All on Four - Dr. Golpa - Las Vegas, NV

Desperation! In the past decade my dentists just...

Desperation! In the past decade my dentists just loved extracting my teeth leaving me with gaps. Their solution to everything messing up my bite creating more problems. On May 8, 2013 I went to my denist and two more teeth were extracted being informed that I was going to need partials and within a year- dentures. My daughters wedding is end of June and I was informed I wouldn't have my partials till end of July. I was told I didn't qualify for implants. That's when my very intense research began! Dr. Golpa's name kept surfacing and I finally braved myself to make the call.

Update - day four

It has been a rough four days. I'm grateful my teeth are out and I was able to get implants. I mouth is still tender and I have some throbbing under the new bridge. Eating has been a challenge as my teeth feel numb and I'm not biting well yet. What my husband and I have noticed since yesterday after my mouth has settled some is my whole face has changed and not for the better. I look 15 years older and my lips are non existent with the way they made my teeth. They made my new teeth smaller - too small for my face and my luscious lips are literally a straight line. You can not see my teeth when I talk and it looks like I'm toothless. My appointment is this
Tuesday and I am going to address these issues immediately as I feel uglier than with my messed up teeth. At the moment I don't even want to go back to work because I look so sullen and old. All my co-workers know I left Thursday to have my all in four done and are anxiously waiting to see the new me. How embarrassing tomorrow will be. I want my face and lips back. On the positive side - I like the color of the teeth but at the moment that's about all.

First day back at work and in the public eye.

It's conclusive... I look 25+ years OLDER! My boss said he didn't even recognize me. Most of my swelling is gone so it didn't play much of a part in this. It's the teeth! One co worker wanted to know when my new teeth were going to be put in my mouth. I told him they are in my mouth and them showed him. He thought I had no teeth at all. Then he said, " you look so OLD!" What an emotional day. Instead of showing off a beautiful smile and gorgeous new teeth I was embarrassed and mortified. Not the outcome any of us expect when we research and make the decision to "better" ourselves and our appearance via full mouth implants.

I wrote an email to Kealy @ Dr. Golpa's office last night explaining my dilema. Bless her heart she called the minute I got home from work today. I cried my eyes out and poured out all the emotions I held in all day. I have my appointment tomorrow and we'll go from there and see where it leads. Unfortunately, I'll be on a very low profile at work and interact with as few people as possible. I wish I was well off enough to stay home and not see anyone till this is taken care of. I'm more recluse than I was before. I have not left the house since my procedure except to go to the doctors office and today to go to work. Hopefully, this will be corrected quickly and I'll feel like my original decision was a good one.

Wax try-ins and another week of hiding!

I just got back from my appointment. Everyone was sympathetic -unfortunately, I wanted quicker results. I was in the office over 2.5 hours. More impressions taken. My bridges were removed to take impressions of them too. My husband joined in on the consultation armed with photos as recent as 5 years ago before my teeth fell apart to show what my face used to look like. Dr. Golpa was quite concerned and said this is a very rare occurance. Out of 1000's this has happened only once before where they didn't get it right. Ok - so that's an extremely small percentage - I get that but I am also impatient at the moment and was hoping for a speedier response. As it stands at the moment - the wax try-in will not be ready till Friday and if the wax is correct my teeth will not be ready till next Tuesday. If more adjustments need to be made it will take even longer. This is not a comfort with June 20th around the corner ( next Thursday ) . I want to have a " normal" face for my daughters wedding. What a nightmare!
Fingers crossed and sending good vibes your way that you are completely satisfied. Hope you soon have that beautiful smile!
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Hi Byu, Fabulous, fantastic, super HAPPY at last! My new teeth are in and look like my old teeth with a little bit of my old overbite that I wanted. They are bigger but still not as larger as my own teeth. I had huge horse teeth so these are toned down. I edited my "stars" on my review. Still not 100% due to what I went through but they all came through. The majority of the crew went to bat for me to get this done. I still have some issues with a few of them. Dr. Golpa and Brit his assistant have been stellar. I have my face and lips back!
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Update! Friday I went for the wax try in. 100% better. I feel calmer now even though I don't get them till next week. Like I said earlier I'm just so spent now it doesn't matter anymore. At least there is and end date to all this drama. Something I didn't have all last week. If the bridge comes out like the wax then all is good. I'll have my mouth and face back. Thank you for all your support.
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New teeth!

My new teeth are in. I am very happy to have my face and lips back. Salvinno did a great job remaking my teeth. He and Dr. Golpa really listened to what I wanted and nailed it. Brit and Amanda have been wonderful through my ordeal. All is better. No more hiding or being embarrassed. Just in time for the wedding! Happy smiles now!

Here they are.

