Frequently Asked Questions

Select a procedure from the list below to view FAQs.

All-On-4 “Teeth in a Day”

Snap-In Implant Dentures

Single Tooth Implants and Bridges

Dentures

All-On-4 “Teeth in a Day”

Snap-In Implant Dentures

Single Tooth Implants and Bridges

Dentures

All-On-4

“Teeth in a Day”

Can I eat with my new teeth immediately?

Yes! However, even though your implants and new teeth are securely in place the day of your surgery, we do ask that you maintain a soft foods diet throughout the 4 month healing timeframe. What exactly does that mean? A good general rule is you can eat any food that can be can cut with a plastic fork. We ask this because you're investing in something which could last you many decades, possibly the rest of your life, and keeping to a soft food diet during the healing period will allow for the best possible integration of your implants into your bone and help provide the best long-term outcome.

For how long has the All-on-4 procedure been available?

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

How do I take care of my All-On-4 teeth?

Taking care of your implants is simple, but staying consistent is the most important. Just like how we are meant to routinely brush and floss natural teeth, you should do this with the All-On-4 implants and teeth. Just a few minutes daily is all you will need to keep your mouth and implants healthy. Brushing your bridges with a soft tooth brush and cleaning under them with a water flosser (WaterPik is a well-known and popular brand) a few times daily is all it takes.

Tobacco can escalate the possibility of implant problems, so we recommend not smoking with dental implants. Patients with diabetes should also be made aware of an increased risk for problems with dental implants. Controlling your diabetes is paramount for the long-term success of your new implants.

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

What will my new implant bridges feel like?

Your new dental implants will bring a new sensation which will take several days or sometimes a few weeks to adjust to.

Is there a lot of pain involved in this procedure?

Although you can expect moderate pain, it is similar to the pain associated with typical dental extractions. We use a combination of medications to help control the pain and keep our patients as comfortable as we can.

Will there be pain after the procedure?

Though your experience may vary some, most patients should expect some discomfort and some swelling afterwards. Many patients return the next day for their follow-up examination reporting very little pain. All patients are prescribed pain medication to help alleviate any discomfort. Also, if you’re a candidate for it, your doctor will give you a steroid shot which can every 6 months to have your implants examined and cleaned. Doing this will help ensure the longevity of your new teeth and implants.

What is the recovery time like with this procedure?

Experiences will vary from person to person, but, most often, the recovery period is faster and easier with All-on-4 implants compared to other complete teeth replacement alternatives. This is mostly thanks to the bridges being attached directly to your jaws by your implants. Traditional dentures and implant dentures both require healing periods during which time the dentures are able to shift and cause sore spots. Your pain should decline for the most part within one to two, with full healing commonly after six months.

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

Our practice is limited to dental prosthetics and implants. Dental implants, and specifically "teeth-in-a-day," are our passion, and our team is constantly working to ensure our patients receive the best results possible. Many practices will refer you to multiple providers, use outside labs, and have complicated pricing. They will take several months or even years to finish your procedure all the while charging you 50-100% more. Your doctor will perform the procedure from surgery to final teeth. We provide an on-site prosthetics lab and experienced lab technician, to provide transparent and affordable pricing. By offering all these services under one roof, our team is able to deliver a premium service at an affordable price.

What is the difference between your practice and national dental implant offices?

At Spokane Dentures and Implants, we have the same advantages of the corporate dental implant centers by focusing our practice on dental prosthetics and implants. Our practice has an on-site dental prosthetic lab, very competitive pricing, and offer teeth the same day. However, we are privately owned, and each patient will be seen exclusively by our doctor. We focus on the satisfaction of our patients instead of shareholders, sales quotas, and cost cutting. At corporate dental implant centers, there is no guarantee that you'll be treated by the same provider that has the great online reviews or whom your friend recommended you to see. Our doctor oversees your complete procedure and our team will do everything we can to be certain you are happy with your new smile and treat you like family.

What is the difference between Spokane Dentures and Implants and corporate implant centers?

At Spokane Dentures and Implants, we have the same advantages of the corporate implant centers by limiting our practice to dental implants and prosthetics. We have an in-house lab, competitive pricing, and same day teeth. However, we are privately owned, and every patient will be seen by our doctor. We focus on the satisfaction of our patients instead of monthly quotas, cost cutting, and shareholders. At the corporate implant centers, there is no guarantee that you will be treated by the same dentist that has the great reviews or your friend recommended you see. Our doctor oversees your procedure from beginning to end and the team will do everything to make sure you are happy with your smile and take care of you like family.

