POSTED UNDER All-on-4 Dental Implants Reviews
All on 4 X 2, Dr. Golpa In Las Vegas
UPDATED FROM smcinaz
4 years post
4.5 Years In, FINALLY Hapoy As Can Be!
smcinazMay 28, 2022
WORTH IT$29,500
A year ago, the non-zirconia lower arch broke. I went back to Las Vegas, again, for the third re-do, mid Covid, not a happy camper. This tine, enough was enough was enough, and I insisted in the replacements be zirconia, to match the upper arch that was put in on the last re-do. Problem was, due to Covid and other issues, it was going to be a month to get them made. In the meantime, cheapo PMMA (crappy low cost denture material) which they made in a day abd which us now Golpa's auto default material for all new patients. They were quite comfortable, really, and I had no issues with them. I, once again, returned to Las Vegas about 6 weeks later, to have the lower zirconia arches put in and adjusted. They and the previously done zirconia uppers have been FANTASTIC. I wish they had been the automatic option from day one like they have akways been at mist other places like the unnamed monster in the room, Clear Choice. I can eat anything with no fear of breakage like what had happened 3, yes, THREE TIMES to me since my original surgery in Nov. of 2017. I really love these zirconias! The only negative comment I have about them is that they do "clank" just a little bit compared to all the other combinations of materials I have gone through. The "clankiness" is due to the coating and hardness nature of the material. It has eased up over the 1+ year since the lower was replaced just from use and "breaking in" however, it realky isn't so bad, I have no regrets on choosing to go with what is niw a full set of zirconia and I am, overall, seriously glad this is how things ended up. I cannot implore to you all how strongly I suggest you go with at least your upper bridge being zirconia and, if you can afford it, your full set. Contrary to some opinions out there, the real world experience is that zirconia arches and implants truly are the best option, they do not cause even the slightest jaw or tmj issues that they "warn you about" before sticking a set of cheapo, opaque looking cut-rate PMMA arches in your mouth. I truly believe these will last me the rest of my life. What's more, they really really do work and feel like my natural teeth did before, due to terrible genetics from both my parents, all the bad things started making my dental life terrible in my teens. I am very very happy that I got my issues finally and permanently resolved. I only wish all the info and what I learned over tge last 5 years was available to me back in 2017 and I could have skipped all the breakages and return trips back to Las Vegas. I would have absolutely and beyond a shadow of a doubt gone with a full set of zirconias from the start and paid the difference-very much well worth it!
UPDATED FROM smcinaz
1 year post
6 Months After 3rd Set Of Replacements
smcinazSeptember 3, 2019
Everything is nearly perfect these days with the last set of teeth. If you are considering having tge all on 4 done, no.matter who is doing it, I very very highly.recommend bypassing all the bs and INSIST upon having your uppers made from Prettau Zirconia and NOTHING ELSE, with your lowers made from the reinforced crystal polymer or the equivalent.It really is the perfect combination for strength and flexibility. If both are tge polymer, they wear faster and are subject to relatively easy breakage, and if both are zirconia, they clank and put undo stress on your jaw and.jaw muscles. You will very likely be hit with a great deal of resistance to it because it.takes extra time to make the zirconia, generally about 2.5 to 3 days vs the 1 day for.crystal polymer. It also costs more for the better material. Take my very experienced word for it: It is.most definitely and assuredly worth it.
Your dentist might also tell you having.zirconia is more traumatic to your jaw and.muscles but they are only half right in that if both upper and lower ate zirconia, like clear choice forces on all their overpaying clients, it is, indeed, stressful to them, BUT, as long as your lowers are the polymer, there is enough tiny flexibility for you to have zirconia uppers, and your all on.4's are.likely to last you for the rest of your life. They do really feel like your own teeth! Just dont let them.talk you into crystal polymer uppers, no.matter what, especially with the old "most of our clients are perfectly happy with them" routine. What they aren't telling you is how many people have trouble with them layer, some repeatedly like me with breakage and other issues. Way too many.
My.only lingering problem is that I am still biting my inner cheeks too often, especially my.left.cheek, and.the edge/side of my tongue on that side, too. Doesn't seem to be anything I can do about.it at this point except chewing and eating carefully.
Overall I am quite pleased with the outcome almost 2 years later and I am glad I went with Golpa and Co., despite all the stuff I had to go through with the repeated breakage of the upper bridges until I fugured out and insisted of getting them remade out of prettau zirconia. They are not too hard and work in perfect harmony with the lower crystal bridge.
Your dentist might also tell you having.zirconia is more traumatic to your jaw and.muscles but they are only half right in that if both upper and lower ate zirconia, like clear choice forces on all their overpaying clients, it is, indeed, stressful to them, BUT, as long as your lowers are the polymer, there is enough tiny flexibility for you to have zirconia uppers, and your all on.4's are.likely to last you for the rest of your life. They do really feel like your own teeth! Just dont let them.talk you into crystal polymer uppers, no.matter what, especially with the old "most of our clients are perfectly happy with them" routine. What they aren't telling you is how many people have trouble with them layer, some repeatedly like me with breakage and other issues. Way too many.
My.only lingering problem is that I am still biting my inner cheeks too often, especially my.left.cheek, and.the edge/side of my tongue on that side, too. Doesn't seem to be anything I can do about.it at this point except chewing and eating carefully.
Overall I am quite pleased with the outcome almost 2 years later and I am glad I went with Golpa and Co., despite all the stuff I had to go through with the repeated breakage of the upper bridges until I fugured out and insisted of getting them remade out of prettau zirconia. They are not too hard and work in perfect harmony with the lower crystal bridge.
Replies (5)