I look like ME again.
Thank you. The cyst was tiny....I didn't even know what it was...just a bump. But I got a mosquito bite or ant bite or something beside it, and I scratched it and it got infected. I ignored it for a few days and it got worse, so I put some over the counter stuff on it, and that didn't help. I ended up going to the ER. Then my doctor saw it a few days later and got all excited over it. It isn't in a spot that I can easily see, but there was an area around it that felt hard. I am glad I didn't have to have "real" surgery, but when I went to see the surgeon, he seemed almost amused. It was sort of much to do about nothing. I mean, with the infection, it did need to be taken care of, but it wasn't big...maybe finger tip size. My knee is bad. I am still going for PT but that is a bore. It isn't doing anything for it, that I can tell. And now...I can't find my cell phone. I haven't used it since I called Brueggen's office on Thursday, I think. I was out in the pasture and I put it in the pocket of my shorts...and now I don't know where I put it. *sigh* That's the main focus for me today....find the cell phone.
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I've found the cell phone.....and now to find the truck keys. :(
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LOL! Byu you are so funny. You make me laugh. I hope you found your keys.
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6 Weeks post op

After a shaky start, communication lapses, a long unexpected surgery and the wrong size teeth in the beginning - all is well. I had my appointment yesterday (7/17/13) to see how my bone graft is doing as well as all my implants. X-rays showed that I'm healing great. The bone is integrating faster than expected and I'm doing a good job of keeping my bridges clean. The staff that dropped the ball earlier has stepped up and really taken care of business. Brit who has always been exceptional went a step beyond and actually drove to my home one evening to deliver my night guard so I didn't have to drive across town to pick it up the next day. So I am very happy on how this is progressing. This procedure is definitely worth it.
Lasvegaslocal, how did they address the issue of your lip and face. I just had the all on four and my lip is thinner as well, and I feel it has aged my face as well.
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Hi Rislaine. Who did your procedure? I still have my temps, waiting still to hear back about the titanium bar, but if my perms are as good as my temps, I will be pleased. I remember Dr. Brueggen commenting on them that they gave me a good lip line. I want to be sure that when they make the permanent ones, they don't screw that up. I think my all on four has taken at least 10 years off of my face. I have a before pic here somewhere....wasn't taken to be a "before" and it doesn't show my teeth, but it does show my face, and I will try to post it and a follow up of after the procedure.
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Rislaine - the teeth are larger and they buffed the teeth forward with a little overbite. When I get my perms I want it pushed out a little more. I have had an overbite all of my life - I didn't realize that it changes the face so much when they take it away. Teeth actually have a lot to do with our lips - hence our appearance. My overbite was big and to correct my bite they took it away and I literally lost my lips on the first set of teeth. I want my bigger teeth and overbite back so that my face looks 100% again. I look 10 years older now even with the 2nd set of teeth. Unlike BYU that looks 10 years younger. So if you have temps and they remake your teeth ask for a new wax try in with either a little overbite and /or a little larger teeth. Good luck to you. When did you have your procedure? Who was your dentist?
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3 months post op

After having these teeth in awhile I am noticing things I'd like changed when I get fitted for my permanent set. I know the gums have shrunk and that is going to be refit but the gums on the bridge are bugging me. They bulge or feel like they are bulged out like chipmunk cheeks on the upper and lowers. I would like to make several other tweaks and I am making a list. I have till December to make all my notes. I'm eating close to normal. I just miss my raw veggies. Still not allowed to crunch on hard veggies till I get my perms. Cleaning can be a challenge sometimes as there is a lot of room under the bridge now so tons of food collects under it. The water pik helps as well as mouthwash and brushing. I am counting the months and weeks to the day I get my perms.
Beautiful 2nd set!
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Thank you. I hope the perms will be even better.
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I am hoping mine will be too. Did anyone notice that the top under where your front 2 big teeth are....is thick underneath? Its been about 5 weeks... Will the perms be thinner up there?
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The perms - no rush.

I decided I wanted to make too many adjustments on the perms and I don't want the process hurried. So instead of going in and trying my original wax the way they are and just tweaking them. I want the teeth a little longer (bigger) and a wider bite. My tongue feels like its cramped and needs more room so the teeth need to be pushed out. So my appointment is the same but I will meet with the tech and Dr. G. about the changes - then try the wax as many times as I need to before the teeth are made. With all the holidays the office will be closed. When I told them I don't need to have my perms before the holidays and early January is fine - they were good with that. No rush. I want to get the perms right as these will be the last set.
At RightChoice Dental Implant Center you would have gotten your permanent bridge 10 days after surgery and would have known what it would look like before surgery.
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K5blazer - Typically, if all goes "normally" Dr. Golpa has your permanent teeth in the very next day after surgery. I had a bone graph which needs six months to bond to my bone - as is the case with most of us that had to wait for our perms. Or it may be the Dr.'s choice for whatever reasons. Different scenarios have different results.
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Hi everyone...I live in Ilinois, I set my appointment to fly in for Dec 9 about a month ago. To date I have paid 13K towards the procedure (Both top & bottom implants) I am also financing some of it through secondary sources. How far in advance did you guys hear instructions and such from Dr. Golpa's office? It seems to me, being about 10/11 days out I should have gotten final amount owed, instructions, confirmation of meds being called in, etc.
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The Perm Process Begins.

