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

Hey there nj1952 - thanks for the update. Hard to believe it's been over a year and we can all eat and chew now. I am happy about my choice and decision but not as happy with these perms as I'd like to be. The fit is great it's just little things that annoy and bug me. Like I said it isn't perfect but better than the condition of my real teeth so I live with it. It is nice to be able to smile, laugh and EAT. Happy 2015 to you.

Happy 2015 Viva. We do adapt. I would love to have the proceline as well - unfortunately they are too heavy for me and would put too much stress on my implants. I'd rather have some teeth in my month then failed implants - if you know what I mean. It's nice to hear that this website answered your questions and did in fact help. :) keep smiling!

Exactly. I had a friend with, let's say 'problematic' teeth as a result of a serious accident.
He visited 5 specialists and eventually ended up in Brazil.
For practical reasons the complete reconstruction was done in two stages.
First on the lower jaw two twenty-years old bridges were removed and three implants on the empty locations. Temporary bridged was created.
After five months (he couldn't make it earlier) crowns and amalgam fillings in the upper-jaw were removed.
The dentist recommended to very carefully bleach the good teeth to a colour that fits somebody his age. There is a direct correlation between age and tooth color and age and super white teeth on a man in his early 60s look fake. "Wow, your dentures look very real ....."
In a period of one week all new crowns (including the ones on the implants) were made in-house, using the colour of his natural as basis.
Total price? Well under US$ 10K.
Definitely worth a nice holiday!

I am thinking that they might have had lots of trauma with their teeth, and might look for a more permanent and aesthetic solution. That's why it is important to do the research and get as many questions answered as possible.

Thank you very much Josie8. They are one shade different than the temps (a little less white) but still very white. My husband says they look more natural. I also asked for the canines to be sticking out and for overbite - much like my natural teeth. All of that was achieved. My only disappointment is that the underside of the upper arch seems very bulky to me. I'm waiting a few weeks to see if I can adjust to that change - if not I will go back I and see if it can be tapered down. Have you decided to go through with this procedure Josie? What are your thoughts?

Glad you are happy, they look very natural to me. I need my uppers in the near future , not for a few years my dentist told me. I am more scared of who I choose to do this than the procedure itself. I am a very anxious person and overthink everything, I am in Chicago so I'm not sure I want to travel all the way to Las Vegas. I want my new teeth to look natural and I don't want people to know I've had this done. It's going to be a hard decision who I put my trust in, as you know this is a difficult process. Thank you for all your updates, I have been reading everything I can about this procedure.

The photo does not do justice. The look so much better in person. I was the same as you Josie. I over researched everything. I read everything including this site, you tube and more. I was apprehensive as well as hesitant. I also thought it was bogus to get teeth in a day. It was the support of my husband that guided me to at least go for a consultation to one, two or three dentist if needed. I was lucky to talk to someone at Dr. Golpa's office on the phone for quite a long time. I got all my questions answered before I went in for my consultation. By that point I was ready for the procedure. Email or call Dr. Golpa's and ask your questions including that you live in Chicago. I know for a fact that they will put you up at a nice hotel and provide "James" their driver to pick you up etc. They have more out of state patients than locals. Also, the price is lower by thousands compared to other practices and Dr. G. Is second to none. That is something to consider. I wouldn't trust another dentist to be very honest.

Thank you, you are very helpful. My biggest concern is, if something is not right I would have to travel back and forth, more time and more money. Also the stress of the possibility of something happening that is urgent and I'm across the country. I would like to think everything would go smoothly and it's not a problem, but I always prepare for the worst, and tend to think the worst. I am driving myself crazy reading up on this stuff though, and of course I focus on the bad reviews! Thanks again.

Hi Josie - I was just checking this site and saw your response. My email alert didn't alert me - go figure. I wish there were negative responses I could've read before my procedure. Everything I read was ultra "wonderful" so when I had my procedure I expected to be just like them. What a shock and a let down that I ended up with 9 hours of surgery and bone graphing and no " biting the apple" - and the wrong size teeth the following day. I was devasted because I thought EVERYBODY had a smooth and easy time. That's why I started writing my review - so people could see that things can and will be different - individual by individual. I was very lucky to have Dr. G. at my side doing this procedure. I seriously believe that had it been a different dentist during this surgery the outcome would've been a disaster and the outcome very different. So I consider myself blessed and lucky to have been in his hands. Now -to date- my result is a happy ending - it just took longer to get there. My point is Josie is that it's good to know that it doesn't always go as planned but choosing the right dentist for the procedure is paramount.

lvlocal so glad everything turned out well for you. Your smile looks great. You talked about your uppers being bulky did your Dr. give you reason why they are

sorry my phone is so key sensitive. Just wanted to say mine are less material then the temps. Glad you are finish now. It's amazing that this option was available to us. I know it change the way I was feel about my self. I am happy looking forward o my sons wedding in June. I don't have that problem.

