Temporary Full Implant Teeth. Why Do This Step?

ALL OF THE IMAGES YOU SEE BELOW ARE TEMPORARY, FULL DENTAL IMPLANT ARCH 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 common complaint is that the all on four teeth feel “bulky.”  Often people refer to these as “permanent dentures.”

The PMMA temporary implants all on 4/6 are intended to test many things:

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

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

  1. I went back to the prosthodontist for my one week post-op today. I am very unhappy. I now have an underbite, my face is too long, I can’t close my mouth, my top lip is nonfunctional and my face is literally flat. He drilled everything to make it sit together, but that didn’t address any of my other issues. I cannot leave my house like this. He says I’m stuck this way for another nine weeks! Is there anything I can do at home to help myself or is there anything I can do to get help professionally before nine weeks of misery, horror and isolation?

    Reply
  2. Hello, Doctor! My father-in-law had top implants and temporary teeth a few weeks ago. He seems to be healing well, he is not in pain, but his teeth are not firmly fixed and seem to be moving. Is this normal? We are also wondering what the mechanics behind the temporary teeth installation are? How are they attached to the implants? We tried to Google for some pictures or process description but found nothing.

    Reply
  3. Hi! I had full mouth all on 4 restoration done over 6 weeks ago. They look nice and while I am still having some speech issues, those have improved a lot. However, I am experiencing discomfort and tightness after every meal. Even soups and drinks create this feeling and interferes with my ability to talk.I use a waterpik and that offers some relief, but not completely. I am unable to get super floss under the appliances. I cannot believe how many food particles come out when I use the waterpik. I wasn’t expecting to get so much food stuck or for there to be discomfort after every meal. Will this be less of a problem when I get my zirconias? The whole reason I got them was to be able to enjoy eating comfortably. I can’t haul a waterpik into a restaurant and I don’t want to have to avoid eating out if I’m not going immediately home.

    Reply
  4. Dear Dr Ramsey,
    I had All-on-Four upper jaw implants 7 years ago . I have kept the implant scrupulously clean , flossing , salt and bicarbonate of soda mouthwash waterpik as well as brushing with gell toothpaste .
    However , the gum seems to be growing so very tightly round the implant/prosthetic that it is making it impossible to floss . The waterpik jet will not pass through it either . It is also becoming quite painful at times because of the tightness between the gum and the prosthetic.

    Reply
  5. Hi . Iv recently had the first stage of my all on 6 treatment to both jaws & have 8 temporary teeth attached ( my permanent teeth will have 4 more on each jaw ) However my mouth appears to have sunken in & I now have what appears to be smokers lines even though iv never smoked . I told my dentist I wasnt happy to look like a ferret for the next 3 months & my top lip has virtually disappeared . I was told this is normal & a necessary part of the treatment & ensures optimum healing prior to my permanent teeth being attached in 3 months . Which will restore the structure to my jaw & mouth . Which I’m not convinced is actually the case & im worried that after 3 months the lines may be harder to remove & I don’t believe its ” normal & a necessary part of the healing process ”
    & im not happy to have mouth that looks like an arse hole for 3 months .
    What would you advise i do ?
    Sarah

    Reply
    • Oof – not a fan of this method. Here is what I do:

      Read this article – https://burbankdentalimplants.com/all-on-4-dental-implant-problems-and-complications/

      There are links within the article as well. Let me know your thoughts!

      9) Lack Of Lip Or Face Support
      I have written on this topic extensively. It is imperative that your lip and face look and feel good with the all on X dental implant full mouth restoration. Lip and face support is hinged upon your pretreatment diagnosis and measurements. If the bone leveling is accurate, the lip or face should be able to be supported with a fixed bridge rather than a removable snap on overdenture. This is often based on the skill of the providing dentist.

      For some who have facial wrinkles, additional skin fillers may be needed. This is rarely the case in my practice where we use facial scanning technology to accurately determine lip position. It is important that the teeth get tested with prototypes to make sure the lip and face are filled out well.

      Too much lip and face support may lead to lip biting while to little may lead to tongue biting. A problem can occur if the “transition line” shows when you smile. This is the line between your natural gums and the gums of the all on 4 implant bridge. Preferably this line is hidden and the lip and face do not feel caved in. This is very much an art to achieving good facial profile without looking old too toothy.

      Reply
  6. Hi! I just had full upper and lower fixed implants done 3 days ago. They are very bulky behind the teeth. Both on the uppers and lowers. Also seem to have a big gap. Should the temps feel that bulky and will the gap be closed when I get my permanent ones?
    I also cannot barely talk. I have a very bad lisp. Is this common and will it get better?
    Right now I just want them out and was so excited to get them.

    Reply
    • Hi Bobby,

      I am sorry her going through all this. This is such an important step to nail the temporary teeth. The gap space is typically closed in the beginning and then may open up more over time. I believe I covered in this article on problems and complications. All of these measurements I make pre-surgically to help avoid these problems. You might need a second set of prototypes that are more custom made for you. It sounds like you had just dentures that were grind it and converted into teeth.

      The good thing is that things get better. I hope you with a very skilled and experienced implant dentist or team. Please reply back that you got this and let me know how you are doing.

