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Do you have failing teeth and dread wearing dentures? Have you lost most or all of your teeth and just cannot get on with your dentures? Are you struggling to eat or chew? Has your confidence taken a hit because you can no longer smile due to a lack of teeth? If you’ve answered yes to any of the above questions then the All on 4 dental implants solution may be the life changing solution that you’ve been looking for.
We work hard to ensure we deliver the very best and most bespoke customer service we possibly can. Quality of care delivered in the serenity of a 'Zen' setting is what we are known for. Why not join us and become one of the many thousands of patients who have benefitted from the Zental experience.
Dentistry has come a long way and one of the biggest advancements is the full arch restoration with All on 4 dental implants. You can leave with teeth the same day, hence why this treatment is also known as smile in a day, same day teeth or teeth in a day. For people who have lost most or all of their natural teeth, this procedure offers a chance to achieve a new smile that looks natural and lasts long.
All-on-4 dental implants use four implants to support a full arch prosthesis. This allows patients to get new teeth in one day by undergoing a surgical procedure that maximises the use of available bone and often avoids the need for bone grafting.
Fewer Implants: 4 implants per arch.
Angled: Posterior implants are placed at an angle to get more bone contact.
Faster Procedure:
Now that we have seen what are All on 4 dental implants, let’s see why this is getting popular.
Immediate Results: All on 4 dental implants provide immediate function, patients can leave the dental office with a full smile on the same day as the procedure.
Fewer Implants: Traditional dental implant procedure may require more implants to support full arch of teeth. All on 4 requires 4 implants per arch, lesser treatment time and complexity of the procedure. All on 4 is a more efficient option than traditional dental implants.
Less Invasive: All-on-4 dental implant placement is less invasive than traditional implant procedure as it often eliminates the need for bone grafting surgery. Implants are placed in areas of highest bone density, more stable and lower risk of complications.
Stability and Durability: The placement of the implants and attachment of the prosthetic teeth provides a stable and durable restoration. All on 4 dental implants provides support for chewing, speaking and smiling, patients can have a comfortable and functional bite.
Better Aesthetics and Confidence: All-on-4 dental implants are custom made to look and feel like natural teeth, full set of replacement teeth. This can boost confidence and self esteem, patients can smile and socialise with ease. All on 4 dental implants is a permanent solution to uncomfortable dentures, eliminate the dissatisfaction of traditional dentures.
Preserve Jawbone Structure: By replacing missing teeth with dental implants, All on 4 helps preserve the jawbone structure and prevent bone loss. This can have long term benefits for oral health and facial aesthetics, maintain a youthful look.
Easy to Maintain: All on 4 dental implants are easy to care for and maintain. Patients can just brush and floss their prosthetic teeth as they would with natural teeth, and regular dental check ups and cleaning to ensure optimal oral health.
While called “teeth in a day” or “same day teeth implants”, All on 4 dental implants is a solution for multiple missing teeth that requires more than just one visit. The first step is the initial consultation, which includes examination and diagnosis. These terms refer to the dental implant surgery and placement of temporary teeth. To get the best results from the treatment, multiple appointments and commitment is needed. The process is done in several stages.
A consultation with a UK trained, highly experienced oral surgeon to discuss your goals, needs and treatment plan. At Zental we train our oral surgeons to the highest standards and keep them up to date with the latest technology. Patients who were previously not suitable for single tooth or multiple dental implants may be suitable for All-on-4. These procedures are more suitable for patients than single tooth implants due to the difference in implant requirement, placement and post treatment care.
At Zental we use the latest dental imaging technology to make our implant planning more precise and efficient. You will be presented with a customised treatment plan with a breakdown of costs and all the information you need about the treatment and financing options if required.
All on 4 dental implants works well with 4 implants if there is no space or minimal bone. However we may use up to 6 implants to provide more stability and longevity especially for implant retained bridges of 10 to 12 teeth. Once the implant is placed and the implants are in, the temporary bridgework is inserted.
After a healing period of 12-16 weeks the final bridge for your permanent teeth is ready to be fitted. This may involve refining the fit and aesthetics of the bridge and teeth.
At Zental we always recommend regular reviews to ensure you get the most out of the investment you have made in your oral health. Your oral surgeon will give you a detailed aftercare plan, including follow up appointments and oral hygiene guidance. Regular dental hygiene treatment is essential to maintain good oral hygiene and to ensure the longevity of your dental implants. This is also supported by lifestyle and nutritional information if required.
All on 4 dental implants are solutions for those who want to get their smile back with a full arch prosthesis. This technology provides more stability, natural look and long lasting results. If you have most or all of your teeth missing, book a consultation to see if teeth in a day is for you.
There are two main procedures associated with Inman aligner treatment which allow us to be able to give you the beautiful smile that you deserve. One of them is the use of attachment technology and the other is known as IPR. More details of each are given below:
Kim presented with loose teeth that were drifting all over the place due to the prescence of gum disease. This resulted in the gap that you can see in between her front teeth which was not there a few before. This unfortunate condition led to her on the verge of losing all of her upper teeth and the frightful prospect of wearing dentures for the rest of her life. Thankfully we had a solution to help.
Once we were able to stablise the gum disease - we were able to remove all of the affected teeth and replace them with dental implants using the "teeth in a day" protocol for which she was suitable for. We only needed to do this for her upper teeth as her lower teeth were in much better shape. The end result allowed her to have fixed teeth once again that were no longer loose and moving all over the place. This has restored her confidence once again!
Annelle visited us seeking a solution for her failing upper teeth which was not only detracting from her smile but was also not allowing her to chew her food as efficiently. After a robust treatment planning process we deemed that the "All on 4 - teeth in a day solution" for her upper teeth would be the best option to help solve these problems.
After the initial teeth in a day treatment going to plan and the implants having been given sufficient time to heal - the final bridge was bespokely fabricated thereby restoring her smile, confidence and function!
Colin had difficulty eating and chewing as well as regular pain from his badly damaged and broken teeth for many years. He had suffered years of pain, sensitivity, difficulty eating and chewing and not to mention the lack of confidence when smiling. He finally mustered up the courage to take action and went ahead with the "teeth in a day" treatment.
Treatment was a success and for this final bridgework he wanted super white teeth and can now smile and eat with confidence free from any dental pain. In his own words Colins expressed his delight at the outcome: "I can't be happier with my new perfect teeth.
