Answers to your dental implant questions The more informed you are, the easier it is to decide if our solution is right for you. Below are the most frequently asked questions we get from our potential patients. If you don’t see what you’re looking for here, you can always.....
OUR TOP 5 MOST COMMON QUESTIONS
What is the difference between the All-on-4 Procedure and the G4 Implant Solution?
The G4 Implant Solution provides a PERMANENT (Titanium Reinforced) bridge in a single visit, and it’s fully functional just hours after surgery. The All-on-4 procedure, on the other hand, requires multiple visits over a full year and requires you to wear temporary dentures during this time period. That’s why we invented the G4 Solution—it was time for a smarter, better way to restore smiles.
How much does the procedure cost? Does insurance cover a portion of the procedure?
The cost for a single arch is $19,500

The cost of the full mouth procedure for is $36,500.

As for insurance, we bill all insurance companies as a courtesy for you. Typically, insurance will only cover the extractions, which is about $300 – $500 per extraction (but please note, this is not guaranteed). Many of our patients will use their flexible spending accounts they have through work to help plan for the procedure.
How many days does it take to complete the procedure?
You’ll spend up to three days with us, but the actual procedure is completed within one 24-hour period.

Day 1: Consultation – CT scans, facial scans, x-rays, measurements, tooth shade and shape selection, discussion with doctors.

Day 2: Surgery – Extractions (if necessary), placement of dental implants. You will be without teeth overnight for the last time in your life. Remember, this is no temporary, converted denture. You are receiving a custom-milled, highly aesthetic, hybrid bridge with a one-piece milled titanium bar.

Please note: Consultation and surgery can be performed on the same day if that’s best for you.

Day 3: Delivery of PERMANENT hybrid milled bridges — How is that possible? Well, it normally takes 6-12 months for single implants to fully integrate into the bone. With the G4 Implant Solution, we are able to gain primary stability of the dental implants, which are held together by a titanium bar. This prevents the micro-movement that can occur with single implants bearing the full chewing force. The dental implants will continue to integrate over the next several months, but because of our unique protocols and milling center, you enjoy the benefits of PERMANENT, fully functioning teeth, just hours after surgery.
Is there excessive pain in the dental implants procedure/healing process?
The vast majority of patients experience only moderate soreness, and report little pain regardless of the number of extractions. Any discomfort generally subsides in 72 hours or less. Patients are cleared to fly or participate in moderate activity in as little as 24 hours after surgery.

To mitigate any potential pain, patients are prescribed medication for the week prior to surgery.