      Reply
  7. Hi Dr. Amin,
    I have a seemingly fairly unique case of root resorption across my bottom front six teeth. I have seen two endodontists and both stated that the best route forward is extraction of all teeth and a combo of implants and a bridge. The resorption seems to be in response to orthodontics. My braces come off this week.

    I also had a 30 minute consult with a local dentist who also has his prosthodontist certificate from NYU, but I don’t believe he is board certified. During the consult, he mentioned that the least expensive option would involve me wearing a clear retainer tray instead of getting temporary restorations. After reviewing your (very helpful!) website, I have some red flags. To be clear, the doctor did not say I *should* go that route, but if that route could lead to lots of issues down the line, I am hesitant to trust him moving forward when I am supposed to come in for all of the scans, lab work, etc.

    I live in a fairly rural area of Idaho, so I think we are fortunate to have someone with prosthodontist training. My other more urban options would be two hours away or 5-6 hours away (Seattle or Boise). Finally, the oral surgeons who would place the implants are board certified in oral surgery, but not in implant work. My dentist told me he thinks they are of the same caliber that I would find in Seattle. I am not sure what types of questions I should be asking to confirm their credentials.

    What advice can you offer regarding my options moving forward? Do you see red flags, too, or do I need to wait until after the costly imaging/lab work and hear what the doctor recommends? If I am unsure of his recommendations, will I be able to acquire the scans and molds they take to show/share with future doctor consultations?

    Basically I am feeling pretty overwhelmed by the thought of not having this process go well.

    Reply
    • I’m sorry you’re going through all of this. Tell me more about yourself. How old are you? Do you have all of your other lower back teeth and you’re only going to lose 22 to 27?

      You need to be treated by somebody that you really trust and you can have a good relationship with.

      If you want you can upload some pictures of your teeth to a public Google Drive link.

      I think you should travel as far as it takes to get a good result.

      Reply
  8. I had a front tooth implant done in April and I felt it wasn’t smooth with the other teeth. I told the dentist and and worked at it a little and told me that’s the way it is because if I shave it, it will be weak. I’m not sure if this normal or not.

    Reply
  9. Your site is great, so informative! I had an entire upper arch provisional bridge placed the same day as all upper teeth except the four “anchors” for cementing the provisional bridge (those four teeth will later be removed when the provisional goes) were extracted. Bone grafts were also placed in the extraction sites. My question: When the provisional was placed it was nice and snug against the gum line; looked great. Now, 16 days after the procedure, gaps are opening up between some of the teeth and the gum and some of the back teeth seem to be canting a bit. Is this normal due to gum shrinkage and the prosthodontist will adjust them? I am scheduled to see him 5 weeks post extractions. THANK YOU! I am so worried about this whole experience, and I have 7 months to go…

    Reply
  10. I got my temporary Full top Implant Teeth put in last Thursday, problem is he lost one of the screws while putting it in. It’s been 8 days since. I’m concerned that this is putting extra pressure on the other implants while waiting on the screw to come in. Also there is a gap and I’m getting a lot of food in there. I’m thinking it shouldn’t have been put in until the screw came. What are your thoughts?

    Reply
  11. I just want to say thank you for ALL of your Q&A. I wish I had discovered your site before I had my ALLON4 procedure done. Please keep informing people! God bless you.

    Reply
  12. I’m wanting to go in for my permanent full mouth denture implants having more information about why the temporaries don’t have molars and will the permanents make a difference in my mouth closure and aesthetics . I’d sure appreciate your input on this. Thank you

    Reply
    • In most situations I add the molars right away but there are times where it’s best to let the implants heal and add the molars later.

      This is only done if the patient has soft bone and the implants have a bit of an extended cantilever.

      The permanent should be a big upgrade but the temporaries should be worked out to look like the final so there is no surprise when you get to the end result.

      Reply
  13. i am 2 months in with a full mouth all in 4 dental implants. Currently the temp. stage. I have several adj. I want made with my temps. would rather not go any longer looking the way they do. My concerns i would like them centered with my lips, my temps are slanting to one side and my bottom jaw at rest is out of line.. Would love to hear from you. thank you

    Reply
  14. i am having the all in 4s done and i am in the temp. stage. i am wondering if my dentist can adjust my temps or do i have to wait until my final teeth are being made. my jaw is looks out of line an my teeth are slanting to one side, also my temps aren’t lined up with my lips so they don’t look centered. would love to hear your thoughts on this. thank you

    Reply
    • they should pretty darn natural if done right. Other wise if they feel out of whack they need to make all adjustments while in the temporary arch stage. So when the make the high dollar zirconia’s they already worked out the kinks. Anything short of what I just said your dentist is dropping the ball on you. I wish you the best.

      Reply
  15. Thanks for another informative blog. The place else could I get that kind of information written in such a perfect means?