After years of suffering with multiple loose teeth and loose dentures, Ali finally decided to take action. Knowing that he had to lose his teeth and given his history of gum disease we are able to first stabilise his gum disease and then restore his upper jaw with dental implants using the "teeth in a day" protocol.
We were able to save most of his lower teeth and restored him with a new lower denture. This combination approach was carefully discussed with the patient and decided as the best way forwards for him. He can now eat, chew and smile like he used to and is incredibly happy with the result
After years of dental issues, John had numerous missing teeth and difficulty eating. He could not get on with dentures and was keen on a fixed solution to help restore his confidence and ability to chew and eat well again.
The "teeth in day" treatment that we provided transformed his appearance in an instance. We removed the failing teeth and replaced them with Implant retained bridgework which gave him a full set of fixed teeth. He can now enjoy his food and smile with confidence again. John commented after his treatment: "My confidence has returned and I do not put off meeting friends and family.
Abdel Hakim presented to us with failing teeth and a smile that he was very embarrassed about. He knew he will lose all of his teeth and wanted a solution that would restore the quality of his life without resorting to removable dentures.
After careful planning it was decided that the "teeth in a day" protocol would be most suitable. What you see here is a life changing transformation of his smile that has enhanced his confidence to no end. Please see Abdel Hakims video testimonial below to give you an idea of how much this treatment means to him.
Due to years of neglect, Johns teeth unfortunately deteriorated to a state where he had to lose all of his upper teeth. He did not wish to face the prospect of wearing dentures and could not bear the thought of having a larger gap once these teeth are lost.
The "teeth in day protocol" was deemed appropriate for his case and even though there was a lack of bone - we were able to carry out some clever bone grafting techniques to give him a fixed set of teeth on the same day as he lost all of his upper teeth. The final bridge a few months later was fabricated giving him a second chance to smile, talk and eat with confidence. A life changing transformation for John when all else seemed lost.
Lucky presented with teeth that had drifted so far out that it was a cause for embarrassment for her. She wanted a solution that would allow her to have fixed teeth right from the outset without the need to wear dentures which she was absolutely dead against. We carefully planned her case and helped her find a solution that worked for her and provided her with what she really wanted.
The treatment involved stabilising her gum disease and removing the failed teeth after which we could restore her mouth with dental implants using the "teeth in a day" protocol. What you see here is a life changing transformation that has significantly enhanced her facial profile and restored her youthful look
Got one more? Contact us now or book in for a consultation and and we will be happy to assist.
Advantages of All-on-4 Dental Implants:
Advantages of All-on-6 Dental Implants:
In summary, both All-on-4 and All-on-6 dental implants offer significant advantages in terms of cost-effectiveness, immediate functionality, bone preservation, comfort, aesthetics, stability, and durability. The choice between the two depends on individual patient factors and treatment goals, and discussing options with our dental professionals is essential for determining the most suitable solution.
While All on 4 and All on 6 dental implants offer numerous benefits, there are also potential disadvantages or limitations to consider. Here are some of the drawbacks associated with All on 4 and All on 6 dental implants:
Initial Cost: All on 4 and All on 6 dental implants can involve a significant initial investment. While they may be more cost-effective than traditional implant-supported restorations requiring more implants, the upfront expense may be prohibitive for some, especially if insurance coverage is limited.
Surgical Complexity: All on 4 and All on 6 dental implant surgery is a complex procedure that requires precise planning and execution. It involves oral surgery to place the implants, which can be intimidating for some patients. Additionally, there may be risks associated with sedation and post-operative discomfort.
Risk of Complications: As with any surgical procedure, there are potential risks of complications with All on 4 and All on 6 dental implants, including infection, bleeding, nerve damage, and implant failure. While these risks are relatively low, they should be considered when deciding on treatment.
Requirement for Adequate Bone Density: All on 4 and All on 6 dental implants rely on the existing bone structure for support. Patients with insufficient bone density may require bone grafting procedures before implant placement, adding complexity and cost to the treatment.
Limited Adjustability: Once the prosthetic teeth are attached to the implants, they are fixed in place and cannot be easily adjusted. This means that any changes in bite alignment or aesthetic preferences may be challenging to accommodate without significant intervention.
Maintenance Challenges: While All on 4 and All on 6 dental implants are designed to be durable and long-lasting, they require proper maintenance and regular dental check-ups to ensure their longevity. Some patients may find it challenging to clean around the implants and prosthetic teeth, increasing the risk of oral health problems.
Aesthetic Limitations: While All-on-4 dental implants aim to provide a natural-looking smile, some patients may be dissatisfied with the aesthetic appearance of the prosthetic teeth. Factors such as color, shape, and size may not fully match the patient's natural teeth or desired aesthetic outcome.
Non-Removability: Unlike removable dentures, All on 4 and All on 6 dental implants are fixed in place and cannot be removed by the patient. While this offers stability and security, some individuals may prefer the option of removing their dentures for cleaning or comfort.
Potential for Sinus Complications: In the upper jaw, the implants in All on 4 and All on 6 dental implants may extend into the sinus cavity. This can increase the risk of sinus complications such as sinusitis or sinus perforation, particularly if the sinus floor is thin or compromised.
Long-Term Maintenance and Replacement: While All on 4 and All on 6 dental implants are designed to be a long-term solution for tooth loss, the prosthetic teeth and implant components may require maintenance or replacement over time due to wear, damage, or complications. This can incur additional costs and inconvenience for patients.
Overall, while All on 4 and All on 6 dental implants offer numerous advantages, it's essential for patients to carefully weigh the potential disadvantages and limitations of the procedure in consultation with your oral surgeon. By understanding the risks and benefits, patients can make informed decisions about their oral health and tooth replacement options.
All-on-4 and All-on-6 dental implants are designed to be a long-term solution for tooth loss, offering durability and stability comparable to natural teeth. While the lifespan of All-on-4 and All-on-6 dental implants can vary depending on individual factors and circumstances, they are typically expected to last for many years with proper care and maintenance.
On average, All-on-4 and All-on-6 dental implants can last anywhere from 10 to 20 years or even longer. Some patients may experience even greater longevity, while others may require maintenance or replacement sooner due to factors such as oral hygiene practices, overall health, lifestyle habits, and the quality of the implant materials used.
