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 from day one?

Yes! However, while your implants and new teeth are securely placed from day one, we do ask that you maintain a soft diet during the 4 month healing timeframe. So what do we mean? A good general rule is that you can eat anything that can be can cut with a plastic fork. We ask this because you are investing in a treatment that can last you decades, even the rest of your life, and keeping to this soft diet initially will allow the best possible union your implants into your bone and help establish a great long-term outcome.

For how long has the All-on-4 procedure been around?

This life-changing solution was pioneered by Portuguese dentist Paolo Malo in the 1990s. Since then, it has been safely performed on hundreds of thousands of patients all the while being improved upon to the method we use today.

How do I care for my new teeth?

Maintaining your new teeth is very easy, but staying consistent is key. Just like how we’re supposed to regularly floss and brush natural teeth, you need do the same with the new teeth and implants. Just a few minutes a day 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.

Cigarette smoking can escalate the possibility of implant problems, so we recommend not smoking with your dental implants. Diabetics should also be aware of a heightened possibility of complications with dental implants. Keeping diabetes under control is very important 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 dental implants feel like?

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

Will there be a lot of pain involved in the procedure?

While there will be moderate pain, it is similar to the pain of standard teeth extractions. Our team uses a combination of medications to help control the pain and keep you as comfortable as possible.

Is there pain after this procedure?

While experiences will vary, most patients should expect mild discomfort and some swelling afterwards. Many patients come in the next day for their post op examination reporting minimal soreness. You will be prescribed pain medication to help alleviate any discomfort. Also, if you’re a good candidate for it, the doctor will give you a steroid injection which will: help with swelling and discomfort for the first few days.

What is the recovery time like for dental implants?

Experiences will vary from patient to patient, but, overall, the recovery period is faster and easier with this procedure than other complete teeth replacement options. This is mostly due to the bridges being attached directly to your jaws by your implants. Traditional dentures and implant dentures both require healing periods during which time the dentures can move and lead to sore spots. The pain should decline for the most part within one to two, with complete healing typically after six months.

What is the difference between your practice vs. another local practice offering a wide range of dental services?

We limit our practice to dental prosthetics and implants. Dental implants, and especially "teeth-in-a-day," are our passion, and our team is constantly working to ensure our patients receive the best results possible. Other dental practices will often refer you to other providers, use outside labs, and have confusing pricing. They can take several months or even years to finish the procedure all the while charging you up to double our price. Our dental surgeon performs the entire procedure from surgery to final teeth. We have an on-site dental lab and certified lab technician, to provide transparent and affordable pricing. By offering all this at one location, our practice is able to deliver the best service at the best price.

What is the difference between your practice and national implant practices?

Durham Dentures and Implants has the same advantages of the national implant offices by focusing our practice on dental implants and prosthetics. Our practice has an in-house dental prosthetic lab, competitive pricing, and offer teeth the same day. However, our office is privately owned, and every single patient will be seen exclusively by our doctor. Our team focuses on the satisfaction of our patients instead of cost cutting, shareholders, and monthly quotas. With corporate implant centers, there is no guarantee that you will be seen by the same provider who has the great reviews or whom you were recommended to see. Our doctor oversees your procedure from beginning to end and our team will do everything we can to make sure you are overjoyed with your new smile and take care of you like family.

What about snap in dentures or mini dental implants?

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

Snap-in implant dentures, on the other hand, are a fantastic option for some people. We also provide this service and have an entire page dedicated to snap-in dentures if you want to learn more. They can be a more affordable alternative to the All-On-4 "teeth-in-a-day" dental implant procedure.

How frequently should I get my dental implants cleaned professionally?

Plan to (visit us every six months to have your teeth examined and cleaned. This will help ensure the longevity of your new teeth and implants.

Can implants fail?

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

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

If your implant fails within the first year, your dentist will replace it for free.

Why am I salivating (drooling) so much?

This is completely normal when you first have a prosthesis placed in your mouth. Your body senses it as a foreign object and is working to “flush” it out. The increased salivation should decrease within 2-3 days.

Can I be put to sleep for my procedure?

We do 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 relax you and typically makes it so you don’t even remember the procedure. For this, we write you a prescription, and you can fill it at your local pharmacy. NOTE: You MUST have someone driving you both ways for your procedure, due to the sedation medication. You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are All-On-4 bridges always attached to the implants the same day as the procedure?

Most cases will be attached immediately. In certain cases, mostly dependent on the quality of your bone and quantity, we would not be able to install your dental bridge(s) during your procedure and you'll need to wear a temporary healing denture while your implants fuse to your bone. Our doctor will go over this in-depth during your examination.