    Reply
  16. I’m 56 and I have failing implants done back in 2002. 4 upper front & 2 lower front. My lowers are basically coming out (they’re held only by soft tissue) my uppers have significant bone loss according to x-rays. My option seems to be all on 4 at the very least. I am not financially ready to do the implants and my option is full extraction and standard upper & lower dentures for now. Would it be best to leave the upper implants in place to slow down and preserve bone loss? I’m hoping to save them in the future via bone grafting if possible and adding more implants as well.

    Reply
    • I am sorry that you are having problems.

      About 35% of what I do as a dental implant specialist is correcting dental implant failures. It would be worth reading this post about why do dental implants fail.

      I do not think it would be best to keep the implants and the bone if they are already losing bone. Only implants that have pristine bone would help maintain bone. Once all the teeth are gone the implants will likely lose bone especially if the denture is put over the top.

      Trying to graft bone onto the old implants usually has a poor prognosis in many situations especially if they are failing that badly.

      I hope this helps make a decision. Please let me know you received to this reply

      Reply
  17. Hi Dr. Amin,
    Can you please tell me if its normal to feel tightness after eating with the second temp before finals. My Dentist doesn’t seem to know this answer, says i have to toughen up my gums. They are not swollen, but after eating it becomes uncomfortable. Would so appreciate your input.

    Reply
      • It is Upper. Well at times it feels comfortable then I eat and it feels like, best term maybe gets swollen for about 20 minutes or so, then goes back to feeling normal. I did just have them placed last week. Also was told, before perms can be placed i have to be comfortable with these, but not sure what they mean by comfortable. Is this adjusting to my mouth? Its scary.

        Reply
  18. Just got temporary bridge. I told them in the beginning that i do not like stuff in my mouth. Had no ideas these would be so uncomfortable. They are so rigid hard plastic covering way below gum line and curled under on top of roof of mouth. Getting ulcers on bottom of mouth in palette from pressure. Back teeth feel like little chunks of wood. Wish i would have understood this. Doctor said she would work to modify. This is driving me crazy. Much worse than pulling the teeth and inserting the implants. If i could take these out myself i would. I really hope i made the right choice on implants. Temporary should be at gumline and if you break temporary it is on you! This is horrible.

    Reply
    • Oh gosh. It sounds like you are expecting one thing and ended up with another. I am sorry to hear that things are working well.

      How can I help?

      Reply
  19. Just got temporary bridge. I told them in the beginning that i do not like stuff in my mouth. Had no ideas these would be so uncomfortable. They are so rigid hard plastic covering way below gum line and curled under on top of roof of mouth. Getting ulcers on bottom of mouth in palette from pressure. Back teeth feel like little chunks of wood. Wish i would have understood this. Doctor said she would work to modify. This is driving me crazy. Much worse than pulling the teeth and inserting the implants. If i could take these out myself i would. I really hope i made the right choice on implants. Temporary should be at gumline and if you break temporary it is on you! This is horrible.

    Reply
    • Oh gosh. It sounds like you are expecting one thing and ended up with another. I am sorry to hear that things are working well.

      How can I help?

      Reply
    • sounds like your pallet is covered which has me wondering if you have an all on 4 fixed type of prosthetics or snap on. A fixed solution should not cover your pallet. How would that be cleanable, it wouldn’t. A fixed solution should only be hybrid whether temporary or permanent.

      Reply
  20. Hello Dr Amin,

    How large should the gap between the all on 4 all on 6 appliance and the gum line be? I have looked at many photos online there seems to be a wide difference between doctors.

    Reply
  21. I underwent full arch implant surgery with significant bone grafting. My treatment plan and quote called for either zirconium or porcelain-on-gold teeth, and I was charged a few thousand more than my dentist quoted for zirconium. I have discovered I never got the temporary fixed teeth that my treatment plan called for and the only fixed teeth I ever received were the ‘final’ ones, and I recently discovered that my teeth are acrylic…not zirconium. There was never any discussion of a change to acrylic. I’ve had 5 teeth break in the less than 2 years I’ve had them, and when I inquired about why acrylic was used, he has given several implausible answers. Does this meet with accepted practice guidelines?

    Reply
  22. Hello Dr. Amin!

    I wish I had found your site before surgery. I thought I did research, but obviously not enough 🙁
    I received immediate load all on 4 procedure 14 days ago.
    I feel the consultation was misleading, however, it may be my own ignorance that is the real problem.
    First, I did not know the standard was to get a converted acrylic denture as the temporary. The conversation and advertising consistently calls it “bridge”, therefore, I expected the prosthesis to follow along the bottom of the gum line, without this excess covering the gums in to the rim. I also did not expect to have any bulk of material on the roof of my mouth.. During the consultation, I was very clear about my desire for a dental restoration without a palate. This is when I was shown the “bridge” to assure me that the results would be optimal. Dr. Amin, do you think it is misleading to not educate the patient about the temporary piece being everything that the patient does not want? I now feel a distrust toward the dentist, however, I don’t know if it’s my own fault for assuming the temporary would be similar to the final? To me it seems like information is being withheld if the patient has no way of knowing that this is a question they need to ask.. I wondered if you usually explain this to your patients? I anticipate having a long road ahead with this Dentist, and I hate to have to go forward with this feeling of distrust.

