09/29/2026
ANNOUNCEMENT: You no longer always need to aggressively cut away your bone and gums to get a full set of implants
All photos in this post are from last week. The teeth are handmade temporaries delivered the same day as the surgery. The Surgery was performed at Mountain State Oral & Facial Surgery by Dr. Marshall Green.
The planning, tooth design, and tooth fabrication was performed by Rohit Kumar at Dr. Kumar Advanced Restorative and Prosthetic Dentistry.
Everywhere you turn you see advertisements for getting your teeth replaced with “implants in a day.”
The ugly truth that no one tells you is that 99.9% of providers who perform this procedure cut away 4-8 millimeters of your bone that you will never get back to make it easy to place the implants.
Well there is an incredible technique to save all of your bone and gum tissue and just replace your teeth called an FP1.
It takes a very skilled surgeon and skilled restorative provider to make this work.
It has taken me over a decade and thousands of reconstructive cases to develop the techniques and master this procedure .
We are the first and only providers to successfully perform this in southwest Virginia.
I have never seen a surgeon work as masterfully as Dr. Marshal Green . Dr Green was able to extract every tooth without damaging ANY tissue all while preserving all of the bone. He then went on to place 7 implants by feel and experience alone. The implants are perfectly positioned as can be seen in the occlusal photos of the tissue and teeth. (Following Tarnows rule of 3mm facial bone). To make it even more impressive he completed the entire surgery in 1 hour and a half. The patient did not even need to be sedated and was comfortable the whole time. The patient had no pain or swelling because we didn’t damage any tissue.
Dr Green used my template for the design of the teeth (which I spent months perfecting) and found the best bone to get the implants placed both perfectly parallel and with high initial torque which is critical to success.
This is often hard to achieve in cases where a surgeon uses a guide because they cannot feel different bone and are committed to a predefined plan that if it doesn’t work they can’t easily recover.
For my part I had to masterfully design the teeth for both esthetics and ideal shape to promote healing of the gingiva. Our biggest concern is preserving the gums that sit between the teeth (papilla). This means I had to follow exact measurements and design ideal contours to put no pressure on the bone, but at the same time promote the gums to grow in between the teeth.
These cases are some of the hardest to perform in dentistry and we are proud to say that we have absolutely mastered them.