Family & Cosmetic Care in a Comfortable, Relaxed Environment.

Serving Las Vegas and Henderson, Nevada since 1999.

For many, the fear of the unknown keeps them from making decisions that can improve their lives. The same holds true when it comes to our smiles and dental health. A well educated patient makes informed, smart choices that can have dramatic effects on their overall well being. Below you will find some common questions about the all on 4 dental implants procedure.

What Appointments are Needed for All On 4 Dental Implants?

The All on 4 Dental Implants procedure consists of the following visits:

Initial Visit(s) – The initial visit(s) for the all on 4 dental implants procedure is necessary for the dentist to do a proper treatment plan for you. These visits will include gathering pertinent medical history, needed X-rays, dental impressions, photos, and a CAT Scan. The dentist will then be able to review all the information with the patient and develop the proper course of treatment.

Actual All On 4 Dental Implants Procedure Visit – At this visit the patient will undergo the procedure for placement of the 4 dental implants. Following placement of the dental implants, the dentist will place the denture in and the patient will leave in the afternoon with a beautiful set of fixed, functional teeth.

Follow-up Appointments - The patient will need to return to the dentist for occasional dental examinations over the next several days, weeks, and months to ensure comfort and fit. In about 6 months, the patient will return for a final set of dentures. The reason for the 6 month wait is to give the tissues in the mouth time to heal properly, correct anything the patient wishes to change, allow the implants to properly integrate into the bone, and to fabricate a titanium bar to fully support the teeth.

Common All On 4 Dental Implants Questions

What is the difference between traditional dental implants and all on 4 dental implants?

The dental implants used in the all on 4 procedure are specially designed to use as few dental implants as possible while giving proper support and stability. Traditionally, 6-8 dental implants would need to be placed to give similar support to a traditional denture. By placing the dental implants at slight angles it is possible to use fewer dental implants (generally 4-5) which decreases cost and healing time. This also has the advantage of not needing bone grafts prior to surgery.

How Do I Know If I Am A Good Candidate?

The ideal candidate for the All-on-4 dental implant procedure is someone who is currently wearing dentures or who is headed in that direction. Age does not matter but all dental implant candidates should be in good health and be a non smoker.

What is the success rate with All on 4 Dental Implants?

It is very similar to traditional dental implants. Long term studies show that all on 4 dental implants have a success rate over 98%.

Published studies show a 98% success rate using All-on-4 dental implants.

How long is the All-on-4 dental implant surgery?

The surgery itself takes approximately 2-3 hours per arch.

Will I leave the dentist with new teeth on day of surgery?

Yes! On the day of surgery a temporary set of dentures will be placed. The reason the dentures are temporary is to give your dental implants a chance to heal properly. Once the healing is complete a new set of dentures will be fixed in place. Sometimes the denture can not be secured to the new implants immediately. In this case, the bone is not strong enough and needs to heal for a few months while a traditional denture is worn.

Will my results look natural?

Yes! The All-on-4 dental implant procedure gives you permanent teeth that look, feel and function much like real teeth. No one should ever know but you and your dentist.

Can All On 4 Dental Implants be used on both arches?

Yes! The procedure can be used for either an upper or lower denture or both at same time.

How Are My New Teeth Maintained?

Dental implants should be treated like your natural teeth, daily brushing and flossing is required to maintain your new smile. There is also still a need for regular dental visits to have the implants and teeth cleaned and screws changed  to ensure the dental implants are solid, clean and free of infection.

All On 4 Dental Implants Conclusion

All on 4 dental implants have revolutionized dental care for many. To have secure, strong teeth made in a day removes many of the barriers that prevented treatment in the past.  Your dentist will let you know if all on 4 dental implants is a viable option for your oral condition.

Anyone who is fashion conscious knows sometimes the accessories are what makes a well dressed man or women. Whether it be a watch or a tie for a man or a handbag for a woman they can make or break someone’s look. What about your smile? Have you ever considered your smile to be an accessory to your look? If your smile is dull and lifeless it will detract from your overall look making you appear older and less vibrant. Below are some cosmetic dentistry procedures that can be utilized to brighten up an overall smile.