September 5, 2019
That is great!! I was wondering how you were doing! Glad to read an update and to hear you are doing well! Take care!!
September 5, 2019
Yes, the zirconia upper did tge trick. How are you and your teeth?

September 8, 2019
Me? When I went in Feb to get my bite aligned, Dr Golpa called in sick. I came back the next day, and things were hectic. I didn't work with Dr Golpa like usual, and the girl never checked my bite, and rushed the fillings. I need to get treatment asap! My bite is dangerously off. I'm fearful for my implants!
September 7, 2019
Apparently, your knowlege regarding zirconia is lacking. Also, if you are biting the inner tissue of your mouth, the prosthesis is not fitted well.

September 8, 2019
Tell us about Zarconia, as I can't wait to get my Zarconia out, and replaced.
My bite has been way off since my visit in February.
I don't know what's going on anymore. I didn't want to travel back, or anywhere, as the trip in Feb to Vegas was extremely painful. I had had a multi level spinaI fusion just 3 months prior to my trip to my last trip to Vegas in Feb 19.
I was told, my implants wouldn't fail, due to my bite being off, but they don't feel right, and my bridges are making clicking noise, audible to those around me (it's pretty embarrassing)
I'm glad Dr Golpa has a staff of dentist, as I'm beginning to wonder if opening 2 new facilities was a bit much, too soon?
I've been honest with the community since day 1, in 2013 regarding my feelings, and will continue to be.
I've spent a lot of money since 2013 on the initial procedure, upgrades, travel, and "other". In hindsight, my visit in Feb was should have had me set for at least a year, but I realized my bite was never adjusted, nor my fillings put in properly, by the time we went to get dinner, then i had to go catch our flight. Dr Golpa had called in sick the day of my initial appointment, so my time was too limited (I like to give myself a few extra days)
I feel I do need an appointment asap. If my implants end up failing due to my bite, and the added weight of the Zarconia bridge, it would be devastating.
Communication with clinical staff, has been non existent since Feb.
The receptionist Ashley has been a valuable addition to Dr Golpa's staff, as she's been my sole conduit to the office.
I'm now within driving distance to the DC office. Hopefully I can get everything taken care of promptly.
My bite has been way off since my visit in February.
I don't know what's going on anymore. I didn't want to travel back, or anywhere, as the trip in Feb to Vegas was extremely painful. I had had a multi level spinaI fusion just 3 months prior to my trip to my last trip to Vegas in Feb 19.
I was told, my implants wouldn't fail, due to my bite being off, but they don't feel right, and my bridges are making clicking noise, audible to those around me (it's pretty embarrassing)
I'm glad Dr Golpa has a staff of dentist, as I'm beginning to wonder if opening 2 new facilities was a bit much, too soon?
I've been honest with the community since day 1, in 2013 regarding my feelings, and will continue to be.
I've spent a lot of money since 2013 on the initial procedure, upgrades, travel, and "other". In hindsight, my visit in Feb was should have had me set for at least a year, but I realized my bite was never adjusted, nor my fillings put in properly, by the time we went to get dinner, then i had to go catch our flight. Dr Golpa had called in sick the day of my initial appointment, so my time was too limited (I like to give myself a few extra days)
I feel I do need an appointment asap. If my implants end up failing due to my bite, and the added weight of the Zarconia bridge, it would be devastating.
Communication with clinical staff, has been non existent since Feb.
The receptionist Ashley has been a valuable addition to Dr Golpa's staff, as she's been my sole conduit to the office.
I'm now within driving distance to the DC office. Hopefully I can get everything taken care of promptly.
September 8, 2019
If you got zirconia for both upper and lower then that was a big mistake. Too much weight and jarring to your implants and jaws, etc. I was not aware that they did those but it does make sense in that it was 6 yrs ago and they were probably immitatung Clear Choice and their double zirconias.
Learn from your experience and mine. Have the lower replaced by them with tge crystal acrylic. It really is the best combination, especially when they get your bite setup correctly.
Learn from your experience and mine. Have the lower replaced by them with tge crystal acrylic. It really is the best combination, especially when they get your bite setup correctly.

