All-on-4 Dental Implants: A Modern-day and Good-looking Alternative to Conventional Dentures


Despite Marion County residents’ best efforts, there are times where a majority of teeth in one part of the jaw have a hopeless prognosis and must be removed. When the upper or lower teeth are completely missing, a combination of dentures and dental implants can provide you with the stability and comfort that are essential for maintaining your health and your appearance. While conventional dentures alone may offer the appearance of a full smile, by adding a system of four dental implants we can significantly increase the permanence and strength of your smile.

This system, known as All-on-4 Implants, utilizes the functional and esthetic benefits of dental implants to permanently secure a complete denture in the upper or the lower jaw. The surgical component is typically being completed in one day, and the patient can leave the office with a full complement of temporary teeth. In as few as three months later the process of converting the temporaries to a permanent prosthesis is completed. This system is quite significant because it quickly resolves a number of the problems associated with missing teeth.

What Are the Consequences of Tooth Loss?

  • Decreased volume and distorted shape in the jaw bone
  • Discomfort or inability to tolerate conventional dentures
  • Compromised or sunken appearance (cheeks, lips, jaws)

There Are Immediate and Long-Term Benefits for The All-On-4 Implants Procedure:

  • Implants will replace the missing tooth roots.
  • Implants can bring stability to the shape and density of the jawbone.
  • Dentures will be firm and secure during speaking and eating.
  • Implants will provide adequate positioning and support for both the dentures and the jaw.
  • Implants will not shift or become loose as they age, thus eliminating the use of denture pastes or adhesives.

All-On-4 Dental Implants—More than Just Replacement Teeth

Above the gums, these custom dentures will give you the confidence of an attractive and full smile, but the adjoining dental implants serve a critical physiologic function. The implant posts will actively stimulate the jaw bone as you chew, greatly reducing the rate of bone loss and shrinkage that would normally occur with tooth loss.

With All-on-Four Dental Implants, you’ll walk away with more than just a basic set of replacement teeth; you’ll be walking away with a strong and secure smile that will work hard for you every day! Take the first step today by calling us at (317) 900-2555 or Schedule Your Personal Consultation with Indianapolis’ Best Oral Surgeon Dr. Falender.

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Top 10 Questions to Ask Your All-On-4 Implant Dentist

Though well worth it, dental implants are a significant financial investment. This is especially true for the revolutionary All-on-4 dental implant procedure. As with all big decisions in life, you may have some questions before you make a commitment. But where do you start? Many patients don’t know what to ask. So I am writing down most important 10 things you can ask for all-on-4 implant dentist.

Here Are Top 10 Questions to Ask an Implant or All-On-4 Implant Dentist:

Q1. How Do Dental Implants and All-On-4 Implants Differ from Other Missing Tooth Solutions?

A. Try to really understand the advantages of dental implants and how they compare to the pros and cons of other solutions like dentures and bridges. Your dentist should talk about bone loss, convenience, function, etc.

Q2. What Is Your Experience in Placing Dental Implants or All-On-4 Implants?

A. Any general dentist is legally allowed to place an implant, so make sure your dentist has the proper training, experience and success placing implants or All-on-4.

Q3. Am I a Candidate for Dental Implants or All-on-4 Implants?

A. More and more people are candidates for dental implants and All-on-4, but you need a health mouth and enough bone to support them. Some patients who aren’t candidates for implants are candidates for All-on-4, so keep that in mind as well.

Q4. How Are You Going to Plan the All-On-4 Implants Procedure?

A. Will the dentist use 3D imaging? Surgical guides? Digital photography? Planning is one of the most important parts of the dental implant or All-on-4 procedure success.

Q5. What Kind of Materials Are You Going to Use for All-On-4 Implants Treatment?

A. You want to make sure the materials used will: 1, be sturdy enough to last as a permanent solution; and 2, be compatible with your body.

Q6. What Steps Are Involved in the All-On-4 Implants Procedure?

A. Have the dentist break down all parts of the dental implant process so you have a good idea of what to expect.

Q7. Will It Be Painful?

A. You should experience minimal or no pain during the procedure, especially with anesthetics. Many patients and dentist also prefer using sedation during dental implant and All-on-4 Implants procedures.

