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Temporary Full Implant Teeth. Why Do This Step?

ALL OF THE IMAGES YOU SEE BELOW ARE TEMPORARY, PROVISIONAL DENTAL IMPLANT BRIDGES.  THEY ARE NOT PERFECT!!

In this video learn why it is important to go through this step to make sure that the final all on 6, all on 4 etc. is made the best way possible. You cannot imagine how many patients I see that come to me for problems that either could have been avoided by an extra step with a digital design PMMA provisional “test drive” could have solved! The PMMA temporaries are intended to test many things such as:

Watch the video, look at the pictures and post comments. These are all starting points and temporary only . The final pictures are not included on this post.

If you are looking for information on single-tooth front dental implant temporary steps read this post

There is so much more to dental implants than just screws and surgery!    These temporaries are different than the temporaries that are placed at the time of surgery for immediate loading (same day teeth).

Please keep in mind that replacing nature is no easy task.  Dental implants are not teeth… They are a replacement for teeth.  Although I strive for perfection, all of these patients have compromised situations.

Final x-ray with upper and lower solid zirconia Bridges on 12 implants. There are 24 teeth supported by these 12 implants.
Ramsey A. Amin, D.D.S. Diplomate of the American Board of Oral Implantology /Implant Dentistry Fellow-American Academy of Implant Dentistry

14 thoughts on “Temporary Full Implant Teeth. Why Do This Step?

  1. Hello Dr. Ramsey,
    My name is Roy and I had the all on 4 done on my upper only in Nov. 2017; fast forward to f/u with surgeon 4 months later; torc test was completed and passed the surgeons test; at 40 ?; anyways , I have had nothing but a horrible experience with the temporary prosthetic since day one , in which a second one was made just recently because of poor workmanship on the first and the surgeon didn’t want to disrupt the implants as to why I had to wait for a new prosthetic. Anyways, with multiple impressions made and a wax fitting…I’m so aggravated with why the Hybrid Specialists and dental lab are having a hard time producing a prosthetic (temporary) with all these complications of discomfort and imperfections; I realize there will be modifications, adjustments etc…. but it has become ridiculous with numerous office visits…. Any suggestions…Please !!!

    1. hmmm….all I can say is work out the issues in the temporary before moving to the final. There are times where your skeletal structure and skeletal bite placed limitations on how the teeth can be made to fit your smile, bite etc.

      All on 4/on X is a complex procedure. This is a full body part replacement with a prosthetic. Many people are misinformed to think that’s so simple. there is so much to this process it is unbelievable.

  2. Dr. Amin,
    I’m a 35 y/o Oklahoman and had a full extraction of all remaining teeth on Jan 31 this year. I won’t make excuses. I neglected my teeth badly, no oral hygiene at all most days. I’ve endured at least a dozen abscessed infections over the last 15 years, so you could say I’ve paid penance. Sought no emergency care for any of them, just bummed pain pills off relatives and waited them out. Almost all of the upper jaw teeth were worn down to stubs, but the root tips had not loosened. One root was deep enough that it penetrated the sinus cavity, so after extraction I had a channel between the left nostril and upper jaw for about 10 days.

    The oral surgeon who performed the extractions was as conservative as possible about drilling into bone considering my age. He recommended at least a month of healing time before being fitted for dentures, ideally three. My question is, if I pursue implants instead, should it be ASAP or would I need even more healing time first?

    1. If you are having fixed implants a can happen very soon. If you’re having overdenture type of implants or regular dentures than waiting would be best. In general for had to give you an exact number wait for 4 months from the time of extraction and then have a CBCT 3-D scan for evaluation.

  3. I’ve been watching your videos for about two years. You’re very informative about your practice and It gives me confidence and hope that one day I can actually get my dental work done by you. I am 29 and have had two lower teeth extracted and currently my two upper front teeth have pus coming from the gums do to this abscess and my dentist wants to pull these two teeth.. Since I was in the 6th grade I have had gum disease and was told my teeth would start to come out by 30 and it’s happening! . It’s extremely frustrating and depressing. And of course dental insurance has been the same since the 70s so my ppo cap is a thousand dollars and don’t cover “cosmetics” aka surgery. Here in L.A nothing is affordable when you need major work done. I would sweep the floors if I could be blessed with an experience doctor like you to work on me lol… I would definitely like a consultation from you .

    1. Thank you for your kind words. He need to get yourself into a very good dentist that can help treat your gums. Continuing to have abscesses and gum disease is only can a make everything more difficult. Try to save you teeth. You are a young man. Have some deep cleanings done in a dental hygiene program. Since you live in Los Angeles I would suggest you go to Pasadena city College dental hygiene program. Have them evaluate and treat your gum problems for an extremely low cost. Then have your teeth cleaned every 3 months. Once it is all stabilized we can consider having implants for the missing teeth. Follow through on this!

  4. I am in the process of having a full upper implant bridge placed in my mouth. I wore braces from the 4th grade all the way to when I was a senior in high school. I am now 60 years old and I was told that many of the problems I am having now are most likely due to genetics (my dad had terrible teeth) and the many years of orthodonture work that I had done when I was child. (I got braces back when they first came on the scene and apparently they did not know what the long term effects would be of moving someone’s teeth so quickly.) Apparently, one of the residual negatives was that the roots of my teeth became weak and some of them even detached from my jaw bone, so many of my teeth have been sort floating in my mouth for years (this is what i have been told).

