds as you talk.
  5. 3D printing of the Full Mouth Teeth: make sure you are getting Zirconia as the final material. Acrylic is a lot cheaper and it does not hold up. Full mouth implants completed in one day delivers a final Zirconia set of teeth in 1-2 days. Zirconia 3D printers are expensive, but companies completing full mouth implants in one day have a centralized 3D printer or they are outsourcing to a 3rd party lab. The 3D teeth are usually printed and shipped overnight to the local office a installed within a day or two.

Complications with Finishing Full Implants in One Day?

  1. Implants can fail and subsequent loss of the new Zirconia teeth. Implants fail 5% of the time in ideal situations. When placed in compromise situations the failure rates go up. If 5 implants are placed, the chances of a failure can be between 25-50%. One failure can cause an entire case to fail and need to be totally be re-done. Is the implant center going to redo the case for free? We do not know, but you should check.
  2. Gum and bone may not heal where you expect when final impressions or digital scans are taken before implants, gums and extraction sites heal. This is really the biggest problem. The gum levels will change and then there are large spaces where food gets stuck later. And having space between your teeth and gums is not a good look.Notice how the gum levels healed below the level of the crowns made. The best way to do implant crown and bridgework is to wear a nice temporary bridge for 2-3 months and take impressions when the gum levels can be established.
One Day Implant Problems

Notice how the gum levels healed below the level of the crowns made. The best way to do implant crown and bridgework is to wear a nice temporary bridge for 2-3 months and take impressions when the gum levels can be established.

full mouth implant space between gum and teeth

What is the Conventional way to do Permanent Implants?

  1. Remove all remaining teeth very carefully
  2. Perform any necessary bone grafting
  3. Place implants into the correct position 5-6 appropriate size dental implants.
  4. Place a nice set of temporary teeth for a period of 2-4 months while implant and gum healing mostly completes.
  5. Finish case with a high quality set of Zirconia teeth.

Acrylic vs Zirconia Implant Teeth

If you are going to go through with replacing all your teeth with implants, do not settle for plastic teeth or hybrid dentures. You should get the Zirconia teeth. Zirconia may be a little more expensive, but it does not break, stain, absorb plaques or require maintenance. Hybrid Dentures (made of acrylic plastic) absorb bacteria, stain, teeth can break off and the acrylic material generally breaks down. Comparing Zirconia to Acrylic is like comparing a plastic cup a high quality porcelain mug (except zirconia does not break).

Pros and Cons of All on 4 Dental Implants

Common Problems with All on 4 Implants

All on 4 reviews are generally good when the case is planned properly and delivered in a professional and skillful way. The common problems with All on 4 are that they are “too thick”, “do not feel natural”, that they are “one piece…and not individual teeth”, “they have no feeling to pressure or temperature.” Most of these complaints are just differences between all on 4 and natural teeth. Perhaps having teeth that do not feel temperature and pressure is a good thing. Most people will accept all on 4 as a new normal. And they usually look great and chew food like nobodies business.

all on 4 dental implants

All about All on 4 Implants

So you are tired of rotten, missing teeth and high dental bills? And emergency trips to the dentist are getting old? Here is the place to explore the pros and cons of replacing all your teeth problems once and for all with a new set of permanent implant teeth. Reviewing implants is much more complicated than looking at how many stars a service gets. All on 4 dental implant reviews are generally good and it is the most practical solution to permanently replace all teeth.

What is All on 4 Implants?

All on 4 Implant procedure by definition is removal of all your natural teeth and complete replacement with permanent implant teeth supported by 4 or more dental implants. All on 4 complications and problems do happen. Not every all on 4 case goes perfectly and as planned. Also not every implant dentist is created equal. Some dentists are more skilled and capable of performing full mouth dental implant cases. Full mouth implant cases are best done by one dentist who has advanced training in implant surgery and full mouth implant reconstruction. Such a one-stop facility is called a “dental implant center.”

Dr. Gary Adams

Dr. Gary Adams has done thousands of all on four implant procedures. Adams is also licensed in IV sedation dentistry. Usually full mouth implant cases are done under sedation. Dr Adams sees patients mostly from around DC, Maryland and Virginia. But some people travel from across the USA and abroad. Dr Adams offers consultations without fee for new patients including the 3D Xray

Call today for an implant consultation or use our Contact us form

Gary Adams DDS Holistic Dentist

How much does All on 4 cost?

