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New York Reconstructive Guided Implants

All On Four Full Arch Missing Teeth Replacement

Nobel Biocare developed a hybrid tooth replacement protocol that incorporates the latest of what CAD/CAM technology (computer aided design and engineering) offers and coupled it with the precision diagnostics generated by 3 Dimensional Imaging.

All On Four Implant Placement Protocol

The All-On-Four concept refers to a Nobel Biocare treatment protocol that incorporates the use of a proprietary implant placement guide that is used by Dr. Koeppel to configure implant locations, depths and angulations that provide rock solid stability and anchoring.

The adjacent photo represents the essential configuration of the patented Nobel Biocare implant placements and angulation for a typical upper jawbone. There is nothing is left to guesswork.

Lower and upper jaws can now be rehabilitated and restored with diagnostic and technical accuracy that was not possible just a few years ago. Read our material on the computerized version of this tooth replacement surgery, aka Guided Implants for more detail and pictures.

Popular Treatment Choice for Avoiding Dentures

Many patients seeking a full reconstruction or rehabilitation of a lower or upper jaw are familiar with denture products and wish to avoid them altogether.

Severe Bone Loss Resorption Long Island NY

Upper Bone Resorption - Gum Loss

Some denture products (depending on characteristics of jawbone, amount of gum tissue and quality of denture) can force patients to make changes in eating habits, create new choices of what to eat, use special liners to prevent having loose or painful dentures, have difficulties with speech, etc.

The All-On-Four concept refers to a hybrid placement pattern of patented implant devices and fittings that provide the attachment interface of a custom bridge prosthetic. Bridge material can be constructed of acrylic or porcelain.

Upper Arch Bone Gum Resorbing Long Island

Lingual View Missing Upper Teeth

The adjacent photos represent a complete reconstruction of an upper jaw for a 90 year old female. For her age she had good bone quality and no periodontal disease issues.

A common denture product was out of the question. Her goal was to have nice looking teeth that would function as normally as her original teeth, but with more biting and eating capacity that would come with increasing the number of teeth from 6 to 10.

Cosmetics were as important as normal function. She wanted to look nice and not "feel" or "look" like she was wearing a denture.

Denture Bridge Modification

The patient selected a modified denture - bridge prosthetic made of acrylic material.

The proven design of Nobel Biocare's All On Four full arch tooth replacement configured to provide the strongest support possible for the prosthetic bridge which distributes the strong biting and chewing forces we all have across all four implants.

The pictures provided here show Dr. Koeppel working with a denture acrylic that has already been modified with the implant attachments that will eventually mount to the corresponding implants that have been placed in the patient's upper jaw.

Specialized prosthetic compounds are applied to create a fixed bridge product that allows the removal of all excess acrylic material.

All-On-Four Fixed Bridge

For replacing upper teeth, nothing surpasses the feel of an implant bridge.

Custom bridgework enables the complete removal of material that commonly causes the gag reflex response when using common dentures. For this patient, her prosthesis is also known as a palateless denture.

The Immediate Function implants allow treatment to be completed in one treatment session, if desired by the patient.

Extractions (if needed), implant placement and periodontal gum suturing can be completed during the same appointment.

The dental bridge (acrylic, porcelain, PIB or modified denture) is attached at the end of the treatment session.

Premium Bridge Cosmetics

The denture product selected by the patient is regarded as Cosmetic Grade. The flesh colored areas representing gum tissue are created with realism.

Dr. Koeppel's artistic handiwork with custom acrylic products and shading techniques creates variations in visual texture, complete with apparent vein structures throughout (no reason to have a denture look like a denture).

The custom bridge is attached to the implants on a semi-permanent basis. Now non-removal, the patient will return to our office periodically for routine cleaning and maintenance.

Great Looks - Great Function

As can be seen in our final post operative photo, our patient has a great smile with great looking teeth that fits her facial structure, jaw positioning with promise of enabling her to eat nearly anything her heart desires.

Her new teeth, now numbering 10 instead of 6, look and feel natural, providing a renewed ability to smile as broadly as she wants... something she hasn't been able to do in years.... without making her appear older than she feels.

Amazing results for a 90 year old patient....

Denture wearers, old and new, are invited to contact Dr. Koeppel with questions about the procedure or any material on this page. He will respond to you directly with the information or answers you may be seeking.

Call our office at (631) 689-9777 to schedule a consult to learn more about the possibilites of having dentures that don't feel or function like dentures.

Patients are invited to contact Dr. Koeppel directly with our on-line Ask The Dentist form. Dr. Koeppel will respond directly with the answers and information you are seeking.

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New York Reconstructive Dentist
Ira Koeppel, D.D.S.
126 Gnarled Hollow Road
East Setauket Long Island New York NY 11733
(631) 689-9777
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