Permanent Teeth in 24 Hours

How painful is it? Oh, buddy. If permanent teeth in twenty four hours is legit, why isn't everybody doing it? If it was that easy, everybody would be doing it. Our bodies don't heal in twenty four hours. Is this safe? You have to respect the body. The body takes time to heal. How often do dental implants fail? That's a tough one. We're both doctors at Nubia, and today, we're gonna answer some of the top controversial questions that people ask online about the twenty four hour process. You ready? Yeah, let's do it. Alright. So first up, what does permanent teeth in twenty four hours actually mean? Doctor Park, you wanna take this one? Sure. So what permanent teeth in twenty four hours means that patient comes in for surgery, we'll remove the remaining teeth, we'll place four, maybe six implants on top bottom, patient will then go home, sleep off the anesthesia, come back in next day, and we'll have their permanent teeth ready for them. The process itself I think is really cool because I mean there's certain situations where a patient will come in on a Monday, you know have their initial visit with us as far as like measurements taken and you know the design process started. We get to take it to about eighty percent of the finish line. The surgery happens the next day. We use these records to fine tune our design and then from surgery to when the teeth are in their mouth. Twenty four hours. It is kind of pretty awesome. I mean it's pretty cool. I mean the technology that we're using, you know, the old school version, I can't believe this is still something that's being done. This is a conversion denture, same day smile. And it's just crazy that this is still being done versus using the technology today to create something where we have some of the strongest materials, zirconia, teeth, being able to provide that to the patient is amazing to be able to do it in twenty four hours. Totally. Sometimes I look at this kind of old school way of doing it, and I'm like, this is essentially choosing to type on a typewriter as opposed to using a computer nowadays. Yeah. Yeah. Yeah. It's pretty crazy. Alright. Next one. Let's do it. Okay. I have not seen these questions. We neither of us have seen these questions yet. These are pulled from online, so let's see what the next one is. Other places say you can get teeth in a day, so what's actually different here? Okay. I mean we kind of dived into it. It's a bit of a history lesson again. This is the original techniques of creating an all on four prosthetic that was designed like in the late 90s. Right. And so as you can see, you've got different materials here. You've got the beige acrylic, you've got the pink acrylic, you've got metal And they all flex at different points. And obviously they don't, you know, there's a transition period between the materials, very prone to breaking. I would say this isn't like a it's not like, you know, flimsy, right? But the kind of movement that talking about with these, it's these micro movements that can really kinda shoot the integration process for the implants themselves. Right? Back in my day, pre my pre Nuvia days, I remember having to repair so many of these. And it was just like half of my time was taken up in the lab in the back, just kind of acrylic and, you know, the molds and all the things. So it is nice to not have to do that anymore. Yeah. It's pretty crazy. Of course, the other thing with these is the wait time. Right? I mean, these teeth in a day give you a temporary that you are in for several months. I mean sometimes depending on what was done for the surgery itself, we're looking at six, eight plus months. With Nuvia, these permanent teeth twenty four hours next So yeah, the timeline for the patient improves dramatically for sure. Yeah. I think some patients, you know, they look at this, when it first came out it was you get that instant gratification. You come in for surgery, you get teeth same day. And they're like, woah, that's pretty cool. But when you take a deep dive into it, you realize that now you're in this transition period with a repaired denture. Totally. For six to eight months, And so it's a tough period, it's a tough transition period before you get to the final. And so it's amazing that you can take today's technology and make this prosthetic where you're using some of the strongest materials we have in dentistry, and we give it to the patient twenty four hours after surgery. It's pretty cool. Yeah, it is. It's pretty revolutionary. Yeah. Okay, next question. Doctors online have said our bodies don't heal in twenty four hours. Is this safe? What do you think? Well of course I believe our body cannot heal in twenty four hours. Yeah, we're in agreement. Dogs, we're all We agree. You know you have to respect the body. The body takes time to heal. We're not making this prosthetic fast and unsafe. Right. Right? You know it kind of goes back to your point of microbe movements. Would you rather have an acrylic material that's providing stability or zirconia and some of the strongest materials that we have to create that stability? It's kind of like a stent, the way I look at it. I mean, through the osseointegration process, that healing process where your body's creating that new bone that grows into the implants cell by cell. In my personal experience, I don't know if you've had the same experience, but I have found that this stronger, more rigid material has actually improved healing in patients and integration. Like I see I have seen a much lower failure rate in implants since I started with the Nuvia process than I did with the traditional method. Yeah, I mean for sure. There's definitely research showing that the failure rate for this, you know, can be between five, ten percent. Yeah. And you know, with Nuvia, we're, I think we're less than one percent. Yeah. Yeah. It's pretty cool. I mean. Totally. Numbers don't lie. Numbers don't lie. That's right. Alright. So yes, it is safe. Safe. If permanent teeth in twenty four hours is legit, why isn't everybody doing it? This is a good one. Yeah, mean, if it was that easy, everybody would be doing it. Of course. But it's crazy the amount of hours, time, the large team needed to do this. It's crazy. I mean the lab works around the clock twenty four hours. Totally. I know every patient that walks in from consult, that's the beginning of it. We're gathering information, that information being used to create this prosthetic. And so you know, we have people that are behind the doors, you know, making this It's crazy to once you get to understand the process, understand that it's taken years and years of development to create mean, you've been here since right after COVID, right? Yeah. With Nuvia. I've been here since twenty twenty three. Even in the time that we have been here, like obviously, Nuvia had done a lot more r and d even prior to your joining, but the process has continued to fine tune become better and more efficient. You know, it's not like we've we've just figured it out and we're done innovating. Nuvia is constantly trying to find ways to make things more efficient and better for the patient using the technology that we have, and so yeah, I think that is a quite a unique offering that we have. Does getting this done so quickly mean that the price will be higher? You'd think, right? I mean, it's I mean that's what you would think, right? Yeah. Yeah. But it's not the case. It's definitely not the case. Nubia is definitely below the national average. And so we're able to create this process. We've developed this process where the savings can be passed on to the patient. Totally. I mean, again, personal experience. I, for just the prosthetic aspect, was charging just as much as we charge for the entire Surgery Plus prosthetic at Nuvia prior to coming here, like with this with this. So the fact that patients are getting this for about the same amount that we were charging for that, like just the prosthetic aspect, it's pretty pretty cool. Yeah. And then the chairs the chair time. Oh, the chair side time For this one is extensive. It is. A lot more than this. Yeah. You know? For sure. So I think that's obviously