full mouth dental implants

Dental Implants

Dental Implants

Experience the Long-Term Value of Dental Implants

Implants may be the best solution for people who are missing one or more natural teeth. Dental implants are now thought to be the most dependable, safest, and aesthetically beautiful method of replacing lost teeth. Patients in Miami can receive dental implants from our implant specialists. Our patients can feel comfortable and at ease throughout their whole treatment process because we have received significant training in anesthesia, oral and maxillofacial surgery, and the installation and upkeep of dental implants.

What are dental implants?

Dental implants are artificial tooth roots made of medical grade titanium (same titanium used in orthopedic surgery to fix bones and joints) that are integrated in a patient’s jaw to support natural-looking replacement teeth. They are considered to be the gold-standard approach to replacing a missing tooth or teeth.
Dental Implants

What are the benefits of dental implants?

Some of the most common dental implant benefits include:

How is the dental implant procedure performed?

When patients come to our office for dental implants, the first step in the process is a consultation. During your visit, we will often acquire a 3-D image of your jaw which will help determine whether you are a suitable candidate for implant dentistry and help you set goals for your treatment. This scan will allow our team of surgeons and restoring dentists to virtually place an implant and assess the surgical and restorative parameters without beginning treatment or getting numb.
Once it has been determined that dental implants are a good option for you, we will prepare you to receive the dental implant. The surgical placement of the implant itself is much less traumatic than having a tooth removed. Our patients have not reported any swelling or discomfort in the process. After the implant is placed, it takes roughly three to six months for your bone to fuse with the titanium, creating a stable and dependable foundation on which to build your custom-crafted replacement tooth/teeth.

Right Care Dental combines our dental experience and modern techniques to ensure a comfortable dental experience for you. Our natural-looking and long-lasting dental implants help you regain confidence in your smile. Schedule an appointment at our Miami, FL clinic today. Call us at 305-456-1927.

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Office Hours

  • Monday 9 AM - 5 PM
  • Tuesday 9 AM - 5 PM
  • Wednesday 9 AM - 5 PM
  • Thursday 9 AM - 5 PM
  • Friday 9 AM - 5 PM
  • Saturday 9 AM - 2 PM
Can the All-On-4 treatment concept be performed on people over the age of 70?

Absolutely, the All-On-4 dental implant procedure is suitable for individuals over the age of 70. Clinical experience shows that many patients in this age group have effectively received complete prosthetics for one or both jaws. This approach has been a game-changer, enabling older patients to improve their oral health and quality of life significantly.

How should I care for my dentures?

Proper denture care is crucial for maintaining your oral health and ensuring the longevity of your dentures. Let’s break down the steps for optimal care:

Initial Care

In the first few months of wearing new dentures, it’s important to use a gentle touch. Opt for a soft-bristled brush to clean your dentures. Apply light pressure to avoid damaging the delicate surface. As your dentures settle in, you can transition to a medium-bristled brush to thoroughly clean them.

Choosing the Right Toothpaste

When selecting a toothpaste for your dentures, look for one that is low in abrasives. Avoid toothpastes containing calcium or fluoride, as these ingredients can be too harsh for denture materials.

Advanced Cleaning Techniques

After consulting with your dentist, incorporating the use of a dental irrigator might be advisable. Dental irrigators help remove plaque and stimulate the gums, keeping both your dentures and gums in good shape.

Regular Dental Visits

Schedule visits to your dentist every six months. These check-ups allow your dentist to professionally clean your dentures, removing any built-up tartar and plaque that regular brushing might miss. Regular professional cleanings help maintain both the appearance and the health of your dentures.

By following these care guidelines, you can ensure your dentures stay clean, comfortable, and functional for years to come.

How many days after surgery can I eat solid food?

If you’re wondering when you can start eating solid food after surgery, the general guideline is to wait between 14 to 21 days. During this recovery period, you should also steer clear of foods that might irritate the surgical site. These include acidic, spicy, and salty foods. Avoiding them helps lessen mucosal irritation and supports the healing process of your postoperative wound.

Does it hurt to get implants?