How long will I bleed after surgery?

Substantial bleeding will have stopped before you leave our office, however, you can expect to have slight bleeding (oozing) for 1-3 days after the procedure. Additionally, you'll most likely have increased salivation when we first place your temporary teeth. When this increased saliva mixes with a small amount of blood, it can look like a lot of blood. If heavy bleeding continues, please call the office.

Will I automatically know how to use my new teeth right away?

Just as you will need practice in order to get used to walking with a prosthetic leg, it will need some practice and patience to get used to your prosthetic teeth. With that being said, since these are firmly anchored to your jaw, All-On-4 dental implants will be the easiest to get used to of all our full-arch implant options.

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

Again, this will take some time, but with some patience and practice, your tongue and mouth will quickly adjust. "S’s" will be the toughest to pronounce. Practicing saying words like "stupendous" and "Mississippi" can help you get used to your new 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 you begin cleaning with a water flosser.

I feel like I’m too young for the dental implants?

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

What would be helpful to have ready for after the procedure?

  • Ice packs

  • Wash cloths you wouldn't mind throwing out

  • Comfortable clothes you wouldn't mind throwing out

  • Soft foods (see list above)

What will my final teeth be made of?

The final bridge is made from zirconia. Zirconia is a much stronger and more stain resistant material than conventional acrylic All-On-4 teeth that many offices provide. If you choose another office, make sure you know what kind of material they will be using. If you do get acrylic denture teeth with a titanium bar at a different office, expect to see staining around your teeth and to replace them every 5-10 years. Also, make sure you understand the total price you are going to pay for the operation, temporary teeth, and final teeth. Some practices will charge you a surgery/temporary fee only for you to find out you owe another five to fifteen thousand dollars for your final teeth.

How much can I expect to pay for the "Teeth in a Day" procedure?

The total cost for a single arch (upper or lower) is $19,900. For both arches, the total cost is $39,000. These prices include the removal of any remaining teeth, placing your implants, same day fixed temporary teeth, and the fixed permanent zirconia teeth. Many practices will charge a surgery fee, temporary teeth fee, and then surprise you at the end with another fee for your permanent teeth. Our pricing is fully transparent, and we will not surprise you with any extra fees.

How can I get permanent teeth in one day? I thought the implants needed time to heal?

The unique thing about this procedure, and what allows us to attach teeth your metal implants immediately, is that all of the implants will be rigidly held in place by the new teeth (the implant bridge). Splinting them together prevents the micro-movement of the implants that can lead to early failure. Basically, your implants and dental bridge support one another.

Your dental implants will be made of titanium, the same material used in replacement hip and knee joints, so your jawbone will naturally grow around and attach to them over time.

What if a different provider has said that I'm not a great candidate or don't have enough bone for implants?

The majority of patients that have been advised they aren't candidates for dental implants are actually wonderful candidates for our All-On-4 "Teeth in a Day" procedure. The combination of using angled implants and using the front of the jaw where the bone is denser allows us to perform this procedure for many patients who thought this was not an option for them. We can typically perform this procedure without needing expensive grafting that delays treatment by months or years. Please visit us for a complimentary implant exam to see if you're a candidate.

Can the extractions, implants, and fixed teeth really be completed in the same day?

Yes! Completing all steps in the same day is our preferred method of doing this procedure to support the best final result. With the state-of-the-art implants and materials that we have available today, there is often no reason to have to wait months or even years to go through the process like you had to do in the past.

Is your doctor a specialist such as a peridontist, oral surgeon, or prosthodontist?

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

How do we provide the All-On-4, "Teeth in a Day" dental implant procedure for so much less than other offices in the area?

Because of the high number of these procedures we perform and limiting our practice exclusively very specific procedures, we have advantages that other offices simply do not. Our office has in-house lab and lab technician and a single dentist who performs the entire procedure. These efficiencies allows us to offer advanced dental implant procedures for our patients at the most competitive pricing available. Not only do we have the lowest prices, we also use only the finest dental implants and zirconia teeth.

Are payment plans available?

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.

Do you provide guarantees or warranties?

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

How long does the All-on-4 procedure take?

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

What if I'm not happy with my new teeth?

Our team does everything in our power to ensure you're thrilled with your new smile. The teeth you receive the same day of the procedure are only a temporary/transitional set. When we fabricate your final teeth, you will have full control of the design and appearance of your smile.