where we're getting a lot of the savings, and then we're able to pass it on to the patients. Yeah, it's a better use of our time and more importantly the patient's time. Yeah. And the coolest thing of course is that Nubia offers so many different options when it comes to you know financials with payment plans and whatnot. They actually put together a cost guide and it will be available in the description if you want to check it out after this video. Sounds good. Cool. Next up. Are patients awake or asleep during surgery? How painful is it? Oh buddy. It's so nice to be able to offer sleepy time for our patients while they're getting this done, for Yeah, mean general anesthesia, it's great. Patients go to sleep, don't feel anything. We have our CRNAs that make sure to take care of the patients, very comfortable during surgery. I'd say about ninety percent of the patients, they just need ibuprofen. Like alternating with Tylenol? Yeah. Yeah, I've found that too. Like definitely some patients use the pain medication that we do prescribe just so that you have it if you need it. But for most patients I would say it is definitely pretty smooth sailing through the I will add, you know, it is so nice at Nuvia that we have a CRNA as part of our surgical team. A lot of different places will have the surgeon themselves put the patient to sleep, which surgeons are definitely qualified to do, the extensive training they do at the hospital and everything like But you you can ask surgeons right? Like it's very different putting someone to sleep for fifteen minutes while you take out their wisdom teeth to like when you're doing a major surgery on a patient and having to you know, be very engaged in this surgery for hours and also managing the anesthesia, it's so nice that we can keep the patient very safe with a separate provider also helping to manage that and monitor everything so that the surgeon can focus solely on the surgery. Yeah, I mean it's very difficult. I've done it. I've had to provide anesthesia and do the dentistry and it's a lot because you have to make sure that the patient's comfortable and safe while you're doing the dentistry. So your eyes are moving from surgery, from the mouth to the vitals, it gets tricky. It's a long time. I mean oral surgeons are among, I mean correct me if I'm wrong, I think the only surgical specialty that is able to do their own anesthesia. Anything else like cardiology or neuro or anything like that, they have a whole anesthesia team So yeah, nice to have the surgeon focus on surgery for sure. Are patients prescribed pain medication? Yes. Yes, they are. Yes, they are. Like we mentioned, not everyone needs to take it. It's certainly available for you if you need it. But yeah, again in my experience I really haven't seen patients either need to take it to its full extent and very rarely need like any kind of refill or anything like that. I mean it's it's typically pretty smooth sailing. It is a major surgery, like you're still recovering, but you know if you take it easy and ice really well and keep ahead of the pain with ibuprofen and Tylenol alternating, most patients are in good shape. That what I'm good with that. Is it painful to get permanent teeth the day after surgery? Oh that's a good question. Alright, yeah I'll take that one. So you leave surgery with little buttons over these connectors that screw into the implants. When you come back the next day, since we do it the next day or in some very rare cases like if a patient has surgery on a Friday and they come back on a Monday, the swelling is not peaked when we deliver, and so you know in our office we've found it's very rare, I could probably count on my hand the amount of times that I've had to give anesthetic for the delivery because these teeth are molded or created to what the tissue looks like fresh out of surgery. And so you know they typically go in quite comfortably. Yeah. I agree. Yeah is that what you've seen at your practice as well? Yeah, I mean patients come in, yeah of course, it's major surgery, so there's a little achiness to it, but the excitement to see the teeth and put the teeth in and then get the reveal, like you said, very rare that you need to provide local anesthesia or anything for the delivery. Yeah, that delivery is so fun too. Like that's probably one of my favorite parts of being a doctor here is just actually getting to see the patient turn the mirror around and just see their smile. And if they bring family members or friends, it's so emotional and just special. It's a special time. It's kind of like the analogy is kind of like a flower. You have patients that come in for consult and they are so quiet, no personality, they're just a wallflower. Totally. And then they get the teeth, they're crying, they're smiling, their real personality start to come out. And it's just amazing that we can do this in twenty four hours. Yeah. Yeah. We had a patient, gosh, this must have been like two and a half years ago, who came in for his evaluation visit. And we we were all just like trying to, I don't know, talk to him, chat with him, get him to like engage and one word answers wouldn't really show his mouth. And the moment this man got his teeth in, I mean tears streaming down his face, smiling, so chatty, just like, guys thank you so much. And it was just like, oh my gosh, your family and friends haven't gotten to know your real personality for how long? Like this is a real new beginning. So anyways, he sticks out on my mind quite a bit because that was a very impactful one for us. Yeah. Amazing. Alright, let's see. Long does healing take and when can patients return to work? Healing, I feel like there's multiple layers to that, Like you've got your initial gum healing and like the bruising, if you have any, or swelling, that's like a two week mark. Right? And then the actual implants, if you could speak to that. So the integration of the implants, they do become weaker at the two week mark. And so it's very important that throughout the whole process you're keeping things as clean as possible. They start to integrate more and by the two to three, four month mark, that's when you're getting some solid bone development around the implants. And that's at that point where we'll come in, we'll take a look, make sure everything looks good, and if you're ready for the next step. Cool. Yeah, I would say I would add to that as far as the initial healing process and returning to work, I think it's job dependent, right? Like if you have someone who is a mover and like taking boxes out of a truck something like that, want them to take you know at least a week if not two from that kind of strenuous activity. But if you have someone who's kind of like working at a computer or like not really a lot of face to face interaction or are not on their feet too much, I've seen people return as soon as like a couple of days. Obviously, you know, everyone heals differently, so some patients come in looking like nothing happened and others like With a lot of bruising and swelling. And I go over that with my patients because you've got to know what to expect, right? Like everyone's body heals differently and there's a really broad range of normal. So part of it is listening to your body, part of it is you know, just giving yourself a chance to heal from this surgery. Yeah. Yeah you just definitely wanna take it easy after surgery. It is major surgery so just take it easy. Yeah. And hey if there's a lot of people that work from home, they don't have to take calls. Totally. You don't have to talk, That's great, you can return to work immediately, however you feel. Get back on that keyboard. Was gonna say like don't be on any of the pain medication when you do that. Don't make any major decisions. Yeah. Don't need you online buying a llama or anything like that. But but yeah. You know, use your judgment. Yeah. Common sense. We got it. Totally. Alright. Let's see the next one. Oh, yes. This is this is my favorite question. Like and subscribe. Tough one. Alright. Here you go. Does a gap form once healing is done? Oh, man. The gap is my friend. I don't know about you. Let's let's talk about how and why it forms first