Mounir Iskandar, DDS, MSD

Radiance Dentistry for your 4 in 1 implants

In the first few minutes of entering Radiance Dentistry and meeting Dr Iskandar I knew I was going to do my 4-in 1 implants with them. 

An organization is as good as the people who work there. My business is investing in companies and I look first and foremost for good management, that leads and guides its associates towards excellence and loyalty. Of the 7 people I met they had been at Radiance dentistry for more than 10 years. How often have you found an organization with loyal and dedicated employees like this? Importantly they were friendly and professional and they were ready to serve my needs .

The idea of having all my teeth extracted was somewhat daunting and when I told friends and family of the need to have all my teeth extracted they were worried and concerned. 

My original teeth had been destroyed from 3 bouts of cancer. The dry mouth during each chemo regimen made my teeth weak and they needed almost weekly dental work. I had more than 17 root canals and with each one came expensive crowns. The weekly dental visits ,inconvenience and expense was prohibitive. I asked my dentist if he had a more proactive approach for my teeth.

He suggested I go and see a dental implant specialist. I went to one but I was not sold on their approach. They wanted me to work with 2 different specialists and locations.
The office dentist, staff and equipment were not comparable to Radiance dentistry.

I have a friend who has worked in the dental industry for more than 20 years and he knows all the implant specialists and dentists in the Dallas FortWorth area. He and his wife said “Ivan there is only one place for you to go and that is to Dr Iskandar. He said they have the latest technology and equipment and experience, and no one in their view could compare. ( my friends are not friends or relatives of Dr Iskandar, the wife is a patient and my friend has worked for a large dental distributor for more than 2 decades.

I had all my teeth extracted on Tuesday January 10th 2023. I experienced no pain under the anesthesia or afterwards. I have now had my permanent implants installed. Truthfully I experienced no pain whatsoever and the placement temporary implants and later to my permanents was smooth sailing. I have not had a moment of pain or regret in working with Radiance Dentistry.

When a person must have implants the 3 important decisions to take into account are;
1. Finding a good dental implant specialist. 
2. Being mentally prepared to go from your natural teeth to implants.
3. Being able to pay for this serious investment.Implants are not cheap. The challenge of paying is made easier with Radiance Dentistry financial co-ordinator, who patiently assisted me  in getting financing. 

In summary, I’m so pleased to have left my frequent dental visits behind me. I am more pleased with the comfort and look of my new teeth. 

Biting confidently into a hard apple and or pear is truly a wonderful experience. Crunch!! Crunch! Crunch

Choose Radiance Dentistry it’s the very best experience.

Ivan Sacks

All on 6 Dental Implants

I had visited 4 total places, 2 big name companies, my own dentist and then I went and met with Dr. Ishkandar. 

Dr. Ishkandar spent a long tome with me answering all my questions and explaning the whole process to me. I left his office feeling very confident in his practice and what I would be going through. His office staff his great, they are very caring and welcoming, I never felt like I was jut a number. I met with Frank his financial coordinator and he explained all the financial options very clearly and after I left his office I called Frank back with questions and he was always so kind and never made me feel like I was bothering him with stupid questions. 

The day of Surgery I came in and spoke with the Anesthesiologist and he explained everything that I was going to be given. I was then taken in to the surgery room and the procedure was started. The surgery was easy as I was asleep the whole time. 

The healing process has been slow but good. I had a concern 8 days after surgery and they brought me in and checked me and said all was going well and there was nothing to worry about. I was not made to feel like I was being a bother. 

I would recommend Radiance Dentistry and Dr. Ishkandar to anyone who is interested in having the all on 6 dental implants.

After a long search for a good dentist, I came across Dr. Mounir Iskandar. I was needing a reputable Dr to do my tooth implants. I went to see many other dentists and im lucky I did not go with anyone else. His entire team was welcoming and very knowledgeable. The facility was very state of the art and fully equipped. There were many specialists on the team to cover all the bases.
I was mainly afraid of the pain involved with a procedure as extensive as a full mouth tooth implant. I received full anesthesia so the operation was a breeze. I was also prescribed pain medicine that I actually did not use because there was so little follow up pain.
I went in for follow ups to get the impressions (even after my initial impressions) of my new implants and he covered so many points I did not even consider. He made sure my implants looked good, allowed me to speak clearly, and fit my mouth comfortably. I also received temporary implants so it was a very smooth transition.
I could go on for much longer on how much of a positive experience I had but I'll stop here.
My last thing is I will be receiving the Xircon Ultra arches. These are the most advanced in the implant world and im excited for them.In my opinion, from my very positive experience, this is the only place to go.

I finally decided I would document my journey.
I think I was as old as 15 when I decided that one day I would make it happen and will have all new perfect teeth. I had very bad teeth from early childhood ( to the extent I have no single picture of me older than 3 years old where I smile so that you could see my teeth).
Dentists are my best friends :)... I spent SO much time in their cabinets over all these years ... Well, it eventually took 30 years to finally make things happen.
I have surgery for both arches planned for this Friday- August 9. I have no fear, I am not nervous- I am looking forward to it!
I found Dr. Iskander via this site and did some additional google research. Reviews definitely help - I am grateful for people taking time and go into many details - this really made my choice much easier. I live in Luxembourg ( yes, I did come all the way from Europe to Dallas for my procedure - it is not so common in Europe and I wanted to be treated by very professional doctor).
I contacted the clinic in April and was immediately put in contact with doctor - no weeks of waiting, no need to fight to get someone to talk to you ( so refreshing after Luxembourg:)...had very positive, efficient and honest discussion over the phone. To arrange all pre- operation formalities, administration etc I was in contact with Isabel , a treatment coordinator . Great communication... We agreed for August appointment ( this is my vacation... so I came over).
I arrived in Dallas on Saturday and today was the first consultation ... I did enjoy every moment of it! Had x-ray and casts made... had discussion with Dr. Iskander for surgery and Dr. Wu for the shape and form and position of the teeth. I was filmed and tens of pictures were taken... went with Frank through all administrative matters...
What I did appreciate ( and I always do) was that all the discussions were very open and no- nonsense. For example Dr.Wu insisted that I do not choose too white shade for temporary bridges...Not that I want them Hollywood white but probably I was not that reasonable and had to be corrected :) also there are some limitations to what can be done to my gummy smile - and I appreciated it was explained very clearly to me!
I have now purchased the painkillers and antibiotics Dr prescribed and arranged the temporary care for post-op on Friday ( company called Right at Home and I was referred to them by clinic).
So far I am truly enjoying my time here in Dallas ( well, until now in Irving) and will keep posting... maybe someone like me will need to make a choice and will get inspired by my experience.
I post today’s pictures of my teeth “as is” . Please note that mostly all teeth you see are crowns and nothing really left there to be saved ...