    Also, I have screws on the roof of my mouth as well. If this is the location of the implants, then it looks like my final will have to extend back to the roof of my mouth as well, correct? If so, I am totally dissatisfied, because I absolutely did not want palate coverage, which was one of my deciding factors to have this surgery.

    When I look at photos of your work, it appears that the bridges connect at the bottom of the gums..without wrapping around and to the top of the gums in front and back, and without the bulk on the roof of the mouth (palate).

    I truly appreciate any incite you can give me. I am very confused and worried about my future experience.

    Reply
    • wow…so sorry you are going through this. You really just need to talk to your DDS to know what to expect. Hopefully they can make them smaller and better fitted at the gum level. I always spend two full visits before the surgery discussing what to expect. Was there only one pre-op visit? Did they show you a sample?

      Reply
    • Hi Renee,
      OMG! I just had my surgery a week ago and I have your exact situation!
      I am trying to find answers why I ended up with a prosthesis with a back palate.

      Did you get your answers? Did they explain why you have this instead of the gum line model?

      Did they say if it can be changed to what you were expecting?

      I would really appreciate you sharing the answers as I am desperately wanting to have answers for my situation.
      You can email me directly if you want.

      Sincerely,
      JF

      Reply
    • If your temporary is screwed in to the implants there should be nothing touching your palate. If they are removable dentures then yes you will have material covering your palate. I just went through the 1.5 year adventure with my all on 6.

      Reply
  23. Hi, I had all on 4 done on upper, Things seem to be going well in healing process the temps feel plastic and bulky and there is no feed back with bite of soft foods …I don’t like the no feed back, Question: Will the permanents feel better with a bite with some feed back and more gum to meet implant for more natural in mouth feeling ? Will I enjoy eating ?

    Reply
    • Proprioception is a constant feedback loop within your nervous system, telling your brain what position you are in and what forces are acting upon your body at any given point in time. The way that we can tell that an arm is raised above our head, even when our eyes are closed, is an example of proprioception.

      With all the teeth gone there is much less feedback. Give it time to adapt. Good luck 🤗

      Reply
  24. I just had All on 6 done on uppers and lowers 3 days ago. The upper temp feels pretty bulky and uncomfortable. but I think that’s just part of the deal. My question is will my permanent zarconias feel more natural and comfortable ? My temps look awesome by the way. Just not comfy.

    Reply
  25. I had the all on four procedure done a month ago. I now have my “healing” acrylic teeth in. They are so bulky and uncomfortable and I speak with a lisp. There is a rather large portion of it on the roof of my mouth. I’m set to get zirconium after the healing process is done and my question is this: Will my permanent zirconium teeth be smaller and less obtrusive? I’m extremely miserable.

    Reply
    • You actually landed on the right article within the blog! Hopefully the final restoration can be thinned out. Keep in mind that every material has a manufactures minimum thickness guidelines. If you get to thin you’ll have a catastrophic fracture of the bridge necessitating a complete redo or revision.

      The lab design and contour of the bridge is ultimately important for long-term health and success.

      Reply
      • My daughter, age 24, just had 15 implants done 12 days ago. They extracted her teeth and her 3 remaining wisdom teeth and put the implants and temporary teeth all in the same day. Her bone was all good and she didn’t have any infection. 6 months or so and they will put her permanents in. My question is whether it is normal for her to still have excruciating pain in her lower left jaw and what could be the cause of this. She wakes up crying in pain. Her surgeon didn’t seem concerned but I am a little worried. I haven’t seen any implant stories that mention this.

        Reply
        • I don’t see that commonly with my patients but it is possible that maybe she has a dry socket considering she had wisdom teeth extracted. If she has pain in her ear and very likely she has a dry socket that needs to be treated.

          That is certainly a lot of teeth to be removed at once and implants placed. I have removed 31 teeth And placed Implants simultaneously. The last 32nd tooth I decided to leave behind it since it was a wisdom tooth that may have caused problems. I extracted it later on when it would not cause as much pain

          Reply
      • I am having the exact same issue. The top bridge feels big and bulky and uncomfortable and I have the lisp thing going on as well. I hate that more then anything

        Reply
  26. Hi
    I have full top and bottom implants which were placed in 2013 badly and I now have implants placed in my sinuses. I had a hip to mouth bone graft in 2012 and further bone grafted when the implants were placed, I had no sinus lift. I have seen a specialist through my solicitor as I have a negligence claim in hand. I have suffered chronic sinus problems since the first bone graft and even had narcotic bone removed from one sinus. The specialist I saw has recommended I have all the top implants removed and zygomatic implants placed as I already have bone loss and 6-7mm pockets around some of the top implants. Is it hard to remove implants this long after they were placed?

    Reply
    • Oh gosh… sorry for your issues. The implants on the upper are easier to remove than the ones on the bottom. Often they can just be reversed out and not have to be cut out.

