POSTED UNDER All-on-4 Dental Implants Reviews
33 Years Old, and Getting All on 4 in Vegas
UPDATED FROM tristansmommy
6 months post
6 month update
tristansmommyMay 12, 2017
WORTH IT$30,500
Very happy to finally smile
UPDATED FROM tristansmommy
27 days post
1 month post
tristansmommyDecember 5, 2016
Well tomorrow marks 1 month since my all on 4. Overall things are pretty good. I have some gapping starting to form already between my gums and top bridge with creates bubbles and that's super irritating because it makes the bubble sound sometimes when I am talking and that's pretty awkward when I sit face to face and talk to strangers every day at work so I am hoping to get that sorted out sooner rather than later. I still haven't really tried to eat anything that wasn't soft, I am paranoid of over stressing my implants too soon. I still have some stiffness happening in the upper lip/under nose area and a very small amount in the front of my chin, although much better than before, the stiffness just started relaxing in the last week. I am really beginning to feel like an old pro when it comes to waterpik'ing and flossing now! I admit though the cleaning is a little more awkward and bothersome than I anticipated, for instance my husband took me out to dinner and then wanted to go to a movie but I insisted I had to go straight home and clean my teeth instead :( Maybe I am over doing it but I worry about leaving anything on them for any length of time....anyone have any experience here?? I do have very high remarks for Dr. Golpa so far because the teeth look very nice and I have never felt any real pain. The office staff is very nice I have to admit though I have called their office on a few occasions with questions and they were supposed to ask the doctor and get back to me and I eventually have to call them back 3 or 4 days later and they appear to have totally forgotten me which is frustrating for the kind of money you hand over having all this done.
Replies (5)

December 8, 2016
Hi! I love your new photos! So beautiful! :)
It sounds like things are going pretty smoothly but I understand some of your frustration because I felt a lot of the same feelings during the first 2-3 months. Thankfully, most of my talking is to my grandchildren who don't care a bit about how I sound because they are young. Strangers are still awkward for me but that was the case before when I didn't have many teeth. Don't know if I'll ever get over that feeling. Those first couple of months I felt like I lisped, spit, drooled or had numerous other mouth issues every time I opened my mouth. I was very self conscious and really had to work on getting over it. It wasn't easy. I didn't know how to smile, I would get lipstick on my teeth and I always felt like I had food stuck to my teeth. I carried the small rechargeable waterpik with me everywhere. I also carried a bottle of water and an end tuft toothbrush. If I had easy access to my car I didn't necessarily carry those things in a big purse but I admit that I used them every time I ate something. I also had a mirror in my purse so I could check my teeth. And sometimes I used the camera function on my phone. Self conscious - big time!
I think what you are feeling about the cleaning is perfectly normal. I used my waterpik at home 4-5 times a day and flossed as often as I could (I couldn't floss the top because they were too tight). I did eat steak and other types of food that weren't really soft starting at about 6 weeks but I avoided nuts, chips, hard candies, etc. After my first checkup and reline at 4 months I noticed I was becoming less self conscious (at least about the cleaning). I relaxed about it partly because they said the implants were integrating into my bone and that they looked pretty good as far as cleaning went. Now I'm able to floss every area and I’ve settled into a good cleansing routine. I don't feel the need to waterpik as often (although I like how clean it makes my mouth feel). I do a very thorough cleaning before bed which makes my morning routine go faster and I still carry my portable waterpik when I'm going to be somewhere like a long dinner or at a party and if possible I excuse myself after eating to go do a short cleaning in the restroom. It’s usually not necessary but I feel better if I at least go look in a big mirror and rinse my mouth. Swishing and rinsing with water after meals and snacks while you are away from home seems to be what most people do. And I haven't heard of them having issues with plaque build up as long as you clean them throughly when you get home. 
Also, once you have your first checkup and reline to close most of the gaps, you should notice you aren't collecting as much food particles under the bridges. And the bubbles should stop when the gaps aren’t as big. I know they suggest 6 months but I went at 4 months and they were fine with me coming in early. If it’s not too expensive for you to get there, I would make an appointment to go back even earlier and have them take care of the issues you have.