Updated on 9 Aug 2019:
Et voila! It is done! Was at clinic at 8:30 and procedures finished at 15:00... now waiting additional hour and a half for temporary bridges to be fine tuned by lab.

All went super well! I was totally taken care of... and everyone was super kind and nice and attentive to my smallest wishes.. not that I am difficult ( at least I think so :)... I got 6 implants up and 7! down...

anesthesia is done in a way that you are in twilight zone... no pain, no real sharp consciousness, but you are not totally out ... I remember I was watching them during surgery... and heard my teeth cracking ... lol... but it is rather like you are in 4d movie ... no pain... just curiosity ...

Dr Iskander is great, he is performing a surgery and leading a team. Very attentive !Majority of my conscious time I spent with Dr. Vu though who is a prosthodontist and he is just fantastic. I feel totally in good hands with both of them.

Will post picture with teeth when I get them and go back home ...

Updated on 10 Aug 2019:
I promised to put picture yesterday, I know... but it was really not possible - I was still totally frozen and did not control my muscles , so I even could not smile ... today I have it all - pain, some bruises and I am swollen... have though almost all muscles back under control... not completely though... and when smile look like a victim of a blotched lip augmentation procedure lol

I take all my prescribed pills, have ice pack and only liquid food - cold protein shakes ...

No I can smile for the picture, still looks unnatural. Teeth are temps... not fan of shape or color..because of material they look like dentures of old people in my opinion. By the way color is B1 - the whitest among natural shades and I do not find it that white at all ....

Anyway... I have to get my face back to normal and implants have to heal... I had probably about 25 extractions ... so it was a huge surgery... no wonder I still do not control my face...

Staying at home watching tv... tomorrow is another day

Updated on 10 Aug 2019:
Forgot to mention - Dr Iskander texted me in the morning to check on me. Was very kind of him. Really appreciate.

Apparently I need to type minimum of 200 words ... so my follow up appointment is on Monday ... will keep you posted

Updated on 15 Aug 2019:
So, i had my follow up visit on Monday and told Dr Iskander and Dr Vu that I am not particularly happy with shape and color of temps, but I could live with them until permanent ones. And to my great surprise Dr Iskander said «  why to live with something you do not like when we can change them! » I could never imagined such generosity... so i did not say no and asked for more square shape and lighter color ... Dr Vu said that my first shape was the most feminine :) And I am definitely not the wall flower lol
Anyway, fast forward to today I got new temps! They are wonderful!

This evening I am flying back home from Dallas ... I have with me the first set of bridges with additional screws and even screwdriver - just in case ... as I would not be able to do Lux- Dallas in case of any repair... So thoughtful of the doctors!

I never could imagine how warm, caring and welcoming this experience would be .., not only doctors but everyone who works at radiance -they were so kind to me! Exceptional ...

I will be back in January ...




Updated on 17 Jan 2020:
Ok, so it is time for the final update. I went to Dallas for the first two weeks in January – and just came back home… The result, final arches – is fantastic…I will post pictures – they say more than thousand words – beautiful, natural looking white teeth! I also got my gummy smile and overbite fixed at the same time – please compare with before pictures to see the difference.
As back in August – I had the warmest welcome possible. Everyone was very kind and patient with me. And I must say - I was picky - for shape and form and fit and colour – I had several versions of try ins and asked for number of adjustments. As I only came to visit for two weeks – everything had to be done in this time frame. And I wanted it ti be perfect… I eventually spent quite some time in the clinic – but this is what I came for and I am SO grateful for being listened to and all my wishes being accommodated .
Again, everyone at Radiance is so, so caring and kind – Isabelle at reception and Lise - the assistant of Dr. Iskander, Nick – head of Xyrcon lab and Dr Iskander himself ( I might have not mentioned everyone I dealt with – and my apologoes for that – everyone at the clinic is exceptionally attentive).
I got the whole kit to take away with me – all the versions of try ins and “official” back up version, set of screws and a screwdriver and other thing – in case I would need some emergency interference here at home. And I got instructions – in remotely possible case something would happen with my current arches- to send them for repair back to Radiance. So I feel no worries about being so dar from the clinic – all the possible events are covered.
I am back at work today and my colleagues keep complementing my smile…”Woaw” being the most commonly used word :)
I did travel half of the word to get the smile I always dreamt of - and I woul do it again with Radiance in a heart bit.

My past experiences - I have finally found a dental implant specialist that I consider to be the very best in Dallas, the country, maybe even the world! I’d venture to say not only is he my dentist but he is a friend and even part of my family.  A little bit of back story: I’ve never liked going to the dentist. In fact, I would consider it torture. Honestly in my 65 years of life I have only had 2 dentists that I have liked. Both of them retired, one after years of practicing and the other to become a stay at home mom. The many other dentists that I have had over the years have been driven by the almighty dollar and I would even say downright evil in my book. In making my decision to find the best specialist in dental implants I did my research. I visited multiple practices and met multiple dental implant specialists, including the big names like gulpa and clearchoice. I liked that Dr. Iskandar educates other dentists at the Texas Institute of Texas Implantology. He has even created his own prosthetics: XircOn Ultra, they are practically weightless unlike the other types at other practices. Nothing in my research compared to the quality at Radiance.
Dr. Iskandar - However, Dr. Iskandar at Radiance Dental Implant Center is anything but evil or greedy he is the exact opposite: kind and compassionate, friendly, caring and eager to please. I have found the perfect dentist in Dr. Iskandar. From the very first visit I was not embarrassed nor did I ever feel belittled by my dental woes. In fact, Dr. Iskandar always has a big smile & a warm handshake & hug for me!  Dr. Iskandar maintains eye contact & listens attentively to what I have to say.  I love the fact he has a playful personality but he’s also SERIOUS about restoring your mouth to perfection.  He is an expert on All-on-4 restorations, single implants, multiple implants...and anything related! His demeanor immediately relaxed me & my trust level rose exponentially! Not to mention, my blood pressure came down considerably. 
Dr. Iskandar’s staff—from the moment you walk into Radiance I was greeted warmly & by name! Wait time is always zero-5 minutes. Lis, Dr. Iskandar’s assistant, was my safety blanket.  She assured me every visit she was there to care for me & she did just that! I was asked multiple times, are you comfortable, do you feel pain, etc.  she is the pulse of the group, along w/ Dr. Iskandar, of course.  Everyone on staff treated me with kindness & respect—once again family enters in here.
I had A LOT of work done in the span of 8 hours.  I can honestly say I had no pain!! Discomfort to a small degree afterwards but nothing OTC meds couldn’t maintain. Such a pleasant surprise.
This facility is the state-of the-art like no other dentist office I’ve been in!  There is TV streaming by Netflix, if you care to watch & there are vibrating chairs & warm blankets!! 
I was given explicit instructions & a handbook in advance so I knew what to expect after surgery.  Lis also reminded me they were a phone call away 24/7 if I had pain or any questions or concerns.
The recovery time was easy.  I was able to care for myself the day after surgery. (Because of the anesthesia they recommend someone stay overnight the day of surgery)
My mouth has been restored!  I have a healthy mouth & a movie style smile!  If anyone needs the extra push to get started & get a plan in action, I’m your girl!  Dr. Iskandar & the Radiance team (lab guys included) are the very best!