Using Cosmetic Dentistry To Be Fashion Forward

-Dental Bonding. This is the cosmetic dentistry procedure in which tooth colored dental materials are adhesively bonded to a tooth. This might be one of the simplest cosmetic dentistry procedures to bring your smile to life. Dental bonding gives the dentist the ability to change shape, size, color, length, and close any gaps that might be present. Dental bonding can be completed in as little as an hour. The main disadvantages of dental bonding are chipping, wearing over time, and staining. The final product is not as strong as a porcelain restoration and may need to be updated over time. While dental bonding is also used to restore teeth damaged by tooth decay it can also be used as a cosmetic veneer. Dental bonding is a very easy way to make your smile youthful and natural in appearance again.

-Porcelain Veneers and Porcelain Crowns. Often called “instant orthodontics”, porcelain veneers can change the alignment of teeth, if the alignment issues are not too extreme. Porcelain veneers and porcelain crowns can be a great way to replace lost tooth structure and alter imperfect teeth creating a more youthful appearance. Porcelain crowns and porcelain veneers tend to require more than one visit, but the results will give you a beautiful, youthful smile that lasts for years to come. Porcelain Veneers are custom made, ultra thin, tooth colored shells that are bonded to your teeth, and do not change color over time. This allows the cosmetic dentist to not only alter color of your teeth, but shape and length as well. Porcelain crowns can be used on teeth that either already have crowns or need more extensive work (having large restorations or tooth decay). Both porcelain veneers and porcelain crowns can as used in cosmetic dentistry to give the patient a flawless, more youthful and natural looking smile.

-Teeth Whitening. This is quite possibly the most popular cosmetic dentistry procedure today. It is safe and effective and comes in a few forms. These forms include in office whitening, at home whitening (with dentist provided trays), as well as use of teeth whitening strips, and topical gels. All of these methods are quite effective for most people. It has been proven by research time and again, that people find a whiter smile to be more youthful and attractive.  People tend to feel better about themselves when they are happy with their appearance. Teeth whitening can give patients a dramatic change to their smile with minimal cost and time invested.

-Teeth Contouring. This might be one of the simplest and most cost effective cosmetic dentistry procedures of all. It is usually done without the need for anesthesia and can be as simple as filing down a tooth that appears longer or is slightly out of alignment with the others. Most patients are quite surprised at how such a small adjustment can alter their smile for the better.

-Gum contouring and Gum grafting. Evening out gum levels can help teeth to look more evenly sized and can make short teeth appear longer. Gum grafts can fix areas where gum recession has occurred to make everything appear even and natural again.

-Dental Implants. Dental implants allow cosmetic dentists another option in tooth replacement to recreate a youthful, attractive smile. Whether it is a single tooth or a full mouth restoration, dental implants can fill that need. Missing teeth or open spaces has long been considered a sign of old age. Having a full set of white teeth screams youth especially when they are bright, white, and sparkling. When a person is missing a tooth they have several options. There are partial and complete dentures (including the all on 4 dental implants system), traditional bridges, and dental implants. A dental implant can look and feel just like a natural tooth. It is also easier to keep clean than a traditional bridge. Dental implants are placed directly into bone creating a solid foundation for a natural tooth replacement.

-Bite Reclamation. Over time as we age, we tend to lose some height on our teeth. This loss of height of height is also referred to as loss of vertical dimension. Some other factors that cause this loss include acid reflux or teeth grinding (bruxism). Reclaiming a person’s bite utilizing dental implants and porcelain crowns will increase vertical height which will also remove some of the wrinkles around the mouth. These wrinkles develop as our we age and our mouth’s sag from this loss of dimension. Cosmetic dentistry can fix some of this.

-Botox and Dermal Fillers. Long the realm of cosmetic surgeons, dentistry has now added these procedures to give what is called a dental face lift. In combination with dental work, removing some of those wrinkles on the face and around the mouth specifically will better frame that beautiful, white, youthful smile.

