“All-on-Four” and Teeth-in-a Day” Implant Tooth Replacements

Who is a candidate for “All on Four” or “Teeth-in-a -Day” or “Next Day Smile” Dental Implant Therapy?

Frustrated patients! Patients with a hopeless dentition who are tired of repeated dental failures, tooth pain, and the embarrassment of not having comfortable, functional teeth. These patients are tired of constantly having crowns, root canals, and bridges fail with the discomfort and cost of seemly constant replacement.

Also, people who have had dentures or partials that are too loose and constantly uncomfortable. The longer a person is without teeth, the more supportive bone disappears and the worse their problems become. These patients are tired of denture paste, food getting caught beneath the denture, the feeling of a “mouthful of plastic,” and mouth odor.

Imagine (realistically) a tooth replacement solution that

Allows you to chew anything you want again
Does not break or need repairs
Is beautiful and allows you to smile naturally and confidently
You will never have to have “teeth in a glass” at the end of the day
“Next Day Smile”—A Superior Longer-Term Solution

Next Day Smile Before

Next Day Smile After

What is “Teeth-in Day,” or “All-on Four” Dental Implants?

“All-on-Four “—There’s a considerable amount of literature online about the “All-on-Four” or “Teeth-in-a-Day” concept. As a dentist with over 30 years of dental implant surgical and restorative experience, I can offer a number of practical and academic observations (no hype).

In the (recent) past, to replace all the teeth in either the lower or upper jawbone, eight to ten implants would need to be placed. Patients would have to wait 4 to 12 months in uncomfortable dentures before permanent teeth could be placed.

Worse than that—the replacement teeth were made of acrylic—just like dentures. Breakage and tooth wear were common. Repairs meant being without teeth (ANY) for up to a week.

There are Many Solutions to Complete Tooth Loss—Know your Options!!!

First — of course, dentures. We can make “cosmetic dentures,” and they can be made better than in the past. Check out our article on “The Hidden Dangers of Dentures.” Realize that even with the very best denture, the remaining supporting bone will wither, and the facial muscles (think sunken cheeks) will continue to atrophy until death.
Implant-Retained Dentures — In the modern age, this is the current MINIMAL standard of care in many countries (not the USA). We have done hundreds of these restorations, and they are far superior to conventional dentures. The dentures will still pivot, and bone loss will continue.
Bar-supported dentures — I’ve done dozens of these—let’s say enough—great concepts, but there are way too many problems for me to do again.
Implant-retained dentures — I’ve also done hundreds of these over the last 25 years. Many problems are solved. The recurrent problem is breakage and wear. Being made of conventional plastic denture materials, wear continues, and tooth breakage is common. We do not warrant these problems, as they are inherent to the materials. Usually, repairs take a few days in the laboratory

“Next Day Smile”–A Superior Longer Term Solution

There are many problems with immediate “Teeth in a Day” dental implant bridges:

1) They are made of acrylic, and not uncommon is that the entire bridge may fracture (not always easy to fix).

2) The teeth are also usually made of acrylic and may fracture off or chip. This may require laboratory repair. The patient may be without any teeth for a few days during repair.

3) Acrylic long-term is a patient’s mouth may absorb stains and toxins. This can be unsightly and retain odors.

The best long-term solution utilizes advanced dental ceramics and a material known as Prettau® Zirconia. It’s extremely stain-resistant, resists fracture or chipping, and can last a patient’s lifetime. Dr. Gibbs uses a system called Next Day Smile, the only system currently available with a 100% 5-year proven record.

It is wonderful to see a patient with a “terminal dentition” suddenly be able to smile again! It is wonderful to eliminate the need for dentures!

Need for Dental Sedation or Advanced Anesthesia

Although Dr. Gibbs at Smile Glen Ellyn in Glen Ellyn has experience in dental anesthesiology and IV sedation, this is not required for these procedures. The patient’s comfort level and anticipated difficulty are discussed with the patient, and a choice is determined.

Dr. Gibbs has restored thousands of dental implants in the last 30 years, and all implant procedures can be performed in the same office. He has received advanced training with the Misch International Implant Institute, Pikos Implant Institute, California Implant Institute, and Kois Center for Advanced Dentistry. He has also earned his advanced fellowship in the International Academy of Dental Implantology and the American Academy of Dental Anesthesiology.

* Also see our article on the “Hidden Dangers of Dentures” and our dental implants introduction page.

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