Denture cleanser tablets are dropped into warm water to create an effervescent solution. Dentures are removed from the mouth and placed in the solution. Soaking dentures in the cleaning solution helps kill germs that can cause odor. The amount of time dentures should be soaked—from a few minutes to overnight—depends on the manufacturer’s instructions.
Implant technology can vastly improve the patient's denture-wearing experience by increasing stability and preventing bone from wearing away. Implants can also aid retention. Instead of merely placing the implants to serve as blocking mechanism against the denture's pushing on the alveolar bone, small retentive appliances can be attached to the implants that can then snap into a modified denture base to allow for tremendously increased retention. Available options include a metal "Hader bar" or precision balls attachments.
Before I close, I'd like to add a word on fees as well. I almost hesitate to call this an affordable dental office, simply because they obviously put care first. All dental offices should do what this office does and provide options, but few do. It's that commitment to patient care and letting you choose what's right for you that makes them more affordable, versus the offices that cut corners to save you a buck. That's a major difference worth noting. They also have an on-site lab, which saves costs as well.
When are Dentures Necessary?What are Temporary Partial Dentures?If you’ve had teeth removed due to decay or gum disease and will be receiving permanent dentures, your dentist may suggest temporary or “immediate” dentures. These are dentures you can wear for the first two to three months immediately after tooth removal. They can be especially helpful for someone with a history of sensitive teeth and gums, since the patient does not have to be without teeth while the area heals, and any remaining sensitive teeth are subject to less pressure from chewing food.The creation of temporary dentures may require four to five dental visits prior to tooth extraction. Temporary dentures are made using basically the same technique as a permanent denture, but because they are made in advance of any surgery, you can’t tell exactly how your mouth will look after teeth are removed. By contrast, the molds for conventional dentures are made once the gum tissues have healed following any tooth extractions, which takes about six to eight weeks. During this time, the gum tissues will shrink and so the fit of temporary dentures will change.Temporary Dentures CostThere is an added cost associated with immediate dentures, but when you’re trying to determine what dentures cost and how to pay for them, remember that you have several options.Most dentists take major credit cards and some offer financing plans that let patients pay for major procedures, such as tooth removal and dentures, over time with low monthly payments. Ask your dentist about financing. Also, if you know in advance that you want to get dentures, you may be able to set aside money in a flexible spending account or health care savings account to help cover the cost of dentures.Immediate dentures cost more than conventional dentures because more time goes into preparing them. There are several advantages that may make them worth the cost. The main advantage of immediate dentures is that you don’t have to go out in public without teeth following tooth removal. An immediate denture is placed at the same visit as your tooth removal, so they serve as a bandage to control bleeding and protect gum tissue. Also, if you have immediate dentures you can start adjusting your speech to wearing the denture immediately.Not everyone is a good candidate for immediate dentures. Cost can be a prohibiting factor, or your dentist may advise against immediate dentures depending on your general health and oral health.What are Permanent Dentures?Dentists will work with you to preserve your natural teeth if at all possible, rather than extract them, but sometimes permanent dentures are the only way to provide the appearance of teeth and facilitate eating and speaking.Permanent Dentures ProcedureGetting permanent, full dentures takes about three to six weeks. The denture-making process involves several dental appointments and follows these steps:Impressions: Your dentist takes several impressions of your jaw and measures the space in your mouth.Models: Your dentist makes a mold of wax or plastic in the exact shape of the denture so you can try it and make any adjustments to the color, shape, and fit before the permanent dentures are made.Cast: The final dentures are cast, and then adjusted as necessary.When you first receive your permanent dentures, your dentist may recommend that you wear them 24 hours a day, even while sleeping, because this is the easiest and quickest way to determine whether there are any spots that need adjustment. It’s important to ensure a good fit right away, because poorly fitting dentures can be irritating to the gums.Once you have adjusted to the dentures, you can remove them at night to allow normal stimulation of the gum tissues by the tongue and saliva, which helps keep your gum tissue healthy.Temporary Dentures vs. Permanent Dentures Pros and ConsOne main disadvantage of temporary dentures is that, because they’re made in advance and placed as soon as the damaged or decayed teeth are removed, the fit will not be exact. So they may require