After being told I was not a candidate for dental implants by other dentists, Dr. Iskandar not only gave me hope, he gave me a new smile AND got me to stop smoking. It’s taken 2 years (I was that bad), but, he wouldn’t give up and I am so grateful to him.

A little late getting started with my review, but here I am...finally! Many thanks to the others that have shared their experiences here!!

My story.. kicked in the face by my horse when I was 16. Front teeth (top 4) pushed up under my nose and bottom teeth were pushed straight back, and a broken nose. Six hours of surgery, then braces for 3 years. Years later lost one, then another tooth due to weak roots. Skip ahead 7 years, finally time to do a bridge across the front using 2 good anchor teeth. I had 6 teeth involved in that process. I could not afford implants at the time. Skip ahead another 17 years, one anchor tooth was giving out. Then, a month ago, to my horror, my bridge had come loose, and broke one of the bottom veneers (I had to get veneers when those teeth died and turned brown.). My son was getting married and I had to just last long enough to get thru that. Thank goodness I had been following along here and studying other options.



I made an appointment with Dr. Iskandar and another Doc. After meeting with Dr. Iskandar, and meeting his wonderful staff, I cancelled my other appointment. I scheduled my surgery for 2 days later. I was sure I was in good hands. Again, many thanks to everyone that contributes to this site.



We had decided that doing the entire top arch was necessary. I also had a failing short bridge on the bottom molars, veneers and other crowns were overdue. Those two anchor teeth were bad as well.



The money thing... I have been saving for some time to do this,. The advantage is a 5% discount if you can pay cash. (If I had come up short with cash I would have used one of those credit card offers that send you a check to use “same as cash” with a 0% interest rate for up to 13 or 18 months. The advantage to that is 0% interest. Divide the cost into 12 or 17 months and paying it off monthly 100% before the offer expires.)



June 27th... The day of surgery. I picked up all my pills prior, and brought them with me to the surgery. I took three little pills and I was out like a light. I remember waking up and having hands and teeth in my mouth. No pain at all. The only problem I was had was my lips were swollen and chapped. I took 1/2 Hydrocone before I left for the 1 hour ride home. On the way home my cheeks started to swell as well. I was prepared for that, and I was prepared for bruising and I was prepared for pain. Essentially, all I had that day was swelling. I took all the medicine I needed for infection and inflammation, but that’s really all I needed.



June 28... Next day, same thing only swelling, no bruises no pain. Just chapped lips. Well, thinking back, I did have a bruise on my upper lip, right in the middle.



June 29th... The third day is supposed to be the day that if anything is going to show up it’s going to show up then. My swelling was already going down, no bruises no pain. I actually could tell the swelling was going down considerably. I had relatives that didn’t even notice.



During the next few days, I was eating soups and soft foods, cleaning my teeth after every meal plus anytime in between.



July 4th... I was feeling great all morning to mid afternoon. Then I noticed that my tongue was aggravated... say the very least. It felt like there was something razor sharp tearing it up on the side. At first, I actually thought that perhaps a bit of food had lodged in the bottom exposed posts. (Molar area) There aren’t temporarys on the posts yet. As the day progressed it got worse and worse. I looked in the mirror and saw white cells, which I thought might have been an infection of some kind. I hate taking pain pills, but I did take hydrocodone. It didn’t put a dent in the pain.



July 5th... I called the office and spoke to Laura and she told me to come in as soon as I could. The doctor was on a well-deserved vacation, (which I had known prior to my surgery.) When I got there I went straight back to the office and apparently a bone spur had come through my gum and was irritating my tongue.. big time! Laura was able to get most of it off . She called Dr. Iskandar while I was there and he prescribed a dental paste to put on my gum and my tongue. Earlier, I had actually thought about using orthodontial wax, but when I’ll mention that to Laura, she said that was not recommended. I’m glad I didn’t do that! When I got home, I put the paste on and felt much better.



July 6th... So here we are, another day later, feeling much better. I am keeping the dental paste on four times a day for now. Everything is still sensitive but at least I can eat and swallow. The paste is almost a clear paste that you dab on and when it sets, it’s smooth like a wax covering would be. It does wear off and you do have to reapply. I WaterPik on very very low speed which probably would help lift it off. I’ll go back when Dr Islandar is back from vacation to double check if I need to.



Notes:

* Here’s a good thing...I have lost 6 pounds in the past week that I’ve been keeping track!

* These temporary teeth are as real looking as you could possibly get. They are comfortable and I honestly can’t tell you right now what I would change.

* Not one person has noticed that my smile/teeth were different.

* No one but me notices any “off” pronounciations. (S’s). Except on the 4th when my tongue and gums were so sore, I was in mega pain.



* My next step will be getting the stitches removed.



I’ll get pics up soon!



Updated on 7 Jul 2018:
On July 4th I began to have this irritation in my mouth. (See above..) Well, the dental paste only helps for a very short time. I'm at the point now where it hurts to swallow, because my tongue is rubbing against something very sharp and jagged. I've lost 4 pounds in 4 days, and am feeling very weak, like my knees are going to buckle at any moment. I know it's from not being able to eat. I've been on protein shakes, a tablespoon of scrambled eggs, yogurt and anything soft. Water hurts - only because my tongue moves across that sharp "something". Doc is on vacation for at least another week. In hindsight, I wish I had waited to do this. Not everyone gets them I guess. This is at the bottom molar where 2 posts were implanted for future crowns. I'll call the Doc's office first thing Monday to see what my options are. It has got to be covered with something until he gets back. I didn't even have to take a hydrocodone at all until this happened. Which helps a little, but makes me itch. Fun. There's no way to predict that this will happen. This happened 7 days after my procedure. (The upside is the weight loss, the downside is feeling like crap.)

