Same Day Teeth on Implants

Full Arch Dental Implants

Removing your failing teeth and delivering a complete new set of implant supported teeth — Same Day

One day transformation, before and after

We have developed one of the “most advanced” processes for tooth replacement in the US – outlined below.

Our Process

We provide one of the most experienced Oral & Maxillofacial Surgeons in Implant Dentistry in the Southeast. Dr. Loetscher has over 25 of years of experience doing full arch reconstructions, replacing completely missing dentitions to full dentitions with a complete new set of teeth.The combination of Dr. Loetscher’s experience, surgical suites allowing you to be asleep during the procedure, and our in-house lab technician provide an immediate “New Set of Teeth” second to none.

1. CONSULTATION

Your first visit we evaluate your teeth and face, take radiographs, and obtain digital records of your teeth and face.

  • We offer 2 options for your consultation:
    • A – Meet first with an Implant Treatment Coordinator: – This is complimentary. They will obtain radiographs including a CT scan, take photos, and determine if you are a candidate for full arch tooth replacement. They will give you a ballpark price for your treatment. Dr. Loetscher will then review the information, provide a more accurate fee. Prior to your procedure you will be scheduled for a pre-op visit with Dr. Loetscher.
    • B – Meet with Dr. Loetscher at your first visit. There will a consultation fee associated with this. He will spend some time reviewing your situation, your health history, and outline your treatment options. You will be provided with fee for your treatment. The number and type of implants required per arch will be discussed – typically 4-6 implants per arch. For people with little or no remaining bone – we may discuss how we treat this in a “Graftless” manner utilizing zygomatic implants.

2. YOUR TREATMENT IS PLANNED, YOUR IS SMILE DESIGNED, AND SURGICAL GUIDES ARE FABRICATED.

Smile Design

A variety of in-house technologies allow patients to have a unique experience they can’t get anywhere else.

Your new smile is pre-designed after your consultation appointment.

Existing Teeth and Digital Wax-up

Painless digital scans from an intra-oral video camera are loaded into our planning software. A new set of teeth are designed.

They are then integrated into your face utilizing the “Face Hunter.” The Face Hunter is a piece of cosmetic equipment from Italy, to maximize your smile into your lips and face. This scanner provides photo-realistic 3D digitalization of patients’ faces with the aim of being utilized as a working basis for the creation of individualised dental prostheses.

We design “natural organic smiles” — utilizing a library of people’s beautiful natural teeth — not lab designed teeth — that provide the most beautiful natural and confident smile.

Smile

Planning your implant placement

Next Dr. Loetscher and his technician will design the ideal placement of your implants for maximum esthetics and easy access to maintain cleanliness of your new teeth.

Digital Treatment Planning

Your implants will be placed via digitally guided surgery for the most precise placement  — and so your new teeth will be custom to your face. 

Guide Fabrication

Guide Fabrication

Pre-made guides, are manufactured pre-operatively. We design these in our in-house lab, where Dr. Loetscher and our lab technician personally design each splint.

These guides allow extremely accurate surgery. This accuracy is important because it:

  1. Allows your prosthesis to be easy to clean.
  2. Allows your prosthesis to be strong.
  3. Allows your prosthesis to have access screw holes so that any dentist in the world could remove, clean or repair if needed without harming the prosthesis.
  4. Allows improved surgical success and healing.
Guided Prosthesis Accurate Surgery

Achieving Beautiful Esthetics:  

We employ the “Natural Smile Design” developed by Dr. Christian Coachman.  Utilizing a “Smile Library” of beautiful smiles – we replicate these natural teeth exactly how they are in your new smile.  This eliminates the artificial look of fake teeth.  Natural teeth have irregular bumps and slight irregularities that reflect light in a more natural way, allowing them to look real and natural.

3. YOUR SURGICAL PROCEDURE

You are fully asleep (general anesthesia) as we remove your teeth and place your new implants. While asleep, we digitally record and scan your implant positions.

Our lab then mills a beautiful fixed, temporary bridge, provided to you within a few hours. This bridge is screwed onto your implants. It provides immediate beautiful esthetics and function.

You wear this provisional bridge for the next 3-6 months while your bone fully bonds to your titanium implants (osseointegration). After this period, your dentist delivers the final bridge that you will wear for the rest of your life.

Milled Immediate Bridges

4. Your Final Teeth

Finals usually are placed 3-6 months later. They will be made from a permanent material, that will last a lifetime if properly cared for. The material will be zirconia, porcelain, or another modern ceramic.

Why wait 3-6 months?  

It is most ideal to wait several months after your implant surgery to allow your gums and your bone to remodel after extractions and implant placement.  Typically the height of your gum shrinks somewhat in the first 6-8 weeks.  By obtaining new records after this waiting period, your new set of teeth are custom fabricated to fit most ideally to your gums.  This facilitates optimal speech, esthetics, and cleansibility.  

