This is a common question we get from new patients. Many have been told “You need to remove all your teeth and get dental implants or a denture.”
For many patients who are simply looking for a “Smile Makeover“, they want to chew their favorite foods again and improve their cosmetics.
Many are also curious if they can do this AND save their teeth. This is especially true when the proposed solution, like “Teeth in a Day”, was presented as the ONLY solution.
While full-arch dental implant solutions can be life-changing in the right situation — and we proudly offer them — they are not always the only option.
In fact, many patients who come to us for a second opinion are surprised to learn that most or even ALL of their natural teeth can be saved.
Let’s talk about why that matters.
Why Are Some Patients Told Full Extraction Is the Only Choice?
Full-arch implant systems (sometimes marketed under brand names like ClearChoice or New Teeth Now) are excellent solutions for certain cases. However, some practices focus almost exclusively on this treatment model alone. When that’s the primary service offered, alternative approaches — like saving compromised teeth — may not be explored in depth, if at all.
Common reasons patients are told they need all teeth removed include:
- Advanced gum disease
- Significant bone loss
- Multiple failing crowns or large restorations
- Recurrent infections
- Severe wear or bite collapse
These are serious conditions. But “serious” does not always mean “unsalvageable.”
The Value of Saving Your Natural Teeth
Your natural teeth are biologically designed to function with your jawbone, ligaments, and bite in a way that even the best implants cannot perfectly replicate. Whenever possible, preserving healthy or restorable teeth is usually beneficial for:
- Long-term bone preservation
- Natural bite function and proprioception
- Maintenance simplicity
- Cost efficiency
- Reduced surgical risk
Our philosophy is simple:
If a tooth can be predictably saved and there is a good long term prognosis, this option deserves careful consideration.
When Teeth Can Be Saved
Every case is different, but patients are often surprised to learn that options may include:
- Periodontal (gum) therapy to control infection
- Root canal (endodontics) treatment for infected teeth
- Crown lengthening or restorative rebuilds
- Strategic extraction (removing only the truly hopeless teeth)
- Partial implant placement instead of full-arch removal
Sometimes, a combination approach offers the best outcome — preserving what’s strong and replacing only what truly cannot be saved.
Nothing man-made will be quite as good as what nature gave us, and research has established that keeping our teeth as we age improves our overall health.
When Full-Arch Implants Are the Right Choice
There are absolutely situations where removing all remaining teeth and transitioning to implant-supported teeth, o r a denture, is the most predictable and healthiest long-term solution.
We provide full-arch implant options, like our Same Day Smile® All—on-4 Dental Implants. We offer same-day temporary teeth so you never have to go without a smile.
And for some patients, this treatment restores confidence, comfort, and function after years of dental instability.
The key difference?
We evaluate whether it’s necessary — not whether it’s available. Our toolbox contains many tools – having access to all specialties of dentistry under one roof is what sets us apart from other practices.
Dr. Sherberg with Jane, after her Same Day Smile® All—on-4 Dental Implant Surgery
Why a Second Opinion Matters
Dentistry is not one-size-fits-all. Treatment recommendations can vary based on:
- Clinical philosophy
- Technology available
- Experience in Complex Restorative, Periodontal and Oral Surgery
A second opinion does not mean the first dentist was “wrong”. It simply means you deserve to understand all viable options before making a permanent decision.
Once teeth are removed, there is no going back.
Our Commitment to You
Our goal is not to sell a procedure. It’s to create a treatment plan that prioritizes:
- Your long-term health
- Predictability and stability
- Conservative care whenever possible
- Transparent discussion of risks and benefits
- Aligns your goals with your budget.
If full-arch implants are the best solution, we will explain why.
If your teeth can be saved, we will show you how.
You deserve a plan built around your health and your goals — not just a single treatment model.
If you’ve been told “They All Have to Come Out”
Before moving forward, we encourage you to schedule an appointment.
Our $99* New Patient Special Zero Risk Consultation Includes:
- Comprehensive Oral Exam
- Any Necessary X-rays
- 3D CBCT Scan
- Smile Prevu®: See what your new smile could look like with our computer smile software!
- Consultation or Second Opinion for Implant or Cosmetic Dentistry: A private consultation with Dr. Sherberg to learn all possible solutions to fix your smile. This includes a comparison of time and cost across all your options.
- Still unsure? Ask us to release your x-rays to the dentist of your choosing. We support finding a dentist you feel most comfortable with.
*Limited Time Offer. Cannot be combined with insurance.
Call 727-914-2707 Today!
No lectures. No Judgment. Just Care.