more frequent adjustments to get a good fit. Consequently, they should only be considered a temporary solution until the permanent dentures are ready.You may find that both temporary and permanent dentures take some getting used to. Don’t worry if the dentures feel loose at first—your cheek and tongue muscles will need to adjust to them. And don’t worry if you notice more saliva in your mouth than usual, or if you notice minor soreness or irritation. These problems usually resolve on their own. But if you experience major discomfort that doesn’t seem to improve, see your dentist to have the dentures adjusted.You may also opt to have your temporary dentures realigned for a better fit so you can use them as permanent dentures. Or, you can keep them as a spare set so you won’t find yourself without teeth if your permanent dentures should get lost or become damaged. If your dentures need repair or realignment, they will have to be sent to a laboratory and probably kept overnight.When are Dentures Necessary?Not everyone needs a full set of permanent dentures. A dental bridge fills a gap created by one or more missing teeth. Removable partial dentures are another option for replacing missing teeth. There are several reasons to consider removable partial dentures. Not only can partial dentures improve your appearance, they can improve your oral health by keeping your remaining teeth in place. If you opt for a dental bridge, your dentist will fit customized crowns to the teeth on either side of the gap to be bridged. A false tooth (or teeth) called a pontic is attached to the crowns and replaces your missing tooth (or teeth).Depending on your oral health care needs, you can choose partial dentures that are removable, but bridges are permanently cemented into place. There are three main types of bridges to suit a variety of dental restoration situations:Traditional: This style involves placing crowns on the teeth that border the missing teeth.Cantilever: This style is used if you only have teeth on one side of the missing tooth or teeth.Maryland bonded: This type of bridge consists of a porcelain tooth (or teeth) in a metal framework, with wings to attach it to existing teeth.Keeping the surrounding, supporting teeth healthy is essential to get the maximum benefit from a dental bridge, so be sure to follow a regular oral care routine of twice-daily tooth brushing and daily flossing. If you practice good oral hygiene and see a dentist regularly, partial dentures can last from 5 to 15 years.
On the cheap or “discount denture” end, you get units with premade fits that often look artificial. Less expensive sets are generally made with lower quality materials and their warranties reflect that. In the end, cheap dentures lack the desired lifelike look, are more prone to crack or break outright, may have poor bite alignment, and are typically less comfortable.
Periodontitis is defined as an inflammatory lesion mediated by hot-parasite interaction that results in the loss of connective tissue fibre attachment to the root surface and ultimately to the alveolar bone. It is the loss of connective tissue to the root surface that leads to teeth falling out. The hormones associated with pregnancy increases the risk of Gingivitis and vomiting.
We paid for extraction and dentures and it was for 2 sets one to wear until gums heal and so we did but it took so much time because they said not ready on gums. This went on & on and then they would NOT answer their phone when we called for the permanent set (we paid for) and they would not return messages. So 2 years have gone and I am left with the first set used until gum set and they are awful and this place is in Odessa, Texas. They are cheats and liars.
Implant technology can vastly improve the patient's denture-wearing experience by increasing stability and preventing bone from wearing away. Implants can also aid retention. Instead of merely placing the implants to serve as blocking mechanism against the denture's pushing on the alveolar bone, small retentive appliances can be attached to the implants that can then snap into a modified denture base to allow for tremendously increased retention. Available options include a metal "Hader bar" or precision balls attachments.
An immediate denture can often be made so that the patient has something to wear the same day the teeth are removed. This type of denture is made before the teeth are extracted and is put in place the day the teeth are removed. Sometimes the back teeth are taken out first and the front teeth are left in place until the day the denture is delivered. This type of denture doesn't fit the bone and gum tissue as intimately as a conventional denture, so it requires more adjustments during the healing stage. An immediate denture is best used as a temporary appliance until a conventional denture can be made after all of the gum and bone healing is complete.
I went back a few months later, in excruciating pain. The front office girl, Renee, proceeded to tell me "the mouth exaggerates" and asked if I had a regular dentist. The reason for my visit was related to my dentures and Dr. ** advertises as a general dentist. Renee then went on to say I need to wear my denture sparingly... so while I'm at work and no one is in my office I should remove them. What??!! Is this normal?? Trina did a liner that looked like donkey teeth. Thanks, Trina. Took them out as soon as I got home.
