Frequently Asked Questions

Select a procedure from the list below to view FAQs.

All-On-4 “Teeth in a Day”

Snap-In Implant Dentures

Single Tooth Implants and Bridges

Dentures

All-On-4 “Teeth in a Day”

Snap-In Implant Dentures

Single Tooth Implants and Bridges

Dentures

All-On-4

“Teeth in a Day”

Can I eat with my new teeth the same day?

Yes! However, even though your implants and teeth are securely in place the day of your surgery, we kindly request that you keep up a soft diet throughout the 4 month healing period. What exactly does that mean? A good general rule is you can eat anything which you can cut with the side of a plastic fork. We ask this because you're investing in something that could last you many decades, even the rest of your life, and keeping to a soft food diet initially will allow the best union your implants into the bone and help ensure a wonderful long-term outcome.

How long has this procedure been around?

This transformative solution was created by Portuguese dentist Paolo Malo in the 1990s. Since that time, this procedure has been safely performed on hundreds of thousands of patients and has been improved upon to the method we use today.

How do I care for my All-On-4 teeth?

Maintaining your implants is simple, however consistency is the most important. Similar to how we are supposed to routinely brush and floss natural teeth, you should do this with your All-On-4 teeth and implants. Just a few minutes daily is all you will need to keep your dental implants healthy. Regularly brushing your bridges with a soft tooth brush and cleaning beneath them with a water flosser (WaterPik is a well-known and popular brand) a few times daily is all that's required.

Tobacco can escalate the possibility of implant problems, so we recommend not using tobacco products with dental implants. Patients with diabetes should also be aware of an increased risk for problems with dental implants. Keeping diabetes under control is paramount for the long-term success of your implants.

Other than that, simply follow up with your doctor consistently during the year for quick evaluations of your new All-on-4 implants.

What will my new implant teeth feel like?

Your new implant teeth will bring a new sensation which will take several days or sometimes several weeks to become accustomed to.

Will there be excessive pain involved in this procedure?

While you can expect moderate pain, it is similar to the pain of teeth extractions. Our team uses a combination of medications to help control pain and keep our patients as comfortable as possible.

Can I expect pain after the procedure?

Though experiences will vary some, most patients should expect mild soreness and possibly swelling after your procedure. Many patients return the next day for their follow-up exam reporting minimal soreness. You will be prescribed medication for pain to help reduce any discomfort. Also, if you’re a good candidate for it, your doctor will provide a steroid injection which will: help reduce swelling and pain for the first few days.

What recovery time can I expect with this procedure?

This will vary from patient to patient, but, generally speaking, the recovery period is shorter and easier with this procedure than other complete teeth replacement alternatives. This is mostly due to the bridges being attached directly to the bone by your implants. Conventional dentures and implant dentures both require adjustment periods during which time they are able to move and lead to sore spots. The pain should decline mostly within one to two, with complete healing usually after 6 months.

What is the difference between St. Louis Dentures and Implants and a general local office offering a wide scope of dental services?

Our practice is limited to dental implants and prosthetics. Dental implants, and specifically "teeth-in-a-day," are our passion, and our team is continually working to ensure our patients receive the best possible results. Many offices will refer you to other providers, use outside labs, and have complicated pricing. They often take several months or even years to complete your procedure all the while charging you up to double our price. Your dental surgeon performs your procedure from surgery to final teeth. We have an in-house prosthetics lab and experienced lab technician, to provide transparent and affordable pricing. By providing all this at one location, our team is able to deliver a premium service at an affordable price.

What is the difference between your practice and corporate implant centers?

At St. Louis Dentures and Implants, we have the same advantages of the national implant practices by focusing our practice on dental implants and prosthetics. We have an in-house dental lab, very competitive pricing, and offer teeth the same day. However, we are privately owned, and each patient will be seen exclusively by our doctor. We focus on the gratification of our patients instead of cost cutting, shareholders, and monthly quotas. With national dental implant centers, there is no guarantee that you will be treated by the same dentist that has the great reviews or whom your friend recommended you to see. Our doctor oversees your complete procedure and our team will do everything to make sure you are thrilled with your new teeth and take care of you like family.

How does this compare to snap in dentures or mini dental implants?

Mini dental implants are not related to the All-On-4 "teeth-in-a-day " procedure. Please proceed with caution at any office recommending mini dental implants as a permanent implant solution. They have a very high failure and complication rate.