Understanding the Pain Associated with Getting Implants

Wondering if getting implants is painful? It’s a common concern, but the good news is that advances in medical technology have made the process nearly pain-free.

How It Works:

  1. Anesthesia Options: During the implant procedure, various forms of anesthesia are employed to ensure that you don’t experience discomfort. These can include:
    • Oral sedatives
    • Inhalation gases like nitrous oxide (laughing gas)
    • Local injections that numb the area
    • Intravenous sedatives

Each of these methods is designed to relax you and block pain during the surgery.

The use of these modern anesthetic techniques means that during the procedure itself, you shouldn’t feel any pain. Post-surgery, any minor discomfort or swelling that occurs can be effectively managed with prescribed painkillers or over-the-counter medications, following your doctor’s advice.

In conclusion, getting implants today is not a painful process, thanks to the wonders of modern anesthesia and pain management strategies. Always discuss with your surgeon the types of anesthesia options available and which might be best suited for you

What is the doctor's opinion on the best choice between All-on-4 and All-on-6 protocols?

When considering the best dental implant protocol between All-on-4 and All-on-6, the doctor advises that the decision largely hinges on the patient’s jawbone volume. If a patient’s bone structure supports additional implants, the All-on-6 protocol is recommended. According to the doctor, this option, while similar in cost to the All-on-4, offers a significant advantage in terms of stability. By distributing the load more evenly across the jaw, the All-on-6 provides better primary stability, which minimizes the risk of implant micro-movements. This can lead to a more secure and long-lasting dental solution.

What are the advantages of choosing the All-on-6 protocol over All-on-4?

Choosing the All-on-6 dental implant protocol over the All-on-4 offers several noteworthy advantage

Enhanced Stability and Support

With the All-on-6 system, two additional implants are added — one on each lateral side of the jaw. This extra support not only enhances the stability of the denture but also improves its overall strength and durability.

Increased Crown Capacity

Unlike the All-on-4 procedure, which typically supports up to 12 crowns, the All-on-6 allows for the placement of up to 14 crowns. This means patients can enjoy a broader restoration that is closer to a full set of natural teeth.

Broader Applicability

The All-on-6 method is particularly beneficial in complex cases. It is well-suited for patients with larger jaws or those suffering from dental conditions like periodontitis or bruxism. The additional implants help distribute force more evenly, providing a more reliable and comfortable fit.

In summary, the All-on-6 protocol offers improved stability, increased crown capacity, and greater suitability for various dental conditions, making it an attractive option for individuals seeking a comprehensive dental restoration solution

How do the All-on-4 and All-on-6 protocols differ?

Understanding the differences between the All-on-4 and All-on-6 dental implant protocols is key to choosing the best treatment option for restoring your smile. Both methods involve securing a full arch of prosthetic teeth with implants embedded in the jawbone. However, the primary distinction lies in the number of implants used and the resulting benefits.

All-on-4 Dental Implants

The All-on-4 technique utilizes four dental implants. These are strategically placed in areas of the jaw with higher bone density, which often precludes the need for bone grafting. The advantage of this method is its efficiency and the reduced complexity of the procedure.

All-on-6 Dental Implants

In contrast, the All-on-6 protocol uses six implants. Adding two more implants provides greater stability and support, especially beneficial for patients with larger jaws or those who require stronger support for their prosthetic teeth. This method can accommodate a full arch with up to 14 crowns, more than the typical 12 crowns supported by All-on-4.

Key Differences:

  • Number of Implants: All-on-6 uses two additional implants for enhanced support.
  • Support and Stability: The extra implants in All-on-6 help distribute the force during chewing more effectively, which can be crucial for patients with specific dental conditions.
  • Capacity for Crowns: All-on-6 typically supports more crowns, allowing for a broader restoration.

In summary, while both protocols offer effective solutions for complete dental restoration, the choice between All-on-4 and All-on-6 should consider the patient’s jaw size, bone quality, and specific needs for prosthetic support.

What are the peculiarities of lower and upper jaw implantation in the All-on-4 procedure?

