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Copyright Dr. Robin Gallardi 2017

 

 

 

Teeth in a Day/All on Four

 

Have you been suffering and are frustrated with loose or ill-fitting dentures?  Do you have only a few remaining teeth and are tired to maintaing them?  If you answered yes to either of these questions you may be a candidate for the "Teeth in a Day" or "All on Four" procedure.

This treatment option involves replacement of your missing teeth with a prosthesis that is fixed (not removable) to four separate dental implants(All on Four). The new teeth and the implants are placed all on the same day(Teeth in a Day) or within 24 hours of placement of the dental implants.

 

The term All-On-4 refers to “all” teeth being supported “on four” dental implants, a procedure for total rehabilitation of the edentulous(toothless) patient or for patients with badly broken down teeth, decayed teeth or compromised teeth due to gum disease.  Often tooth loss is accompanied by loss of bone which prevents conventional dental implants to be placed without adding bone(grafting).  In some cases the bone loss is so severe that grafting cannot be done to rebuild the bone.  The "Teeth in a Day" protocol is considered to be a solution to this problem.  It can avoid the need for the long and costly road of rebuilding bone when conventional dental implants are used.

The Procedure

You will require a consultation by your surgeon to first determine if you are an appropriate candidate for the procedure.  A review of your medical history and a careful analysis of the bone structure needs to be made.  This involves a clinical examination and the use of a special CT scan called a ConeBeam CT scan.  This type of X-ray provides a 3D view of your jaw bones and allows the surgeon to asses the quantity of the bone available.   Once it has been determined that you are a candidate, your surgeon will plan the surgery on a computer determining the exact location for the placement of the implants.

On the day of the surgery you should arrive with an escort and have an empty stomach for 8 hours. You may receive some form of sedation to make the surgical phase of the process more comfortable. The surgery involves the removal of any remaining unhealthy teeth, preparation of the bone and placement of four dental implants per jaw.  After the surgical phase is complete your restorative dentist will begin fitting you with your new prosthetic teeth.  The procedure takes several hours and you will be discharged home with a temporary set of new teeth that you will wear for 6 months.  These teeth are firmly attached to the implants and are not removable.  During the healing phase you will get adjusted to your new teeth with improvements in speech, eating and function occurring over time.

 

After the 6 months of healing your final set of teeth can be made.   You will work closely with your dentist to select the size, shape and colour of your new teeth so as to match your original smile as closely as possible.

 

You will see great improvements in eating and chewing abilities

and you will be proud to flash you beautiful new smile to all your

friends and family!