same day dental implants Archives - Holistic and Biological Dentistry

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.

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.

The Full Mouth Implant Procedure in One Day:

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.

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.

Placement of dental implants or posts. Implants 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.

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.

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?

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.
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.

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?

Remove all remaining teeth very carefully

Perform any necessary bone grafting

Place implants into the correct position 5-6 appropriate size dental implants.

Place a nice set of temporary teeth for a period of 2-4 months while implant and gum healing mostly completes.

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).

Are Permanent Implant Teeth Possible in One Day?

Yes. An implant dentist can remove all your remaining teeth and replace with a full set of implant teeth in one day. But should same-day full mouth implants be done and what are the risks and potential complications? And what is the quality of the result if successful compared to a conventional technique? The picture above is a case where the gums did not heal where they were expected to heal. The case can still get a great result, but the teeth need to be removed and replaced with a complete make-over of the gums and teeth. This is the risk of finishing full implants in one day as many groups such as Nuvia implants are doing.

Should All on 4 Implants be done Same Day

On the day of all on 4 implant surgery all your remaining teeth will be removed and several implants will be surgically installed. At this point, your jaws will need to totally remodel all the bone around the implants and actually create a biological connection. This is called implant osseointegration. Implants are not screws and they do not stay in your mouth as a mechanical anchor. The implant is actually held in place by the strength of a biological connection made as your bone grows around and attaches to the implants. This takes a bare minimum of 8-10 weeks. In the interim, the implants are held in place because they are actually screwed in initially (implant specialists call this implant primary stability). During implant integration, the connection between implant and your bone weakens before it strengthens. Also your body will need to grow bone to fill in all the holes where your teeth were removed. Additionally, your gums will change shape, heal and take on a totally new and somewhat unpredictable shape.

Complications of Nuvia Permanent Teeth Protocol

Lots of things can go wrong when performing all on 4 jaw surgery. The original Nobel Biocare protocols for performing full all on 4 procedures did not include finishing the procedure in one day. The procedure allowed for a healing period for many good reasons we will discuss.

Implant failure and loss of the entire All on 4 implant bridge. The success rate of implant placement is 90-95% for immediate load (implants where chewing pressure is placed immediately). Since there are 4-6 implants per bridge, you have up to a 40-60% chance of an implant failing.
Bone loss and infection secondary to implant failure. You could lose so much bone from pushing the envelope that you need months of bone grafting before you can even try to replace the implants
Pain and Suffering
Dissatisfaction with the appearance and function of the implant bridge. Since the Bridge is done in one day, you will not have an opportunity to test drive the bridge and make modifications if you do not like it.

Are Same Day Full Mouth Implants Worth the Risk?

Possibly. If it works and you got your teeth done in a day and hopefully you are satisfied. It may also be poor management of implant risks and potential complications. Not to mention set backs. Because if some of the implants fail, the result can be catastrophic. And it may take twice as long to get your teeth depending on the failure.

How are All on 4 Implants Done Conventionally?

The best way to do All on 4 Implant dentistry is to remove all the teeth, place all the implants in one day (basically do all the dirty work in one day) and deliver a high quality set of temporary teeth that do not put pressure on the healing implants. The Temporary teeth will be delivered the same day your teeth are removed so you will not go around without teeth. The teeth will give you something to “try or test drive” so you can make changes and get a better result when you receive the final ones.

How Long Does All on 4 Permanent Implants Take?

The temporary teeth are worn for 8-12 weeks as the implants and gums heal. Next we verify the implants are healed and see what changes need to be made to the final teeth. With this approach, we can achieve your goal of replacing all your teeth with a full mouth of dental implants without exposing you to unnecessary risk and possibly delivering a compromised result because we did your case on a prayer that no implants would fail and guessed at where your gums and jaws would heal. With a hiqh quality temporary in place, you also get to test drive a prototype and get an opportunity to make improvements prior to making the final bridge. I like surprises, but I like them at Christmas. And also, if you lose an implant and get infection, you could be doing one or possibly more surgeries to get the implants to work again.

What are The Different Types of All on 4 Teeth?

Most all one 4 bridges are made of pure tooth colored zirconia rather than the old way with titanium gray metal and plastic teeth. The machines that 3D print the zirconia costs 10s of millions of dollars and dentist with labs in their office cannot afford them. Only labs that process thousands of these cases per year can afford to buy them. Ask your dentist what kind of teeth you are getting. Are you getting pure Zirconia or are you getting titanium metal and acrylic plastic? Implant dentists who do same day All on 4 teeth, make them in their office and they make them out of metal and plastic.

should I remove all my teeth and get implants

Arcylic Implant Teeth is like a Denture Screwed to Implants

It is basically a denture screwed into implants. This kind of All on 4 bridge is also called a hybrid denture because it is denture material (normally removable) that is screwed into implants -hence “hybrid.” True Full Mouth All on 4 Implant Bridges are made of tooth colored Zirconia. Zirconia is a specialized porcelain which is much thinner than a hybrid denture and feels like high quality porcelain and natural teeth and not like plastic. Make sure you know what you are getting.

Do the Risks equal the potential rewards of Same Day All on 4? You make the Call based on an informed decision.

All on 4 Dental Implants or 5 or 6 Implants Better?

Always a good debate. The jury is out as to whether or not 4 implants are strong enough to support a full upper or lower set of teeth. 5 or six would definitely be stronger than 4 and you do not need to be a dentists to know that. 3 is not enough, so if a single implant fails you lose the case. Why not place one or two as an insurance policy? In the grand scheme of the case, 1 or 2 more implants ads marginally to the cost of the case, seriously. Are you paying enough for the case? If you place one or two extra ones, if you lose one after the initial healing period, you can still finish the case if you have at least 4 implants. If you placed 4 and lost one, you are starting all over again with the bridge, wasting tons of time, money and doing another surgery.

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Why not to get Full Mouth Implants in One Day