As far as the office staff goes there really isn't any excuse for that. I know they are a busy office but they shouldn't forget you. Mention it to whoever you feel most comfortable dealing with at the office. The only time I had an issue was when I spoke to one of the nurses. She had no clue who I was and gave me just generic information on an issue. If she had taken time to look in my chart I would have gotten a more satisfactory answer to my issue. After that I started asking for someone who actually knows who I am and I've not had a problem since then.
Anyway good luck on your continued adventure with new teeth. It is an ongoing journey, one that we'll be dealing with for the rest of our lives. But I can truthfully say that at 9 months post procedure having new teeth is such a normal part of my life that I don't think about them much of the day. Looking forward to more updates from you when time permits! K :)
It sounds like things are going pretty smoothly but I understand some of your frustration because I felt a lot of the same feelings during the first 2-3 months. Thankfully, most of my talking is to my grandchildren who don't care a bit about how I sound because they are young. Strangers are still awkward for me but that was the case before when I didn't have many teeth. Don't know if I'll ever get over that feeling. Those first couple of months I felt like I lisped, spit, drooled or had numerous other mouth issues every time I opened my mouth. I was very self conscious and really had to work on getting over it. It wasn't easy. I didn't know how to smile, I would get lipstick on my teeth and I always felt like I had food stuck to my teeth. I carried the small rechargeable waterpik with me everywhere. I also carried a bottle of water and an end tuft toothbrush. If I had easy access to my car I didn't necessarily carry those things in a big purse but I admit that I used them every time I ate something. I also had a mirror in my purse so I could check my teeth. And sometimes I used the camera function on my phone. Self conscious - big time!
I think what you are feeling about the cleaning is perfectly normal. I used my waterpik at home 4-5 times a day and flossed as often as I could (I couldn't floss the top because they were too tight). I did eat steak and other types of food that weren't really soft starting at about 6 weeks but I avoided nuts, chips, hard candies, etc. After my first checkup and reline at 4 months I noticed I was becoming less self conscious (at least about the cleaning). I relaxed about it partly because they said the implants were integrating into my bone and that they looked pretty good as far as cleaning went. Now I'm able to floss every area and I’ve settled into a good cleansing routine. I don't feel the need to waterpik as often (although I like how clean it makes my mouth feel). I do a very thorough cleaning before bed which makes my morning routine go faster and I still carry my portable waterpik when I'm going to be somewhere like a long dinner or at a party and if possible I excuse myself after eating to go do a short cleaning in the restroom. It’s usually not necessary but I feel better if I at least go look in a big mirror and rinse my mouth. Swishing and rinsing with water after meals and snacks while you are away from home seems to be what most people do. And I haven't heard of them having issues with plaque build up as long as you clean them throughly when you get home. 
Also, once you have your first checkup and reline to close most of the gaps, you should notice you aren't collecting as much food particles under the bridges. And the bubbles should stop when the gaps aren’t as big. I know they suggest 6 months but I went at 4 months and they were fine with me coming in early. If it’s not too expensive for you to get there, I would make an appointment to go back even earlier and have them take care of the issues you have.
As far as the office staff goes there really isn't any excuse for that. I know they are a busy office but they shouldn't forget you. Mention it to whoever you feel most comfortable dealing with at the office. The only time I had an issue was when I spoke to one of the nurses. She had no clue who I was and gave me just generic information on an issue. If she had taken time to look in my chart I would have gotten a more satisfactory answer to my issue. After that I started asking for someone who actually knows who I am and I've not had a problem since then.
Anyway good luck on your continued adventure with new teeth. It is an ongoing journey, one that we'll be dealing with for the rest of our lives. But I can truthfully say that at 9 months post procedure having new teeth is such a normal part of my life that I don't think about them much of the day. Looking forward to more updates from you when time permits! K :)
December 8, 2016
Yes this is definitely a journey and mine has only just begun lol I'm sure there are a lot of things that will become more "normal" for me over time. I still haven't really learned how to smile and feel very awkward smiling in front of people. I do like the teeth, but already at 1 month post I feel like there are some fit issues, but maybe that is normal. I have gaps forming in a couple spots and the top bridge feels like its too wide now in the back molar area especially on the left side if that makes sense. I am hoping when I go for my 6 month checkup they can fix the fit issues I'm having.