Several factors can influence the lifespan of All-on-4 and All-on-6 dental implants:
Oral Hygiene: Maintaining good oral hygiene is essential for the long-term success of dental implants. Patients should brush and floss their prosthetic teeth regularly and attend regular dental check-ups and cleanings to prevent plaque buildup, gum disease, and other oral health issues that can compromise implant stability.
Smoking and Tobacco Use: Smoking and tobacco use can negatively impact the success of dental implant surgery and the long-term stability of implants. Patients who smoke may have a higher risk of implant complications and may experience implant failure sooner than non-smokers.
Systemic Health Conditions: Certain systemic health conditions, such as diabetes and autoimmune disorders, can affect the body's ability to heal and may increase the risk of implant complications. Patients with these conditions may require closer monitoring and may have a shorter lifespan for their implants.
Bone Density: Adequate bone density and quality are essential for the success of dental implants. Patients with compromised bone structure may be at higher risk of implant failure or complications. Bone loss over time can also affect the stability and longevity of implants.
Implant Maintenance: Regular maintenance and follow-up care are important for monitoring the condition of All-on-4 and All-on-6 dental implants over time. Dental providers may recommend periodic adjustments, repairs, or replacement of the prosthetic teeth or implant components as needed to ensure optimal function and longevity.
Overall, while All-on-4 and All-on-6 dental implants are designed to be a durable and long-lasting solution for tooth loss, individual experiences may vary. Patients should work closely with their oral surgeon to develop a personalised treatment plan and follow-up care regimen to maximise the lifespan of their dental implants and maintain a healthy, functional smile for years to come.
In the United Kingdom, All-on-4 dental implants are not typically available through the National Health Service (NHS) for most patients. The NHS primarily provides dental treatment for conditions that are deemed medically necessary for maintaining oral health, such as emergency care, routine check-ups, and basic restorative procedures.
However, All-on-4 dental implants are considered a form of advanced dental treatment that may be classified as elective in nature. As such, they are often not covered by the NHS and are typically considered a private dental treatment option.
At Zental, we offer a range of implant options, including All-on-4, and can provide bespoke treatment plans tailored to your needs and preferences.
It's important to note that while All-on-4 dental implants may not be available through the NHS, patients may still be eligible for NHS treatment for other dental needs, such as extractions, fillings, or dentures, depending on their individual circumstances and the guidelines set forth by the NHS.
Choosing the right dental implant specialist is essential for ensuring the success and longevity of your dental implant treatment. Here are some factors to consider when selecting a dental implant specialist:
Qualifications and Credentials:
- Look for a dental implant specialist who has the necessary qualifications, training, and credentials to perform implant surgery. This may include a degree in dentistry, specialised training in implantology, and certification in oral surgery or periodontics.
- Research the specialist's educational background, professional affiliations, and any additional certifications or credentials they may hold in implant dentistry.
Experience and Expertise:
- Seek out a dental implant specialist who has extensive experience and expertise in placing dental implants, particularly in complex cases such as All-on-4 implants.
- Ask about the specialist's track record of success with dental implant procedures, including the number of implants they have placed and their patient satisfaction and failure rates.
- Inquire about the specialist's experience with All-on-4 implants specifically and their familiarity with the latest techniques and advancements in implant dentistry.
Reputation and Reviews:
- Research the reputation of the dental implant specialist by reading online reviews, testimonials, and patient feedback. Look for positive reviews and endorsements from satisfied patients who have undergone treatment with the specialist.
- Consider asking for recommendations from friends, family members, or your general dentist who may have experience with dental implant specialists in your area.
Technology and Facilities:
- Choose a dental implant specialist who uses state-of-the-art technology and modern facilities to perform implant surgery. Advanced imaging techniques such as cone beam computed tomography (CBCT) can enhance the precision and accuracy of implant placement.
- Visit us to assess the cleanliness, organisation, and overall atmosphere of the practice.
Communication and Patient Care:
- Evaluate the communication style and bedside manner of the dental implant specialist. Choose a specialist who takes the time to listen to your concerns, answer your questions, and explain the treatment process in detail.
- Assess the level of personalised care and attention provided by the specialist and their team. A compassionate and patient-focused approach can make the dental implant journey more comfortable and reassuring.
Cost and Financing Options:
- Explore financing options or payment plans to make treatment more affordable.
- Compare the cost of treatment with the specialist to other providers near you, taking into account factors such as experience, expertise, and the quality of care provided. It is worth mentioning that cost difference can be substantial due to the brand of implant system and materials being used, the need for sedation or grafting and the laboratory being used to produce both temporary and final bridges.
Ultimately, choosing a dental implant specialist is a personal decision that should be based on factors such as qualifications, experience, reputation, and communication style. By carefully evaluating these factors and conducting thorough research, you can select a specialist who is well-suited to meet your individual needs and provide you with exceptional dental implant care.
The "Teeth in a Day" procedure is designed to minimise discomfort and provide a streamlined solution for replacing missing teeth with a full set of prosthetic teeth in a single day. While discomfort and pain levels can vary depending on individual factors and the complexity of the case, most patients report minimal pain during and after the procedure. Here's what to expect regarding pain and discomfort during the "Teeth in a Day" process:
Sedation: Prior to the implant surgery, sedation can be administered to ensure your comfort throughout the procedure.
Surgical Technique: The "Teeth in a Day" procedure is performed using advanced surgical techniques and precision instruments to minimise trauma to the surrounding tissues. The implants are strategically placed in areas of the jawbone with the highest bone density, optimising stability and reducing the risk of postoperative pain.
Postoperative Care: After the implant surgery, patients may experience some mild discomfort, swelling, or bruising in the days following the procedure. However, these symptoms are typically manageable with over-the-counter pain medications and resolve within a few days as the face heals.
Follow-Up Care: Following the "Teeth in a Day" procedure, patients are scheduled for follow-up appointments to monitor healing, assess implant stability, and address any concerns or discomfort. We will provide instructions for postoperative care and pain management to ensure a smooth recovery process.
Individual Variations: It's important to note that pain tolerance and individual responses to dental procedures can vary. While most patients experience minimal pain or discomfort during and after the "Teeth in a Day" procedure, some individuals may have a higher sensitivity to pain or may require additional pain management measures.
Overall, the "Teeth in a Day" procedure is designed to be a comfortable and efficient solution for replacing missing teeth. By following preoperative and postoperative instructions provided by the dental provider and communicating any concerns or discomfort, patients can expect a smooth and successful recovery process with minimal pain or discomfort.
