Out Of Town Patients

What To Expect
Process for Implant Retained Fixed Bridges
For those traveling to us from out of state, we have a process that works a little differently than the process for our local patients. You will need to send us a recent panoramic x-ray at minimum, however, a CBCT/3D x-ray is much preferred to gain a more accurate estimate of the work that will need to be performed.  This x-ray will need to be sent to our office to assure this is a case Dr. Peyray is able to take on and to estimate the cost of the procedure.
Once we receive this x-ray and Dr. PeyRay has decided that a fixed implant-retained bridge is your best option, we will ensure that all of your questions have been answered, we will then ensure financial arrangements are made. After that, we will schedule a week that is best for you and our office for the following appointments: Monday -Scan, Tuesday -Surgery, Wednesday -Delivery of Prosthetic, and Thursday -Post op. We will need you for 4-5 days. 
implant retained fixed bridges
Process for Implant Retained Fixed Bridges
For those traveling to us from out of state, we have a process that works a little differently than the process for our local patients. You will need to send us a recent panoramic x-ray at minimum, however, a CBCT/3D x-ray is much preferred to gain a more accurate estimate of the work that will need to be performed.  This x-ray will need to be sent to our office to assure this is a case Dr. Peyray is able to take on and to estimate the cost of the procedure.
Once we receive this x-ray and Dr. PeyRay has decided that a fixed implant-retained bridge is your best option, we will ensure that all of your questions have been answered, we will then ensure financial arrangements are made. After that, we will schedule a week that is best for you and our office for the following appointments: Monday -Scan, Tuesday -Surgery, Wednesday -Delivery of Prosthetic, and Thursday -Post op. We will need you for 4-5 days. 
Preparation: Monday Visit 1
(The next step is gathering all of the digital images and information we need to start working on your new smile!)
Intraoral digital images/scans will be taken and used during the design process for your temporary prosthesis by allowing our lab to see how your mouth will look once the teeth are removed. 
Extraoral digital scans will be taken of your mouth and face in numerous positions. This also assists in the design by showing features like your profile and lip movement so the temporary bridge will be as aesthetically pleasing and proportionate with your face as possible. 
Regular photos will also be taken of your mouth, teeth, and face at various angles. These will be kept for our records and will also be the “before” images used in comparison to the images we will take once your journey is complete and you have your final new teeth. 
All necessary consent forms will be reviewed and signed, along with a copy of the warranty for your implants and bridges; sedation medications will be dispensed.  
Surgery: Tuesday Visit 2
All procedures to remove remaining teeth, place implants and affix your new temporary set of teeth to the implants will be completed, and yes, your new teeth will be screwed in, not removable. The prosthetic is usually placed same day unless Dr. Peyray believes it will be best to deliver the next day. 
Total appointment time can vary widely per patient. We generally estimate between 4-6 hours from start to finish; the majority of this will be non-surgical time while your temps are being made. These surgeries always start at 6:45am  
Delivery Of Prosthetic: Wednesday Visit 3
This will be done same day if possible, but may be delivered the day after surgery in order to give the lab time to make a great temporary fixed bridge. Because you will only be in town for several days the lab needs time to ensure the prosthetic is assembled perfectly. This takes time.   
Post-Op Visit: Thursday Visit 4
You will return 2 days after the surgery to check the surgical sites, healing status, and temporary prosthesis. 
After this appointment,  no regular visits will be necessary for approximately 4-5 months. This is the time we allow for your bone and implants to heal from the surgery and prepare for the final prosthesis.   
PART 2 (Travel back to Nashville) TO EVALUATE & START FINAL STEPS
Approximately 5-6 Months From Surgery Date-Monday
Evaluate healing and confirm you are ready for the last phases of your treatment. At this visit, you will provide feedback on your likes and dislikes related to the temps you have been wearing. We will at this time take a new digital scan to fabricate the permanent fixed bridge. 
The lab will then begin fabricating your permanent bridge and will generally have it ready to be delivered to you within 3 days from that point. You will do a fixed prosthetic try-in to see how it looks, fits, and feels once it’s made then we will make any necessary adjustments to finalize your permanent bridges. 
Complete Final Delivery
Once the final bridge has been attached,  the access holes will be permanently sealed. At that point everything with your final bridges will be completed and finalized.
We will take “after” images to show off that new amazing smile and see how far you’ve come since the “before” images were taken!  
One Year Maintenance
Return yearly after final delivery for examination and any needed maintenance to assure longevity of your investment.   
Information for Traveling Patients
My New Smile is proud to serve patients from all over the country (and even internationally), and we are proud to provide our out-of-town patients with meaningful, life-changing implant dentistry treatment.
If you are coming to us from out of town and need recommendations for hotels and fun activities in Nashville, we’re happy to help. Below we have provided some helpful information for you (and your potential traveling companions) to plan your trip.
Here’s the information for our Out-of-town patients.
West End Nashville hotel
Entertainment Options
Attraction tells the story of popular American music through artifacts & interactive exhibits.
Known as the “Mother Church of Country Music,” this venue hosts diverse concerts & daily tours.
Visitors come for daily tours & weekly live radio shows featuring classic & new country acts.
Built in 1897, this full-scale replica of the Athenian Parthenon also houses American art galleries.
Entertainment district renowned for honky tonks and live country music. The street is also home to retail shops, restaurants, dessert spots, tourist attractions, and a few hotels
Dining Options
Chic diner for classic American comfort food with a global spin, plus cocktails, in a hip space.
Upscale dishes in a neutral-toned space with a bar backed by picture windows & city skyline views.
Refined American fare served in lofty, rustic-industrial surrounds with a tree-lined patio.
Creative spins on Japanese, Chinese, Thai, Vietnamese & Filipino cuisine in a stylish, modern space.
Spanish small plates, paella, cocktails & wine are offered in an intimate, late-night setting.
Transportation Options
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