I meant i don't have a problem smiling anymore. Time to change computers haha

nj- I know what you mean about the sensitive keys - this one auto corrects all the time - sometime I catch it and sometimes I don't. I makes me look illiterate :-). Yes, they did tell me they couldn't cut down the gums in the area that feels bulky to me because of the titanium bar. I will still go in and see if it can be shaved down a little more. My temps vs. these are completely different material so it's hard to compare. What I do know is these are much stronger and I ate my first steak dinner Sunday. It was delicious! First steak I've had I years. My teeth were so soft before surgery - then the bone graphing after so it's been a very long time since I bit into a steak. It is the best choice to have all on four - I diffinately don't think about it when I smile - I just smile now. Before I'd be more reserved or put my hand across my mouth. Congrats on your sons upcoming wedding - the photos will be great with your new smile! I had two weddings after my procedure. My daughter and my step daughter. The photos are beautiful and I have a healthy mouth in both. I smile with more confidence - that's for sure. I am very happy having had this choice. I can't imagine having dentures. What a nightmare that would be. I know how OLD I felt when they took the temps out before the perms went in. In that short amount of time I thought to myself - this is awful - I can't imagine taking out my teeth everyday and to have this feeling of a collapsed mouth EVERYDAY and feeling really OLD. This procedure is a miracle and worth every dime. What a wonderful time we live in to have this choice. And knowing that day by day this procedure is advancing and getting even better. I feel very fortunate. :-)

Josie, I am posting a but late but I am from Chicago as well. I also am a patient of Dr. Golpa. I am not sure where you are on your decision but please don't let the distance be the determining factor. Look for the dr and staff that you are most comfortable with and trust yourself. Then go with it. Hope this helped.

Thank you for your help. I still have not made a decision yet as I still have some time. May I ask why you chose Dr. Golpa? I know he is very good but I guess I would rather stay in the Chicago area as I am a very anxious person and really don't want to travel back and forth. Did you get any consults in the Chicago area? I have heard mixed reviews about Clear Choice but I am considering the one downtown Chicago because they do everything in one place. I definitely don't want to sacrifice quality care for proximity but I guess I'm just hoping I can find that here in Chicago, but it's hard to know where to start. Thanks.

Hello I used choice in Las Vegas and I had 24 teeth removed and upper and lower done in one day ...not a problem! I know it sounds unbelievable but it's true... They did an awesome job I had little pain and only moderate swelling. Really thought it was tougher. Amazing!!!!!

Yes I did get a consult in Chicago. I called and the conversation was great. When I went it to have the scan done to see if I was a candidate everyone was very nice. After the scan I was led to an office and the dentist came in. That's where things started to go wrong. After telling me that I was a good candidate for the procedure , the money came up and I was pressured for a deposit. Now I am acutely aware that they are also a business, and that their time is valuable, but I value my time to think about things and to make informed decisions as well. There was real pressure to explain why I didn't want to put a deposit down and to show that I was serious. I found that very condescending and plain rude. In addition I had to tell them several times that I was not going to make a decision right there and then before they finally let me out of that office. This office was far more expensive than Dr. Golpa but had I been comfortable and had I felt respected , the price would not have deterred me. I also called another office , also considered one of the top practices in Chicago, and I couldn't even get any information over the phone. Again, everyone has different needs, for me distance and price were on the bottom of my priorities because this procedure, is a big surgery. Perhaps I can share something else with you. Once I decided to go with dr Golpa I put down money. Then something g happened in my family and I needed the money back. It was deposited in my account promptly. It is just a small thing that makes you feel respected even when you need your money back. For me it just made me trust this office a bit more.