and where it is. Right? Mind the gap. Mind the gap. Alright. So fresh out of surgery Swelling, tissues are stitched together. That's how we create these. Tissue over the course of the four month period remodels, pulls back. For us, I would say probably ninety five percent of the time the gap that forms is less than a millimeter. Kind of, mean just very small. And that is my ideal for a patient because that way they can floss between it, water pick easily, swish Yep. Food out of there and keep it really clean. How do you feel about the gap? No, I agree. It's very important to keep things clean, and if you've a tiny bit of a gap, it makes it easier to floss, to water pick, to get those bristles in there and brush, and kind of stimulate that tissue. And stimulating the tissue will help keep it nice and firm and snug to the prosthetic. And that's like the key. So have you had a situation where a patient has come back and the gap that has formed has been like very intense for one reason or another? Like let's say their tissue healed in a weird way or something along those lines? Yeah, every case is a little bit different, but yeah, you can definitely have cases where you'll have a bigger gap. Not a big problem. It's you know, everybody thinks, oh you're gonna get teeth, permanent teeth in twenty four hours. They don't do anything about the gap. Know, it's like wham bam, thank you ma'am, done the surgery. No it's not the case. It's not the case. You come back in the four months and we'll take a look at that gap and we'll add additional material to make sure that it's nice and snug. But yeah you'll have some cases where like you said you'll have like a millimeter gap and some you'll have like three millimeters and stuff like that. You know it just happens. Every case is a little bit different. And if it doesn't bother the patient honestly, like I've had some patients come in where on the lower let's say they'll have a bit of a larger gap But they'll be like no, no, I don't mind. I can use a proxy brush in there and I'm in a good place. That's music to my ears because I'm like if you can keep it clean at home, your annual visits with us are going to be so smooth for Yeah. No, that is great. Like from what I've seen in personal experience, when the prosthetic is touching the gum or adapted to the gum, it is so much harder to clean. Like those patients, they can't floss, they can't even swish liquid between the prosthetic and the gum. So if they're out to eat or something like that, it's a lot more difficult for them to clear any debris that they may have than if they did have the space for it. So sometimes I actually create space for the patient if they can't floss, to be Yeah, I mean a lot of our patients are older, so it takes some manual dexterity to be able to clean So yeah, those are critical pieces in terms of oral hygiene. Cool. Cool. Love it. How often do dental implants fail? That's a tough one. Let's talk national averages first. Yeah. National average for single implants, implant prosthetics, and stuff like that, we're looking at a five percent, ten percent implant failure rate. And that's personally what I had seen prior to coming to Nuvia. Yeah. Awesome. Nuvia, this process that's why I feel so passionately about this cross arch stability that this rigid prosthetic provides. We have less than a one percent failure rate. So over ninety nine percent success for these implants. And it's just it's very cool to see. I mean, it's nice to not have to redo work. Or repair. Or repair. My goodness, that's so time consuming. Even if there happens to be any kind of issue, we can typically identify insulting factor and then come in with like a very simple straightforward process. Yeah. We're not going leave the patient high and dry. We're definitely going help them out. Totally. Yeah. Are they hard to clean compared to regular teeth? Okay. It depends on how we're cleaning the regular teeth. Okay. So regular home care. Well, you're not cleaning them. Yeah. Right. Yeah. Yeah. Totally. So normally, you're flossing between all of your teeth as we all are. Right? Yes. But so we're flossing, we're brushing. If you have a bridge or an implant or something, you may also be using a water pick. Talk to me about cleaning these. It's like anything, you need to keep it clean. Right. You know, water picking all the things that you've mentioned, the water pick is critical. Yeah. The floss, so you will be flossing underneath. We'll get into it a little bit more. Using a toothbrush, yeah, you definitely have to brush it. You want to keep any debris off of the prosthetic and the tissue underneath. You know, you can brush here on the palette, and then kind of get into super floss. Right. Obviously, in the mouth you're not going be able to do this. Right. But that's why that gap is so important, right? Yeah. Yeah, I Oh, wow. Magic. Just Amazon Prime. Hey. So did you order it like five minutes ago? Because that was really impressive. Amazon reads my mind. Wouldn't that be something? That's next. So we've got this kind of super floss. It has a firm end on one end of it. Actually this one has it on both ends which is pretty cool. And then this kind of expandable floss. So flossing, as I explain it to my patients, flossing brushes where the brush doesn't reach, right? So it's not just about oh we brush and the water picking gets everything, you still have that biofilm, the plaque, the bacteria. So threading it through that gap, this is what we were talking about when we were saying that it's important to be able to clean underneath the prosthetic. If you can thread it through the gap and pull it through, you kind of windshield wiper it between the implants and you repeat that in between each segment. That, honestly, I've seen patients come back now for almost their three year follow-up and patients who are consistently flossing and brushing well, I mean it's pristine. There's nothing that, you know, in some cases where patients don't do that, we might have to take off the prosthetic and clean it for them and everything. But it is nice, you know, to see when patients really take care of their investment and their health, right? So yeah, that's That's probably one of the biggest, most important hygiene instruments that I Something simple but very And the other thing that I wanted to highlight, we talk about that healing period and how crucial it is. I mean you think about it, the gums have just been, you know, not to be graphic, but cut open and then stitched back together. This surface underneath being you know, like a flat, smooth, highly polished surface, I think offers a much more stable environment for the gums themselves to heal. When you have something with so much like different materials, anatomy, porosity, this is a food trap. It attracts plaque when you look at it microscopically, it's rough. And so you know, you think about as you're healing, as those tissues are healing, do you really want to have this like pit of bacteria up against the tissues themselves? So yeah, that's another thing that I really appreciate and value about our prosthetic delivery. Yeah, I mean with what you mentioned, the porosities and everything, denture, people that wear dentures, you know, you're prone to bacterial infections, fungal infections, Candidiasis. Yeah, fungal. It's the same thing with a prosthetic like this. Acrylic, that's porous, but this one, the materials that we use, they're nonreactive, non porous. Has anyone had this for years and how long is it supposed to last? I mean, in an ideal world, right? These are designed to last a lifetime. Yeah, mean that's the hope, right? We want to make sure that these last for the patients the rest of their lives. Obviously the dentist, all the providers that we can do, we get you halfway there. We provide the clinical work, the prosthetic. The other half is making sure that you know you're doing the super floss, the water pick, keeping things super clean. Yeah. That's a major part of it. Yeah, for sure. I mean I would say almost like most failures that you're going to see are going to happen within that like four to six month healing period. Definitely within the first year. Like beyond