Cheyenne Advanced Dental Arts

L. Scott Brooksby, DDS, DICOI

Prosthodontist

8960 W. Cheyenne #190

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  • The truth about Teeth in a Day

    Dr. Brooksby, I see a lot of advertizing about "Teeth in A Day." Can you tell me about it. Does it work for everyone and if not how do you determine if you are a candidate.

    What is Teeth in a Day?

    "Teeth in a Day" is a treatment where a patient has dental implants placed and teeth installed on those implants the same day. It does not mean that you go in and in only one day they start and finish everything. There is a lot of work necessary to get the patient ready for that one day appointment.

    The first thing that must happen is that the patient must be evaluated to see if they are healthy enough, have enough bone and that the bone is strong enough to have the implants placed immediately. When there is not enough bone or the bone is too soft then the patient may have to have a special type of implant that is placed into the cheek bone just below the eye. This is a technique that has only been used for a few years and does not have a long track record or a lot of experience behind it yet. For those with bone that is too soft or insufficient for placement of dental implants, the patient must go through the conventional grafting and burying the implants for extended periods of time before the teeth can be attached to the implants. If you try and attach the teeth too soon and the implant is overloaded and moves, the implant will fail.

    Who qualifies for Teeth in a Day?

    Many of the ads make it sound as though everyone can have "Teeth in a day", but the fine print of the ad indicates that it may not be for everyone. I taught a course to dentists several months ago in which we evaluated the CAT scans of every patient that came into my office during a three month period. There was not a single patient that qualified for "Teeth in a Day." I have been doing "Teeth in A Day" for about eight years. Even when I have patients that qualify, when they find that there is the potential for a higher failure rate they chose to wait the four to six months normally required to assure a better, longer lasting outcome.

    Dental CT scans

    Dr. Brooksby, I have heard you talk about using a CAT scan before placing implants, but many of the places that I call indicate that they only need a Pano not the more expensive CAT scan. What is the difference between the two and why do you recommend one over the other?

    CT scan vs Panorex

    A pano or Panorex is an xray taken by a machine that goes around your head and creates a two dimensional view of your jaws. It takes an average value of the scan and therefore magnifies the area by about 25%. This distortion can make it look like you have more bone than you actually have. Because it is two dimensional, it is unable to show you the width of the bone. It is possible for bone that is only the thickness of a matchbook cover to look like it is the same as bone that is as thick as your thumb.

    A CAT scan machine can look just like a panorex machine, but it has the ability to make a three dimensional image that has no distortion or magnification. It allows us to look at anything in the head at any location in the head. We can look at the sinuses, the spine, the nose or the jaw bone. We can measure the height, width, thickness and density of the bone in any area. We can precisely see where the nerves are and where the bone has unusual shapes that can adversely impact our planned treatment. From the CAT scan it is possible to make a model of the jaw and associated structures that is a fairly exact duplicate of the actual jaw. This ability allows us to determine, before we do anything, if the person is a candidate for implants, if there are tumors or if every thing is exactly as we need it to be to provide the optimum care. We can tell if the bone is soft and will require longer healing times or hard and able to support "Teeth in A Day."

    Free CT scan When we place the implants

    About five years ago the first dental CAT scan machines were made that could be used in a dental office environment. When I first saw this CAT scan machine I realized that this was the future of implant dentistry. I bought the twenty second machine made becoming the first dentist in Nevada to have this technology available for my patients. These machines are more accurate than medical CAT scans and use much less radiation. A normal Panorex x-ray costs about $100. We charge $300 for a CAT scan. When I used to use medical CAT scans it cost the patient $250 for the upper jaw, $250 for the lower jaw and $250 for a scan of the TMJ's or jaw joints. The CAT scans we take now for $300 give us all of these scans and more. For the last five years we have provided the CAT scans not only for our patients, but also for those of other doctors. When we place the dental implants we credit the cost of the CAT scan back to the patient making the CAT scan, in essence, free.

    We are now able to use the CAT scan to determine if a patient is a candidate for dental implants. We can also evaluate the sinuses, the TMJ's and even evaluate the bone supporting dentures to see if the bone has atrophied to the point that the ridges are sharp and causing denture sores.

    If you have any questions you may email us at Scott@lvimplant.com or call for a free consultation at .