The procedure for All-on-4 dental implants varies significantly between the upper and lower jaws, primarily due to anatomical differences. Here is an overview of the peculiarities involved in implanting the upper and lower jaws:

Upper Jaw Implantation:

For the upper jaw, the bone tends to be softer, less dense, and more prone to resorption. This often necessitates additional procedures such as bone grafting to ensure the stability and longevity of the implants.

  1. Bone Quality: Due to the looser and thinner quality of the upper jawbone, and its proximity to the maxillary sinuses, special considerations need to be made.
  2. Technique Variation: If the alveolar ridge (the bone where the teeth sit) is moderately atrophied, All-on-4 implants might be possible without sinus lifting. However, in cases where significant bone loss has occurred, more than four implants may be needed.
  3. Integration and Healing: Implants in the upper jaw typically require a longer period to fully integrate with the bone, often around 5-6 months.

Lower Jaw Implantation:

Conversely, the lower jaw provides a denser bone structure, which facilitates a faster and often more straightforward implantation process.

  1. Bone Density: The denser bone of the lower jaw slows the atrophy process, making it less likely that a patient will need bone grafting after tooth loss.
  2. Implant Support: Typically, four robust pins are adequate to support the complete prosthetic structure in the lower jaw.
  3. Recovery Time: The denser bone also allows for quicker osseointegration, with implants taking about 3-4 months to anchor fully — and sometimes as little as 2-3 months.

Additional Considerations:

Safety Measures: It’s crucial for the oral surgeon to avoid sensitive areas such as the maxillary sinus in the upper jaw and the trigeminal nerve in the lower jaw during the procedure. These anatomical features can significantly influence the approach and technique of the implantation process.

Understanding these nuances can help patients and clinicians prepare for a successful All-on-4 implant treatment plan tailored to the specific needs of the upper or lower jaw.

What implants are used in the clinic?

Dental Implant Options at Our Clinic

At our clinic, we offer two distinct categories of dental implants to cater to the varied needs and preferences of our patients. Here’s a detailed look at each type:

1. MIS Implants

Originating from Israel, MIS implants have been a reliable choice in dental implantology since 1995. These implants are categorized under the economy class, making them an accessible option for many. Despite their affordability, they are renowned for their high quality and are utilized in over 75 countries worldwide. MIS is noted for its innovative approach, particularly with the introduction of the new B+ surface. This feature enhances hydrophilicity, significantly speeding up the process of osseointegration. Additionally, MIS offers specialized product lines designed to accommodate varying bone densities, including solutions for softer bone types.

2. Nobel Biocare Implants

For those seeking premium, high-end implant solutions, Nobel Biocare stands out as a globally recognized option. This brand, with facilities in the USA and Sweden, is particularly famous for pioneering the All-on-4 implant procedure. Nobel Biocare implants are distinguished by their phosphorus ion-coated surfaces which are highly hydrophilic. This characteristic is crucial for promoting better bone integration, particularly in protocols that require immediate loading. Nobel Biocare produces a diverse array of implant models that are tailored to address a broad spectrum of clinical scenarios.

Selection Criteria

Our clinic uses these two esteemed types of dental implants based on specific patient needs, particularly for those who require full upper or lower jaw reconstruction. Each brand brings its unique benefits to

 the table, from economic affordability and innovative technology by MIS to the luxurious and specialized options offered by Nobel Biocare.

By offering both MIS and Nobel Biocare implants, we ensure that all our patients receive tailored, effective treatments according to their dental health requirements and financial considerations

Which materials are used for crowns in permanent dentures on four implants?

When considering the construction of crowning materials in permanent dentures supported by four implants, two primary materials are prevalent: metal-free ceramics and zirconium dioxide. These materials include options such as porcelain, E-max (both of which are types of metal-free ceramics), and different variations of zirconium dioxide, including monolithic and multi-layered types. By adhering to your dentist’s care instructions, including biannual check-ups and consistent oral hygiene, these materials can provide durability and optimal performance for 15-20 years.

What materials are used to make a permanent denture?

Understanding the Materials for Permanent Dentures

When it comes to crafting permanent dentures, advanced and durable materials are essential to ensure longevity and aesthetic appeal. At our implantology center, we specialize in creating dentures using high-quality ceramics and zirconium dioxide, each suitable for different requirements and positions in the mouth.

