Same Day Smile

Image of dental implantsSame Day Smile is a revolutionary concept providing patients with fully functioning teeth on dental implants in one day.

To say that the ‘Teeth in a day’ process takes just a single day is a misstatement. In fact, it may take several weeks for the doctor to develop the treatment plan, which will lead to the most optimal outcome.

A series of impressions are made in order to develop the proposed final tooth position as well as esthetic considerations i.e. tooth shade, shape, and symmetry. This is performed meticulously so that when the final prosthesis is replaced it meets the standards of a proper bite and pleasing smile.

The procedure is termed “Same day smile” simply because the implants are placed along with a restoration in one day.

This technology was recently developed and allows for predictable results benefiting one’s aesthetic and functional expectations. The computer-guided implant surgery is done in a minimally invasive fashion without requiring any flap reflection.

This benefits the patient being that there is less post-operative discomfort, less swelling, and less bruising. Often, patients can resume their normal activities the following day.

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Image of dental implants on a screenA cone beam scan is taken of the jawbone and is turned into a 3D rendering that can be used in virtual reality software to plan the implant placement and procedure without the patient needing to be present. The results are more accurate implant placement and less chair time for the patient at the periodontist office.

Dr. David Gardner is at the forefront of providing this procedure to his patients. He has developed protocols that make the immediate loading of dental implants more efficient, resulting in less time in the chair for his patients as well as a more predictable and esthetic result.

Dr. Gardner has performed computer-guided dentistry for several years and teaches the technique in his lectures.

The Initial clinical evaluation

This phase involved understanding the problem, making a diagnosis based on a clinical exam and x-rays, and discussion of treatment options.

Treatment plan

A formal printed plan is reviewed by the patient and doctor.

Scanning denture

A duplicate scanning denture is constructed. This device mimics the prototype denture.

CT scan

A CT scan of the patients’ jaw wearing the scanning denture is completed. Following the patient scan, a second scan is performed on the denture alone.

Virtual surgery

Virtual surgery can be performed on the 3D image and Dr. Gardner likes to compare this virtual software to that of playing a video game. The file from this virtual surgery is then transmitted through the internet for the fabrication of the surgical guide.


At a robotics facility, the data files containing the surgical plan are used to three-dimensionally reconstruct the patients’ jaws. A special surgical guide is then constructed to assist the surgeon with implant installation. The guide and all necessary surgical components are carefully packaged and express shipped to Northshore Restorative and Dental Implants Center.

Fabrication of teeth

Using the surgical guide and the models of the jaws, the final set of teeth are fabricated in the laboratory.

Final inspection

Upon completion of the laboratory work, Dr. Gardner examines the shape and size of the teeth and checks the components for accuracy before scheduling the patient for actual surgery.

The one surgical visit

The implants and teeth are surgically installed with the aid of the computer-generated materials, usually with only local anesthesia. Due to the fact that treatment has already been carried out on a computer, this appointment is performed in a minimally invasive manner.

And because the final restoration has already been fabricated, your beautiful new set of teeth are REPLACEed the same day!