Dental implants: how have they changed?
Dental implants are a permanent restoration of missing teeth. It is one of the few methods that don’t rely on adjacent dentition for support. This solution gives patients back their ability to talk, eat, and feel as if their teeth never fell out at all.
This craft has been attempted for as long as we know. And while some methods are just astounding today, there is evidence that the restorations may have been functional, if not permanent.
Antiquity and the first strides
The earliest dental implant we have records of was done in Ancient China. Bodies from over 4,000 years ago were found with bamboo pegs tapped into the jawbone to replace teeth. Later, about 2,000 years ago, Ancient Egyptians moved on to precious metals and even ivory.
In 1931, Wilson Popenoe and his wife found a body of a young Mayan woman from 600 AD at a site in Honduras. She had three missing incisors (front teeth) that were replaced with pieces of shell.
At first, scientists thought that the replacement was made after her death, but they later noticed that bone started to grow around the primitive implant. This wasn’t discovered until 1970 after the process of osseointegration was analyzed. It is proof that the restoration must have been functional.
Either way, the hygienic standards and methods were less ideal than today. The holes must have been dug with manual drills. Just imagine how long and painful the process must have been!
The age of experimentation
Evidence from later implantation comes from the sixteenth century. Around this time doctors would use teeth from the poor or from dead bodies to restore smiles. In the 1700s, a doctor called John Hunter would work with grave robbers to conduct such procedures, along with questionable experiments.
This allowed him to carefully analyze the human anatomy. He managed to implant a tooth to the comb on a rooster’s head (the red, fleshy part). Blood vessels grew into it, making the procedure successful.
Around this time researchers began to experiment with materials such as gold, silver, metal alloys, porcelain, and iridium. Later, in 1809, J. Maggiolo implanted a gold tube into the hollow space left behind a missing tooth. After healing, he added a crown, but the patient experienced severe inflammation.
Another attempt was made with a porcelain crown on a platinum disc in 1886, but all these procedures ended up failures. The materials were not biocompatible and thus were rejected by the bone.
Success in the 20th century
The twentieth century marks the moment dentists began experimenting with semi-successful implants. The Greenfield system of 1913 involved an iridioplatium post with a gold crown and showed signs of osseointegration (fusion to bone). It only lasted a few years, though.
The Strock brothers also made strides with vitallium, a material that is biocompatible. They are considered to be the first to place an implant successfully.
Shortly afterward came a huge breakthrough: titanium. Experiments were made with implantation into the lower legs of rabbits. After healing, it was found that the implants were very difficult to remove.
A Swedish scientist by the name of Dr. Per-Ingvar Brånemark managed to complete a successful transplant in a human in 1965. His patient died in 2006 and his implant went to the grave with him.
Dental implantation nowadays
Since then the procedure has been perfected, but his method is still in use today. More than 7 million Brånemark System implants have been placed, and many more by different companies.
They are now made of a titanium alloy and in the shape of a screw to secure them more steadily in the bone. There is also a standard of an abutment and crown, which protect the implant from bacteria in the mouth.
The success rate of modern implants is very high, about 95%. They are often used to support bridges, even ones that stretch over entire arches. This is called the all-on-four method, in use since 1977. As the name suggests, it utilizes four implants to support a full, fixed bridge.
G4 by Mike Golpa
The G4 implant solution by Golpa is a streamlined version of the all-on-four-method. Entire arches are mounted on titanium rods and frames. The whole procedure only takes 24 hours. Prices start as low as $16,500 and everything is done in one location.
Thousands of patients have left dr Golpa’s practice satisfied. It’s the closest a patient can get to look, feel, and function as if they had their natural teeth. Schedule a consultation today.
What’s the difference between cosmetic and aesthetic dentistry?
Some people may have perfectly healthy teeth that happen to be slightly crooked or stained. Would fixing it be a cosmetic or an aesthetic procedure?
These adjectives seem to be thrown around often and interchangeably. And the two fields of dentistry they describe are easy to confuse. Both deal with the teeth and what a person looks like, but what is the difference, exactly?
Aesthetic vs. cosmetic dentistry
One way that helps understand the distinction in the meaning of the two words is by looking at their etymology. Both have origins in Greek.
“Cosmetic” is derived from the word “kosmētikos”, or, something that is used to “arrange or adorn”. The word conveys a sense of decorating. It implies something that is not natural but man-made.
That is exactly what cosmetic dentistry is. It is the enhancement of the smile that can bring about an effect that does not normally occur. Such procedures do not serve to improve one’s health but solely the appearance. Examples include bleach white veneers or zirconia gems.
The word “aesthetic” derives from the Greek “aisthētikos”, which defines things that can be detected. It is best interpreted as things we “see in nature”. As regards dentistry, these procedures aim to bring about the most authentic-looking result.
They are focused on finding harmony and balance within the mouth and face, and often carry a practical use. Priority is set on fixing a problem or bringing back functionality, not what is seen in magazines.
The most popular aesthetic procedures
It would look rather unattractive to walk around with dark cavities and gum disease. That’s why most procedures at the dental office can be considered aesthetic. You can read about some popular techniques below.
A primitive form of orthodontics has already existed over 3,000 years ago. Since then, of course, the craft has been perfected and can be performed much more accurately and safely. It deals with changing the placement, angle, or rotation of teeth.
The following are the most common orthodontic issues:
- crooked teeth,
- teeth that do not fit together correctly,
- an overbite, sometimes called “buck teeth”,
- an underbite,
- a crossbite,
- an open bite (spacing between teeth when the molars are touching),
- a misplaced midline (asymmetry of the upper and lower incisors),
- spacing, and
These can pose bigger challenges than a less-than-desirable appearance. When teeth are not placed optimally they create spaces that are harder to clean. This often leads to cavities and gum disease. Moreover, when they press against each other the patient may experience headaches, TMJ, as well as shoulder, neck, and back pain.
