Informed Patients make the best decisions

At the Golpa Dental Implant Center, we believe informed Patients make the best decisions about their health and well-being. That’s why we have created this frequently asked questions page.
If you don’t see an answer to your questions just contact us, and we’ll try our best to answer them

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General G4 Implant Solution

Unfortunately your existing Implants cannot be used due to the fact that this procedure requires bone reduction to create space for your bridge.  Also, many older implants do not have compatible parts for making this type of bridge. Therefore, we need to remove your existing Implants and replace them so we can create a durable, aesthetic, custom set of teeth.

You can; however, Dr Golpa trains other doctors and performs very complex procedures. Therefore, his fees start at $42,500+ and may incur additional charges for bone grafting and sinus lifts. Dr Golpa treats complex cases in the Las Vegas office only.

All associate Doctor’s were hand-picked by Dr Golpa; out of a pool of, more than 50 Dentists because they exhibited exceptional talent while training with Dr Golpa. Every Associate has performed this procedure more that 500 times, and placed thousands of Dental Implants.

Dr Golpa entrusts every associate with the reputation he has built over the decades, and with the substantial investment he has made in every state-of-the-art facility. Rest assured, that every facility with the GOLPA name, uses the same patented procedures, protocols, and techniques.

The G4 Implant Solution is the only protocol that provides a PERMANENT bridge, just hours after surgery. The All-on-4 procedure requires multiple visits over a year’s time, and requires that you wear temporary dentures over this time period.

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Your experience will be unlike any Dental Office you may have visited.

Our Doctors and the entire staff are welcoming, caring, understanding, non-judgmental, easy-going, professional, and extremely friendly.

We will treat you like a member of our family and change your perceptions of the Dental Office.

The entire procedure is completed in a 24 hour period. 

Day 1: Consultation- Ct Scans, X-Rays, measurements, pick tooth shade and shape, facial scans, discuss outcome with our Doctors, etc…….

Day 2: Surgery- Any extractions, placement of the implants (you will be required to go without teeth overnight for the last time in your life!. Remember, we are not giving you a temporary converted denture. You are receiving a custom-milled, highly aesthetic, hybrid bridge with a one piece milled titanium bar!)

Day 3: Delivery of PERMANENT hybrid milled bridges


With single implants it normally take 6-12 months to fully integrate into the bone. With the G4 Implant Solution we are able to gain primary stability of the implants, and they are held together by a titanium bar. This prevents micro-movement in the implants, that can occur with a single implant that bears all of the chewing forces. The implants will continue to integrate over the next several months, but because of our unique protocols and milling center you are able to enjoy the benefits of PERMANENT, fully functioning teeth, just hours after surgery.

Not necessarily whether you have a restoration on for five or six Implant if one of these implants fails the restoration is compromised. This myth is perpetrated by dentists with no experience in G4 implant solution.

Additionally, the more Implants placed, the less bone will be left to support the implants. Placing extra, unnecessary implants, will also make it harder to maintain proper hygiene by restricting the ability to clean under your bridge. If your Doctors examination determines that more than four Implants would be beneficial and feasible without Sinus lift, he will place them.

Initially, some patients find the experience of having their new bridges for the first time to be challenging. The mouth thinks this is a foreign object, and cannot duplicate the exact feel and function of your natural teeth, especially if your teeth have been missing or compromised for many years. The bridges provide a new sensation that requires time for your mouth to get used to them. Given time the bridges will feel as close to your natural teeth as possible.

Corporate dental centers are based on meeting the needs of the shareholders, not the needs of the Patients. They spend millions of dollars every month on advertising – and pass those costs on to you. They have multiple Dentists that all earn a share of the revenue – and pass these costs on to you. Everyone is paid based on a commission (how many Patients they can get in the door), and this can lead to “high pressure tactics”, in an effort to meet monthly quotas. If you have been to one you will know, chances are you never saw a Dentist before you were asked about your finances. That is your “Free Consultation”.