Watch our patient testimonials or schedule a call with one of our patients to hear first-hand accounts of real experiences with the G4 Implant Solution.
What if I have been told by another dentist that I’m not a candidate or don’t have enough bone for dental implants?
In our experience, 90% of patients who have been told they are not candidates for traditional dental implant options are eligible for the G4 Implant Solution. The conventional method of placing the dental implant straight into the bone can require a sinus lift and bone grafting, resulting in a minimum of six to nine months of healing time. Our procedure uses the front area of the jaw where the bone is more dense, and in most cases requires no sinus augmentation or bone grafting. What’s more, the G4 technique places the back implants at an angle. This allows us to a place a longer implant without having to enter the sinus cavity on the upper arch, making for a much less invasive procedure.
GENERAL IMPLANT QUESTIONS
I have existing dental implants; can you use them or save them?
Since this procedure requires bone reduction to create space for the bridge, your existing implants cannot be used. We will need to remove your existing implants before we start to place the G4 dental implants.
Can I request Dr. Golpa to perform my procedure?
Absolutely! Dr. Golpa handpicked all of his associate doctors for their exceptional talent and ability to perform this procedure more than 500 times and place thousands of dental implants. Rest assured, every associate performs the same patented procedures, protocols and techniques.
What if I have severe dental anxiety?
Our entire staff is here to calm all of your fears and help you in any way we can. We will treat you like a member of our family and change your perceptions of the dental office for good. Don’t just take our word for it; watch some of our patient reviews.
I’ve been told that having six implants is better, is this true?
The more implants you have, the higher probability for hygiene issues and limited supporting bone, which would lend itself to a higher risk for restoration failure. That is why we believe that one implant is better.
What do the G4 Implant Solution bridges feel like?
The bridges provide a new sensation for your mouth—especially if your teeth have been compromised or missing for many years. So after surgery, it will take time for you to get used to your new bridges. However, we customize your bridges to feel as comfortable and as close to natural teeth as possible.
What is the difference between you and the corporate dental centers?
Unlike corporate dental centers, we focus on the satisfaction of our patients rather than commissions, monthly quotas and shareholders. We truly care for our patients and built our reputation on going above and beyond to ensure your comfort, health and wellbeing. Best of all, we give you a permanent bridge with titanium framework in just one visit.
Am I required to be in public videos with my before and after pictures?
Absolutely not. We love when happy patients want to share their stories (and new beautiful smiles), but that is completely up to you.
Is Dr. Golpa a specialist, such as an oral surgeon, prosthodontist, or periodontist?
Dr. Golpa is a general dentist who has specialized in this procedure by performing it more than 6,000 times while training numerous general dentists and oral surgeons his techniques over the last decade.
FINANCIAL QUESTIONS
How can you offer the G4 Implant Solution for so much less than other procedures?
Because of the high number of procedures we perform, we receive special pricing from all of our vendors. We also have a full dental lab and milling center inside our offices to help provide you with the most efficiency and best cost.
Are there any payment plans available?
We offer many payment options including in-house financing. Please note that when using any financing, all arrangements must be made two weeks prior to the date of surgery. Our third-party lenders offer no-interest loans and extended payment terms with lower payments for those who qualify.
When is the full payment due?
The full payment is due at the time of surgery.
What forms of payment are accepted?
At the time of the surgery:

credit cards (additional 3% fee applies)
cashier or bank checks
wire transfers
Two weeks prior to surgery:

personal checks and
third-party financing
Is there a cancellation policy?
Yes. If it becomes necessary for you to cancel up to two weeks prior to surgery, you will receive your deposit back, however a fee of $500.00 will be charged. If you need to cancel your surgery after two weeks, you will only be refunded 25% of your deposit.
If I want to move forward with the procedure but I can’t afford it, do you have any options for me?
While we offer this procedure at costs below the national average, we understand that it may still be cost prohibitive to some.

If you need help getting dental care for yourself or a family member, this is a great resource.
Can I use my HSA (Health Savings Account) to help pay for the Golpa G4 Implant Solution?
Yes, funds you withdraw from your HSA are tax free when used to pay for qualified expenses. We recommend you double check to make sure this procedure qualifies for your account. As always, consult your tax advisor should you require specific tax advice.

Any funds you withdraw for non-qualified medical expenses will be taxed at your income tax rate plus 20% tax penalty if you’re under 65.
Can I take money from my IRA (Individual Retirement Account) to help pay for the Golpa G4 Implant Solution?
Generally, taking money from our IRA before turning 59 is not recommended due to the 10 percent withdrawal penalty. However, if you have medical expenses for the year that would be deductible if you itemize your deductions, you can exempt that portion of the early IRA distribution from the penalty. Qualifying medical expenses include those who pay for medical, dental and vision for themselves, their spouse and their family. Claiming the exception saves you the 10 percent early withdrawal penalty, so not reporting it properly is a costly mistake.
Are the fees paid for the Golpa G4 Implant Solution Procedure tax deductible?
In some cases, your procedure may be tax deductible. Please talk to your tax advisor or visit the IRS website to learn more about Itemized Deductions for Medical Expenses.
Do you offer warranties or guarantees?
We offer a 5 Year warranty on your bridges and dental implants.