that something maybe like trauma or you know, really poor hygiene and home care could contribute to failure. But once the implants are integrated and are part of the bone, like they're a part of you. You know, it's like a hip replacement, right? That's not just out of the blue gonna fall out of you, I guess. Yeah. But yeah. Yeah, I mean and plus you wanna baby these as much as possible. Totally. You've spent all this time and money, you've invested in your health, you wanna take care of it. Not gonna go out there, start MMA as a Right, right, right. Well, okay, so here's that's the thing about this, right? Let's talk long like trauma after the first year, right? Let's say you do take up MMA as a hobby. You think about the zirconia of the teeth, that ceramic that's as hard as metal. You think about the titanium of the implants themselves. And you think about your bone. Which of those three is the weakest? Right? It's the bone. If heaven forbid some kind of crazy accident or something like that, it's not like you're gonna chip a tooth. It would be like bone problems, right? And so the materials themselves are made to last. We just have to make sure that we are protecting your health, your environment, your oral hygiene as much as possible. Like bite into that apple, have a great time after the four month healing period, obviously. Four months, four months. But the same way as with natural teeth, any kind of risk or trauma that you may expose yourself to could potentially lead to an injury, right? That same kind of way. Yeah, use your common sense. Yeah, common sense is our friend. But if you want to learn more about personal experience with nubious teeth, you can check out Ricky's video. He got his teeth done, I think back in twenty twelve? A couple years ago. No, I'm sorry, twenty twenty two? Yeah, a couple years too. Yeah. Two, three years ago. Yeah. And he did that video where he kind of went over the good and the bad and like what his experience been. So that would be a great one to check out. Yeah. I mean, that's gonna be invaluable in helping you make a decision. And if you are interested in learning more about what this could cost you, definitely download the free cost guide in the description below. So until next time. Keep smiling.

If this process seems to be so great, why isn't everyone doing it? I'm gonna say something maybe a little controversial. Someone is going in, having a big surgery, and the next day, they're getting their permanent teeth placed. Our bodies don't heal in twenty four hours. What's what's the catch? It's not as easy as just like, I'll wave a wand and take a scan and here's the teeth. Is this surgery part itself painful? Are they awake or asleep? I'm here with doctor Anoni from Nuvia. And today, I'm putting her on the hot seat to answer the biggest and most controversial questions about the permanent teeth in twenty four hour process. You ready, doctor Anoni? Bring it on. Let's get some clarity here. Nuvia claims to do permanent teeth in twenty twenty four hours after what? So Nubia's process of permanent teeth in twenty four hours is referring to the day that you have surgery. Within twenty four hours, you are going to have the permanent teeth that you are going to wear, hopefully, for the rest of your life. I have heard places say, though, that you can get teeth in a day. So how is that actually different? Okay, that's a great distinction. So teeth in a day can refer to many different things, right? There's a lot of different ways that people will refer to the procedure of All On four. Traditionally, when you do same day teeth or teeth in a day, what you're getting is not a permanent restoration. What you're getting is something temporary that they may refer to as a temporary or healing set. With Nuvia, the teeth that you receive twenty four hours later, they're resilient. They're permanent. And they can be the ones that you wear in the long term. So what makes temporary teeth temporary, though? Can you break that down for us? Yeah. So there's a couple of different ways that people do the temporary teeth, right? In All On four, regardless of where you get it done, you're getting the surgery, right? So teeth out, bone level implants in. Now, what happens after that is really what distinguishes this, right? So in the traditional or temporary teeth model, one of the ways that they do that is that they will take a full denture with what we call palatal coverage or covering the roof of the mouth. They will hollow this middle part out and then drill holes into it where the implants are. They'll then put this in the patient's mouth, put acrylic have you ever gotten your nails done? Of course. Of course. Of course. So that same kind of material in there to attach the implants to this temporary. They'll take it out, polish it, whatever, and you have nails in your mouth, essentially. Yeah. Oh my goodness. But it's the way that the procedure started, right? Like, when that was the only technology available, it was good, right? The problem with that is, have you ever broken a nail? Of course. Yeah. Sadly. Sadly. This is a little bit more of an investment than a set of ten, right? So having done the traditional method for years prior to coming to Nuvia, what we saw was breakages, right? This material is not as resilient, and it can certainly break throughout the healing period, which can really put the implants themselves at risk. The other way that they make temporaries is after the surgery, they'll do something similar. Well, they'll attach this to the implants, break it off of the implants, and then take it into a lab on-site and mill something made out of you know, PMMA, same kind of acrylic y material. I would say that option is slightly more resilient than the first option that I described, but we're looking at, like, denture option, option, permanent option, right? So with Nuvia, our lab works overnight to make those permanent teeth. And the next day, they're delivered. And they have an indestructible core, essentially. They're incredibly resilient. And they actually help to provide a really stable, in my opinion, a healing aid to the implants themselves. Okay? So let me just use this example. Let's say you break your arm. What happens after that? What do you get put on it? A cast. A cast. And that cast, is it flexible? No. It's nice and hard and resilient. Why? Because that helps the bone to set and heal over the course of time. The way that bone heals, it creates new bone cells, cell by cell that actually start to, come together and integrate pieces. So when you break your arm, it's the pieces of the bone. But when you have an implant, that cell by cell process grows into the implants and locks them in. Anything to disturb that process can cause the implants themselves not to integrate in the long term. So taking that cast example, would you rather, as you're healing, have something that has a little play to it and may break or something that you could run a car over because it's so resilient? Definitely the second option. What I've seen from my practice prior to Nuvia and with Nuvia is that that really resilient arch aids in the healing process. And I think that because it really provides cross arch stability, and so it helps the implants kind of stay in place while they're healing and allow that bone to form. I am a little confused, though, because you are getting this set at Nuvia twenty four hours after. Our bodies don't heal in twenty four hours. So is this process actually safe for the patient? Totally. That is such a good question. So as we discussed, this is incredibly resilient. I wouldn't say that the permanent restoration is put in and the healing process is done. From what I see and from what I do in practice, this arch actually helps the healing process along. As I mentioned, it does help to keep the implants stable in that position so that that process, osseointegration is what it's called, of your body creating new bone to grow into the implants can happen really seamlessly. In my years of practice prior to Nubia, I would say I had seen maybe like a ninety percent to ninety five percent success rate of the implants that were placed. And a lot of that