We truly care for our Patients, our reputation is built on going above and beyond to insure your satisfaction, health and well-being. There is nowhere to “pass the buck’ in our offices, we answer only to one person; YOU, Best of all WE GIVE YOU A PERMANENT BRIDGE WITH TITANIUM FRAMEWORK IN JUST 1 VISIT – NO OTHER FACILITY IN THE WORLD HAS THIS CAPABILITY!

When you compare our experience, technology, customer service, and dedication to you, it’s easy to see why we are the Clear Choice for any Full-Mouth Procedure.

Absolutely not. The choice is completely voluntary.

Because of the amount of implants we place, we receive special pricing from all of our vendors. Also, we have a Full Dental Lab and Milling Center, other facilities outsource the majority of their cases. Dr. Golpa has perfected every phase of this procedure, which allows our Dentists to perform your surgery with greater efficiency and predictability.

The Golpa G4 Implant Solution is vastly improved. Because of our proprietary protocols, experience, expertise, and investment into the most advanced milling machines in the world, we are able to fabricate your bar, and embed it into our custom-milled Crystal Ultra hybrid bridges in less than 4 hours. We are the only facilities world-wide that has this technology and expertise. This allows us to give you a permanent bridge in just 1 visit, allows you to enjoy the foods you love immediately following surgery, and save $1000’s.

Dr. Golpa is a general dentist that has performed this procedure more than 5000 times, which is more than any Oral Surgeon or Dentist in the world.

He is the pioneer of this procedure, has fine-tuned the process, and has taught more than 50 General Dentists and Oral Surgeons over the last decade.



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Financial Questions

We offer many payment options including in-house financing. Details Here

See pricing here: Click Here

For current pricing please use the form located here:  Email Me The Info

We bill all insurance companies as a courtesy for you. Typically insurance companies will only cover the extractions necessary @ $300-$500 per extraction ( this is not guaranteed). Any refund will be paid to you 30 to 60 days following the procedure.

In some cases medical insurance may cover more of the procedure, but only in case of an accident. If you have any questions contact your insurance provider and ask them to clarify your coverage’s,

Payment in full is due at the time of surgery. When using any financing, all arrangements must be made 2 weeks prior to surgery.

Personal checks (2 weeks prior to surgery), Credit Card, Cashier or Bank Check, Wire Transfer, Third-Party Financing (2 weeks prior to surgery)

It is important that you secure the funds necessary well in advance of your surgery date!

We realize that even though we offer this procedure at costs well below the national average, it is still cost prohibitive to some. By signing up for our mailing list we will have your information, and in the event that sometime in the future, Dr. Golpa is in a position, schedule-wise, cost-wise or we have another avenue available to help you, we can contact you.

If you need help getting dental care for yourself or a family member, this is a great resource:

An arch is either your upper (maxillary) or lower (mandibular) jaw.

Yes, Funds you withdraw from your HSA are tax-free when used to pay for qualified medical expenses as described in Section 213(d) of the Internal Revenue Service Tax Code. The expenses must be primarily to alleviate or prevent a physical or mental defect or illness, including dental and vision. A list of these expenses is available on the IRS Web site, in IRS Publication 502, “Medical and Dental Expenses.”

Any funds you withdraw for non-qualified medical expenses will be taxed at your income tax rate plus 20% tax penalty if you’re under 65.

The following partial list provides examples of eligible and ineligible medical expenses. This list is not all-inclusive. Remember, the IRS may modify its list of eligible expenses from time to time. As always, consult your tax advisor should you require specific tax advice.

Eligible medical expenses may include:
  • Acupuncture
  • Alcoholism
  • Ambulance
  • Annual Physical Examination
  • Artificial Limb
  • Artificial Teeth

Generally, taking money out of your Individual Retirement Account before turning 59 1/2 is a no-no because of the 10 percent early withdrawal penalty. However, if you have medical expenses for the year that would be deductible if you itemize your deductions, you can exempt that portion of the early IRA distribution from the penalty. Qualifying medical expenses include those you pay for medical, dental and vision care for yourself, your spouse and your family. Claiming the exception saves you the 10 percent early withdrawal penalty, so not reporting it properly can be a costly mistake.