If a dental implant fails to integrate or a bridge fails, we will replace it at no cost during the warranty period. An annual implant examination including x-rays and regular cleanings is an absolute requirement for any warranty to apply. The warranty is voided for that smoke or use nicotine in any form, or who develop an uncontrolled systemic health problem, such as, but not limited to; diabetes, autoimmune disorders, severe osteoporosis, or any condition requiring long steroid use. If smoking or a medical condition is suspected as the cause of implant failure or other complication that requires treatment, an examination and blood tests will be required for warranties to apply.
SCHEDULING & TRAVEL QUESTIONS
How do I schedule an appointment?
You can call us at 1-800-797-0406, schedule a call with us or click the phone button you see at the top of our website.
How far in advance are your clinics booked?
We usually book 6-10 weeks in advance due to the volume of our patients.
Can I change the date of my surgery?
Yes, however you may need to pay a fee. If you request to change the date of your surgery prior to two weeks before your surgery, we will try to accommodate your request with no penalty. If you request to reschedule comes less than two weeks before your surgery date, there will be an additional rescheduling deposit of $500.00 that must be paid before we can reschedule your appointment.
Do you provide hotel accommodations?
We provide 3 Night hotel accommodations and ground transportation to and from hotel.

3-night hotel stay for initial surgery patients only.
Patient is responsible for resort fees and deposit.
Patient is responsible for transportation from airport to hotel and from hotel to airport.
Do you provide airfare?
Our low price does not include the cost for airfare.
Which airport should I fly into?
Dallas Center: Dallas/Fort Worth International Airport
Las Vegas Center: McCarran International Airport
Tysons Corner Center: Dulles International Airport
How will I get from the airport to my hotel?
We suggest using an airport shuttle, Uber, Lyft or taxi.
How will I get from my hotel to the office?
We will arrange for a driver to pick you up from your hotel and bring you to our office.
Can I travel with a companion?
Yes, we highly recommend traveling with a companion to be with you after surgery. If you must travel alone, you will stay in our office until all the effects of the sedation have worn off and you are fully alert.
I live in another a state, do you have any other locations?
Currently, we have two offices in Las Vegas and Dallas—and our new center will open soon in Tysons Corner, Virginia. But traveling to these facilities can be made easier with our patient concierge consultants who are available when you need them.
SURGICAL QUESTIONS
Will I be sedated?
Yes, you will need to be sedated for the procedure. Our licensed anesthesiologists will administer and monitor you during the procedure.
What medications will I be prescribed?
Before you undergo this procedure, we’ll discuss any and all medication options based on your health and personal situation.
How long is the surgery?
The surgical portion of the procedure is approximately two to two-and-a-half hours. The lab portion, while you are relaxing, takes another two hours.
What if I am diabetic?
If you are diabetic, your blood sugar should be controlled. We will not perform the surgery if the A1-C is above 7 due to the higher chance of implant failure rising to 30%.
Can I smoke before or after the surgery?
No, you must stop the use of nicotine 30 days prior to your surgery. Nicotine in any form has been shown to reduce the blood flow to the mouth, which can lead to higher chance of implant failure. Also note, if you smoke after surgery all warranties are void.
Should I get my teeth extracted first?
Our doctors prefer that you not have your teeth extracted prior to surgery. Extracting your teeth during the procedure helps give our dentists reference on where to place the implants and preserve an adequate amount of bone. Extractions of your teeth are included in the cost of the procedure.
How can the implants be placed at the same time as extractions?
After your teeth are extracted, the gums are opened to expose the bone. The bone is then contoured smooth, eliminating the tooth’s socket while making room for your teeth. The gums are then completely stitched closed so there are no exposed sockets or bone. This process allows us to correct issues such as a “gummy smile”.
How do I know what my teeth will look like?
We will go through multiple smile libraries and simulate your new smile digitally for your approval. We also encourage you to bring photos of your ideal smile or your actual teeth (when they were healthy).
What if I’ve been told I don’t have enough bone for dental implants?
Most of the patients who have been told they are not a candidate for traditional dental implant options are candidates for this procedure. This procedure uses the frontal area of the jaw, which has more dense bone rather than the conventional method of placing the implant straight on the bone. This reduces healing time and the likelihood of sinus lifts and bone grafting.
Can I send my X-ray or CT Scan for evaluation?
Yes, please call 1-800-797-0406 for directions on how to upload your information for evaluation.
AFTERCARE QUESTIONS
What is the recovery time for dental implants?
Because of the efficiency and effectiveness of our procedure, most of our patients return to their normal routine (like eating) immediately after the procedure.
How often should I have my bridges professionally cleaned?
You should have your bridges Professionally cleaned every 6 months to ensure the stability of the implants as well as the longevity of the bridge. We do provide an optional maintenance program that helps you find dentists in your local area at a reduced fee.
How do I care for my new bridges?
Brush:
Brush your bridges like you did your natural teeth with toothpaste three times a day for two minutes each time. Using an electronic toothbrush is highly recommended.

