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Old Woman Having Full Mouth All-On-Four Procedure in Las Vegas

UPDATED FROM psmshelley
10 months post

I LOVE MY FINAL TEETH

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psmshelley
WORTH IT$47,000
I am now 10 months from the start of this journey. The results are fantastic. I could have done this in less time, but illness, travel, and other concerns intruded. The length of time was my choice. I wanted to wear my final trials a long time before choosing to commit to my perms. This also gave me the opportunity to get to know my dentist, Dr Ghodsi, and his technician very well. I consider them friends (along with the entire staff). The technician is an artist. He listened to me carefully and gave me a product I am very proud of; he is too. It was no inconvenience to wait. The clinic is 20 minutes away and I had good looking, functional teeth from day one. We made little changes along the way, and I believe I have the ideal outcome.
I started with teeth that caused me no social embarrassment. Though not very pretty, they were mostly intact and functional. My issue was pain and frequent infections, accompanied by a foul taste. During the process, I adjusted to the changes in my mouth with varying success. I have never had pain in my bones, only gum pain which healed quickly. A greater adjustment was to avoid biting my cheeks. That only disappeared about 4 weeks ago. It took me a long time to learn chewing only food, not my own tissue. In my own defense, I have been chewing one way for 72 years. My speech is also improving. It is close to normal now.
My new teeth are heavier that the plastic ones. That weight was very noticeable in my hand, but not in my mouth. They are very smooth and a joy to feel with my tongue. It feels like the results of a good cleaning of my natural, only better. When I first got the perms 2 days ago, I noticed a different sound - sharper -.with tooth on tooth contact. I was producing the noise without meaning to bite. I think that was because of the increased weight if the teeth. I had to adjust the way I held my jaw to prevent the clicking. Now this was not a task I planned, merely something that occurred naturally as I adjusted to the feel. My first meal was accompanied by a lot of noise as I learned to lighten the strength of my bite. Once again. This occurred without effort. I still occasionally bring the teeth together when pronouncing the letter S. I am working actively on that as speech has been the greatest change to overcome.
Ads for implants often claim the teeth feel, look, and function like normal teeth. I found that to be a false claim. The teeth do not "FEEL" food, etc, as the natural teeth do. However, over the months since my surgery, there has been a gradual change as I now detect the touch of food and other objects on the teeth. I can only attribute it to increasing sensitivity of my gums as they have continued to heal. I am fortunate to never have experienced any symptoms of TMJ. I had no trouble before the surgery and have none now.
I would like to once more praise Dr Ghodsi's treatment of me. Wed when I was fitted with my final bridges, the dentist had to leave to catch a plane as the technician finished minor adjustments. That evening the doctor called me to make sure everything was ok. I'll go back in a week for a check.
As for eating, the only food I gave decided to forego is popcorn. The little slivers of hull are about the only food that gets under the teeth. It is difficult to remove them.
I'm posting some final photos.
Regards, Shelley

psmshelley's provider

Dr. Sharma Ghodsi

Replies (3)

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November 4, 2018
Your smile looks GREAT. I just got my permanent teeth a couple of weeks ago--I go for a bite check tomorrow. I'm totally thrilled with mine, too. I do think the bite is slightly "off" (when I bite down it's a similar sensation to having hard candy or something impacted on my molars), but I could live with it. As it is, I think it will be adjusted. I find that my speech has greatly improved in the past two weeks. Also, in addition to my waterpik (just bought a travel model for a three-week vacation I'm going on next week), I've been experimenting with various tools for cleaning under the bridges. I've found that the smallest sized TePe brush (Swedish brand--my dentist gave me samples) work well when I'm brushing, and in between the Doctor's Brushpicks do a good job. I can't stand the feeling of anything getting under the bridges--I've yet to attempt popcorn.
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November 4, 2018
It is nice to hear from you Lexie. Isn't it great to have a new smile? I need to return for a final bite check soon. I have no trouble or discomfort eating, but I find myself eating mostly on one side of my mouth. I have to consciously use my entire mouth to eat. It doesn't hurt, but something must cause the one-sided practice. The side I chew on now is the side I never used before the implants. It was too painful because of gum problems. I haven't found anything that will fit under my bridges to remove food - for that matter, I never feel debris under there except for popcorn hulls at the edges. I rely on my waterpic and an extra soft tooth brush. I had mostly stopped wearing makeup when I retired, but now I take pains with it when leaving the house. I want my face to match my new smile!
December 9, 2018
A older lady saw my teeth one day and said “Honey, always wear lipstick because you have such a beautiful smile!” Unsolicited, just out of the blue!
December 8, 2018
Do you have zirconia bridges?
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December 8, 2018
Yes
December 10, 2018
Are they very heavy. I’m doing my final bridges and I have a choice between acrylic or zirconia and I’m not sure.
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December 10, 2018
I would never get acrylic. They are not as strong. My temps were acrylic, and they broke. They also yellowed over time. I strongly advise anyone to get zirconia. They are so smooth in my mouth, much more so than my temps.
February 15, 2019
Your final photos look great! I am thinking about getting All on 4 but I am nervous about it. I have Rheumatoid Arthritis and take lots of medications so I don't know if I will be accepted. I just don't want dentures. I have three missing teeth on my top arch. I don't have any molars. I wear a top denture to replace the missing teeth. Some dentists call it a denture and some call it a bridge. I hate it cause it covers the roof of my mouth and I have to clean it after I eat! I have to be careful of the foods I eat cause I can't chew hard foods.
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January 14, 2021
Did you do it?
UPDATED FROM psmshelley
5 months post