More info:


If, for a taxable year, you itemize your deductions on Form 1040, Schedule A (PDF), you may be able to deduct expenses you paid that year for medical and dental care for yourself, your spouse, and your dependents. For years beginning after December 31, 2012, you may deduct only the amount by which your total medical expenses exceed 10% of your adjusted gross income or 7.5% if you or your spouse is 65 or older. The 7.5% limitation is a temporary exemption from January 1, 2013 to December 31, 2016 for individuals age 65 and older and their spouses. You figure the amount you are allowed to deduct on Form 1040, Schedule A. For more information, see Questions and Answers: 2013 Changes to the Itemized Deduction for Medical Expenses.

IRS Publication 502, Medical and Dental Expenses, contains additional information on medical expenses, including who will qualify as your dependent for purposes of the deduction and how you figure and report the deduction on your return.

Medical care expenses include payments for the diagnosis, cure, mitigation, treatment, or prevention of disease, or payments for treatments affecting any structure or function of the body.

Deductible medical expenses may include but are not limited to:

  • Payments of fees to doctors, dentists, surgeons, chiropractors, psychiatrists, psychologists, and nontraditional medical practitioners
  • Payments for in-patient hospital care or nursing home services, including the cost of meals and lodging charged by the hospital or nursing home
  • Payments for acupuncture treatments or inpatient treatment at a center for alcohol or drug addiction, for participation in a smoking-cessation program and for drugs to alleviate nicotine withdrawal that require a prescription
  • Payments to participate in a weight-loss program for a specific disease or diseases, including obesity, diagnosed by a physician but not ordinarily, payments for diet food items or the payment of health club dues
  • Payments for insulin and payments for drugs that require a prescription
  • Payments for admission and transportation to a medical conference relating to a chronic disease that you, your spouse, or your dependents have (if the costs are primarily for and essential to necessitated medical care). However, you may not deduct the costs for meals and lodging while attending the medical conference
  • Payments for false teeth, reading or prescription eyeglasses or contact lenses, hearing aids, crutches, wheelchairs, and for guide dogs for the blind or deaf
  • Payments for transportation primarily for and essential to medical care that qualify as medical expenses, such as, payments of the actual fare for a taxi, bus, train, or ambulance or for medical transportation by personal car, the amount of your actual out-of-pocket expenses such as for gas and oil, or the amount of the standard mileage rate for medical expenses, plus the cost of tolls and parking fees

Yes. you can make a secure payment here:

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Scheduling Questions

You can take the next step in changing your life by calling: 1-800-797-0406

Clicking the Live Chat button on the lower right-side of our website, or filling out the form below:

Because we have Patients visiting world-wide, we are usually booked 6-10 weeks out. We do have an occasional reschedule, but this is rare. If you are seriously considering the G4 Implant Procedure, we encourage you to secure your surgery date as soon as possible.

Yes, a $5,000 is necessary to schedule your surgery date. When you schedule your surgery date, we are committing significant time and resources to you, as well as, tying up the schedule for other Patients.

It is important that you are committed to having the procedure done prior to scheduling your appointment.

If it becomes necessary for you to cancel your surgery 2 weeks or greater of surgery, a cancellation fee of $500.00 will be charged.

If it becomes necessary for you to cancel your surgery 2 weeks or less before your surgery, 75% of the deposit will be forfeited.

CHANGE OF SURGERY DATE: If you request us to change your surgery date, it makes a tremendous amount of work for our staff and inconvenience to other patients who must adjust their times.

If your request to change dates is made more than 2 weeks before the date we have reserved for you, we will try to accommodate your request with no penalty.

If you call us less then 2 weeks before your surgery date, there will be an additional rescheduling deposit of $500.00 that must be paid before we can reschedule your surgery.

A deposit is required before scheduling any surgery. The deposit will be $5000.00. The deposit is credited to the amount of your surgery.

If we are unable to perform your surgery for reasons beyond your control a full refund of the deposit will be issued.

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Surgical Questions

Because you are prescribed medication 1 week prior to surgery, and the expertise level of our Doctor’s, Patients report that there is little pain regardless of the number of extractions, only moderate soreness. Any discomfort will generally subside in 72 hours or less. Flying or moderate activity is Ok 24 hours after surgery.