How does orthodontics work? Force is applied to teeth in a controlled manner in order to achieve carefully planned results. There are different methods, the most popular of which are traditional braces and clear aligners.
Crowns & bridges
Crowns are caps mounted on the remainder of the tooth or a dental implant. The reasons for getting one include covering other treatment (such as a root canal), supporting a weakened tooth, or simply improving aesthetics.
The practical functions of crowns include:
- structural support,
- keeping other teeth from shifting,
- bone absorption, and
- simplifying dental hygiene.
They are one of the most durable restorative options when natural dentition is damaged. On the downside, though, crowns are quite expensive, time-consuming, and complicated to place.
When a tooth is missing caps can be used to support a dental bridge. Two or more are bonded together over a gap, restoring the bite. Entire arches can be replaced with bridges to give patients back the functions of eating, talking, and smiling normally.
Dental implants are artificial (usually titanium or zirconia) rods surgically mounted in the jawbone. They help prevent bone retention in addition to replacing missing teeth and restoring their function.
This is one of the most expensive procedures at the dental office. The process can also take a long time. If there is not enough bone to support the implant in the first place, you might need grafting. This can include months of healing.
But that is the price for the most durable solution for tooth replacement out there. Implants last for up to thirty years and may be treated by the patient as if they were their natural teeth. This means no diet, special cleaning products, or adjustments.
Moreover, dental implants can be more than just replacement of a single tooth. They can support partial or full bridges, or even entire dentures. This all depends on whether the patient is a candidate, of course.
A popular technique is the All-On-Four method. It involves supporting a full arch on four rods. It has been around since the 1970s, and provides the patient with complete flexibility. Depending on how your schedule is, you can even have the whole procedure performed in 24 hours.
The G4 solution by Golpa is an improvement on the Ao4. It’s a permanent restoration on four titanium rods, all in one day. You can have one or both arches done and they are fully customized to suit your appearance. Dr Golpa’s practice has accumulated the most experienced surgeons and there are thousands of satisfied customers.
Which treatment should you choose?
Both fields of dentistry, cosmetic and aesthetic, offer a wide spectrum of treatments. In this article we have only touched the surface. The question is, what is most important to you? What are your dental issues? How would you like to fix them?
In the case of multiple missing teeth, badly damaged dentition, or discomfort from wearing a denture, the G4 implants may be the perfect choice. They are a sturdy, durable solution for the entire mouth. All this in twenty four hours, in one location. Prices start at $16,500. Schedule a consultation today to find out more.
Should you get veneers or implants?
Dental implants are the answer in terms of aesthetics, as well as missing teeth. Veneers may not target the latter problem, but sometimes they are still the way to go. They are the less invasive option.
We have broken down the pros and cons of both solutions. The information below will hopefully help you in making the right decision.
Veneers are tooth lining that can cover imperfect-looking dentition. There are three main types; resin, porcelain, and Lumineers.
Resin ones are the cheapest, but don’t look as natural and aren’t as durable as the other two. Porcelain ones are the most popular choice, and, just like Lumineers, they can last around twenty years.
Dental veneers are not meant as a medical fix; this procedure is cosmetic. If you have problems more concerning than the appearance of your teeth, your dentist might suggest implants.
Dental implants are usually chosen when there are missing teeth or if the teeth are damaged beyond repair. They are artificial roots attached directly to the bone. Crowns in the chosen shape and color can be mounted on them.
Implants target many side issues, such as bone loss. If certain teeth are weaker than others you might avoid using them to break down food. This leads to bone resorption. Veneers won’t fix this issue.
If you have implants each bite will make the rod in the jaw put pressure on the bone. This stimulates it and prevents the body from thinking it is vestigial (not needed). Bone loss can make you look older, as the face sinks inwards.
Implants are a permanent solution, which means you will never have to repeat this procedure.
How do they compare?
Both veneers and implants are popular solutions. The chances are you have probably heard about both treatments before finding this article. But which choice is right for you?
The reasons and conditions
In order to be a good candidate for veneers, you need to have generally good oral health. A good amount of healthy enamel needs to be present so that your dentist will be able to shave it down. Consider getting veneers if your teeth are:
- worn down,
- uneven, or
- irregular in shape.
Implants can fix the issues above just as well. Almost anyone might be a candidate, even those suffering from autoimmune diseases, such as diabetes. You might also consider implants if your teeth are:
- damaged beyond repair, or
- healthy, but you are willing to remove them.
Dentists will generally advise you against pulling out healthy teeth, but this might be a good idea if you are thinking about getting a full arch. The All-On-4 and the G4 by Golpa are such solutions.
The price you pay is a big factor in making the decision between implants and veneers. The final cost is highly dependent on the location and experience of the dental professional performing the job.
- $1,500 per tooth
- $24,000 full set
- $4,800 per tooth
- $29,500 full set
The prices above are based on research from numerous sources. They don’t include additional procedures such as X-rays.
The price for a full set of veneers takes sixteen (eight per arch) teeth into account. The price for a full set of implants assumes two fixed bridges, each on four implants (the G4 by Golpa).
Implants might seem expensive at first glance. It is important to remember, however, that they are a permanent solution. Veneers have to be replaced once every fifteen years (on average), depending on the type you get.
Both veneers and implants are pretty low maintenance once they are placed. You shouldn’t spend more caring for them than you would for natural teeth. It will still be important, however, to visit your dentist regularly!
Since veneers don’t require surgery, they can be installed in your mouth in as little as two appointments (if you are strategic about the schedule).
The dentist can inspect your mouth, do all necessary X-rays, and shave your teeth down in one day. He or she will also take an impression of your mouth.
Fitting the veneers
You can wear temporaries between these two appointments. By the next time you go into the office, your veneers will have returned from the lab. They will be fitted in your mouth.