The success rate of all-on-4 dental implants is generally high, with studies reporting success rates ranging from 90% to over 95% over several years of follow-up. Success rates can vary depending on factors such as patient selection, surgical technique, implant placement accuracy, prosthetic design, and post-operative care.
Here are some key factors that contribute to the high success rate of all-on-4 dental implants:
Osseointegration: All-on-4 implants are designed to integrate with the jawbone, a process called osseointegration. Successful osseointegration is crucial for the stability and longevity of the implants.
Implant Stability: The initial stability of the implants at the time of placement is critical for osseointegration. Careful planning and precise surgical technique help ensure optimal implant stability.
Prosthetic Design: The design and fabrication of the implant-supported bridge play a significant role in the success of all-on-4 implants. A well-fitted and properly supported prosthetic restoration contributes to the comfort, function, and durability of the implants.
Patient Factors: Patient factors such as overall health, bone density, oral hygiene habits, and adherence to post-operative instructions can influence the success of all-on-4 implants. Patients with certain medical conditions or habits, such as smoking, may have a higher risk of complications.
Follow-Up Care: Regular follow-up appointments with the dentist or oral surgeon are essential for monitoring the health and stability of the implants, identifying any issues early, and providing appropriate interventions if needed.
While the success rate of all-on-4 dental implants is generally high, it's essential to recognise that complications can occur in some cases. These may include implant failure, infection, peri-implantitis (inflammation around the implants), prosthetic complications, or bone loss. However, with proper patient selection, meticulous surgical technique, and comprehensive post-operative care, many of these complications can be prevented or effectively managed.
Before undergoing all-on-4 implant treatment, it's important to discuss the potential risks, benefits, and success rates with your dentist or oral surgeon. They can provide personalised recommendations based on your individual needs and circumstances to help ensure the best possible outcomes.
If an all-on-4 dental implant treatment fail, it can have various consequences depending on the reason for the failure and the extent of the issue. Here are some potential scenarios and outcomes if all-on-4 implants fail:
Implant Failure: If one or more of the dental implants fail to integrate with the jawbone or become loose over time, it can compromise the stability and function of the entire restoration. In such cases, the failed implants may need to be removed, and additional procedures, such as bone grafting or implant replacement, may be necessary to restore the implant-supported bridge.
Prosthetic Complications: Damage or failure of the prosthetic teeth or framework can occur due to factors such as material fatigue, wear and tear, or manufacturing defects. If the prosthetic components of the all-on-4 restoration fail, they may need to be repaired or replaced to restore function and aesthetics.
Infection or Peri-Implantitis: Infections around the dental implants, known as peri-implantitis, can lead to inflammation, bone loss, and eventual implant failure if left untreated. Management of peri-implantitis may involve thorough cleaning of the implant surfaces, antimicrobial therapy, and, in severe cases, surgical intervention to address bone loss or remove compromised implants.
Bone Loss: In cases where all-on-4 implants fail due to inadequate bone support or bone resorption, additional bone grafting procedures may be necessary to rebuild the bone structure and create a stable foundation for new implants. Without sufficient bone support, replacement implants may not be able to integrate properly or support the prosthetic restoration.
Functional and Aesthetic Issues: All-on-4 implant failure can result in functional limitations, such as difficulty chewing or speaking, as well as aesthetic concerns due to changes in facial appearance or the appearance of the smile. Addressing these issues may require revision surgery, replacement of the prosthetic teeth, or adjustments to the implant-supported bridge.
Financial and Emotional Impact: Dealing with the failure of an all-on-4 dental implant treatment can be emotionally and financially challenging. Revision surgeries, replacement prosthetics, and additional treatments can incur significant costs and may require a considerable investment of time and effort to resolve.
In summary, if all-on-4 implants fail, it's essential to work closely with your dentist or oral surgeon to determine the underlying cause of the failure and develop a comprehensive treatment plan to address the issue. With proper evaluation, management, and intervention, many cases of implant failure can be successfully resolved to restore oral function, aesthetics, and overall quality of life.
While all-on-4 dental implants are designed to be durable and long-lasting, like any dental restoration, they can potentially experience damage or breakage under certain circumstances. Here are some factors to consider regarding the possibility of all-on-4 implants breaking:
Material Quality: The materials used in the construction of the implant-supported bridge can impact its durability. High-quality materials, such as medical-grade titanium for the implants and strong dental ceramics for the prosthetic teeth, are typically used to ensure longevity and resistance to breakage.
Implant Integrity: The integrity of the dental implants themselves is crucial for the stability and strength of the restoration. If the implants are compromised due to factors such as poor bone integration, excessive force, or implant failure, it can increase the risk of breakage of the all-on-4 restoration.
Excessive Force: All-on-4 implants are designed to withstand normal biting and chewing forces, but excessive force or trauma, such as teeth grinding (bruxism), can potentially lead to damage or breakage of the prosthetic teeth or the implant components.
Poor Oral Hygiene: Neglecting proper oral hygiene practices can contribute to the accumulation of plaque and bacteria around the implants, leading to inflammation, infection, and potential damage to the restoration over time.
Accidents or Trauma: Accidents or trauma to the mouth, such as a fall or impact, can result in damage to the all-on-4 restoration, including breakage of the prosthetic teeth or loosening of the implants.
Natural Wear and Tear: Over time, normal wear and tear can affect the durability of the prosthetic teeth and implant components. Regular dental check-ups and maintenance may be necessary to address any signs of wear or damage before they escalate into more significant issues.
At Zental, we use the highest quality materials to ensure you get the most from your implant-supported bridge. It is important to note that while breakage of all-on-4 implants is possible, it's relatively uncommon when proper care is taken. You can help minimise the risk of breakage by following the dentist's recommendations for oral hygiene, avoiding habits that can put excessive stress on the implants, and seeking prompt treatment for any issues or concerns related to their dental restoration. Regular dental check-ups and maintenance visits are also essential for monitoring the health and integrity of all-on-4 implants over time.
Yes, one of the significant benefits of all-on-4 dental implants is that they allow patients to eat and chew normally, often with greater comfort and stability compared to traditional dentures. All-on-4 implants provide a secure foundation for a full arch of replacement teeth, mimicking the function and appearance of natural teeth.
With all-on-4 dental implants, you can typically eat a wide variety of foods, including:
Fruits and Vegetables: You can enjoy a range of fresh fruits and vegetables, such as apples, carrots, and broccoli, without worrying about dislodging or damaging your dental implants.
