2020 Dental Implant Buying Guide

Your one stop shop to teeth in a day options with price & cost comparison.

What dental care is covered by Medicare?

Flossing guide from the view of a military hygiene technician.

Oct. 10, 2020
2 min read

Options with dental implants and teeth in a day treatments can be quite daunting. We go into detail over the procedural options for comparison as well as overall pricing.

Step right in.

Implant Basics 101: What is Teeth in a Day?

Teeth in a day is a procedure where extracted teeth are replaced by prosthetic teeth in a matter of hours! With this procedure, the patient has their bad teeth removed and walks out with a new smile, and confidence booster!

There are 4 ways to get your new teeth:

1. Extract the teeth and replace with a removable “granny” denture.
2. Extract the teeth and replace with a “snap-on” teeth on 4 implants or more
(Snap-on 4, Snap-on 6, Snap-on 6 Mini, Secure Your Dentures)
3. Extract the teeth and replace with a fixed teeth (fixed implant-supported bridge) on 4 implants or more
4. Extract the teeth and replace each tooth with a dental implant with more than 10 teeth per arch.

The huge selling point of this procedure is that the patient goes home with new teeth after just one surgery session. However, there a many misconceptions in the marketing world as a simple sentence can mean 4 different ways to get new teeth. So, I highly recommend you learn all your options.

Teeth in one day is famously known as a one session procedure, however, you ALWAYS need a second set of teeth that is custom made to where your gums have healed. The fabrication of the second set of teeth can take 4 to 8 weeks.

The price of these procedures can range from about $10,000 to $70,000.

But why does the price vary so much?

Because there are several steps to the procedure:

1. Anesthesia. Most patients want to be put to sleep. Even if the procedure can be done in 2 hours, it is still a long time under the knife, the chucking of teeth, and the drilling of the bone! However, I have had the brave few patients who will do this just under local anesthesia (novociane, but we use stronger anesthetics like septicaine) where only their mouth is numb, but they are wide awake! Please refer to our sedation section for more details on the anesthesia options.

2. Pulling teeth. Yes, it is literally pulling teeth. However, everyone thinks it is just pulling teeth. Pulling or extracting teeth is a bit more technical than anyone thinks. Also, pulling teeth is surgery; so you have to be medically evaluated to make sure you can tolerate the surgery and heal appropriately after the procedure.

3. Trimming of the jaw bone. Alveoloplasty is the fancy dental terminology for trimming the jaw bone.
It is the plastic surgery done to your jawbone to trim it like a wood block so it has a smooth shape to receive the implants and support your gums so your new teeth are comfortable.

4. Dental implants. The dental implant is a biocompatible screw that goes in the jaw bone. Your jaw bone will attach to the implant when it heals. There are different types of implants and your dentist will determine the best fit for you.

5. Abutments. The abutment is a pillar that connects the implants to your new teeth!

6. Bone grafting. Any holes from the old teeth that were removed are filled with bone graft mixed with your blood (L-PRF) which is like putty; once again to give the bone the best shape to support your gums and to make sure all the implants are completely covered by bone.

7. Stitching up the gums. It’s exactly what it says. The gums are stitched around the abutments.

8. New teeth or denture. The denture can be made of different materials. Technically, includes temporary acrylic, acrylic with a supporting titanium bar, or zirconia ceramic. Yes, the zirconia ceramic is very similar to cubic zirconia like diamonds!

So, depending on the components used and the steps implemented in the procedure, the cost of the procedure varies.

Dental implant pieces: Implant, dental implant, abutment screw, implant crown.

Dentures, your most basic teeth in a day.

The basic extract the teeth and replace with a “granny” denture (removable denture) is the most common teeth in one day. Basically it includes the anesthesia, pulling the teeth, trimming of bone, stitching the gums, and voila… you get your new TEMPORARY IMMEDIATE acrylic teeth.

Please keep in mind that after the surgery your gums will swell like a balloon and the new teeth will feel really tight! Especially within the first 3 days. In fact, the first night you HAVE TO SLEEP with your new teeth because if you remove your denture overnight, the teeth will not fit the next morning due to the swelling, and you will not be able to wear the denture for up to 2 weeks due to the swelling!

Usually after 2 weeks the swelling decreases, but now the dentures will feel really loose. The denture can be adjusted by placing a putty to help fit better. Please keep in mind that the dentures only stay in your mouth by the physical phenomenon of suction. Just like a suction cup.

After extraction, your gums will heal in 2 weeks, your bone heals in up to 6 months. So, as the bone heals, it shrinks quite a bit and the temporary immediate denture will feel even looser. At this time, a second denture that is custom made to your healed gums and bone is HIGHLY recommended. The second denture is the standard of care recommended by dental professionals.