Dr. Okunuga’s dental center has an on-site dental lab that fabricates new dentures and provides repairs and relines, often with same-day service. Being able to provide dentures in a day is a significant advantage, especially for patients who have traveled far distances. The on-site lab also eliminates the need to use outside commercial labs, which helps keep our fees low.
FRANKLIN, INDIANA -- On June 19 and 20, 2013, I visited Affordable Dentures, Franklin, Indiana, to receive same-day partials. From the clinic published offerings, I selected what is termed "The Premium Package," at a cost of $1780. The Package consists of a set of full or partial dentures, with the promise of being allowed to return at any time during the first year of wear for repair and adjustments. A final set is then placed in the patient's mouth. The words "at any time" echo throughout the clinic as the patients are being fitted for teeth, and again, as they leave: "You may come back any time you need to." That promise turns out to be a lie, particularly for purchasers of The Package.
This is my third time taking my grandpa to this establishment. Every time our “appointment” is never when we go back. We have to wait almost 3 hours to even get to the back. When I asked someone at the desk how long it would be they said “you are next to go back” that was almost an hour ago, and more than 7 people have went in before us. If you make an appointment you should not have to wait 3 hours for someone who has not made an appointment.
We continue to invest in our dental lab technicians by providing opportunities to advance their technical and professional skill sets. Our technicians receive assistance with continuing education, work with cutting-edge technology, and learn innovative techniques, including advanced implant prosthetic-restoration training. Our technicians also receive professional recognition within the field of dental lab technology, such as becoming a Certified Dental Lab Technician.
Denture Materials – Your dentures can be made from acrylic, nylon polymer, or cobalt metal. Each material offers its own distinct set of benefits and factors into the price you pay for your dentures. Metal, for instance, is more costly because it’s difficult to break, while denture plates made from acrylic resin are less expensive, more flexible, and can be tinted to match your natural gum line.
I STILL HAVE THE TEMPORARY DENTURES THAT WAS MADE IN 2014. NO ONE CALL AND SAY THE PERMANENT DENTURES WAS READY. WENT IN 2018 AND WAS TOLD THAT THEY WOULD MAKE THE PERMANENT ONES AND THEY NEVER FIT. WAS REFUNDED HALF OF THE MONEY I PAID. TOLD ALL OF MY FRIEND NOT TO GO THERE BECAUSE THEY WERE NOT TRUE-FULL VIDEO STATING FULL REFUND IF NOT SATISFIED. NEVER NEVER AGAIN
Dentures that fit well during the first few years after creation will not necessarily fit well for the rest of the wearer's lifetime. This is because the bone and mucosa of the mouth are living tissues, which are dynamic over decades. Bone remodeling never stops in living bone. Edentulous jaw ridges tend to resorb progressively over the years, especially the alveolar ridge of the lower jaw. Mucosa reacts to being chronically rubbed by the dentures. Poorly fitting dentures hasten both of those processes compared to the rates with well-fitting dentures. Poor fitting dentures may also lead to the development of conditions such as epulis fissuratum. In addition, the occlusion (chewing surfaces of the teeth) tends to wear away over time, which reduces chewing efficacy and decreases the vertical dimension of occlusion, (the "open-ness" of the jaws and mouth).
If you still aren’t sure whether or not dentures are right for you or if you have other questions or concerns, talk to your dentist at your next regular dental checkup to discuss the right path for you. If you are looking for a dental professional who specializes in dentures and can best address your specific needs, check out 123 Dentist and find a dentist in your area who’s a perfect fit for you.
Lab management needs better education on how to speak to employees when they make mistakes and to not put so much pressure on trying to make everything perfect. I felt as after my 90 days were up the lab manager started treating me differently in a negative way. I know I was struggling and my performance may have been slightly off towards the end due to personal issues but management could have handled it differently instead of being more demanding.
Treatment for lost teeth can be hard to find even in a metropolitan city like Dallas. Denture treatment and fitting needs to be done by a clinic with the highest level of skill and professionalism, like Dallas Dentures & Implants. Because we strive for a relaxing, comfortable environment and we treat our patients with a gentle care that is personalized to each individual, it is easy to forget that we also utilize cutting edge technology and the latest in prosthetic tooth replacement procedures. Add to that our 30 years of experience in medicine and it is easy to see why we are a leader in our field.
