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Is Teeth-In-A-Day Right For You?

Teeth-in-a-day is a process where you will get a whole new set of teeth in one procedure.

It is based on an “All-on-Four” system where the base implant screws are placed, two anterior, two posterior, to hold your new teeth securely in place.

In other words, rather than each tooth having its own implant, four bases hold the whole prosthesis in place. This process is done using a local anesthetic. Old, failing, and decayed or infected teeth are removed, and the mouth is prepared for the titanium implant screws. After the base is in place, the new, customized prosthesis is fabricated, and then put in place. (Source: MALO CLINIC, Stamford “All-on-Four” Procedure)

This all happens in one day, allowing candidates to literally get a new smile in one day. These teeth are fully functional on day one, are not removable, and because there are only 4 implant screws placed, there is a much slimmer chance for needing bone-grafting.

This is a very popular method, as it is fast, effective, and requires fewer implant screws. However, not everyone is a good candidate for this procedure. What makes someone a good candidate for this procedure?

While getting new teeth in one day is a great option, it is not something everyone can realistically hope to achieve, as certain criteria must be met for a successful Teeth-In-A-Day treatment approach.

Here are a few of the things that would make someone a good candidate:

  1. Adequate bone support for placement of implants on same day. If bone grafts are needed, it will take more than a day. Because the system is placed on four implant screws, the bone structure and support has to be sound enough to hold a mouth full of teeth, and allow for the stress of biting and chewing.
  2. No infection or chronic inflammatory disease associated with extracted teeth. This can compromise the success of the treatment approach.
  3. Good oral hygiene to help ensure the implants will remain stable because there won’t be bone loss due to decay, rot, or improper care.

In addition to someone being a good candidate, the following criteria have to be met for this process to be successful:

  1. Stable implants with proper positioning. This has a lot to do with adequate bone support. The key to this approach is getting implants that provide enough stability to support normal jaw function. To help insure the stability of the implant and to avoid damaging vital structures such as the nerve canal and sinus cavity, the posterior implants are inserted at an angle. Proper positioning and angles is necessary for successful implants.
  2. Balanced, well-fabricated temporary prosthesis. Care must be taken with the fabrication. The dentist or surgeon has to be able to create a great temporary prosthesis for comfort and function.
  3. Detailed treatment plan and strategy. A detailed treatment plan and strategy is a team effort, and will account for the unexpected with contingencies. Patients may need to meet with a dentist, oral surgeon, and proshodontist for evaluation and to formulate a comprehensive treatment plan. Part of this plan should include a 3-D computer work up, and thorough examination and analysis of the jaw.
  4. Good oral hygiene, and routine dental care, after the implant is key. This will allow for healthier teeth, and more stable implants.

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