should I replace all my teeth with a full mouth of dental implants Archives

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.

Permanent Dental Implants or Save Natural Teeth?

Just like a losing poker hand, you need to know when to fold. Are you tired of trips to the dentist? Massive dental bills? Unsightly teeth that keep falling apart? So why not end the misery once and for all? Dental implants offer a cosmetic and permanent solution to recurring teeth problems.

Contact Dr. Adams for a complimentary implant consultation including 3D Xray

How to Know When to Replace All you Teeth:

If you are missing nearly half your teeth, it will cost more to fix. And keeping teeth will not last as long.
If your remaining teeth are crooked and not straight, you will get a better cosmetic result with permanent implant dentures because the teeth can be put where they look and function the best.
If you have a lot of root canals, these teeth are dead and there is a greater risk of them breaking or getting infected. See article root canal vs implant.
if you need a lot of expensive dental work on your natural teeth and you get a lot of cavities, repairs on natural teeth may not last a long time.
If you have long-standing gum disease, it is more predictable to replace your teeth with implants

Replacing a Full Mouth of Teeth with Dental Implants

This is a big decision and once it is done, there is no going back. Remove all your natural teeth and you cannot put them back. What happens if you hate the new teeth? Unlike a new car, you cannot take new teeth for a test drive and give them back. Most people love their all on 4 style implant teeth, but they are different than natural teeth. You need to know what you are getting yourself into.

There are Several Different Types of Implants

Additionally, there are many different ways to replace all teeth with implants. Make sure you understand all available options. You need to know what to expect with your new teeth. And how much it costs to replace all your teeth with implants. For purposes of this article we are considering the most popular permanent way to replace teeth with implants. Removable Snap-in dentures are also an option. And you can consider replacing all your teeth with individual implant crowns and bridges, but this solution is ridiculously expensive and usually not practical or superior to permanent implant dentures.

How are Permanent Implant Dentures Different?

Permanent implant dentures is a full upper or lower set of teeth installed as one piece into the mouth. The implant teeth feel different since they are one piece and made of a different material. The teeth are smoother and thicker than natural teeth. Not necessarily a bad thing but different.
Permanent implant teeth do not have nerves. Implants do not feel hot or cold. Probably a good thing. Implant teeth can chew with more pressure and without pain. Again a good thing until something breaks. A strong set of zirconia teeth is important for longevity. Some of the acrylic implant teeth can break more easily over time. Make sure you know whether you are getting zirconia or acrylic plastic implant teeth.
Hygiene and maintenance is different around permanent dentures. Implant maintenance is done with a tooth brush, waterpik and special brushes and floss.

Our Implant Center is Located in Burtonsville Maryland

Dr. Gary Adams sees patients in a small private practice setting in Burtonsville near Columbia Maryland. Dr. Adams does implant surgery and places the teeth that go on top. He practices with a holistic approach to dentistry that combines all the advantages of conventional implant dentistry and holistic techniques including PRF, PRP and dental ozone therapy. Dr. Adams has been replacing teeth permanently with implants for over 15 years. Most people we see come from the Maryland, Virginia and DC metro area. But we also see many people who travel from across the US and abroad.

Other Options to Replace a Full Mouth of Teeth:

Conventional Dentures
Don’t Remove all your natural teeth. Consider saving your natural teeth. Saving your natural teeth may involve removing some bad teeth that are not repairable or worth fixing.
Do a partial mouth of implants. Save some of your natural teeth and replacing some of your teeth with dental implants. Sometimes, it costs less and the result can be better when just replacing some of your teeth with dental implants.

Partial Mouth of Dental Implants:

Often times the best option is to save all your good teeth, remove only the bad ones and replace only the teeth you need with individual implants and implant crowns and bridges. Sometimes extracting all your teeth is too aggressive. While full mouth implant options are wonderful, removing perfectly good teeth may not be the best option. You should consider how long saved teeth will last relative to implants and if saving teeth will compromise your result. For example, if keeping teeth will not look as nice and your are very susceptible to losing teeth and getting cavities and gum disease, it may be better to remove all your teeth and replace with a full mouth of dental implants. On the other had is your back teeth are good and you only need to replace your front teeth, it may be better to keep your back teeth and replace your front ones with a front tooth implant bridge.

What is All on 4 Dental Implants?

Permanent implant dentures is a way to permanently replace a full upper or lower set of natural teeth with a one-piece implant bridge. They are “also knows as All on 4.” Any remaining natural teeth need to be removed. 4 or more dental implants are installed per jaw. Finally, a set of teeth are installed onto the implants. All on 4 is a great option and is a lot less expensive than replacing all your teeth with individual implants and crowns. Of course it is necessary to remove all your teeth to do All on 4. It may be better to save some of your teeth and replace only the bad ones with implants. You should discuss what implant option is best with Dr. Adams. Clear Choice dental implants is a national chain that sells the All on 4 concept as their primary product. All on four may not be the best solution for everyone. Once you have rem

Full Dental Implants with Individual Crowns and Bridges

This option is self explanatory. All natural teeth are extracted and 20-25 dental implants are used to replace all natural teeth with individual implant crowns and implant bridges.

Bone Grafting, Gum Grafting, PRF Dental Stem Cells:

Very often implants may need bone grafting with platelet rich fibrin or PRF dental treatments. Also it may not be possible in all cases to remove teeth and perform implant surgery in the same day. This is called immediate implant surgery. Due to bone loss and infection it may be necessary to remove teeth and place the implants at a later date – delayed implant surgery.

Same Day Teeth or Teeth in a Day

It is almost always possible to deliver new teeth the same day all your teeth are removed. However, you do not need to be a dentist to know implants do not heal in 10 seconds and holes in you gum will heal and change shape. Therefore no dentist can complete a full mouth of dental implant case in one day unless he/she can turn water into wine. The good news is we can sedate you with IV sedatives, remove all your teeth, place several dental implants and deliver temporary teeth the Same Day. Then you will need to heal for 2-4 months at which point we can make your All on 4 or full mouth of implants. Typically this process only involves one day of surgery and the rest is easy.

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Can you get All on 4 Full Mouth Implants in One Day?