Teeth in a Day

When dental implants were first introduced many years ago a long healing period of three to six months or more was recommended. Patients that had failing teeth would undergo extraction for implant placement and a temporary denture was inserted for use during the several months of healing. This drastic change from having natural teeth to wearing a denture was a difficult transition for many patients.

They would have to learn to speak with a denture covering their palate. The denture resting over the surgical site would cause added discomfort. Eating was challenging with removable teeth and many patients would lose weight. Improvements in implant designs have allowed us to change this healing protocol and improve the experience.

In the last ten years techniques have been refined to allow temporary fixed teeth to be immediately fastened to the implants the same day they are placed. No longer do you need to wear a denture during the implant healing and fabrication of the final implant teeth. Failing teeth are removed and the implants are inserted into the jaw. If the implants are stable, temporary implant supported teeth are fabricated and delivered at the same appointment. This approach has been promoted as “Same Day Teeth” or “Teeth in a Day”. Most patients prefer this option as it avoids the need for wearing a denture as well as the discomfort and insecurity associated with removable teeth.

One unique advantage at Misch Implant Dentistry is our ability to treat your entire case in one location. We provide both surgical and prosthetic services so your treatment is more efficient and streamlined. This is especially helpful when sedation is used so you don’t have to leave the office and travel to another location after surgery. After your implant surgery abutments are fastened onto the implants and we begin making temporary fixed teeth. Temporary teeth secured onto the implant abutments feel more like your own natural teeth. You are able to eat more comfortably and have confidence that your temporary teeth are stable and secure. In most cases, we can begin fabrication of the final set of teeth after six to eight weeks. During this time you clean the temporary teeth much like you care for your own natural teeth.

To determine if you are a candidate for this exciting form of tooth replacement we perform an examination and obtain a cone beam CT scan of the jaw. Dr. Misch can then evaluate your condition and see if this approach is an option. He can also use computer software to plan your implant surgery. Implant planning software, such as SIMPLANT, can be used with your CBCT radiograph to virtually plan and place dental implants into a three-dimensional model of your jaw. By performing your virtual surgery we are able to better plan and insert your implants in optimum sites for your replacement teeth. In some cases Dr. Misch may also use guided implant surgery.

The Teeth in a Day technique can also be applied when a patient is losing a front tooth. The failed tooth is extracted and the implant is immediately placed into the socket. If the implant is stable a temporary crown can be fabricated and attached to the implant. The temporary crown can help shape the gum tissue during healing giving the implant crown a more natural appearance. The final crown is fabricated after the implant heals in the bone approximately eight weeks later. We may suggest waiting some added weeks to insure the gum tissue around the implant is stable.

Immediate temporary implant teeth are not usually recommended in the back part of the mouth replacing single premolars or molars. Although it may be possible to perform the technique there is a greater risk that the implant will be disturbed from heavier chewing forces. It also adds cost to the overall treatment so it may not be worth the risk when cosmetics are not as important. We can still place the implant into the socket after the extraction but a healing abutment is used to hold the space for the final crown during healing.