How does this compare to mini dental implants? Or snap in dentures?

Mini dental implants are not related to the All-On-4 "teeth-in-a-day " procedure. Please proceed with caution at any office that recommends mini dental implants as a permanent solution. They have a very high complication and failure rate.

Snap-in implant dentures, on the other hand, are a fantastic option for some patients. Our office also provides this option and have an entire page dedicated to snap-in dentures if you want to learn more. They can be a more budget-friendly alternative to All-On-4 "teeth-in-a-day" dental implants.

How frequently should I have my dental implants 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?

While titanium dental implants do have a 95+% success rate, yes, they can still fail. Some of the things which can cause them to fail:

  • Failure to integrate into the bone
  • Smoking
  • Diabetes

If an implant fails within the first year, your doctor will replace it at no cost to you.

Why am I salivating (drooling) so much?

Excess saliva is completely normal when you first have a prosthesis placed in your mouth. Your mouth senses it as foreign material and is working to “flush” it out. This increased salivation should subside within a few days.

Can I be put to sleep for the procedure?

We do not currently put patients to sleep, however, we do offer both IV and oral conscious sedatives. To learn more about your options click here. This medicine will help relax you and often makes it so you don’t even remember your procedure. For this, we write you a prescription, and you can pick it up at your local pharmacy. NOTE: You MUST have a driver both ways for this procedure, because of the sedation medication. 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 same day as the procedure?

Most cases will be attached immediately. In certain situations, mostly depending on the quality of your bone and quantity, we would be unable to attach your dental bridge(s) the same day and you'll need to wear an interim healing denture while your implants fuse to your bone. Your doctor will review this thoroughly at your examination.

How long will I bleed after surgery?

Significant bleeding will have stopped before you leave the clinic, however, you can expect to have some bleeding (oozing) for 1-3 days after your procedure. Additionally, you'll most likely notice increased salivation when we first put your temporary teeth in. When this increased saliva mixes with a small amount of blood, it can look like more blood than it is. If you experience heavy bleeding, please call our office.

Will I know how to use my new teeth right away?

Just like you will need practice in order to get used to functioning with a prosthetic leg, it will need some practice and patience to get used to your prosthetic teeth. With that being said, since these are firmly attached to your jaw, All-On-4 dental implants will be the easiest to get used to 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 some practice and patience, your mouth and tongue will quickly adjust. "S’s" will be the toughest to pronounce. Practicing saying words like "sarcastic" and "stupendous" can help you get accustomed 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 my procedure do I need to wait to use a Waterpik or water flosser?

You should wait 6 weeks after the procedure before beginning to clean your water flosser.

Am I too young for the dental implants?

No, this is not just a procedure for seniors. It’s actually very common for people in their 40s, 30s, and 20s to need their teeth replaced. Replacing bad teeth can be immensely beneficial to your long-term health, and being able to speak, smile, and laugh confidently with teeth you can be of can benefit your psychological health.

What should I have ready ahead of my procedure?

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

What will my new teeth be made from?

We make the final bridge out of zirconia. Zirconia is much stronger and more resistant to staining and wear than traditional acrylic All-On-4 teeth that other dentists use. If you choose another provider, be certain you know what kind of teeth you will be getting. If you do decide on acrylic prosthetic teeth with a titanium bar with another office, expect to have staining around the teeth and to have them replaced every 5-10 years. Also, be certain you know the total price you're going to pay for the surgery, temporaries, and final new teeth. Other offices may charge you a base fee only for you to find you owe an additional $5,000-$15,000 for the final product.

How much does the All-On-4 procedure cost?

The entire cost for the single arch (upper or lower) is $19,900. For both arches, the total cost will be $39,000. These prices include the removal of any remaining teeth, placing your implants, same day fixed temporary teeth, and your fixed permanent zirconia teeth. Other providers may charge an operation fee, temporary teeth fee, and then surprise you afterward with yet another fee for your permanent teeth. Our pricing is fully transparent, and we will never surprise you with any extra costs.