September 8, 2019
No, not bottom. Don't compare Dr Golpa (well the old way he did things, to Clear Choice) I pray, Golpa NEVER becomes a Clear Choice.

September 8, 2019
I'll add to that. When I 1st started going to Golpa, he promised he'd never become a "CC" type place. Dr Golpa had more experience by himself, than that entire company! I seen a recent video of Dr Golpa. He looks stressed, tired. I hope he's ok. He was the best!, and it wasn't even close. I hope he didn't bite off more than he can chew?
September 8, 2019
Mine do not clank. No idea how things were before 2017, but they do not even offer zirconia as an.option anymore unless specially requested. Idk why you have issues, but when I had all standard, 3 breakages in 18 months in the uppers was enough. In fact, I had tge clanking with them but 0 now.
Gotta wonder if you really got zirconia for real in 1 day which is not possible with current LV lab equipment .Did you actually hold them in your hand? They REALLY did not want to do mine. I held them in my hand and they were heavier than lowers by a LOT. No way these uppers will break off teeth as it is ALL made from 1 solid piece.
Gotta wonder if you really got zirconia for real in 1 day which is not possible with current LV lab equipment .Did you actually hold them in your hand? They REALLY did not want to do mine. I held them in my hand and they were heavier than lowers by a LOT. No way these uppers will break off teeth as it is ALL made from 1 solid piece.
September 7, 2019
Apparently, I am correct and you are a no nothing bire. I lived it. I know it. Fact.
UPDATED FROM smcinaz
1 year post
OH NO, NOT AGAIN: Broken Tooth For The Third Time In Less Than 1.5 Years
smcinazMarch 30, 2019
Well, it happened again. Another broken off top one right of the front tooth, AGAIN, just broke clean off. I was not eating, just walking, Pop, out it came.
This is the third time this has now happened in less than a year and a half, and I am wondering if I am an unusual case or is this happening a lot more than I first thought. ANYONE ELSE HAVE THEIR "PERMANENT" TEETH BREAK OFF, INEXPLICABLY, MAYBE EVEN MORE THAN ONCE LIKE ME?
What I really want is a true permanent solution, namely, ZIRCONIA UPPERS along with non-zirconia lower arches. It seems like a real no brainer to me, as all of these teeth breakages are from the upper arch, and, despite their best efforts, it just keeps happening, again and again. A local periodontist I went to see highly recommends that combination, especially when considering that the teeth keep breaking with the standard version uppers.
So, back I go again next week.
Wish me luck, all.
This is the third time this has now happened in less than a year and a half, and I am wondering if I am an unusual case or is this happening a lot more than I first thought. ANYONE ELSE HAVE THEIR "PERMANENT" TEETH BREAK OFF, INEXPLICABLY, MAYBE EVEN MORE THAN ONCE LIKE ME?
What I really want is a true permanent solution, namely, ZIRCONIA UPPERS along with non-zirconia lower arches. It seems like a real no brainer to me, as all of these teeth breakages are from the upper arch, and, despite their best efforts, it just keeps happening, again and again. A local periodontist I went to see highly recommends that combination, especially when considering that the teeth keep breaking with the standard version uppers.
So, back I go again next week.
Wish me luck, all.
Replies (5)
April 8, 2019
After some serious back and forth and a lot of resistance to the idea, they agreed to redo the upper bridge in zirconia and the lower bridge in the standard crystal acrylic, which is THE ideal way to do all on 4's. It took 3 days to make and get the zirconia ready, so I hung around LV for a while. The zirconia is 3x as heavy but once inserted and screwed in, I can't tell the difference except they feel more substantial overall. I would be very surprised if they were to break like the others did repeatedly. Almost everyone was very nice except one particular dental assistant who seemed VERY put out that I should receive the upgrade vs everyone else for some reason. I am very glad that I insisted on the zirconia, as it is very obviously a large improvement and getting it along with a big adjustment in my bite to cut down the pressure on the area will hopefully put an end to the teeth breakage issue for good.