the failures that would happen would be within those first four to six months, right, when the implants themselves just wouldn't integrate. But at Nuvia, company wide, our success rate is over ninety nine percent. I mean, at our center, for an example, we've placed over fifteen thousand implants. We've had under one hundred maybe fail. Wow. I mean, it's really something that is significant from what I've seen. With this process being super fast, you know, you're talking about advanced technology, wouldn't this be super expensive? What's what's the catch? You'd think so, wouldn't you? But you might be surprised to hear that the cost for a full arch treatment at Nubia is actually below the national average, and that is because we've incorporated technology. So we've managed to make the process more efficient as we're making it that much more effective. And we're able to pass on those savings to the patient. A lot of people ask about the cost and what the financials would look like. Nubia actually created a free cost guide that's free to download for any patient, and it answers a lot of those questions. Actually, we could probably put it down in a link below the video if that works. Yeah. So if this process seems to be so great, success rate's high, why isn't everyone doing it? Like, why do you not see it out there? Yeah. That might be something that many people are wondering, actually. Nubia has has spent years in research and development actually making this digitized and advanced technique come to life. Right? It's not as easy as just like, I'll wave a wand and take a scan, and here's the teeth. We have our lab that works twenty four hours on-site. My communication with my lab manager is tight. You can ask her, sometimes maybe a little too tight. But the incorporation of the digital process as well is really a game changer. And then, obviously, the high quality materials that we use, the process itself, it continues evolving, right? Nuvia, I would say, safely on the cutting edge. I wouldn't say that we're doing something reinventing the wheel. It's still the all on four surgical process, but we've been able to make things more efficient. And again, from what I've seen, better for the patient in the long term. I am curious about the patient experience itself. I feel like going into a surgery, I'd be nervous, right? So is this surgery part itself painful for this process? Or are they awake or asleep? Or what does that look like? People come into the office terrified sometimes. I you think of people who have maybe been traumatized at the dentist as a child or something, and they're scared. They don't like pain. I tell most of these patients, like, look, if someone sat in my chair and was like, I love pain, bring it on, I would be like, we have other problems to take care But the process at Nubia, I let all of my patients know, when you come in for surgery day, the first thing we're doing after you talk to your surgical team and you're comfortable and everything, you go to sleep. You go night night. Yeah. So very, very comfortable during the procedure itself. Now, it is a major surgery. Is there some postoperative pain? Sure. While you're healing, I would say an overwhelming majority of our patients will come back for their follow-up and say, wow, that was really not as bad as I expected. There's some patients who have a rougher time after surgery, but you do have postoperative pain medication and ice is your best friend. I would say that the peak of the swelling or healing will probably happen between day three and four. And then slowly but surely, you should start to see things getting better each day. By the time patients come back for their two week visit, ninety nine percent of patients are like, I'm good. Let's talk about the day after for a second. So someone is going in, having a big surgery, and the next day, they're getting their permanent teeth placed. Wouldn't that be painful? What have you seen from your experience of how patients are reacting to that? Yeah, so the next day, that is a question that I get often because, yeah, you're fresh out of surgery, you're swollen, you're recovering. Like I mentioned, you do have pain medication to help manage through that. Honestly, I would say a good portion of our patients don't even end up touching the heavy stuff, and they'll just do ibuprofen and Tylenol rotating. Obviously, everybody's body is different, but that's what I've seen in my experience. When you come in on the next day, I would say Okay, so we've seen about three thousand five hundred arches in our center. I can say maybe twenty five patients I've had to give anesthetic to the next day when we're delivering the actual prosthetics. Let's not forget, we take all of our measurements based on what the patient's tissues look like fresh out of surgery. So the next day, those teeth can go in pretty seamlessly because that's exactly how they're built. Now, it's important that we deliver those teeth within a short window, right? The twenty four hours, in some rare cases, maybe a forty eight hour if a patient comes in on a Friday, if that's most convenient for them, and we give it to them on Monday. That's ideal, right? The process that happens in the bone with the implants, remember we were talking about that osseointegration with the bone building. The bone building doesn't start happening right when the surgery happens. In fact, for the first several weeks, the implants actually become weaker in your bone because your body is in an inflammatory state and your bone breakdown cells, you've got breakdown cells and buildup cells. The breakdown cells are in high activity, remodeling everything around those implants, right? So we do want to hit that window where we still have that primary stability from the placement during surgery in order to stabilize those implants. In those two to six or eight weeks after surgery is when the stability kind of dips a little bit. That's why many of these places who don't have the technology to do the permanent teeth in twenty four hours end up doing the temporaries. Right? Interesting. So like I mentioned, these the teeth are designed based on the patient's tissues at surgery. Right? So a day or two afterwards, they're going to be fairly similar. We put the teeth in, make sure that they're tight and won't be going anywhere. And that's how our patients heal for four months, right? Now, healing occurs and tissues change. Yeah, that's a question I'm curious about because if your swelling goes down, wouldn't there be like this big gap that forms in between your gums and the teeth? So I do often receive questions about the gap, dreaded gap. I'm going to say something maybe a little controversial, space is our friend. The gap that forms over the course of the four month healing period, that comes from the tissues pulling back from the prosthetic itself. Because as they heal and remodel, you'll sometimes get a little bit of space. Ninety five percent of the time, from what I've seen in practice, the space that forms is our ideal hygienic space. It is so much easier to clean when you have room to do so. At the four month mark, there is the option, let's say some patients heal in such a way that leaves a very large gap. Believe it or not, I have had some patients be like, I'm going to keep this because it's so easy to clean. But most of the time in those cases, we'll actually backfill those areas at the four month checkup. So we have the ability to address that. But yeah, the space is really important. So you can swish clean like that. You can use floss in between the prosthetic and the gum. You can brush all the way up to your gum line and actually get into the, you know, that what's called the intaglio surface or the surface that's actually underneath the prosthetic itself. So yeah, the gap is our friend, but we have to make sure that it's small so it doesn't interfere with speech or anything. And if it is large enough to interfere with speech or cause any discomfort, we have the option to backfill. Is that going to be noticeable when someone smiles though? I would be concerned about that. This is something that we take into consideration way before you have the