Cosmetic Dentistry Conclusion

Many studies have shown that the first thing people notice upon meeting is their smile. If your smile is dull and lifeless it can lead to a bad impression. Put your best foot forward in your choice of clothes and in your smile maintenance. You only get one chance for a first impression, make it a good one!

It has been said that the only thing in life that is constant is change. The same can be said for our smiles. As we age, our smiles change. This occurs when we are younger with new teeth erupting, loss of teeth as we get older, or even just teeth being misaligned. Ever wonder why teeth are constantly on the move?

Teeth Moving Factors

-Genetics. This always plays a role when it comes to our bodies and especially our teeth. Children actually inherit their parents tooth shape and size.

-Age. Anothe rmajor factor. As we use our teeth the dimensions of them change from wear over time. The lower teeth tend to wear out facter than the upper teeth due to their smaller size. This is commonly referred to as vertical bite collapse and is one of the reasons the skin around our mouths sag as we age. As the teeth wear down they are under immense pressure to shift and change positions as the bite re aligns itself anew.

Genetics, of course, can be a major factor. You can actually inherit your tooth shape! Tracing back either one or several generations, if it’s in your genes to have small or misshapen or crooked teeth, then that will probably be your eventual (not-permanent) fate.

-Tooth Loss. A major factor in teeth shifting when we are young and old. Most people believe that primary teeth can just come out and not cause any problems. This is not the case, the primary teeth hold space for the larger permanent teeth so are vital in that capacity. The loss of permanent teeth will allow the other teeth surrounding the loss to shift into that space.  If bottom teeth are missing, the tooth above will begin to grow downward. Nothing is stopping it from doing so or pushing it back into its place.

-Tooth Grinding (Bruxism). Grinding the hard surfaces of enamel together can wear down, fracture, and chip your teeth. Your teeth may appear shorter as they wear.  Another effect of teeth grinding is actual changes in the position of the teeth.  This grinding action juts the lower teeth forward and can loosen your upper teeth over time. Over time, these stresses can allow the teeth to move or drift to a different position and dramatically change your smile.

What Can Be Done To Fix or Stop Your Smile Moving?

-Dental Implants. Missing teeth can make you feel uncomfortable with smiling, socially awkward, or may make you look older than you are. Replacing lost teeth can be done with very natural results. Dental implants are a great way to achieve cosmetics, strength, and durability. Dental implants can be used to replace a single tooth or multiple teeth. The best part is, once restored, the dental implants should last long after your big day is over.

-Dental Bonding. This cosmetic dentistry procedure involves using tooth colored materials that can be bonded to teeth to change shape, color, and length. This same material can also be used to fully cover the front surface (referred to as a composite veneer). Dental bonding can generally be completed in one visit and make dramatic changes to your smile.

-Porcelain Veneers. While the initial cost is higher than the other cosmetic dentistry options, this may be cost effective if extensive changes need to be made. Porcelain veneers can change shape, color, length, and even correct minor misalignments of teeth. This will last a long time, will not stain, and is a very strong, natural looking material. If this is an option for your big day, you will need to plan in advance as time is needed to complete lab work.

-Porcelain and Zirconia Crowns. These types of crowns are the strongest and most cosmetic options available. They are made from modern dental porcelains that range in strength and esthetics. If done properly, no one should ever be able to tell a porcelain crown from a natural tooth. Modern porcelains possesses strength, color properties, and light reflection properties that very closely mimic our natural teeth. Porcelain crowns can be used to change bite alignment issues as well as change alignment of front teeth which are more extreme such as those issues that porcelain veneers alone cannot fix. More natural tooth structure needs to be removed in preparing a porcelain crown vs a porcelain veneer.

-Snap On Smile. This is a quick, conservative way to improve your smile without any permanent dental work. All that is required is having your dentist take impressions of your teeth, choosing a color, and the dentist sending them to a lab to have your custom snap on smile fabricated. Once the snap on smile is created, you simply clean your teeth, apply a fluoride gel inside, and slip it on over your teeth. You can talk, eat and smile with it all day long.