Meats and Proteins: All-on-4 implants provide the stability needed to chew tougher meats, poultry, and other protein-rich foods with ease.
Grains and Breads: You can enjoy bread, pasta, rice, and other grain-based foods without limitations.
Snacks and Treats: You can indulge in snacks and treats like nuts, popcorn, and crunchy snacks without concerns about discomfort or instability.
Chewy and Sticky Foods: While it's generally best to avoid excessively sticky or chewy foods that could potentially damage the prosthetic teeth or strain the implants, most patients find that they can enjoy a moderate amount of chewy foods without issues.
It's important to note that while all-on-4 dental implants offer significant improvements in chewing function compared to traditional dentures, there may be an adjustment period as you get used to the feel of the implants and the new prosthetic teeth. Your dentist will provide guidance on dietary restrictions and recommendations during the initial healing phase after implant placement.
Additionally, maintaining good oral hygiene practices, including regular brushing, flossing, and dental check-ups, is essential for the long-term success of your all-on-4 implants and to ensure optimal oral health. With proper care and maintenance, you can enjoy the benefits of all-on-4 dental implants and eat a wide range of foods with confidence and comfort.
Certain individuals may not be suitable candidates for All-on-4 or All-on-6 dental implants due to various factors. Here are some considerations:
Severe Bone Loss: Patients with significant bone loss in the jaw may lack the necessary bone density to support dental implants.
Untreated Periodontal Disease: Active gum disease can compromise the success of implant treatment. Patients with untreated periodontal issues may not be suitable candidates.
Uncontrolled Systemic Health Conditions: Individuals with uncontrolled systemic health issues like diabetes or autoimmune disorders may have a higher risk of complications during implant surgery.
Smoking: Smoking can hinder the healing process and increase the likelihood of implant failure. Smokers may be advised to quit or reduce smoking before implant surgery.
Poor Oral Hygiene: Maintaining proper oral hygiene is crucial for implant success. Patients who struggle with oral hygiene may not be ideal candidates for implant-retained dentures.
Inadequate Bone Volume: Insufficient bone volume in the jaw can pose challenges for implant placement. Patients with low bone density may require bone grafting or alternative treatment options.
Unrealistic Expectations: Patients with unrealistic expectations about the outcomes of implant treatment may not be suitable candidates. It is essential to understand the potential benefits, limitations, and risks associated with All-on-4 or All-on-6 dental implants.
Ultimately, the suitability for All-on-4 or All-on-6 dental implants varies depending on individual factors. A thorough evaluation by our qualified dental professionals is necessary to determine the most appropriate treatment plan for you.
The criteria for the All on 4 and All on 6 dental implant procedure are essential considerations that help determine if a patient is a suitable candidate for this innovative tooth replacement solution. While the criteria may vary slightly depending on individual circumstances and the recommendations of the dental professional, several common factors are typically assessed:
Overall Oral Health: Candidates for All on 4 and All on 6 dental implants should have generally good oral health, free from active gum disease (periodontitis) or untreated dental infections. Any existing oral health issues should be addressed before undergoing implant surgery to minimise the risk of complications.
Sufficient Bone Density: Adequate bone density is crucial for the success of dental implant placement. The jawbone must have enough volume and density to support the implants securely. In some cases of bone loss, bone grafting procedures may be necessary to augment the bone structure before implant placement.
Stable General Health: Candidates should be in good overall health, free from uncontrolled medical conditions that could compromise the healing process or increase the risk of complications during surgery. A thorough medical history review is typically conducted to assess the patient's suitability for the procedure.
Commitment to Oral Hygiene: Maintaining proper oral hygiene is essential for the long-term success of All on 4 and All on 6 dental implants. Candidates should be committed to practicing good oral hygiene habits, including regular brushing, flossing, and attending dental check-ups and cleanings.
Non-Smoker or Willingness to Quit: Smoking can negatively impact the success of dental implant surgery and the healing process. Candidates who smoke may be advised to quit smoking before undergoing All on 4 and All on 6 treatment to improve their chances of successful implant integration and long-term implant stability.
Realistic Expectations: Candidates should have realistic expectations about the outcomes of All on 4 and All on 6 dental implants, including understanding the potential risks, benefits, and limitations of the procedure. A thorough consultation with the dental provider can help ensure that the patient's expectations align with the achievable results.
Desire for Permanent Tooth Replacement: Candidates for All on 4 and All on 6 dental implants should have a genuine desire for a permanent and stable solution for tooth loss. They should be motivated to restore their oral function, aesthetics, and quality of life through implant-supported prosthetic teeth.
Financial Considerations: While All on 4 and All on 6 dental implants offer numerous benefits, candidates should also consider the financial investment involved in the procedure. Financing options are available to help offset the cost of treatment, but patients should be prepared to invest in their long-term oral health and well-being.
By carefully evaluating these criteria, we can help you develop a bespoke treatment plan tailored to your unique needs and goals.
Speeding up dental bone graft healing is crucial for successful dental implantation. Here are some strategies that can help accelerate the healing process:
Follow Post-Operative Instructions: Your dentist or oral surgeon will provide specific post-operative instructions tailored to your procedure. Follow these instructions carefully, including any recommendations for oral hygiene, diet, and activity restrictions.
Manage Discomfort: Take any prescribed pain medications as directed to manage discomfort and reduce inflammation. Over-the-counter pain relievers may also be recommended, but always consult your dentist or surgeon before taking any medication.
Maintain Oral Hygiene: Keeping the surgical site clean is essential for preventing infection and promoting healing. Follow your dentist's instructions for oral hygiene, which may include gentle brushing and rinsing with an antimicrobial mouthwash.
Avoid Disturbing the Graft Site: Avoid touching or disturbing the graft site with your tongue or fingers. Be cautious when eating to prevent food particles from getting lodged in the surgical area.
Quit Smoking: Smoking can impair blood flow and delay healing. If you smoke, quitting or at least reducing smoking can significantly improve healing outcomes.
Nutritious Diet: Eat a balanced diet rich in vitamins and minerals that support bone health, such as calcium, vitamin D, vitamin C, and protein. Consider incorporating foods like dairy products, leafy greens, citrus fruits, lean meats, and nuts.
Stay Hydrated: Drink plenty of water to stay hydrated, which is essential for overall health and optimal healing.
Avoid Alcohol and Caffeine: Limit alcohol and caffeine consumption, as they can interfere with healing and may increase the risk of complications.