What about some of these out of town offices in Florida, Las Vegas, etc. offering same day final teeth?

While this is a good fit for many patients, in the rare case of complications or broken teeth, it is very difficult to deal with if you traveled thousands of miles away or out of the country. Most local dentists will not be willing to repair another dentist's work. A major advantage of having a temporary set of fixed teeth on the day of your surgery is that you get to test them out and see 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 like you want them to look. While it’s great to get your final teeth immediately, doing this does come with some significant downsides that cannot be ignored.

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

No, they are rigidly attached to your implants, which are rigidly anchored in your jaw. If your All-On-4 teeth begin moving for any reason, call our office so we can bring you in for an exam.

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

It is referred to as "teeth in a day" because you will receive a set of implant-supported working prosthetic temporary teeth in one day. As there can often significant changes to your mouth during the implant integration and healing phase, it is best to start with a temporary set of teeth. This ensures the best long-term outcome with your permanent teeth.

Can the temporary teeth be damaged?

Yes, your temporary teeth are made of acrylic and can crack, chip, and sometimes break. This can be quite common. The good thing about the acrylic temporary is that it can be easily repaired. If you have any issues with the temporary, just give us a call and we’ll get you fixed up right away.

Can the permanent teeth get damaged?

While it is possible for nano-ceramic and zirconia to get damaged, it’s very uncommon. These materials are among the strongest and most durable substances available in dentistry.

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

Unfortunately, not. Since your current implants will not be the correct position that this procedure requires, and since bone reduction will need to be performed, we cannot use your existing implants and they will most likely need to be removed.

Can I remove my All-On-4 teeth?

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 prosthetic in the mouth will get some amount of food under it. You can rinse with water to remove food 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 to recover after surgery?

Of all the complete teeth replacement options, All-On-4 tends to have the shortest time required to recover. Usually 4-7 days is enough. With that said, as there is always a chance of bruising and swelling, and you’ll need to get used to speaking and eating with your new teeth, the longer you can take off, the better.

How many implants are needed?

The upper implant denture will require at least 4 implants. The lower implant denture will require at least 2 dental implants. The more implants you have, the more secure your denture will usually be. This is certainly true with the lower denture. 3 or 4 implants in the lower is generally much better than just two.

How much do implant dentures cost?

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

I have had dentures for quite a while, are implants still an option?

In many cases, yes! Our doctor will simply need to see you for a free consultation, during which we will do 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 enough time for your implants to integrate with the bone. This is what makes the implants truly secure and will help ensure you enjoy many years, or decades, of use out of them. We usually wait between four and six months before securing to your dental implants.

Will I experience pain after the implants are placed?

While experiences will be different, you can expect some soreness and possibly swelling after the procedure. Many patients come in the following day for their post op appointment, reporting very little discomfort. You will be prescribed pain medication to help relieve any soreness.

Can I be put to sleep during the procedure?

We do not currently put patients to sleep, however, we do offer both oral & IV conscious sedation. To learn more about these options click here. The medication will help to relax you and usually makes it so you do not even remember the procedure. For this, we write you a prescription, and you can pick it up at your pharmacy of choice. NOTE: A driver is REQUIRED for this procedure, someone who can drive you after you have taken your 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 prefer.

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

It depends. Ideally, we would need to spread out the dental implants to be able 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 the case with snap-in dentures.

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

When can I have the palate (middle 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 will happen after healing and osseointegration are finished and we are ready to attach to your implants, approximately 4-6 months after placement of your implants.

How frequently will my implant inserts require changing?

Usually once or twice per year. This will depend on how many implants you have, how strong your bite is, how often you take your dentures in and out, and multiple other factors.

WARNING: PLEASE DO NOT BITE YOUR DENTURES INTO PLACE ON YOUR IMPLANTS! This will wear down the inserts much 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. Tori are not harmful, however, they can keep your denture(s) from fitting comfortably, so the doctor will often recommend having them removed.

Why am I salivating (drooling) so much?

This is totally normal when you first have a prosthesis (denture) placed in your mouth. Your body considers it a foreign object and is trying to “flush” it out. This increased salivation should stop within two to three days.

How long will I bleed after the procedure?

Most of the 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. In addition, you might notice increased salivation when we first put your denture(s) in. When this increased saliva mixes with a little blood, it can look like a lot of blood. If heavy bleeding continues, please call our office.

A home remedy which still works really well to encourage clotting and reduce bleeding is to use tea bags. Get a regular tea bag, get it damp, squeeze out the excess 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. 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 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, and predictable long-term results for our patients, and for these reasons, we do not offer zirconia implants at this time.