Our licensed Anesthesiologists will administer and monitor your conscious sedation. Conscious is a combination of medicines to help you relax (a sedative) and to block pain (an anesthetic) during a medical or dental procedure. You will remain in a “twilight” state, and can respond to commands, but remember little of the procedure. Conscious sedation lets you feel no pain, recover quickly, and return to your everyday activities soon after your procedure.

  • Antibiotics:
    Amoxicillin (Amoxil, Trimox) 500mg 21 tabs
    Take one tab three times per day starting two days before surgery until finished.

If allergic to Penicillin (Non-Anaphylactic Reaction)
Cefaclor (Ceclor, second generation Cephalosporin) 500mg 21 tabs
Take one tab three times per day starting two days before surgery until finished.

If allergic to penicillin (Anaphylactic Reaction: hives, itching, angioedema, respiratory distress)
Clindamycin 150 mg (Cleocin) 21 tabs
Take one tab three times per day starting two days before surgery until finished.

  • Anti-inflammatory:
    Decadron(Dexamethasone) 4.0mg-5 tabs Contraindicated for diabetic patients
    2 tabs day before surgery
    1 ½ tabs morning of surgery
    1 tab second morning
    ½ tab third morning

Diabetic Patients will be prescribed:
Motrin(Ibuprofen) 600mg 10 tablets-Take one tab one hour before surgery and then one tab three times a day(1 every 8 hours) until gone.

  • Peridex (Chlorhexdine Gluconate) 16 ounce bottle-Rinse capful twice a day for 30 seconds. Start one week before surgery and resume after surgery for one more week.

The surgical portion of the procedure is approximately 2 to 2.5 hours. The lab portion, while you are relaxing, takes another 2 hours. 

If you are diabetic your blood sugar should be controlled and we will not perform the surgery if the A1-C is above 7, because the chances of Implant failure goes up to 30%.

More Info here:

You must stop nicotine use 30 days prior to your surgery. Nicotine in any form has been shown to reduce the blood flow in the mouth. Smoking is detrimental to implants, and voids all warranties.

More help to quit is located here:

It is preferable not to have the teeth extracted prior to surgery, because when our Dentists perform extractions it gives them a reference on where to place the implants. Also tooth extraction should be done very atraumatically in order to preserve an adequate amount of bone. Extractions are included in the cost of the G4 Implant Solution.

This is the least invasive procedure which is done under sedation. After extraction and implant placement, the bridge will be sitting on implants only and NOT on the soft tissue. The gum will be completely closed up after surgery therefore there is no socket exposed and no dry socket.. Patients are placed on anti- inflammatory medication prior to surgery, therefore there is no pain or swelling. 9 out of 10 patients do not even take any pain medication after this procedure.

smile guideWe will go over multiple smile library’s both print and digital, go over every shade, and simulate your new smile digitally for your approval. We also encourage you to bring photos of either your ideal smile, or your actual teeth (when they were healthy). Since we use advanced digital design and CAD/CAM we are able to incorporate as many of these aspects as possible; as long as we are still able to provide function.Bleached-extension

90% of Patients that have been told they are not candidates for traditional Dental Implant options are candidates for this procedure. This procedure uses the frontal area of the jaw and in most cases requires no bone grafting or sinus augmentation.

Considering the fact that the frontal part of the jaw has the more dense bone, instead of the conventional method of placing the Implant straight into the bone (which can require sinus lift and bone grafting) and minimum 6 to 9 months waiting time and healing time, this technique differentiates by placing the back Implants at an angle. Not only do you benefit from the dense bone in the frontal part of the jaw, but we can place a longer Implant, with a much less invasive procedure, without entering into the sinus cavity on the upper arch.

Yes. You can upload your files HERE

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Dental Materials Questions

The implants are Ti 6AL-4V ELI (Grade 23) Medical Grade Titanium. The benefits of this titanium, make Grade 23 the ultimate dental and medical titanium grade.

