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New York Reconstructive Guided Implants
All On Four Full Arch Missing Teeth ReplacementNobel Biocare developed a hybrid tooth replacement protocol that incorporates the latest of what CAD/CAM technology (computer aided design and engineering) offers and coupled it with the precision diagnostics generated by 3 Dimensional Imaging.
The adjacent photo represents the essential configuration of the patented Nobel Biocare implant placements and angulation for a typical upper jawbone. There is nothing is left to guesswork.
Lower and upper jaws can now be rehabilitated and restored with diagnostic and technical accuracy that was not possible just a few years ago. Read our material on the computerized version of this tooth replacement surgery, aka Guided Implants for more detail and pictures.
Popular Treatment Choice for Avoiding DenturesMany patients seeking a full reconstruction or rehabilitation of a lower or upper jaw are familiar with denture products and wish to avoid them altogether.
The All-On-Four concept refers to a hybrid placement pattern of patented implant devices and fittings that provide the attachment interface of a custom bridge prosthetic. Bridge material can be constructed of acrylic or porcelain.
A common denture product was out of the question. Her goal was to have nice looking teeth that would function as normally as her original teeth, but with more biting and eating capacity that would come with increasing the number of teeth from 6 to 12.
Cosmetics were as important as normal function. She wanted to look nice and not "feel" or "look" like she was wearing a denture.
The proven design of Nobel Biocare's All On Four full arch tooth replacement configured to provide the strongest support possible for the prosthetic bridge which distributes the strong biting and chewing forces we all have across all four implants.
The pictures provided here show Dr. Koeppel working with a denture acrylic that has already been modified with the implant attachments that will eventually mount to the corresponding implants that have been placed in the patient's upper jaw.
Specialized prosthetic compounds are applied to create a fixed bridge product that allows the removal of all excess acrylic material.
Custom bridgework enables the complete removal of material that commonly causes the gag reflex response when using common dentures. For this patient, her prosthesis is also known as a palateless denture.
The Immediate Function implants allow treatment to be completed in one treatment session, if desired by the patient.
Extractions, supplemental grafts, implant placement and periodontal gum suturing were completed during the same appointment.
The dental bridge (acrylic, porcelain, PIB or modified denture) is attached at the end of the treatment session.
Dr. Koeppel's artistic handiwork with custom acrylic products and shading techniques creates variations in visual texture, complete with apparent vein structures throughout (no reason to have a denture look like a denture).
The custom bridge is attached to the implants on a semi-permanent basis. This type of bridge is designed to be removed by the dentist to on a routine basis that assures monitoring of optimal bone and tissue health that is critical for long term serviceability of the implant.
Routine cleaning and maintenance eliminates the common problems associated with inadequate care for implant supported bridgework.
Her new teeth, now numbering 12 instead of 6, look and feel natural, providing a renewed ability to smile as broadly as she wants... something she hasn't been able to do in years.... without making her appear older than she feels (patient reports she looks 15 - 20 years younger).
Amazing results for a 90 year old patient....
Same day implants save a lot of chair time for patients and can eliminate the dread of having to live with a denture. Without exception, patients feel great about themselves after.
Dentures That Don't Look Like DenturesDenture wearers, old and new, are invited to contact Dr. Koeppel with questions about the procedure or any material on this page directly with our on-line Ask The Dentist form. Dr. Koeppel will respond directly with the answers and information you are seeking.
Call our office at 631-689-1800 to schedule a consult to learn more about the possibilities of having dentures that don't feel or function like dentures.
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New York Reconstructive Dentist
Ira Koeppel, D.D.S.
126 Gnarled Hollow Road
East Setauket Long Island New York NY 11733
Nassau - Suffolk County Spa Dentistry