Rotary brush:
Provided to you by our office after surgery. Use for the first week after surgery. Dip the proxy in your prescribed rinse instead of using toothpaste to clean under your bridges.

Waterpik:
Starting after one week, you should start using a Waterpik. A Waterpik is a water flosser that helps remove plaque deep between teeth and below the gum line where traditional brushing and flossing can’t reach. If possible, you should use the Waterpik after each meal. If not, be sure to use it in the morning and at night. If you don’t use the Waterpik daily, food will accumulate underneath your bridges causing plaque and tartar build up.
What if something happens after I leave?
In the rare case of an infection, excessive swelling, pain, etc., a prescription will be called into your local pharmacy.
What if I want to change the shade or look of my bridges?
We recommend returning to our office four to six months after your surgery for a reline of your bridges and to verify the integration of your dental implants. At this time we can make changes to your bridges if you wish. Changing the shade of the bridge requires fabricating a new set of teeth and will result in additional charges.
What is a reline?
Up to six months after your procedure, your gums will shrink. The pink gum part of your new teeth requires relining or having material added to it. This is a completely normal part of the healing process.
Will food get under my bridges?
Yes, there is a small space between your bridges and your gums making it easy for food to get under your bridges. Using the Waterpik at least twice daily can clean this area.
What foods can I eat after surgery?
It depends on bone density and the level of torque the doctors are able to achieve on the dental implants. Each patient’s case is different, so you will receive specific instructions from your doctor. However, most patients are able to eat any foods they wish immediately following the procedure.
How do the doctors ensure my bite is correct after I get my new bridges?
Historically, the field of occlusion in dentistry has been dominated by subjective analysis and “patient feel” to diagnose and treat problems related to the bite. Articulating paper only shows points of contact between teeth and fails to provide data on the level of force and timing of when the teeth come together.

This is why our doctors use Tekscan Pressure Mapping, Force Measurement & Tactile Sensors. With the T-Scan’s digital bite force data, our clinicians can pinpoint occlusal interferences, quickly remove them and treat them with greater accuracy than ever before. The T-Scan is also a great visual aid that helps patients better understand their occlusion and the treatments that may be necessary to balance bite forces.
What are the G4 Ultra Bridges made of?
G4 Ultra Bridges are made from pure, highly crystalline copolymer possessing an optimal combination of high tensile and flexural strength, fatigue resistance, hardness and aesthetics. The material is manufactured to our specifications and processed with “trade secret” protocols in our state-of-the-art laboratories. We have manufactured well over 10,000 hybrid bridges.
What is a milled titanium bar?
A titanium bar is a substructure that is used for reinforcement of the bridge. It’s what makes your restoration permanent and gives it the strength to enjoy the foods you love.
How long will dental implants last?
Your G4 Ultra/Titanium bridge(s) are warrantied for a period of two years. Within the warranty period, we will repair or replace bridges that fail due to workmanship at no charge. After that period, the cost to replace your G4 Ultra/Titanium bridge(s) is $2,500/ea. This is a nonsurgical, one-day process.
We know this type of surgery can be a little scary, and it’s a big investment. So if you’re still not 100% sure the G4 Implant Solution is right for you, please reach out to us. Whether you schedule a call with one of our experts or want to receive helpful emails, contacting us directly is the best way to get the information you need. And the peace of mind you deserve.

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