teeth. When we are planning, right, the restorative doctors and the surgeons work together to address this. So during the surgery, as I mentioned, teeth are taken out, the bone is leveled, and then the implants or the screws are placed in the bone. That leveling process isn't just ***** nilly making sure that it's flat. We take a lot of measurements prior to the surgery, and part of those measurements are evaluating the patient in the chair as well as their x rays. What do we look at in the x rays? Lots of things. But when it comes to that transition line and the smile, we look at the sinuses. Those are air cavities that you have in your face, right? If you've ever had a sinus infection, you know exactly where the pressure is. Sometimes those membranes dip really low. In very rare cases, we'll have a situation where when someone smiles, honestly, probably like mine, where you show a lot of gum, those sinuses can dip to right around that level. If that's the case, then we do have to have a discussion, you know, with like, hey, if you really crank your lips up like that, you may see a transition line between the gum and your gum, right? The prosthetic gum and your gum. But most of the time, that's not an issue. That's like a rare case here or there. I think we've had two cases out of the over three thousand five hundred in our center that we've had to address like that. And we were able to find solutions. But typically, when we designate what the reduction or smoothing is of the bone, we take that into consideration so that we can actually hide that transition line in your natural speech and smiling. So, yeah, it should not be something visible when you're just in normal interactions. So what would the problems be if there wasn't a gap there? So this is something that I've seen even in day to day practice, right? When there is no gap, patients can't really floss. This is not shocking the world right now to hear a dentist saying you need to floss, but it is super important to floss in particular with these prosthetics because flossing, it brushes where the brush doesn't reach. Okay? In our mouth, we have a ton of bacteria. Okay? That bacteria accumulates on surfaces and forms what's called a biofilm or protective layer over it. Water alone does not break that biofilm. The Waterpik is necessary and excellent for taking out big chunks and kind of irrigating things, keeping them clean, but it doesn't break the biofilm. So what happens is that bacteria starts accumulating, getting bigger, leaching mineral from your saliva, and then it starts becoming hard and calcified. That's what calculus or tartar is. That can easily start accumulating on the prosthetic, and that can lead to gum inflammation, even like a sore in your gum. It can also long term lead to implant failure if you're not taking care of these, right? So we want to set up our patients for success in the long term. Yes, we see you annually for follow ups. But if you're not able to take care of these on your own at home, you're not going to be able to protect your investment. So yeah, we like to see that patients have the ability to care for them at home, and the best way to do that is to have enough space to do so. So you said the healing process takes about four months. How long is someone actually down for? Like, if someone's trying to get back to work, how many days has someone taken off? Does that look different for everybody? So it might vary for people. My rule of thumb is typically give yourself a week. Some patients may need two weeks, but for most people, if they're not doing manual labor for their work, a week should be fine. Look, I see some patients come in for their tooth delivery looking like literally nothing happened. Everyone's body heals differently, right? So there's a broad range of normal within our healing period. And we've many times written notes for work or done things to just make sure that our patients have the time to recuperate properly and aren't running miles or picking up heavy boxes and things like that two or three days out of surgery. So you talked about water picking and flossing. Are these things hard to clean compared to regular teeth? That's a great question. So natural teeth have spaces between them. That's where you floss, right? If you are someone with braces or you have a bridge or something like that, you're also likely incorporating water picking. Brushing is very, very important for anything that you have in your mouth because it helps to break up that biofilm mechanically, like we talked about. This is very different in some ways and very similar in some ways to cleaning natural teeth. The ways that it's similar is you're still brushing, you're still flossing, you're water picking, right? Again, if you have a bridge or an implant or something like that, you're already used to that. The ways that it's different is where you are doing these things, right? With natural teeth, you're flossing in between them and up into the gum on either side. With this prosthetic, you are threading the floss through, you know, in between the prosthetic and your gum and you're windshield wipering against the prosthetic between implants. So if you have four implants, you're doing the space behind it, in between here, in between here, in between here, and behind it. So it is a little bit different. And that's where you're water picking as well. However, some of our patients come to us because they haven't taken good care of their teeth throughout their life. Others have medical conditions or other things, accidents, reasons that they might have lost their teeth. But even in those patients where oral home care is not a habit, this kind of changes the game because you are investing a lot of time, money, and energy into this upgrade to your life. And so, have a real motivation to protect your investment and to make sure that now that you've taken these steps to making yourself healthier, to stay that way, right? So oral home care is a golden ticket to health, in my opinion. With this being an investment, like you said, how long are these things actually supposed to last? Because, you know, I'm gonna go in, spend this money, have a surgery. I would hope they would last a while. Right? The goal is for these to last you a lifetime. Right? Once those implants or the screws are integrated into your bone, they're a part of you, right? Unless some crazy accident happens or some serious negligence in home care happens leading to an infection, those are a part of you and they're in there. These teeth are virtually indestructible. I mean, I don't know if you've seen, but Nuvia has put up videos of running over these teeth with a big rig, like a car, whatever. And so these teeth should last you long term. So it's certainly an investment in improvement of quality of life for the long term, meant to last a lifetime. So how would an everyday person like me afford something like this? Nubia actually has a lot of different options when it comes to payment. We do offer payment plans and other financial options, which are broken down in the cost guide that Nuvia made. It's free to download. And with your permission, we can put it in the description. I'll allow it.

