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Same Day | All-On-4® Type of Implant Therapy

Upscale All-on-4® Type of Dental Implant Therapy Provided by Elite Prosthetic Dentistry in Washington DC

Top-Rated Prosthodontist & Cosmetic Dentist Serving the greater Washington DC area provides a superior, private practice alternative for All-on-4®1 dental implants.

Expert prosthodontist and cosmetic dentist Dr. Gerald Marlin is one of the few dental implant specialists in the Washington DC area who offers an in-house lab that creates custom dental implants in less time with same-day implant prosthesis (also known as Dental Implants in One Day, Teeth in One Day, Teeth in an Hour, etc.). 

Are you a candidate for dental implants and replacement teeth in one day? When you schedule an evaluation, we will provide a detailed analysis for you.

Before you embark on this therapy, you need to know the answers to all of the following key questions:

  • What is meant by Same Day Implants and Teeth, All-on-4®1
    type of procedure, Immediate Load Hybrid Prosthesis?
  • How do I know whether I am a candidate for Implants with Teeth in One Day?
  • Should I save my teeth or have them extracted?
  • What are my treatment options?
  • What are the issues to consider with “Replacement Teeth” for a whole jaw?
  • How many implants would I need?
  • Will I be able to have additional implants in the future?
  • Is there an advantage to bone grafting as an option?
  • Will your office provide hygiene therapy with my new Hybrid Prosthesis?
  • What are the advantages of a Full Arch Screw-Retained, Porcelain Crown and Bridge Prosthesis?
Dr. Gerald Marlin
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watch: Dr. Marlin discusses All-On-4 Dental Implants

For honest answers to your dental implant questions, please call Elite Prosthetic Dentistry at (202) 244-2101 to schedule a consultation with Dr. Gerald Marlin today. Located in Washington DC, we welcome patients from Bethesda, Arlington, Alexandria, McLean VA, Chevy Chase MD, and other local and national areas.

Upscale All-on 4 Dental Implants

Table of Contents

What is a Same Day Implant Prosthesis?

Converting a “floating” denture to a fixed prosthesis seated on the implants immediately after they have been inserted is very rewarding. You will instantly chew with a solid bite. Most patients on the verge of losing all their hopeless teeth in a jaw are candidates for avoiding a denture. Each case needs to be carefully evaluated as to the nature of the problem and the alternative treatment options.

There are multiple versions of this technique offered by others under the following trade names: 

  • Teeth In One Day
  • Teeth In One Visit
  • Bar Attachment Denture
  • Dental Implants in 3 Minutes
  • Immediate Load Hybrid Prosthesis

…and many other one-day implant treatment offerings of a full arch of replacement teeth. We group all these therapies via our term, Same-day Implants Prosthesis. We will discuss the pros and cons of the treatment, along with any alternative treatment plans at your consultation.

“Dear Dr. Marlin, I wanted you to know how extremely happy I am with the excellent care you’ve given me over the past decades. I appreciate your attention to detail, your insistence that every outcome is cutting edge of dentistry, and what I would call your intelligent artistry. All of that makes it worth the 150 mile drive for the last 20 years.”

same day implants before & after
All-on-4® Type of Dental Implant Therapy Washington DC
watch: What Are Dental Implants?
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How Do I Know if I am a Candidate for All on 4 Dental Implants?

A complete diagnostic workup is necessary to see if you are a candidate for receiving implants and teeth in one day. This includes taking models of your mouth, X-rays, and a CT scan of the jaw(s) to receive the implants and the overlying prosthesis. 

Once the information has been collected in a formal consultation visit, your dentist, rather than a patient consultant, should personally discuss::

  • your existing condition
  • available treatment options
  • the ramifications of non-treatment
  • the risks when pursuing treatment

Usually, they will show you where your implants would be placed on the CT scan in a “virtual reality” presentation.

patient receiving dental ct scan
Dr. Gerald Marlin

Simply Radiant, Simply Natural

Dr. Gerald Marlin is a leading specialist in implant, cosmetic, and restorative dentistry. One of the only prosthodontists with an on-site lab, Dr. Marlin has been voted “Top Dentist” by his peers for more than 20 years in a row in Washingtonian Magazine’s annual “Best Dentist” survey, and is considered the most experienced prosthodontist in the D.C. area.

