Frequently Asked Questions

Yes — with a fixed provisional bridge screwed onto the implants. It is made of reinforced acrylic, looks good and lets you eat soft food. The permanent bridge (zirconia or hybrid) comes after the implants have fused with the bone.

Soft food in the first months: pasta, fish, eggs, cooked vegetables, soups. No biting into hard things (nuts, crusty bread, steak) until the doctor clears it. This protects the implants while they integrate.

Then we do not load them that day — we switch to the delayed protocol and provide a different temporary solution. That option is always kept, because loading an unstable implant puts it at risk. It happens in a minority of cases and is explained in advance.

Two to four hours per jaw, including extractions and fitting the provisional bridge. Two jaws — usually on two close dates or one long day, depending on the case.

The surgery is under local anaesthesia (sedation optional) and does not hurt. Afterwards, two or three days of swelling and discomfort controlled with ordinary painkillers. Most patients are pleasantly surprised.

The provisional is reinforced acrylic — light, easy to repair, meant for the healing months. The permanent is zirconia or hybrid (titanium + tooth material) — strong, colour-stable, meant for many years.

Zero. In this protocol there is no moment when you leave the clinic without teeth. Extractions, implants and the provisional bridge — same chair, same day. Anyone telling you about “two weeks without teeth while the gums settle” is describing a different protocol.

Yes — but not like the permanent one. It is acrylic, in the shade we chose together, and nobody who does not know can tell. It is also slightly thicker on the tongue side; you feel that for a day or two and then stop. The permanent zirconia is thinner, less shiny, and looks more like a tooth.

Yes, and we do it — but it is a long day, six or seven hours with a break, and most people prefer two sessions a week apart. Coming from far away or from abroad — one day. Living in Kfar Saba — why rush.

We remove it, let the bone heal for two or three months, and place a new one. Meanwhile the bridge keeps working on the remaining implants — that is why there are four and not two. It happens to us rarely, it is covered by the warranty, and you do not pay for it again.

Controlled diabetes is not an obstacle. Uncontrolled diabetes raises the risk of infection and implant failure — we will ask for it to be stabilised with your physician first. A recent HbA1c test is part of the assessment.

It does not rule you out, but it lowers success rates and slows healing. Stopping — even just around surgery and during the integration months — significantly improves the odds.

Almost never. Tilted, long or short implants and targeted bone grafts solve most cases. The CT scan decides, not an impression.

It depends on the drug and how long you have taken it. Oral bisphosphonates for a short period — usually possible with care; intravenous — needs a thorough assessment. Bring your medication list to the consultation.

That is a good reason to choose a short protocol with one surgery. It can be done under sedation with an anaesthetist, and a detailed explanation beforehand removes most of the anxiety. You set the pace.

Blood pressure controlled by medication — no. On the day of surgery you take your pills as usual, have breakfast, and we measure before we start. Blood thinners (Coumadin, Eliquis) need coordination with your physician — sometimes stopped for a day or two, sometimes not. Bring your medication list.

Less than there was, for sure. A denture presses on the ridge and speeds up resorption, and after 20 years the lower jaw is sometimes very thin. But that is exactly where the tilted implants of All-on-4 use the bone that remains at the front. We have seen “no bone” jaws get a fixed bridge. The CT will tell.

Then we wait. Not because of the implant itself but because of the scan, the anaesthesia and the medication afterwards — three things you do not do in pregnancy without urgent need. The consultation can happen now, on an existing scan, and we plan for after the birth.

A well-integrated, well-maintained implant — decades, sometimes a lifetime. The crown on it may be replaced after 10–20 years. The causes of failure are known: smoking, poor hygiene, untreated gum disease.

A clear device printed from the digital plan and seated in the mouth during placement. It has sleeves that steer the drill and the implant to the planned position, angle and depth. The result: precision, a small incision, fast recovery.

In suitable cases — yes, at the same visit. The conditions: a socket without active infection and enough bone to anchor the implant. It saves a surgery and preserves bone and gum.

Titanium implants from established manufacturers with long-term clinical documentation and parts available for years to come. The specific system is chosen per case and recorded on the implant passport you receive.

A dental CT (CBCT) — low radiation, a few minutes at an imaging centre; we give the referral and read the result at the consultation. The clinics do not take CT scans. If you have a recent CT of the jaws, bring it; a new one may not be needed.

No. It has no nerves and it is inside the bone. What you feel at first is the crown — slightly different from the tooth that was there — and after two weeks you forget that too. Our patients cannot say which tooth is the implant without looking.

Yes. Titanium is not magnetic. Tell the technician you have dental implants, they note it, and that is all. You do not beep at the airport either.