Snap-in implant dentures, on the other hand, are a good option for some patients. We also provide this service and have a separate page dedicated to these if you would like to learn more. These may be a more budget-friendly alternative to All-On-4 "teeth-in-a-day" dental implants.

How often should I have my dental implants professionally cleaned?

Plan to (visit us every 6 months to have your teeth checked and cleaned. Doing this will help ensure the longevity of your new teeth and implants.

Can dental implants fail?

While titanium implants do have a 95+% success rate, yes, they can still fail. Some of the things that may cause them to fail:

  • Failure to bond to the bone
  • Tobacco use
  • Diabetes

If your implant fails during the first year, our doctor will replace it for free.

Why am I salivating (drooling) so much?

Excess saliva is completely normal when you first have an implant placed in your mouth. Your mouth senses it as foreign material and is trying to “flush” it out. This increased salivation should decrease within a few days.

Can I be put under for my procedure?

We do not currently put patients to sleep, we do, however, provide both IV and oral conscious sedation. To learn more about your options click here. This medicine will help to relax you and often makes it so you won't even remember your procedure. For this, we write you a prescription, and you can fill it at your pharmacy of choice. NOTE: You MUST have someone driving you to and from for this procedure, due to the oral sedation pill(s). You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are All-On-4 bridges always attached to the dental implants the day of the procedure?

Most cases will be attached immediately. In certain cases, mostly depending on your bone quality and volume, we will not be able to install your bridge(s) the same day and you will need to wear an interim healing denture while your implants integrate into the bone. Our doctor will review this thoroughly during your exam.

How long can I expect to bleed after the procedure?

Substantial bleeding will have stopped before you leave the clinic, however, you can expect to have some slight bleeding (oozing) for a few days after your procedure. In addition, you will most likely notice increased salivation when we first place your temporary teeth. When this increased saliva mixes with a little blood, it can look like more blood than it is. If heavy bleeding continues, please call our office.

Will I know how to use my prosthetic teeth immediately?

Just like you will need practice to get used to walking with a prosthetic leg, it will need some patience and practice to become accustomed with your prosthetic teeth. With that being said, since they are rigidly attached to your jaw, All-On-4 dental implants will be the easiest to get used to of all our full-arch replacement options.

Will I know how to talk with my prosthetic teeth right away?

Again, this will take a little time, but with a little patience and practice, your mouth and tongue will adjust quickly. "S’s" will be the trickiest to pronounce. Practicing words like "sarcastic" and "stupendous" will help you get used to your prosthetic teeth. In some cases, patients may experience a slight lisp long-term with All-On-4 upper teeth.

How long after my procedure do I need to wait to use a Waterpik or water flosser?

Patients should wait six weeks after the procedure before beginning to clean a water flosser.

I feel like I’m too young for this procedure?

No, this is not only for the elderly. It’s actually quite common for people in their 40s, 30s, and 20s to need their teeth replaced. Replacing bad teeth can be quite beneficial to your long-term physical health, and being able to laugh, converse, and smile confidently with teeth you can be of can benefit your emotional health.

What should I have ready ahead of my procedure?

  • Ice packs

  • Wash cloths you wouldn't mind throwing away

  • Comfortable clothes you don’t mind throwing away

  • Soft foods (see list above)

What will my replacement teeth be made from?

The final bridge is made out of zirconia. Zirconia is much stronger and more resistant to staining and wear than conventional acrylic All-On-4 implants that other providers offer. If you choose a competing provider, be certain you know what kind of material they will be using. If you do get acrylic denture teeth with a titanium bar at another office, you can expect to have staining surrounding your teeth and to have them replaced every 5-10 years. Also, make sure you understand how much you're going to pay for the procedure, temporaries, and final prosthetics. Many providers will charge you a base fee only for you to find you owe another five to fifteen thousand dollars for the final product.

How much does the "Teeth in a Day" procedure cost?

The full cost for a single arch (upper or lower) is $19,900. For both arches, the total cost is $39,000. Both prices include removing any remaining teeth, placing your implants, same day fixed temporary teeth, and the fixed permanent zirconia teeth. Other offices may charge an operation fee, temporary teeth fee, and then surprise you afterward with yet another fee for your final teeth. Our pricing is fully transparent, and we will never surprise you with any additional fees.

How can I get new teeth in a single day? I thought dental implants needed to heal?

What is unique about this procedure, and what allows us to attach teeth your metal implants immediately, is that all of the implants will be rigidly splinted together by the new teeth (the implant bridge). Splinting them together prevents the micro-movement of the dental implants that can lead to failure early on. Essentially, your implants and bridge all support each other.