      Hopefully everything works out for you 🙏

      Reply
  27. Hope I am not being whiny. Two weeks ago I had all top teeth pulled and then the next day received the temporary. The surgeon and dentist I’m using are very reputable. When I went the next day to get the temporaries they looked kind of ridiculous when he put them in, and felt really weird. The bite is terrible. I told him all this, but he screwed them in, I left the office crying. – I’m 62 btw. When I said I wanted them out ( after my family confirmed for me that I was not being overly sensitive, that they really do completely change my looks) they said I cannot change them for 3 months or it will compromise the implants. I had received a call from the dentist office about a month before the surgery saying my dentures were ready. ??? anyway, they told me it was normal to have dentures made and then send them to the lab when the teeth were pulled to be converted to the temporaries, is this true? . I have cried every day for 2 weeks now….

    Reply
    • The technique you had done is common and reputable. A denture was converted into a fixed bridge to be used as a temporary. The main thing is that the measurements taken at the impression appointments before the teeth were removed have to be accurate. Besides accurate measurements there is very much arch to setting up teeth to be aesthetically appealing. Lip support and facial aesthetics have to be taken into account along with your bite. Hang in there. I hope they can correct all this for you before going to the final

      Reply
    • Hello Sherry,
      I hpoe thar rhe outcome was good for you. I am now in the same position you were back in 2019. It has been a week and I can’t stop crying. They feel and look horrible. I have an appointment with my dentist this Friday and hoping he can still do something about it. God bless you and I really do hope that you are happy with the final results. Let me know if you can. Thank you!

      Reply
  28. Sir,
    I have had all of my top teeth extracted over the last 10 years. With the last 4 extracted a few weeks ago. I was told I had gum disease and severe bone loss. I have immediate dentures right now but I was wondering if I am a candidate for implants? I have been told before that I wasn’t because of the bone loss but I have seen some of your work and I think you might be able to help me. Thank you for your time.

    Reply
    • I have never had a patient that wear his dentures that I was not able to treat with implants in almost 2 decades. Obviously I provide some unique and advanced procedures to make this happen in a safe and predictable manner. Some upper cases require zygomatic implants if the bone is very thin and Hollow.

      Reply
    • wow..I wish my dentist knew all this. My teeth did not turn out well. I should have went to the guy that cost $8000 more.. he said he would do all these steps.

      I thought I was saving money

      Reply
  29. I have all on 4 upper and lower implants. I have the provisional full arch bridge on the upper and lower. My question is why does the upper feel like it is flexing? The bottom feels rock solid.

    Reply
  30. I just had full extractions done and 8 implants on bottom and 6 on top. Had sinus lift and bone grafting. Woke up after procedure with temp dentures that don’t come out. They are on top of my gums and feel bulky and I don’t like the way they make me look. I still have slight swelling as it has just been 1 week today after surgery. My dentist said that next week I will get another set of temps. Will these be the same type ( on top of find,no molars) or more like a bridge on gums?. Have appt tomorrow but can’t find any answers about what my next temps will be? Hoping that they are not as big and uncomfortable as these. Any advice or help would be appreciated. Thank you.

    Reply
    • Yikes. Sounds like you and your dentist need to talk about the plan and expectations. You need to be very clear what you’re having. I was suggest you ask about materials and longevity.

      You are on the right blog post about why I make temporary full arch implants before going to the final.

      Reply
  31. Hi Dr Amin

    I wish i could see you and ask for your opinion but i am all the way in Australia.

    I had done bone graft and few implants in my upper jaw: front left central incisor, my right side:canine, first premolar, second premolar; on my left: first premolar, second premolar and first molar. Its been a long ride for me and implants are healed and im due for crowns now. Im still deciding weather to do temporary crowns for all of the teeth and bridge on my left. My dentist said it wont make much difference with shaping of the gums as i was hoping for. He recommends doing temporary crown on front tooth only. Do u think i should still go for temporary crowns on all of the implants and how long for?
    Also dentist said its a challenge to make the colour look exactly the same to blend in with the rest of my teeth? Initially i was thinking doing thin veeners on my teeth to match better with crowns in terms of colour. Do u think this is a good idea?

    Many thanks

    Ana

    Reply
  32. Dr. Ramsey,
    This is my frist time I came across this page, I want to ask you one question. I am a 40 year old female living Washington DC. I had periodontal disease and I lost four front tooth. I had bone graft and implant done. After four months, I did a tissue check and everything is ok. The perodintist refere me to general dentist for crown. The general dentist took impression, x-ray and pictures for the lab. His plan is to make one single crown and three tooth on bridge. The lab have tried several times but couldn’t able to get the angulation correct. The dentist said it is because of the implant is too deep. The final decision is to make angular abutment and to make the angulation close to normal, he said we add fake gum on the top of the crown. He said since your smile line is small, no body see the fake gum.
    My question to you have you ever done this type of crown? Food is not trapped under the fake gum they are planning to add on the crown? To make cleaning the crown difficult?

    I appreciate your help! Just want to know before my appointment day. I spent a lot of money for the whole procedure.

    Thank you

    Reply
    • A deeper implant is usually better than one that is too shallow. But in the front of the mouth this can make the crowns look too long. Unfortunately this should have been preplanned before ever placing the implants. This is known before the implants are placed so that it can be planned for not thought about as it happens.

      If lip line is low probably go with elongated only white teeth.

      The examples on this page are more extreme than what you probably need but pink can be added even in small sections but better without.

