First, I would like to say that this site is really a great resource for people who are looking to find answers that are all-on-4 dental implants surgery related. The site has helped eased a lot of my anxieties about post op all-on-4 surgery. I just wished I had found this site sooner before all-on-4 surgery was done. In my early twenties, I was diagnosed with periodontal disease and sought treatment; however, I was never diligent with the treatment. I was young and didn’t worry too much about it even though I had dental coverage. In my early 40s, the condition has deteriorated and I had to find solutions. I visited few dentists and had consultations. I was referred to Dr. Dan Theberge (Fairfax Oral and Maxillofacial Surgery, Reston Office) by Dr Sonia Dilolli (I will write a separate review of Dr. Dilolli, Virginia Dentistry by Design since she handles the permanent denture procedure.) After consulting with Dr. Theberge and reading his CV, I decided to have him perform all-on-4 +2 (for additional support) and sinus lifts for my upper arch. From our consultations, he was very knowledgeable and made me at ease of the procedure. I underestimated the process and the length it would take. Folks, it’s a surgery so be prepared for some pain – actually a lot of pain for at least a week. Initially, I took a week off to recover, but requested another week from work since a week wasn’t really sufficient to recover from the surgery. After surgery, I was told there might be some discoloration under my eyes, that didn’t happen. During the two week recovery phase, I had strong reaction to medication (Percocet) I was prescribed. I might have taken one Percocet too many to ease my pain and as a result, constipation, high fever and vomit ensued. On Saturday morning (~2am), I literally thought I was going to die so I called the after hours service to get some advise. The dispatcher worked her magic and in less than 10 minutes, I was talking to one of the doctors on call. I forgot the doctor’s name, but he understood me through my slur speech and was able to put me at ease. During the first two weeks, the after hours phone service came really handy; the doctors on call always responded within an hour no matter what time of day or night. Once the swelling went down, I noticed that there was an air pocket on the top of my temporary denture. I brought this up to Dr Theberge and he mentioned that it was normal once the swelling around the gum has gone down. It was smooth sailing until few months into my recovery phase, I noticed that when I applied makeup or slight pressure around one of my implants, I felt a zing. I mentioned it to Dr. Theberge and he visually checked and observed that clinically, he didn’t see anything wrong with it. It might be an infection so he prescribed Amoxicillin. The frequency of it has diminished, but it has not gone away. It was an odd sensation. Now, the zing or zap sensation happened randomly without any pressure to the front dental implant area. Dr. Theberge reviewed the CT scan and saw nothing wrong with it. Fast forward couple of months later, I visited my regular dentist for dental impression and I mentioned residual pain towards the back arch where I had sinus lifts and she said I had to go back and see the oral surgeon to ensure everything was fine. Unfortunately, Dr. Theberge who performed the surgery went on a medical leave and that’s when post-operative care went down-hill real fast. I guess Dr. Jonathan Park took over some of Dr. Theberge’s cases. Initially, he observed pain from sinus lift areas might be due to the fact that it hadn’t healed properly so I had to wait few more months. Many months and another visit later, the sinus lift areas had healed, but what about the sensitive around the front area I asked…he mentioned that we had to wait till Dr. Theberge’s return since he performed the surgery. More months later, another deflection. For my most recent visit, I was assigned to a new dentist (Dr. Daniel Winokur). I mentioned the sensitive area and he said, there was some discoloration. In order for him to look at the area, he had to unscrew my temporary denture for which he didn’t have the tools to do so. I was stumped by his response. The all-on-4 (+2) and sinus lifts were performed at the Fairfax Oral and Maxillofacial Surgery - how can you not have the tools - so I was confused by his response. He was nonchalant about it and when I repeated what he said, he was flippant. Overall, Dr. Theberge did his job. Unfortunately, his colleagues at the Fairfax Oral and Maxillofacial Surgery did not. They deflected my issue about the sensitivity. I think Drs Park and Winokur’s mentality was they didn’t perform the surgery; therefore, I’m not going to touch it. I had the surgery June of 2017 and as of this review (January 2019), I'm still wearing my temporary denture. I can understand the initial reason for the delay when I first visited Dr. Park, which I was told was because I needed more time to heal for the sinus lift areas. But after that, he was just putting off his responsibility to provide with an answer about the sensitivity towards the front area of my teeth because he didn't perform the surgery. Dr. Winokur did the same. I spent above average price for all-on-4 dental implants (+2) and sinus lifts and nearly non-existent post op service after Dr. Theberge left the practice due to medical reasons. According to my colleagues, I paid for a new Cadillac yet with shitty body work.