The dental implants are made from titanium, the same metal used in artificial hip and knee joints, so your bone will naturally grow around and attach to them over time.

 

What if a different dentist has said that I am not a great candidate or do not have enough bone for implants?

Many patients that have been advised they are not candidates for dental implants are actually fantastic candidates for our "Teeth in a Day" procedure. The combination of utilizing angled implants and using the front of the jaw where the bone is denser lets us perform the procedure for many patients that thought implants were not right for them. We can typically perform the procedure without the need for expensive grafting that delays treatment by months or years. Please visit us for a complimentary consultation to see if you're a candidate.

Will the extractions, implants, and new teeth really be completed in just one day?

Yes! Completing all steps in the same day is our preferred method of doing this procedure with the best outcome. With the advanced dental implants and materials available today, there is usually no reason to have to wait months or even years to go through the process like you had to do in the past.

Is the doctor a specialist such as an oral surgeon, periodontist, or prosthodontist?

No, the doctor is a general dentist that limits their practice exclusively to prosthetics and dental implantology. Dental implantology is their passion, and they have placed more dental implants than most specialists and other general dentists. In limited select cases, the doctor will collaborate with other dental specialists to ensure that our patients receive the best possible treatment for their specific situation.

How can you offer the All-On-4, "Teeth in a Day" dental implant procedure for so much less than other local dental practices?

By performing a high number of these procedures and limiting our practice exclusively dental implants, we have advantages that other practices simply do not. Our office has in-house lab and lab technician along with a single dentist that performs the procedure start to finish. Because of these efficiencies, we are able to offer All-on-4 "Teeth in a Day" procedures for our patients at the most competitive pricing available. Not only do we have the best prices, we also use the best quality dental implants and materials.

Do you have payment plans?

Yes. Our practice offers multiple payment options including third party financing. We work with our patients in any way possible to get them smiling again.

Click here for financing options.

Does your practice provide guarantees or warranties?

If a dental implant fails to integrate we will replace it at no cost. We warranty the final bridge for 5 years. To keep this warranty, our patients must return every 6 months for maintenance and hygiene of their bridges/implants. The warranty does not apply to patients that continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions which compromise their implants.

How long will this procedure take?

Typically the surgery is about 1 hour per arch. Then, the lab portion of making the teeth takes about 2 hours. If we start in the morning, for a single upper or lower arch, patients are usually done around lunch time. If we are replacing both top and bottom teeth, we typically finish around 2:30 to 3:30 in the afternoon. Much of this time is waiting for the teeth to be made in our lab and trying them in to ensure your smile is just right. It is a long day, but will definitely be worth it in the end!

What if I don’t like my new teeth?

Our team does everything possible to ensure you love your new teeth. The teeth you receive the same day of surgery are only a temporary/transitional set. When we fabricate your final teeth, you will have complete control of the design and appearance of your teeth.

What about out of town dentists in Florida, Las Vegas, etc. advertising same day final teeth?

While this is a good service for some patients, in the rare case of complications or teeth breaking, it can be very difficult to repair if you traveled thousands of miles away or out of the country. Most local dentists will not be willing to repair another office's work. A major advantage of having a temporary set of fixed teeth on the day of your procedure is that you get to test them out and learn what you like/don’t like. For the final zirconia or nano-ceramic teeth, we can provide try-ins to ensure that your teeth look exactly the way you want them to look. While it’s exciting to get your final teeth immediately, doing this does come with some serious drawbacks that cannot be overlooked.

Will All-On-4 teeth move (front to back, side to side)?

No, these are rigidly attached to your dental implants, which are firmly anchored to your jaw. If your new teeth begin rocking for any reason, call us so we can bring you in for an evaluation.

Why do you call this procedure "teeth in a day" when I don’t receive my final teeth until 4-6 months after my surgery?

This is referred to as "teeth in a day" because you are receiving a set of implant-supported working prosthetic temporary teeth the same day. Since there are often significant changes to your mouth during the implant integration and healing phase, it is best to begin with a temporary set of teeth. This ensures the best long-term outcome with your permanent teeth.

Can my temporary teeth get damaged?

Yes, your temporary teeth are made from acrylic and can crack, chip, and sometimes break. This is very common. The best thing about the acrylic temporary is that it can be easily repaired. If you have any issues with your temporary, just call our office and we’ll get you fixed up right away.

Can the final teeth be damaged?

While it is possible for nano-ceramic and zirconia to be damaged, it’s extremely rare. Zirconia and nano-ceramic are among the most durable and strongest substances available in dentistry.