      Here is example of pink for the front teeth.

      https://www.facebook.com/89997638404/posts/10156134343933405/

      Reply
  33. Hi my name is Yaneek I just ran across your page and I like how you explain different ways of implants I would just like to know where are you located and do you do snap on dentures

    Reply
  34. 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 !!!

    Reply
    • 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.

      Reply
      • Dr. Ramsey, I am in the same shoes as Roy…. I had my all on four procedure done in may 2017, 7 implants were placed by the oral surgeon during the surgery, however, I had an impacted eye tooth and the last implant was placed later in October. It is July 2018. I am still in temporary denture that is killing me. The first denture did not fit, the teeth were too small and upper denture was too inside and short. I totally lost the upper lip, it got inside. The lower was so wide that any liquid I took in a mouth was pouring out. After I’ve begged for couple months, they finally redid the lower denture. I could keep the fluids in a mouth but the teeth looked fleered outside, like in a goat jaw. They also redid the upper (even they were not happy that I am insisting on it, but the upper was to much forward and to the left. All this time since the surgery I keep biting my cheeks , my jaw started hurting and I started having headaches. The dentist and the lab tech that the oral surgeon “hooked me with”(as he said) were saying “it is just temporary, finals would be different. After an appointment in May I realized
        that I should seek for help. I got a second opinion with a prosthodontist who pointed out quite a few things that should have been done to improve my condition. Now I am about to go to court, because the lab tech is not giving money back for poor work (the dentist did reimburse her fee). I am going through very hard time. I wish I knew from the beginning that I need to go to prosthodontist. But, I trusted the oral surgeon who was the one to organize the treatment and is now telling me that he did a “Stella job”. However I feel far from “Stella). I appreciate your advices. I read your posts and you are very sincere and nice. I wish I had a doctor like you though.

        Reply
  35. 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?

    Reply
    • 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.

      Reply
    • I just had All on 6 done on uppers and lowers 3 days ago. The upper temp feels pretty bulky and uncomfortable. but I think that’s just part of the deal. My question is will my permanent zarconias feel more natural and comfortable ? My temps look awesome by the way. Just not comfy.

      Reply
  36. 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 .

    Reply
    • 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!

      Reply
      • I’ve Already had the laser gum surgery. It just makes It worst that it’s now the two front teeth . I would like to come to you for your consultation and opinion before I go forward.

        Reply
  37. 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.

    Reply
    • 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.

      Reply
      • Thank you so much for responding to my concerns. I believe the reason that implants were not inserted on the same day that my last few teeth were extract by my new dentist is because she had some concerns with the amount bone loss that was present in my upper jaw bone from teeth that had been extracted by my original dentist in the past years. Whenever, my original dentist would extract one of my failing teeth, he never gave thought to the idea that I might want to pursue a full upper arch dental implant procedure some time in the future and thus he never offered to place bone graft material in the spaces where he had extracted teeth. When I met with my new dentist, (two months ago) I only had one back tooth left in my mouth, the only upper teeth remaining in my mouth were near and in the very front of my mouth, but there were spaces on the side front areas of my upper teeth as well (I had no chewing teeth left). I have to tell you that my mouth and teeth were a mess. Lol. But as you were able to discern, my main concern is that I would like to have someone with credible experience in performing full upper arch dental implants and comments by my new dentist suggest that maybe my concerns are valid. I live about 35 miles east of San Francisco, in the S.F. East Bay Area. Do have anyone you could recommend in the event I am not comfortable going on to the next stage of this procedure with my current dentist?

        Reply
      • After my last comment above, my dentist at the time began to make numerous statements that did not coincide with the information I have been reading on your website as well as other websites that have current information about Dental implant restoration procedures. Throughout the months following my March comment above, the dentist, who advertised herself as an dentist experienced in advanced dental technology, continued to make disturbing statements about my up and coming treatment plan (which I never received anything in writing from her) and the things she was saying were not the things I expected to her her say. By the time, July rolled around there were so many red flags that had been raised, I knew that I needed to pay attention to my gut feelings and my gut was telling me not to go forward with this dentist.

        I finally ended up speaking to a Dental Implantology Specialist from Houston, Texas, and he informed me that performing a “Full Upper Arch Dental Restoration’ was probably the most difficult procedure to perform in the field of dentistry. He advised me to contact two organizations in our country that were actually formed in order to provide dental patients with some sort of assurance that the dental professional they had chosen to perform difficult dental procedures such as the one I was needing,knew what they were doing. These organizations conduct a series of peer reviews, test both the knowledge and practical experience, and they constantly carry out reviews and updates of the educational background of dental professionals who wish to be certified to perform these kinds of procedures, resulting the dental professional achieving accreditation from these organization, and being given titles such a Diplomats, or Fellows.