Options for Materials:

  1. Metal-Free Ceramics: Including porcelain and E-max, these materials are predominantly used for their natural appearance, making them ideal for front teeth, often referred to as the “smile zone”. They blend seamlessly with natural teeth, although they are somewhat more delicate.

  2. Zirconium Dioxide: This material comes in monolithic and multi-layer configurations. It’s highly valued for its strength and durability, making it suitable for back teeth that handle most of the chewing force. Zirconium dioxide crowns are robust and can sustain significant wear and tear.

Durability and Maintenance:

Both materials are designed to last between 15 to 20 years, depending on adherence to oral hygiene practices and regular dental check-ups every six months. During these visits, your orthopedic dentist can monitor the condition of your dentures and make adjustments as needed.

Personalized Consultation:

Choosing the right material for your permanent dentures can depend on several factors, including the location of the denture and aesthetic considerations. During an in-depth consultation, we help pinpoint the best solution tailored to your specific clinical needs and cosmetic desires.

The choice between these materials will ultimately depend on balancing function with appearance, ensuring both resilience and a flawless smile.

What are the contraindications and complications associated with All-on-4 dental implants?

Understanding the contraindications and complications of All-on-4 dental implants is crucial for ensuring patient safety and effective treatment outcomes. Here’s a comprehensive breakdown of the complications and contraindications associated with this dental procedure:

Contraindications

Contraindications occur when an All-on-4 dental implant procedure is either strongly advised against or must be modified considerably due to certain factors. These are categorized into two types:

  1. Absolute Contraindications:

    • These factors make it fully infeasible to perform the implant process. They include conditions such as:
      • Blood clotting disorders.
      • Serious mental health disorders.
      • Active or malignant cancers.
      • Significant immunological diseases.
      • Advanced osteoporosis or osteonecrosis.
      • Active tuberculosis.
  2. Relative Contraindications:

    • These do not wholly prevent the procedure but require that specific issues be addressed before proceeding:
      • Muscle and TMJ issues: Treatments such as Botox are employed to manage discomfort and dysfunction.
      • Bite irregularities: Corrective tools like aligners may be used to adjust the bite before implants.
      • Existing dental problems: Conditions like gingivitis or periodontitis may need tackling through methods like laser gum therapy.
      • Bone atrophy: Techniques like alveolar crest splitting or bone grafting are considered to restore bone integrity.
      • Poor dental hygiene: Intensive cleaning to remove plaque and calculus may be necessary.
      • Diabetes (non-insulin dependent): It’s crucial to regulate glucose levels to within safe limits pre-surgery.
      • Pregnancy: Consultation with a gynecologist is recommended, ideally timing the surgery during the second trimester if necessary.

Complications

While the All-on-4 procedure is typically safe, there are potential complications that can arise, mostly related to the surgical procedure and patient-specific responses. These include:

  • Infection: Like any surgical procedure, there is a risk of infection which needs careful management.
  • Nerve damage: Incorrect implant placement can cause temporary or permanent nerve damage.
  • Implant failure: Factors like poor bone quality, incorrect placement, or excessive load can lead to implant failure.
  • Sinus problems: Especially relevant for implants in the upper jaw that may protrude into sinus areas.

Preventative Measures and Solutions

To minimize risks, a thorough preoperative evaluation is essential to identify any contraindications. Additionally, following stringent surgical protocols and postoperative care guidelines are crucial for avoiding complications. In situations where complications arise, prompt and appropriate treatments are essential for resolution.

In essence, while the All-on-4 dental implant technique offers a transformative solution for many patients, it requires careful consideration of the patient’s overall health status and meticulous handling of any contraindications or complications. 

What are the pros and cons of the All-on-4 technology?

Exploring the Pros and Cons of All-on-4 Dental Implants

The All-on-4 dental implant technology offers a modern solution for people needing extensive dental restoration. Here’s an in-depth look at the advantages and challenges associated with this technology.

Advantages

  1. Immediate Results: Unlike traditional methods that can take months, the All-on-4 procedure allows patients to receive fully functioning teeth the same day – typically within 24 hours. This quick turnaround is a significant benefit for those looking for an immediate improvement in their quality of life.