Updated on 15 Nov 2018:
LAST week I went in to see Dr. Iskandar to see how the implants were coming along. I wasn't really expecting to be healed in 4 months, but I was GOOD to go!!! He explained what the next steps were going to be and the time frame. We could now proceed with taking impressions, that day. After, Dr. Vu came in to chat about color, shape and any concerns about the look I was after. Again, such personal care. I never felt rushed or uncomfortable.
ONE week later (today), I went in to have final measurements taken for another temporary set (#2). After that, I was able to choose the color samples and shapes. Dr. Iskandar and his assistant helped me pick out the color. Then Dr. Vu came in to see if I had any last minute concerns, I didn't. He asked me if I had good close-up photos of my old smile. He gave me his email address to email him a few close up photos. I emailed him the ones I had on my phone. I am impressed they wanted to make me "whole" again. That's HUGE to me.
It takes about 30 minutes to make the temporary new set, so they gave me the remote control to watch Netflicks.. (LOVED that!)
After 30 minutes, I was able to try on the temporary that Dr. Iskandar felt I was asking for. Dr. Vu took photos and asked me to send any close-up pics from different angles for the finals. I left the office after saying goodbye to everyone. I can't say enough great things about the office staff.
So now I'm home.. now I have a chance to eat supper, talk to people, look in the mirror and literally find anything I want to change. What I thought I wanted 6 hours ago is different than what I'm thinking now!! I have one small request, one is to shorten the eye teeth a tad, and I'm good. I can't believe how spot-on this is! I'm attaching a pic. But just know the posts are in for the bottom molars, waiting on the top to be finished, for the bite..
I go back in two weeks...

Updated on 21 Dec 2018:
I went in for an appointment on Monday to try on the bottom molar implant/bridge. It seemed to fit fine, however my tongue wasn’t all that happy with it. (Tongue had free range in there for several months.) They then took more impressions to make the top arch. They were going to see if they could get the top built before the end of the week, since the office is going to be closed over the holiday. (Sweet..)
Thursday I went back for my 1st try on. I could tell before I even looked in the mirror, they were too short in the front (for me). They felt like mini chicklets.. My top lip came straight down, where it didn’t before. The color was ok, a little lighter than my current untouched bottom teeth. That will be just fine since I’m getting new veneers on the bottom.
I left them there at the lab to be worked on. Bigger, longer and more forward for sure.. It was kind of a rush job from Monday to Thursday, but they were trying to get them done so I could have them over the holidays, I think.
It’s funny, I didn’t know what shape, color or look to ask for at first. But, I can definately tell what I don’t want. I guess I’m pickier than I thought.. It makes the Doctors job harder when they don’t know.. That’s on me.
Going back in January. Thanks all.

After much agonizing research, I decided on Radiance (Dr Iskandar) for my full mouth restoration. I visited a few places and selected Dr Iskandar because of his sincere nature and the clear investment he has made in his business. He is in it for the long haul and will hopefully be around for many years after my process is completed. It is important to me that I can use this dentist for many years.
I also wanted a practice that could manage my husbands care as well. Radiance also offers general dentistry. The office is beautiful and brand new. The location is ideal for me as it is on a major highway that runs close to my house. It is actually in an area where many highways meet, near DFW. It’s adjacent to one of my favorite stores (Daiso) which is kinda nice.
I currently have 19 teeth. 6 are natural the rest are crowns. All my uppers are aging crowns.
One by one, my teeth are failing and will crack. The only option is to remove the tooth. This is how it’s been for a while. I have good bones, gums and my mouth is currently healthy. It’s really hard to see that I have no molars but my teeth are starting to shift and buck in the front.
I can pay thousands here and thousands there for a temporary solution, get individual implants as needed and deal with every tooth as the crown fails or I can do the most radical option, full arch restoration. Every option is expensive. Full arch restoration will end my problems (I hope) and give me a nice smile, to boot.
So Tuesday (12/19) I go in for impressions and I plan to have extractions, implants and temps in January. Crystal Ultra arches will finish my restoration somewhere around June.
I’m scared and excited.
I plan to keep track of it all here, RealSelf really helped me with my research. I will also do a YouTube channel to track my progress.

Updated on 19 Dec 2017:
I hope I am adding to this correctly... I’m thinking I am not because it’s not asking me pre/post date info. I may have to move this elsewhere at some point. Anyhoo, I went in to get my impressions. Lots of activity going on around me during the visit. Frank first. He’s such a nice guy. I keep waiting for hard sell, pressure, slick sales-y stuff. Nope. It is what it is, no smoke and mirrors. Sorted out some last questions and off I went for facial orientation pics, I may have that name wrong. They scan my face and use it for various things during this process. I was taken into the procedure room and Dr Iskandar spent a long time with me about the shape of my temps. He’s just such a nice, sincere man. He is never in a rush and it’s not just for show. I talked to another very nice employee and then the dental assistant (I must remember her name, such a sweet girl) started the impressions. I was a bit concerned as my past impressions have been handled roughly with huge metal trays that hurt and made me gag. She is a dainty woman so I knew she would not be rough. It was a breeze. The impression stuff has no taste to me, but a bit of a strange smell that I kind of liked. It was familiar. In any event all that was over in 5 minutes and I didn’t lose a crown, which was a huge fear. I hear back out to Frank to schedule the procedure. Jan 19, 2018. The countdown begins. I KNOW I picked the right doctor. All of the doctors I looked at were within 5k of each other. I knew I didn’t want to go to a chain and I really didn’t like the demeanor of another one I visited, he did not project the warmth and compassion I was looking for. Dr Iskandar literally oozes compassion and warmth. He is a nice man and I feel he is a good man. His staff is warm and compassionate. They all seem to enjoy their jobs. All these details matter. I know I am in good hands and I can’t wait!!!

Updated on 20 Dec 2017:


Updated on 28 Dec 2017:
I’ve been telling people about my approaching surgery and getting some assurance that it is a good decision. I still worry about the long term (10+ years) performance of implants and true lifespan of the bridge appliance.
I’ve been researching methods to keep my jaws iced. I wonder how cold is cold enough. I hate frozen, I can deal with nearly frozen.
I’m researching dental cleaning products and trying to find homemade mouthwash recipes.
I have a culinary background, so I am looking at foods that lend themselves to a soft food diet as I plan to be very strict for the entire healing process. My temps will be for looks only, all my food will require no chewing at all. I cook lots of TexMex, so I’m looking to make no chew enchiladas. Thankfully beans and guacamole are already perfect. I love beans.
A few comments about RealSelf, hopefully someone here can give me tips.
I seem to see the same posts over and over. Is there any way to see NEW posts for all on 4? For some reason there is a planner (Or whatever) pinned to the top tool bar for something I didn’t ask for and no way to remove it. It also seems to add new topics that I follow even though I don’t care for those
topics and didn’t add them. Why?
I find the whole app not very user friendly. I appreciate the resource, truly, but it could be so much better with a few tweaks.

Updated on 30 Dec 2017:
Still watching for items that will be helpful post-op. Ran across these at Daiso today and they seem to be perfect for icing!
I bought 2.
On another note, I have another dentist asking to speak to me. I told him I was already financially committed to Dr Iskandar but he still wants to talk/visit with me. Unsure if I will... what would be the point?

