All-On-4

Teeth in a Day

The most life-like way to replace bad or missing teeth with dental implants.

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

What are All-On-4 Implants?

The All-On-4, “Teeth in a Day” procedure allows most patients to get all remaining teeth removed, dental implants inserted, and a stunning, fixed, functional smile delivered in only a single day! This procedure has the ability not only to give patients a stunning smile, but also give them a fresh outlook on life. We see countless patients suffering with extensive decay, old or failing dental work, and broken teeth. For these patients, All-On-4, “Teeth in a Day” can be the best solution to obtain a new smile and fix the dental problems that have bothered them for years.

 

  • Best aesthetics/looks | Looks and feels the most like natural teeth.
  • Permanent | Doesn’t move in and out of your mouth like a denture.
  • No extended healing times before you can use your dental implants.
  • Doesn’t cover the roof of the mouth!
  • Best chewing capability of all full mouth/full arch teeth replacement choices.
  • Requires the smallest amount of bone | Great for people who have been told they don’t have enough bone for dental implants.
  • Taste your food better!

How All-On-4 Dental Implants Work

This procedure involves removing any remaining teeth, adding 4-6 implants per arch, and affixing a low-profile bridge to the implants. The implants are often placed at specific angles to avoid the patient’s sinuses. This also removes the necessity for expensive bone grafting with extended healing times.

The classical All-On-4 procedure involves four implants and acrylic denture teeth overlaid upon a titanium frame. Our doctor has improved this procedure based on knowledge and experience to offer an improved result for our patients. At Chattanooga Dentures and Implants, we carefully examine each and every case and base the treatment on each individual patient’s anatomy. Our doctor will place between four and six implants per arch and temporary fixed bridges will be used while the implants fuse with your jawbones and your mouth heals. After your healing is complete, the doctor and lab technician will design your permanent teeth with zirconia, which is much stronger than the conventional acrylic (plastic) denture teeth used by competing dental implant offices. Zirconia also offers a more natural, life-like finished product and is more hygienic and resistant to staining. This means they will look better and last longer than the acrylic/titanium hybrid bridges you find at other dental implant practices.

Am I a Candidate?

Most patients will be a candidate for All-On-4 dental implants. The doctor will use a combination of angled and straight implants to avoid your sinuses and engage the strongest bone. Using this technique usually removes the need for expensive and lengthy sinus augmentation bone grafts.

Our doctor will perform a detailed assessment during your free consultation to see if All-On-4, “Teeth in a Day” is the right option for you.

Life-Changing Results

Same-day smiles from actual patients

All-On-4 Cost

Pricing includes all extractions, as many implants as are required, fixed temporary teeth, and fixed final teeth.

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Our pricing is the best in Chattanooga and also offers the best final result. We can accomplish this by having a highly trained dentist who performs the entire procedure from beginning to end along with a highly trained in-house dental lab technician. They have performed this procedure from beginning to end together more times than they can count.

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For the final teeth, you, your dentist, and our in-house lab technician will design your perfect smile together. While competing offices still use acrylic denture teeth over titanium bars, our office uses zirconia which offers the best in appearance, durability, and resistance to staining. Upgrading to zirconia often costs significantly more at competing practices. At Chattanooga Dentures and Implants, they’re our standard.

Single Arch

Upper or Lower

$19,900

Zirconia Final Bridge

Both Arches

Full Mouth

$39,000

Zirconia Final Bridge

Available Payment & Financing Options

Dental implants are an important investment in yourself, and having the option to divide this investment into monthly payments can help make these life-changing services more available and easier to fit into your budget. We work with multiple financing companies to offer payment plans to cover either all or part of the dental implant treatment.

Longer-term options for lower payments (up to 96 months)

Interest-free up to 6 months

Longer-term options for lower payments (up to 60 months)

Option to apply with a co-applicant increases chance of approval

Frequently Asked Questions

Will I be able to eat with my new teeth the same day?