        I immediately contacted both organizations and searched their database to see if the dentist I had been going to was certified or accredited by either of these two organizations and, low and behold, she was not!!!! I knew right then what I had to do. I looked through their database and I located a Board Certified Diplomat of Dental Implantology and Oral Surgery. He was a highly respected Dental Implantologist whose practice was located about 30 minutes away from my city. I scheduled a consultation with him and I found out that many of the things that I had been told by this other dentist were, in fact, considered to be out-of-date procedures. I also found out that the $1,600 in bone grafting material that this other dentist placed in my mouth immediately following the extraction of my remaining upper teeth last January was improperly performed and could not be used and would likely have to be removed.

        I think is it very important to tell patients that most likely a general dentist should not be the one performing any procedure involving multiple implants, i.e. a full arch restoration. Patients looking for this type of procedure need to seek the services of an dental professional that has received accreditation from both of the organizations I mentioned above if they want to increase the odds of a successful outcome for this complicated procedure.

        I don’t understand why those in charge of regulating the Dental Industry do not require dental professionals to be certified by at least one of these two organizations before they are allowed to perform these types of complex procedures on patients. I compare my experience to this scenario; what if I needed some sort of delicate heart surgery and my regular family doctor (general practitioner) decides, that because he attended a weekend class on “How to Perform Basic Heart Surgery”, that he was now educated enough and had obtained an appropriate amount of experience during his weekend course on heart surgery, that it was okay for him/her to go ahead and perform the delicate heart surgery that I needed. Would you allow your regular family doctor to perform heart surgery on you or a member of your family after a weekend course they went to on Basic Heart Surgery? I don’t think so.

        So, I would like to encourage everyone out there who is thinking about getting multiple dental implants for the purpose of a full arch dental reconstruction including a full arch fixed or removable dental prosthesis, please look for a qualified dental professional, i.e. someone who has received a title of Diplomat or Fellow from one of these two organizations, the American Board of Oral Implantology / Implant Dentistry or the American Board of Dental Specialties. There are only about 1500 certified Implantology Diplomats in the USA, so please make sure to ask your dentist if they have received this title. I hate to hear that so many patients have been misled about the actual abilities of the dentists that performed their implant surgeries. The Dental Industry needs to investigate this aspect of their professionals and they need to implement stricter regulations on who can perform these complex dental restoration procedures and who cannot.

        PS – I just had my big implant surgery performed two weeks ago by my new Dental Implant Specialist, who is certified by both organizations above and is a highly respected Diplomat of the American Board of Oral Implantology / Implant Dentistry, with close to 30 years experience in Dental Implantology. I already had an implant in my upper jaw that was placed back in 2011, and I just had 5 more implants placed along with some bone grafting material that was placed in strategic areas of my jaw. Total cost was $34,500 which includes CT Scan, implant surgery, anesthesiology services, and a full upper arch Zirconia Porcelain bridge or a Prettau Porcelain Implant Bridge (I live in the SF Bay Area of California so costs are probably higher here). I am looking forward to receiving my Full Upper Arch Bridge very soon!

        Reply
        • Julie…thank you for your post. These are words of wisdom right here! I am glad to hear that you are in much better hands! There are approximately 500 diplomates of the American board of oral Implantology. I am one of them.

          Who are you seeing now? I will not post that publicly.

          another interesting note: DID YOU KNOW?
          There are huge variations in experience and skill level even between other board certified providers.
          training, experience and judgment are crucially important qualifications that lead to excellent long-term results and realistic expectations.

          Reply
          • My daughter, age 24, just had 15 implants done 12 days ago. They extracted her teeth and her 3 remaining wisdom teeth and put the implants and temporary teeth all in the same day. Her bone was all good and she didn’t have any infection. 6 months or so and they will put her permanents in. My question is whether it is normal for her to still have excruciating pain in her lower left jaw and what could be the cause of this. She wakes up crying in pain. Her surgeon didn’t seem concerned but I am a little worried. I haven’t seen any implant stories that mention this. NJ

          • How is she now? Usually this is not a painful procedure especially if you had sedation to sleep with an IV steriod.

          • Sadly, I am a victim of an inexperienced dentist. I went in for an all on 4 procedure recently. The dentist had the lab tech in his office the entire time. He asked the lab guy at least 50 questions during the procedure. He totally relied on the lab tech. I dont believe he could have completed the process without him which made me extremely uncomfortable. Also, I sat in the dental chair for EIGHT HOURS with only 2 bathroom breaks. I got 22 stitches and he used 20 vials of novacaine yet I felt and heard every single stitch. I was in excruciating pain. The dentist also performed a bone graft, (from a cadaver) as well, (something that was never discussed beforehand). Now, after all that suffering, I am forced to continue seeing this dentist because he has already been paid for all on 4 services. It seems to me that there ABSOLUTELY SHOULD be protocols in place before somebody has the right to tear your gums apart without proper anesthesia. I was WRITHING IN PAIN for at least 8 hours! Should I, or do I have any rights re this situation? I hate the temporary acrylic denture also and I hate the way it fits so I guess its safe to assume Im gonna hate the permanent prosthesis as well. Is there any recourse when a patient undergoes such suffering and/or dislikes the outcome of all on 4?
            I paid $25,000 and will be in debt for a long time. When a person buys a car, there is usually a warranty. What if I end up hating the end result? Shouldnt the dentist be responsible for making sure the patient is totally pleased with the outcome?