How can I get new teeth in one day? I thought the implants needed to heal first?

What is unique about this procedure, and what lets us attach teeth your metal implants immediately, is that all of the implants will be rigidly splinted together by your new teeth (the implant bridge). Splinting them together prevents the micro-movement of the implants that can lead to failure early on. Essentially, your implants and bridge all support each other.

Your dental implants are made of titanium, the same metal used in artificial knee and hip joints, so your jaw will naturally grow around and attach to them over time.

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

The majority of patients who have been advised they are not candidates for dental implants are actually fantastic candidates for our "Teeth in a Day" procedure. A combination of using angled implants and using the front of the jaw where the bone is denser lets us complete the procedure for many patients who thought implants were not an option for them. Our team can usually perform the procedure without needing expensive grafting which delays treatment by months or years. Please come see us for a complimentary implant exam to learn if you're a candidate.

Can the extractions, implants, and new teeth really be completed in the same day?

Yes! This is our preferred way of performing this procedure to support the best final result. With the leading dental implants and materials available today, there is often no reason to have to wait months or even years to go through the process like patients experienced in the past.

Is the doctor a specialist such as a peridontist, oral surgeon, or prosthodontist?

No, our doctor is a general dentist who limits their practice exclusively to prosthetics and dental implantology. This area of expertise is their passion, and they have placed more dental implants than most specialists and other general dentists. In limited select cases, the doctor will collaborate with other dental specialists to ensure that our patients get the best possible treatment for their situation.

How can you provide the All-On-4, "Teeth in a Day" dental implant procedure for so much less than other offices in the area?

By performing a high number of these procedures and limiting our practice to dental implants, we have advantages that other practices simply do not. Our office has in-house lab and lab technician along with a single dentist who performs the entire procedure. 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 only the finest implants and zirconia teeth.

Are there payment plans available?

Yes. We offer multiple payment options 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 warranties or guarantees?

If a dental implant fails to integrate we will replace it at no cost. We warranty the final bridge for 5 years. To keep this warranty, our patients must return to the office every 6 months for maintenance and hygiene of their bridges/implants. This warranty does not apply to patients that continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions which compromise their implants.

How long will the All-on-4 procedure take?

Usually the surgery is about 1 hour per arch. Then, the lab portion of making the teeth takes about 2 hours. If we begin in the morning, for a single upper or lower arch, patients are often done around lunch time. If we are replacing both upper and lower teeth, we typically finish closer to 2:30 to 3:30 in the afternoon. Most of this time is waiting for your teeth to be created in our lab and trying them in to ensure 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 don’t like my new teeth?

Our team does everything in our power to ensure you love your new smile. The teeth you receive the day of the procedure are only a temporary/transitional set. When we fabricate your final teeth, you will have complete control of the design and appearance of your teeth.

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

While this can be a good fit for many patients, if there are complications or broken teeth, it can be 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 office's work. A major advantage of having a temporary 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 offer try-ins to ensure that your teeth look exactly the way you want them to look. While it’s great to get your final teeth immediately, it can come with some significant drawbacks that cannot be ignored.

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

No, these are rigidly attached to your dental implants, which are firmly anchored in your jaw. If your new teeth begin rocking for any reason, call us so we can bring you in for an evaluation.

Why do you call it "teeth in a day" when I don’t get my permanent teeth until 4-6 months after the procedure?

It is referred to as "teeth in a day" because you are receiving a set of implant-supported functional prosthetic temporary teeth the same day. Since there are often major changes to your mouth during the healing and implant integration phase, it is best to begin with a temporary set of teeth. This helps ensure the best long-term outcome with your final teeth.

Can the temporary teeth be damaged?

Yes, the temporary teeth are made from acrylic and can crack, chip, and occasionally break. This can be quite common. The best thing about the acrylic temporary is that it can be easily repaired. If you have any issues with your temporary, just call our office and we’ll get it repaired right away.

Can my final teeth get damaged?

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

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

Unfortunately, no. As your existing implants will not be the proper position required by this procedure, and as bone reduction will need to be performed, we cannot use your current implants and they will most likely need to be removed.

Are my All-On-4 bridges removable?

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 will 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 regimen.

How much time should I take off work to recover after my procedure?

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

How many implants are needed?