The Neodent line is owned by Swiss Company, Straumann, who are pioneers in dental implant manufacturing and development. Neodent implant solutions offer outstanding product performance with a proven track record of clinical success and patient satisfaction. Backed by lifetime warranty clinicians and patients can feel confident in choosing Neodent.

More Information Here


Natural Translucency

G4 Ultra Bridges are made from pure, highly crystalline co-polymer possessing an optimal combination of high tensile and flexural strength, fatigue resistance, hardness, and aesthetics. The material is manufactured to our specifications, and processed with “trade secret” protocols in our state-of-the-art laboratories. We have manufactured well over 10,000 hybrid bridges, and this material outperforms any in both Laboratory and real-world testing.



A Titanium bar is a substructure that is used for reinforcement of the bridge and it’s embedded in the G4 Ultra teeth. It is what makes your restoration PERMANENT and gives it the strength to enjoy the foods you love.


Many practices offer some warranty as a courtesy, but we put in in writing. We stand by our G4 Implant Solution with a Lifetime warranty on our Dental Implants. Most practices will charge extra for these services, even though the cause of this failure is sometimes due to their own error.

In the rare case of implant failure, not only we remove the implant and replace it at no charge, but any corrective procedures required will also be performed at no cost.

Your bridges and implants should receive special care and maintenance every 6 months. If you choose to return to a Golpa Dental Implant Center, a complete assessment of your dental implants and bridge(s) will be conducted at each re-care appointment which will include:

Visual assessment of the patient; including examining the patient for signs of inflammation, bleeding, changes in probing depths, mobility, or exudate around the implant(s), and debridement of your dental prosthesis. In addition, we will radio-graphically examine your Implant(s) to determine whether changes have occurred in bone levels. We will also conduct a careful review of your current medications, as well as a review of your health status.

Due to the nature of the tissue attachment surrounding the implant(s), Dental Implants may be more susceptible to inflammation and bone loss when plaque accumulates. Proper maintenance of the tissues will ensure longevity of the Implant(s). Your home-care routine can significantly influence Implant success. After your re-care appointment, a patient-specific home-care routine is developed for you.

Your G4 Ultra®/Titanium bridge(s) are warrantied for a period of 2 years. Within the warranty period we will repair or replace bridges that fail due to workmanship at no charge.

The cost to replace your G4 Ultra®/Titanium bridge(s) after 2 years is $2,500/ea. This is a non-surgical one-day process.

Dental Implant Warranty Limitations

If a dental implant fails to integrate we will replace it at no cost, one time only. An annual implant examination including x-rays and regular cleanings is an absolute requirement for any warranty to apply. The Lifetime Warranty Dental Implant Warranty does not apply to continue to smoke or persons who have, or who develop, an uncontrolled systemic health problem, such as, but not limited to; diabetes, autoimmune disorders, severe osteoporosis, or any condition requiring long steroid use. If smoking or a medical condition is suspected as the cause of implant failure or other complication that requires treatment, an examination and blood tests will be required for warranties to apply.

Your G4 Ultra®/Titanium bridge(s) are warrantied for a period of 2 years. Within the warranty period we will repair or replace bridges that fail due to workmanship at no charge.

The cost to replace your Your G4 Ultra®/Titanium bridge(s) after 2 years is $2,500/ea. This is a non-surgical one day process.

Prettau Zirconia® Bridges are warrantied for 5 years, but can last much longer with proper care and maintenance.

The cost to replace your Your Prettau Zirconia® bridge(s) after 5 years is $4,500/ea. This is a non-surgical two day process.

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Aftercare Questions

The bridges should be cleaned every 6 months. Proper maintenance is extremely important to the stability of the implants, as well as, the longevity of the bridge. We do provide an optional Maintenance Program that can help in achieving the maximum results at reduced fees, and provide valuable piece-of-mind. The cleaning can be done by a local affiliate Dentist, or any dentist familiar with the All-on-4 Procedure.