You might need a third appointment to check if everything is okay.
Implant placement is a more complicated process. You have to take into account healing time, which can take a few months.
You will meet for an initial consultation with X-rays. A treatment plan will be set up.
You might need bone grafting. It can take a couple of months to heal fully from this procedure.
The dentist will drill into your bone and insert titanium rods. You will be sedated during this time.
Healing collar and abutment
After that, you will have a healing collar (for up to two weeks) and then the abutment (for up to six weeks).
The final step is placing the crown. The exact shape and color will be determined beforehand.
If you need a whole arch replaced you might want to consider the G4 by Golpa. All the steps described below are conducted within twenty-four hours.
On the first day, you will have your CT scans, facial scans, and X-rays.
All necessary measurements will be made and tooth shade and shape can be selected. You can discuss everything with the doctors.
On day two you will undergo all extractions (if they are necessary) and the placement of dental implants. You will be without teeth overnight. Your smile will be fully restored within twenty-four hours.
Implants and veneers can give a similar appearance after they’re done. If done well, it shouldn’t be noticeable that your dentition is not natural.
Veneers work on your existing roots, so they are more correctional. When it comes to implants the placement of the root and the shape can be decided from scratch. This solution might turn out more customizable.
It’s important to remember, though, that implants, being a surgical procedure, are dependant on the structure of your face. The dentist will have to take into account your sinuses (hollow spaces in your skull) and how thick your jaw is.
Both procedures are irreversible, which means durability is very important. While implants are a life-long solution, veneers will have to be replaced at some point.
Implants can stay in your mouth from around thirty years up to the rest of your life. The rate of failure is very low, around 5%.
Depending, of course, on what type you get, veneers aren’t mean to last for more than twenty years. This means you will have to be ready to spend that money again when the time comes.
What’s more, veneers are prone to cracking and chipping. Porcelain ones are less likely to break, but if they do they will probably have to be replaced. Resin veneers might stain and you will not be able to whiten them from home.
Both veneers and implants require proper care. If you don’t brush your teeth, floss, or keep up with your dental appointments you can end up just out the money. Worse, because your teeth will be either extracted or shaved down.
What should you choose?
When making the final decision factors such as what exactly you are trying to fix, how many teeth are to be treated, or whether you want a full smile are going to be vital. Here is a summary of the most important pros:
- Not a surgical procedure
- Can be ready in a few weeks
- Cheaper initially
- Permanent solution
- Shouldn’t break or chip
- Cheaper in the long run
- Prone to damage
- Alternative methods only take 24 hours
If you decide that implants are your best bet you can consider the G4 by Golpa. It will provide you with a full set of implants in twenty-four hours.
There is only one payment, and all additional procedures are included. Schedule a consultation today!
Are veneers worth their price?
Veneers are a surefire way to cover up stained or crooked teeth. You have to be prepared, though, that a single tooth can set you back up to $1,800! And they might not last forever
The price is dependant on the state of your mouth and your location, but there are also universal factors. So which veneers make the most sense?
What is the cost per tooth for veneers?
Veneers are great for discoloration and uneven teeth. Some materials address one issue better than the other. There are two main types, here’s how they compare:
- $800 per tooth
- Quite thin, little of the tooth has to be shaved down
- Last 5-7 years
- Can look fake
- Can stain, you cannot whiten them at home
- If they break, you can fix them easily at a small cost
- $1,500 per tooth
- Thick, a lot of the tooth has to be shaved down
- Last up to 20 years
- Very close to natural dentition, easy to match color
- Very expensive to fix, you will probably need new ones
The table above represents average prices for a single tooth. You may be able to get a better deal if you’re going for more than one.
It is hard to say which type has the best price. It all depends on what you’re looking for: appearance, durability, or affordability.
What influences the cost?
You may be thinking that prices you heard from your dentist are lower (or maybe higher) than what we have here. The prices above are based on solid research, but they are averages.
But there are numerous factors that can impact the price. The biggest one is the location, as costs can be very different from state to state. What’s more, you might even end up paying a different amount than your friend, whose dentist works in the same office.
It is also important to note that we provided numbers prior to any deductions; insurance, dental plans, or any others. It is up to your provider what they will cover, and up to your dentist what additional procedures you might need.
The total cost includes more than just the placement
The prices above are not the only thing coming out of your wallet. There are some extra costs that you will have to take into account.
In order to get veneers at all, you are going to have to consult with your dentist. This means setting up an appointment with him or her to discuss your options. During this appointment, you will find out if you are a good candidate for this procedure.
X-rays and diagnostic molds
You will need at least one X-ray. The dentist needs to inspect the structure of your teeth and the surrounding tissues. Most likely this will be a whole-mouth radiograph.
Also a diagnostic cast might be made. This is a working model of what your mouth will look like after placement.
A prophy, or, dental cleaning, will most likely be necessary shortly before getting veneers. This will make sure there is no food debris or plaque on your teeth, as to avoid problems underneath veneers in the future.
Most likely you will be billed separately for all these procedures. What’s more, after getting veneers you must make sure to clean them and visit your dentist regularly. If they break or chip you have to address the issue fast before damage is done to the tooth underneath.
Does dental insurance cover veneers?
Insurance rarely covers veneers, as this is considered a cosmetic procedure. It is hard to convince policy providers to reimburse you for anything not “medically necessary”.
Even if you succeed, veneer placement and the associated costs are quite high. You are going to reach your limit very quickly. And there are still routine procedures you should be having throughout the year.
What’s more, veneers are not permanent, so there is a chance that you will have to redo them at some point. There are other solutions, like implants, which are considered the most permanent solution in restorative dentistry.
Do affordable dental veneers exist?
If you have missing teeth or need a whole arch replaced veneers might not be the best choice. A full set of veneers would set you back a lot. You may have heard of clip-on veneers, but they are nowhere near as comfortable.