Q8. How Long Will the Entire Process Take?

A. From planning to procedure and healing time, try to get a good idea of how long the procedure will take and if you need to take any time off work.

Q9. Is There Anything I Should do to Ensure My Implants Are Successful?

A. If you’re a smoker or use certain drugs, you may be at a higher risk of dental implant integration failure.

Q10. What is The Total Cost for The Procedure?

A. Try to get an exact quote for everything involved in the process to ensure it fits your budget and there are no surprises down the road.

By answering these questions, it should give you peace of mind about making the right decision for your unique situation.

If you’d like to know more about dental implants or All-on-4 Implants, schedule a consultation today with one of the leading All On 4 Implant Dentist Dr. Falender!

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Differentiating Quality from Price in Oral Surgery


Here at Indianapolis Oral Surgery & Dental Implant Center, we know better than anyone that cost is one of the main concerns our patients have regarding oral surgery. It is no secret that medical care, particularly elective procedures, can be costly. For this reason, it is not uncommon for patients to search for the least expensive option possible to save money. Unfortunately, when it comes to medicine and dentistry, the least expensive option may often result in settling for less than the best care. While you may be able to find a general dentist or other professional who will perform your oral surgery procedure at a lower price, the reason why so many general dentists refer patients to oral surgeons is because oral surgeons receive more training and have more experience with these procedures.

Take some of the most common procedures performed in our office: wisdom teeth extractions. In addition to earning a dental degree, oral surgeons are required to complete a four- to seven-year residency program in a teaching hospital where they gain hands-on experience performing oral surgery. While other dental practitioners may obtain the same dental degree as an oral surgeon, they usually lack the experience and additional training required to extract wisdom teeth proficiently. Oral surgeons also routinely remove wisdom teeth and, therefore, have the experience that most patients want. Improper removal of wisdom teeth can lead to severe swelling, nerve injury, broken jaw, sinus exposure or a prolonged healing period following treatment. Beyond that, the majority of general dentists would not be comfortable offering IV sedation, which has been touted as the most comfortable way for a patient to have their wisdom teeth removed. Fortunately, oral surgeons train alongside medical anesthesiologists during their hospital-based residency to provide patients with a safe sedation experience.

Dental implants improve your oral health by restoring not only missing teeth but also your ability to properly chew, which consequently results in improvement of your digestion and overall health. Many people are unaware that missing teeth can lead to bone loss in the jaw and cause a myriad of other issues including painful TMJ problems. When done correctly, dental implants can last a lifetime, making it extremely important for this procedure to be completed by the most qualified provider, which is why you want to see the most qualified oral surgeon for this type of procedure. Ensuring that your dental implants are placed by an experienced oral surgeon could actually save you money because you are less likely to incur additional expenses caused by incorrect placement and subsequent prosthesis failure. Working with an oral surgeon ensures that you are receiving the highest quality possible for optimal long-term results.

Some patients resort to medical tourism, traveling to a foreign country, for the placement of dental implants in an effort to reduce the cost of the procedure. However, most qualified practitioners would advise against this for many reasons including the uncertainty of the person’s credentials and a lack of quality post-operative care. After dental implant surgery, it is vital to carefully follow all post-operative instructions and take all medications as instructed; medical tourism makes it difficult to follow up with your doctor should you have any post-operative questions or complications.

While it may be tempting to look for the most cost-efficient option when considering oral surgery, it is strongly advised that you refrain from selecting your provider based on cost alone. Doing so may put you at risk for complications during treatment caused by insufficient training or unsafe practice. If you are interested in obtaining more information about our oral surgery services and the level of training of the surgical team in our practice, please feel free to contact us. We are happy to answer any questions you have and schedule a consultation with our experienced oral surgeon.

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Who Should Pull Wisdom Teeth?


Wisdom Teeth Issues?

For wisdom tooth extractions, the best option is always an oral surgeon!
So you need to have your wisdom teeth removed. Now what?

These days, most people first turn to the Internet for information, typing in such common queries as

“How are wisdom teeth removed” or “Reasons for removing wisdom teeth.”

Next, most patients look online for a surgeon or call their local dentist.