The upper implant denture requires at least 4 dental implants. A lower implant denture will need at least 2 implants. The more dental implants you have, the more stable your denture will usually be. This is particularly true with the lower denture. 3 or 4 implants in the lower is usually much better than two.

How much do implant dentures cost?

For pricing information on snap-in implant dentures click here!

I’ve had dentures for quite a while, can I still get implants?

In many cases, yes! Our doctor will just need to see you for a free exam, during which we will perform a 3D CBCT scan of your jaw to see if you have enough bone for dental implants.

Will I be able to use my implants (snap my dentures on to them) the same day they’re placed?

No, we need to allow time for the implants to integrate with the bone. This is what makes the implants truly secure and will help ensure you enjoy many years, or decades, of use out of them. We typically wait between four and six months before securing to your dental implants.

Will there be pain after the procedure?

While experiences will vary, you can expect some soreness and possibly swelling after your procedure. Many patients come in the next day for their post op appointment, reporting very little tenderness. You will receive a pain medication prescription to help alleviate any tenderness.

Can I be put to sleep for the procedure?

Our practice does not currently use general anesthesia, however, we do offer both oral & IV conscious sedation. To learn more about these options click here. The medication will help you relax and usually makes it so you do not even remember your procedure. For this, we will write a prescription, which you can pick it up at your pharmacy of choice. NOTE: You MUST have a driver for the procedure, someone who can drive you after you have taken the oral sedation medication. You MUST NOT operate a motor vehicle or any machinery after taking this medication.

Are implant dentures really secure?

Yes! Implant dentures are much more secure than dentures alone, and our team is able to increase the retention with stronger inserts if you prefer.

Can I remove the palate (roof of mouth) of the denture?

It depends. Ideally, we would need to spread the dental implants out in order to remove a portion of the palate in a snap-in denture. With our All-On-4 procedure, we can guarantee the ability to remove the palate, but that isn't always the case with snap-in dentures.

When we are able to remove the palate, this increases the ability to taste for many patients, and also increases temperature sensitivity, making for a more natural experience. For those patients with a strong gag reflex, removing the palate of the denture may also help provide relief.

When can I have the palate (center part that covers the roof of the mouth) removed from my denture?

If you are a candidate for a palate-less denture, it will be removed from the denture. This will happen after healing and osseointegration are complete and we are ready to attach to your implants, usually 4-6 months after placement of your dental implants.

How often will my implant inserts need to be changed?

Usually 1 to 2 times per year. This will depend upon how many implants you have, the strength of your bite, how often you take your dentures in and out, and many other factors.

WARNING: PLEASE DO NOT BITE YOUR DENTURES INTO PLACE ON YOUR IMPLANTS! This will wear down the inserts significantly faster. Only place your implant dentures in by hand.

What is alveoloplasty? Why is it important?

Alveoplasty is a procedure where the doctor contours your jawbone. This procedure is important because it can significantly improve the fit and comfort of your dentures.

What are tori? Must they be removed?

Tori are bony knots that develop in the mouth of many patients. They are not harmful, however, they might prevent your denture(s) from fitting comfortably, so your doctor will often recommend having them removed.

Why am I salivating (drooling) so much?

This is totally normal when you first have a prosthesis (denture) placed in your mouth. Your body considers it a foreign object and attempts to “flush” it out. This increased salivation should subside within 2-3 days.

How long can I expect to bleed after the procedure?

Most of the bleeding will have stopped before you leave the office, however, expect to have some slight bleeding (oozing) for one to three days after the procedure. Also, you might notice increased salivation when we first put your denture(s) in. When this increased saliva mixes with a little blood, it can look like much more. If heavy bleeding continues, please call the office.

An old home remedy which still works quite well to encourage clotting and stop bleeding is to use tea bags. Get a standard tea bag, dampen it, squeeze out the excess water, place it on the extraction site (or sites), and the tea will help you clot. Multiple tea bags can be used if needed. Replace the tea bags if they get saturated with blood. The process can be repeated as many times as you need.

 

Is this procedure offered with zirconia (non-metal) implants?

We do not currently use this type of implant. While titanium dental implants have been around for decades with a long track record of success, zirconia implants are very new to dentistry, so we do not know what their viability will be long-term. We want the most successful, most predictable long-term results for our patients, and for these reasons, we do not use zirconia implants at this time.