Updated on 13 Jan 2018:
Less than a week to go! Buying more stuff I may or may not need. 2 more ice wraps, a waterpik water flosser Aquarius, some cool silicone cups (I travel extensively), manual irrigation syringes, smoothie and soup ingredients, liquid vitamin C, etc...
I have a culinary background and have all sorts of thoughts about what to make. Since I travel a lot for work, I have to think of easy foods when I travel. Luckily, I work in the Hotel industry, so I have unlimited access to great restaurants. It’s why I’m fat, but will help as I adapt to soft foods. I’m taking that very serious. I have no intention of trying a ‘chew’ food until Dr Iskandar tells me that I can. I have a vitamix, which helps!
Getting excited!!!

Updated on 18 Jan 2018:
Very scared. Very worried that this is a BAD decision. Very concerned about being out of control during sedation.
Scouring YouTube and RealSelf to get 1 year updates and so many people have issues.
Once my teeth are pulled, there is no turning back.
It has taken 10 years to save the money for this procedure... I have to trust Dr Iskandar is doing something he feels will be the best option for me. Hoping this all on 4 procedure doesn’t prove to be a very bad dental practice only to be discovered a few years down the line.
Oh well... here I go.

Updated on 20 Jan 2018:
Still swollen, nauseous and tired. I’ll add pics later. Not sure how I feel about the temp. There is a spot that looks like food that I hope he can remove. I also want to see if they can be smoothed a bit Are temps rougher in texture than the perms. I’ll go back to the office his week to chat about the appearance of the temps. My swelling needs to go down first. I’m achy and was nauseous. I’ve been drinking a lot. The nausea seems to be medication related. No Vicodin yet, just ibuprofen.

Updated on 26 Jan 2018:
It’s hard to believe that I was in surgery this time last week.
I am feeling better every day at this point. Really the only area that is still sore is the area at the bottom of my bottom lip. Like the very bottom crease on the inside of my bottom lip. It’s swollen still and very tender. I’ll have him check it on my visit Monday. Eating is a hassle. I have to clean constantly. No surprise after 18 extractions, 12 implants and stitches. I am sure that will improve as I heal. Monday I will go try on some new temps, maybe wax. If I like them, I will go back Friday to get them put in.
It IS unusual for a prosthodontist to work so hard to make temps perfect. I guess that’s one of the benefits of selecting someone like Dr Iskandar. He wants my temps to look good because I have to live my life in them. He’s very skilled... not a dentist that is doing this once in a while. He teaches implant dentistry and owns his practice. He has his own lab and all his own equipment. He is not taking unnecessary risks. He knows what he is doing. To be honest, I wish there were some alternative to immediate teeth. I think temps would be better fitted if you have a week or two of healing behind you.
In any event, I am happy to get better temps next week. My first business trip and public speaking engagement is Feb 5/6/7. That was cutting it close but I have found people are very forgiving if I simply say I go 12 implants last week. They are usually mortified!
I am still overdoing it with food. It would be much better if I just ate very soft/bland foods but I am constantly eating firmer foods that make my mouth sore.
The prescription mouthwash is making my tongue brown... ugh! I am almost finished with it, so I hope that will be the end of it. Today is also the last day of antibiotics and 800mg ibuprofen.
To summarize, I think it’s going well. I don’t have a lot of pain. My speech is affected, sometimes more than others. I can’t wait to have new temps that are a better shape for my face. I am a little nervous about an 8 hour lecture on Feb 6.
Back on Monday with an update!!!!

Updated on 1 Feb 2018:
Super excited to get a new temp tomorrow! My initial temp was not quite what I wanted and Dr Iskandar remade it... in time for a trip next week! He’s such a nice man.
I’m healing really quickly and don’t have any real pain 2 weeks in. I have some aches from the healing tissue. No implant pain, no nerve issues, no jaw issues. My speech is getting better and he new temp is much smaller, less bulky.
I’m still not eating solid food. Soft food is such a hassle, I waterpik 5x a day because I hate the feel of food under the temps.
Very happy with everything so far and know I selected the right dentist!

Updated on 4 Mar 2018:
It’s been along time since I’ve written an update. I have posted more on YouTube than here because it’s easier to just videotape something and post it. Everything has been textbook with me. I’m healing great and the teeth feel fine. I had to stop drinking tea because the acrylic temporaries stain really bad, that’s the worst thing, so far. Eating is not too hard, though I still cannot eat things like freshly made pizza or harder chips. All in all I have only missed two days of work and I’m conducting full client consulting. My work partner says he cannot tell that I have a lisp on the phone and I have pretty much stopped explaining why my speech is impaired while on calls. I still tell people what I did if I’m meeting with them in person. I hope to get through a very important meeting a week from Tuesday (8 weeks) without having to make the explanation. I love the shape of my new temps even though they are not perfect. I may go with the same shape and color for my permanents.
I have 60 more days before I do the impressions for my wax try ins. He feels I will be completely done by June 1.
I haven’t had really much pain. After a particularly busy day of eating and talking I do find that I need a couple of ibuprofen at 4-6 hour intervals.
I WaterPik at least two times a day, brush my teeth at least two times a day and gargle a lot during the day.
I’m using Fresh and Bright with a dry, rough washcloth to keep the acrylic nice and white. I don’t let that touch my tissues, I’m pretty sure it has oxlic acid, which makes it very effective against stains.
Not much more to add other than I am still super happy with Dr Iskandar and staff. Full recommendation will come at the completion of my permanents, but I have no reason to think Radiance will not come through with flying colors!

Updated on 10 Mar 2018:
The problem with the first temps was actually the way they set in my mouth and they pitched a little too far forward.
The new temps are technically the same size/color. The new temps simply fit better.

Updated on 10 Apr 2018:
Before my trip I decided to schedule an appointment to get my temps checked for any fractures or problems and I wanted to clean them really good. I’ve gone back to drinking tons of tea... hot, with milk. No stains! The full fat milk does something to the tannins and it doesn’t stain the temp. That has really helped as I was drinking only water and really missing my tea. Anyway, I wanted to clean the temps while they were out for inspection. As usual, Dr Iskandar was helpful and accommodating. They sonic cleaned them then let me clean them again myself with a paste. My at home cleaning routine has been very successful... they were very clean when removed. I obsess about cleaning them and they can tell, lol. Once I got through with my extra cleaning, they relined them to remove the space created from the healing and popped them back in and I was good to go. They are feeling more and more natural now!
No problems here... I’m 11 weeks post op and it’s all good. My healing is textbook and my gums are super healthy. The only hassle is the constant cleaning I feel compelled to do. Totally worth the trade off for a good smile. I look so much better with these temps.