Yes! However, even though your implants and new teeth are securely placed the day of your surgery, we kindly request that you maintain a softer diet during the four month healing period. So what does that mean? A general rule of thumb is you can eat anything that can be can cut with the side of a plastic fork. The reason for this is that you are investing into a treatment which can last for many decades, possibly the rest of your life, and maintaining a softer diet during the healing period will allow for the best integration of your implants into your bone and help provide a wonderful long-term outcome.

How long has the All-on-4 procedure been available?

This life-changing procedure was developed by Portuguese dentist Paolo Malo in the 1990s. Since then, it has been safely performed on hundreds of thousands of individuals and has been improved upon to the method we use today.

How do I take care of my new teeth?

Taking care of your teeth is very easy, however staying consistent is the key. Just like how we are meant to routinely floss and brush natural teeth, you need do the same with your new implants and teeth. Only few minutes a day is all it will take to keep your implants and mouth healthy. Regularly brushing your bridges with a soft bristle tooth brush and cleaning under 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 using tobacco products with your dental implants. Patients with diabetes should also be aware of a heightened possibility of problems with dental implants. Controlling your diabetes is paramount for the long-term success of your dental implants.

Besides that, regularly follow through with your doctor consistently during the year for quick evaluations of your new implant teeth.

What will my new implant teeth feel like?

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

Can I expect a lot of pain involved in this procedure?

While you can expect moderate pain, it is similar to the pain common with standard teeth extractions. We use a combination of medications to help control your pain and keep our patients as comfortable as we can.

Will there be pain after the procedure?

Though experiences will vary some, most patients can expect mild discomfort and some swelling after your procedure. Many patients come in the next day for their follow-up exam reporting minimal pain. All patients are prescribed pain medication to help reduce any discomfort. Also, if you are a candidate for it, the doctor will give you a steroid injection which come in every six months to have your teeth examined and cleaned. This will help ensure the longevity of your new teeth and implants.

What is the recovery time like for this procedure?

This will vary from person to person, but, most often, the recovery time is shorter and easier with All-on-4 implants than other full arch or full mouth restoration alternatives. This is mostly due to the bridges being attached directly to your jaws by the implants. Conventional dentures and implant dentures both require recovery periods during which time they are able to shift and lead to sore spots. Generally, pain should decline for the most part within one to two, with full healing usually after six months.

What is the difference between Chattanooga Dentures and Implants vs. a general dental practice offering a wide range of dental services?

We limit our practice to dental implants and prosthetics. Dental implants, and especially "teeth-in-a-day," are our passion, and our team is regularly working to ensure our patients receive the best possible results. Other dental practices will refer you to other providers, use outside labs, and have confusing pricing. They often take many months or even years to complete your procedure all the while charging you up to double our price. Our dental surgeon will perform your procedure from surgery to final teeth. We provide an on-site dental lab and experienced lab technician, along with transparent and affordable pricing. By providing all this under one roof, we are able to deliver a premium service at an affordable price.

What is the difference between Chattanooga Dentures and Implants and corporate implant offices?

Chattanooga Dentures and Implants has the same advantages of the corporate implant practices by limiting our practice to dental implants and prosthetics. Our practice has an on-site dental lab, very competitive pricing, and offer teeth the same day. The advantage is, our office is privately owned, and every patient will be seen by our doctor. Our team focuses on the gratification of our patients instead of cost cutting, shareholders, and monthly quotas. With corporate implant practices, there is no guarantee that you'll be treated by the same provider who has the great reviews or whom your friend recommended you 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.

How does this compare to 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. This method has a very high complication and failure rate.

Snap-in implant dentures, on the other hand, are a wonderful option for some patients. We also provide this service and have an entire page dedicated to these if you would like to learn more. These may be a more affordable alternative to the All-On-4 "teeth-in-a-day" dental implant procedure.

How frequently should I get my new teeth professionally cleaned?

You should (visit us every six months to have your implants checked and cleaned. Doing this will help ensure the longevity of your new teeth and implants.

Can dental implants fail?

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

  • Failure to integrate into the bone
  • Tobacco use
  • Diabetes

If your implant fails during the first year, our doctor will replace it at no charge to you.