The cleaning during the weekdays at lunchtime is the tough part for me since where I work we don't have a private bathroom, so trying to find a quite moment in the bathroom to waterpik in private is a nightmare since people are constantly in and out and I don't really want people watch me lol. I always do a really good cleaning every morning after breakfast and every night before bed and just do the best I can during the day and on weekends its much easier. I have to admit I didn't realize going in to this that dinner and movie date nights with my husband means taking a waterpik along and finding a quite restroom to clean in lol but you gotta do what you gotta do.
I am still lisping quite a lot, I think the fit issues have actually made the lisp worse along with the bubble sounds I now make lol so again I am really hoping this can all be addressed with adjustments. I don't really mind when I am home with husband or kids but when I am working with my co-workers and when talking o strangers at work (which I do daily) it makes me really self conscious.
I am excited for crunchy food! It has been years since I have even eaten potato chips lol I had crappy teeth that hurt when I ate them so I just quit, so now I am looking forward to my implants integrating and being able to have stuff like that again. I would kill for a steak lol I haven't even attempted anything like that yet as I am only 4 weeks post and really paranoid about disrupting anything. I have pretty much only had very soft food since my procedure. I haven't even really eaten anything that required much chewing at all, I drink lots of Atkins shakes lol and have well done pastas and yogurts and fish... things like that. So I will be happy to get back to some sort a normal diet, on the bright side I have lost 16lbs lol (although I was already slender) I have probably been overly cautious but I get really nervous about making things go wrong.
Overall I think things are going ok, I fell like all this is probably normal for where I am at in the process. I still have some stiffness in my upper lip area but its slowly subsiding, all 4 implants on top are now starting to peek out (I ended up with 5 implants on bottom as Dr. Golpa said my bone was soft) but so far I cant see any of those. Your teeth look beautiful and suit you so well! I cant wait to get to where your at with it! Right now my teeth are still what I think of all day.
The cleaning during the weekdays at lunchtime is the tough part for me since where I work we don't have a private bathroom, so trying to find a quite moment in the bathroom to waterpik in private is a nightmare since people are constantly in and out and I don't really want people watch me lol. I always do a really good cleaning every morning after breakfast and every night before bed and just do the best I can during the day and on weekends its much easier. I have to admit I didn't realize going in to this that dinner and movie date nights with my husband means taking a waterpik along and finding a quite restroom to clean in lol but you gotta do what you gotta do.
I am still lisping quite a lot, I think the fit issues have actually made the lisp worse along with the bubble sounds I now make lol so again I am really hoping this can all be addressed with adjustments. I don't really mind when I am home with husband or kids but when I am working with my co-workers and when talking o strangers at work (which I do daily) it makes me really self conscious.
I am excited for crunchy food! It has been years since I have even eaten potato chips lol I had crappy teeth that hurt when I ate them so I just quit, so now I am looking forward to my implants integrating and being able to have stuff like that again. I would kill for a steak lol I haven't even attempted anything like that yet as I am only 4 weeks post and really paranoid about disrupting anything. I have pretty much only had very soft food since my procedure. I haven't even really eaten anything that required much chewing at all, I drink lots of Atkins shakes lol and have well done pastas and yogurts and fish... things like that. So I will be happy to get back to some sort a normal diet, on the bright side I have lost 16lbs lol (although I was already slender) I have probably been overly cautious but I get really nervous about making things go wrong.
Overall I think things are going ok, I fell like all this is probably normal for where I am at in the process. I still have some stiffness in my upper lip area but its slowly subsiding, all 4 implants on top are now starting to peek out (I ended up with 5 implants on bottom as Dr. Golpa said my bone was soft) but so far I cant see any of those. Your teeth look beautiful and suit you so well! I cant wait to get to where your at with it! Right now my teeth are still what I think of all day.
December 20, 2016
Yes, I would do it again. I think most people in my situation would. Its not your natural teeth by any means but I do think when it comes a time that you cannot keep your natural teeth any longer this is likely the next best thing besides individual implants for every tooth (if you have 75k+ laying around). It does have its annoyances and inconveniences absolutely so its important I think to keep realistic expectations.