October 2, 2019
You're right. If your bones are strong enough to support the Zarconia bridge, they will not break!
No joke, I can eat a T bone (I mean the bone), and I can chew it, and not worry about them breaking. The also look great. They are a bit more $, but if ya keep getting unlucky, and having bridges break, you'll end up saving in the long run.
* I was exaggerating about the T bone, but hopefully ya get the point.
No joke, I can eat a T bone (I mean the bone), and I can chew it, and not worry about them breaking. The also look great. They are a bit more $, but if ya keep getting unlucky, and having bridges break, you'll end up saving in the long run.
* I was exaggerating about the T bone, but hopefully ya get the point.
September 8, 2019
Your Zirconia was not properly sintered(a process of compacting and forming a solid mass by heat or pressure)Zirconia is soft in a green state. It has to be properly cured by heat to attain the required hardness. If it is not process correctly, it is like wearing a chalk in your mouth. Go to youtube and search for Bruxir Zirconia hammer test.

September 9, 2019
I've had mine for a few years. The only problem I have with them is the weight. Not chalk, not green, and when my bite is aligned, I could bite through a T-bone (the bone) I've had acrylic, titanium, and these were the best Golpa had to offer. I would remember if I had to wait more than 24 hours. Maybe, when they were top of the line, they already had them made, and during the 24 hour wait, they designed them to match the shape of the titanium? Think outside the box. Facts are facts, and science is science. Did it occur to you that Dr Golpa was prepared? Ridged thinking can only get ya so far. His education, experience, skill, planning, and all those intangibles, have put Dr Golpa in a position most of us couldn't dream of.
October 16, 2020
Hope you are happy with the result . How are your teeth doing now ? I hope things work out for the better. Thanks for sharing.

October 17, 2020
There's a few things I'd do over.
I'd definitely get em a few shades darker, and with minor flaws.
Do you ever watch Family Guy?
There's an episode when Braun got cosmetic dental work, and became an insurance salesman.
I often feel like Brian.
Speaking of teeth, I need to get them adjusted again. I go once a year, as I need to get them aligned.
I'd definitely get em a few shades darker, and with minor flaws.
Do you ever watch Family Guy?
There's an episode when Braun got cosmetic dental work, and became an insurance salesman.
I often feel like Brian.
Speaking of teeth, I need to get them adjusted again. I go once a year, as I need to get them aligned.

Replies (1)