Hi Josie, you say you have time to make your decision. I thought I did too. Had I waited I wouldn't be here right now. It would've been to late as my jawbone was very soft which doesn't show in the CTscan and X-rays. Just one month later and I would not have been able to get the all on four - I would be wearing dentures. I also believe that Dr. Golpa was the only qualified doctor that knew exactly what to do at that moment during surgery when my jawbone collapsed. It was quite a serious situation at that moment - so I was told by everyone in the surgical room assisting the doctor. It was a close call. Also, at Dr. Golpa's your get very personalized attention and individual care. You are not part of a corporate dentistry program. Maybe these things will help you with your decision. You are in the perfect place to figure out where to start. :-) your next step when you are ready is make a phone call for a consultation. Call Dr. Golpa's office and ask to speak to Carlos - that would be a great start and it won't cost you anything to talk to him since it's a toll free call. You ask everything you need answered before you make a decision. Then go from there. You can call Clear Choice after that and compare notes. Hopefully this info will help you.

Hello all . Did anyone experience staining on the teeth? And if yes , we're you told it was due to drinking a lot of coffee? I these teeth are not supposed to stain. I am just wondering if anyone had staining.

Josie, dr Golpa 's office does everything in one place as well.

Josie, I think that as long as you are not done with the procedure and you fitting for perm etc. dr. Golpa provides hotel etc. I suppose that if you opt to return to the office for maintenance the expense would be yours but I am not sure. That is something that you could easily find out by asking the staff. Maybe knowing exactly what they will pay for air fare etc will make your decision easier. ASK.

Thank you, it's good to know that you had a good experience at Clear Choice.

Thanks so much for the info, I was told I have time but I will reconsider and ask my dentist again as I am due for a cleaning soon. I think I'm just discouraged that I might not get the best care here in Chicago, you would think that in such a big city that I had more options.

Hi, are you talking about Clear Choice in downtown Chicago? Is that where you got the consult? I would definitely not like to be pressured into that kind of decision. I absolutely will need to feel comfortable or else I will walk. The trust has to be there for me and it's the biggest factor for me in my decision, regardless of price or location. Thanks again for your help.

No Josie it was not clear choice. I never considered them as an option. You are welcome!

Hi Rislaine - I have not had any staining to my perms and I drink a ton of coffee. I did get slight staining on my temps. They just sort of looked a little more yellowish but the Colgate "foaming" toothpaste usually took it off.

Thank you Las Vegas local. These teeth are not supposed to stain. That is what I was told. In addition I started dry brushing, just as the hygienist told me and I use the whole line of trilogy which I purchased at the office. I drink an average of 4 cups of coffee a day and font finish them most of the time. The staining is between the teeth especially the molars. I never had any staining with the provisional at all . Once I had the permanent bridge no staining at all either. Went back to make some changes to the teeth and there is draining every where.

Triology I meant

Staining everywhere I meant! Ugh

Tooth paste! Lol

Hi Rislaine, I never heard of not using tooth paste on my perms as well as my temps. I don't know what trilogy is. I use toothpaste, then I use a water pik - followed by swishing with mouthwash. That has been my ritual since getting this procedure done. I have never had staining on either set of teeth - not the temps or my perms so your issue is perplexing. Definitely get it looked at. Good luck I hope the problem gets resolved.

Thank you LVL! Until my last visit I did exactly the same thing as you did. When I saw the hygienist she educated me on dry brushing and triology is an organic product . It's a rinse and and oral cleanser and it's has a girl that one can apply to help keep the implants as clean as possible. Like you I never had any staining before. Not on the temps, not on the first set of perms either. The hygienist explained to me that dry brushing is better because tooth paste can scratch the surface of the teeth. Anyway yes I am going back after my vacation and yes I hope it gets resolved, well I know it will because staining is not supposed to happen. I have only had these teeth since March 19th! No way there should be staining.

What caused the staining? Did they say? I agree - Dr. Golpa and his staff are fantastic.

They did not really say but, the dr polished it out. So it is safe to say that the staing was just cause but areas that had not been polished out properly. On a different note, has anyone heard from Josie? I would love to hear if she made a decision :)

Was caused because some areas had not been polished out properly! Lol ugh

I have not heard from Josie or if she's made a decision. I'm glad to hear your issue got taken care of. I thought about how nice and polished the teeth are when they bring them in from the lab - then to fit the bite Dr. G. will use the little grinder to grind down areas for that perfect bite. At that time the teeth are not removed and re polished so those areas could and can stain. I think I will have them re polish my entire bridge when I go in for my cleaning. To date I've had no staining.