Updated on 15 May 2018:
I haven’t posted in a while... so busy!
During April I had a long trip to Asia which stressed me out during preparation.
Dr Iskandar religned (sp) my teeth before I left and it made a HUGE difference. The gaps are gone and I don’t have to waterpik 50 times a day! So before I left, I had to plan out my dental hygiene program. The flight out would be around 20 hours (door to door) and the return would be 26 hours. I bought a rechargeable waterpik and took my nano for the Hotel. It all worked out fine. I do not like the rechargeable unit much. It’s bulky and awkward. I wish waterpik would make a rechargeable nano. It would be much better!
Anyhoo, everything went perfectly and during the travel I actually ate less which helped the healing process. No ibuprofen during the trip at all!
I think I will start fitting for finals next month but I am in no hurry. The longer I wait, the better! I would prefer for my finals to not need much adjusting. The longer I wait, the better they will fit from the start.
Good luck to everyone out there!
This pic was a few weeks back in Glen Rose Texas. The sun made the teeth look a bit different than they do in real life, but I like it. I’m still not sure of the final shape I’ll go with :)

Updated on 3 Jun 2018:
I have always been obsessed with brushing and flossing.
Since getting my All-on-6, I am even more diligent. With the teeth being bolted on and so snug against my gums, I worry I am not cleaning thoroughly enough. I waterpik 4x a day, use mouthwash 2x a day and brush with 2 different brushes 2x a day.
I found a brush with log, wispy bristles that can get under the bridge (a little) and I also use a soft bristle brush to make sure I am getting any plaque off the teeth.
I am a bit torn at using mouthwash because people say it’s bad, killing good bacteria along with the bad.
I use an antibacterial, non-alcohol mouthwash in the morning and a plaque mouthwash at night. I’m tempted to add some to my waterpik but it is not recommended.
As far as my waterpik arsenal, I have a full size, as well as a nano and rechargeable, both for travel.
I don’t have much luck with floss or the little brush pics.
I ride a bike everyday for exercise and become a little dehydrated afterwards. It’s super hot right now. After a ride, I take the opportunity to get deeper under the bridge as the dehydration makes my gums shrink a bit.
I have had no mouth or tongue sores or any soreness or bleeding. I was lucky that I never had an issue with biting my cheek or tongue.
I do carry prepasted brushes and a little silicone folding cup with me everywhere. If I am out on business, I always have a waterpik ready, too.
What are your favorite tools?

Updated on 11 Jun 2018:
Excited to hear how my healing is going.
I have been very lucky to have a completely uneventful procedure (knock on wood). Very text book.
I have had virtually no problems since the procedure. I had virtually no bruising and only the swelling that occurred the first day. I iced the first 1.5 days and then switched to warm. I think maybe this helped.
I have had no sores, no ulcers, no cheek biting or TMJ other than a single morning when I had slight jaw ache.
My acrylic teeth have been great and look good. They are small and fit snug to my gums.
My speech returned to normal after about 8 weeks. My coworkers and customers said it was fine after the first week but I could still see the difference. Suddenly I just noticed it was normal... or maybe a new normal.
I smile a lot and it’s great to not think about my teeth. For the first time in my life I have no temperature sensitivity. I look completely different in pics and mind you, I had no visible missing teeth prior to surgery.
My prosthodontist designed my mouth to protect the fullness of my lips.
As you work with a doctor, remember that some of this can replace the need for lip fillers and such. It’s worth looking for a prosthodontist that can understand any cosmetic needs or desires you might have beyond “the teeth”.
My doctor played nice acrylic teeth at the time of surgery. They are loaded to 8 of the 12 implants. Eventually these will become my back up set.
Tomorrow I will find out when they can start designing my final nano-ceramic teeth. I want to be completely healed before the design phase starts as I do not want the final teeth to be modified. I don’t want gaps filled on the finals. I’m ok with refining (taking away) but I prefer no layers of anything added. The new teeth will be designed to complete the lip support goals as well as the obvious goal of having a perfect set of teeth.
So tomorrow is the beginning of the cosmetic portion of the whole process.
To me, this process is just as important as the surgery and skillful placement of implants. For me they are different. Separate initiatives.
I’m so excited to get started!
I’ll say it again...
I have had a normal amount of visits.
1. Interview
2. Exam, impressions, scans
3. Surgery
4. Immediate swap out on the uppers as the hole placement was off on the acrylic after surgery and also to have stitches removed.
5. Tomorrow’s appointment
I had a few pop ins here and there prior to business trips. These appointments were not necessary, they were for my own piece of mind. I wanted him to make sure I was healing as expected and I wanted the teeth cleaned and examined outside my mouth.
Radiance has been very gracious to accommodate my requests. Never any hesitation to see me, even though it was not necessary.
I traveled throughout this whole process, to Asia, Europe and domestically. No issues at all!
Wish me luck tomorrow!


Updated on 13 Jun 2018:
Yesterday I had my 5 month evaluation. It went well, I am healing perfectly and I am doing a perfect job keeping them clean. That is always my top concern. Keeping these implants as clean as possible will go a long way in the overall long-term success of the procedure.
I am curious to know how many of you floss. I was under the impression that I would need to floss but the doc says that is not required, and in my case practically impossible. My bridges will curve to hide my gum line. I see many people with straight bridges that just sit flat on the cut gum line. My upper gums show when I smile, so the bridge has to curve upward or you would see where it connects.
As you research this process, it is very important to take into consideration that all cases are different. I am a perfect candidate for the procedure but I had some aesthetic desires (beyond teeth shape and color) and a gummy smile. I do not want my perms to look like my old teeth in the sense that I want them to support more fullness in my lips. You can do this with plastic surgery or fillers, OR it can be incorporated into this process. So, anyway, just keep all these things in mind when building out your plan. As I mentioned in my last post, I view this process as 2 distinct processes. The first being the surgery and implant placement... with fully functional teeth being placed at the time of surgery. The initial teeth should be strong and visually pleasing. If they are not, they should redo them. You should be very happy with the look from the beginning, in my opinion. After Dr Iskandar swapped out the original upper bridge, I was very happy. The drilled holes in the one placed at the time of the surgery were too forward. The second set was more precise because the impression they took after the fact was more accurate.
The initial teeth were built using an impression made when I had all 19 of my own teeth + a bridge. It's common sense that it is difficult to fit something perfectly before the teeth are pulled and the bone is prepped. In any event, make sure you select a doctor that is willing to make you happy with this first set at no additional cost, regardless of the resolution.
This was the primary reason I did not want my permanents immediately. There is no way to get that perfect fit until you know the shape of your healed mouth. If you are going from dentures to all-on-4 or don't have many teeth, it may be easier to get a good fit from the beginning since the impression will be more accurate. Everyone is different and you do whatever feels right to you.
So, back to the evaluation.
All is good and I am ready to start the cosmetic portion of the process.
They did very detailed impressions (yuk) and I go back next week to begin the very serious process of teeth shape and color selection. To me this is as stressful as the surgery. I had such ugly teeth, everything looked good to me when I first started the process. When I selected the teeth and color for the immediate teeth, I was just overwhelmed with everything going on. I like the shape of my acrylics but I think I am now better prepared to select the teeth I will live with for a long time. I know what I don't like about these teeth, so that helps. It still stresses me out. This is another reason I did not want finals immediately. I wanted to see how my face structure was post-op and have the luxury of "test driving" a couple of options (maybe more). This is a real luxury, not a hassle. I am lucky that I live close to the office. I suppose if I lived far away this part of the process could be problematic. If you live close to the office, what's the big rush?
If you read all the updated from patients that had 'teeth in a day' you will see that they are not done in a day and usually have issues with the immediately loaded perms. Breaks, chips, peeling (whatever that is), holes popping out, rubbing, sores, gaps and religning, follow-up appointments, etc... It's all fine if everything gets sorted out in the end but it is not a single visit and you are good to go.
Read them carefully and make decisions based on what works for you. Don't let anyone bully you into thinking you are an idiot for not doing it their way. It's your teeth, your mouth, your money and your time. Visit at least 3 places and write all your questions down. Email and call and note how long it takes for them to respond. In the end, do what feels right to you, regardless of what anyone says or thinks. Now is NOT the time to be cheap.
So, I am not 100% certain what happens next week, but I will let you know then...
Exciting!
Cheers!