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

Yes, any prosthetic in the mouth can 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 long should I take off work for recovery after the procedure?

Each patient is different. Some return to work the following day, others wait up to two weeks. Since there is always the chance of swelling and bruising, and you’ll need to get used to eating and speaking with your 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 an option for seniors. It is very common for people in their 40s, 30s, even 20s to need teeth replacement. Replacing bad teeth can be hugely helpful for your general physical health. Also, having teeth that allow you to confidently smile, laugh, and converse can be extremely beneficial for your psychological health. Again, wanting to replace teeth earlier 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 prosthetic 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, you will need practice and patience to become used to your new prosthetic teeth. With that being said, since these are attached with implants, the dentures will be quite a bit easier to get used to than regular dentures.

Will I know how to speak with my new teeth immediately?

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

Will my dentures move?

Some patients may experience a slight amount of rocking with their dentures. For patients with two lower implants, these will need to be placed in the front of your mouth making it possible for some rocking to happen. A dab of adhesive at the back on each side of the lower denture will usually correct 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; then snap them back in place.

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 change out the snap rings in your implant dentures. These wear and lose retention over time as you take your teeth in and out. They’re fast and inexpensive to have changed out.
  • Cleanings | Similar to natural teeth, you’ll need to have the implants cleaned periodically. All buildup on the implants will be removed and your dentures will be cleaned.
  • Periodic re-fittings | Your mouth will still change over time, so the dentures may need to be re-fitted to ensure their best performance and make certain that unnecessary stress isn’t being applied to your implants.
  • Home maintenance | This only takes a few minutes a day. Take your dentures out 1-2 times each day and brush them with a denture brush or very soft bristled toothbrush. Also, don’t forget to clean the implants. Scrub these with a very soft dental brush also.

Single Tooth

Implants & Bridges

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

It depends. As each case is unique, our doctor will need to see you for an exam to determine the best course of treatment for you.

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

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

How much do dental implants cost?

Am I a candidate for dental implants?

Most people are good candidates for dental implants, even those who've been told they were not in the past. Call our office to schedule your consultation 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:

  • Floss and brush twice a day.
  • Get professional cleanings at intervals recommended by your dentist.

What do implant 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 your 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 much time should I take off work for recovery after my procedure?

Most patients are able to return to work either the same day or the next day. Some cases could 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 in your jawbone and is left alone to fuse for 4-6 months. Afterward, 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 use general anesthesia, however, we do provide both oral & IV conscious sedation. Click here to learn more about the options. The medication will help relax you and often makes it so you don’t remember your procedure. For this, the doctor writes you a prescription, and you can fill it at your pharmacy of choice. NOTE: You MUST have a driver both ways for your procedure, due to the oral sedation pill(s). You MUST NOT operate a motor vehicle or any machinery after taking your medication.

How long will I bleed after the procedure?

Significant bleeding will have ceased before you leave our office, however, expect to have some slight bleeding (oozing) for one to three days after the procedure. In addition, you can expect to 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 a lot of blood. If heavy bleeding continues, please call the office.

A home remedy which still works really well to encourage clotting and stop bleeding is to use tea bags. Get a regular tea bag, dampen it, 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 needed.

Can I expect pain after the surgery?

Though experiences will vary, you can expect some discomfort and slight swelling afterwards. Many patients come in the next day for their follow-up examination reporting very little discomfort. You will be prescribed pain medication to help alleviate any discomfort.

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 used for decades with a long track record of success, zirconia implants are very new to dentistry, so we can't be certain what their viability will be long-term. We want the most successful, and predictable long-term results for our patients, and for these reasons, we do not offer zirconia implants at this time.

Can implants fail?

While titanium implants do have a 95+% rate of success, 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, your dentist will replace it at no cost to you.

What are immediate dentures?

As the name implies, immediate dentures are those that are placed immediately after the natural teeth are removed. These dentures help control swelling and bleeding by acting like bandages over your extraction sites.

What process can I expect when getting immediate dentures?

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

  • Impressions will be taken before the procedure with your natural teeth still present. From these impressions, your dentures are fabricated.
  • Procedure – your teeth will be 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 these dentures?

The experience is different from patient to patient, but it does require patience and practice. Your mouth will be going through quite a lot of changes over the 6 month healing phase. Remember, this will get easier with time and we are here for you throughout the process.