Depending on the region of the country, the quality of dental implants and the all on 4 bridge material used (solid zirconia vs acrylic), the cost of all on 4 can range from $40,000 – $60,000. The fee usually is all-in and includes removing all remaining natural teeth, bone grafting, implants and the teeth. The fee also usually includes a set of temporary teeth and dental sedation. If you are quoted a cost lower than $50,000 you are either in Mexico or using an implant and materials you do not want in your mouth. All on 4 dental implants complications can be minimized if the case is done by a dentist with a lot of full mouth dental implant experience.

There are Several Different Kinds or Full Implant Teeth

All on 4 is the most practical way to replace all your teeth with permanent implants. There are other options to replace a full mouth of teeth with implants you need to explore before making a final decision. Snap in dentures is a much less expensive alternative to all on 4 that many people really enjoy.

Contact Dr. Adams for a complimentary implant consultation or 2nd opinion

Replacing all Teeth with Implants is Confusing

Because there are many different ways to replace all your teeth with implants, it can be confusing. And you cannot take a new set of teeth for a test drive before buying them. The decision is a big one and you need to educate yourself before deciding what to do. It is a large financial investment. You want to be satisfied with the result. Make sure you explore all your options including less expensive removable options like snap on denture teeth.  Many people are quite satisfied with the snap in teeth once they get used to teeth that are removable.

All on 4 Dental Implants Before and After

Full mouth zirconia teeth
Zirconia complete implants

All on 4 dental implant reviews are generally positive

But you need to learn about the different ways to replace teeth with implants before deciding what to do. People who have suffered with poor fitting dentures will be especially happy with full mouth permanent implant options. On the other hand, people who compare all on 4 to a good set of natural teeth may be disappointed. But they may be thrilled. The point is, there are differences between natural teeth vs implants. And huge differences with various fixed implant solutions. You to know what you are getting yourself into of you may have regrets. New Teeth are not like cars. You cannot take them for a test drive.

zirconia full mouth dental implants

Differences between natural teeth and all on four implants:

  1. All on 4 is a one-piece set of teeth installed into the mouth. It feels different than natural teeth to the tongue. The teeth are smoother and thicker than natural teeth.
  2. Implant teeth do not have nerves, so the do not feel cold. That is probably a good thing. Implants can apply more pressure without pain than natural teeth. That is probably good until something breaks. This is where getting acrylic plastic teeth vs zirconia is a serious consideration. Get the zirconia upgrade because it does not break.
  3. Cleaning happens with a tooth brush, waterpik and special brushes and floss. Hygiene and maintenance is different.
  4. There are differences but one is not necessarily better than the other. Just know what you are getting yourself into.

How Long do All on 4 Dental Implants Last?

Also, how long will your investment last and what will maintenance costs be like in the future. There are some problems with all on 4 that should be considered. There are many different kinds of all on four teeth that go on top of the implants. If you are considering replacing your teeth, you should read this page completely so you are properly informed.
Some teeth are made of smooth durable zirconia and other teeth are made of plastic. Educate yourself on these options to avoid regrets, costly repairs and remakes.

Upgrade All on 4 Implant Teeth to Ziconia

You should also educate yourself on the different kinds of teeth used for All on 4. Long story short, only accept zirconia teeth. And do not do traditional acrylic teeth. Also even though we call it “all on 4,” it is much better to use 5 or 6 implants per full set of teeth. It is stronger and 4 is the bare minimum. And do yourself a favor and do not go anywhere where they claim to be able to totally finish your case in one day. At least not until you read this article: Why All on 4 should not be completed in one day?

Clear Choice Dental Implants Comparison

  1. We are not a national chain or franchise like Clear Choice. Dr Adams provides individual attention to each and every implant case
  2. Dr Adams handles the entire case involving implant surgery and fitting of the implant teeth. With one doctor doing the entire case there will never be a miscommunication.
  3. We use many natural and holistic dental products such as platelet rich fibrin and oxygen and ozone therapy to promote bone growth and healing.
  4. Dr. Adams will consider all implant options not just All on 4. Dr Adams also does gum treatments, fillings, conventional dentures and a full range of dental services. Dr. Adams will never try to talk you into taking out all your teeth when there is a better option. We will present all options you have to fix your teeth.
  5. We will file your insurance and get your benefits.

A Holistic approach to Implant Dentistry

Dr Adams approaches implant dentistry with a holistic approach.  One difference is using PRF treatments and dental ozone and oxygen therapies. The use of different types of PRF preparations improves bone healing around implants, shortens implant recovery time, decreases pain and swelling after implant surgery.

