There has been an increase in advertising for “Teeth In a Day.” This is not something that is new as we have been using this technology for years, which entails extracting teeth and placing dental implants and new teeth the same day. With single teeth, there are definitive advantages to this procedure as the temporary crowns help to maintain the tissue (gum) archictecture and preserve the papilla (tissue between the teeth. This procedure does require skillful extraction of the teeth without damaging the supporting bone, proper shape and contour of the temporary crowns that is the same size as the tooth being replaced. When properly treated the cosmetic and functional results are excellent! As for multiple tooth extraction, such as all the teeth in one arch, “Teeth in a Day” or “All-on-4” , a similar procedure can be followed. This is a bit more complex and special training on the dentists and surgeons part is necessary. Generally speaking, this process involves pre-planning and prefabrication of temporary “hybrid dentures.” I do not like this term as it is really not a denture per se. These are fixed on the four implants and do not have a palate and are very small. Dentists need to pay attention to the lip line on the maxillary arch to ensure that the border of this prosthesis does not show when one smiles. During the surgical phase and during immediate placement of this prosthesis, it needs to be perfectly contoured on the underside to allow for properly healing of the gum tissues. In overview, I am pleased that we are able to offer our patients care that does not interfere with their lives and to be able to create cosmetic dentistry smiles as well. Dental Implants are a fantastic technology and when properly used and planned offer patients options that were not available before. If you have any questions about Houston Dental Implants, Teeth in a Day, or Houston Cosmetic Dentistry, please feel free to call our office. Ronald W. Konig DDS, FAGD, LVIF, a Houston Dentist, 713-668-2289