Brush your bridges like you did your natural teeth. Toothbrush and toothpaste, 3 times a day; 2 minutes total brushing time. Electronic toothbrush is highly recommended.
Waterpik after 1 wk of receiving your bridges. During those 7 days without your waterpik, you will use the rotary brush that were provided by our office to clean under your bridges. Dip the proxy brush in your prescription rinse instead of using toothpaste on it. After a week you may start using your waterpik. Use your waterpik after each meal if possible, and if not; be sure to use it in the morning, and before you go to bed at night. Keep in mind that if you do not waterpik daily, food will accumulate under your bridges, causing plaque build up and tartar on your implant abutments. A portable waterpik is recommended, so you can easily travel with it on the go.

In the rare case of an infection, excessive swelling, pain etc., a prescription will be called into your local pharmacy. The only way for any Dentist to treat these symptoms is via medicines.

Since you are receiving a permanent set of teeth, any issues with the bridge will be negated.

For the last 5 years Dr. Golpa has trained highly-skilled Doctor’s in his G4 Implant Solution protocol, and is now opening world-class clinic’s and working with affiliate dentists throughout the U.S.

Remember, have treated 1000’s of Patients using our G4 Implant Solution, your health, well-being, and overall satisfaction are our #1 priority, that is what we do, and why we have 1000’s of happy patients.

We recommend returning in 4 – 6 months for a reline of your bridges, and to verify the integration of your implants. At this time we will make changes to your bridges if you wish.

We recommend returning in 4 to 6 months for a reline of your bridge and for post op check. At this time we can make changes to your bridge if you wish. Changing the shade of the bridge requires fabricating a new set of teeth, and will incur additional charges.

Waterpik Water Flossers provide a unique combination of water pressure and pulsations to massage and stimulate gums, and remove plaque deep between teeth and below the gumline where traditional brushing and flossing can’t reach.

The Waterpik Ultra Water Flosser is ideal for those who don’t like to floss, and anyone with braces, implants, crowns, bridges or periodontal pockets.

Yes, there is a small space between your bridges and your gums, because your bridges are implant supported and sit on the abutments. You can easily use a Waterpik to clean this space at least twice a day.

All cases are different depending on bone density, and the level of torque our Doctor’s are able to achieve on the implants. But due to the fact that you will receive a titanium reinforced bridge on your first visit, most Patients can return to eating any foods they wish immediately following the procedure! You will receive specific instructions in your case from your Doctor.

Gary Y | G4 Implant Solution Patient Testimonial from Mike Golpa on Vimeo.

t-scan-8-software-on-screenTekscan Pressure Mapping, Force Measurement & Tactile Sensors

Historically, the field of occlusion in dentistry has been dominated by subjective analysis and “patient feel” to diagnose and treat problems related to the bite. Articulating paper is an occlusal indicator that only shows points of contact between teeth. However, paper alone cannot provide data on the level of force and timing of when the teeth come together.

With T-Scan’s digital bite force data, clinicians can pinpoint occlusal interferences, quickly remove them, and treat patients with greater accuracy than ever before. T-Scan is also a great visual aid that helps patients to better understand their occlusion and the treatments that may be necessary to balance bite forces.

Click here for more information

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Traveling and Accommodations Questions

With our special pricing, the hotel is NOT included.

You can find the best hotel rates here:


No, you can find reasonable flights here:

We will arrange for a driver to pick you up from your hotel and bring you to our office. Because of the varying flight times, we suggest using either; and airport shuttle,or taxi to bring you to your hotel.

We HIGHLY RECOMMEND traveling with a companion, to be with you after surgery. If you must travel alone, you will stay in our office until all the effects of the sedation and worn off and you are fully alert. The driver will also escort you to your hotel room.


For our Las Vegas location the airport is: McCarran International Airport

For the last 5 years Dr. Golpa has trained highly-skilled Doctor’s in his G4 Implant Solution protocol, and is now opening world-class clinic’s, and working with affiliate Dentists throughout the U.S.

When you visit any of our world-class centers you can expect the same level of care from our Highly-Skilled Doctors, using state-of-the-art equipment, and the most advanced technology, in the most luxurious clinics in the world.

Traveling for the expertise, quality, and fee structure offered at Golpa Dental Implant Center is made easy by our friendly Patient Concierge consultants. We are the only facilities in the world to offer a Permanent Hybrid Bridge with Titanium Framework in just 1 visit.

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