Instead, consider the G4 by Golpa. It provides you with a full set of implants in twenty-four hours. There is only one payment, with no additional costs. Insurance might cover a portion of the price, especially if you are missing teeth.
The G4 is a permanent solution, which means never having to redo it. Contact us today!
When is it a good idea to get veneers?
Veneers are small pieces of lining placed on top of natural, shaved-down teeth. Upon hearing this, you may ask yourself “Do veneers ruin your teeth?”. The answer is: yes and no.
The tooth underneath remains alive and healthy. But a significant part of it does have to be filed down. And for the two most common types of veneers, composite and porcelain, the process is irreversible.
How do veneers work?
Veneers are generally a cosmetic procedure. They are recommended for teeth that are:
- irregularly shaped,
- affected by decay or disease,
- or injured in an accident.
There is no healing, as the procedure is non-surgical. You may get away with only visiting the dentist twice throughout the process. What’s more, you won’t have to go into the office more often than you did before getting them.
You are a good candidate if you don’t have missing teeth (in the place you want veneers), severe periodontal disease, or significant decay. There is a condition, though: your enamel needs to be healthy enough to support them.
What can you expect during the veneers process?
The process can turn out lengthier than you’d expect. It can take up to four weeks for the dentist to get veneers back from the lab alone. If you strategically plan out your visits with your dentist, the whole process can take about two months.
First dental visit
During this visit, the dentist will check the overall condition of your mouth. He or she will judge whether you are a good candidate for veneers.
You might need a dental cleaning before getting veneers. Remember, they are stuck to your natural teeth, so you cannot have any plaque or food debris in your mouth.
Once you establish a plan of action with your dentist you will have your X-rays. A diagnostic wax-up might be made. It is a model of how your mouth will work after the procedure is complete.
About half a millimeter of your tooth will be shaved down. An impression will be taken and sent off to the lab. You will have to wear temporaries before the next visit.
Once the veneers return from the lab your teeth will be cleaned and roughened, to make attachment easier. A special cement will be placed on your teeth. Ultraviolet light will help it harden quickly for a permanent attachment.
You might have another visit with your dentist a couple of weeks later. He or she will check if the veneers are fixed to your teeth properly and whether there are no other problems.
This overview may give you a general idea. Your dentist might decide that some extra steps need to be taken, or that some stages have to be stretched out over several appointments.
What types of veneers are there?
Generally, they can be composite (made of resin) or porcelain. There is another option, a less invasive one, called Lumineers.
Some materials are more durable than others. For some, it is the appearance that is most important. There are different options, depending on what you are looking for. So, what’s the difference?
Composite veneers can be built directly on your tooth or (indirectly) in a lab. The latter take longer to install in your mouth.
In comparison with porcelain veneers, resin looks less natural and is less durable. This material stains similarly to your natural teeth and can’t be whitened).
On the plus side, composite veneers can be made very thin. This means removing less of your natural tooth’s enamel. They are also easy to fix if they were to crack or chip.
Porcelain is the way to go if what you’re looking for is appearance. Such veneers provide a look very close to natural teeth. What’s more, porcelain is stain-resistant, which means never having to worry about whitening.
These are also more durable than resin, however, if they crack or chip it is very expensive to repair them. They might even need to be replaced.
Lumineers are the only type that is reversible. They are the thinnest (about 0.2mm), which allows for shaving down a very small amount of the tooth. Their durability is comparable to that of porcelain.
The translucent quality works great to mimic enamel. The application process is pain-free and there is no need to wear temporaries. As with other types of veneers, they can be an alternative to whitening and light orthodontic treatment.
How long do veneers last?
Veneers, unlike implants, for example, are not designed to be a life-long fix free of maintenance. You can expect porcelain veneers to last around twenty years, while composite ones last around seven.
This is true, of course, provided that you take proper care of them. Generally, you should
- keep up good overall oral hygiene,
- address teeth-grinding, if that is an issue,
- not use teeth as tools, for example, to open letters,
- steer clear of coffee, wine, or tea,
- not smoke tobacco,
- and wear oral protection during sports and similar activities.
Veneers are prone to damage, as are the living teeth underneath. It is important to visit the dentist regularly after having them installed.
Pros and cons of veneers
Like with anything, there are pros and cons to veneers. They are great if you want to address cosmetic issues, however, this is only an option if your teeth are generally healthy. The cost of veneers is also something to consider.
- Allow you to keep your natural tooth
- Improve the appearance of your smile
- Procedure is non-surgical
- Low-maintenance, like natural teeth
- Easy and pain-free to install
- You must have healthy enamel
- Teeth must be shaved down
- Relatively expensive
- Prone to damage
- Won’t replace missing teeth
- Won’t fix bone loss or receding gums
- Most options are irreversible
If done well, veneers can look really great. They are not an option, however, if your teeth are damaged or missing.
Should I get veneers?
Veneers are a great solution for those with discolored or crooked teeth. But are they the best choice? There are problems that they cannot solve, such as missing teeth or bone loss.
What’s more, this solution is not life-long. They have to be replaced every few years, despite being relatively expensive.
Veneers can work if you want to fix up a single tooth. If you want to get a whole arch replaced, or if you are missing teeth, it is worth checking out the G4 by Golpa. You could have a full set of teeth in twenty-four hours!
It is a permanent solution for a beautiful smile. More often than not the G4 turns out more affordable in the long run. Schedule a consultation today.
Can you get dental implants if you have diabetes?
If you have missing teeth and your diabetes is under control you are most likely a good candidate for dental implant placement.
Diabetes is a disorder that interferes with general health and daily life. The problems it creates include a wide array of dental issues, such as dry mouth, thrush, and, most importantly, loss of teeth.
It’s no secret that the best way to bring back a natural-looking smile is getting dental implants. So what should diabetics consider if they want to get them?
What is diabetes?
