Teeth-in-an-Hour™: How it Works…
Essentially, there are three phases for the Teeth-in-an-Hour™ procedure.  PLEASE NOTE: The following information explains the typical treatment process for patients that currently do not have any teeth.  For patients that have non-repairable teeth present, the Teeth-in-an-Hour™ procedure is still an option that may be available to you, however, the treatment plan will be slightly different than what is described here.

Phase 1: Pre-Planning

1. All patients that are interested in the Teeth-in-an-Hour™ procedure will have the initial consultation with Dr. Neshat.  At that time, Dr. Neshat will thoroughly explain the Teeth-in-an-Hour™ concept and process.  He will also discuss the cost at that time.

2. The patient will return to their general, or restorative, dentist to consult the patient on their role in the Teeth-in-an-Hour™ procedure. The restorative dentist will evaluate the patient’s oral cavity, their current denture and investigate any problems that the denture may be causing.  If the patient is having any problems with the fit of their current denture, this is the time to address those issues.

The restorative dentist will determine if the patient’s current denture can serve as the CT Scan Guide.  This is a very important step in the Teeth-in-an-Hour™ pre-planning process because the CT Scan Guide will serve as the template for the final prosthesis. Due to the problems that often exist with mal-fitting dentures, it is likely that the patient will need to have a new CT Scan Guide fabricated.

If a new CT Scan Guide is necessary, the impressions will be taken at that time.

3.  After the CT Scan Guide has been fabricated by our local lab, it will be sent to Dr. Neshat.  The Patient Care Administrator will contact the patient to schedule an appointment with Dr. Neshat.

4. When the patient returns to our office, we will take two CT scans.  The first CT scan will be of the patient with their new CT Scan Guide in their mouth.  The second CT scan will be taken of the new CT Scan Guide by itself.  At this time, the patient’s work is done.  Now it is time for Dr. Neshat to go to work.

Phase 2: Planning

1. Dr. Neshat will transfer both of the patient’s CT scans into the Procera® software where he will then begin to virtually place the dental implants.  After all of the implants have been placed, Dr. Neshat will create a virtual stent called a NobelGuide™.

virtual guided surgery

Above and below: Virtual placement of dental implants.

virtual guided surgery

Once he has finished with the virtual planning for the placement of the dental implants, Dr. Neshat will send the whole treatment plan to the Nobel Biocare™ laboratory in Sweden.

nobelguide stint

2. The Swedish lab will fabricate the NobelGuide™ stent and return it to Dr. Neshat’s office. The stent will serve as the template to guide Dr. Neshat when he performs the actual placement of the dental implants.  Once we receive the stent, we will send the stent to our local lab.  The lab will fabricate the permanent prosthesis, and then return the stent and the permanent prosthesis to our office.  At that time, our Patient Care Administrator will call the patient and schedule the appointment for the placement of the dental implants and final prosthesis.

Phase 3: Delivery

The placement of the dental implants is now ready to take place. The surgery will take approximately one hour to complete the placement of the dental implants and the final prosthesis.

When you arrive at our office…

We will begin by giving you a warm blanket as we make you comfortable in our operating suite. In most cases, IV sedation and local anesthesia are administered to the patient by Dr. Neshat prior to the surgical procedure.

The Surgical Procedure…

First, with the stent placed in the patients’ mouth, the dental implants will be placed into the jaw through the pre-planned access sites.

Then, the stent will be removed and the final prosthesis will be immediately attached to the dental implants.

Approximately one hour after the beginning of the surgery, the patient will leave our office with minimal discomfort.

The patient will still need to attend their regular oral hygiene appointments with their restorative dentist.

Curious about Teeth-in-an-Hour?  See the live local coverage of the first surgery of its kind performed in the Carolinas under the Multimedia section on the Media and Publications page. Also check out the Nobel Biocare system for creating Teeth in an hour.