          • Oh gosh. Hopefully there will be another set of temps that you can approve. 😔

            Yes every dental team has a vastly different skill and experience in this procedure.

            It may or may not be possible to be 100% pleased as implants are a replacement for teeth and not like our originals 💔

            I suggest you give it some time for things to heal in. Keep your cool. Express your feeling and desires to the dentist and work toward a great solution. I’m sure they want to see you happy as well.

  38. Hello Dr Ramsey, I found your website very useful while I was searching the Internet. I read through most of all the info. Thank you very much for it. I have periodontal disease. Two months ago teeth #3 was scheduled to be extracted due to ongoing infection, it ended up with both #3 and #4 were extracted, no bone grafting. Then I was scheduled for bone augmentation a few days ago (tin mesh, graft, PRF, Infuse). It ended up with #2 was extracted and surgery scheduled in 6 weeks. When I asked the periodontist for the next procedure, the reply is undetermined even though dentist had a note with bone augmentation. After #3 and #4 were extracted I saw 2nd periodontist and was told he can do implant for #4 and might be able to do sinus lift for #3 then possible implant but not guaranteed. I was told by 1st peridontist 6-8 weeks is the best time to do bone augmentation so I went ahead for the sugery. Now I am really very sad with losing three teeth. I will think this should have been planned out ahead instead of extracted two more than planned. I feel like the dentist tries to do experiment on me when I heard dentist saying will try infuse on me, also said there will be a lot complications. Does my dentist’s practice sound normal or should I find another one? Do you think it is possible to do bone grafting for three teeth with the tin mesh and Infuse? What is your opinion about Infuse? The fee is very high, but now my concern is if I should go ahead to do the surgery in 6 weeks and what option could I have? I know time is critical since the bone is reabsorbing and I don’t have any bone grafting performed. I feel there is barely no done left now. Sorry my reply is unrelated to the post. I really hope I can fly to your office for treatment. I need professional advise for my condition.Thanks for your time reading my message.

    Reply
  39. Not sure if this is the correct place for my query. My firstright molar fell out in August. It had first caused problems in 2012 by being infected. From the OPG two dentists said bone grafting wasnt possible and the tooth needed to be pulled out. I preferred to leave it and it then fell out last year. No pain etc This was followed by a crown (lower second molar)which fell out a few months later. I am in India and had a new crown fitted in December and at the time asked the dentist about the upper missing molar . He said as there was no bone, nothing could be done. I went back yesterday as the first lower right molar seemed much larger than the crown placed next to it. He said it was because of the upper tooth missing. He then said the lower will eventually fall out, or he could do a root canal and get it rid of it now. I then searched the different websites and found yours. I called another dentist who says they can graft bone and do an implant same day!?? Is that possible or will it just be useless .
    2. Also they use synthetic bone material, not cadaver or ones own. Any suggestions of what the best treatment would be very welcome, thank you. Rest of my teeth are fine.
    3. I will be travelling for a month on Saturday. If I wait another month till I am back will there be more issues? Just not keen on surgery and antibiotics prior to travel.
    Thank you very much indeed. Your website is a mine of information

    Reply
  40. 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!

    Reply
    • 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.

      Reply
      • 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.

        Reply
        • 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

          Reply
          • Hello Dr Amin, my earlier post didn’t show sorry I try to post again and really hope you can see this and give me some advice. I am far away from your state and wish I can fly to your office for treatment. First thank you very much for answering us the questions.

            This is my case, I am in my 40’s:
            1. Nine weeks ago teeth #3 scheduled to be extracted due to ongoing infection, it ended with both #3 and #4 extracted, no bone grafting.
            2. one weeks ago, bone augmentation (Tin-mesh, PRF, Infuse) scheduled, after the gum being opened periodontist decided to extract #2 instead of augmentation
            3. Now surgery is scheduled in 6 weeks. Surgery procedure seems to be undetermined even though periodontist left a note with bone augmentation.
            4. After #3 and #4 extraction I saw 2nd periodontist and was told the plan of implant for #4 and sinus lift for #3 then possible implant but not guaranteed.

            Dr. Amin can you let me know if my case sound normal? Should I find another dentist? What do you think with Tin-mesh and Infuse for 3 back upper teeth? The dentist mentioned about complications of the bone augmentation. The fee is very high, but now my concern is the outcome of the surgery. Should I be conservative about doing the surgery? I was told I have sever bone loss and I am very worry about the failure case. If I wait what option could I have in the future? Partial? I know time is critical and I don’t have any bone grafting performed so far. I feel my gum is very high up to the upper roof.

          • Hi…. I had a sinus lift (upper) and implants placed (lower) with bridge also placed on lower last week. About 4 days after bridge placement I can feel a sensation like saliva with bubbles at the right lower gumline (backside of bridge). I can also feel what I believe to be 2 of the a abutments on the same side. Is this normal

          • It depends on the design of the bridge. It also depends on the placement position of the implants. Probably just go in for a follow up with your dentist and have them examine the area. Dental implant teeth have slightly different contours than regular teeth because they are a prosthetic replacement for natural teeth.

            I hope that makes sense 😇

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