Why am I salivating (drooling) so much?

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

Can I be put under for the procedure?

Our office does not currently use general anesthesia, we do, however, offer both IV and oral conscious sedatives. To learn more about these options click here. The medication will provide relaxation and typically makes it so you don’t remember the procedure. For this, we write you a prescription, and you can fill it at your pharmacy of choice. NOTE: You MUST have a driver both ways for this procedure, because of the oral sedation pill(s). 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 day of the procedure?

In most cases these will be attached straightaway. In certain situations, mainly dependent on your bone quality and quantity, we will be unable to attach your bridge(s) the same day and you will need to wear an interim healing denture while your implants fuse to the bone. Our doctor will go over this in-depth at your examination.

How long can I expect to bleed after the procedure?

Substantial bleeding will stop before you leave the clinic, however, you can expect to have slight bleeding (oozing) for a few days after your procedure. In addition, you will most likely see increased salivation when we first put your temporary teeth in. 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 our office.

Will I automatically know how to use my new teeth immediately?

Just as you will need practice to get used to walking with a prosthetic leg, it will need some practice and patience to become accustomed with your prosthetic teeth. All that being said, since they are rigidly anchored to your jaw, All-On-4 dental implants will be the easiest to get comfortable with of all the full-arch replacement options.

Will I know how to talk 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 quickly adjust. "S’s" will be the trickiest to pronounce. Practicing words like “Mississippi” and “sixty-six” will help you get used to your new teeth. In a few cases, patients may experience a small lisp long-term with All-On-4 upper teeth.

How long after the procedure do I need to wait to use a water flosser or Waterpik?

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 only for seniors. It’s actually very common for people in their 40s, 30s, and even 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 laugh, converse, and smile confidently with teeth you can be of can benefit your emotional health.

What would be helpful to have ready ahead of my procedure?

  • Ice packs
  • Wash cloths you wouldn't mind throwing away
  • Comfortable clothes you wouldn't mind throwing away
  • Soft foods (see list above)

What will my prosthetic teeth be made of?

The final bridge is made from zirconia. Zirconia is a much stronger and more stain resistant material than traditional acrylic All-On-4 implants that many providers offer. If you select a competing office, make sure you know what kind of material they will be using. If you do get acrylic prosthetic teeth with a titanium bar with a different office, expect to see staining surrounding your teeth and to replace them every 5-10 years. Also, be certain you know how much you are going to pay for the procedure, temporary teeth, and final teeth. Some practices will charge you a base fee only for you to find out you owe another $5,000-$15,000 for the final product.

How much can I expect to pay for the All-On-4 procedure?

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

How can I get new teeth in just one day? I thought dental implants had to heal?

What is unique about this procedure, and what allows us to attach new teeth your dental implants from day one, is that all of your implants will be rigidly splinted together by the new teeth (the implant bridge). This process prevents the micro-movement of the dental implants that can lead to early failure. Basically, your implants and dental bridge support one another.

The dental implants are made of titanium, the same metal used in replacement hip and knee joints, so your jawbone will naturally grow around and bond with them over time.

What if another dentist has said that I am not a great candidate or don't have enough bone for dental implants?

The majority of patients that have been advised they aren't candidates for dental implants are actually great candidates for our All-On-4 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 that thought implants were not an option. We can usually perform the procedure without needing expensive grafting which delays treatment by months or years. Please come see us for a complimentary consultation to see if you're a candidate.

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

Yes! This is our preferred way of doing this procedure to support an ideal outcome. With the state-of-the-art dental implants and materials that we have available today, there is usually no reason to have to wait months or even years to complete the process like patients experienced in the past.

Is your doctor a specialist such as a prosthodontist, periodontist, or oral sugeon?

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 placed more dental implants than most specialists and other general dentists. In limited select cases, they will collaborate with another dental specialist to ensure that our patients get the best possible treatment for their specific situation.

How do we provide the All-On-4, "Teeth in a Day" dental implant procedure for far less than other local dental practices?