December 8, 2016
When you go in for your reline the gap will be handled. I went through the same. Now no lisp or bubbles. Talk normal chew awesome. You look good!
December 8, 2016
Thank you! I will be happy to have the bubbles and speech worked out! Its a minor thing but can be quite embarrassing
January 10, 2017
Thank you soooo much for sharing your story, It has helped me out greatly. Pardon me if you already answered this but your teeth are so wonderful and natural looking. Did the dentist use acrylic or zirconia
January 10, 2017
Acrylic, and they are great, but I do hear the zirconia are even better! I am just really starting out as well on this whole ride as its only been just over 2 months for me. It definately got better after the initial swelling and bruising subsided. I stayed slightly swollen for about a month!
March 15, 2017
Hello! How are you feeling now? I have followed your journey from the begginning and just wondering how are you doing now ? Have you been back for adjustments yet?
March 17, 2017
I am feeling great! The first month is a little rough, not because of pain but more so because you are experiencing all these new things and everything is a bit uncomfortable. I was swollen for almost a month and bruised for several weeks. I am now finally eating everything I want (which is something I cannot recall ever being able to do), things feel so normal now. This is honestly the best possible thing I could have done for myself. It's not your real teeth but I really believe its basically as close as you can get without individual implants and a huge bank account to afford them. I go back for adjustments in about a month so I am actually looking forward to that, mostly for confirmation that all implants have successfully fused. Cleaning can be a little tedious but honestly you get used to it. I feel like I must have one of the cleanest mouths around after cleaning so much lol. Typically I floss twice daily, waterpik anytime I eat or drink anything other than water, brush 2-3 times a day (depending, I am an ice tea and coffee drinker so I tend to brush after that as well because I worry about staining) and I use mouth wash twice daily. I usually do a very thorough cleaning morning and night and just water pik and brush in between as needed. The detailed cleaning used to take 20-25 minutes and its probably cut in half now as I have it down to a real science lol. The best part is I actually smile at people and in pictures!!! I have never in my life done that! I never realized just how much my confidence held me back until I had this done, I feel so much more open talking to people and not afraid they will see my teeth!
March 17, 2017
Thank you so much for your response! It will be 2 weeks on Tuesday for me( as well with dr Golpa) . I am in the rough stage now : ),looking forward to where you are! : )
March 18, 2017
How are you feeling so far? Any bruising or swelling? The first month was definitely the worst for me, just so many new experiences and for me the swelling made things just feel so out of sorts but I can assure you it gets so much better!
March 19, 2017
Thank you for asking! Feeling ok considering, I still have swelling on my upper part so my nose is still kind of numb and my face It's not back to normal me yet( my upper lip stays kind of raised and I my mouth stay open so I have to remember to close it : /) . Not sure , I think it's normal... I bruised under my eyes a little and a big bruise on my right down on my neck, but it's almost gone!
Did you experience throbbing where the implants are?! My lower bridge still feels quite snug. Which toothbrush do you use and how about the gel?
Thank you !
Did you experience throbbing where the implants are?! My lower bridge still feels quite snug. Which toothbrush do you use and how about the gel?
Thank you !
March 19, 2017
Yes, my upper lip was the last place for the swelling to go down. I had some throbbing in my chin are, I ended up with an extra implant there (dr golpa said my bone was soft there) so I had throbbing there off and on for probably about a month maybe a little longer. I found that for the first probably 6 weeks there are lots of odd sensations happening . I called the office a ton in the first weeks with questions lol. This website helped me alot to, slowly but steadily everything settled down and now it's all 2nd nature. I think if they aren't causin actual pain and the feeling isn't constant it's probably just normal healing but if your concerned call the office (they are totally expecting your questions) what you went through is actually a huge thing and there is bound to be some questions regarding it. They just told me to use a gel only toothpaste so I have been trying out different ones over the last few months, right now I am liking AIM but I have switched them up alot. Just make sure it's gel only, you don't want anything abbrasive. I am currently using a rotadent toothbrush morning g and night, and just a soft bristled generic toothbrush during the day for quick brushings.