Updated on 27 Jul 2018:
I went yesterday to try in wax models of the finals. They look really good (see pic). These are wax, so they are not the final/final. I am scheduled to get those on August 17. They will look pretty much like the pretty teeth I had in my teen years.
Just a side story... and TMI, I am sure. I was on my own at 16, married at 17 to a very abusive man.
At 22 I had a child. More abuse combined with no money and certainly no money for dental care = very bad teeth. I did have money for cigarettes, lol. Smoked like a chimney (1.5 packs of Winston Reds a day!) and had no dental care from, say, 15 to 30 yrs of age. When my child went to school, in 1991, I defied my husband by getting a job as a cafeteria lady at her school. Little by little my confidence in myself grew. I excelled at every job assigned to me and I took great pride in my work even when it was washing the dishes from 400 children, which I did a LOT!
This story could have ended like a 'Snapped' episode, but it didn't. In 1994 I escaped that marriage, with only my child and the clothes on my back. I immediately stop smoking (cold turkey) lost 80 pounds and got my hair cut cute and wore cute clothes. "I" was back, BUT, my teeth contradicted the new person I had become. People judge you by your teeth... I don't have to tell you that if you are considering this procedure. I did not have much money, I think I was making 1200/month before taxes. But I managed to get root canals and crowns one by one and visually my teeth started looking much better. They looked fine around 1998. I did not have many back teeth, but you could not really tell.
20 years later all that work was deteriorating. That's what brought me to all-on-4 and my initial post here. I am giving you the back story because I want people to know that with a little confidence you can have NOTHING and thrive. You can fight your way to prosperity.
You can do this process in steps or you can do like me and save for 10 years to get it done all at once.
You can get dentures if that's all you can afford. For me it was the final step in a 23 year process that all started the day I took my life back.
Make a plan and work hard. You can do it.
I'll post pics when I get the finals put in! I can't wait!

Updated on 18 Aug 2018:
I attached 3 pics, one I took after I left the office, one taken when they put them in and one silly one I took to send my sister.
They fit like a glove and even though I have not had a full set of teeth in nearly 40 years, they didn’t bother me at all.
I’m on a test run to decide if I like the color, fit, etc. I really love the look. I do think I will darken the gum and possibly add a tiny bit of shading. I’ll discuss when I go back.
I can’t stop smiling in the mirror. They just look so beautiful.
The pic in the office wasn’t staged. That’s Dr Iskandar next to me. He is truly that enthusiastic. I just love him!
The other guy made the teeth. He didn’t say anything, he just watched. They put them in and then tightened the screws. Then he took X-rays with a handheld gadget to see the seating of the abutments.
I still can’t imagine doing all this creative process before surgery. I changed my mind on what I wanted a few times and I am still refining what is perfect to me.
The shape of your final jawbone also determines what types of teeth will work. The shape you have in mind may not work. I got what I hoped for with a couple of tweaks.
Super, super happy. So very worth it.
I’ll change my procedure status when everything is finished, but right now I am THRILLED!

Updated on 24 Sep 2018:
Today is 9-24, which is about 8 months since surgery.
I can say now that this is the best thing I ever did. People tell me frequently that I have a beautiful smile, which is nice :)
I have pretty much stopped boring them with the details. I just say thanks so much!
My cleaning routine is pretty standard now. This was a huge investment and I want to keep them as clean as possible. I have a tiered approach which takes 15 min in the morning and 15 in the evening.
It sounds like overkill, but I enjoy doing it. The results are slick, sparkling clean teeth. I drink a lot of hot, very strong tea, so I am concerned with staining.
1. I spend 15 minutes 2x a day using the waterpik. I have self-adapted tips for my waterpik(s) that help me get up under the bridge
2. I have a full set of stainless dental tools (mirror/picks) to help me inspect my screw holes (currently open)
3. I have a large, medium firmness toothbrush that I use for my initial brushing after I waterpik.
4. Then I move to an ultrafine soft long bristle brush to get under the appliance
5. I have FIVE waterpiks. 1 cordless for off grid travel (when there is no available power), 2 nano travel sets, one for hotel travel and one to keep in my truck with a bottle of water (I have a power outlet) and a full size in both bathrooms at home.
6. I use a sonicare at least once a day with a whitening tooth polish to avoid tea stains and clean the abutments that I can access
7. I drink my hot tea with whole milk to reduce the staining properties of the tannins. I stopped drinking iced tea.
8. I use bubble tea straws to drink everything that is not water and try to keep colored drinks away from my teeth.
9. I swish water in my mouth as I eat or drink. I always have water nearby.
10. I drink lots of water and very few drinks that stain (other than my tea)
11. I alternate between whitening, plaque control and natural mouthwashes (all generic brand from Walmart).
12. I use a 10x mirror to inspect the teeth every night.

Notes
I am still 100 percent confident with my decision to take the slow route to perms. There is no way I would want the perms placed at the time of the surgery. The longer you can wait, the better. This also helps people who can't afford the whole process at the beginning. Keep the temps as long as you can while you save for the perms.
Waterpik tip adaption
See the pic of the waterpik tip. To get that curve just dip the tip into boiling water and gently bend it. I used a small silicone tong to bend it... and you have to let it cool slightly before releasing it or it will go back to the original shape. You can change it over and over, so don't worry you will mess it up.

