Teeth-in-a-Day

Dental implants have become the standard of care that we can deliver to patients. It is like replacing the tooth with a new tooth created by human hands. This phenomenon started very conservatively by using a few implants to support a denture, transforming it into a fixed part of the oral cavity. As the technology progressed and developed, new options for replacement teeth in different areas of the oral cavity became available.

Non Restorable teeth

  • A tooth is deemed ‘non restorable’ if it can not be saved and have a predictable outcome
  • Causes of tooth loss
    • large decay, fracture of tooth, loss of extensive tooth structure, periodontal disease
      • loss of bone, gums and supporting tissue
  • In such situations, extraction of the tooth/teeth is the only option
  • Replacement of teeth is best accomplished with dental implants
    • Most functional and natural replacement for tooth loss

  • The main concern with dentures is the poor fit and limited chewing function, especially with the lower denture
  • Maximum function is expected to be 10% of natural teeth
  • Acrylic dentures wear quickly-may need to be replaced over time
  • Bone loss continues through life which affects facial esthetics and fit of denture
  • Dentures can cause airway issues, mouth, face and muscle pain due to ongoing bone loss
  • Upper denture has a suction effect on the palate
    which helps it stay in
  • Retention strength varies depending on palate anatomy
  • Wear or fit is difficult for patients who gag
  • Most patients eventually abandon lower denture and wear upper denture for esthetics only
  • Dietary restrictions arise with the lack of retentiveness
  • Inability to chew hard foods
  • nutritious vegetables or meats
  • Limited to softer foods
  • Sugars and starches-leading to weight gain

  • There are 3 parts; see images below
  • Adequate patient necessary for successful outcome
  • May or may not require time to integrate before they can be loaded with crowns or dentures (prosthesis)
  • Can be used to replace a single tooth or full arch of teeth
  • Can be used to aid in retention of denture
  • Imperative that implant patients continue to follow up with dentist for hygiene appointments to maintain healthy implants

  • Fabricated from acrylic
  • Patient wears interim denture while implants are integrating with bone
  • Lower denture is retained by 2 implants
  • Denture snaps on to implants via ‘locators’
  • Locators on denture will need to be replaced approximately every 6 months due to wear and loss of retention
  • Lower denture will stay in place, but can be expected to ‘wobble’, allowing the back of denture to move when chewing-causing food to get trapped under denture
  • If upper denture is not retentive enough on its own, lower denture can cause it to become loose when chewing
  • Not recommended to sleep with dentures in mouth
  • Both dentures need to be removed and cleaned daily

                        

  • Hybrids are full arch bridges attached directly to implants
  • Prosthesis is not removable by patient
  • More implants means better foundation
  • 4 implants minimum to not require upper palatal coverage
  • Placing 6-8 implants will greatly increase success as well as overall cost
  • Rotation and tipping of prosthesis is eliminated due to “table-like” placement of more implants
  • If one implant fails, a new implant will need to be placed and hybrid will need to be re-fabricated
  • Repair and replacement can be costly
  • Patient must clean under hybrid using specific tools
  • Food may get trapped under both dentures

  • Hybrids can be fabricated from porcelain to enhance esthetics
    and reduce likelihood of stains
  • The most natural looking teeth

porcelain denture

acrylic denture

Staying on the cutting edge of technology is critical to obtaining the very best aesthetics as well as the knowledgable use of various ceramic materials.  We want procedures that are less invasive, provide for quicker recovery times and are successful!  We have the X-Nav Technology… read more about why you want it here:  http://www.x-navtech.com/patients/

Currently, one of the greatest advantages of dental implants is immediate loading, the ability to insert the crown/denture the same day that the implant is placed. The Teeth-in-a-Day procedure provides instant gratification to the patient, increasing quality of life. This benefit is possible because the surfaces of the implants have been modified to enhance osseointegration, which is the integration of the bone and implant. Dr. Singer uses 3D imaging technology to model the restorations and identify the ideal location to place the implants.

For more information about Teeth-in-a-Day or to schedule a consultation with
Dr. Singer, call our office in Alexandria, VA at Old Town Alexandria Office Phone Number 703-299-4614 or
call our Washington, DC office at Washington DC Office Phone Number 202-912-9200.

The main feature of this technology concerns the planning. Dr. Singer can plan the placement of implants, considering not only the anatomical scene but also the aesthetic positioning. When the doctor looks at the converted CT (computerized tomography) in the software program, it provides the possibility to visualize the bone from different perspectives, as if he were holding it in his hands. It also allows for less invasive surgery in many cases and fabrication of a superstructure, temporary or final prosthesis (tooth/teeth), before surgery. This enables Dr. Singer to perform the surgery and place the implant restorations without the need for sutures, which reduces the risk for inflammation under the flap. This is a real benefit for patients because there is less swelling, bruising and pain. Your time in the dental chair is tremendously reduced since all of the computer planning and fabrication of your teeth is done beforehand.