It's marketed as innovative. Beautiful new permanent teeth in just Twenty four hours. Twenty four hours. Twenty four hours. But is it just cutting corners? If this process, you know, is so cool as it seems, why isn't everybody doing it? Our bodies don't heal in twenty four hours. Is doing it this way, is that safe for the patient? Yeah. Definitely. Definitely safe. Tell me how. Someone's coming back in twenty four hours later to get their permanent teeth put in. Wouldn't that be painful? You're putting me in the hot seat here. I am. I'm here with doctor Park from Nuvia, and we're here to uncover the truth about the permanent teeth in twenty four hour process. You ready to dive in, doctor Park? Yeah. Let's do it. Alright. First question. What even is permanent teeth in twenty four hours? What does it mean twenty four hours after what? Well, I mean, the short answer is you're getting your permanent teeth twenty four hours after surgery. So they come in for surgery, we'll, remove any remaining teeth, place maybe four, maybe six implants, and then, patient goes home, sleeps off, anesthesia, gets in maybe a couple of good meals, comes back the next afternoon, and we have their permanent teeth ready for them. But you also hear places doing teeth in a day, so how is that actually different from this twenty four hour process? So teeth in a day, that was designed, the techniques were created in the late nineties. And what it is, is you take a denture, you drill holes through it, you attach it to the implants, and you basically repair it. And so you've got all this material here, you've got this beige acrylic, you got the pink acrylic, you've got, a metal cylinder, and this is attached to your implants. You go home after surgery with this prosthetic, which in my opinion is a disservice if you're still doing this. This is a technique that's from the nineties. These materials flex, there's risk It can lead to implant failure or implant complications, because of that flexure, the micro movement. At Nuvia, we're not providing any teeth right after surgery, it's twenty four hours after surgery. In that time we're creating a prosthetic with some of the strongest materials we have in dentistry. We have zirconia here, and this rigid cross arch stabilization will help with the healing process. So at Nuvia, you're getting this permanent material twenty four hours after surgery. How long is someone going to be in this with teeth in a day? Yeah, good question. So with this, this temporary phase, most patients are in at about six months, then they transition to a permanent material. But I mean, the six months, the first six months are critical for implant healing, you want something that's rigid. Okay, but our bodies don't heal in twenty four hours, unless I'm wrong. So is doing it this way, putting permanent teeth twenty four hours after surgery, is that safe for the patient? Yeah, definitely. Definitely safe. Tell me how. You're putting me in the hot seat here. I am. Well, teeth in twenty four hours, it's definitely safe because we're using advanced technology and we're using the hardest materials and the strongest materials that are available to us in dentistry and using obviously the advanced technology in dentistry to create this prosthetic. And it's been made within twenty four hours after surgery. And so when you attach this to the implants, you're getting that cross arch stabilization, you're getting that stability that's gonna help with the healing process. So, yes, the body does not heal in twenty four hours. We completely respect the healing process. Nothing will speed up that part. But would you rather heal with something that moves and flexes versus something that's very strong and rigid? Which one's gonna provide more stability and safety for those implants to heal? So let me give you an analogy, let's say you break your bone, would you rather heal with a sling or with a cast, something rigid? Probably a cast. Yeah, that's what they do in medicine. So when it comes to this teeth though, is this like a one size fits all? Is everyone getting the same prosthetic or? No, no, that's a good question. Yeah, it's definitely customized to every single patient. Every single patient's different. Their mouth is different, their face shape is different. So the second a patient steps into Nuvia, we're gathering information, we're digitizing all that information, we're sharing it with the lab, with the clinicians so that way we can create a custom set of teeth for each individual. So if this process, you know, is so cool as it seems, why isn't everybody doing it? You know, why can't you go anywhere and get this same process done? Well, the first thing I would say is good luck because it's really hard to do this. It's taken over ten years and a lot of money to create this very efficient system and kinda goes back to when the patient first steps into the office. All that information we're gathering, even at consult, it's being shared to our own Inuvia lab. That way they can create this prosthetic and start the process immediately. So patient doesn't even have surgery date yet, but we're already designing, everything to create this prosthetic ready for them, for after their surgery. So what is happening at the lab? Can you get a little more specific there? Yeah, so the lab, they're essentially working around the clock, twenty four hours a day creating the teeth. And so there's a lot of communication between the clinicians and the lab. They're taking the information that we're gathering, photos, digital imagery, all that stuff is shared with them And you know, it's just a process of digitally designing, milling, and fine tuning the prosthetic so it's ready for them after surgery. Okay. Well with, all this technology and getting it done super quickly, I would imagine this would be super expensive. So what do have to say to that? I would say no, it's not more expensive. It's a huge misconception. It's definitely below the national average, and so Nuvia has just created this very efficient system and they've been able to, pass the savings onto the patients. Okay. So how does somebody find out how much this process does cost? I believe Nuvia has a cost guide, and I think we can put it in the description below and they can take a look and see if this is something that, works for them. I am curious about the patient experience because this is not like going and getting your nails done, right? Like, is surgery. So is someone awake during this process? How does that usually work? Definitely not. We make sure that patients are asleep, very comfortable before we even begin. So we definitely have a big team during surgery to make sure that the patient is always comfortable throughout the process. So what does that team look like? Because I've seen places that they'll have one person be doing it all, like, oh, give them the anesthesia and pulling the teeth, that's not what it looks like? Yeah. So I mean, in some places you can definitely be the provider that does the surgery and provides the anesthesia, but to me that is very difficult because when you're administering anesthesia, need to be watching your patient's vitals, making sure they're comfortable, but also you're doing the surgery. And so at Nuvia, we have teams that are separated into their own area, where the surgeon can just focus on the surgery, and we have, nurse anesthesiologists that administer the anesthesia and watch the vitals, make sure the patient is comfortable throughout the process. You also have the restorative doctor in there taking a look, making sure everything looks good from a prosthetic point of view, making sure the implants are placed in the correct location and everything looks good so that the teeth will match with the surgery itself. And then obviously it's always good to have a second set of eyes during surgery and throughout the whole process. Why is that? Well, mean, the only analogy I can think of is, let's say you're at a restaurant. The person that's serving your meal isn't the one going back and making your meal, making your steak, making your sides. There's usually you go to a Michelin restaurant, you have a sous chef, you have pastry chef, you have the main chef, you have people that are specifically on their station. And so that's the same thing that we have here at Nuvia. It's a complex surgery. It's over two hours long, and so you want to make sure that in those two hours, each person involved in the surgery is hyper focused on one special, one specific role. So you want to make sure that oral surgeon is hyper focused for those two full hours on this surgery and on this patient for safety. And then you have our nurse anesthesiologist hyper focused on watching the vitals, making sure patient is very comfortable throughout the process. And you have dental assistants assisting surgeon, assisting CRNA, and assisting the restorative doctor so that everybody is a part of this process. Very complex process, but coming together for one reason and for the patient. Okay. Alright. Well, that makes sense. And surgery for the patient, said, they're asleep. Right? So they're not gonna be in pain. But let's talk about