Why Choose Dr Gerald Marlin?

  • Voted Best DC Dentist 20 years in a Row by other dentists
  • Works closely with his in-house technician to achieve custom aesthetics and a very precise fit.
  • Provides crowns lasting over 35 years
  • 3,400 surgically inserted and restored dental implants 

FAQS All on 4 Dental Implant Therapy Washington Dc:

Where possible, we try to preserve bone and will give you this as a treatment option. We will also provide you with possible alternative treatment plans in addition to the Same-day Implant Prosthesis. The following concepts are based upon these principles.

Where possible, we try to preserve bone and will give you this as a treatment option. We will also provide you with possible alternative treatment plans in addition to the Same-day Implant Prosthesis.

If most of your teeth are not salvageable, an immediate load implant-supported fixed prosthesis is an excellent treatment option. However, if many of your teeth can be saved with a good prognosis, that treatment should be presented to you as a treatment option to make an informed decision as to which treatment is preferable and why. 

We will explain to you, in our opinion: 

  • why certain teeth are not salvageable
  • why you are being considered for the Same-day Implant Prosthesis (Immediate Load Hybrid Prosthesis, All-on-4® type of prosthesis, etc.)
  • what other treatment options are available to you (see Alternative Treatment Plans)

In short, if your teeth cannot be saved, why not?

Each implant maintains the integrity of the bone since it is a replacement titanium root. A greater number of inserted implants translates to enhanced support for the prosthesis along with additional preservation of the bone. 

With the Same-day Implant Prosthesis, a minimum of four implants is necessary to support the fixed prosthesis. However, additional implants can provide additional bone preservation and a greater number of future treatment options. We will discuss this with you at your consultation visit so that you can choose the treatment that works for you, considering your budget and desires.

The angulation of your new implants (such as in the All-on-4® technique) can affect your ability to have more implants placed near them in the future. In some instances, angling these implants is necessary because of a lack of bone in the posterior part of your jaw. But, in other cases, the implants do not need to be angled. Practitioners carry different opinions about when that technique should be used and what implant locations and angulations are ideal for certain cases. At your consultation, we will show you how we plan to place your implants as we demonstrate it on your CT scan (3D image).

Secondly, if too much bone is removed to insert implants without bone grafting, the ridge (where the bone has been reduced) may not be high enough or adequately wide enough to receive implants in the future. If significant bone reduction has been recommended, you need to ask how that will impact your option to have future implants inserted in other sites, if any existing implants were to fail or if a different type of restoration were to be desired.

Bone grafting preserves the jaw’s ridge when teeth are extracted. Once teeth are removed, the surrounding bone will shrink as it is no longer needed to support the teeth, except where the implants are placed. 

As an example or our different approach, according to the implant clinic ClearChoice® Centers:

“The Bar Attachment Denture Procedure can replace a full arch of teeth in one day, using only four implants and without bone grafts often saving time and money.” 

This statement implies that all teeth can routinely be extracted and replaced without any bone grafting. However, we disagree with this therapeutic approach

There are cases where a great deal of bone would have to be removed to insert the implants in one day. Without preserving the ridge by placing bone in the extraction sockets, patients will likely lose more bone over the years in areas where implants have not been placed. While, in most cases, the procedure can be performed at the insertion of the implants and the fixed prosthesis, preserving the bone may require an additional procedure. 

You need to be made aware of the advantages of preserving your ridges, along with the additional costs, to make an informed decision as to whether you want to have another procedure that would enhance your long-term prognosis.

With the appropriate design, you will be able to have good hygiene with your new Full Arch Hybrid or Screw-Retained Porcelain Prosthesis. If the appliance is fabricated too close to the gum tissue, it will be very difficult to clean under it. In order to maintain your new teeth, the restorative dentist needs to make sure that there is adequate room for hygiene brushes and other oral care products.