I am glad to hear that you don't have staining! I think polishing the bridge is a good idea! I hope Josie has made a decision that fits her needs. I encouraged her to just talk to the staff and dr Golpa . I hope she did or will.

Hi LVL it's been a while since I visit this site been a little busy my son got married (6/21) everything was wonderful. I visit Las Vegas in April had a nice time. Can not beleive it almost a year since all the dental work. It was the best decision I every made being able to laugh and lots of smiling with no worries. Going for my 6months check up next week hope everything been great with you since your finals. Take care.

Hi nj - congrats on your sons wedding. I went through exactly the same scenario last year at this time. My daughter got married 6/20/13 - right after I got my teeth (temps). I haven't had much time to write in lately as that same daughter came into town for her anniversary and was here till yesterday. She and her hubby flew to NYC and is due back 7/1/14 for the holiday - then they fly to Calif. for a week - then back here again till they go home - so it's been a little hectic. I was going to do an update and haven't had time. When is you appointment? I need to go in for some tweaks. I know this was the best decision for me as well. Keep me posted on your visit and check up. I'll be waiting to hear how it turns out. Keep smiling!

Went back for my 6 months checkup with was a cleaning and exam everything is good. I never had any problems from day one thank goodness prefect fix and sometime I forget they are dental implants. which I should for the price I paid (60k) I totally would recommend PI DENTAL. Hope everything goes well when you go back. What kind of tweaks you need done? Talk soon enjoy your summer. the prices I paid (60k) PI DENTAL.

Why 60K? I thought the price is 16.5K (Dr. G website). Would you provide a bit more details. Thks

I did not go to a doctor in las Vegas went near my home area Pennsylvania

Had mine done top and bottom last month by dr golpa and it was 32k. All inclusive. They put me up in treasure island for. 5 days

Hi Oky - I actually followed your progress on James page and asked Carlos how you did. I heard you did very well. And congrats on eating those warm cashews! I know the feeling. I am actually going to Dr. G's today. James the driver is picking me up in a few hours. I went last week to 'tweak' my perms which came out fine but some of my plugs came out the next day so I am having the plugs redone. So Oky - Enjoy " FOOD" and remember these feelings

I'm probably gonna gain 100 lbs!!!! Maggianos Italian bread gonna do me in!!!! :-)

60k? They got took. 32k by the best in the world. Dr Golpa is your choice

I love Maggianos (on the strip in Vegas ) - not just their bread but EVERYTHING! I live here - it's a good thing I can't afford to eat there very often.

No I did not get taking over did my homework on having my dental work done. I pick the best place for me. Check out PI Dental they are well known for their work inthe States and other country. and helping people.

I agree, Dr. Golpa is the best and only charges 32 K . For people living in Las Vegas, the right choice will be Dr. Golpa. For people from out of town he put them in hotel and pay for the their plane ticket. No other dentist can beat that. I went to another place to get my implant done when I didn't hear from Dr. Golpa after sending him my CT scan accompanied with a letter and also telephone calls. A few places including the place I went charge 60 K for upper and lower. Recently I found out they will beat Dr. Golpa's price of $37 K.

I know I'm a bit late answering the question, but the staining might have been caused by the ridges I asked for in the teeth. So the surface wasn't smooth and that can cause oils etc to adhere to it. Dr. G polished them and smoothed the teeth and I haven't had staining since.

Just water pik more often. I think you can have anything that you want. Any stinky comes from debris that's left under the bridge. I have had mine for over year now and they say I am spectacular keeping my bridges clean. Yay!!! Lol

Wow Viva - it's been a year already. Time flies. I was told the same thing about my cleaning. However, I just use a regular toothbrush and the water pik. How are things going with you? Haven't heard from you in awhile.

Pamela, do you have your perms already? I haven't had any problems with hot or stinky foods. I eat a lot of garlic and onions with no problems. I haven't noticed if the hot peppers are hotter or stickier. They taste the same to me. I only use my water pik in the evening after my last meal. I brush after I eat and use mouthwash to get remaining food out from my gums but the very thorough cleaning is at night. Every time I go in I am told I am cleaning very well and there is nothing trapped and my gums are clean. Keep up the good hygiene. :-)

Hi lv local :) You believe it almost a year!!!! With my mouth everything is perfect I'm so happy I got them I wish I would've had them 15 years ago. These poor people that are still suffering and going to the dentist and having a root canal*now with little or no hope. I feel so sorry for them. You and I should be spokes people for this procedure. I guess we kind of are :)) I know you and one other helped me so much. Really appreciate that!!! How have you been?