Can food get stuck beneath my denture implant(s)?

Yes, any prosthetic in the mouth can get some amount of food beneath it. The great thing about implant dentures is how easy they are to clean. Just take them out; clean the denture(s), your gums, and implants; and snap them back in.

How long should I take off work to recover after my procedure?

Every patient is different. Some return to work the following day, others wait a week or two. Since there is always the chance of bruising and swelling, and you will need to get used to eating and speaking with your new teeth; the more time you can take off, the better.

What is a soft liner?

A soft liner is a cushion we place inside your denture to help it fit and feel better as your mouth heals and changes shape following extractions.

Am I too young for snap-in dentures?

No, this is not just an option for the elderly. It’s actually quite common for people in their 40s, 30s, even 20s to need to replace their teeth. Replacing bad teeth can be hugely helpful for your general physical health. Also, having teeth that allow you to have a confident smile, laugh, and converse can be hugely helpful for your emotional health. Again, wanting to replace teeth earlier in life is not rare.

What items should I have ready for after my procedure?

  • Ice packs
  • Wash cloths you don’t mind throwing away
  • Comfortable clothes you don’t mind throwing away
  • Soft foods such as:
          - soups
          - yogurt
          - cottage cheese
          - smoothies
          - protein shakes
          - eggs
          - mashed potatoes (gravy optional)

Once I have my prosthetic teeth attached, will I know how to use them right away?

Just as you would need practice to get used to functioning with a prosthetic leg, it will require some patience and practice to get used to your new replacement teeth. With that being said, since these are attached with implants, your dentures will be much easier to get used to than traditional dentures.

Will I know how to speak with my replacement teeth right away?

Again, this will take some time, but with some patience and practice, your mouth and tongue will quickly adjust. The letter S will be the most difficult to pronounce. Practicing words like "sarcastic" and "seventy seven" will help you get used to the new teeth. In some cases, patients might have a slight long-term lisp with implant dentures.

Will my dentures move?

Some people may experience a slight amount of rocking with their implant dentures. For patients with 2 bottom implants, these will need to be placed in the front of your mouth making it possible for some rocking to happen. A dab of adhesive at the back on each side of the lower denture will usually correct this.

I can’t stand having the roof of my mouth covered. What are my options?

In this case, your best bet would be the All-On-4 procedure. Not all snap-in dentures can have the palate removed.

Can I remove implant dentures?

Yes. Having removable implant dentures makes cleaning them extremely easy. Just take them out; clean the denture(s), your gums, and implants; and snap them back in.

Can implants fail?

While titanium dental implants do have a 95+% success rate, yes, they can still fail. Some of the things that can cause them to fail:

  • failure to integrate into the bone
  • smoking
  • diabetes

If an implant fails within the first year, your dentist will replace it at no charge to you.

What is involved with maintaining implant dentures?

  • Snaps | From time to time you’ll need to change out the snap rings in the implant dentures. These wear and lose retention over time as you take your teeth in and out. They’re fast and inexpensive to have replaced.
  • Cleanings | Just like with natural teeth, you’ll need to have the implants professionally cleaned periodically. Any buildup on the implants will be removed and the dentures will be cleaned.
  • Periodic re-fittings | Your mouth can still change over time, so your dentures may need to be re-fitted to ensure their best performance and make sure that unnecessary stress isn’t being applied to your implants.
  • Home maintenance | This takes just a few minutes a day. Take your dentures out 1-2 times per day and brush them with a denture brush or very soft bristled toothbrush. Also, don’t forget to clean the implants. Scrub these with a very soft dental brush as well.

Single Tooth

Implants & Bridges

Will I need an implant for each of my missing teeth?

It depends. As each case is unique, we'll need to see you for an exam to figure out the appropriate treatment for you.

Can you put a temporary crown or bridge on my implant the same day it’s placed?

Unfortunately not at this time, we do not place temporary crowns or bridges on implants that have just been placed. This is because we want as little force being placed on the implants as possible while we wait for them to integrate with your jawbone.

How much do dental implants cost?

Am I a candidate for dental implants?

Most patients are candidates for dental implants, even those who've been told they were not in the past. Call us to schedule your free exam and let's see what we can do to get you smiling again.

What kind of after care will my dental implant(s) need?