    Anyway, I am now 60 years old and I have spent thousands of dollars on my teeth in the past 10 years (no dental insurance). My dentist kept recommending root canals/crowns every time one of my teeth would go bad only to have the tooth break off a couple years later and then the tooth would have to be removed. Recently, it came to a point where I only had 5 teeth left in my upper jaw, thankfully they were all my front teeth, nevertheless, it was impossible for me to eat most normal kinds of food. For the past three years, I have only been able to eat soft foods like pasta, jello, ice cream, etal. I told my dentist that I wanted to pursue getting a full upper implant denture/bridge and he didn’t seem real comfortable doing this kind of procedure, he kept insisting that he could save what teeth I had remaining in my mouth with root canals/crowns. I felt that I was just wasting money to go down this same path again. I talked it over with my husband and we agreed that we had the money to go ahead pursue a full set of upper implants.

    I found a dentist in a city nearby who said that she could perform the full restoration of my upper teeth. ln the past 2 months I have had 10 teeth extracted and my new dentist also placed bone graph material in every spot where she removed a tooth and I have to wait a few months for the bone graphs to take hold before we proceed with placing the implants structures in my upper jaw bone. She said that I would have to have CT scan done by a lab that specializes in reconstructive dentistry and that they will map out the correct placement and angles of the implants for her. In the meantime, I had to be fitted, pay for, and now wear a regular upper denture.

    There two things that have been bothering me about my new dentist. The first thing is a comment that she made to me early on in which she said that she was going to check to see if we could reuse the $1,347.00 upper denture that I am wearing now for my full implant denture. Which seemed sort of odd to me because I was under the impression that when everything was done there wouldn’t be anything blocking my upper palate. She said that she checked with a few of her peers and that this was not an option, i.e. that reformating my regular temporary upper denture would not work. She has also never mentioned any sort of temporary bridge being put in on the same day that my implants are placed. She said that there are smooth caps that will placed on the tops of the implants and that I will have to continue wearing the regular full denture until the implants have healed and joined together with the bone before the final full arch implant fixture will be attached.

    My question is, should I be concerned that she doesn’t seem to be very experienced in performing a full arch all-on-6 upper dental implant? In other words, I have been doing a lot of research on this procedure for the past few months and it seems to me that my new dentist, while she seems to have a lot of experience placing single implants, it appears that she is going to be using a lot of older techniques for this full arch upper dental implant procedure. This is of great concern to me because at the end of all of this I will have spent close to $25,000 and I certainly can’t afford to have anything go wrong. Do you have any advice for me and my situation? I am going to ask my new dentist a lot of questions before we begin the next phase of this process and in the event that I am just not comfortable enough with the answers my new dentist gives me, do you know anyone in my are that you could recommend to finish my dental restoration procedure? Thank you so much for your valued time.

    1. I think you should just have a rather frank conversation with your dentist. It ultimately comes down to how comfortable you and your dentist are. Those of us that are more experienced in this procedure are able to streamline it quite a bit. For instance in my practice is rare that implants are not placed at the time of extraction. This saves a lot of money from doing bone grafting of extraction sockets. What is critical to me is the long-term results. In this article I right about prototypes being used to work out all the details before going to the final. Sometimes a patient’s existing denture can be used for a temporary fixed bridge conversion. It is never used as the final but is handy during the process. Almost all of my cases are done with immediate fixed teeth avoiding dentures altogether. Again, these are comfort, skill, experience and judgment calls. It sounds like your dentist is very cautious and careful which is a great thing.

  5. Hello Dr Ramsey, I’m in New Zealand so have no way of seeing you but you seem extremely knowledgeable about implants so would like to ask you a question. Some time ago my upper first premolar cracked (#24 think?), I have had a root canal performed but unfortunately the infection has returned and my dentist would like to remove it and replace it immediately with a MAX tapered implant. Do you have experience with those? It seems odd to me to place an implant immediately when there is infection (minor) at the site. Any advice would be much appreciated. Thanks!

    1. Hello Blair,

      The type of procedure you are being recommended can be extremely successful. I do this all the time. Please keep in mind that it is not so much the brand of implant as it is the skill, experience, judgment and expertise of the providing dentist. Having an immediate implant placed requires more skill then a tooth that has been removed already. There are excellent benefits to having an immediate placement and I am a big proponent of this technique for the last 20 years. I know I have not answer your question exactly but it really boils down to your unique anatomy, your ability to heal and the skill of the dentist. Do your due diligence and make sure that you are working with an expert to avoid long-term problems. I find that many dental implant procedures being done today are based on fads rather than good science and long-term follow-up.

      1. Hi,
        My name is Katie. I am 32 years old. I don’t know what to do anymore. I have been through two horrible abusive marriages. I have been shoved in trash cans, had hot coffee and bleach pored on me multiple times even gasoline. I have lost everything I had… I have been knocked out more then once.. Woke up in a field with a rug over me.. I was completely drained of what money I did have.. Nobody would help me. Nobody.. I have a six year old who I am trying to take care of. I lost my teeth during pregnancy. I have had no insurance what so ever for six years. I can’t afford it. I am in so much pain that it is unbearable to live with everyday. I am so embarrassed about it and horrified to walk with my head up. I just want a chance to get my life back.. I want to be healthy for my son. He needs me.. But dentists only care about money and how much they get from you. I can’t stand to look this way anymore and I am desperate.

        1. Oh gosh Katie. Most dentists are not as you describe. You need to find a caring and compassionate DDS that can help you get your dignity back. I custom made set of dentures for now, then maybe implants in the future. Dental schools in the largest metropolis near you usually can make nice dentures for an affordable cost.
          Respectfully…Dr. Amin

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About Ramsey A. Amin, DDS

Dr. Ramsey Amin has extensive experience in surgical and restorative implant dentistry. As one of only less than 400 Diplomates of the American Board of Oral Implantology/ Implant Dentistry (ABOI/ID) he is considered an expert, and board-certified in dental implants. He is a former instructor at the UCLA School of Dentistry.