Attend Follow-Up Appointments: Attend all scheduled follow-up appointments with your dentist or oral surgeon. They will monitor your healing progress and address any concerns or complications promptly.
Remember to consult with your dentist or oral surgeon for personalised advice and recommendations tailored to your specific situation. They can provide guidance based on the type of bone graft performed and your overall oral health.
All on 4 and All on 6 dental implants and multiple single implants are both effective solutions for tooth replacement, but they have distinct differences in terms of technique, procedure, and outcomes. Here's a comparison between the two:
Ultimately, the choice between All-on-4 and All-on-6 dental implants and multiple single implants depends on factors such as your oral health, treatment goals, budget, and preferences. A thorough evaluation and discussion with us can help determine the most suitable option for each individual case.
Dental tourism has become a popular choice for many UK patients due to the rising cost of dental care in the UK. Dental implants in turkey regularly market their services to UK patients, as do dental clinics across the European Union (EU).
At Zental, we regularly review All on 4 dental implant treatment conducted in Turkey and elsewhere. Although some patients have had successful procedures, we regularly encounter procedures that have failed. The risks of having All on 4 dental implant treatment abroad are high as any complications requires you to travel back to the country to resolve issues. In the event All on 4 dental implant treatment abroad fails, the remedial cost of dental treatment in the UK will most likely be considerably higher than had you originally had the treatment conducted in the UK.
To ensure safety when getting dental implants abroad, patients should:
Daily Cleaning Routine: Brush your All-on-4 dental implants and permanent bridge at least twice daily with a soft-bristled toothbrush and non-abrasive toothpaste. This helps remove food debris and plaque buildup.
Use Specialised Products: Consider using dental products specifically formulated for implants and bridges, such as low-abrasive toothpaste and interdental brushes. These help maintain cleanliness without damaging the prosthetic teeth or dental implants.
Floss Regularly: Clean between the implants and under the bridge using dental floss or interdental brushes to prevent plaque buildup and gum irritation. Regular flossing helps maintain healthy gums and prevents inflammation around the implants.
Attend Regular Check-Ups: Visit your dentist for routine check-ups and professional cleanings to monitor the health of your implants and bridge. Regular dental visits help detect any issues early and ensure proper fit and function of your dental restoration.
Avoid Hard Foods: Be cautious when eating hard or sticky foods, as they can damage the prosthetic teeth or put excessive pressure on the implants. Stick to a balanced diet and avoid habits like chewing ice or using teeth as tools.
Handle with Care: Handle your dental implants and bridge with care to avoid damage. When cleaning or removing your bridge, use gentle motions and avoid applying excessive force. Store your bridge in a denture container filled with water or cleaning solution when not in use.
Maintain Good Oral Hygiene: In addition to cleaning your implants and bridge, maintain good oral hygiene by brushing your gums, tongue, and palate with a soft-bristled brush or a moistened washcloth. This helps remove bacteria and maintain overall oral health.
Address Issues Promptly: If you experience any discomfort, soreness, or loosening of your All-on-4 implants or bridge, contact your dentist immediately for evaluation and adjustments. Early intervention can help prevent further complications and ensure the longevity of your dental restoration.
By following these care tips and maintaining regular dental visits, you can ensure the long-term success and durability of your All-on-4 dental implants and permanent bridge.
Daily Cleaning Routine: Brush your All-on-4 dental implants and permanent bridge at least twice daily with a soft-bristled toothbrush and non-abrasive toothpaste. This helps remove food debris and plaque buildup.
Use Specialised Products: Consider using dental products specifically formulated for implants and bridges, such as low-abrasive toothpaste and interdental brushes. These help maintain cleanliness without damaging the prosthetic teeth or dental implants.
Floss Regularly: Clean between the implants and under the bridge using dental floss or interdental brushes to prevent plaque buildup and gum irritation. Regular flossing helps maintain healthy gums and prevents inflammation around the implants.
Attend Regular Check-Ups: Visit your dentist for routine check-ups and professional cleanings to monitor the health of your implants and bridge. Regular dental visits help detect any issues early and ensure proper fit and function of your dental restoration.
Avoid Hard Foods: Be cautious when eating hard or sticky foods, as they can damage the prosthetic teeth or put excessive pressure on the implants. Stick to a balanced diet and avoid habits like chewing ice or using teeth as tools.
Handle with Care: Handle your dental implants and bridge with care to avoid damage. When cleaning or removing your bridge, use gentle motions and avoid applying excessive force. Store your bridge in a denture container filled with water or cleaning solution when not in use.
Maintain Good Oral Hygiene: In addition to cleaning your implants and bridge, maintain good oral hygiene by brushing your gums, tongue, and palate with a soft-bristled brush or a moistened washcloth. This helps remove bacteria and maintain overall oral health.
Address Issues Promptly: If you experience any discomfort, soreness, or loosening of your All-on-4 implants or bridge, contact your dentist immediately for evaluation and adjustments. Early intervention can help prevent further complications and ensure the longevity of your dental restoration.
By following these care tips and maintaining regular dental visits, you can ensure the long-term success and durability of your All-on-4 dental implants and permanent bridge.
The recovery time from full mouth implants, also known as full mouth dental implant rehabilitation, can vary depending on several factors, including the number of implants placed, the complexity of the procedure, individual healing capacity, and any existing oral health conditions. Here's a general timeline for the recovery process:
Overall, the complete recovery of full mouth implant treatment can take several months to a year, depending on the individual case. Patients should closely follow their dentist's or oral surgeon's post-operative instructions and attend all scheduled follow-up appointments to ensure a successful outcome. Additionally, maintaining good oral hygiene and attending regular dental check-ups is essential for the long-term success and durability of full mouth dental implants.
Typically treatment will take between 4-6 months from start to finish. Most of this time is allow the implants to fully integrate and fuse with your bone. In the meantime we will provide you with a temporary bridge that you can wear over the top of the healing implants as a short term measure.
The main difference between All-on-4 and All-on-6 dental implants lies in the number of implants used to support the prosthetic teeth. Here's a comparison of the two treatment options:
Ultimately, the choice between All-on-4 and All-on-6 dental implants depends on factors such as bone density, treatment goals, budget, and the recommendation of the dental provider. Both treatment options can provide excellent outcomes for patients seeking a comprehensive solution for tooth loss, and a thorough evaluation with a qualified dental professional can help determine the most suitable option for each individual case.
