Board Certified Prosthodontist and Board Certified implant Dentist, Dr. David McFadden, discusses how the long-term success of the “same-day-teeth” (temporaries) all comes down to bone density and implant stabilization, which is a factor we cannot judge on x-rays and CT scans ahead of time. We don’t REALLY know how dense the bone is and how stable the implants will be on the day of placement until they’ve been inserted into the bone. In some cases, the TYPE OF temporary teeth that are delivered on the day of your first surgery can make/break, or limit the quality and success of the final outcome of the treatment - months or years down the road.
Although in many instances, these full-arch or full-mouth surgeries go just as planned with no problems, that’s not always the case. It’s hard to promise someone teeth in a day 100% of the time. Sometimes, it’s just the wrong thing to do.
He explains why sometimes, for full-arch or full-mouth dental implant treatment, removing all of the teeth and DELIVERING A FIXED/CEMENTED IN/SCREWED IN TEMPORARY all on THE SAME DAY isn’t always best. He explains the various options for that scenario.
He explains that during the implant placement surgery IF the BONE DENSITY and IMPLANT STABILITY isn’t good on the day of surgery, it’s not wise to go ahead and place a fixed bridge on them - just to deliver “teeth in a day”. This overload/trauma can result in long-term negative effects on the implants and bone. Consequences you may not see for months or years.
On the day of surgery, when implants are not initially stable and bone density is not good, he would recommend either (A) changing the type of temporary to be a removable one (temporary denture) or, (B) for patients with teeth left, he might recommend leaving a few strategic teeth in and using those teeth to temporarily support a fixed temporary bridge. In these cases, he would go ahead and place implants, and just NOT attach them to the temporaries. Then, a few months later, you can then transition the fixed temporary bridge onto the implants once they’ve healed and stabilized, and go back in for a 2nd surgery and remove the rest of the teeth. This makes treatment time from beginning to end take longer and involves 2 surgeries instead of 1, but for patients who really don’t want or can’t wear a temporary denture during the implant healing period, this is a great option.
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