  2. Cost-Effective: Overall, this technique can be more budget-friendly than conventional implants. By using only four implants and eliminating procedures like bone grafting, patients can save on costs significantly.

  3. Simplified Process: The All-on-4 method uses a minimal number of implants, often reducing the need for extensive surgery and shortening recovery time. The strategic angling of implants avoids areas requiring bone grafts and minimizes the risk of impacting sensitive structures such as nerves or sinuses.

  4. Bone Health Benefits: By securing a fixed denture onto four strategically placed implants, All-on-4 helps distribute chewing forces across the jaw more evenly. This helps stimulate and maintain bone structure, which can prevent further bone degradation.

  5. Durability and Longevity: When executed properly, All-on-4 implants can provide a lasting solution, potentially enduring a lifetime. The prosthesis itself can remain functional for up to two decades, offering a long-term solution for tooth loss.

Challenges

  1. Not Suitable for Severe Bone Loss: If a patient has suffered significant bone loss in the jaw, they may not immediately qualify for All-on-4 implants. In such cases, additional treatments to rebuild bone density might be necessary.

  2. Initial Costs: While cost-effective in the long run, the upfront investment for All-on-4 can be higher than that for traditional dentures. This can be a deterrent for some, considering the financial commitment.

  3. Demands on Dental Expertise: The success of the All-on-4 procedure heavily relies on the skill and experience of the dental surgeon. It requires precise planning and execution, meaning a highly qualified professional is essential for optimal outcomes.

Understanding these pros and cons is crucial for anyone considering the All-on-4 dental implant procedure. It’s a powerful option that offers substantial benefits, but like any medical procedure, it is not suitable for every individual. Consultation with a knowledgeable dental specialist can help determine the best approach to meet your dental needs.

Who is suitable for the All-on-4 dental implants treatment procedure?

All-on-4 dental implants are a revolutionary treatment for individuals facing significant dental issues. But who exactly stands to benefit the most from this procedure? Ideal candidates include:

  1. Individuals with Extensive Tooth Loss: This treatment is perfect for those who have lost most or all their teeth in one or both jaws.

  2. Patients with Advanced Gum Disease: Those suffering from serious periodontal conditions causing loose teeth can find a permanent solution with All-on-4 implants.

  3. People Experiencing Jawbone Deterioration: If you’ve worn removable dentures for a long time, you might experience jawbone loss. All-on-4 implants can help circumvent the need for bone grafts by maximizing the available bone.

Prior to proceeding with All-on-4 implants, a detailed evaluation by a qualified implantologist is crucial. This assessment ensures the treatment aligns perfectly with the individual patient’s dental health and needs.

What is All-on-4, and what is the concept of this treatment?

Understanding All-on-4 Dental Implants

What is All-on-4? All-on-4 is an advanced dental treatment designed to provide a permanent dental solution using four strategically placed implants. This technique is aimed primarily at individuals who have lost most or all of their teeth and are seeking a fixed, long-term option.

The Concept and Procedure The core concept of All-on-4 involves the surgical placement of four dental implants in the jawbone. Specifically, two implants are placed at the front, typically where the incisors would be, and the remaining two are positioned at an angle in the back part of the jaw, where the molars are located. This angled placement helps maximize the use of available bone, especially in patients who have experienced bone loss.

After implantation, a temporary bridge is usually secured to these implants within 1 to 2 days. This quick procedure not only offers immediate aesthetic improvement but also allows for normal function while the mouth heals and the implants integrate with the bone, a process known as osseointegration.

Origin and Evidence of Success Introduced in 1998 by Nobel Biocare, the All-on-4 method has been subjected to extensive scientific scrutiny. Numerous studies involving thousands of participants have confirmed its high success rates, making it a popular choice for full-arch rehabilitation.

This treatment not only streamlines the surgical process by limiting the number of implants needed but also significantly reduces recovery time and increases comfort for the patient, compared to traditional methods that involve more implants and, often, bone grafting. This makes All-on-4 an efficient and effective solution for those looking to restore functionality and confidence in their smile.