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

Absolutely not. One of the common fears patients have is that their dentures will not look natural and people will immediately know they are dentures. Our highly skilled lab team will make sure you don't end up with "horse teeth" or "chiclets," just beautiful, natural-looking teeth. No one will know.

How do dentures fit?

Denture fit mostly depends upon the anatomy of the one wearing them. Full upper dentures usually fit rather well, acting as a suction cup against the roof of your mouth. Full lower dentures tend to feel loose and have a tendency to "float" in your mouth since your cheeks and tongue are continually working to dislodge them. It is for this reason that we strongly encourage dental implants with bottom dentures.

How do I chew with the new dentures?

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

I can’t taste as much with these dentures. Is that normal?

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

My bottom denture is difficult to chew and speak with. Is this normal?

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 your doctor to see if you’re a candidate for lower dental implants. They can help tremendously with lower denture fit and function.

My dentures feel like they’re getting loose?

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

What are denture adjustments and how frequently are they needed?

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

Is there a charge for denture adjustments?

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

How do I care for my dentures?

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

What should I use to clean the dentures?

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

Should I take my dentures out before bed?

Yes, we do recommend removing your dentures before sleeping and also whenever possible throughout the day. This gives your gums time to “rest” and get natural, cleansing saliva flow to them. Also, if you commonly grind your teeth, taking your dentures out will help you increase their functional life significantly.

Can I boil the dentures to clean them?

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

Can the dentures be damaged?

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

One of the most frequent 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 the dentures are damaged, are they repairable?

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

Will there be pain after the procedure?

While experiences will vary some, most patients should expect mild discomfort and possibly swelling afterwards. Many patients return the next day for their follow-up appointment reporting very little soreness. All patients are prescribed medication for pain to help reduce any discomfort.

Why am I salivating (drooling) so much?

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

Can I be put under for the procedure?

We do not currently put patients to sleep, we do, however, provide both IV and oral conscious sedation. Click here to learn more about your options. The medication will provide relaxation and often makes it so you won't remember the procedure. For this, the doctor writes you a prescription, and you can fill it at your local pharmacy. NOTE: You MUST have a driver to and from for your procedure, because of 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 advantages can I expect from dentures?

  • Enhanced confidence | Great looks and a 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 | Improved chewing ability leads to better digestion and improved nutrition.
  • Affordability | Dentures are the most cost-effective way to replace a full arch (upper or lower) or a complete mouth of teeth.
  • Improved quality of life

What are the differences in your denture levels?

Our dentures offer improved wear resistance, better stain resistance, and longer warranties as you go up in levels.

Will I know how to eat with my dentures right away?

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

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

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

Can food get beneath my dentures(s)?

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

How long should I take off work to recover after any extractions?

Generally 4-7 days is enough time to recover. That being said, as there is always a chance of bruising and swelling, and you’ll need to get used to speaking and eating with your dentures, the longer you can take off, the better.

What are soft liners?

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

Am I too young for dentures?

No, this is not just a procedure for the elderly. It’s actually quite common for people in their 40s, 30s, and 20s to need to replace their teeth. Replacing bad teeth can be immensely beneficial to your long-term physical health, and having the ability 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 which covers roof of the mouth) removed from the denture?

Most of the palate of the denture needs to stay. Cutting this out removes a great deal of stability 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 will I 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 the procedure. In addition, you'll most likely see increased salivation when we first place your temporary teeth. When this extra saliva mixes with a little blood, it can look like more blood than it is. If you experience heavy bleeding, please call the office.

A home remedy which still works really well to help clotting and stop bleeding is the use of tea bags. Get a regular tea bag, dampen it, squeeze out the excess water, place it on the extraction site (or sites), and the bags will help you heal. Multiple tea bags can be used if needed. Replace the tea bags if they get saturated with blood. The process can be repeated as many times as needed.

My dentures make my gums sore, can this be improved?

There are multiple things which can lead to sore gums: high pressure spots, movement of the denture(s), and just regular wearing of the dentures.

  • High pressure spots | these are normal with new dentures and often only require slight adjustments
  • Denture movement | this can rub sores on the gums gradually. Securing the dentures with implants can greatly reduce this problem.
  • Wearing dentures | dentures are foreign to the body. They can be a fantastic replacement for missing teeth, but they can still irritate your mouth after a long day. Consider planning time to remove your dentures and give your gums a chance to "rest."

Will my dentures rock?

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

Denture adhesive may also be beneficial for some patients.

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

Dental implants often 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 multiple reasons (palatal torus, flat palate, bone loss, etc.)

3600 North Duke Street Suite 28, Durham, NC 27704

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