Because for a bridge two healthy teeth next to the gap get ground down, and in ten years you have three problems instead of one. An implant does not touch the neighbours. A bridge still makes sense when the neighbouring teeth need crowns anyway, or when there is no bone and you do not want to build it.

A card you get at the end of treatment with the manufacturer, model, diameter and length of every implant and where it sits. If in 15 years another dentist in another city needs to replace a screw, they know what to order. Keep it with your important documents.

A fixed bridge feels closest to natural teeth. An implant overdenture costs less, needs fewer implants and less bone, supports the lips well and comes out for cleaning. For many people it is the right solution. We decide together based on the mouth, habits and budget.

Monolithic zirconia — the strongest, for molars and bridges. Porcelain on zirconia — the most aesthetic, for the smile zone. E.max — for single front crowns. Usually we combine by area.

Without implants — a few weeks. With implants — 4–9 months, and with bone grafts up to a year. Throughout, you have functioning provisional teeth.

A rehabilitation that restores bite height and tooth length — crowns or veneers — together with a night guard that protects the result. Everything is tested in provisionals before the permanent restoration.

Without implants: 6–8 visits over one or two months. With implants you add the surgery and the healing months, but the number of visits itself does not grow much. Most are short — the long ones are the surgery and the try-in of the provisionals.

Sometimes — with crowns or onlays on the back teeth only, and the front teeth adjusted with light reshaping. It depends on how much has worn and where. When it is a little, a partial solution. When the face has already “shortened”, it is the whole mouth, and there is no way around it.

Our provisionals are your new teeth in a test version: same shape, same shade, different material. People go to weddings in them. That is what they are for — to test in real life before copying to zirconia.

Well. We do the rehabilitation; your family dentist carries on with cleanings, fillings and whatever is outside our field. We send them a summary letter with the implant passport, and if they want, we talk to them directly.

Most patients after 2–4 days. Strenuous physical work — after a week. Swelling peaks on day two or three and then subsides.

A regular or electric toothbrush, an interdental brush or a water flosser (Waterpik) under the bridge once a day, and professional cleaning at the clinic once a year. You get hands-on instruction.

Call and come in — the repair is usually quick and same-day. The provisional bridge is designed to absorb exactly that; which is why you do not bite hard things during this period.

After one week, one month and three months — then the scan for the permanent bridge. After the permanent: an exam and cleaning once a year. You can call at any stage.

Yes — on the implants and the restoration, provided check-ups and hygiene are kept. Full details are in the quote and the treatment agreement, in writing.

Something soft and cold: yoghurt, pudding, mashed potato, avocado, a smoothie. Not hot, not spicy, not through a straw (the suction disturbs clotting). The next day, soft pasta and eggs. Within a week — anything you do not have to bite into.

Better not for at least two weeks, and a month if you can. Smoking in the first two days is the most common reason for a wound infection and an implant that does not integrate. If you know you will not manage, tell us beforehand — there are things we can do about it.

Yes — that is exactly the peak. Swelling rises for 48–72 hours and then goes down. Cold on day one, warmth from day three, sleep with your head raised. What is not normal: a fever above 38, swelling that grows after day four, or a bad taste that does not go away — then you call, you do not wait for the check-up.

Yes. The one-week and one-month check-ups look for things you cannot feel — a loosened screw, a pressure point on the bridge, gum that is not closing. Five minutes that save an hour of repair. And anyone who skips the check-ups is not covered by the warranty; it is in the agreement.

Because the price follows from the number of implants, the type of restoration, the materials and the preparation required — all of which are determined at the exam. The quote you receive at the consultation is itemised, final and in writing.

Yes — across the treatment stages and in credit-card instalments. Details at the consultation.

Supplementary plans and private dental insurance sometimes reimburse part of the cost of implants and crowns, depending on the policy. We provide all required documents and receipts.

Check what is included (CT, guide, provisional bridge, check-ups, permanent bridge, warranty), who performs each stage, and what the permanent bridge is made of. A cheap quote with a “permanent” acrylic bridge is not the same product.

Not necessarily. “Turkey, €4,000 a mouth” offers usually do not include the permanent bridge, and certainly not the check-ups in the year after — and then people come to us to fix it, which costs more than everything together. That said, we agree the comparison has to be on the same product: zirconia, check-ups, warranty, in writing.

No. In stages: part at planning, part on the day of surgery, the balance when the permanent bridge is delivered. Credit-card instalments are possible. The quote is locked — if it turns out along the way that something is needed that was not in the plan, that is on us, not you.

Three months. After that we update it if material prices changed — in practice that happens once a year and not by much. If you decide after a year, we re-examine, because the mouth changes, and sometimes the plan with it.