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Implant Options for Fully Missing Teeth
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Removable Overdentures

In this scenario, the prosthesis is supported by implants, but is easily removable by the patient. Two, three, or four implants are adequate for a removable overdenture. The more implants, the better the retention and stability of the denture. Overdentures with four implants are the most common option.

  • Two Implants: This is the simplest and minimum number of implants for support of an overdenture. You will have great denture retention and can eat quite comfortably.
  • Four Implants: This provides better support for your removable overdenture. Having four implants allows less denture extension, or flanges, and increases comfort dramatically. In some cases, a fixed prosthesis may be possible with four implants.

Advantages of a removable prosthesis:

  • Less costly
  • Relatively good stability
  • Patient can eat most foods comfortably
  • Repair or modification is relatively simpler and less expensive

Disadvantages of a removable prosthesis

  • The removable denture may not be well tolerated due to denture flanges.
  • Some patients may find the removable feature less satisfactory
  • May not be able to chew harder foods as comfortably as a fixed design
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Fixed-Hybrid Teeth

For patients who don’t want dentures that come out, there is the fixed option. This approach allows the prosthesis to be fixed to the implants and can only be removed by the dentist. They are designed to allow easy cleaning and maintenance.

  • All-on-4: With this options, a fixed prosthesis is supported by four implants. This can be used in patients with significant bone loss in the back of their jaws. Implants are positioned in a way that does not require bone grafting.

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  • Five-Six Implants: This is ideal for a fixed-hybrid prosthesis. This is an overdenture that has a metal sub-structure and is fixated to the implants. The prosthesis can be removed only by your dentist, if necessary. This eliminates denture extensions or flanges and feels more natural.all on 6 fixed hybrid implant supported teeth bethesda oral surgeon washington dc dentist
  • Eight Implants: This is indicated for a fixed bridge. This prosthesis is made of porcelain or other ceramics and is supported by implants via screws or cement.
  • More closely resembles the feeling of natural teeth.
  • Because it is completely supported by implants, no denture flanges are necessary therefore making it more comfortable
  • Extremely stable so any type of food can be chewed easily
  • Easily cleaned

Disadvantages of fixed prosthesis:

  • More costly than a removable prosthesis

Fixed Implant-Supported Bridge

With  6 to 8 implants and presence of normal bone height and width, you may choose a conventional fixed bridge completely supported with the implants. This design is the closest to the appearance and feel of natural teeth. The teeth are fixed and only removable by your dentist if necessary.

This option is ideal for patients with completely missing teeth or about to loose their teeth due significant caries. A bridge design requires that a patient has no or minimal loss of bone and gum tissue as the bridge only replaced the crown aspect with no denture base. With this design, similar to a fixed hybrid prosthesis, the teeth are fixed and can not be removed by the patient.

This design by far as the most natural appearance and feel when compared to a fixed hybrid or an overdenture. The major disadvantage is its higher restorative cost.

 

All-On-4 Treatment

The ‘All-on-4′ is a dental implant treatment option for those with completely missing teeth. The implants can be placed either in an immediate fashion on the same day as extractions (Teeth-in-a-Day)  or in delayed fashion once the extractions sites have healed (Delayed implant placement). The ‘All-on-4′ refers to placement of the entire prosthesis (i.e. teeth) on 4 dental implants. The prosthesis can be either removable or fixed.

The ‘All-on-4′ treatment is a great solution for patients who have lost significant bone in the back of their  jaw and where bone grafting is not desired. The dental Implants are positioned in a way that does not require bone grafting while providing great support for the prosthesis. The ‘All-on-4′ technique can be done in both upper and lower jaws.

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Patients with teeth that require extraction:

A common scenario is a patient who needs all of their teeth extracted due to severe decay or gum disease. Here is how it works:

  • Teeth are extracted
  • Four immediate dental implants are placed on the same day. This is known as immediate implants.
  • An immediate full denture is then placed and supported by the four implants on the same day. This is known as immediate restoration.
  • The implants are allowed to heal for 2-3 months before fabrication of the final implant-supported prosthesis.
  • The implant-supported prosthesis is fixed to the implants with retaining screws and can not be removed by the patient.

Patients with all of their teeth missing:

If you have already had your teeth extracted, you can also have a removable or fixed prosthesis on 4 dental implants. This is how it works.

