We strive to answer all the questions you might have about Dental Implants.
Below are a list of our most frequently asked questions.
We strive to answer all the questions you might have about Dental Implants.
Below are a list of our most frequently asked questions.

Yes! However, while your implants and teeth are securely placed from day one, we do ask that you maintain a soft diet during the healing period.
This procedure was pioneered by Portuguese dentist Paolo Malo in the 1990s. Since then, this procedure has safely been performed on hundreds of thousands of patients.
We put you first and foremost and solely focus on your wellbeing and ensuring you have the greatest experience.
We recommend a professional cleaning and check-up every 6 months.
Although rare, implants can fail due to factors like smoking, diabetes, or poor bone integration.
Increased salivation is a temporary response to the new prosthesis in your mouth.
Significant bleeding stops before leaving the clinic, but slight oozing may continue for a few days.
It's advisable to wait for about 6 weeks after the procedure before using a water flosser for cleaning.
It’s recommended to have ice packs, disposable washcloths, comfortable clothes, and soft foods ready for your post-procedure recovery.
Many who’ve been told they're not candidates for traditional implants may still be suitable for the All-On-4 procedure, often without the need for extensive bone grafting.
Yes, it’s possible and preferable to complete extractions, implants, and fixed teeth placement in one day for optimal outcomes.
Yes, we provide various payment and financing options to accommodate our patients’ needs.
The surgery typically takes about an hour per arch, with additional time for lab work and adjustments, completing mostly within a day.
Your All-On-4 teeth should remain firmly in place, as they are securely attached to the implants.
Temporary teeth, being acrylic, can chip or break, but they are easily repairable.
The bridges are fixed and can only be removed by a dentist. They are designed to stay securely in place.
Recovery time is generally short, with most people returning to work within 4-7 days. The exact duration depends on individual recovery and adaptation to the new teeth.
Just like we’re supposed to brush and floss natural teeth, we should do the same with our All-On-4 teeth and implants. A few minutes a day is all it will take to keep your mouth and implants healthy. Brushing your bridges with a soft bristle tooth brush and cleaning under them with a water flosser.
Your new implant bridges will be a new sensation and will take a few days or sometimes a few weeks to get used to.
The pain is manageable, akin to that of dental extractions, and we ensure patient comfort with appropriate pain management methods.
Some discomfort and swelling are normal post-procedure, but many patients report minimal pain. Prescribed pain medication and possibly a steroid shot will help manage any discomfort.
Recovery varies per individual, but generally, it’s quicker than other full arch replacement methods. Pain usually subsides within 1-2 weeks, with full healing in about 6 months.
Please call our office to inquire about sedation options.
In most cases, bridges are attached immediately. However, in certain instances involving bone quality, a temporary healing denture might be necessary before attaching the permanent bridge.
Adapting to your new teeth may require some time and practice, but they are designed to be user-friendly and easier to adjust to compared to other full-arch replacements.
Adjusting to speaking with your new teeth may take a little time, especially with certain sounds. Practice and patience will help you adapt quickly.
Age isn't a barrier; this procedure is suitable for adults of all ages. It can significantly enhance both physical and emotional well-being regardless of age.
Your final bridges are crafted from zirconia, offering greater durability and resistance to staining compared to other materials.
Pricing can vary based on circumstance, but anywhere between $19000 to $30000 per arch.
The unique aspect of this procedure is the immediate splinting of implants with your new teeth, aiding stability and reducing micro-movements that can impede healing.
While immediate final teeth are convenient, they can pose challenges, especially if complications arise or if you're far from the clinic.
The term 'teeth in a day' refers to receiving a functional temporary set on the day of surgery. The final set comes after the healing phase to ensure optimal fit and aesthetics.
Your permanent teeth, made of zirconia or nano-ceramic, are highly durable and unlikely to suffer damage under normal use.
Existing implants typically can't be used for All-On-4 due to specific positioning requirements and the need for bone reduction.

This varies depending on individual circumstances. A personalized consultation is essential to determine the appropriate treatment plan.
Pricing can vary - why not come in for a complimentary consult and X-Ray?
Dental implants should be cared for just like your natural teeth, including regular brushing, flossing, and dental check-ups.
Although it might feel slightly different, a dental implant functions effectively like a natural tooth.
The process entails implant insertion into the jawbone, followed by a period for bone integration, usually 4-6 months. Subsequent steps include dental impressions and tooth fabrication.
Please call our office to inquire about sedation options.
Currently, we avoid placing temporary crowns or bridges immediately after implant placement to minimize stress on the implants during their integration phase.
The majority of individuals are suitable for dental implants. We recommend a consultation to assess your specific situation.
Implant teeth closely resemble natural teeth in appearance and are not visibly distinguishable as the implant is positioned beneath the gum line.
Recovery time varies; most patients can resume work either the same day or the day after. Extended recovery may be necessary in certain scenarios.
Once fully integrated and completed, the implant is not designed to be removable.
Minimal bleeding is expected during the initial 24 hours post-implantation.
Despite a high success rate, implant failure can occur due to factors like inadequate bone integration, smoking, or diabetes.

Dr. Shawn Keller, DDS - Expert In All Dental Implants
Dr. Shawn Keller is a highly skilled and experienced dentist that primarily focuses on implant and cosmetic dentistry. He has completed countless Single, Snap On and All-On-Four Dental Implant Cases and has changed the lives of many people for the better.
Dr. Shawn Keller’s passion for comprehensive dentistry keeps him immersed in multiple continuing education programs, and he’s demonstrated exceptional proficiency in the fields of oral surgery, prosthodontics, and restorative dentistry which has further enhanced his ability to perform complex implant procedures.
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Kirkland
Seattle
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Smiles By Design - Rejuvenating Implant Dentistry