April 4, 2017
Sorry it took me so long to respond. I started a new job and going through training has been super time consuming! Yes the first probably 2 months or so I would have off throbbing here and there, but it has dwindled down to practically nothing. I felt like my top lip stuck out a lot at first, but I really think it was swelling and felt much worse than it actually look (I know first had though the slightest difference feels huge to us but in reality everyone else would hardly notice). I use the rotadent toothbrush that I bought at Dr. Golpa's office, and a regular soft bristled toothbrush when I am at work. I had swapped around toothpaste quite a bit, lately I really like AIM. How are you feeling now? Swelling totally resolved? Are you feeling much happier with your new smile?
April 5, 2017
I know Dr. Golpa's office said to use a gel toothpaste, but not all gel toothpastes are low abrasive ( RDA under 71).
http://www.promenadedentalva.com/docs/toothpaste-abrasion-chart.pdf
http://www.promenadedentalva.com/docs/toothpaste-abrasion-chart.pdf

May 9, 2017
Wow, I haven't been here in awhile. @tristansmommy, we spoke a few months ago about the procedure right after I had it done. I see you had yours done as well! You look fantastic! Congrats.
May 10, 2017
Thank you so much! Yes I took the plunge and couldn't be happier that I did. It's an adjustment for sure, but it's a million times better than what I had before. My eating, my health, and my confidence have improved so much. How Re you doing? You look great as well!
May 10, 2017
I'm happy with the results. I go for my 6 month check up the month...... (this is the 3rd one).....so far so good.

May 10, 2017
My 6 mos. check up was supposed to be in March but I'm terrified to fly. I live in South Texas and we drove (25 hours, ugh) when i had the procedure done last August and I really, really don't want to deal with that long drive again. Dr. Golpa is opening an office in Dallas which would be perfect. Only a 5 hour drive. It was supposed to be open in March, then got delayed until April, then May, and now June. I stay in touch with the office every month when I make my payment. They have reassured me that extending my 6 mos. check up by 3 or 4 months would not be a problem as long as i'm not having any issues with the implants. If the office doesn't open in June I guess I'll have to fly. If that's the case I will just have to find a way to deal with the anxiety. A drink or ten or a zanax perhaps, lol. My implants are fine and seem solid. I just can't wait to get a reline on the upper arch. There is a nice size gap between the bridge and my gum line on the right side which gives me a weird airy lisp and bubbles that travel up and under my upper lip and it's so distracting, lol. (i hope that makes sense, lol). I heard they can adjust it so the gap is smaller. Do y'all know how they do that? Also, if i laugh hard or smile really big (one of those big toothy smiles) the top part of the bridge (where it stops and my natural gum begins) shows fairly easily. I'm a bit self conscious about that because its right in the front.
May 11, 2017
I have the same kind of gap, which does bother me but not to badly I suppose. I do want the gap closed more because of the air bubbles which I find distracting at times. I do still have a slight lisp 6 months later. But I suppose that will also resolve with time. I was 6 months post as of 2 days ago. I had planned to go immediately for my check up but I started a new job and have been slammed busy so i have had to push it back a bit, but i should be there in june.

May 11, 2017
My lisp has faded some but I'm more distracted by the gap and bubbles, lol. Especially when I'm talking to someone one on one. I start thinking to myself, "can they tell I have bubbles traveling up under my upper lip? Am I talking differently?" Then my focus goes from the conversation to bubbles.

May 12, 2017
Lol I know what you mean, I have had those bubbles travel up and make a farting noise Lol, it seems loud to me but nobody, even my husband, say they can hear it. Overall are you happy with yours? Feel like it was money well spent?

UPDATED FROM tristansmommy
8 days post
8 days post
tristansmommyNovember 17, 2016
Wanted to include a new picture
Replies (4)
November 20, 2016
You look great!
November 20, 2016
Thank you! I am finally starting to feel like I look like myself again only with a much better smile!
November 21, 2016
Thank you, trying to adjust to the change lol. I feel like I should be practicing smiling since I have never really done it, it looks so unnatural to see myself smile lol
November 30, 2016
You look awesome. Question, what color/shade did you choose?
November 30, 2016
I chose the 3rd shade down from the whitest. It is a very light shade but I am super fair so it matched me pretty well. The more "natural white" shades came close to my natural skin tone so they didn't look very white on me since apparently I am the color of paper lol
January 10, 2017
Beautiful
Replies (5)