Most Common All on 4 Implant Problems and Failures

All on 4 dental implant reviews have generally been good, but there are some concerns about All on 4 that need to be considered prior to removing and replacing all your teeth with a full mouth implant bridge.

should I remove all my teeth and get implants

Advantages and Disadvantages of All on 4:

If one of the four implants fails after the teeth have been made, the entire All on 4 implants will need to be remade. The bridge will need to be remade because 4 implants is the bare minimum needed to support a full set of upper or lower implant teeth. Additionally, it is impossible to replace a dental implant by doing an after the fact surgery and have the implant heal in the same position as the lost implant. Since the implant position is different, the All on 4 implant bridge will no long connect precisely in the same way as before. This will cause a major problem because the All on 4 implant bridge is very expensive to remake and it will take several visits to re-make. The failed implant will also take a period of months to be replaced and heal also. The loss could take 5-12 months to fix. While All on 4 dental implants complications do occur, if the case is done by a qualified dental implant expert, most cases turn out very nice and meet the expectation of the patient.

How Many Implants are Needed for All on Four?

The best way to avoid this kind of All on 4 problem is to place 5-6 implants for a full mouth implant bridge. If 5-6 implants are placed, an implant failure may not be a problem or cause the entire case to fail. For the implant dentist, patients can get very frustrated with this kind of failure. Patients can do anything from writing online negative reviews about All on 4 Dental Implants to filing law suits for suspected malpractice. Where there is a doctor with a wallet, there is the threat of a lawsuit. 1 or 2 extra dental implants in this situation becomes an inexpensive insurance policy of sorts against complete All on 4 failure. All on 4 cases have failed if not enough implants are placed, but the reviews have been great when 5 or 6 implants are used and the case is done by a qualified implant expert.

In general, if an all on 4 case is done by a qualified implant specialist, the case usually turns out great. All on 4 implant reviews are good but as stated complications do arise. All on four cases should be planned with the most likely failure in mind and a plan in place if there is an all on 4 implant complication.

All on 4 teeth can fracture and break

This rarely happens if the all on 4 teeth are made of an up to date material like zirconia. This was a major problem with older hybridge or hybrid all on 4 implant teeth made of plastic acrylic. Zirconia materials such as Bruxzir and Prettau are strong and rarely break. All on 4 dental implant complications including bridge breakage can happen but most of the time only with older acrylic hybrid denture models.

all on 4 dental implants cost

Zirconia Complete Implant Teeth

All on 4 Teeth Manufacturing Techniques

all on 4 implant problems

Acrylic teeth and gums supported by titanium substructure

This design is the classic design called a hybrid denture and one laboratory calls their version – Hybridge Denture or Hybridge Implant Bridge. It is basically a denture made on top of a piece of titanium that screws onto the implants permanently. The design is very permanent and stable. One problem with this design teeth can separate from the titanium framework. The All on 4 bridge can be repaired by sending it back to the lab for repair. The repairs are typically inexpensive but the repair can take days and leave the patient without any teeth for a few days.

Full Solid Zirconia All on 4 Implant Teeth

In this design the bridge and teeth are one solid piece made by a 3D design and printer. This kind of full mouth implant bridge is called a Prettau Bridge. Another competing technology is called Bruxzir. The product is one solid zirconia milling and has superior looks and strength. Very rarely do these full mouth zirconia implant all on 4 teeth break. This later design is typically a little more expensive. Both are more expensive than implant dentures – the least expensive full mouth implant option.

Why implants are worth the long-term investment

Implants do not get cavities or ever need root canals. They are beautiful since an entire mouth of teeth is designed and manufactured from the ground up. Implants can exert more force than natural teeth. All on 4 teeth usually out last natural teeth and are much less prone to problems.

Full Implant Cases Need to be designed for strength and long-term durability

Consider all on 4 price, the cases are usually very worth the investment. Generally, all on 4 implant reviews are excellent if the case is done by a qualified dental implant expert. But remember All on four complications can happen and cases should be planned with potential points of problems in mind. For example if the patient clenches you may want to add an additional implant to help carry heavier biting forces. And if there is weaker bone, extra grafting of bone may be considered to strengthen weaker implants.

Making All on 4 Dental Implants Affordable

The high cost of full implant cases can be difficult to afford, but when multiple teeth are hurting and your smile is suffering, the cost may begin to seem like the easy way out. We offer dental implant financing through Lending Club and Care Credit patient financing. When faced with expensive treatment on natural teeth such as several root canal re-treatments removing failing root canals and replacing your teeth with a durable long-lasting full implant case seems like a great idea. What happens if you do not get a root canal? Is a dental implant an alternative to a root canal?

All on 4 Video:

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