This is the video testimonial of a patient with advanced periodontal disease who had all of his hopeless upper teeth removed and replaced during the same appointment with the all-on-4 dental implant protocol and had the lower teeth treated with the Periolase laser. Because it was performed with IV conscious sedation, all of the work was performed in one appointment and he returned to work the next day.
For many years now I have been seeing many patients from Cayman for treatments ranging from a single implant or gum disease to complete implant replacements for patients wanting to avoid or replace removable denture plates. Because of our proven sedation protocols as well as years of experience with up-to-date technology in treating the complex case, it is common for us to develop an appointment plan that provides “life changing” dentistry in as little as one surgical visit.
Some examples of this are the All-on-4 dental implant system in which a complete arch of fixed teeth can be possible at the end of the first appointment-the same day the implants are placed. The use of Alloderm grafting incredibly avoids the need to take gum grafts from the roof of the mouth and therefore allows many more teeth roots to be treated for recession in a single visit. Another is laser periodontal treatment or LANAPwhere the Millenium PerioLase Laser is used to treat even advanced gum disease requiring bone regeneration without the use of bone grafts, scalpels or sutures.
We are located 10-15 minutes from Miami International Airport and there are many hotels in the area that we could help you with. Hope this helps.
Dr. John Paul Gallardo
Bone loss before LANAP
Bone regenerated after LANAP
Hopefully these xrays of one of my cases will be “worth a thousand words”. If you look at the bottom tooth (second from left to right) you will noitice the notable difference in bone levels. This was achieved with the LANAP laser without stitches or grafting.
Yes we do consultations for LANAP on a daily basis. Since we have a multidisciplinary approach to treating periodontal disease it is important to know about contributing factors to your tissue breakdown such as genetics, medical history,smoking, grinding teeth during sleep. etc. We would begin with a dental history discussion with either myself or Dr Lamas. This allows us to understand more about what has led up to your decision to consider LANAP. Many patients are fearful of gum surgery so we compare and contrast traditional periodontal surgery with LANAP during the treatment conference appointment. You would then be escorted to the examination room where we will take your medical history, your blood pressure and perform a comprehensive periodontal exam including intra-oral photos, bacterial testing and necessary films. At that point we would know whether LANAP is a realistic consideration for you. After careful study of your case, a detailed appointment plan would then be formulated and presented at a subsequent treatment conference visit. Despite our many years of experience, we find it very valuable for our patients to understand existing conditions, risks of delaying or not having treatment and have us explain treatment alternatives as well as answer any questions from you, loved ones or even your current dentist.
The all-on-4 implant treatment is a consideration for patients who have dentures or who think they will need dentures. An example would be a patient who has been told they have to lose all of their teeth due to periodontal disease, non-restorable caries or failing bridges and crowns. . Some patients stay away from dentists all together. I’ve heard stories of people whose dentures fell out at restaurants either during a romantic dinner with a significant other or during an important sales meeting. They basically couldn’t eat or smile.
Other patients who have sought out dental advise have been told that the only way to have fixed or attached teeth eventually would be to undergo multiple surgeries and over the course of many months to over a year all while wearing removable dentures over painful incisions and extensive grafting for jawbone reconstruction.
Weeks or months of healing and pain with more conventional and more expensive treatment does not have to be the only option. Some of these “worst nightmare” situations can be taken care of in just one appointment with relaxing conscious sedation techniques. We do this by identifying the areas where the jawbone is still strong using a CBCT (scan) and strategically placing as little as four dental implants with little to no grafting in predetermined positions and deliberate mechanical inclinations. The specific angles in which the implants are placed make the connection points to the “same day replacement teeth” spread out enough to adequately handle chewing forces and create an esthetically pleasing smile. We encourage patient input in the planning stages of treatment as most patients usually prefer a more natural yet better version of what they used to have before the problems began.
Although this treatment modality is not for everyone, those patients that are phobic about dentists and dentures definitely deserve a chance at learning about what I call one of the “miracles” of dentistry….All-on-4. Get rid of pain, denture glues and get ready to smile and laugh. Personal and career changing transformations can realistically be one surgical appointment away.
2020 SW 27th Avenue