Take care of them like natural teeth:

  • Brush and floss twice daily.
  • Get professional cleanings at intervals recommended by your dentist.

What do prosthetic teeth look like?

In the mouth, they look almost identical to a natural tooth. The implant body (the screw) won't be visible in your mouth. It is under the gums in your bone.

Will it function and feel like a natural tooth?

Yes! It will feel different from a natural tooth but will function the same.

How much time should I take off work to recover after the procedure?

Most patients can return to work either the same day or the next day. Some cases may require more time off from work.

What is the process to get a dental implant?

The process is very straight forward. The implant is placed in the jawbone and is left alone to fuse for 4-6 months. After this, we take impressions and have the new tooth fabricated. If bone grafting is required, this may increase treatment time.

Is my implant removable?

No, once your implant is completed, you will not be able to remove it.

Can I be put to sleep for the procedure?

We do not currently use general anesthesia, however, we do offer both oral & IV conscious sedatives. To learn more about these options click here. The medication will provide relaxation and often makes it so you won't remember your procedure. For this, the doctor writes you a prescription, and you can pick it up at your local pharmacy. NOTE: You MUST have someone driving you both ways for this procedure, due to the sedation medication. You MUST NOT operate a motor vehicle or any machinery after taking your medication.

How long will I bleed after the procedure?

Most of the bleeding will have stopped before you leave the clinic, however, expect to have some slight bleeding (oozing) for 1-3 days after the procedure. Additionally, you might notice increased salivation when we first put your denture(s) in. When this increased saliva mixes with a small amount blood, it can look like a lot of blood. If heavy bleeding does not stop, please call our office.

An old home remedy which still works quite well to encourage clotting and stop bleeding is the use of tea bags. Just get a regular tea bag, get it damp, squeeze out the extra water, place it on the extraction site (or sites), and the bags will help you clot. Multiple tea bags can be used if needed. Replace the tea bags if they become saturated with blood. This process can be repeated as many times as needed.

Will there be a lot of pain after the procedure?

Though your experience may vary some, you can expect some soreness and possible swelling after your procedure. Many patients return the following day for their follow-up examination reporting minimal discomfort. All patients are prescribed medication for pain to help alleviate any discomfort.

Is this procedure offered with zirconia (non-metal) implants?

Our practice does not currently provide this type of implant. While titanium dental implants have been used for decades with a long track record of success, zirconia implants are very new to the market, so we do not know what their viability will be long-term. We want the most successful, most predictable long-term results for our patients, and for these reasons, we do not offer zirconia implants at this time.

Can dental implants fail?

While titanium implants do have a 95+% success rate, yes, they can still fail. Some of the things which can cause them to fail:

  • Failure to integrate into the bone
  • Smoking
  • Diabetes

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

What are immediate dentures?

As the name implies, immediate dentures are dentures that are placed immediately after the natural teeth are taken out. These dentures help control swelling and bleeding; they act like bandages over the extraction sites.

What is the process of getting immediate dentures?

The process usually takes 6 months, but may take longer for some patients.

  • Impressions will be taken prior to the procedure with your natural teeth still present. From these impressions, your dentures are made.
  • Procedure – your teeth are removed and the new teeth are placed.
  • Series of soft liners (soft re-fittings) over 6 month healing period.
  • Final re-fit (processed hard reline) at end of 6 month healing period.

What is it like to get used to the new dentures?

This experience will be different from patient to patient, but it does require patience and practice. Your mouth will be going through significant changes over the 6 month healing period. Remember, this will get easier with time and we will be here for you throughout the process.

My friend's dentures look very fake. Will mine look that way?

Absolutely not. One of the common fears patients have is that the dentures will not look natural and people will immediately know they are dentures. Our talented lab team will make sure you won't end up with "horse teeth" or "chiclets," just beautiful, natural-looking teeth. No one will know.

How do dentures fit?

Denture fit mostly depends upon the anatomy of the one wearing them. Full upper dentures usually fit rather well, acting as a suction cup against the roof of the mouth. Full lower dentures are known to feel loose and have a tendency to "float" in the mouth since your tongue and cheeks are constantly working to dislodge them. It is for this reason that we highly encourage dental implants with lower dentures.

How do I chew with these new dentures?

Cut your food into smaller pieces, chew small bites, and chew with food on both sides of your dentures to even out your bite.