Diabetes is a group of disorders that includes raised sugar levels in the blood. It affects the whole body, not just certain areas or organs. There are different types of diabetes, type 1 and type 2 being the most common.
In type 1 the body does not make enough insulin. In type 2 the body stops responding to it.
- being very thirsty or tired,
- urinating a lot,
- having problems with weight management,
- problems with blood circulation,
- inefficiency in fighting infection,
- slower healing and growing of bone.
These issues can be related to dental procedures, the implant process in particular.
How does diabetes affect oral health?
Those suffering from diabetes are more likely to develop gum disease and tooth decay. Dry mouth, a common issue, also means less taste sensitivity.
These issues can lead to tooth loss, and that in turn to changes in diet. The result is malnutrition, a serious problem for those who should be monitoring their diet closely.
Some issues are linked in a cause-and-effect way:
Difficulty in healing and fighting bacteria
More cavities and abscesses
Frequent antibiotic treatment
Thrush (a fungal infection in the mouth)
The fungus thrives in high-sugar environments, such as saliva of a diabetic.
Those issues can be even more problematic if conventional dentures are worn. Those can be tricky due to dry mouth and issues with bone growth (conventional dentures do not provide stimulation).
Another common problem is inflammation caused by friction between the denture and gums. If you are a diabetic with missing teeth, conventional dentures might not be the best choice for you.
You should always replace missing teeth, otherwise, your diabetes could become worse.
Should you get dental implants?
Getting implants really is an idea worth considering, especially if you have diabetes, as they can help aid some of the issues inherently linked to that disorder.
The great thing about them is that they provide a great deal of stability. Conventional dentures can lead to a starchy, soft menu.
If you have diabetes, you are probably more conscious of your diet than the average person and know this could make the problem worse. Dental implants enable you to bite and chew more comfortably.
They also stimulate the bone and prevent loss. In order to get implants installed the bone has to be thick enough. If it isn’t, the patient must undergo bone grafting. Provided your diabetes is well-controlled, this procedure is as safe as for other patients.
Remember that, at least for the duration of the process, you must stop smoking, if you do at all. Smoking is always a contraindication to implant placement.
- Enable a varied diet
- Stable and comfortable in the mouth
- Prevent loss of bone
- Less inflammation and smaller risk of infection than regular dentures
- Control over diabetes is vital
- You have to undergo antibiotic treatment
- Cannot be a smoker
Implant success rates in diabetics
When considering tooth replacement you may ask yourself: are dental implants safe for diabetics?
Yes, they absolutely can be. If diabetes is under metabolic control, it is not a contraindication.
Researches have shown that the rate of dental implant survival in diabetic patients is similar to that of healthy patients (up to 95%). One of these studies presents a wide review of many cases. These include both type 1 and type 2 diabetes.
On the other hand, if your diabetes is poorly controlled you might have issues with impaired osseointegration . This means implants will not fuse well with the bone. During the first year, this process is slower in diabetic patients. There is no difference after this period, even with increased HbA1c values.
You may also have heard of peri-implantitis, an inflammatory process connected to dental implantation. It involves loss of bone and inflamed soft tissue. It is not inherently linked to diabetic patients, but it is a possibility with elevated HbA1c values (over 7%).
The general rule of thumb is that the smaller the amount of implants, the better. Implants are less likely to fail if the bone is not as manipulated.
Do diabetics have to take extra steps?
If you are interested in getting dental implants, you should be aware of the considerations that affect you as a diabetic. First of all, you should inform your dentist about several things:
- the type of diabetes you have,
- the medication you are taking,
- and your general lifestyle.
Prior to surgery, you will have to make sure your sugar levels are good. If they are not, you should postpone any dental procedures other than acute infections such as abscesses.
The most common solution for patients with diabetes is the All-On-Four method, which includes implant placement.
If you are reluctant we may have an even better solution for you.
Try G4 even if others refuse
The G4 by Mike Golpa is a technique very similar to the Ao4 method. The biggest difference is time. The G4 provides you with a full set of implants in 24 hours whereas the all-on-four can take months.
Each candidate has individual needs and circumstances. Dental experts at Golpa will assess what the best choice is for you. They might recommend the perfect solution even if you had no luck finding it elsewhere. Consult with us today!
Does getting snap-in dentures save you money?
Do you feel like laughing, coughing, or sneezing have become a challenge since replacing your natural teeth? It can turn out to be a challenge to find a comfortable yet reasonably-priced alternative to conventional dentures.
Are snap-in dentures the most affordable solution when you want to replace missing teeth?
What are snap-in dentures?
Snap-in dentures combine the advantages of dental implants and conventional dentures. They are sometimes called implant-supported dentures or overdentures and are a more permanent alternative.
The denture is supported by metal posts implanted in the jawbone and not just by the gums. Bone grows around the implants that stimulate it and prevent loss (a common problem with tooth-replacement). This means saving more money, since you don’t have to make replacements as often.
Overdentures provide the user with 40-50% of their chewing ability (compared to natural teeth). They are reported to last five to ten years.
Are snap-in dentures for you?
Overdentures were designed for those who are missing teeth or are suffering from tooth decay, but they might not be the right choice for everyone.
The jawbone must be fully developed, as there must be enough bone to facilitate the implant. It is recommended for adults and seniors.
Candidates must present good overall oral health. They must also be non-smokers, as cigarettes increase the risk of failure.
If the implant fails it can be redone, however this is not usually recommended. The success rate of 95% applies to first-time implants only. It might be more advisable to choose a different type of denture.
Pros and cons of snap-in dentures
If you are considering this procedure you should be aware of the common problems with dentures reported in patient reviews.
Snap-in dentures do not trigger the gag reflex and will not slip out by themselves, but they do require regular maintenance, nightly removal, and cleaning. They do not cover the roof of the mouth, allowing for more taste sensitivity.