Hi Viva, I'm doing good other than losing my job I'm hanging in there. Being unemployed is a bummer so playing golf is very limited and that makes me sad. My teeth are healthy and fine so that's a plus. It's nice to hear that I had helped you in your decision. When I was researching there wasn't a whole lot on the subject. And no one had any problems - everything was perfect and easy. So when it was my turn and I had the nine hours of surgery it was like - what's this about. I thought I'd be like what I read - easy and perfect - I knew then I had to write about it and share the other side of things. I ended up with a good outcome but no one out there had problems. So if I helped and showed another side of what to expect I glad. Thank you Viva - it's nice to hear. :-))

Hi Viva and LVL I noticed that white powdery stuff tend to coat under the bridge even though I use the water pik to flush out the food particles after eating. Do you also use dental floss in addition to water pik?

I know what you're talking about but I use floss just really on the back teeth Be sure you are using a WaterPik that has that sonic vibration. Other thing you can use is a prerinse like plax. You should have no problem with plaque after that .

I didn't upgrade because they said I could do that at any time.... So I just took with what came . How much extra was the upgrade? Think they talked me out of it they said it was a lot...

I wanted to upgrade

I am not sure...I didn't know I had paid for the upgrade until I called the office today to confirm my appt & make sure they had my travel itinerary for James. When kealy told me I had already purchased the zirconia uppers I was ecstatic!!!

Lauren that's wonderful! I do not have zirconia because of my softer bone. They are a little heavier and would put too much stress on my implants. I would've loved to have the zirconia upgrade but I clinch and grind my teeth a lot and I would probably crack or break them. So I have PMMA which are fine. Good luck in your travels. The weather is perfect right now - not too hot and not too cold!

Dr. G. Has an incredible lab on site so if they say they can do it in 3 days - they will :-)

I'm looking forward to the trip LVL, I love spending time on Fremont Street! And getting my perms is a bonus,

LVL I saw that you said that Brit does not work at the office anymore. I'm so bummed about that! Do you know why she left? Or where she went?

Dr. G. said she went home to Hawaii to take care of her Dad. I miss her bunches! I have to say Brit was my favorite.

Yes I will miss her too! My fav as well! She was the best!

Amen!!!!

Good luck on you trip Lauren and have fun.

Happy Holidays to you, Las Vegas Local. Have you got your permanent bridge yet?

Las Vegas Local, I have been away for so long and didn't read your post. I just read that you were very happy with your consultation with Dr. G. I am happy for you. You sure chose the right dentist to have your all on four done. Living in Las Vegas is a big plus as you don't have to fly in like people from other states. I just got back from the dental office. I feel happy that my concerns were taken seriously by Dr. Khatami. I called yesterday and got an appointment to see him today. I was concerned about goey food getting stuck under the bridge and cannot be blasted out by the water flosser. Also, I noticed a very minute hairline crack on one of the teeth. He took out my permanent bridge to polish and to clean it. I was glad that the bridge was clean and nothing got stuck under the bridge and the implants were fine.

Hi Plin, Hope you had a great Holiday. It must have been wonderful to be traveling for a month. At the moment my temps have so many gaps around the gum line that everything I eat goes under the bridge. I'm hoping the water pik is doing a decent job. LOL! My implants look great and healed just fine. My gums have had nearly seven months to heal by the time I get my perms. I think that is a plus since I won't need a bunch of refits - hopefully. I'm anxious, excited, nervous and hopeful about my perms. I hope what I think I wanted will look good when I see the wax. I made a lot of changes. So we will see on Tuesday if what I asked for looks good or not. Yes, I am fortunate that Dr. G. Is here in Vegas. When I was researching - like everyone else did - I was amazed we had a dentist right here in Vegas with such a background on this procedure which I have never heard about till May 2013. I researched only a few weeks on this before I made and appointment. I knew I didn't have much time as my teeth were literally falling out - quickly. I had to do something fast or I was going to end up in dentures - which I didn't want at all. I'm glad I didn't spend too much time thinking about it or I'd still be sitting here with teeth falling out. I'm glad to hear your procedure and perms went well. Are you happy with your perms?

Thanks Las Vegas local, I had a great time. Yes, I am happy with my perms. What type of material did Dr. G use for your perms? You mentioned that he used the best material and it doesn't stain and looks natural. My dentist told me that the teeth can be made from ceramic or one other material that most dentists use, and it is composite made from silica and acrylic. I am curious to know what Dr. G uses to make your perm.

