Same Day Dental Implants, Spokane
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
How it Works
This procedure involves removing any remaining teeth, placing 4-6 implants per arch, and attaching a low-profile bridge to those implants. The implants are often placed at special angles to avoid the patient’s sinuses. This also avoids the need for expensive bone grafts with long healing times.
The traditional All-On-4 procedure involves four implants and acrylic denture teeth over a titanium frame. Our doctor has modified this procedure based on his experience and knowledge to provide an even better result for his patients! At Sarasota Dentures and Implants, we carefully analyze each and every case and base our treatment on the individual patient’s anatomy. Your doctor will place between four and six implants per arch and temporary fixed bridges will be placed while your implants integrate with your jawbones and your mouth heals. After your healing is complete, the doctor and lab technician will design your final teeth with zirconia, which is much stronger than the traditional acrylic (plastic) denture teeth offered at most other dental offices. Zirconia also gives a more natural, life-like end result and is more hygienic and resistant to staining. This means they will last longer and look better than the acrylic/titanium hybrid bridges you find at most other practices.
Am I a Candidate?
Most patients will be a candidate for this procedure, even those who have been told they don’t have enough bone for dental implants. Your doctor will use a combination of straight and angled implants to avoid the sinuses and engage the strongest bone. Using this technique usually removes the need for expensive and lengthy sinus augmentation bone grafts.
Your doctor will perform a thorough evaluation during your free consultation to see if All-On-4, “Teeth in a Day” is an option for you.
Pricing includes all extractions, as many implants as needed, fixed temporary teeth, and fixed final teeth.
This pricing is the best in the area while also providing the best final result. We are able to achieve this by having a highly trained dentist who performs the entire procedure from start to finish along with a highly trained in-house dental lab technician. They have performed this procedure from start to finish together more times than they can count.
For your final teeth, you, the dentist, and our in-house lab technician will work together to design your perfect smile. While other offices still use acrylic denture teeth over titanium bars, we use zirconia for the best in appearance, durability, and resistance to staining. Upgrading to these materials usually costs significantly more at other offices. At Spokane Dentures and Implants, they’re our standard.
Upper or Lower
Zirconia Final Bridge
Zirconia Final Bridge
Available Financing & Payment Options
Dental implants are an important investment in yourself, and having the option to break this investment down into monthly payments can help make these life-changing services more accessible and easier to fit into your budget. We work with multiple financing providers to offer payment plans to cover either all or part of your dental implant procedure.
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
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
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 $36,000. 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.
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.
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The procedure itself typically takes 4-6 hours depending on whether you are having a single arch treated (upper or lower) or both arches (full mouth). When you leave our office, your temporary bridge(s) will be securely attached to your new implants. You will wear your temporary bridge(s) for 4 months to allow time for your implants to integrate with your bone and for your jaws and gums to heal into a stable, long-term position before we fabricate your final bridge(s). Allowing this healing time ensures the closest possible fit for your final bridges. After this healing time, we will begin fabricating your final bridge(s). This involves a few appointments over a 5-6 week period, during which time you’ll help us design the smile you want for your permanent teeth.
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.
Remove any teeth (if applicable), place implants, place temporary implant bridge(s). The procedure typically takes anywhere from 4-7 hours.
Post Op #1
Day after procedure | Check healing and answer any questions you may have.
Post Op #2
3 weeks after procedure | Remove sutures, check healing, patient typically cleared to begin using water flosser/WaterPik at this appointment.
Impressions for Final Teeth
4 months after procedure
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.
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.