I already have a dental implant (or implants), can they be used for All-On-4?

Unfortunately, no. Since your current dental implants will not be the proper position required by this procedure, and as bone reduction will be necessary, we cannot use your current implants and they will most likely need to be removed.

Are my All-On-4 bridges removable?

No, you cannot remove the prosthetics yourself. Only the dentist is able to remove them. They are secured to your dental implants.

Can food get under my All-On-4 bridge(s)?

Yes, any dental prosthetic will get some amount of food under it. You can rinse with water to get food out from under your bridge(s), and cleaning daily with a water flosser will be part of your long-term hygiene routine.

How long should I take off work for recovery after my procedure?

Of all the full arch replacement options, All-On-4 often has the shortest time required to recover. Typically 4-7 days is enough. With that said, as there is always a chance of bruising and swelling, and you’ll need to become accustomed to eating and speaking with your new teeth, the longer you can take off, the better.

How many implants are needed?

The upper implant denture will need at least 4 dental implants. The lower implant denture will need at least 2 implants. The more implants you have, the more stable the denture will generally be. This is certainly true for the lower denture. Three or four implants in the lower is typically much better than 2.

How much do implant dentures cost?

For pricing information on snap-in implant dentures click here!

I’ve had dentures for quite a while, am I still eligible for implants?

In most cases, yes! We’ll simply need to see you for a free consultation, during which we will perform a 3D CBCT scan of your mouth to see if you have enough bone for dental implants.

Will I get to use the implants (snap my dentures on to them) the same day they’re placed?

Unfortunately no, we need to allow time for your implants to integrate with the bone. This is what makes your implants truly secure and will help ensure you enjoy many years, or decades, of use out of them. We typically wait between four and six months before attaching to your dental implants.

Will there be pain after the implants are placed?

While experiences will be different, you should expect some tenderness and possibly swelling after the procedure. Many patients come in the next day for their post op appointment, reporting minimal discomfort. You will receive a pain medication prescription to help alleviate any tenderness.

Can I be put to sleep for the procedure?

Our office does not currently use general anesthesia, however, we do offer both oral & IV conscious sedation. To learn more about these options click here. This medication will help you relax and usually makes it so you don’t even remember your procedure. If you choose this, we write you a prescription, and you can pick it up at your local pharmacy. NOTE: You MUST have a driver for this procedure, someone who can drive you once you have taken the oral sedation medication. You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are implant dentures really secure?

Yes! They are much more secure than dentures alone, and our team is able to increase the retention with even stronger inserts if you would like.

Can I remove the palate (roof of mouth) of the denture?

It depends. Ideally, we would need to spread the dental implants out in order to remove a portion of the palate in a snap-in denture. With our All-On-4 procedure, we can guarantee the ability to remove the palate, but that isn't always an option with snap-in dentures.

When we are able to remove the palate, this increases the ability to taste for many patients, and also increases hot and cold sensitivity, making for a more natural experience. For those patients with a severe gag reflex, removing the palate of the denture may also help provide relief.

When will I be able to have the palate (center part that covers the roof of the mouth) removed from my denture?

If you are a candidate for a palate-less denture, it will be removed from the denture. This is after healing and osseointegration are complete and we are ready to attach to your implants, appromximately 4-6 months after placement of your dental implants.

How frequently will the implant inserts need to be changed?

Typically once or twice per year. This often depends on how many implants you have, how strong your bite is, how frequently you remove and replace your dentures, and several other factors.

WARNING: PLEASE DO NOT BITE YOUR DENTURES INTO PLACE ON YOUR IMPLANTS! This will wear out the inserts significantly faster. Only place your implant dentures in by hand.

What is alveoloplasty? Why is it important?

Alveoplasty is a procedure where the doctor contours your jawbone. This procedure is important because it can significantly improve the fit and comfort of your dentures.

What are tori? Must they be removed?

Tori are bony knots that develop in the mouth of some patients. They are harmless, however, they can prevent your denture(s) from fitting comfortably, so the doctor will often recommend having them removed.

Why am I salivating (drooling) so much?

This is completely normal when you first have the prosthesis (denture) placed in your mouth. Your mouth senses it as a foreign object and is trying to “flush” it out. The increased salivation should subside within two to three days.

How long can I expect to bleed after the procedure?

Significant bleeding will have ceased before you leave our clinic, however, expect to have a bit of bleeding (oozing) for one to three days after the procedure. Also, you will most likely notice increased salivation when we first put your denture(s) in. When this increased saliva mixes with a small amount blood, it can look like much more. If heavy bleeding does not stop, please call the office.