-Tooth Recontouring. Changing the shape or alignment of teeth in a minor way can have a dramatic effect on a persons smile. Tooth recontouring involves removing small amounts of tooth structure from edges of teeth to correct a tooth that might be misshapen or slightly misaligned.

-Orthodontic Treatment. Minor tooth movement can be utilized by your cosmetic dentist to bring your smile in line and allow for a better harmony between your smile and function.

Conclusion

Gone are the days where you have to just “deal” with a smile you are unhappy with. Cosmetic dentistry is not only about esthetics. Many of the procedures listed above will also improve the form and function of your teeth to allow for better health as well.

Dental implants have changed the way both dentists and patients look at tooth loss. One of the major advantages of dental implants is their longevity. The more traditional treatments like dental bridges generally last anywhere between 10-15 years or so. While dentures can last longer but need constant adjustment. Dental implants with proper care can last a lifetime.

How To Care For Dental Implants?

Dental implants can fail for any number of reasons. The usual culprits can include periodontal disease, poor dental hygiene, and smoking. Dental implants are considered to be a failure if they show any movement at all. This movement can occur when the bone and gum tissues surrounding the dental implant break down.

Listed below are a few simple steps you can do to help protect the stability of your dental implants:

-See Your Dentist Regularly For Routine Examinations And Professional Cleanings.

-Maintain Dental Hygiene. This should include brushing at least twice a day and flossing at least once per day.

-Use An Antibacterial Moutwash. This will diminish the amount of harmful oral bacteria in the mouth.

Factors That Lead To Dental Implant Failure

-Failed Integration of Dental Implants - This occurs when the bone of the jaws does not grow and fuse between the threads of the dental implant. This fusion between the bone and dental implant is called osseointegration. If osseointegration does not occur, the dental implants will become loose, or come out completely. To reduce this risk, your implant dentist will evaluate the quality and quantity of the jaw bone prior to surgery. This will allow the implant dentist to only place dental implants in areas where there is an increased success rate. If osseointegration does not take place, the dental implants can be removed, and implant surgery can be tried again following complete healing of the area.

-Dental Infection (peri-implantitis) –  While rare, this is the most common complication of dental implant surgery. The surrounding bone and gums can get infected during or after the placement of the dental implants. This can happen due to poor surgical technique, a contaminated implant, poor healing ability (diabetic, smoker, osteoporosis medications). The most likely time for this to occur would be during the surgical placement of the dental implant into the bone. Implant infection is a condition referred to as peri-implantitis. Peri-implantitis is characterized by inflammation or swelling of the tissues surrounding the dental implant. Peri-implantitis can also show up as a secondary infection later on. It is a form of periodontal disease that can lead to inflammation, bone loss and implant failure if not treated quickly and properly. Although dental implant infections are usually caused by the presence of bacteria during or immediately after the oral surgery for the placement of the dental implants, an implant infection can occur months or even years after the dental implants are placed.

-Damage To Surrounding Tissues - Dental implant complications related with surgical errors affecting adjacent teeth, nerves or sinus are directly connected to the experience and skills of the implant dentist. An implant dentist with the proper skill and experience is able to identify potential problems by examining x-rays or CT scan (computer tomography), design the proper treatment plan (including ideal location and angle), and execute it properly without complications. Even with the most experienced implant dentist there is always a possibility of dental implant complications. It is important to note that with experience comes an understanding of what can happen. This is important because an experienced implant dentist will be able to easily handle any complications that might come up either at time of surgery or afterwards.

What About The Dental Restorations?

Following placement of your dental implants and proper healing your dentist will place a dental restoration on top of them. These restorations can include dental crowns, dental bridges, and dentures. These restorations will eventually wear down from the constant mechanical forces placed on them through biting and chewing. Fortunately, these dental restorations will last years before needing replacement.

Dental Implants Longevity Conclusion

It is important to note dental implants can be a complex procedure requiring the need for an experienced implant dentist.In order to ensure the best possible outcomes, you should always work with a highly skilled and experienced implant dentist who makes dental implants a primary focus of their practice. With regular dental care maintenance, your dental implants could and should last a lifetime.