Hi Plin - it's PMMA - www.zirkonzahn.com/us/products/millable-materials/temp-premium. This is the website that shows the entire block that Dr. G. Cuts the teeth from. It's suppose to be stronger than regular acrylic that is usually used for bridges and it doesn't stain - so I was told. It's a better material than what my temps are made from. This is also the same material that was used to make cockpit covers on military planes. :-) so I guess that's a good thing. It also is more luminous like real teeth. I guess I will find out soon enough. I should have my perms soon. I try the wax on Tuesday - if I make no changes then I should have the perms before the end of the week. If I make more changes - who knows - I haven't been through the process yet so I don't know the timeline.

Is it the same as the Prettaus Zirconia bridge that is made in Dr. Gopal's new lab? I understand that this is better than the porcelain bridge as it doesn't chip easily and does not stain. He is also giving a lifetime guarantee on the bridge. He is now charging $22,000 per arch or $5, 000 to upgrade, according to the email I received.

5 k additional per arch?

Yes, it is 5K per arch to upgrade from acrylic to zirconia. It is supposed to be better than ceramic. Unlike ceramic, it doesn't chip or stain. That is the reason it has a lifetime warranty from Dr. G.

Hi Viva and Plin, I haven't paid any more so I don't think mine are the Prettaus. I gave you the link to the ones I'm getting. It's sounds similar but not the 5k more ones as far as I know. As long as they look good and function well is all I really care about. Dr. G. doesn't use I inferior products so I know whatever it is - its good quality.

Las Vegas Local, I looked up PPMA, and it is better than what I have. It is the latest, my dentist doesn't offer PPMA. The Prettaus zirconia bridge is an improvement of the porcelain/ceramic bridge. The Prettaus zirconia doesn't not chip and is more durable than porcelain/ceramic. The one you have is an improvement of the acrylic composite/ acrylic resin bridge. It is more luminous and stronger. One of the teeth on my acrylic/ resin bridge has a small crack, and I didn't bit into anything hard. Even after polishing, it is still there. Viva, I wonder if CC offer the PPMA bridge.

Plin, Thanks for the info on PMMA - I read the link that Carlos sent me and I went to "you tube" and searched PMMA for dental bridges. I know it is a lot better than what my temps are made of. Carlos also wrote to me to explain that all bridges are considered temps until the titanium is in them. That's what makes them permanents. So I am learning a lot these days. I also messed up - my appointment is Thursday this coming week - not Tuesday. I guess I'm getting excited because I can't wait to see the wax and how it came out.

PMMA is a cheap temporary material only used as a transition to Prettua. If someone sells you PMMA as a permanent restoration they are not following the manufactures guidelines. You will still need a permanent bridge at some point! Read the link that you posted. Oh and by the way the Prettua bridge is scanned and copy milled from your temp and only cost about $400 to make.

I will follow up on this - thank you for the info.

Tanya, thank you for the info about PMMA. Please tell me about the resin composite my perm is made from. Later I would love to have the Prettua zirconia bridge. $5K is too much pay if it only cost $400 to make. I wonder if other places are charging less to upgrade to Prettau. My dentist doesn't have the Prettau.

My perm is done in Cunning Dental. I only had the upper done as I didn't know of anyone who had done the all on four for at least five years and is still happy with it. Unlike my upper, my lower is still okay for now. If everything goes well, I would want to have my lower done as well. I actually shopped around and found that Dr. G is the most reasonable at $17,000 per arch. Now I am told that I can have it done for under $8K and still have Prettua zirconia, which is I understand is better than porcelain. It cost only $7995 for the Prettua zirconia including putting in the implants? I wasn't given any choices like Prettua or EvoBrdige. I had my implants done less than a year and was given the acrylic resin composite perm. I was told that it is being used by most dentist. Now I know where to go when I want my lower done.

More on PMMA http://www.usdentaldepot.com/Dental-supplies/PMMA-Thooth-Color/DISCS-TOOTH-WIELAND-Vipi(-)F2828

PMMA http://www.aliexpress.com/store/product/Zikronzahn-M3-M5-compatible-PMMA-blank-OD95H12/107997_1167185535.html

Hi Tanya, Thank you for the information. As consumer we have to know what we are getting for our money. Since you listed composite as one of the materials used for permanent bridge, then I am okay, as mine is made from composite. What will be the problems if a permanent bridge is made from a temporary material like PMMA? Can it last or will it break easily? Will the temporary material not last as long and has to be replaced with zirconia in a few years? Why don't dentist use the good material after all it only cost $400 to make one bridge from zirconia? I don't mind paying an extra $400 to have zirconia instead of composite. I know composite is also a cheap material like PPMA.