after. Someone's coming back in twenty four hours later to get their permanent teeth put in. Wouldn't that be painful? That no. That's a good question. I mean, that's a that's a big question that patients ask before surgery. I would say pain is a little subjective. Every patient is a little different. People may have higher pain tolerance, others may not. I would say ninety percent of the patients are able to get through, the pain the first week with just ibuprofen. But we obviously can provide additional pain meds as needed for patients that may need more relief. But what about when the swelling goes down? You still have that same teeth in your mouth, right? So wouldn't this like gap form or how does that work? Yeah, I mean a lot of competitors they've hyper focused on, oh, you're getting teeth in twenty four hours, oh, they're not, you know, they're not addressing the big issue, the gap. What about the gap? I mean the gap we address, we definitely do, and with the materials that we use, it's very tissue friendly and so in my experience I've worked with both prosthetics and the materials that are touching the tissue with teeth in a day are very noxious. They're very toxic to tissue. Here at Nuvia we use materials that are non reactive, zirconia and other materials that are non reactive to the tissue and so I've seen less gaps. But yes, gaps do develop, that's not a problem. Actually helps with the healing process because you can get in there with super floss, the water pick, your toothbrush because you wanna make sure that during the healing process you are respecting the healing process, you're respecting the tissue, you're keeping it nice and clean. The better you keep it clean, the better it is obviously in the long run. You can't own a car and never take it in for an oil change, otherwise it's just gonna break down. So definitely still need to make sure you keep everything nice and clean. And that gap, we do address it, we see the patient at the four month mark, and if there is a gap, we do address it. Okay, well, you said four months for the healing process, it can vary. How long does it take for someone to maybe go back to work though? Like are they down for four months as well? Yeah, I mean if you're sitting at a desk for most of the day and you're not doing a lot of speaking, we've seen patients go back to work within two, three days. Oh wow, okay. Not a big problem. If you're doing a lot of public speaking and stuff like that, I would say give it a little more extended period of healing process, maybe five, seven days, so that you get used to that prosthetic. So, you mentioned maintenance earlier. I'm curious, how hard are these to maintain, maybe compared to regular teeth? Well, maintaining regular teeth, it's very difficult. We have natural teeth and so every individual tooth needs to be brushed, needs to be flossed, needs to be kept clean. Otherwise you're gonna get cavities, you're gonna get periodontal disease and stuff like that. With this prosthetic, you definitely still need to maintain it like a car. You cannot not change the oil and expect it to run forever. So you need to water pick. And water pick is basically power washing the prosthetic and the tissue. You need to brush the teeth and the tissue still. Not as obviously aggressive as natural teeth, but you just want to keep it clean. You don't want any plaque on it because the plaque will still develop into calculus. So the toothbrush is still a part of your repertoire in terms of oral hygiene. The toothbrush also helps kinda stimulate the tissue and keeps the tissue nice and firm and snug to the prosthetic. Super floss. Super floss is always gonna be the number one thing that you want to use with cleaning this prosthetic. You wanna scrub the prosthetic and then you also wanna scrub the tissue and keep everything nice and clean, nice and pristine. That way, you don't have any issues with the prosthetic or with the implants. Well, brings me to how often do these things fail? How often do dental implants fail? So, dental implants overall, there is a failure rate of maybe five to ten percent across the board for single prosthetic implants, everything like that. With Nuvia, it's less than one percent. So implant success rate is over ninety nine percent. And why do you think there is such a low failure rate with Nuvia? I think it goes back to the materials and the technology that we're using. So kinda going back in the history lessons of AllonX in the nineties, this flexes. And so if you're allowed to heal without movement, you're gonna have less complications. And you said you've worked with both processes. So can you maybe talk about what you saw working with this like traditional, dental implant method? Like, were you having to repair a lot or? Oh, how much time do you have? Because it's gonna take forever to talk about this prosthetic. This prosthetic is great. It was great when the technology and the techniques were designed in the late nineties, But in my opinion, this is a disservice for all patients these days because we've had a huge boom in technology, in dentistry. So how long are these things supposed to last anyways? I mean, I think the goal obviously is to make sure that these can last the rest of your life. But it's very important that you comply with the oral hygiene, keeping things super clean, and just using common sense. So sometimes patients have weird habits, maybe chewing on utensils or fingernails. We had some fishermen, they bite on the fishing line, stuff like that. You just have to kinda manage your behaviors as well and baby this as much as possible. And that way it can last forever. So again, you've done both of these processes. From your perspective, what do you think the biggest benefit is for doing it the twenty four hour way? I mean that's a huge question. And the only answer that comes to mind is it's patient focused for me. So when I used to do this prosthetic, teeth in a day prosthetic, it was great, it was good. Patients get their teeth immediately, but now they're in these kind of temporary phase for six, ten months, and so there's that transition period for six to eight to ten months wherein they're in these teeth, and so it can be a little bit fatiguing for the patient, and then by the time they get their final teeth, it's a happy moment, but the patient's been through so much that it's a little bit muted. I think with Nuvia, what I've definitely noticed is when we're able to reveal their smile twenty four hours after surgery, and these are their final teeth, their final smile, it's just life changing. You can tell their personality has completely changed. They may have come in to consult the very quiet kind of a wallflower, but once you get them into their permanent teeth, they're smiling, they're laughing, they're able to socialize more and just allow their personality to come out. And we just have these amazing patients that come in and they're just super quiet and then they get their teeth and they're just amazing individuals that have a lot to say, love smiling, giving hugs to everybody at every appointment. So that's the difference. Well, doctor Park, it seems like this process is not too good to be true. It's definitely not. I think it's misunderstood just because there's a lot of misinformation online, and people just don't understand that Nuvia is taking all the advanced technology possible and continuing to take advanced technology and putting it into their systems and always trying to change it and make it so that we can provide, you know, the best treatment for our patients. My last question is, is everyone a candidate for this? Unfortunately not. I wish everybody was, but it's very important that you take that first step. Take that sixty second quiz to see maybe if you could be a candidate. And then don't be afraid. Come in to consult, meet the doctors, meet the team. We'll take a scan, and we'll just talk to you and tell you what your journey looks like. And if we're not able to provide this prosthetic for you, we'll definitely give you information on what your journey may look like and maybe direct you to a provider that can provide you with, you know, some kind of treatment.