Richard
Richard came to the office in pain looking for a solution to broken teeth. His mom is a long time patient and suggested talking to Dr. Gibney about 24 Hour Teeth.
Day One
Surgery Prep
Day One begins with Dr. Gibney reviewing Richard's scans and planning the placement of all implants.
Surgery Begins
Dr. Gibney begins surgery while participants of the November 2019 24 Hour Teeth course observe. Surgery began at 9am.
Bottom First
Richard has 11 implants on the bottom. Dr. Gibney takes some time to reset for surgery on the top arch.
Top
To begin surgery on the top, Dr. Gibney uses a surgical guide. The guide is made prior to the surgery.
The guide has holes so Dr. Gibney can use the drill to mark the planned implant location.
The guide is removed and the holes are deepened and widened. Then the implant is placed.
Creating Richard's New Teeth
Impressions
Before Richard is sent home to rest, Dr. Gibney takes impressions in order to create his new teeth.
Scan & Design
The impressions are scanned into the design software and Dr. Gibney creates the top and bottom arches. The design is then sent to the mill.
Milling
Each arch takes approximately 4-6 hours to be drilled into the puck. The bottom is usually designed in the afternoon after the surgery. The top arch is milled over night.
Bottom Arch Delivery
When milling is done, Dr. Gibney removes the puck from the mill. He uses a drill to remove the arch from the puck.
The bottom arch easily slides on top of the implant posts. The temporary arch acts a cast for the next 4-6 months as the implant sites heal.
Day Two
Creating the Top Arch
The same process is done to create the top arch as the bottom: impressions, scan, design, and mill. Before the end of Day One, the mill is working on the top arch.
Delivering the Top Arch
Richard's Day Two is very short. His top arch is cemented in and the bite between the two arches is adjusted for Richard's comfort. This arch will act as a cast just like the bottom arch.
Richard's New Smile
Richard's 24 Hour Teeth experience is complete. He'll wear the top and bottom temporary arches for the next 4-6 months. Once the implants have fully healed, Dr. Gibney will remove the 2 arches and cement the 2 permanent arches.
Richard has a new smile before 10am on Day Two.
Our November 2019 course comes to a close!
The Follow Up
The Post-Op Schedule
- Month 1 - Weekly
- Month 2 - Every other week
- Month 3 & 4 - Once a month
The post-op checkups were uneventful except for the removal of 1 of the implants.
The 24 Hour Surgery was done in November 2019. In March 2020, we began the restorative process.
Restoring the Lower (March 2020)
Monday
Wednesday
Tuesday
The temporary is cut into thirds and an impression is made of the front.
Two 3-unit bridges were made.
Tuesday
Wednesday
Tuesday
The two 3-unit bridges were delivered and cemented in.
Impressions were made on the left for a 3 unit splint.
Wednesday
Wednesday
Wednesday
The 3 unit splint was delivered on the left and cemented in.
Impressions were made on the right for a 4 unit splint.
The right 4 unit split was delivered Thursday and cemented in.
Richard's lower PERMANENT teeth are all cemented in by Thursday.
Restoring the lower took four 30-minute visits.
Restoring the Upper (post Covid-19 Quarantine)
Similarly as the lowers were restored, the uppers are segmented.
Each visit is approximately 30 minutes long and impressions are made.
Then that segment is made using the impression and delivered the next day.
Richard's 24 Hour Teeth Case is Complete!