I already felt I made the best choice in choosing Dr. Golpa before my six month appointment. Now I know I really have. He's the BEST. I had no clue how the process would be for my perms - only the stories I have read here on this site. I left my appointment - ESTATIC! My new teeth are being made with PMMA. As explained to me - it is the top of the line - one tick below proceline itself. I was shown the "block" that the teeth will be formed from. I was also told - they do not stain and are stronger than the normally used acrylic. As if that wasn't enough good news - Dr. Golpa's new lab is open - it is across the parking lot from the office and is State of the Art.
I met with the tech and Dr. G. - Carlos took a picture of my teeth - printed it out on letter size paper so the tech and Dr. G. could draw and mark on it by the tooth with me navigating my thoughts. They copied my note list of the things I wrote down making the changes on the picture. Dr. G. was very attentive as was the tech. As we went over the changes Dr. G. would have me bite and check things as each change was made on the paper. Brit took X-rays to see my progress - they were great. Everything integrated beautifully. Then I chose the color. I went back and forth for an hour trying to decide. I went down two shades from my temps as these do not stain. They will still be a pretty white - just not blaring white. I go back Jan. 7th for the wax try in. I'm very excited and feel extremely confident in the changes. I prepared myself for the "we are almost done with you attitude" that I keep reading about with others. This was not the case. I felt like the most important patient - like I was the only patient around. I was fussed over and listened too and greeted like someone of extreme importance. I felt relaxed and comfortable and more importantly - I felt confident in the communication exchange between Dr. G. and the tech - Jose.
I will write a new update after my wax try ins and throughout this process.
Byugal how are you? Hope everything went well for you and you are also finish with your dental work.
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Happy New Year Everyone!! Hope everyone had a great hoilday. Waiting for a call from Dr. Wolfingers office (P I Dental) next week will be 5 weeks for me perms to be ready Can't wait just hope everything turns out fine... Impants heal great never had any problems with my temp while waiting-- thank god..
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Happy New Year to you. Did you have to go in multiple times for him to fabricate the perms?Tell us more about your new perm when you get them.
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Perms

I've had my perms for a few days. They are stronger and better than my temps and I can eat anything and everything without worry or pain. It's been years since I've been able to that. My husband says my teeth are close to what they looked like when he first met me. The process took longer than expect but it was necessary so that my bone and the bone graph could integrate with the implants. The X-rays showed they integrated very well. So all in all it was all worth it. My mouth is healthy and I have nice teeth again.
I fly to Vegas on Tuesday morning to do my perms. Found out today at the original appointment for the temps I had paid for the zirconia upgrade. Has anyone else upgraded? Do you like them? Was Dr. Golpa lab able to finish them in a. 3 day period? I'm so excited to be doing my perms, had the temps done last December!
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I'm glad you are doing well. I had mine done too. Surgery was January 31st... Today is Oct 3rd. I have my first 'cleaning' on Oct 30th, so am anxious to know how I'm doing with that. I use a water pic, a threader and of course a tooth brush. I have a sonicare, but I don't like it much, but have a long bristled toothbrush that I use to clean around the edges. It seems I spend a lot of time cleaning my teeth. But I look at it this way, if I had paid this much attention to my 'real teeth' I would not be doing this now! HA!.. I'm in Arkansas (just a bit north of Little Rock) I paid about $43k for my teeth. I do have a question... I was an onion/garlic and hot pepper lover. Do you find that 'stinky foods' and 'hot foods' are stinkier and hotter? I have to limit my jalapenos now.....
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Just water pik more often. I think you can have anything that you want. Any stinky comes from debris that's left under the bridge. I have had mine for over year now and they say I am spectacular keeping my bridges clean. Yay!!! Lol
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Time flies!

It has been over a year since my journey began. I have learned a lot along the way and still learning. There are certain things to keep in mind if you are contemplating this procedure. One - it's far better than dentures or having few to no teeth. It's a healthier option. No more cavities, toothaches, swollen gums or loose teeth. Would I do this again - definitely! Is it perfect - no. Most people feel this is the do all end all solution to a perfect mouth and smile. There is maintenance on a daily basis. Food does go under the bridges and needs to be cleaned out. Sometimes plugs fall out and need to be replaced. Sometimes you agrevate an implant with the water pik and causes discomfort. Little things we learn to live with. But all in all it was the best solution for my situation. I'm glad I discovered this procedure and Dr. Golpa.
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I didn't upgrade because they said I could do that at any time.... So I just took with what came . How much extra was the upgrade? Think they talked me out of it they said it was a lot...
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Las Vegas Cosmetic Dentist

My procedure was Thursday 6/6/13. I had 23 very compromised teeth with seriously infected gums that were extracted. I ended up with some complex issues and nine hours of surgery. They ended up needing to put cadaver bone in my upper arch and an extra implant. Not much pain a little swelling and a lot of throbbing after the procedure. I was semi conscious through out the procedure. I went back in yesterday 6/7/2013 and had my new teeth put in. Dr. Golpa is definitely second to none with this procedure. Under my circumstances he made adjustments without hesitation to give me the best possible outcome with a less than normal situation. Because of my complex surgery I will not be biting an apple for six months. My only complaint is communication breakdowns between the front office and everything else. There were many lapses that took place. Dr. Golpa himself is wonderful , passionate and proficient.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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