I can’t taste as much with my dentures. Is that common?

Yes, the palate of a complete top denture covers the taste buds on the roof of the mouth reducing your taste sensitivity.

My bottom denture is difficult to chew and speak with. Is this normal?

Yes, bottom dentures are more difficult to function with than top dentures. The tongue and cheeks moving will push and pull on your lower denture and dislodge it. Speak with the doctor to learn if you’re a candidate for lower implants. These can help tremendously with lower denture fit and function.

My dentures feel like they’re becoming loose?

This is common with immediate dentures. Your jaws and gums will shrink down after extractions. This leaves space between the gums and dentures. We place soft liners in your dentures to fill in this extra space. This should help your dentures fit and feel better as you heal.

What are denture adjustments and how often are they needed?

New dentures often have certain spots that rub slightly and create sore spots. During a denture adjustment, we will find the spot(s) on your denture that are irritating you, reduce the amount of pressure they put on the tissue, and smooth them thoroughly. This is completely normal with all new dentures and one or more adjustments can be expected.

Is there a charge for denture adjustments?

Our office provides denture adjustments free of charge for the first 6 months after receiving your final teeth or permanent hard reline. After this time, there is a small fee to adjust the dentures.

How do I take care of my dentures?

  • Clean your dentures every day with antibacterial hand soap and either a denture brush or a very soft bristled tooth brush
  • Store your dentures in water when not wearing them

What should I use to clean my dentures?

  • Either denture cleaner or antibacterial hand soap and either a very soft bristled tooth brush or denture brush. Scrub them at least once daily
  • Soak them in a denture cleanser (optional)
  • Ultrasonic cleaner

Should I remove my dentures before bed?

Yes, we do recommend removing your dentures before sleeping and also whenever possible throughout the day. This gives your gums time to "relax" and get natural, cleansing saliva flow to them. Also, if you're a teeth grinder, taking your dentures out will help you increase their functional life significantly.

Can I boil the dentures to clean them?

No! Do not boil your dentures to clean them. The heat can warp your dentures. If this happens, they will need to be replaced.

Can my dentures get damaged?

Yes, your dentures are made from acrylic teeth and an acrylic base. While these materials are very strong, they can be damaged. Be careful not to drop your dentures, especially onto hard surfaces like quartz countertops, ceramic tiles, etc.

One of the most common ways dentures can be damaged beyond repair is when a dog (or sometimes cat) gets ahold of them. Animals and pets enjoy chewing on dentures and can often damage them irreparably quite fast. Be extra careful to put your dentures up where your pet can’t get to them.

If the dentures get damaged, can they be repaired?

Yes, in most cases they can. One of the best features of acrylic dentures is the affordability and ease of repair compared to other materials. And in most cases, repairs can be completed the same day.

Will there be pain after the procedure?

While experiences will vary some, most patients can expect some soreness and possible swelling after your procedure. Many patients return the next day for their post op exam reporting minimal soreness. All patients are prescribed medication for pain to help alleviate any discomfort.

Why am I salivating (drooling) so much?

Excess saliva is perfectly normal when you first have a prosthesis placed in your mouth. Your body senses it as foreign material and is working to “flush” it out. This increased salivation should subside within 2-3 days.

Can I be put under for the procedure?

Our office does not currently put patients to sleep, we do, however, provide both oral & IV conscious sedatives. To learn more about these options click here. The medicine will provide relaxation and often makes it so you don’t remember your procedure. For this, we write you a prescription, and you can fill it at your local pharmacy. NOTE: You MUST have someone driving you both ways for your procedure, because of the oral sedation pill(s). You MUST NOT operate a motor vehicle or any machinery after taking your medication.

What are full dentures?

Full dentures are dentures that replace all of your natural teeth in either the upper arch, lower arch, or both.

What are partial dentures?

Partial dentures are dentures that replace some of your missing teeth in an arch. They typically attach to the surrounding, natural teeth for stability and support.

What advantages can I expect from dentures?

  • Enhanced confidence | Great looks with your new smile.
  • Looks | Dentures offer great looks and are easily customized for each individual.
  • Facial support | Dentures help to fill back out areas of the face that have sunken in following tooth loss.
  • Improved nutrition | Better chewing ability leads to better digestion and improved nutrition.
  • Affordability | Dentures are the most cost-effective way to replace a full arch (upper or lower) or an entire mouth of teeth.
  • Improved quality of life

What are the differences between denture levels?