DENTURES DO NOT FIT! DO NOT USE AFFORDABLE! #BOYCOTTAFFORDABLEDENTURES. My father went in for dentures, they are so loose he cannot eat healthy. The first time he went back they put a liner in the uppers to make them tighter, he is using a lot of Poligrip on both the uppers and lowers. He had teeth removed from the bottom and they waited for the gums to heal before measuring for dentures. It has been about 3 months and the dentures, especially the bottom are so loose it hurts him to eat because food gets stuck under the dentures. It is funny because on his first visit the Affordable dentist made fun of how loose his upper dentures were (he has had them for 4 years), they were done by a different dentist. On his first visit he was told by the dentist that the Affordable dentures would fit tight, they don't!
The front office staff does not greet you or ask how they can help you when you come it they look at you and watch you stand at an empty desk until a patient sitting in the lobby advises the customer where to go. The staff in the back are excellent they keep you informed and will try to assist any way they can. The Dr was great helping me as a patient however the patient does not need to hear or see him reprimand the assistant when they mess up or do something wrong. I don't need to know something is incorrectly done. Now as for as my service I had a horrible experience I arrived on time but because they didnt have my paper work told me I would have to wait an hour and half til the office who had the info open I told them I can go home and get my copy before the office opens. My upper denture was fitted a nice fit but when I returned my upper were crooked and the left side looked like baby teeth ere used then adult teeth on the right side ...and angle is very obvious. The whole process time it took to make it was something that could not be correct the same day because a whole new denture need to be made. In the meantime I can wear the crooked one until my next appointment woke up this morning my more is so sore from eating and the rubbing of the new denture on my gum line A very unpleasant experience
Some partial dentures are made almost entirely of acrylic – but just like metal framework dentures, acrylic dentures have wire clasps that attach to any remaining natural teeth. These are generally used as a cost-effective alternative to metal-based partial dentures. They can also be used for transitional dentures when you’re expected to have additional prosthetic treatments, such as implants, in the future.
The reason the cost for either "new" (conventional, non-immediate) or "replacement" full dentures is the same is that for the most part all of the steps that the dentist must take, and the number of appointments needed, are essentially the same in both cases. Also, all of the costs they encounter (like the price they pay a dental laboratory to fabricate the appliance) are the same too.
I went back a few months later, in excruciating pain. The front office girl, Renee, proceeded to tell me "the mouth exaggerates" and asked if I had a regular dentist. The reason for my visit was related to my dentures and Dr. ** advertises as a general dentist. Renee then went on to say I need to wear my denture sparingly... so while I'm at work and no one is in my office I should remove them. What??!! Is this normal?? Trina did a liner that looked like donkey teeth. Thanks, Trina. Took them out as soon as I got home.
In some cases, oral surgery is performed to correct bony ridges that may interfere with the stability of the denture. In other cases, the remaining teeth may need to be extracted before placement. Once your dentist has decided that dentures are right for you, he will make an impression of the gums to identify every ridge and crevice to ensure the best fit possible.
We continue to invest in our dental lab technicians by providing opportunities to advance their technical and professional skill sets. Our technicians receive assistance with continuing education, work with cutting-edge technology, and learn innovative techniques, including advanced implant prosthetic-restoration training. Our technicians also receive professional recognition within the field of dental lab technology, such as becoming a Certified Dental Lab Technician.
I wasted 4 hours of my time today to be denied service I requested. Apparently the dentist is too worried about being sued (a statement she made to me about her not wanting to be sued if I changed my mind after the fact - you'd think they'd have some kind of legal waiver for patients like me) to consider the fact that I'm in extreme pain, have limited resources, have spent 30 years and tens of thousands of dollars to fix the teeth that she wants kept in my mouth and I want removed. The impact of my current condition is both physical and emotional. However, to her credit she said it was in my best interest not to get dentures and was not charged for the visit. I'm irritated that my opinion didn't count at all and was flat out denied service I wanted.
