Teeth-in-a-Day – Roslyn, NY

How Do Teeth-in-a-Day Work?

Teeth-in-a-Day is the most accurate description of the procedure as far as the patient is concerned. This is a surgical procedure in combination with the restorative steps to give a patient with failing teeth the proverbial “Hollywood” smile in a matter of one to two days. These are NOT dentures that need to be removed but fixed teeth that the patient gets at the time of surgery. This is the procedure that has gotten a lot of popularity in recent times. It is the same thing as all on four, teeth in a day, teeth express, all on X, and many other names used. The highlight of the procedure is that the physics of the implants are different from conventional implants described in the implant section earlier. As mentioned in the implant section, to place the most optimal implant, there needs to be a favorable edentulous site with adequate bone and soft tissue. Even though it is done on the daily basis at GCOMS for one to several tooth defects, performing augmentation of soft and bony tissues on the entire mouth is not practical and cost-inefficient. Not to mention the lengthy treatment times that it would take. The goal of full mouth or full arch dental rehabilitation is to give the patient the quickest, most optimal high-quality dental function and appearance.

Am I a Candidate for Teeth-in-a-Day?

Anyone who has poor dentition beyond repair. Beyond repair is a disputed definition. Most commonly it is a patient with multiple dental issues and frequently missing multiple teeth that would prefer going through a single procedure where all failing teeth are replaced by ideal-looking restorations. A good example would be a patient with missing or nonrestorable posterior teeth with a questionable prognosis of the anterior teeth. Historically in dentistry, we would go to great lengths to replace the missing posterior teeth, frequently requiring sinus lifts. This process would take months to over a year to complete, after which the compromised anterior teeth would frequently need to be replaced. This scenario would be a great source of frustration to the patient, as they have invested a lot of time and finances working on their mouth, just to realize that more major work is needed. To avoid this frustration and the lengthy process, teeth in a day are recommended for patients with failing or terminal dentition.

Another example of dentition beyond repair is a patient with multiple dental needs with an extreme dental phobia that cannot tolerate any dental treatment, which in many cases can be extensive. Again, teeth in a day is a procedure that unlike routine dental care can be performed under general anesthesia, which may be a better alternative.

Another common scenario is a patient who has lost all of his or her teeth and is using dentures. Humans can be extremely resilient and adapt to fairly morbid disabilities. Even though patients have lived with dentures for many years there’s no need to continue to settle. For example not being able to swim in a pool or ocean, eat a full meal at a restaurant, perhaps a steak, go on a date or have a need to remove the dentures at night, can be alleviated with implants and teeth in a day.

Benefits of Teeth-in-a-Day

You will discover many benefits come with Teeth-in-a-Day, such as:

• The ability to possess a stronger bite force and chewing power that enables you to eat your favorite foods.
• An easy way to maintain your new smile because they require no additional products or cleaning supplies.
• Improved jawbone stimulation.
• A natural and fully functional prosthesis that is comfortable to wear.

Teeth-in-a-Day vs. Traditional Dental Implants

Teeth-in-a-Day makes it possible for faster loading after your procedure. This means you can chew more easily since there is an even balance across your jawbone. Traditional dental implants require that you spend 3-6 months recovering at home before receiving your prosthesis and can make it more difficult for you to eat during the initial stage of your recovery.

Also, Teeth-in-a-Day:

• Costs less than traditional implant dentures because you only need four implant posts instead of six
• Allow you to leave the same day as your surgery with a new, complete smile
• Do not require preliminary advanced treatments like bone grafting or sinus lifts, which reduces costs and recovery times

Teeth-in-a-Day: What to Expect

The process starts with a consultation, where Dr. Yusupov goes over the treatment options and a determination is made if the patient is a candidate. Once the plan is agreed upon by both the surgeon, restorative dentist, and the patient, records are taken and surgery is scheduled. The following steps detail the process. 

• Consultation: CT scan is commonly taken and a clinical examination is performed. Most commonly conventional implants are used for teeth in a day, but in some cases, more advanced options may be necessary. A common example is Zygomatic Implants, which are discussed in a separate section. Frequently at the completion of the consultation, our team can assist the patient with the financial aspect of the treatment. 
• Consultation with the Restorative Dentist: teeth in a day is a team approach. The vital players are the patient, the surgeon, and the restorative dentist. If the patient does not already have one, a follow-up consultation is made to discuss the restorative options. If the patient does not have a dentist they prefer to work with, we can arrange a consultation with one of the top restorative dentists in close proximity to the patient's residence. 
• Records: This is a fairly easy appointment, where no dental procedures are performed on the patient. Remember, teeth in a day is done all in one sitting. The records appointment involves taking photographs, digital scans of the teeth, formerly dental impressions, and in some instances a repeat CT scan. In some cases, the records appointment may be divided between the surgeons and the restorative dentist’s offices, occasionally a dental laboratory. Once the records are taken a surgery date is scheduled. 
• Surgery Day: Again, this is the day where all dental treatment is accomplished. For some, the time leading up to the surgery day may be anxiety-provoking, which may be discussed during the consultation and is frequently managed well, in some instances with premedication. It is imperative that the patient remains fasting starting the midnight before or for 8 hours prior to the surgery. This is known as Nil Per Oris of NPO. If the patient is on chronic medications (orally or by injection) the plan is usually discussed at the time of the consultation. The day starts with a review of the plan with the patient, the informed consent procedure. Once confirmed, an intravenous line is started, at which time we would frequently draw blood to extract patients' own growth factors to be used in surgery for improved healing.