An old home remedy that still works quite well to help clotting and stop bleeding is to use tea bags. Just get a standard tea bag, get it damp, squeeze out the extra water, place it on the extraction site (or sites), and the tea will help you heal. Multiple tea bags can be used if needed. Replace the tea bags if they become saturated with blood. The process can be repeated as many times as you need.

Is this procedure offered with zirconia (non-metal) implants?

Our practice does not currently offer this type of implant. While titanium dental implants have been around for decades with a long track record of success, zirconia implants are very new to dentistry, so we can't be certain what their success will be long-term. We want the most successful, most predictable long-term results for our patients, and for these reasons, we do not offer zirconia implants at this time.

Can food get stuck beneath my implant denture(s)?

Yes, any prosthetic in the mouth will get some amount of food beneath it. The great thing about implant dentures is they are incredibly easy to clean. Simply remove them; clean the denture(s), your gums, and implants; and snap them back in.

How much time should I take off work for recovery after my procedure?

Every patient is different. Some return to work the next day, others wait a week or two. Since there is always a chance of bruising and swelling, and you’ll need to get used to eating and speaking with the new teeth; the more time you can take off, the better.

What is a soft liner?

A soft liner is a cushion we place inside your denture to help it fit and feel better as your mouth heals and changes shape following extractions.

Am I too young for snap-in dentures?

No, this is not only a procedure for seniors. It is quite common for patients in their 40s, 30s, even 20s to need to replace their teeth. Replacing bad teeth can be very helpful for your overall physical health. Also, having teeth that allow you to confidently smile, laugh, and converse can be very beneficial for your psychological health. Again, needing to replace teeth early in life is not uncommon.

What items should I have ready for after my procedure?

  • Ice packs
  • Wash cloths you don’t mind throwing away
  • Comfortable clothes you don’t mind throwing away
  • Soft foods such as:
          - soups
          - yogurt
          - cottage cheese
          - smoothies
          - protein shakes
          - eggs
          - mashed potatoes (gravy optional)

Once I have my implant teeth attached, will I know how to use them right away?

Just as you would need practice in order to get used to walking with a prosthetic leg, it will require some patience and practice to become used to your new prosthetic teeth. That being said, since these are attached using implants, your dentures will be much easier to get used to than regular dentures.

Will I be able to talk with my new teeth right away?

Again, this will take some time, but with some practice and patience, your mouth and tongue will quickly adjust. S’s will be the toughest to pronounce. Practicing words like “Mississippi” and “sixty six” will help you get used to the new teeth. Sometimes, patients might have a slight lisp long term with implant dentures.

Will my dentures still rock?

Some people may experience very slight rocking with their implant dentures. For patients with 2 lower implants, these will need to be placed in the front of the jaw making it possible for some rocking to happen. A small amount of adhesive at the back on both sides of the lower denture will usually take care of this.

I can’t stand having the roof of my mouth covered. What are my options?

In this case, your best bet would be the All-On-4 procedure. Not all snap-in dentures can have the palate removed.

Can I remove implant dentures?

Yes. Having removable implant dentures makes cleaning them extremely convenient. Just take them out; clean the denture(s), the gums, and implants; and snap them back in.

Can implants fail?

While titanium dental implants do have a 95+% success rate, yes, they can still fail. Some of the things that can cause them to fail:

  • failure to integrate into the bone
  • smoking
  • diabetes

If an implant fails within the first year, your dentist will replace it at no charge to you.

What is involved in maintenance of implant dentures?

  • Snaps | From time to time you’ll need to replace the snap rings in your implant dentures. These wear and lose retention over time as you take your teeth in and out. They’re quick and affordable to have replaced.
  • Cleanings | Just like with natural teeth, you’ll need to have the implants professionally cleaned periodically. Any buildup on the implants will be removed and your dentures will be cleaned.
  • Periodic re-fittings | Your mouth can still change over time, so your dentures may need to be re-fitted to ensure their best performance and make certain that unnecessary stress isn’t being applied to the implants.
  • Home maintenance | It takes just a few minutes a day. Remove your dentures 1-2 times each day and brush them with a denture brush or very soft bristled toothbrush. Also, remember to clean the implants. Scrub these with a very soft dental brush too.

Single Tooth

Implants & Bridges

Will I need a dental implant for each of my missing teeth?

It depends. As every case is unique, we'll need to see you for a consultation to determine the best course of treatment for you.