Thanks for all the support! Let me know if you have any questions!

Updated on 5 Nov 2018:
Close to 10 months post-op and enjoying these teeth! They look so nice.
I’ve attached a before and after pic s a reminder. My before were not as dramatic as many, but they were really bad and I had no molars. The crowns were failing at an alarming rate and the next one that was failing was a visible tooth! I was lucky that the shape of my mouth and smile hid much of my problem. I did not have any infection or disease.
These perms have been in a few months and every day I get more confident in my chewing. I have still not tried popcorn or hard beef jerky, but I am eating crispy bacon again, which is a huge win! There’s no pain or anything, I am just scared of damaging them and taking it easy.
I drink strong hot tea all day long and have noticed no staining at all. I’m an obsessed brusher, so that helps.
I’m still scared of beet juice, which I love! My tongue has returned to normal. It hated acrylic. My tongue felt scalded all the time, like I took a drink of super hot liquid. I was very sad to have that issue (for months!) as I am a ‘foodie’. It seriously bothered me. I felt like it was associated with the acrylic material and the fact that I am apparently a tongue thruster. No one seemed to agree with my theory. Well, I am happy to report that about one week after switching to the nano-ceramic, my tongue returned to normal.
My dentist wanted to try another set of teeth on me, so I go back Wednesday for a try-in. I really doubt that I will prefer them to these, but he really wanted to do it, so sure. That means I will have a spare set. That’s a hell of a gift, you know!
My current perms have a perfect bite and suit my face. I catch people looking at my teeth but possibly because I smile all the time.
No matter how big I smile, you cannot see that they are not natural. I worried about that!
The biggest annoyance is food getting tucked between my lips and gum. It’s hard to clear it with my tongue. Aggressively switching water at the table is annoying and bizarre. I generally cover my mouth with a napkin and try to clear my mouth with gentle swishing or I excuse myself for a quick aggressive swish in the bathroom. I have a silicone cup that I carry for this purpose. Funny, but I carry a collapsible silicone dog bowl so I can waterpik on planes where it’s hard to physically get your face over the sink.
One more funny note... I went to Colorado to work with a young start up for a few days. I’m 55 and most of this group was younger than my kids! So, we had a dinner out one night and I made the mistake of taking 1/2 of an edible (it’s Colorado). I don’t drink or do anything and thought it might be fun. WELLLLLL... 1/2 was WAY too much! I hated it. It make my teeth feel like aliens in my mouth and I literally cold not talk!!! My tongue could not work. To compound the problem, I could not taste. If you are wanting to experiment while in CO or Amsterdam, beware. I’ve learned my lesson, lol.

Updated on 12 Nov 2018:
A couple of more pics of the newest perms. I like them a lot. They look very different from the others and are closer to my natural shape. I filtered the face pic heavily, lol. The teeth closeup is unfiltered and I should have brushed my teeth, clearly. The black spot is not a flaw in the teeth.
What do you think?

Updated on 5 Dec 2018:
These are the second set of finals the doc has made for me. I’ve also included pics of the first set as they removed them. My teeth are incredibly clean when removed. My cleaning regimen will help insure the maximum life of these full arch hybrid dentures. They are always amazed at how clean I get them!
My tongue problem is resolved. I was using too much mouthwash. I am using mostly saltwater rinse now. We will see ow that goes, long term.

Updated on 2 Feb 2019:


Updated on 7 Apr 2019:
I finally felt comfortable getting my bridge holes filled! Friday I headed over to Radiance and tried in my emergency MMA (or is it PMMA) teeth. I travel all over the world for work and needed an emergency set of teeth that could replace my perm upper or lower in the event of a break. These teeth are BEAUTIFUL! People getting the procedure now will get these teeth before the perms to make 100% sure you like the look. It is a HUGE benefit because it will leave you with an emergency set, as well. Most people would leave the set at Radiance but in my unique situation, I need them on me when I travel.
I am super thankful Dr Iskandar recognizes the need for an emergency set. I won’t ever have to go without my teeth. And I’m here to tell ya, I literally look like a seahag without my teef!
As a patient, it would have been great to have this transitional real life try in before my perms. Believe I or not, your idea of what you really like changes and these will allow you to tweak the final set... and have your family and friends see you and weigh in on changes to make. Apparently this material is new to market, or newer anyway.
Please let me know if you have any questions.
The attached pics are of the emergency kit. I have screws, screwdriver and teeth all secured with tape so hey can’t fall when the case is open.
If you are considering this life changing procedure, just do it!!! It is so incredibly worth it!!!
Cheers!!!!

Updated on 13 May 2019:
I can eat Bit-O-Honey and Mary Janes again!
I haven’t tried to eat them in years but saw them at the store and decided to give it a go.
No problem at all!
I’m still cautious, I don’t want to stress them too much, even though Dr Iskandar says the XircOn material can handle it.
It’s great to enjoy these little pleasures again!

Updated on 20 Feb 2020:
Hi all! I’m 2 years in and still love my smile! Absolutely no issues, nada, nothing! I have no issues with the arches. My mouth is super healthy. No change in my tori, which was slowly growing with my natural teeth. There has been no noticeable wear to the teeth. The ridges are no being ground down. This material is really amazing. No smells, no staining AT ALL! I am eat anything and everything and have settled into a normal daily routine. I brush with a regular toothbrush 2x a day and with an electric ‘sonic’ brush once a day. I use a plaque rinse at night. I waterpik 2x a day. Total time, maybe 12 minutes a day.
I travel internationally a lot for work and I have a spare acrylic set with screws and a little removal tool just in case I have an emergency and break my teeth, which is highly unlikely. It does make me feel better having them with me, though. No one knows I have ‘dentures’. I’m sure they think I have veneers, but that’s ok.
I’m thrilled.
Let me know if you have any questions!

I absolutely hate going to the dentist.
There have been many bad experiences in my life at the dentist.
Originally, I couldn't find a dentist here that I wanted to get my implants with. The prices seemed high and I had heard that I could get a better deal in Mexico or even Latin America. Now I know you get what you pay for. When things started to get more and more dangerous in Mexico I started to consider another country. I made two trips out to another country. After much time, money and pain I had nothing to show for it. Everything failed. A family member did some research and found Dr. Iskandar. What a blessing he has been. He fixed the mess that was my mouth and made it easy for me to smile, chew and live my life again! He has met me multiple times last minute and even on Saturday when I felt like something hasn’t felt right. He honestly has saved my smile and improved my quality of life.

All the way from Washington DC to Dallas, and i wasn't disappointed at all, Dr. Iskandar made my experience in a dentist office very pleasant. I was VERY nervous about getting work done and feeling pain. I felt nothing!!! I went to him toothless and came home with a new smile. I will always recommend Dr. Iskander for any implant operation, and is the only dentist I trust.