Determining whether all-on-4 or all-on-6 dental implants are better depends on various factors, including individual patient needs, oral health status, bone density, and treatment goals. Both options have their advantages and considerations:
All-on-4 Dental Implants:
Fewer Implants: All-on-4 implants use only four dental implants per arch to support a full set of prosthetic teeth. This can be advantageous for patients with limited bone volume or those who prefer a less invasive surgical procedure.
Faster Treatment: All-on-4 implants often require less time for surgery and recovery compared to all-on-6 implants since fewer implants are placed. This can be beneficial for patients who want a quicker turnaround time for their dental restoration.
Cost-Effective: All-on-4 implants may be more cost-effective compared to all-on-6 implants since fewer implants are used, resulting in potentially lower treatment costs.
Suitable for Moderate Bone Loss: All-on-4 implants are often suitable for patients with moderate bone loss, as the tilted placement of the implants can maximise available bone support.
All-on-6 Dental Implants:
Increased Stability: All-on-6 implants provide additional stability and support compared to all-on-4 implants due to the placement of six dental implants per arch. This can be advantageous for patients who desire enhanced chewing efficiency and overall prosthetic stability.
Better Load Distribution: With more implants distributing the forces of biting and chewing, all-on-6 implants may offer better long-term durability and reduced risk of implant failure or complications.
Suitable for Severe Bone Loss: All-on-6 implants may be more suitable for patients with severe bone loss or compromised bone density, as the additional implants can provide greater structural support and stability.
Potential Aesthetic Benefits: The use of more implants in the all-on-6 technique may allow for a more precise positioning of the prosthetic teeth, potentially resulting in improved aesthetic outcomes, particularly in the anterior region of the mouth.
Ultimately, the choice between all-on-4 and all-on-6 dental implants should be made in consultation with your dentist or oral surgeon, who can assess your specific needs, oral health condition, and treatment objectives to determine the most suitable option for you. Both techniques have shown to be effective in restoring oral function, aesthetics, and quality of life for patients with missing teeth.
The term "all-on-6 dental implants" typically refers to a fixed dental implant-supported prosthesis, similar to the "all-on-4" concept. Both of these treatment options involve the placement of multiple dental implants to support a full arch of prosthetic teeth. In most cases, the prosthetic teeth are permanently fixed to the dental implants and are not meant to be removed by the patient.
With all-on-6 dental implants, six dental implants are strategically placed in the jawbone to provide stability and support for the prosthetic teeth. The prosthetic teeth are then securely attached to the implants, often using screws or dental cement, to create a stable and functional restoration.
This fixed prosthesis offers several advantages, including improved chewing efficiency, enhanced aesthetics, and greater comfort compared to removable dentures. Patients with all-on-6 dental implants can typically eat, speak, and smile with confidence, as the prosthetic teeth function similarly to natural teeth.
While there are removable implant-supported prostheses available, such as implant-retained dentures, these are typically not referred to as "all-on-6" dental implants. Removable implant-supported prostheses can be removed by the patient for cleaning and maintenance purposes, providing added convenience and ease of care.
In summary, all-on-6 dental implants usually refer to a fixed dental implant-supported prosthesis, and they are not designed to be removed. However, if you're considering dental implant treatment, it's essential to discuss your options with your dentist or oral surgeon to determine the most suitable treatment plan based on your individual needs and preferences.
All-on-4 dental implants are designed to closely mimic the look, feel, and function of natural teeth, providing patients with a stable and comfortable solution for tooth loss. While individual experiences may vary, many patients report that All-on-4 implants feel remarkably similar to real teeth. Here are some factors that contribute to the natural feel of All-on-4 dental implants:
Secure Fit: All-on-4 dental implants are anchored securely in the jawbone, providing stability and support for the prosthetic teeth. This secure fit allows patients to bite, chew, and speak with confidence, similar to natural teeth.
Functional Bite: The All-on-4 implant system is designed to distribute biting forces evenly across the implants, allowing for efficient chewing and biting function. This helps patients enjoy a wide range of foods without worrying about the stability of their prosthetic teeth.
Natural Appearance: The prosthetic teeth attached to All-on-4 implants are custom-made to match the size, shape, and color of the patient's natural teeth, creating a seamless and natural-looking smile. The lifelike appearance of the prosthetic teeth contributes to the overall feel of the implants.
Improved Speech: All-on-4 dental implants restore the ability to speak clearly and confidently, eliminating common speech impediments associated with missing teeth or ill-fitting dentures. Patients can articulate sounds accurately and comfortably, similar to speaking with natural teeth.
Bone Stimulation: All-on-4 implants help stimulate the underlying jawbone, preventing bone loss and preserving facial structure over time. This bone stimulation contributes to the natural feel of the implants and helps maintain facial aesthetics.
Comfortable Fit: All-on-4 dental implants are custom-designed to fit comfortably and securely in the mouth, minimising irritation or discomfort associated with traditional dentures. Patients often find that All-on-4 implants feel more comfortable and stable than removable dentures.
While All-on-4 dental implants provide a natural-feeling solution for tooth loss, it's important to note that there may be an adjustment period as patients acclimate to their new prosthetic teeth. Some individuals may experience temporary discomfort or sensitivity as their mouth adapts to the implants, but this typically resolves as they become accustomed to the new restoration.
Overall, many patients find that All-on-4 dental implants offer a level of comfort, function, and confidence that closely resembles natural teeth, allowing them to enjoy a restored smile and improved quality of life.
Ihsaan is a leading UK Surgeon with degrees in both Dentistry and Medicine. He has vast exposure to both the hospital and dental practice environments, looking after patients with complicated medical needs. He has a special interest in oral surgery, sedation and complex aesthetic implant rehabilitation on nervous patients. He started his implant training at the Prestigious Charles Clifford Hospital in Sheffield and subsequently attended numerous advanced implant training courses both in the UK and abroad. He is highly proficient in the field of All on 4, full mouth dental implant rehabilitation where treatment involves a fixed bridge held by implants all done on the same day. He treats over 100 cases a year.
Ihsaan enjoys teaching, which particularly shows in his interaction with patients. He has held several posts including The Royal London dental Hospital training students in sedation as well as being a mentor for NHS England training dentists in improving their practice in oral surgery. He also acts as a mentor for many dental surgeons who wish to embark on the exciting field of Implant Dentistry offering them one-to-one and small group training and live surgery. He has lectured in the UK as well as internationally and has published several articles and research in prestigious medical, dental and surgical journals.