Can I get a temporary bridge or crown on my implant the same day it’s placed?

Unfortunately not at this time, we do not place temporary bridges or crowns on implants that have just been placed. The reason for this is that we want as little force as possible placed on the implants while waiting for them to fuse with the jawbone.

How much do dental implants cost?

Am I eligible for dental implants?

Most patients are candidates for dental implants, even those who've been told they were not previously. Call our office to schedule your free exam and let's see what we can do to help.

What kind of after care will I need to perform with my dental implant(s)?

Take care of them like natural teeth:

  • Brush and floss twice daily.
  • Get regular cleanings at intervals recommended by your dentist.

What do prosthetic teeth look like?

In your mouth, they look almost exactly like a natural tooth. The implant body (the screw) won't be visible in your mouth. It is under the gums in the bone.

Will it function and feel like a natural tooth?

Yes! It will feel different from a natural tooth but will function the same.

How long should I take off work for recovery after my procedure?

Most patients can return to work either the same day or the next day. Certain cases may require more time off from work.

What is the process for getting a dental implant?

Our process is very straight forward. The implant is placed into the jawbone and is left alone to fuse for 4-6 months. After this, we take impressions and have your tooth fabricated. If bone grafting is needed, this may increase treatment time.

Is my implant removable?

No, once your implant is completed, you will not be able to remove it.

Can I be put under for the procedure?

Our office does not currently put patients to sleep, however, we do offer both IV and oral conscious sedation. To learn more about these options click here. This medication will provide relaxation and often makes it so you won't even remember your procedure. For this, we write you a prescription, and you can fill it at your local pharmacy. NOTE: You MUST have someone driving you to and from for this procedure, because of the oral sedation pill(s). You MUST NOT operate a motor vehicle or any machinery after taking your medication.

How long can I expect to bleed after the procedure?

Most of the bleeding will have ceased before you leave the office, however, expect to have some slight bleeding (oozing) for 1-3 days after the procedure. Additionally, you will most likely notice increased salivation when we first put your denture(s) in. When this increased saliva mixes with a little blood, it can look like much more. If heavy bleeding does not stop, please call our office.

A classic home remedy which still works quite well to encourage clotting and reduce bleeding is to use tea bags. Just get a regular tea bag, get it damp, squeeze out the extra water, place it on the extraction site (or sites), and the tea will help you clot. Multiple tea bags can be used if needed. Replace the tea bags if they become saturated with blood. The process can be repeated as many times as you need.

Can I expect pain after the procedure?

Though your experience may vary some, you can expect mild soreness and slight swelling afterwards. Many patients come in the next day for their follow-up exam reporting very little soreness. You will be prescribed pain medication to help reduce any discomfort.

Do you offer this procedure with zirconia (non-metal) implants?

Our practice does not currently provide this type of implant. While titanium implants have been around for decades with a long track record of success, zirconia implants are very new to dentistry, so we do not know what their viability will be long-term. We want the most successful, most predictable long-term results for our patients, and for these reasons, we do not use zirconia implants at this time.

Can implants fail?

Although titanium implants do have a 95+% success rate, yes, they can still fail. Some of the things that may cause them to fail:

  • Failure to integrate into the bone
  • Smoking
  • Diabetes

If an implant fails during the first year, our doctor will replace it at no charge to you.

What are immediate dentures?

As the name implies, immediate dentures are those which are placed immediately after the natural teeth are taken out. They help control swelling and bleeding; they act like bandages over the extraction sites.

What process can I expect when getting immediate dentures?

The complete process often takes 6 months, but can take longer for some patients.

  • Impressions will be taken before your procedure with your natural teeth still present. From these impressions, the dentures are fabricated.
  • Procedure – your teeth are extracted and the new teeth are placed.
  • Series of soft liners (soft re-fittings) over 6 month healing period.
  • Final re-fit (processed hard reline) at end of 6 month healing period.

What is it like to get used to immediate dentures?

This experience will be different from patient to patient, but it does require patience and practice. Your mouth will be going through significant changes over the 6 month healing phase. Remember, this will get easier with time and we are here for you through the entire process.

My friend's dentures look so fake. Will mine look that way?

Absolutely not. A common fear patients have is that their dentures won't look natural and people will know they are dentures. Our talented lab team will make sure you won't end up with "horse teeth" or "chiclets," simply beautiful, natural-looking teeth. No one will know.

How will dentures fit?