But there is one question that often goes unasked, and it may be the most important question of all: Who should perform wisdom tooth removal surgery?

Theoretically, both general dentists and oral surgeons are able to perform wisdom teeth extractions. But only oral surgeons are the true experts on the procedure, having completed a four-year residency, followed by performing wisdom teeth removals daily in their office. There is no substitution for experience.

By contrast, there is no such training in dental school for general dentists and very few places at all where extensive training can be found afterward.

Then there’s the issue of anesthesia. Most people would agree that wisdom teeth extractions are much more comfortable for patients when they are under general anesthesia, rather than just local anesthesia (numbing). And administering general anesthesia is something oral surgeons, not dentists, are thoroughly trained to do.

Unfortunately, a few dentists have been disregarding this fact and administering general anesthesia themselves, occasionally leading to terrible, even tragic, consequences. Anesthesia is perfectly safe when administered by someone who is properly trained, such as an oral surgeon – but it can be deadly if not administered in exactly the right way.

An impacted wisdom tooth should always be dealt with promptly, as it can lead to complications such as pain and infection. But how it is dealt with, and by whom, matters. Any dentist in your neighborhood will be able to refer you to an oral surgeon – someone fully qualified to remove your wisdom teeth while making sure the extraction process is quick, painless and entirely safe.

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Indianapolis Dental Implants Price and Cost Guide


One of the very first questions people have about dental implants always seems to be “How much do dental implants cost?” This can be a tough question to answer.

There are so many variables and every dental implant placement surgery is unique. However, we will do our best here to provide the best dental implant pricing guide we can.

How Much Do Dental Implants Cost?

The decision to get dental implants takes a different path for each individual. Jane may be a long time denture wearer who is tired of dealing with loose dentures and is interested in permanent dentures supported by dental implants. John may have lost a tooth in a pickup basketball game, catching a stray elbow to the mouth. Mary has a failed dental bridge that was replacing three missing teeth and cannot fathom wearing a removable partial denture. While all three are candidates for dental implants to replace their missing teeth, they will need vastly different treatment plans to get their smiles back.

Another factor that makes answering the question, “How much do dental implants cost?” is the fact that each dental implant surgery is different. Everyone has a unique anatomy, different oral health factors and even different anesthesia preferences that make a “one size fits all” approach to the cost of dental implants almost impossible to universally define and should be avoided.
Here is a list of some of the common factors that may affect the cost of dental implants in your particular case:

  • The number of dental implants required
  • The location of the missing teeth to be replaced (i.e. front teeth or molars)
  • Is there a high “Smile Line”
  • The number of teeth that need to be extracted before implants can be placed
  • Whether bone grafting will need to be performed to support the implants
  • The complexity of the bone grafting procedure that may need to be performed
  • Local anesthetic vs. I.V. sedation
  • The overall restorative plan, i.e. single tooth, Implant bridge, removable “snap in/out” denture or permanent denture.
  • Whether stock restorative parts can be used or rather custom made parts are used (our preference)
  • Whether your dentist uses a laboratory in the US or China (many US dentists send their work to China because it costs them less)

In addition to all these factors you still have to factor in the amount of assistance you will be receiving from your dental insurance provider.

Dr. Falender has been successfully placing dental implants in the Indianapolis area since 1987. And after placing thousands of implants in thousands of patients he has an expert understanding of the cost of dental implants in Indianapolis. As you can see, however, there are many factors that go into the price of a new smile.

Dental implants require two distinct, but related phases. The surgical phase and the restorative phase. Dr. Falender handles the surgical procedures and works closely with your dentist (or a dentist we recommend) in making sure the final outcome is what our patients want. In addition, each doctor does what they do best. At the one-stop shop, you may very well get someone who does not excel at either the surgery or the restorative procedures.

Consider What Makes Up The Cost of Dental Implants

  • The number of extractions needed.
  • Whether bone grafting is needed.
  • The cost of the dental implant.
  • The final restoration from a dentist.
  • What your true cost will be after insurance is considered.

Most of all, remember that it can be misleading to only look at cost and decide to choose your provider based on a number alone. Experience, board certification and your overall comfort level with your surgeon are factors that are difficult to assign a dollar value to, but may be key factors in the success of your dental implant procedure.

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