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 procedure start to finish. 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 the best quality implants and zirconia teeth.

Are there payment plans available?

Yes. We offer a variety of payment plans 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 should fail to integrate we will replace it at no cost. Our office warranties the final bridge for 5 years. To keep this warranty, our patients must return every 6 months for hygiene and maintenance of their implants and bridges. This warranty does not apply to patients that continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions that compromise their implants.

How long will the procedure take?

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

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

We do everything in our power to ensure you love your new smile. The teeth you get the same day of surgery are only a temporary/transitional set. When we fabricate your final teeth, you will have full control of the design and appearance of them.

What about out of town practices in Florida, Las Vegas, etc. advertising same day final teeth?

While this is a good fit for some patients, if there are complications or broken teeth, it is very difficult to repair if you traveled thousands of miles away or out of the country. Most local practices will not be willing to repair another practice's work. A major advantage of having a transitional set of fixed teeth on the day of your surgery is you get to test them out and discover 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 the way you want them to look. While it’s exciting to get your final teeth immediately, doing this does come with several significant downsides that cannot be overlooked.

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

No, these are rigidly attached to your implants, which are firmly anchored in your jaw. If your new teeth begin rocking 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 receive my final teeth until 4-6 months after my procedure?

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

Can my temporary teeth be damaged?

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

Can the permanent teeth get damaged?

While it is possible for nano-ceramic and zirconia to be damaged, it’s extremely uncommon. Zirconia and nano-ceramic are among the most durable and strongest materials available in dentistry.

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

Unfortunately, not. Since your existing dental 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 these yourself. Only the dentist is able to remove them. Prosthetic teeth are secured to your implants.

Can food get under my All-On-4 bridge(s)?

Yes, any dental prosthetic can get some amount of food under it. You can rinse with water to get food out 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 for recovery after surgery?

Of all complete teeth replacement options, All-On-4 often has the shortest time required before returning to work. Usually 4-7 days is sufficient. That being said, since there is always the chance of bruising and swelling, and you’ll need to get used to speaking and eating with your new teeth, the more time you can take off, the better.

“Teeth-in-a-Day” Procedure

Timeline

The actual procedure typically takes between four and six hours depending if you are getting a single arch treated (upper or lower) or both arches (full mouth). When you leave our office, the temporary teeth will be securely attached to the new implants. You will wear the temporary bridge(s) for 4 months which provides time for the implants to fuse with the bone and for the jaws and gums to heal into a stable, long-term position before we make your permanent bridge(s). Allowing this recovery time ensures the best possible fit for the permanent bridge(s). After the recovery time, we will begin fabricating your final teeth. This involves multiple appointments over a five to six week period, during which time you’ll help our team design the smile you want for your permanent teeth.

1

Mouth Impressions

The lab uses these to make your temporary implant bridge(s). Possible wax try-in – if you are missing all or most of the teeth in the arch that we will be treating, the doctor may suggest a wax try-in. This is a mock up of what your temporary implant bridge and will be used to check bite position, aesthetics, etc.

2

Procedure

Remove any teeth (if applicable), place implants, place temporary implant bridge(s). The procedure typically takes anywhere from 4-7 hours.

3

Post Op #1

Day after procedure | Check healing and answer any questions you may have.

4

Post Op #2

3 weeks after procedure | Remove sutures, check healing, patient typically cleared to begin using water flosser/WaterPik at this appointment.

5

Impressions for Final Teeth

4 months after procedure

6

Try In

5-10 Days After Impressions | We will try in a mock-up of your final teeth. Multiple wax try-ins are needed in some cases. We have to make sure you are completely happy with your wax try-ins before processing them. Once they are processed, we are unable to make changes to them. If you wish to make changes to your bridge(s) after you have approved them and they have been fabricated, there will be a full-cost remake charge.

7

Seat Final Teeth

After you approve your wax try-in(s), it typically takes 4-6 weeks before your bridge or bridges are ready to seat.

7741 E Brainerd Rd Chattanooga, TN 37421

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8am - 5pm
Tuesday
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