Transform your smile in a single visit with advanced immediate-load implant technology
Don't wait months for your new smile. Discover how Teeth-in-an-Hour can transform your appearance and confidence in a single day.
Imagine walking into a dental office with failing teeth and leaving the same day with a complete, functional smile. For many people in St. Augustine facing extensive tooth loss or failing dentition, this isn’t just a dream. Teeth-in-an-hour procedures make it possible to receive extractions and a full set of temporary teeth in a single appointment, transforming your smile without the lengthy wait times traditional methods require.
At St. Augustine Oral & Facial Surgical Center, Dr. Douglas L. Johnson performs these full-mouth transformations with a streamlined approach. From your initial consultation to your final teeth, everything happens in our AAAHC-accredited facility. You won’t need to coordinate between multiple providers or wait months between procedures. We handle your complete care under one roof, performed under IV sedation for your comfort.
Traditional dental implant treatments often require multiple appointments spread over several months. You visit an oral surgeon for extractions, wait for healing, return for implant placement, heal again, and finally coordinate with a separate dentist for your restoration. This fragmented approach means more time without teeth and more complexity in scheduling.
The teeth-in-an-hour approach eliminates these delays. During one surgical appointment, Dr. Johnson removes any remaining problematic teeth, places dental implants into your jawbone, and attaches a temporary full-arch prosthesis. You leave our office the same day with a complete set of functional teeth. While these initial teeth are temporary, they allow you to eat, speak, and smile with confidence immediately while your dental implants integrate with your bone.
After your implants have fully healed over the next several months, we work with your restorative dentist to create your permanent prosthesis. But unlike traditional methods where you coordinate between offices, we’ve already done the complex surgical work. Your path to final teeth is much more straightforward.
This procedure serves people dealing with extensive dental problems that can’t be solved with individual tooth repairs. If you’re facing the extraction of most or all of your teeth due to decay, gum disease, or trauma, full-arch replacement offers a complete solution rather than trying to save compromised teeth.
Many patients come to us after years of dental problems that have affected their quality of life. Teachers who feel self-conscious in front of students. First responders who need reliable teeth for their demanding work. Retirees who want to enjoy their active years without dental limitations. The common thread is people ready to move past ongoing dental issues and invest in a permanent solution.
However, we believe in transparency about what affects your success. If you smoke, we’ll have an honest conversation about how tobacco use impacts healing and implant success rates. Smoking restricts blood flow to your gums and bone, which can compromise the integration process between your implants and jawbone. We’re not here to lecture you, but we won’t downplay the risks either. You deserve to know how your habits affect your treatment outcomes so you can make informed decisions about your care.
With over 25 years of specialized experience, Dr. Johnson provides exceptional care using the latest techniques and technology.
Dr. Johnson is a board-certified oral and maxillofacial surgeon who completed his education at the University of Pittsburgh School of Dental Medicine and advanced training through fellowships at prestigious institutions. His extensive training and experience allow him to perform complex procedures with precision and care.
At our state-of-the-art facility, we prioritize your comfort and results. Dr. Johnson and his specially trained staff are committed to providing you with the highest standard of care in a welcoming environment.
Your journey starts with a comprehensive consultation where we evaluate your oral health, discuss your goals, and create a treatment plan. Using 3D imaging technology, Dr. Johnson can assess your bone density and plan precise implant placement. If you need bone grafting to support your implants, we can often perform this during the same appointment as your extractions and implant placement.
On the day of your procedure, you’ll receive IV sedation so you remain comfortable throughout the surgery. Dr. Johnson, who is board certified by both the American Board of Oral & Maxillofacial Surgeons and the National Dental Board of Anesthesiology, personally oversees your sedation along with our team of certified surgical assistants and registered APRN.
The surgical process involves removing any remaining teeth, placing four to six implants per arch into strategic positions in your jawbone, and attaching your temporary prosthesis to these implants. The number of implants depends on your specific anatomy and which arch we’re treating. The temporary teeth are designed to look natural and function well enough for you to return to normal activities quickly, though you’ll follow specific dietary guidelines during initial healing.
After your procedure, you can expect some swelling and discomfort, which is normal for any oral surgery. Most patients manage their recovery with prescribed pain medication and return to work within a few days. Your temporary teeth allow you to maintain your normal appearance and basic function while healing occurs.
Over the next three to six months, your implants will integrate with your jawbone through a process called osseointegration. During this time, you’ll have periodic checkups at our office to monitor your healing. Once Dr. Johnson confirms your implants have fully integrated, you’ll work with your restorative dentist to create your permanent prosthesis.
The permanent teeth look and function remarkably like natural teeth. You’ll brush and care for them similarly to natural teeth, and with proper maintenance, dental implants can last for decades. Regular checkups with both our office and your general dentist help ensure your long-term success.
General dentists can place individual implants, but full-arch reconstruction requires advanced surgical training and experience. Dr. Johnson completed his residency at the University of Florida and a fellowship in facial cosmetics and reconstruction. He focuses specifically on complex cases involving multiple implants, extractions, and bone grafting.
Our AAAHC accreditation means we meet rigorous standards for surgical facilities, including sterilization protocols, emergency preparedness, and staff training. When you receive IV sedation in our office, you’re in a facility equipped to handle your care safely from start to finish.
The advantage of having everything done in our office is continuity. Dr. Johnson understands your case completely because he handled every surgical aspect. When questions arise during your healing, you’re calling the office that performed your surgery. When you’re ready for your final prosthesis, your restorative dentist is working from the solid foundation we established.
While many patients can benefit from immediate-load implants, candidacy depends on several factors, including bone quality and quantity, overall health status, and oral habits like grinding or clenching. Ideal candidates have sufficient bone density to provide the initial stability necessary for immediate loading, good general health that supports healing, and realistic expectations about treatment outcomes. Even patients with some bone loss may qualify, particularly for full-arch All-on-4® style restorations. A comprehensive evaluation with 3D imaging is necessary to determine your specific candidacy.
Research shows that immediate-load implants can achieve success rates comparable to conventional implants when performed with proper planning, appropriate patient selection, and precise surgical execution. The computer-guided approach actually enhances precision in implant placement, potentially improving long-term outcomes. That said, following post-operative instructions is particularly important with immediate-load implants to ensure proper healing and integration. Dr. Johnson will thoroughly evaluate your situation to determine if immediate loading presents any additional risks in your specific case.
While the immediate-load concept can be applied to various scenarios—from single teeth to full arches—its applicability depends on your specific situation. The technique is particularly well-suited for full-arch restoration using the All-on-4® concept. For single teeth, immediate loading is often possible in areas with adequate bone density and where aesthetic concerns are significant. During your consultation, Dr. Johnson will explain which immediate-load options are appropriate for your specific needs and anatomical situation.
If you’re considering teeth-in-an-hour in St. Augustine, the first step is scheduling a consultation. We’ll evaluate your specific situation, answer your questions about the procedure, discuss realistic expectations for your case, and provide cost information. We work with most PPO dental plans and can help you understand your benefits.
This procedure represents a significant investment in your oral health and quality of life. We want you to feel confident in your decision, which means having all the information you need upfront. Whether you’re dealing with failing teeth, uncomfortable dentures, or extensive dental problems, we’re here to help you understand your options. To learn more about teeth-in-an-hour procedures or schedule your consultation with Dr. Johnson at St. Augustine Oral & Facial Surgical Center, contact us online. We’ll help you determine if this full-mouth transformation is right for your needs.