They can prevent bone loss, but they require a surgical procedure. The process may take up to six months.
While more cost effective than regular dentures, they can still turn out to be pretty expensive.
- More stable and easier to speak with than conventional dentures
- Won’t slip out while you eat, drink, or sneeze
- Do not trigger the gag reflex
- Stimulate bone growth and prevent loss
- Must be taken out, cleaned, and stored
- Involve a surgical procedure
- The process may take around six months
What does the procedure involve?
The process can last up to six months. It involves surgical procedures and multiple visits to the dentist. Here is a general overview of what you might expect:
The dentist takes X-rays of the mouth to determine the state of the bone and the location of the sinuses (air-filled spaces in the skull). Impressions of teeth and gums along with a 3D model of the mouth are then made. A mock-up of the denture is forged.
It may turn out that some teeth need to be extracted in order to make room for the overdenture. A plan will be made according to individual needs of the patient.
The patient may require bone grafting if the existing bone cannot accommodate the implants. It can take four to twelve months to fully heal from this procedure.
Dental implant placement
Titanium rods are inserted in the front of the mouth (there tends to be more bone in the front than in the back) while the patient is sedated. Bone will then grow around the implants during a period of up to six months. Temporary dentures can ease the discomfort at this time.
Fitting the snap-in denture
The snap-in denture is modeled after the temporary one and can be magnetically attached to the rods protruding from the gums.
Each patient has their own unique situation. This may influence the general procedure.
How much are snap-in dentures?
The overall cost of the overdenture relies mainly on how many implants are necessary. The dentist will assess the needs of each patient.
The location of the dental office also plays a role. Some patients choose to travel in order to find more economical prices outside of the US. The experience of the person carrying out the procedure and whether it is a surgeon will also influence the price.
Bearing all this in mind the costs of snap-in dentures range from $12,000 to $40,000.
Are snap-in dentures the same as All-on-4?
Snap-in dentures are easy to confuse with the All-on-Four method. These procedures require multiple visits, sometimes to multiple doctors, and months of healing. They require the patient to wear temporary teeth. They are, however, not the same thing.
With All-on-Four the patient does not remove the teeth on a day-to-day basis, as they are attached permanently. A fixed bridge supports the teeth on four titanium rods. The average cost for a full mouth is reported to be ranging from $49,000 to $120,000. This is considerably more than the cost of snap-in dentures.
The All-on Four is a low-maintenance, relatively permanent solution. All-on-Four teeth should be cared for as if they were natural. Snap-in dentures require more attention, but can be more cost-effective.
The All-on-Four method may require more implants, but both solutions involve surgical procedures.
All-on-Four is a procedure that takes one to two years, while snap-in dentures take up to six months to install in the mouth fully. The G4 by Golpa is a method that encompasses the advantages of these techniques. It remains the most affordable and time-efficient option.
Choose the best possible option
Our team along with Dr. Golpa have perfected the All-on-4 and snap-in denture procedures. They extracted the advantages to create the best solution; the G4 by Golpa. It provides the patient with 90% of their chewing ability and eliminates the need for taking the teeth out. You can brush them like natural teeth!
The whole procedure takes place in twenty-four hours in one location. It is performed by doctors specialized in this particular method. By limiting the visit to just one there is no room for hidden fees; prices start at $13,750 (with Medicare).
Choose the best possible option and schedule a consultation or chat with one of our consultants.
What should I expect when getting immediate dentures?
Teeth are one of the most important features of the face. Without them it is hard to speak, eat, and you may feel weird around company. With immediate dentures there is no need to function without any teeth, even right after surgery.
While it may not be a permanent solution, it is an option in-between visits to the dentist. So what are immediate dentures? How are they different from traditional dentures?
What are immediate dentures?
Dentures are the most common restoration for those who have to have all their teeth removed.
A conventional denture is made when all teeth are already missing. If you still have teeth, you must wait 6 to 9 weeks after extractions before making a conventional denture. This allows time for your gums and the bone of your jaw to heal and reshape.
Most people don’t want to go without teeth for that long. This is where immediate dentures are useful.
An immediate denture is made before extractions are done. It is placed in the mouth immediately after surgery. This allows you to go home with a full set of teeth the same day the others are removed.
Immediate dentures are designed to fit your gums the way they look while the teeth are still there. After the extractions, the gums and bone heal under the denture and change shape. Over time the dentures will not fit tightly any more and will have to be relined.
- Can replace teeth the same day as surgery
- Controls swelling and guides healing
- Never have to go without teeth
- Looks good and functions well
- Must be relined multiple times
- May need to be replaced after healing
- May slip or move
- Lasts at most 5-7 years
Immediate denture steps
As the name of this denture suggests, you will get them immediately. There are a few steps which must be taken to lead you there, however.
The first thing you’ll do is meet with the dentist for the initial consultation. First, they’ll do a dental exam (which may include an X-ray and/or teeth impressions) to get a good idea of what they’ll be working with. Next, your dentist will come up with a treatment plan that includes the procedure steps, the timeframe for all of it, and what recovery will look like. If they think a bone graft is necessary, they’ll discuss that with you too.
If you do need a bone graft, it could take 4-12 months after the graft before your jaw is ready and healed enough for the implants.
The first appointment will be for diagnosis and treatment planning. X-rays will be taken of your jaws and any remaining teeth. The dentist should do a thorough cancer screening and exam of your mouth.
Next you will have impressions of your mouth made. This involves putting a soft putty in a tray into your mouth. The putty sets into a rubber-like consistency and makes a perfect mold of your mouth.
Then a bite relation record will be taken. This is a similar material, but just a small amount is used to show how your top and bottom teeth fit together. These records will be sent to a dental laboratory and used to create a custom denture.
At your next visit, you’ll have your tooth extractions done. Your mouth will be thoroughly numbed and the teeth will be removed.
