Now Accepting Limited VIP Reopening Appointments โ€” June 2026

Clarity. Confidence. Answers.

Our FAQ page is designed to provide clear, straightforward answers to the most important questions about NexGen Smiles and full mouth dental implants. Whether youโ€™re exploring your options, preparing for treatment, or simply looking to better understand the process, youโ€™ll find helpful information organized by topic for easy navigation. From candidacy and procedure details to cost, recovery, and travel, this resource is here to guide you with confidenceโ€”so you can make informed decisions every step of the way.

General

  • NexGen Smiles is Dr. Golpaโ€™s advanced approach to full-arch dental implants, combining digital precision, premium materials, and immediate-load techniques to deliver permanent teethโ€” in as little as 24 hours.

  • Dr. Golpa has decades of specialized experience in full-mouth implant dentistry and has helped pioneer immediate-load solutions, delivering consistent, high-quality results with a personalized, patient-first approach.

    This is not โ€œgeneral dentistry.โ€

    Itโ€™s a specialized surgical and prosthetic discipline that requires expertise, precision, and engineering.

    If you want predictable, long-term outcomes, you want someone who does this all day, every day.

  • Full mouth dental implants are a fixed, non-removable solution that replaces all teeth using strategically placed implants to support a full arch of prosthetic teeth.
  • Results are driven by experience, engineering, and execution.

    Weโ€™re not offering shortcuts or mass-produced solutions.

    Weโ€™re delivering customized, high-performance restorations designed for long-term function, aesthetics, and confidence.

    If we accept you as a patient, itโ€™s because we fully intend to deliver a result youโ€™ll use and appreciate every single day.

  • Dentures are removable plastic prosthetics with limited chewing ability, constant movement, bone loss, and ongoing maintenance.

    Implants provide stability, function, confidence, and preservation of bone.

    If you want real teeth you can live your life with โ€” dentures wonโ€™t get you there.

  • Getting started is simple. The first step is scheduling a virtual phone consultation with our patient concierge team, where weโ€™ll learn about your goals, answer your questions, and determine if youโ€™re a candidate. From there, weโ€™ll guide you through the next steps, including any records needed, estimated costs, and scheduling your visit. Our team is here to make the process clear, comfortable, and seamless from your very first interaction.

Candidacy

  • Most patients are candidates, even those with significant bone loss, thanks to advanced techniques like zygomatic implants and customized treatment planning.

  • We routinely treat patients with severe bone loss, failed implants, advanced infection, and full-mouth rehabilitation needs, including cases other providers have turned down.

    When necessary, we use zygomatic implants, which anchor into the cheekbone to provide a stable foundation when traditional implants are not possible.

    These procedures require advanced surgical training, precise planning, and extensive experience โ€” which is why very few practices are capable of performing them predictably.

    If we accept your case, itโ€™s because we are confident, we can deliver a stable, functional, long-term result, even in challenging anatomy.

  • If available, CT scans or X-rays can help provide a more precise evaluation prior to your visit, but they are not required to begin the consultation process.

  • Smoking and vaping significantly increase the risk of implant complications, slower healing, and long-term failure.

    Can smokers still be treated? Yes โ€” but we plan carefully, we manage expectations, and we strongly encourage reducing or quitting.

    Implants are not a good match for uncontrolled habits.

  • We successfully treat patients with controlled diabetes and other medical conditions every day.

    The key factor is stability, not just the diagnosis.

    If your condition is well-managed, youโ€™re likely a candidate. If itโ€™s not, we will address that first.

    This is medicine, not guesswork.

  • Yes

    Conditions like gum disease, failing teeth, or previous dental work do not automatically disqualify you from receiving dental implants. In fact, full mouth dental implant solutions are often designed to replace compromised teeth and address underlying issues at the same time. During your evaluation, Dr. Golpa will assess your oral health and develop a customized plan to ensure a stable, long-term resultโ€”allowing many patients to move forward who may have thought implants were not an option.

Procedure

  • After a comprehensive in-office evaluation and planning process, implants are placed and a fixed set of teeth is deliveredโ€”within 24 Hours

  • The procedure is performed under conscious sedation, meaning you are relaxed, comfortable, and you feel nothing during surgery.

    We are a medically licensed facility and are accredited by the AAAHC, which is the gold standard for safety, anesthesia, and clinical quality outside of a hospital setting.

    Most patients are surprised by how smooth and tolerable the experience is.

    Post-operative discomfort is typically mild and short-lived โ€” and far easier than living with failing teeth.

    In other words, the procedure is not painful, and the environment is held to the highest medical and surgical standards.

  • Our process is fast, efficient, and highly coordinated.

    Day One: Comprehensive consultation, diagnostics, and surgical planning.
    Day Two: Surgical procedure and implant placement.
    Next Day: Delivery of your permanent, fixed teeth, designed specifically for your anatomy and bite.