The common complaint is that the dentures are loose! Of course, they are. The dentures are not attached to anything. The dentures are highly unstable and alter speech and make eating food very difficult. You lose up to 80% of your biting capacity (Bye bye apples, sandwiches, salads and steaks!). Biting with the front teeth is impossible as the dentures will flip out! You can use the paste to help retain the dentures, but there is always a risk of swallowing the paste and having side effects from that.

If the dentures are too mobile, they will cause ulcers. Because the palate is covered, the taste is also altered, and the food is less tasty. Finally, the granny denture lowers the self-esteem as you are always scared of them falling out of your mouth at the wrong time! But the advantage of the removable dentures is that they can be removed for ease of cleaning, are made of acrylic which has a decent natural look, and are durable and inexpensive.

Snap-on 4? Snap-on 6? Great option that offers stability with easy daily cleaning.

The second choice is pulling the teeth and replacing with a “snap-on” denture. This procedure includes the anesthesia, extraction of the teeth, trimming the bone, bone grafting, placing the implants and abutments, stitching the gums around the implants and you get your new TEMPORARY IMMEDIATE acrylic dentures that are NOT attached to your implants for 12 weeks.

The swelling will make the dentures feel tight, you have to sleep with your dentures the first night, and when all the swelling is gone the dentures feel loose. After 12 weeks, when your implants are integrated with the jaw bone, your immediate dentures are retrofitted on the implant abutments, and they now snap onto the implants.

When your bone heals after 6 months, a second custom-fit denture to your healed bone and gums is fabricated to snap on more comfortably and stably to your implants. The most critical advantage of the snap-on dentures is that you can remove them at any time to clean under the denture where food will undoubtedly get stuck. These dentures are also made of acrylic which has a durable natural look. It has improved stability and you can eat most foods including soft sandwiches and steaks.

The snap-on dentures can start with four implants and the more implants you have supporting the denture, the better the stability. The snap-on dentures are removable and can be cleaned at any time. You may also save some money if mini-implants are used.

Mini-implants are one-piece implants (the abutment and dental screw are fused into one implant) that are 3mm or thinner. Mini-implants can ONLY be used for snap-on dentures and NOT for fixed teeth. The standard implants are wider than 3mm. In a standard implant, the dental screw and abutment are separate parts. Because the implant screw and abutment are separate, you can use the abutments for snap-on dentures or for fixed teeth. This option is more expensive than the dentures alone and the more implants you get, the more costly it is.

The All in 4 and All in 6. The Rolls Royce of teeth in a day.

The next option is the fixed-implant supported teeth. In this option, you get all the works! Hence, it is more expensive than the two options above, but the best so far. Here you get 1) the anesthesia, 2) extraction of the teeth, 3) trimming bone, 4) placing the standard implants (at least 6 implants per jaw) and abutments (mini-implants CANNOT support the fixed teeth), 5) bone grafting, 6) stitching the gums around the implants, and 7) you get your new retro-fitted TEMPORARY IMMEDIATE acrylic dentures fixed on the implant abutments.

The swelling will make the teeth fit very tight. As the swelling decreases and the bone heals, the space between the teeth and the gums increases and accumulates a lot of food! The number one complaint of this procedure is that a lot of food gets stuck under the teeth. And it does. Unlike the removable teeth that you can take off to clean at any time, the fixed teeth need to be brushed and a Waterpik/ water flosser needs to be used to inject water into the space between the teeth and the gums to clean out the food after every meal.

Yes, this is uncomfortable and hard to clean as you have to clean around the implants under the fixed teeth. The teeth have to be cleaned after every meal because food can get stuck and cause an infection threatening the viability of the implants. The biggest disadvantage is that if you have 4 implants supporting the fixed teeth and one implant fails, the bridge CANNOT be supported on 3 implants! That is why the more implants you have, the better the success of your fixed teeth. We recommend at least 6 implants.

After 8-12 weeks, the fabrication of your final fixed teeth in Zirconia porcelain is started and takes at least 4 appointments over 8 weeks to fabricate. You will receive your final teeth about 20 weeks after the first surgery. The Zirconia is highly esthetic with a natural TV broadcaster look and extremely durable material like diamonds. You can eat any food including apples and sandwiches.

After you get your Zirconia porcelain teeth, it is highly recommended that every 6 months the teeth are removed from the implants by the dentist to clean food, tartar, and calculus accumulations under the teeth.

And you thought you would never have to see a dentist after this treatment…