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Teeth in a Day

Get Your Beautiful Smile Back

woman smiling

Bonomo Periodontics is known for our teeth-in-a-day service, where you walk out of our office with totally transformed teeth!   

Teeth in a Day is a procedure, also called four-on-four implants, that replaces your entire upper or lower set of teeth and creates a permanent prosthesis that works just like natural teeth.  

In other words, a permanent prosthesis is a non-removable implant denture. It is a durable and long-lasting solution for you! 

You truly get a smile in a day!  

This procedure takes multiple hours and involves sedation which replaces both your damaged or broken teeth and provides a long-term permanent alternative to dentures.  

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The Teeth-In-A-Day Procedure

Our teeth-in-a-day implant procedure offers a convenient solution if you are looking to restore your smile!

Like other dental implants, teeth-in-a-day implants are placed during an outpatient surgical procedure while each of our patients is under sedation.

We suggest that you consult with us to determine if teeth-in-a-day implants are the right choice for your oral health needs. 

Keep reading to learn about our 6-step dental implant process.  

6 Steps to a New Smile in a Day

Do you dream of having a new, beautiful smile in just one day? With advancements in dental technology, it is now possible to achieve a stunning smile in a single day. 

Below, we have outlined the six steps you can expect in our procedure process to a new smile in a day: 

Step One: X-Ray and 3D CT

The first step in our teeth-in-a-day implant procedure is to perform dental radiographs and a 3D CT scan. These imaging techniques are used to evaluate each of our patient's bone structures to identify any abnormalities or pathology and determine the precise location for implant placement. 

Radiographs, including periapical and panoramic views, provide detailed images of the teeth and surrounding bone, which allows us to assess the quality and quantity of your jawbone. This information is relevant for determining the feasibility of your implant placement and confirming it will have adequate support. 

In addition to traditional radiographs, a 3D CT scan creates a three-dimensional image of your oral anatomy. This imaging technique provides a comprehensive view of your bone structure, nerve pathways, and sinus cavities.   

Step Two: Computer Simulation

After the initial evaluation and planning of the four-on-four dental implant procedure, the next step involves the use of computer simulation programs. These programs precisely determine the compatibility of the implants with your bone structure and plan the positions of the implants. 

The computer simulation allows our dental team to create a virtual 3D model of your jaw and bone structure. This model is then used to accurately assess the quality and density of your bone, enabling our team to determine the most suitable locations for the implants. 

By virtually placing the implants in the model, our team can visualize the outcome of the procedure and make any necessary adjustments before the actual surgery. 

Step Three: Anatomage Table

After gathering the necessary data and conducting the CBCT scan, the next step in fabricating the three-dimensional surgical guide for the procedure involves the use of the Anatomage table. This technology gives a precise and detailed examination of your oral anatomy in a three-dimensional virtual environment. 

The Anatomage table provides an accurate representation of your bone structure, tissues, nerves, and other vital anatomical features. 

By using this tool, we can carefully analyze the available bone volume, assess the proximity of vital structures, and determine the optimal position for your dental implants. 

Step Four: Implant Placement and Temporary Teeth

After your failing teeth are removed, it is time for implant placement. This is an essential part of the process as the implants will serve as the foundation for your new teeth. 

During the implant placement, your implants will be carefully positioned into your jawbone. Anesthesia will be used to minimize any discomfort you could have.  

Once the implants are in place, your temporary teeth are attached to them, which allows you to leave our office with a functional set of replacement teeth. 

The temporary teeth serve as placeholders while the implants integrate with the jawbone over the next few months. This healing process is necessary to ensure the implants are secure and stable before the final set of permanent teeth is attached. 

You will be advised to follow specific eating and oral hygiene instructions during this period to promote healing and minimize the risk of any complications. 

Step Five: Implant Prosthesis

Once the implants have integrated into your jawbone, we will attach the dental prosthesis to the implants.  

This is done where a full arch of your teeth is supported by four implants in your upper jaw and four implants in the lower jaw. 


Below we have explained the prosthesis process:  

1. First, abutments are attached to the implants. These abutments act as connectors between the implants and the prosthesis. They are carefully placed and secured to ensure a strong foundation for the prosthesis. 


2. The prosthesis is fitted onto the abutments. The prosthesis is custom-made to match your natural teeth in size, shape,       and color.  


3. The prosthesis is carefully positioned and secured onto the abutments, providing you with a natural-looking and functional set of teeth. 


4. Adjustments are made to confirm that the prosthesis fits comfortably and functions properly.  


5. Finally, you will be given instructions on how to care for your new prosthesis. This is a temporary denture until proper healing takes place.  Another final one will be made to ensure long-term proper fit and stability. 

Step Six: Completion

This is the exciting final step in the dental implant process, as it means that you now have a fully restored and functional tooth or teeth. 

The completion of the dental implant process marks the end of your journey toward restoring your smile and oral function. 

At this stage, you can confidently enjoy eating, speaking, and smiling without any concerns about your dental implant.  

You will need to continue with regular dental check-ups and good oral hygiene practices to ensure the longevity and success of your dental implant.  

Approximately 6-12 months after the initial placement a final denture can be fabricated and placed. With proper care, your dental implant and denture can last for many years, providing you with a durable and long-term solution for your missing tooth or teeth. 

Post-Dental Implant Procedure 

You must be careful after the smile-in-a-day procedure. Soft foods are recommended for a few weeks after the procedure, and you should exercise caution while practicing oral hygiene. 

The routine of brushing your teeth with toothpaste is still important as bacteria can grow if you do not keep your teeth clean. 

Teeth-in-a-day implants have numerous benefits over dentures.  

Learn more about our teeth-in-a-day procedure here! 

Not Convinced?

Read below to see what other people are saying! 

"I was recommended by my doctor in Middletown that he was the best for implants...I had all my top done...I lost my anchor teeth, so they put new anchors in... Dentures would not work for me...Everybody was very professional. I've been to a lot of dentists in my life...I felt very comfortable coming to have the implants done here...I was very happy to have this done."  


"I've been coming here since 2011...I have 5 implants now and they are just like my natural teeth. ...the staff has been awesome to me! When I'm nervous, they make me feel comfortable. They give me great care and I feel right at home."


"The staff is incredibly friendly and professional, and most of the time I am recognized even with a mask on. The work done by Dr. Bonomo, and his staff speaks for itself but the experience of getting that work done makes even difficult procedures much easier from the first consultation through to the procedure itself and post-care. The experience I have had would make me give a wholehearted recommendation to Dr. Bonomo and his staff for anyone needing periodontal work or a second opinion."

-Danni K



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