All-on-4 Dental Implants

 All-on-4 is a dental term referring to putting a whole set of teeth on 4 implants per dental arch.

This technique facilitates easier cleaning, reduced cost, also allowing a new set of teeth to be placed on your implants the same day we remove your failing teeth.

All-on-4 is performed when there is adequate bone to place the four implants. Usually this is the case, when teeth are being extracted, or there is still a fair amount of bone left in an edentulous jawbone (no teeth). By angling the implants up to 30 degrees in a front-back direction, it spreads them out, allowing a more even distribution of bite forces on just 4 implants.

If your upper jaw has extreme atrophy – we can combine an all-on-4 technique with zygomatic implants.  This allows an immediate set of fixed teeth – also avoiding bone grafts. 

Cost reduction occurs because we often can eliminate bone grafting, procedure time, and along with that post-op discomfort.

During your consult, we will determine what is most ideal for your situation — 4,5, or 6 implants per dental arch. The 5th and 6th implants may be recommended to provide a larger arch of teeth, or more stability for your prosthesis if you have significantly large bite forces. 

Typical prosthetic guidelines as determined by engineering analysis usually calls for 4 to 6 implants in the lower arch, and 4-6 implants in the upper arch. With the additional implants (5th and 6th) being placed when needed posteriorly in the molar area where the large bite forces exist. With these traditional reconstructions using 6 lower and 6 upper implants, long-term success after 25 years is high, 98-99% for being trouble free. The usual issue is the teeth wearing out after 20 plus years.  

 

Cost of Dental Implants 

Global Fees — Starting as low as $18,000, $325 per month:

  • (Extractions, implants, provisional set of teeth — not including final full arch set of teeth — delivered 3-6 months later)
  • 4-6 implants per arch — Full set of 12 teeth per arch
  • Digitally designed organic natural smile. 
  • Digitally guided surgery
  • Permanently fixed provisional teeth delivered immediately.
  • Digital prosthesis designs — maximizes strength, hygiene, cleansability
  • Bridges are high strength milled materials.
  • Includes extractions, bone grafting and one year maintenance.
  • On-site lab with renown technician.
  • Final set of teeth also available — 48 hours
  • Package price including final prosthesis beginning $28,000 per arch.

Why choose us:

  • Dr. Loetscher – most experienced dental implant surgeon in the Atlanta area.
  • State-of-the-art safe, clean, modern facility
  • Atlanta’s most technologically advanced in-house lab. 
  • Certified digital smile designers
  • Name brand implants (Nobel BioCare)
  • Networked with Atlanta’s most experienced restorative dentists, prosthodontist, and other dental specialists.

Goals & Planning Decisions

Goals

1. Provide a prosthesis that is very long-lasting, ideally lasting a lifetime.

2. Making your prosthesis extremely esthetic – beautiful – and matching your face.  

3. Making your prosthesis hygienic so you can clean it and maintain it.

4. Providing you with a full arch of teeth.  At least 12 teeth per arch. Some patients with a larger bite will need their second molars as well (14 teeth).

Decisions 

The following factors influence your treatment:

1. Then number of implants per arch.

  • This will range from 4 to 6.  
    • 6 provides the most support, allows for second molars. Sometimes 6 implants are needed to stabilize your prosthesis prior to implant integration.  
    • 4 implants may be easier to clean & may provide some cost savings.  4 implants shortens the dental arch slightly in some situations.  

2. Do we need Zygomatic or Pterygoid implants in the upper jaw to eliminate bone grafting?  (see below).

  • We now have “Graftless” solutions where we can place implants into the zygoma – a bone underneath your cheek.  The beauty of this it eliminates most bone grafting, and allows immediate teeth even when there is almost no bone left in your jaw.  Pterygoid implants can also be used – they engage with a bone in the very back of your upper jaw.  

3. What material will your final teeth be made out of? 

Modern prosthetic materials are made with a ceramic type of material such as zirconia or E-Max (lithium disilicate).  They are highly esthetic, remain beautiful without staining throughout your life, and are very durable. This is a decision your doctor will make for you, or at least will recommend. The type of materials used are dependent upon implant position – we consider this when doing our pre-surgical design work.  

Zygomatic Implants (Graftless Surgery)

No Bone? – No problem!

Fortunately – we have excellent solutions for people that have lost most of their bone in their upper jawbone (maxilla).

We utilize the Zygoma to place implants – 1 to 2 per side to facilitate support for your upper prosthesis. This can be done in conjunction with traditional implants or 2 zygomatic implants per side.  Sometimes with a more posterior implant (Pterygoid Implant). This allows us to provide immediate implant supported teeth on the day of your surgery.  

Dr. Loetscher is proficient in this advanced technique.  Below are some of his patients.  

One Zygomatic implant per side:

2 zygomatic implants per side (Quad Zygoma)

1 Pterygoid implant per side: