In 2007, together with various well-known names in global Implantology (Prof. Dr. Ziv Mazor and Prof. Dr. Adi Lorean) , I performed in Israel a series of intensive courses focused only on the “Teeth in one day” technique. This year was for me an exploratory one in diverse branches of implant surgery. I started using ultrasonic surgery (this being represented by a machine that helps us perform interventions on the bone, which is causing the slightest trauma, equal to the laser) therefore I succeeded in enriching the variety of surgical techniques in the domain of bone addition. The technique is not simple. It requires preparation in advance so it can evolve in normal conditions during and after the intervention. In the same year I started with the easiest cases, patients with total prosthesis that until evening  had both implants and constructions fixed in the mouth.

In the last years this technique started to spread in Romania too, becoming even “in fashion”, but under other names (Fast& Fixed, All-on-4, Quick dental implant). Because it became too well-known the patients call to fix an appointment DIRECTLY for this intervention, without advanced consultation from a surgeon.

What a patient should actually ask BEFORE the intervention are the following:

-Who is capable of performing this technique?

-Is this technique indicated for patients with periodontal disease    (Periodontics)?

-What are the results on long term provided by this technique?

The answers are simple: Only a surgeon is able to perform this technique, because in 97% of the cases there is necessary bone addition and general dentists with abilities in Implantology (the name of doctor “specialist in Implatology” does NOT even exist, because this specialty cannot be found in the residency, it only exists as “alveolar-teeth surgery” and “oral and maxillo-facial surgery”) DO NOT HAVE the right to do those kind of procedures, according to the law 95/2006 ART 14 regarding the Reform in health system. As we all know, statistically, one of three implants need a minimal bone addition. Imagine what can happen when the general dentist “specialist in implantology” realizes during the procedure that an addition, big or small, is needed…does he stop and send you to the surgeon who has the right to operate you or does he perform the procedure by himself against the law?

The patients with periodontics cannot enjoy a good result on a long term, because all the bacteria present around the damaged teeth will continue living next to the implants, which

What we focus on is giving a quick and efficient solution only to patients that have a good general health from a medical point of view.

My training and experience of over 9 years prove that “Teeth in one day” technique can be applied only in SOME cases and NOT to all the patients who want it. Lots of patients who come to us suffer of periimplantits, bone and periapical infections, cysts obtained after surgical interventions or inadequate endodontic treatments.

We have to take into account various aspects to obtain the best results on long term. We don’t want to “fix” other people’s failures. Even if we encounter frequently this kind of solicitations, we propose to our patients the best options of treatment therefore we can get the wanted results.

Associate Professor Doctor Horia Barbu

MD alveolar-teeth surgery, Coordinator in Oral Implantology Discipline, FDM TMU

Extraction, implant insertion, prosthetic immediate with fixed bridge – all in one day. Many patients who are close to reaching without any teeth or are already in this situation, want a fixed restoration, without having to bear augmentation procedures that entail longer waiting time and additional costs.

One of the main advantages of this technique is the psychological factor, because on the same day, the patient is performing multiple extractions, insertion of implants, and bone addition, where appropriate. The same day, the patient is going home with new fixed works.