Hello Josie8 - there is a ton of research these days on the All on Four. You tube has all kinds of videos including a timeline of the procedure by Dr. Malo the inventor. Dr. G. has performed the most all on fours than any other dentist in the country. That is something to consider in you search. Whom ever you choose - make sure they have performed a significant number of this procedure and don't wait too long like I did. I was in a very small window of having little to no bone left. I was lucky that Dr. G. Was able to do a bone graph during my procedure - typically you don't need one for this procedure but I did. Good luck on your research and trust your choice - it makes all the difference.

So Tanya, how many all on fours have you done? Do you have a sedation license? Why are there no testimonials on your website? Why on your FAQ Section of your website - you send your clients elsewhere for their extractions and according to you it takes 3-6 months after that before they can have bridges. So how can you claim -teeth in a day? What material do you use? And as far as I remember in my research - isn't it the implant and the placement itself that is more important? What type of implants do you use? Why are there no pictures of YOUR lab on your website? Also, your before and after - 3 photos only - a cut and paste from another website? And one more thing - why are you trying to undermine Dr. Golpa patients? How many years have you been performing the all on four procedure? You barely graduated dental school when Dr. Golpa was training extensively in Portugal with the inventor of the procedure. You know nothing about my case history or me - Dr. Golpa does. I am not a candidate for the Prettau bridge and many other people are not as well. It is 7.5 x heavier and can put stress on the implants and cause them to fail - oh I forgot - you have no interest in the implant itself by your comments. Do you have testimonials from patients from five to seven years ago with a near perfect success rate? Have you ever met Dr. Golpa? I have! He is one of the most compassionate dentist I have ever met. He cares about us - his patients. He puts his money back into his practice to make it even more cutting edge and top notch for HIS PATIENTS. He has also single handedly performed more all on four's than any other dentist in the USA. So Tanya, before you go around "dissing" other people's dentist and the materials they use -( which by my standards is very low and unethical and perhaps VERY ENVIOUS as well) mind your own practice! I am not impressed with your training, your website or you.

I do not know Dr. Golpla and have no opinion of him. I have placed over 3000 dental implants with 100s of them being all on 4, all on 6 and full mouth dental implant restorations. I have placed every major brand of implant.If you read my bio you will see that I was a dental lab technician for 12yrs before I became a dentist. My husband is a CDT with 26 years experience and together we have fabricated nearly 200,000 dental implant restorations out of every material possible so I seriously doubt you can find anyone in the world who is more of an authority on restorative materials than David. "Teeth in a day" refers to the placement of a screw retained termp teeth immediately after implant placement and in most cases we seat the permanent teeth 5-10 days later. It can take 3 to 6 months from the time of exam to finals if you need extractions and bone grafting. I NEVER place implants at the same time of extractions on a full arch. I only use state of the art computer guided surgery. If you pull teeth and free hand dental implants from your best guess what's the point of taking a CT? All of my all on 4 from scan to plan to final restoration are mathematically perfect with proper AP spread. This can not be done free hand. Any Dr. that free hands dental implants and doesn't use a 3D printed surgical guide on every patient should not be allowed to place implants. Don't charge big $ offer patients a quick fix and then not use the technology that is available. A CT scan is only one part of the complete system of proper implant placement and should not be used as a marketing tool. We are the only office in the USA that can CT scan, 3D plan, 3D print surgical guides, place dental implants and make the bridges ourselves with our own 2 hands. Has Dr. Golpa ever made a bridge himself by hand from star to finish? We also don't run around patting ourselves on harass our patient for testimonials. Our patients value there privacy and don't want people to know their teeth aren't real. If they want to place a review there are plenty of places on the net for that. The only reason I put any before and after pictures on the website is because a patient asked me to and I got permission cropped out the patients face. And as far as sedation goes, that's just another cash cow marketing scam. Why would any one need to be put to sleep for something as simple as Dental Implant placement? It only takes 30 seconds of drilling per implant. I guess if your afraid your patients might here you make a mistake you would want them knocked out. The only time I recommend sedation is for difficult extraction and I refer them to the Oral Surgeon. I haven't made any comments about Dr. Golpa or his practice. Someone asked me a question about the materials bridges are made of and I gave my opinion based on David expert knowledge.