The fit of dentures mostly depends upon the anatomy of the person wearing them. Full upper dentures tend to fit relatively well, acting as a suction cup against the roof of the mouth. Full lower dentures tend to feel loose and have a tendency to "float" in the mouth since your cheeks and tongue are constantly working to dislodge them. It's for this reason that we strongly recommend dental implants with bottom dentures.

How will I chew with these new dentures?

Cut your food into small pieces, chew small bites, and chew with food on both sides of your mouth to even out your bite.

I can’t taste as much with my dentures. Is that common?

Yes, the palate of the complete top denture covers the taste buds on the roof of the mouth reducing your taste sensitivity.

The bottom denture is difficult to function with. Is this common?

Yes, lower dentures are more difficult to function with than upper dentures. The tongue and cheeks moving push and pull on the bottom denture and dislodge it. Speak with the doctor to see if you’re a candidate for lower dental implants. They help tremendously with lower denture fit and function.

My dentures feel like they’re getting loose?

This is common with immediate dentures. Your jaws and gums will shrink down after extractions. This leaves a gap between your dentures and gums. We place soft liners in your dentures to fill in this extra space. This should help your dentures fit and feel better as you heal.

What are denture adjustments and how often are they needed?

New dentures can have certain spots that rub slightly and can cause sore spots. During the denture adjustment, we will find the spot(s) on your denture that are irritating you, decrease the amount of pressure apply to the gums, and smooth them thoroughly. This is perfectly normal with all new dentures and one or more adjustments should be expected.

Will I be charged for denture adjustments?

Our office provides denture adjustments free of charge for the first 6 months after receiving your final teeth or permanent hard reline. After this time, there is a small fee to adjust the dentures.

How do I take care of my dentures?

  • Clean your dentures daily with antibacterial hand soap and either a denture brush or a very soft bristled tooth brush
  • Store them in water when not in use

What do I use to clean my dentures?

  • Either denture cleaner or antibacterial hand soap and either a denture brush or a very soft bristled tooth brush. Scrub them at least once a day
  • Soak them in a denture cleanser (optional)
  • Ultrasonic cleaner

Should I take my dentures out when I sleep?

Yes, we do recommend removing your dentures when you sleep and also whenever you can throughout the day. This gives your gums time to “rest” and get natural, cleansing saliva flow to them. Also, if you're a teeth grinder, removing your dentures will help you increase their usable life significantly.

Should I boil the dentures to clean them?

No! Do not boil your dentures to clean them. The heat can warp your dentures. If this happens, they will need to be replaced.

Can my dentures be damaged?

Yes, the dentures are made from acrylic teeth and an acrylic base. Although these materials are very strong, they can be damaged. Be careful to not drop your dentures, especially onto hard surfaces like quartz countertops, ceramic tiles, etc.

One of the most common ways dentures are damaged beyond repair is when a dog (or sometimes cat) gets ahold of them. Animals and pets love to chew on dentures and have been known to damage them beyond repair very quickly. Be extra careful to put your dentures up where your pet can’t get to them.

If my dentures are damaged, can they be repaired?

Yes, in most cases they can. One of the great features of acrylic dentures is the affordability and ease of repairing them compared to other materials. And in most cases, repairs can be finished the same day.

Is there pain after this procedure?

Though your experience may vary some, most patients can expect some soreness and slight swelling after your procedure. Many patients return the following day for their follow-up examination reporting very little discomfort. All patients are prescribed pain medication to help reduce any discomfort.

Why am I salivating (drooling) so much?

This is completely normal when you first have an implant placed in your mouth. Your body senses it as foreign material and is trying to “flush” it out. This increased salivation should subside within a few days.

Can I be put to sleep for my procedure?

Our office does not currently use general anesthesia, however, we do provide both oral & IV conscious sedation. Click here to learn more about your options. The medication will help to relax you and typically makes it so you don’t remember the procedure. For this, we write you a prescription, and you can pick it up at your local pharmacy. NOTE: You MUST have someone driving you both ways for this procedure, due to the sedation medication. You MUST NOT operate a motor vehicle or any machinery after taking your medication.

What are full dentures?

Full dentures are dentures that replace all of your natural teeth in either the upper arch, lower arch, or both.

What are partial dentures?

Partial dentures are dentures that replace some of your missing teeth in an arch. They typically attach to the surrounding, natural teeth for stability and support.

What are the advantages of dentures?