ALMOST THERE

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psmshelley
This has been quite a journey. For the most it has been without trauma. It has now been 5 months. This week I had my last trial teeth - my final set before the perms are molded - placed in my completely healed mouth. They were cast from the mold made from the wax trials. I will use them for 3-4 weeks. If they are right, the perms will be made. All of the bite adjustment and appearance issues were resolved during the wax fitting process.
The teeth are made of "plastic," according to my dentist. He cautioned me to avoid hard foods as these teeth are not terribly strong. So far they feel secure, so I must remember to be careful. The teeth are the most comfortable I have had in my mouth this entire time. They are very smooth on all surfaces. They also have more natural feeling chewing surfaces . The temps didn't. The tops of some of them were flat - without the ridges that our natural teeth have. Some of the shaping was buffed down as the bite of my temporary teeth was adjusted. The food used to sometimes slip off of teeth as I chewed. These feel more like my real teeth.
My one complaint is the color; they need to be whiter. The choice of colors is limited as they are intended for limited lifetime.
I find my speech has changed a bit. The teeth are very comfortable, but have obviously changed in some manner. The dentist showed me how to practice saying S and F while looking in a mirror.
I feel I can accurately describe the process as this point. The pain was much less than I expected. I never experienced the tightness others mention, nor did the bridges loosen as healing occurred. The icing must have decreased my swelling very well - thanks to all for your advice (well, almost nagging at times). LOL The pain I experienced came mostly from the gum on the roof of my mouth that required repair at about 2 weeks, and the occasional biting of the inside of my cheek. Would I do it again? ABSOLUTELY.
I have posted a new photo of my temporaries version 2. Soon I'll have my final teeth. Shelley

Replies (3)

May 6, 2018
You have tremendous patience. I could not have done it the way you did with all the visits and temps and fixes. I am glad to see everything going your way.
July 9, 2018
I can't wait until you post again. I have been binge reading your posts.
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July 10, 2018
I have had little to report of late. I am still wearing my "plastic" teeth. The tech is making another top bridge. I am very satisfied with the teeth except for one thing. The left side of the top plate is too thick. When I smile I feel a thickness against my lip. It feels like I have a dental roll in my mouth. The new plate is being molded to see if it corrects the problem before the final teeth are made. I asked that the next appointment be put off as I had company coming. I also wanted to see if I adjusted. I did not. I go in a week from from now to get the replacement.

