The quick answer
We asked, and people gave us six reasons: embarrassment, not having the time, fear of pain, fear of the procedure, money, and the sadness of losing their own teeth. If any of those sounds like you, you're not unusual and you're not late. Most people take years.
In this answer
We asked
We know why our patients came in. We wanted to know why other people don't.
So we ran a poll, of people who've had treatment and people still thinking about it. Six answers came back.
Embarrassment
This was the biggest one. People ask whether they have to turn the camera on for a video consultation. Many open with some version of I know you've seen bad cases, but mine are worse.
They never are. Nobody here thinks less of anyone. We're replacing everything, so we never have to judge how you looked after the teeth you have now.
If a dental office once made you feel small, you're far from alone, and it's a common reason people stop going. Think of taking an old bike into a shop and having them sneer at it. You didn't stop liking to ride. You stopped going to that shop. We're the shop that sells new bikes, and nobody is inspecting what you rode in on.
Not having time
Plan on a week and a day here, then 90 days of soft food. One week is most people's experience. Depending on your needs and circumstances, you may need fewer try-ins.
Recovery is often shorter than people plan for. Some patients are back at desk work in two or three days, and what lasts longest is the soft diet.
A bad tooth also won't wait for a good week. Picking a week that suits you is usually easier than waiting for an emergency to pick one for you.
Fear of pain
It's surgery, and it's uncomfortable. We won't pretend otherwise. But the discomfort is managed, and it passes.
What patients tell us again and again is that it was nothing like what they'd braced for. Many say the teeth they'd been living with hurt far more.
We also try never to tell anyone they're the hardest to numb or the worst case we've seen. Those words stick, and they keep people away for years.
Start with a free conversation.
Fear of the procedure
This surprises most people. Full-arch surgery usually needs less numbing than a filling or a root canal.
With a filling, a drill works right next to a living nerve, so the numbing has to be perfect. Taking a tooth out doesn't bother the nerve the same way. That often means less anesthetic and gentler injections, and we can often skip the deep shot at the back of the lower jaw that most people remember as their worst.
My only regret is I wished I had done this sooner.
Money
This is the one we work hardest around.
If you have teeth that need to come out and you plan to be treated here later, tell us. We'll usually take them out for a small fee and credit it toward your treatment. We'd rather do that than have you lose more nights of sleep.
Some people do one arch first and the other later. Sometimes an antibiotic can buy time until your date. And if a few lower teeth plainly need to go while we're doing your upper, we're unlikely to charge you for it.
It's still a lot of money, and we'll talk it through with you plainly.
Losing your own teeth
Patients often ask to keep their extracted teeth, and we understand why. Those teeth carry years of chair time, root canals, crowns and money someone worked hard for. Being told they have to go can feel like being told it was all for nothing.
It wasn't. It kept you going, sometimes for decades.
Some people take a little while to recognize themselves afterward, even when they love the result. That's normal, and it fades.
We'll get as close to your own smile as you'd like. One patient had a gap between their front teeth all their life and wanted to keep it, so we kept it.
What it comes down to
All six reasons come back to the same thing. The problem you have is familiar, even when it's awful, and the fix is unknown.
That's why we made these pages and the podcast, so you can get your questions answered at home, in private, before you talk to anyone. If you're still not ready after that, that's fine. When you are, a conversation with us is an easy place to start.
Quick answers
Am I too far gone to be a candidate?
Almost certainly not. Nothing here shocks us. We hear 'mine are the worst you've ever seen' all the time, and it hasn't been true yet.
Do I have to turn my camera on for a virtual consultation?
At some point, yes, because we can't help without seeing. But nobody here is judging you, and we mean that.
Is the surgery more painful than a bad tooth?
Patients consistently tell us the opposite. An abscessed tooth is one of the worst pains there is, and you go through it with no numbing and nobody looking after you.
What if I cannot afford it yet?
Tell us anyway. If you have teeth that need to come out, we'd usually rather remove them now for a small fee and credit it toward your treatment later than have you wait in pain.
Hear it on the podcast
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What actually happens at a full-arch consultation?
Ask your questions and talk through your options, in person or over video. It lasts as long as it needs to. Bring an X-ray if you have one. You do not need your finances arranged first.
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Read the full answerWill I be put to sleep? What kind of sedation do you use?
Oral sedation only; we do not offer IV sedation or general anesthesia. You won't be unconscious. You'll be deeply relaxed, mostly unaware of time passing, and able to open your mouth when asked. If being completely under is essential to you, we're not the right practice, and we'd rather tell you that before you book.
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Read the full answerHow do people pay for full-arch dental implants?
We work with several lenders, or you can pay outright. This year most of our patients are financing, though a couple of years ago it was closer to the other way around. Applying is a soft credit pull that does not hurt your credit score, and most of our lenders don't charge a prepayment penalty. You don't need your finances sorted before your consultation. And if a lender says no, that's not the end of the road.
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