Immediately after surgery, your new dentures will be placed into your mouth. These not only serve as your new teeth, but also to cover the extraction sites and minimize swelling.
After the whole procedure, the dentist will give you an appropriate prescription for pain and send you home to recuperate.
What should you expect during your recovery period?
You should leave your new denture in place for the next 24-48 hours. This guides the healing of your mouth and prevents swelling. If you take them out, you may not be able to get them back in!
You should become familiar with what you can expect afterwards. So here is a list of necessary steps to take during the recovery period.
You’ll likely return to the dentist after a day or two. They will remove your denture and make sure everything is healing properly. This also gives them the opportunity to make adjustments to the dentures and treat any sore spots.
After this appointment, the denture should be worn all day but taken out each night. Clean your dentures and put them in an overnight soak.
This allows your gums to breathe and prevents fungal infections. These are some essential steps in how to take care of your dentures.
As time goes by, you’ll likely get more sore spots that will need adjustment. Your bite may also be adjusted to make it more comfortable.
These adjustments should only be done by the dentist. Never try grinding or carving on your denture at home! It may break or be messed up to the point you have to buy a new one!
You may also have tiny bone fragments work their way out of your gums. This is fairly common when you have many teeth taken out at once. Your dentist can remove these bone chips easily.
Your denture will likely become loose over time. This is due to the healing and reshaping of your jaws. As the bone reshapes, you will need to have relines done.
During a reline procedure, a soft material is mixed and placed inside your denture. The dentist will then put it inside the mouth where it will stay while the material sets.
The reline material fills in any space created by shrinking gums. It improves the fit and makes the denture more comfortable to wear. It is common to do 3 or 4 of these temporary soft relines.
After 6-9 weeks, your healing should be complete. A final hard reline can then be done. This reline is often sent to a dental laboratory and should last for a long time.
Immediate dentures cost
Immediate dentures usually cost slightly more than a traditional denture due to the procedure being more complicated. You also have the added costs of tooth extractions and relines.
Expect to pay:
|Immediate dentures||$1500-$3200 per arch|
|Non-surgical extraction||$75-$150 per tooth|
|Surgical extraction||$200-$400 per tooth|
|Denture reline||$200-$500 per arch|
The relines of an immediate denture may be included in the price of an immediate denture or may be charged separately. Check with your dentist so you know what to expect.
Additionally, you may need surgical procedures to reshape your bone. Large knots or bumps on the jaw must be removed in order to be able to wear a denture.
Normally, expected costs will be discussed prior to any treatment being done. This allows you to be prepared and make arrangements for payment. Payment plans or financing options are available at many dental offices.
Are immediate dentures permanent?
A quality, custom made immediate denture may last as long as a traditional denture once it has a final hard reline inside. Sometimes, however, the changes to your mouth are too significant and it is better to replace the immediate denture with a conventional one.
No denture is permanent, however. Even the best of dentures only last 5-7 years before needing to be replaced. This is one of several problems to consider when choosing between dentures and other restorations.
Instead of immediate dentures, you may want to consider the G4 Implant Solution. This revolutionary procedure can replace your bad teeth with permanent, beautiful fixed bridges that can last a lifetime. And it can all be done in one 24 hour period!
Click here to find out more about this remarkable alternative to immediate dentures!
How to decide between a bridge or an implant?
There are several options when it comes to replacing missing teeth. Removable appliances are often less expensive but come in and out of your mouth. Fixed restorations, like bridges or implants, remain in your mouth and feel more like natural teeth.
So, what’s the difference between a bridge and an implant? And which is the right choice for you? Read on to find out.
How do the both procedures look like?
Dental bridges attach to natural teeth on either side of the missing tooth. This “bridges” the gap and hangs an artificial tooth above the gum tissue.
An impression of the mouth is first taken. This is used later to make a temporary bridge.
After numbing, the teeth next to the space are shaped for the anchoring crowns, called abutments.
An impression of the prepared teeth is then taken to send to the dental laboratory.
A temporary bridge is made out of dental acrylic to wear while the permanent restorations are made. This may take a week to two weeks.
Once complete, the temporary bridge is removed and the permanent bridge can be cemented in place.
Dental bridges look great and only take a few weeks to complete. On the other hand, additional healthy teeth must be cut down for crowns. Bridges are also notorious for trapping food underneath.
Dental implants attach to the bone of the jaw instead of adjacent teeth, just like a natural tooth root. This allows for a great looking tooth replacement without having to damage other teeth. But a dental implant procedure requires surgery.
An impression of the mouth is first taken. This is used later to make a temporary bridge.
After numbing, the teeth next to the space are shaped for the anchoring crowns, called abutments.
An impression of the prepared teeth is then taken to send to the dental laboratory.
A temporary bridge is made out of dental acrylic to wear while the permanent restorations are made. This may take a week to two weeks.
Once complete, the temporary bridge is removed and the permanent bridge can be cemented in place.
Which option looks better?
Both dental bridges and implants can look very natural! They are both topped with custom, laboratory-made crowns covered with porcelain. The main differences are the gum line and the spaces between teeth.
Dental bridges can sometimes have a gap underneath them, between the bridge and gums. This affects the natural appearance and can also act as a food trap.
It’s also sometimes obvious that the teeth on a bridge are all connected together.
Dental implants are attached to the gums, so there is no space like in a bridge. Occasionally, however, the metal implant can appear as a dark spot on the gums.
Which restoration is more durable?
Dental bridges and dental implants are both cemented in place. Unlike dentures or partials, these restorations do not move when you talk or eat.
A dental bridge sits on natural teeth. Over time, these teeth may decay or have bone loss around them.
The shape of a natural tooth under a crown may not hold the crown very well either. You are dependant on the dental cement to hold the bridge in place.
Because of these factors, dental bridges usually last 5-7 years on average.