I do not mind the long time it has taken to get to the end of this process. The personalized, local service has been wonderful. It helps that I am retired. It would work even if i were still working as my appointments are scheduled at the end of the day. I have never waited more than 10 minutes for an appointment. I have avoided most of the problems reported by others. This has been a drama-free process and worth every dollar and appointment. I will be happy to get my final teeth, but the temps I have now are fine in the short term. I can eat anything I want, avoiding only hard candy and beef jerky. The plates still fit so tight to my gums that food doesn't get under them very much. After eating I only need to swish water to clear the food from the buccal pouch. I use an Extra Soft tooth brush (Colgate) to clear any food from here when brushing. I am probably two to four weeks away from the final teeth, but the problems that led me to implants were solved many months ago. Shelley
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August 6, 2018
What is buccal pouch? I can have as much as a spoonful of food under my bottom teeth. I’d love to see how yours are different from mine. Maybe I should make an appointment to see your doctor. Maybe he can tell me why my front top where my front teeth were, why it still hurts after almost a year. I would love to learn the proper way to pronounce my words like Sally, do you have any advice? My talking looks so strange when I record myself. My appearance as changed as well. Nothing others may notice, but due to bone reduction I imagine.
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August 6, 2018
The bouchal pouch is that place between your lip and your bottom teeth. If you pull out your lower lip it forms a pouch-like space. That is where I find food after eating. I simply brush it away with an extra soft tooth brush. I've tried and tried to use my water pic, but water doesn't get under the bridge. There is just no room. I have no advice about your speech. My dentist says to practice lots. I'm afraid I'm very lax on that.
August 5, 2018
Soon you may even forget you have implants. I'm 67, I've had my upper arch on 8 implants for over 13 years and I occasionally forget it's there. I wear a nightguard every night but occasionally I bite the inside of my cheek, lightly and not very often. If your dentist gets your bite perfectly, that's the most important part, you will totally love it and your implants will last. I get my cleanings every 3 months because I want to keep mine for the rest of my life, I hope. They are so much better today with the new technology than they were when my periodontist placed mine. He had a lot of work to do on me, extractions, bone graft, sinus lift, placing the implants, all the same day , but I was never in pain, swollen a little for a couple of days, nothing serious. I'm sure you're going to absolutely love your smile and the fact you will be able to eat and enjoy anything.
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August 5, 2018
It was nice to read of your experience with your implants. It sounds like an ideal outcome. I'm especially impressed that your bridge has lasted for 13 years without problems. Are the teeth porcelain? I forget I have implants often. If I think of everything I dislike about the outcome, I can only come up with two minor complsints;: my speech is still not completely correct (I still lisp), and some foods get stuck to the bridge. Neither problem is enough to outweigh the advantages, however. I go for final design choices (color, etc) next Monday.
August 5, 2018
The appliance is porcelain. I never ever get food stuck under there, even when I eat nuts. Occasionally the floss gets caught on the implants when I thread it around it, but rarely, I got very good at flossing, it was challenging at first. The waterpik is fabulous and a must for daily cleaning. My mouth doesn't feel clean until I use it. My hygienist probes for pockets or any bleeding at each cleaning. I had a recurrent pocket on a back implant, my peridontist went back in there and cleaned all around it 3 times in 13 yrs. He had to do another small procedure around that implant but I can't remember why. I use the hygienist who works for that periodontist, she is familiar with implants and does a great job. She has a lot to do with my implants longevity I believe. If you stay on top of things and check anything suspicious, start with a great bite, they will last. I still say implants are fabulous but our own natural teeth are better. I wish they had all the procedures available now to keep periodontic disease in check when I was a young woman. They have great treatments that didn't exist then.
I also have 4 implants on my lower arch supporting 1 small bridge on each side, replacing my molars. I kept as many natural teeth as possible at the bottom.
August 5, 2018
I remember the temporary teeth were acrylic or something,, so probably food particles could have been a problem, I can't remember, but never with the permanent. I also opted to keep the temporary cement that he used to set my permanent bridge and bottom small bridges , I never wanted him to take everything out and reset again with permanent cement . The temporary cement has lasted all this time so it's all good.
UPDATED FROM psmshelley
3 months post

Getting Closer

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psmshelley
Yesterday I had my final wax fitting. The first week in April I return for a "plastic" set. The material has a three-initial name, but I don't remember it. This set will be one piece - meaning they are made of one block of material like the perms. The wax teeth allow movement of individual teeth. I like that as I don't want perfectly straight teeth. I have not yet chosen the color. The different materials have varying hues. The plastic teeth will be made of the lightest color available. From them I go to the permanent teeth. YEA! It appears I will have my final teeth at about four months; I am so glad I have enjoyed good healing and few problems. I am sorry to hear some of you are having TMJ problems. I have been spared that, but still have one more opportunity for a problem. I worry a bit that the heavier perm teeth will feel or function differently than my temps. I don't know what impact that will have on my comfort, but I read that one advantage of Dr Golpa teeth is the lightness of the materisl. I'll soon find out! Good healing to you all; enjoy your beautiful smiles.

Replies (1)

April 3, 2018
I'm so happy for you! I read all of your post like a good book..My mom had dentures and I wish that she could have had this done. Good for you. Take good care.
Dee Smith
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April 3, 2018
Thank you Dee. I am very satisfied with my results so far. I am at four months on Apr 5. I believe it has been over a month since I have noticed the teeth much. I have had no pain for at least 2 months. I stopped feeling twinges where the implants are placed very quickly after surgery. I go to the dentist next Monday. I am getting so close to the end of the process - very exciting.