Outside of work, his time is spent with his wife and young family of 2 sons and a daughter. He enjoys live comedy performances and is an avid foodie.
Mohamed qualified from the prestigious Guys, Kings and St. Thomas’ Dental Institute with an honours degree in Dental Surgery in 2005 and received his Membership qualification of the Joint Faculty of the Royal College of Surgeons in 2012.
He has since been involved in General Dental practice continually enhancing his skills in all aspects of General Dentistry but with a particular focus on his main areas of interests, which are Dental Implants and Sedation.
Mohamed has a particular interest in managing the anxious, nervous and phobic patients and furthered his interest in this area by completing a diploma in conscious sedation from Kings College London in 2018. He subsequently worked at the prestigious Guys hospital in the department of sedation and special care where he was involved in teaching sedation at post graduate level.
Mohamed has a particular passion for further education and has completed numerous post graduate training courses to further advance his skills. He has successfully completed 2 post graduate programmes in Implant dentistry - the latter being an intensive 18 month post graduate training programme at the Charles Clifford dental hospital, university of Sheffield which he completed in 2016.
Mohamed has also been involved in the field of dental training and education for fellow dentists since 2012, mentoring numerous colleagues as well formulating and organising bespoke dental courses for the benefit of fellow colleagues and health care professionals alike. His main ethos always centres around offering the highest quality and attention to detail in everything he does.
In his spare time he particularly enjoys playing cricket, football and badminton competitively as well as traveling and generally keeping fit.
Sunil graduated from Liverpool University in 2001 with a degree in dental surgery and has been working as a dental surgeon for over 19 years. His main practice of dentistry is in the field of Implantology, oral Surgery, sedation and advanced restorative/cosmetic dentistry.
He has been actively involved in further professional training in the UK and abroad. Sunil has completed a diploma in oral surgery from the Royal College of Surgeons and is currently completing his Masters in Implantology from Italy.
His continued passion to always keep up to date with the very latest advances and to provide the very best for his patients has led him to embark upon the exciting world of digital and laser dentistry.
His interests outside of dentistry are keeping fit, playing golf and travelling the world.
Sunil is very friendly/approachable and he looks forward to meeting you and giving you the smile you deserve.
Beena graduated with Honours from Guy’s King’s and St Thomas’ College London in 2008. She then completed a year as a Senior House Officer in Oral Maxillofacial surgery at Chase Farm and Barnet Hospital where she gained surgical skills and completed her exam for the Membership of the Joint Dental Faculty in 2009.
She has since worked in general practice and has over 14 years of experience. Her main interest lies in Implant dentistry where she has completed the Implant Certificate Course awarded by GIFT/Warwick University and is furthering her professional development through the renowned Diploma of Implant Dentistry at the Royal College of Surgeons, England.
She is committed to professional development and has a keen passion for restorative dentistry particularly conservative cosmetic dentistry and advance tooth wear rehabilitation. She completed the prestigious Chris Orr - Advance Aesthetic and Restorative Course in 2011 and then furthered her skills completing the Chris Orr’s Advanced Occlusion course in 2018. She has experience in treating complex cases and loves to help patients gain confidence by changing their smile.
Outside of work, Beena keeps busy raising two young girls and has a passion for travelling.
Beena is very caring/approachable and looks forward to making you smile with confidence.
Abdul is a highly experienced and multi-skilled dental surgeon who qualified from the prestigious Guys Kings and St Thomas's school of medicine and dentistry in 2004 and has over 18 years of experience in private practice. Throughout his career he has been regularly involved in mentoring and supervising younger and less experienced dentists and continues to do so.
After completing vocational training Abdul went on to work at the highly esteemed Charles Clifford dental hospital in Sheffield as a senior officer in oral and maxillofacial surgery. Abdul gained invaluable experience in the management of patients with complex medical conditions, such as head and neck cancer, corrective jaw surgery, removal of impacted teeth and trauma.
Soon afterwards Abdul completed a postgraduate certificate in dental implantology at the university of Salford under the instruction of the world-renowned Professor Cemal Ucer. Since then, Abdul has placed well over a thousand implants throughout his career, he is highly proficient in the management of dental implants within the aesthetic zone, full mouth rehabilitation using the All on 4 or 6 treatment protocol, enabling "same day teeth". Abdul has extensive experience with digitally planned CT guided implant surgeries for highly precise implant positioning.
His special interests thus lie in all aspects of dental implantology, removal of impacted teeth, fixed and removable orthodontics (teeth alignment procedures).
Abdul also has a particular interest in the management of the patients with dental phobia and anxiety. By using a combination of relaxation techniques, distraction, relative analgesia, and intravenous sedation, he can treat even the most challenging patients, with his calm and relaxing approach he is able to change patient's perceptions and attitudes towards coming to the dentist.
Abdul is extremely proficient in orthodontic treatments (both fixed braces and clear aligner treatment such as Invisalign). He has a special interest in the use of temporary anchorage devices (also known as 'TADS') to help reduce treatment times and enhance clinical outcomes.
Abdul believes every patient deserves to have a healthy, functional, and happy set of teeth. Dental wellbeing is strongly linked with general wellbeing, as such he strives to achieve this for every one of his patients.
Outside of work Abdul likes to spend time with his wife and 4 lovely daughters. He enjoys travelling, reading poetry, exploring different cuisines, and playing football.
Pramit graduated from the university of Birmingham with a bachelor’s degree in dental surgery. Upon graduating, he made self-improvement his number one priority and began to upskill rapidly in his general practice. His main practice has since become heavily based in the fields of Dental Implantology and Oral Surgery.
He has further completed his Implant training with the British Academy of Implant and Restorative Dentistry. Pramit prides himself on furthering his knowledge and expertise which is why he is currently undertaking a Diploma in Advanced Dental Implantology in Milan. Alongside, he has completed numerous Oral Surgery training programmes to go hand in hand with his Implantology skills.
His motto is to ensure all his patients are leaving healthy and happy! Pramit is always full of energy, and he will always give you his 100% attention. Patients tend to love how approachable he is ensuring even the most anxious patients feel at ease with him and get to have their best smiles whether it is for cosmetic or functional reasons.
Outside work, Pramit is an active person and loves staying fit and healthy in any way possible! He looks forward to seeing you to help and guide you to long term dental health.
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