Disclaimer: “All on 4” is a registered trademark of NobelBiocare
By Derek Gatta DMD MS FACP
Before dental implants, removable dentures were the only option for people missing all their teeth. Dentures are acrylic plates that are fitted to your gums and provide the ability to chew soft foods, speak and smile. They are certainly better than having no teeth but dentures do present challenges and are not optimal care when thinking about replacement teeth.
Great dentures usually require the combination of a great dentist and laboratory. Depending on the amount of bone loss you have, it can be very challenging to fabricate well-fitting dentures that are esthetic, functional and comfortable. You should be taking them out at night to clean them and to give your gums a rest. Every 3-5 years you will probably need to reline the dentures as your bone levels continue to resorb and decrease. Once that option is exhausted, you should have a new set fabricated. Dentures do not last forever and similar to a new car, they require regular maintenance.
The introduction of dental implants changed traditional dentures forever. Dental implants preserve and maintain your bone levels, so they do not continue to resorb over time. There are multiple options you can select when considering implant dentures. The following are the most common.
We can make your denture with less acrylic and they will “snap” into place using the dental implants. This greatly improves the retention and stability. You still have to take your dentures out at night for cleaning and resting your gums.
A) Four dental implants greatly increase the support, stability and retention for your restoration. Dental implants buttress much of the load instead of your gums. If you chose the removeable options, the dentures still “snap” in and out and need to be taken out at night when you sleep.
Meet’n’Greet, Data Gathering: You will meet the doctor and the team will collect diagnostic information, photos, radiographs (xrays), study models of your mouth, health history, dental exam
Present findings, treatment recommendations:
Dentist will go over the case and describe how best to move forward and achieve your goals. We will provide an over view of what to expect.
Meet surgical team:
The dentist (Oral Surgeon or Periodontist) who will place the dental implant will meet you and go over your health history. They will determine if you have enough bone to place the implants immediately after any teeth need to be extracted and if you can receive immediate replacement teeth.
The surgeon will extract the bad teeth and place implants. Next , we will fit temporary teeth the same day, or we will make an impression of the implants and delivery temporary teeth within 48 hours. The implants need to heal for three months while you maintain a diet of softer foods. One month after surgery are when the implants are most vulnerable and if a failure/rejection is going to happen, usually happens at this stage.
After the three month healing period passes, we will remove the temporary teeth and make a final impression over the implants. The master ceramist will use this to fabricate the final cosmetic restoration.
We remove your temporary teeth and deliver the final cosmetic restoration. Your dentist will confirm fit, comfort and esthetics.
This timeline is an estimation and everyone’s case may differ depending on your bone levels and complexity of your case. I cannot stress enough that this purchase is similar to buying a car, and yes it’s a wonderful and lifechanging investment, it does require maintenance and follow up care for long term success.
Office: (561) 997-6622
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5455 N. Federal Hwy, Suite D
Boca Raton, FL 33487
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