A dental implant is fused to the bone. The abutment head that is under the crown is machined to hold onto crowns very well. And these metal abutments cannot decay like natural teeth.
A dental implant can often last a lifetime.
How to take care of dental implants and bridges?
Taking care of dental implants and bridges is mainly a matter of keeping them clean.
Implants can’t decay, but they can still get gum disease. Keeping the area clean can keep bone levels healthy and implants solid for many years.
Bridges must also be kept clean. It is a little more difficult due to the fact that bridge teeth are fused together. You cannot floss between the teeth.
This is in addition to the fact that bridges tend to trap food underneath them. Special floss threaders or a water flosser may help keep it clean. Otherwise, you risk bone loss and decayed tooth roots.
What about the costs?
Depending on the number of teeth being replaced, the cost of a bridge can be similar to the cost of dental implants. A single implant and crown is about the same price as three crowns needed for a bridge, $5,000 on average.
So, which option is better choice?
Both dental implants and dental bridges are fixed, stable and natural-looking options for teeth restoration. The cost of restoring a single tooth is also comparable.
To summarize differences between them, let’s take a look at the table below:
- No surgery required
- Sits on natural teeth
- Lasts only 5-7 years on average
- Have to cut down adjacent teeth
- Can sometimes have a gap between the bridge and gums
- Requires surgery
- Fuses to bone
- May last a lifetime
- Conserves adjacent teeth
- Metal may show through gums
For replacing multiple teeth use a mix of both solutions
We have discussed replacing a single tooth, but what about multiple teeth. Or all teeth?
Bridges over implants do not have the same issues as on natural teeth. Implant bridges take advantage of both restorations and have a long history of success.
Full arches of teeth can be replaced with as few as four implants and a fixed bridge.
In general, teeth replaced with implants will have fewer issues over time than a long bridge on natural teeth. Natural teeth as anchors simply have more things that can go wrong.
The best example of this is the G4 Implant Solution. Dr. Golpa has perfected the art of full mouth implant placement.
The G4 procedure can replace an entire mouth of teeth with beautiful, fixed implant bridges in just one 24 hour period. Visit our website today to find out if the G4 Implant Solution is right for you!
How safe are dental implants?
Dental implants have many advantages over other ways of replacing missing teeth. Even so, there are still things to think about before choosing to do implants.
Let’s look at what you need to be aware of and how to prevent bad outcomes from implants.
Dental implants benefits
Dental implants are considered the closest thing to having natural teeth. They look good, are comfortable, and function well when chewing and talking. Here are some of the reasons implants have such a good reputation:
High success rate
Dental implants are one of the most reliable restorations in dentistry, with an over 95% success rate. In most situations, dental implants work well without any significant issues.
Implants have such a high rate of success because they actually fuse to the bone and anchor in place. This makes them much more stable than removable dentures that rest on the gums. Patients usually find teeth implants much easier to eat and talk with than conventional dentures.
Traditional bridges require cutting down adjacent teeth to act as anchors for missing teeth. Since implants are instead anchored in bone, much like natural tooth roots, adjacent teeth can be preserved.
Without teeth, the bone of the jaw slowly absorbs back into the body. This leads to bone that is thin and fragile. Dental implants act like natural teeth to stimulate and maintain bone in the jaw.
Since they are most often made of titanium metal, implants do not get cavities or decay. They fuse so securely to the bone that they do not normally come loose. As a result, dental implants can often last a lifetime.
Additionally, dental implants are very cost efficient. Although they usually cost more on the front end, they usually don’t have to be replaced every 5-10 years like other types of teeth replacement.
Dental implants problems
Although dental implants can seem like an ideal restoration for replacing teeth, there are some risks involved. These complications are rare, but they do happen occasionally.
Implant placement may involve several surgeries. Any time a surgical site is open, there is the chance of bacteria getting somewhere it shouldn’t. An infected implant may have swelling or a bump on the gums, or it may only be seen as a dark spot on x-rays.
Occasionally implants will not fuse to the bone. This may be due to infection, auto-immune disorders, or other issues. In these cases, the implant may come loose from the jaw.
If an implant is not placed correctly, there may be damage to nerves or blood vessels. It may also result in damage to the sinus cavities or perforations through the bony walls of the jaw. 3D images and surgical guides have made implant placement much safer and predictable.
Although implants cannot get decay, they are still subject to periodontal disease and bone loss. Gum tissue may shrink back to expose the metal of the implant. The bone around the implant may also be lost. Bone loss is the most common way that implants fail.
Titanium implants are extremely strong, but so are your jaw muscles. If you are prone to clenching or grinding, you can actually break an implant. You might also fracture the bridge or denture on top of the implant.
Some conditions increase the risk of implant failure.
Patients with untreated decay, poor oral hygiene, or gum disease should have those issues treated before implant placement.
Smokers and people with uncontrolled diabetes have a decreased ability to heal. Implants may take longer to integrate and surgical sites may be more prone to issues.
Patients who have been without teeth for a while often have decreased amounts of bone in the jaw. Additional procedures like sinus lift surgery or bone grafting may be needed to place an implant.
How can you improve your chances of success?
There are several things you can do to help your implant placement be successful:
- Be focused on having good oral hygiene before and after your surgery. A cleaner mouth means lower chances of infection or gum disease issues later on.
- Let your doctor know if you clench or grind your teeth. It may affect how they design your implant restoration.
- Work with your healthcare provider to get your diabetes under control. They can also help you stop smoking with cessation programs and medications.
- One of the most critical steps you can take is choosing the right doctor to place your implants. Be sure you pick an experienced dentist that has done many implant placement procedures.
An experienced implant dentist like those at G4 by Golpa has placed hundreds of implants and will know how to best plan your case. Our doctors have perfected the same day implants procedure, allowing you to get a full mouth of new teeth in a single 24 hour period.
Contact us to learn more about how G4 By Golpa can help you get your smile back!