Until now, patients have to wear full dentures when they lose all of their teeth from bone loss and/or decay. Those appliances are inherently loose as they rely upon a suction fit to the residual gum tissue, which shrinks over time. The Same Day Dental Implant Restoration converts the denture to a fixed prosthesis by immediately connecting it to 4 or more implants placed that day.

In one visit, the patient immediately transitions from a sloppy fitting denture to a dramatic, solid, fixed prosthesis.

The customary and usual procedure for the All-on-4® procedure is to “table” or level the bone to speed up the process. Since no one can be sure if some bone will be needed in the future, at Elite Prosthetic Dentistry, we go to great lengths to preserve as much bone as possible.

They are connected to the denture using special abutments and connecting tubes.

Typically, the surgical site is opened and bone is leveled followed by the insertion of 4 or more implants. In our office, we offer our patients the option of first rebuilding the bone (instead of tabling it) and then placing the implants.

This procedure can certainly be done without bone grafting, but rebuilding the bone can increase the longevity for the implants in many situations.

The costs for this procedure can vary greatly depending upon the level of care and the type of prosthesis that is connected to the implants.

In certain situations, the bone is not as dense as we would like to see it. Therefore, to protect our patient, we offer the placement of two additional implants. This increases the long-term prognosis.

The duration of treatment takes several hours, and can vary, depending upon the procedures that are being performed. For example, Is the bone being tabled vs bone grafts being placed in the extraction sockets.

At Elite Prosthetic Dentistry, we have never had a failed All-on-4® type of case. Our success rate results from our detailed planning, making sure that the bone is dense and wide enough to ideally support the implants before they are placed, and finally due to our Precision Implant Placement and connection of them to the replacement teeth to create a hygienic appliance.

The ideal candidate has healthy bone that is wide and long enough is dense so that the implants have a very stable support. We assess these parameters with a very detailed analysis.

Yes. All of the various types of replacement teeth that we offer are very natural looking.

While a limited number of offices offer the final prosthesis within a couple of days, we are strongly against that approach. While speed can be very attractive, usually something is given up when many steps are by-passed. In addition, one cannot predict how the final tissue will heal and what its topography will be like so that the patient ends up with an inadequate prosthesis.

Since we make our appliances to the ideal aesthetics and/or bite, the lower arch can be fabricated at any time in the future.

The design of first the transitional and, ultimately, the final prosthesis needs to balance aesthetics with the allowance of enough space over the gum tissue for good home care. This is a very sophisticated process, but our patients receive a very aesthetic appliance that is also hygienic.

We provide hygiene care every 3-4 months using special instruments for cleaning implant abutments. Periodically, we take off the appliance for the hygiene visit.

The recovery period can be a few days. The predominance of our patients take only Advil, Motrin, or ibuprofen with Tylenol or acetaminophen, although we provide stronger pain medications.

Schedule Your Dental Implant Evaluation, Call 202-244-2101

If you live in the Washington DC, Bethesda, or Chevy Chase areas and are missing one tooth or multiple teeth, contact Elite Prosthetic Dentistry today by calling (202) 244-2101 or filling out our online form. Because of our well-situated uptown location and our high-efficiency treatment regimen resulting from working directly with our own in-house technician, many downtown-area patients come to us at the beginning or end of their busy workday in addition to the many patients who come to us from all around the world. Dr. Marlin and our team look forward to meeting you soon. 

Disclaimer

1. All-on-4® is the registered trademark of Nobel Biocare describing a therapy using the company’s components and a specified treatment regimen. We do not use either their components or treatment regimen, preferring to maintain as much bone as possible with bone grafts and other procedures.

2. Clear Choice Dental Implants is a registered service mark of Clear Choice Holdings LLC, which is not affiliated with and does not endorse nor sponsor the services of Elite Prosthetic Dentistry.

3. Trademarked Teeth In a Day® Implant Treatment belongs exclusively to Pi Dental Center.