No one asked you a question. You bombarded my forum with your "opinion". Then Plin asked you a question.

My suggestion to any Practice stooping to this level is: If you want to be successful; focus less on other Practices, and focus more on your own training, proven experience, and ensuring Patient satisfaction. When you have done this for nearly 2 decades, only then will you have "Real" unsolicited testimonials and 1000's of Happy Patients for your own practice.

I'm impressed with your honesty. You must care about people or you wouldn't have bothered to post. I'm considering implants and have an appointment this week to get started. The surgeon is someone in my area, not the ones here. Your code of ethics is appreciated. Anyone considering implants deserves to be told the truth and given the best that's available. Implants are expensive and I want to invest in something that will be successful. Again, Thank you.

Happy New Year to you. Did you have to go in multiple times for him to fabricate the perms?Tell us more about your new perm when you get them.

That's good news nj1952 - I just got back from my appointment today for my wax try ins - I made a few more changes - again. I think the final wax was very close just a few tweaks to it and I'm good to go. I also was taken on a tour of Dr. G.s new state of the art lab. I was very impressed. I was shown each staging area from start to finish. Very cool.

Well I finally got my perms yesterday.. Very happy with the way everything turned out. They are exactly the way I wanted them. They look and feel great, still have to wear a retainer at night. Dr Wolfinger and his staff were very patient and helpful. LV local glad to hear your are on your way of being finish.

Hi nj1952, I am so happy for you. That is such a plus that they are exactly the way you want them. I actually am getting my perms later today. I couldn't even sleep last night - such a big step to me. I'm anxious and nervous. I hope it all turns out well ... Just like yours. :-)

I felt the same way before I went in. I hope like them. Good luck!

Miss type hope you like them. Can't wait to hear the good news. :-)

Hi nj1952, Back to the drawing board for me. Friday was a disaster. The perms were awful and looked like a denture. The gums were orange - not pink. I even talked to the tech earlier in the week that I wanted the gums the same as my temps - which are pink. I wanted and anatomical gum line - also like my temps and got a straight across gum line. The teeth shape wasn't like the wax - it was all wrong! I was so stressed out and upset. Dr. G. assured me they'd get it right. Brit backed me up saying she knew exactly what I wanted. She was with me the entire time during the wax try-ins and conveyed that these perms in fact didn't comply. So I went back in yesterday to re-do what I want. Brit went through each step including the colors - teeth and gums. They are going to call me this week when the perms are ready. Hopefully, they will be right this time because I'm a mess and I don't know if I can go through all of the hours and wax try-ins for another go around.

LVLocal so sorry to hear what happen. I under stand exactully what you are talking about

Sorry touch post buttom by mistake. I understand what your talking about how you want your gums done my doctor suggested it. Fingers crossed everything goes well. I will thinking of you

I don't understand how they can redo your prems in such time a short time. It took 5weeks after my wax try ins for them to start working on by perm's having the metal plate done then make the teeth my tops are porcelain and lower bridge a strong acrylic and my teeth are place individually onto the arch

Sorry the keys on my computer are so sensitive for some reason today. So I don't understand how they make the changes in a short time for you (your teeth and gum color)but I do hope everything turns out good for you.

Porcelain takes much longer. I am not getting porcelain - it's too heavy for my case. Because of my soft bone even with the bone graphing - it can put to much on my mouth. I don't want to chance it. The titanium bar is already done - on the perms that I didn't like so they are taking it out of those and using in my next set. Dr. G. has a new state of the art dental lab across the parking lot so all the work is done in house - so it can be done more quickly then sending the work to another lab.

I hope you get everything done your way. Where I went in Pa. also have their own lab which is great if anything happens they can take care of it quick and they are holding on to my temps for a backup if needed. need a back up.

Nj1952- same here. They are keeping my temps for a back up as well.

LVLocal I was thinking of you today hope things are going well with your finals

Hi nj1952 - a ahh how sweet that you were thinking about me. It was a long process for me but well worth it. I actually was in the doctors office getting my perms in when you wrote your comment. I will post an update with a photo soon. I'm getting ready to go play golf this morning so not enough time to write at the moment. Talk to you soon.