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Uptown Cosmetic and Implant Dentistry

Getting Ready for All-on-4 Dental Implants

istock 1167775436If you’ve been missing most or all of your teeth, All-on-4 Dental Implants with Dr. Velasco and our team at Uptown Cosmetic & Implant Dentistry will be nothing short of life changing. The initial step of removing any remaining damaged teeth, placing the four implants on the top arch and bottom arch, and attaching your temporary full arch prostheses is all done in a single day, amazing as that sounds. You’ll go from having a smile you likely hide to one you’re thrilled to show the world. You’ll be able to eat most foods again, and your confidence will soar.

But there are some things to do to prepare for your new smile with All-on-4 at Uptown. Let’s get into that in November’s blog.

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First, understand the process

The first step is to ensure you’re a good fit for All-on-4. Dr. Velasco will examine your teeth, take a CT scan, evaluate your bone density, and check your oral health and overall health. Next, we remove any remaining damaged and decayed teeth you may have. Then Dr. Velasco places the four implants into each arch. The secret to All-on-4 is that the back implants are placed at an angle rather than vertically. This means the patient can typically get away without needing grafting to create enough bone for a vertical implant placement. He then attaches a temporary full arch of teeth to the top and bottom implants and you’re done. Once your implants have fully integrated in 3-4 months you return, Dr. Velasco removes your temporary arches and places your permanent new teeth.

That’s how it works. Before we move forward, it’s good to make a couple preparations.

  • Prepare for your initial recovery — You’ll want to lay low for a few days after your procedure. Get your bed or your recovery nest ready. Have lots of entertainment and books. You’ll want to keep your head elevated for the first few days, even when sleeping.
  • Expect to have some speech issues — If you’ve been missing all or most of your teeth, you’ve become accustomed to speaking without them. It will be different at first with your new teeth. You’ll have to get used to speaking, especially with some consonants; this is completely normal. Just be ready for it. Reading out loud is great training.
  • Prepare to eat a soft diet — Yes, you will have a full set of teeth for each arch when you return home late the afternoon of your procedure, but they aren’t ready to go out and buy a T-bone. You need to remember that your eight implants need time for the jawbone to grow around the implants — a process called osseointegration — making them a part of the jaw. This will happen, but it takes from 3-4 months. At first, you’ll be on a completely soft diet for a couple weeks. Then you can progress to finely cut up foods and cooked vegetables. We’ll give you a guideline to what you can eat when, but don’t be surprised at the caution you’ll need to exercise. Of course, if you’ve been missing most of your teeth, you’ve already had a very limited diet when it comes to eating hard or chewy foods.
  • Be kind to your temporary teeth — Just as with what you eat, don’t revert to chewing fingernails, chewing ice, opening packaging, and the like with your new temporary teeth. All of those habits need to go away for good.


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Are you interested in All-on-4 with Dr. Velasco and the Uptown team? Dr. Velasco is one of Texas’s most experienced prosthodontists with All-on-4. You can expect great results. Call us at (713) 903-2644 to schedule a consultation for All-on-4.

Posted in: All-On-Four, News

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