Tom's Dental Implant Story

Tom came to Dr. Chal with advanced periodontitis. There was no way to save his teeth, because of the extensive bone loss, and the tooth mobility.

Hybrid denture case - full face before
Tom - before

Hybrid denture case - closeup before

To begin treatment, Dr. Chal created a prototype denture for Tom and found the ideal positions to place the teeth for his best function and appearance. Popular dental implant clinics rarely take the time for this step, which is why patients end up with uncomfortable teeth, distorted facial appearance, or the inability to function properly.

Only after the proper positions for the teeth are found does Dr. Chal create the instructions for the surgeon as to where to place the implants.

From that point, the case is primarily an exercise in precision—making sure the final denture/implant hybrid restoration fits the dental implants so precisely that there is no twisting force or other unwanted stress on the implants. This is what assures longevity of the implants. The key to having dental implants that truly last is to have a perfectionist take care of these steps.

After the surgeon then places the implants, a temporary titanium coping is placed on these implants. Then a precision impression is taken of these copings to enable Dr. Chal and his implant technician to create an exact model, re-creating the positions of the implants in relation to the surrounding tissue.

Brenda's implant success - after

Impression taken in the first clinical appointment.
Denture/Implant Hybrid preliminary model

Preliminary cast with impression copings.

Denture/Implant Hybrid master impression

Master impression after removal from the mouth.

Denture/Implant Hybrid master impression with tissue replica in place

Master impression with implant replicas. The pink material around the implant replica next to the impression is artificial tissue.

Denture/Implant Hybrid master cast

The master is cast now ready to be used to fabricate a fixed hybrid implant restoration.

Occlusion rim for denture/implant hybrid

Stabilized occlusion rim to capture the jaw relations. The holes are to allow Dr. chal to screw the rim directly to the implants, which insures an exact measurement of the proper position that the teeth should be in.

Brenda's implant success - after

Face bow transfer.

Brenda's implant success - after

Case transferred to an engineering instrument and the teeth set in wax.

Picture of denture/implant hybrid try-in

Verifying the proper vertical dimension of the case.

picture of denture/implant hybrid computer-assisted design

Pictures of computer-assisted design of custom milled titanium bar.

picture of denture/implant hybrid computer-assisted design

Custom milled titanium bar on the master cast.

picture of denture/implant hybrid computer-assisted design

Teeth set in wax on top of the bar to verify the fit and accuracy of all the components.

picture of denture/implant hybrid computer-assisted design

Try-in of milled titanium bar in the mouth.

picture of denture/implant hybrid computer-assisted design

Clinical try-in of teeth in wax and the bar to verify proper jaw relations, function, phonetics, and esthetics.

picture of denture/implant hybrid computer-assisted design

Verifying the jaw relation on an engineering instrument.

picture of denture/implant hybrid computer-assisted design

Final wax-up of fixed prosthesis for processing. Notice that a fixed hybrid restoration replacing both teeth and gum tissue is much smaller than a conventional denture.

picture of denture/implant hybrid computer-assisted design

The final fixed prosthesis after processing. The screw access holes are then filled with tooth resin so that they are undetectable when the hybrid is finally placed.

picture of denture/implant hybrid computer-assisted design

A very satisfied patient. His comment when he was finished was that
his teeth now feel so comfortable solid that it was like "hitting the sweet
spot" with every swing of a golf club.


Make an appointment with Phoenix dentist Dr. Arthur Chal

A guide to using this website:

There is an enormous amount of
    content in this website—enough to fill
    several books. Make a selection from
    the navigation menu along the top of
    this page. Then, as you visit each
    page, look for more links in the body
    of the page and near the bottom to
    find more detailed information.

Featured Stories:

Jennifer was getting married in a few
    weeks, but was embarrassed to smile.
    It turned out she was a great case
    for a Zirconia Bridge - high tech,
    high strength, and ultimate esthetics,
    and all completed in time for the
J.T. suffered from bulimia. Even though
    she lived in California, she drove 657
    miles to see Dr. Chal. When
    you read her warm thank-you note,
    you'll understand why.
    Read J.T.'s bulimia story.
Tom's Case illustrates a fixed
    implant hybrid restoration
, and
    leaves him with a solid feeling to his
    teeth, "like hitting the sweet spot with
    every swing of the golf club."
Emily came to Dr. Chal frightened, in
    lots of pain, with an ugly smile and TMJ
. Dr. Chal eased her fears,
    solved her pain, gave her a beautiful
    smile, and cured her TMJ disorder.
    Read her heart-warming story.
Brenda's dental implant horror
. - read about how Dr. Chal
    re-did her old implant work, solved
    her pain and infection, and made her
    look ten years younger.



For An Appointment
To render an opinion on your case, Dr. Chal will plan on spending quality time evaluating your situation. Plan on spending an hour or more with him at your appointment.

To help you plan your budget, please allow for a cost of $150 - $300 for this appointment. Plan also on receiving an expert and accurate analysis. Because of the quality time involved, we regret being unable to provide free consultations, free second opinions, or estimates over the phone.

To request an appointment,
click here or call (602) 957-5000.

Monday - Thursday: 8:00 – 5:00
Friday: 8:00 – 12:00
4715 N. 32nd St., Suite 106
Phoenix, AZ  85018

Dr. Chal is the recommended cosmetic dentist for Phoenix for the cosmetic dentistry website, for placing beautiful porcelain veneers.



Dr. Arthur Chal


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