  • A CT scan is done to measure your existing jaw bone
  • A special guide is made from CT scan to help place the implants with precision
  • The implants are placed
  • Immediate full denture is placed and supported by the four implants on the same day
  • The implants are allowed to heal for 2-3 months before fabrication of the final implant-supported prosthesis.
  • The implant-supported prosthesis is fixed to the implants with retaining screws and can not be removed by the patient.

‘All-on-5′ or ‘All-on-6′:

Four implants are the minimum number of implants for this approach. However, it may be recommended to place 5 or 6 dental implants for additional support. More implants may be recommended for those with a large biting surface or strong chewing habits. The additional implants provide greater stability, strength, and support for the prosthesis. If you love eating harder food, the additional implants will be of great benefit to you.

How is ‘All-on-4′ treatment done?

  • The treatment is coordinated between Dr. Kazemi and your restorative dentist.
  • All diagnostic work-up including consultations, study models, X-rays, and CT scan (if necessary) are completed before your surgery.
  • On your day of surgery, Dr. Kazemi will perform all necessary extractions and will place the dental implants. We offer IV sedation, so you can be absolutely comfortable during the procedure.
  • Your restorative dentist, lab technicians and assistants will also be present in our office. They will fabricate your temporary implant-supported teeth which will be inserted on the same day.
 

Same-Day-Teeth (Immediate Implants and Teeth)

What is Teeth-in-a-Day?

Teeth-in-a-Day refers to the process where a patient can have necessary extractions done, dental implants placed and have an implant-supported prosthesis, all in the same day. It combines immediate implants and immediate restorations principles, so that a patient can come to the office in the morning, have all necessary surgery and prosthetic work completed, and leave home in the afternoon with fixed new teeth in place.

To achieve success, a number of factors must be considered:

  • Health of the extraction sites
  • Integrity of the surrounding bone
  • Location of implants
  • Type of prosthesis
  • Patient bite and forces of chewing

Immediate implant placement shortens the overall treatment time and consolidates your procedures into one. We offer Teeth-in-a-Day treatments but only to patients who meet strict criteria. Violation of such criteria significantly increases complications and failure rate.

A Patient Shares Her Experience:

Caution regarding Teeth-in-a-Day treatments:

Advertised widely by chain implant centers, the Teeth-in-a-Day concept has become largely a marketing fad. Teeth-in-A-Day, while promising and successful in selected group of patients, lacks sufficiency in its science, knowledge, literature, research, and expertise that is required to achieve predictable results.

The approach may be successful, but only in very few candidates with no infection around their teeth, have great amount of bone, and all conditions are ideal.  If conditions were this perfect, why would they need to have their teeth extracted to begin with? Many commercial “implant centers” do a hard sell to fit a patient into a treatment plan. Healthy natural teeth end up being extracted in order to place multiple implants and connect them with an immediate prosthesis on the same day! There are some evidence-based studies on this approach, but there are too many variables not yet thoroughly understood. Use of this approach in poor candidates results in high rates of failure and implant loss.

Many experts advise patients to be cautious of such hard advertisements and made promises that are often impossible to deliver.

 

Mini Dental Implants

Mini dental implants are narrower form of dental implants designed for patients with significant bone loss who do not want extensive bone grafting procedures. The procedure for placement of mini dental implants is minimally invasive and in most patients requires no incisions. Patients experience no to minimal pain and the healing is rather quick. The implants must heal for 3- 6  months before they are loaded with denture teeth.

They offer enhanced stability and support for dentures and help patients eat more comfortably and smile more without worrying about denture loosening or falling out. Denture adhesives and glues will no longer be necessary saving patients significant cost and also inconvenience of having to place adhesives several times daily.

Mini dental implants also also less costly making a great option for those with smaller budget.

Treatment Cost

We offer flat fees for total surgical and restorative treatments with no-interest payment plans. The fees include all consultations, diagnostics, X-rays, surgical placement of implants, transitional teeth, final restorations, and all follow-up appointments.

Treatment Options For Full Arch Teeth Replacement:

  • Basic option- Removable overdenture with 2 implants: $10000 or with 4 implants: $14500
  • Most popular- Teeth-On-4 Fixed Hybrid: $27500
  • High Performance- Plus Fixed Hybrid (all-on-6): $32500
  • Complete fee packages include all consultations, diagnostics, X-rays, 3-dimensional computer-assisted planning, CAM /CAD surgical guides, necessary simple extractions,  dental implants placement, transitional prosthesis, final restorations, and all follow-up appointments.
  • For both upper and lower full arch treatments, we offer a combined discounted fee. Contact us for information.