    If youโ€™re traveling or prepared to move forward immediately, we can perform the consultation and surgery on the same day, provided your diagnostics and medical status qualify.

    Weโ€™re not dragging this out for months.

    Weโ€™ve engineered a streamlined, predictable system that delivers permanent, high-performing teeth with speed, precision, and control.

  • We offer two advanced, full-arch restorative systems โ€” depending on your anatomy, bite forces, and aesthetic goals.

    The first is a nano-ceramic restoration supported by a Trilor carbon-fiber reinforced bar.

    Itโ€™s lightweight, shock-absorbent, highly aesthetic, and ideal for patients who want excellent function with a more forgiving, natural feel.

    The second is premium zirconia supported by a titanium bar.

    This option is engineered for maximum strength, long-term durability, precise load distribution, and exceptional aesthetics. Both systems are high-performance, digitally engineered restorations, and we select the best option for each patient based on clinical requirements, biomechanics, and long-term predictability.

  • We use advanced implant designs and angulation to minimize or eliminate the need for bone grafting whenever possible.

    When grafting is necessary, we perform it strategically to support long-term results.

    The goal isnโ€™t โ€œgraftless at all costsโ€ โ€” itโ€™s stability, function, and longevity.

  • Expect a short adaptation period โ€” your brain and muscles are adjusting to a new system.

    Most patients adapt within days or weeks, not months.

    The goal isnโ€™t just aesthetics โ€” itโ€™s high-performance function you can use every day.

Cost & Financing

  • Cost depends on your condition, your anatomy, and the complexity of your treatment.

    Full-arch reconstruction is a significant medical procedure โ€” not a commodity product.

    Once we evaluate your case, we provide clear, transparent pricing, aligned with the outcome we intend to deliver.

    Treatment cost is based on your anatomy, your needs, and your goals, not a generic price list.

  • Yes.

    We work with multiple financing partners to make treatment accessible, depending on qualification.

    Many patients take advantage of financing because the impact on their quality of life is immediate, and the investment pays off every single day they use their teeth., and our team will guide you through available plans.

  • A deposit is typically required to secure your surgery date and begin the planning process.

  • We are not contracted with insurance companies.

    If you have out-of-network benefits, weโ€™ll provide all necessary documentation so you can submit for reimbursement yourself.

    Insurance will communicate directly with you.

  • No.

    Medicare and Medicaid do not cover full-arch implant treatment, and it is not possible to perform this level of care within their reimbursement structure.

    Our focus is on outcomes, not insurance limitations.

  • Full-arch reconstruction is a complex surgical and prosthetic procedure using advanced materials, technology, and engineering.

    Itโ€™s not a โ€œproductโ€ โ€” itโ€™s a high-level medical treatment that restores function, health, and quality of life for decades.

    Cheap solutions become expensive failures.

Travel

  • Many patients travel from out of state, and our team assists with scheduling, accommodations, and logistics.

    If youโ€™re serious about outcome, you donโ€™t limit yourself to whoever is closest.
    You go to the team with the track record.

    We routinely accommodate patients from across the country, and our process is designed to make travel efficient and worthwhile.

  • Most patients stay 3-4 days for surgery and initial follow-up, depending on their treatment plan.

  • Yes, our concierge team can assist with flights, hotels, and transportation to ensure a seamless experience.

  • Weโ€™re based in Las Vegas, Nevada, and we welcome patients from all over the country, and across the globe.

    Our patient concierge team is here to help make travel easy โ€” from planning your visit to helping you feel comfortable while youโ€™re here.

    Many patients choose to make their trip a mini-vacation, because Las Vegas has so much to offer โ€” great food, entertainment, beautiful hotels, and plenty of ways to relax before and after treatment. We want your time here to feel positive, memorable, and worthwhile โ€” both for your health

Results & Longevity

  • Our dental implants are designed as a long-term solution and are supported by a lifetime warranty on the implants themselves. This warranty applies to the implant components and does not include surgical placement fees or associated treatment costs. To maintain eligibility, patients must follow recommended maintenance protocols, including regular check-ups and proper oral hygiene, and remain in good overall health. Factors such as smoking, uncontrolled diabetes, or certain medical conditions may affect qualification, as they can impact healing and long-term success.

  • Our zirconia teeth, reinforced with a precision-engineered titanium framework, are designed for exceptional strength, durability, and long-term performanceโ€”and are backed by our lifetime warranty. This means you can move forward with confidence knowing your investment is protected by materials and craftsmanship built to last. With proper care and routine maintenance, your smile is not only made to withstand daily function, but supported by our ongoing commitment to stand behind the quality and integrity of your restoration for years to come.

  • Regular hygiene, routine check-ups, and proper care will help maintain the health and longevity of your implants.

  • Any procedure can fail โ€” but with proper planning, execution, and maintenance, implant success rates are extremely high.

    Failure is usually driven by poor planning, poor engineering, poor compliance โ€” not the concept itself.