  • Enhanced confidence | Great looks with your new smile.
  • Looks | Dentures provide great looks and are easily customized for each individual.
  • Facial support | Dentures help to fill back out areas of the face that have sunken in following tooth loss.
  • Improved nutrition | Better chewing leads to better digestion and better nutrition.
  • Affordability | Dentures are the most cost-effective way to replace a full arch (upper or lower) or an entire mouth of teeth.
  • Improved quality of life

What are the differences in your denture levels?

Our dentures provide better wear resistance, better stain resistance, and longer warranties as you move up in levels.

Will I know how to eat with my dentures immediately?

Just like you would need practice in order to get used to functioning with a prosthetic leg, it will require some practice and patience to become used to your new teeth. Patience and practice are the keys to improving with your new dentures as fast as you can.

Will I automatically know how to speak with my prosthetic teeth right away?

Again, this will take some time, but with a little practice and patience, your mouth and tongue will adjust quickly. "S’s" will be the trickiest to pronounce. Practicing words like "sarcastic" and "stupendous" will help you get accustomed to your prosthetic teeth. In some cases, patients may experience a slight lisp long-term with dentures.

Can food get under my dentures(s)?

Yes, any prosthetic in your mouth will get some amount of food under it. The convenient thing about dentures is how easy they are to clean. Simply remove them; clean your gums and the denture(s); and put them back in.

How long should I take off work for recovery after my extractions?

Typically 4-7 days is enough time for recovery. That being said, since there is always a chance of swelling and bruising, and you will need to get used to speaking and eating with your dentures, the longer you can take off, the better.

What is a soft liner?

A soft liner is a cushion that is placed inside your denture throughout your healing process. It fills in the spaces that are created as you heal helping your dentures to feel and fit better.

Am I too young for dentures?

No, this is not just a procedure for seniors. It’s actually very common for people in their 40s, 30s, and even 20s to need their teeth replaced. Replacing bad teeth can be very beneficial to your long-term health, and being able to smile, laugh, and converse confidently with teeth you’re proud of can benefit your emotional health.

What items should I have ready for after my procedure?

  • ice packs
  • wash cloths you don’t mind throwing away
  • comfortable clothes you don’t mind throwing away
  • soft foods such as:
  • soups
  • yogurt
  • cottage cheese
  • smoothies
  • protein shakes
  • eggs
  • mashed potatoes (gravy optional)

Can I have the palate (middle portion that covers roof of your mouth) removed from my denture?

The majority of the palate of the denture needs to stay. Cutting this out removes a lot of security and nearly all of your natural suction. A portion of the palate may be removed for patients who have denture implants.

What are tori? Do they need to be removed?

Tori are bony knots that develop in the mouth of many patients. They are not harmful, however, they can prevent your denture(s) from fitting comfortably, so your doctor will often recommend having them removed.

How long can I expect to bleed after the procedure?

Substantial bleeding will have stopped before you leave the clinic, however, you can expect to have slight bleeding (oozing) for a few days after your procedure. Additionally, you'll most likely see increased salivation when we first put your temporary teeth in. When this increased saliva mixes with a little blood, it can look like more blood than it is. If heavy bleeding continues, please call the office.

A home remedy that still works quite well to encourage clotting and stop bleeding is to use tea bags. Get a standard tea bag, get it damp, squeeze out the extra water, place it on your extraction site (or sites), and the tea will help you clot. Multiple tea bags can be used if needed. Replace the tea bags if they get saturated with blood. This process can be repeated as many times as you need.

My dentures are making my gums sore, can this be improved?

There are multiple reasons which can cause sore gums: higher pressure spots, movement of your denture(s), and just ordinary wearing of the dentures.

  • High pressure spots | these are normal with new dentures and typically just require slight adjustments
  • Denture movement | this can rub sores on the gums over time. Securing the dentures with dental implants significantly reduces this problem.
  • Wearing dentures | dentures are foreign objects in your body. They can be a fantastic substitution for missing teeth, but they can still aggravate the body after a long day. Consider scheduling time to take your dentures out and give your gum tissue a chance to "rest."

Can my dentures wobble?

Yes, it is possible. Dental implants often give the stability that is missing with dentures alone. Click here for more info.

Denture adhesive may also be useful for some patients.

I can’t stand having something covering the roof of my mouth. What options do I have?

Dental implants can provide the stability you want. Click here for more info.

Are immediate dentures removable?

Yes, these can be removed. They come in and out of the mouth and are kept secure either through natural suction for the upper or denture adhesive. Not everyone will have natural suction with their upper denture for a number of reasons (palatal torus, flat palate, bone loss, etc.)

3955 Bayless Ave STE #100, St. Louis, MO 63125

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