Our dentures provide better wear resistance, better stain resistance, and longer warranties as you move up in levels.

Will I know how to eat with my dentures immediately?

Just like you would need practice in order to become used to walking with a prosthetic leg, it will require some practice and patience to become used to the prosthetic teeth. Practice and patience are the keys to improving with your new dentures as quickly as you can.

Will I automatically know how to talk with my new teeth right away?

Again, this will take some time, but with a little patience and practice, your mouth and tongue will quickly adjust. "S’s" will be the toughest to pronounce. Practicing saying words like “Mississippi” and “sixty-six” can help you get accustomed to your new teeth. In some cases, patients may experience a slight lisp long-term with dentures.

Can food get under my dentures(s)?

Yes, any prosthetic in the mouth will get some amount of food under it. The convenient thing about dentures is how easy it is to clean them. Simply remove them; clean your gums and the denture(s); and place them back in.

How long should I take off work to recover after my extractions?

Usually 4-7 days is sufficient time for recovery. That being said, since there is always the chance of swelling and bruising, and you will need to become accustomed to eating and speaking with your dentures, the longer you can take off, the better.

What are soft liners?

A soft liner is a cushion which is placed in your denture throughout your healing process. It fills in the spaces which are created as you heal helping your dentures to feel and fit better.

Am I too young for dentures?

No, this is not just a procedure for senior citizens. It’s actually quite common for people in their 40s, 30s, and 20s to need their teeth replaced. Replacing bad teeth can be very beneficial to your overall health, and being able to laugh, converse, and smile confidently with teeth you’re proud of can benefit your psychological health.

What items should I have ready for after my procedure?

  • ice packs
  • wash cloths you don’t mind throwing away
  • comfortable clothes you don’t mind throwing away
  • soft foods such as:
  • soups
  • yogurt
  • cottage cheese
  • smoothies
  • protein shakes
  • eggs
  • mashed potatoes (gravy optional)

Can I have the palate (middle portion which covers roof of your mouth) removed from the denture?

The majority of the palate of the denture needs to stay. Removing this also removes a lot of security and almost all of your natural suction. A portion of the palate can sometimes be removed for patients with denture implants.

What are tori? Do they need to be removed?

Tori are bony knots that develop in the mouth of many patients. They are not harmful, however, they can prevent your denture(s) from fitting comfortably, so your doctor will often recommend having them removed.

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 some slight bleeding (oozing) for a few days after the procedure. In addition, you'll most likely see increased salivation when we first put your temporary teeth in. When this increased saliva mixes with a small amount of blood, it can look like a lot of blood. If you experience heavy bleeding, please call our office.

A home remedy which still works quite well to encourage clotting and stop bleeding is the use of tea bags. Just get a regular tea bag, dampen it, squeeze out the extra water, place it on your extraction site (or sites), and the bags will help you clot. Multiple tea bags can be used if needed. Replace the tea bags if they become saturated with blood. This process can be repeated as many times as you need.

My dentures are making my gums sore, what can I do for this?

There are several things which can lead to sore gums: high pressure spots, movement of the denture(s), and just ordinary wearing of the dentures.

  • High pressure spots | these are common with new dentures and typically only require simple adjustments
  • Denture movement | this can rub sores on the gums over time. Stabilizing your dentures with dental implants can greatly reduce this issue.
  • Wearing dentures | dentures are foreign to your body. They can be a fantastic replacement for missing teeth, but they can still irritate the body after a long day. Consider scheduling time to remove your dentures and give your gums a chance to "rest."

Will my dentures wobble?

Yes, it is possible. Dental implants often give the stability needed with dentures alone. . Click here for more info.

Denture adhesive can also be beneficial for some patients.

I can’t stand having the roof of my mouth covered. What are my options?

Dental implants can offer the stability you want. Click here for more info.

Can I remove immediate dentures?

Yes, they are removable. They come in and out of the mouth and are kept in place either through natural suction for the upper or denture adhesive. Not everyone will have natural suction with their top denture for a number of reasons (palatal torus, flat palate, bone loss, etc.)

1005 N Evergreen Rd #101, Spokane Valley, WA 99216

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