Although dental implant success rates are high, there are cases in which the implant will fail. Most cases of implant failure can be prevented if the patient maintains his or her oral health and chooses a qualified implant dentist to plan and perform the procedure. Dental implants are more likely to fail in the maxilla (upper jaw) than in the mandible (lower jaw). Possible reasons for implant failure include:
Dr. Walton's dental center has an on-site dental lab that fabricates new dentures and provides repairs and relines, often with same-day service. He crafts single-visit crowns using the latest CAD/CAM technology to deliver a custom, natural-looking restoration. Dr. Walton has incorporated the use of Laser Technology in his practice to provide his patients with the leading edge options for surgery and periodontal treatment. Being able to provide dentures and crowns in a day is a significant advantage, especially for patients who have traveled far distances. The on-site lab also eliminates the need to use outside commercial labs, therefore helping to keep costs low.
I had 16 teeth pulled and plates made for under $1,000. I went in in the morning and had new teeth the early the next morning with the main cost being $40 a tooth for pulling which took about a half hour. The upper fits well and I have been getting by with lower, need it refitted but do not have the doe re me at present. It is just crazy what dentists and doctors charge for routine proceedures here in the US.
Denture adhesive is a paste or glue that helps the denture adhere to the supporting tissues instead of relying on suction or clasps. Sometimes the adhesive is called denture cream. A small amount of denture adhesive can be applied evenly to the clean surface of a denture to enhance stability and retention. It shouldn't be used to compensate for a poor-fitting denture or as an alternative to visiting the dentist for regular checkups.
Often, the process of getting beautiful, custom dentures begins with one or more tooth extractions. Next, your dentist will begin the process of creating your new dentures. A conventional denture is fitted after a full-mouth extraction (removal of all teeth) once your gums have healed. In most cases, immediate dentures are created and placed immediately after your extractions, allowing the gums to heal underneath the appliance.
The dentist let the receptionist girl put the goo in the ID that's sets to a clear rubber to cushion between the ID & my newly extracted teeth. It had too much on one side, was crooked in my mouth & at the top on the other side had no cushion lining which caused a bad sore to form almost immediately. After 5 days I couldn't take it anymore. I drove there (55 miles) to get them to redo the lining. The first time it took her all of 5 minutes to do it. I walked in, they were all there... but was informed that they were ‘about' to leave & told I had to come back the next day! No compassion or good customer care for their patients. DO NOT GO HERE!
Sometimes, a Dallas dentist is not fully capable of dealing with the specialized needs of certain clients. That is where Dallas Dentures & Implants can help. We are a professional and courteous clinic that provides all types of prosthetic and aesthetic dental improvement. We specialize in this sort of work and are able to offer services from doctors who are experts in their field at a reasonable prices.
First and Foremost, this is the nicest and cleanest dental office I have ever been in !! I am always very nervous to go to the dentist and Dr Athari and his staff made me feel very comfortable. I would highly recommend going to this office and ONLY this office. My tooth ache is finally gone, and Dr Athari gave me my smile back :) I could not thank Affordable Dentures Mesa enough !!!!
Stability is the principle that describes how well the denture base is prevented from moving in a horizontal plane, and thus sliding from side to side or front to back. The more the denture base (pink material) is in smooth and continuous contact with the edentulous ridge (the hill upon which the teeth used to reside, but now only residual alveolar bone with overlying mucosa), the better the stability. Of course, the higher and broader the ridge, the better the stability will be, but this is usually a result of patient anatomy, barring surgical intervention (bone grafts, etc.).
When we say we’re changing the face of dentistry, we mean it in every sense. Wait until you see the difference that same-day service makes. It differentiates AD&I affiliated practices and Affordable Care and, most important of all, transforms the lives of patients. So you can expect to see smiles and to hear how you and your teammates have impacted their lives. And isn’t that why you do what you do?
Before we discuss the factors that will impact your buying decision, let’s first make a very important distinction: Seeking out affordable dentures prices is not the same as getting “cheap” dentures. You can get fitted by a seasoned, skilled dental professional and get quality dentures at an affordable out-of-pocket price. Affordable dentures refer to the value you get for your financial investment, and you can get well-crafted dentures that fit properly without paying thousands of dollars for them.
After receiving dentures, the patient should brush them often with soap, water and a soft nylon tooth brush which has a small head, as this will enable the brush to reach into all the areas of the denture surface. The bristles need to be soft in order for them to easily conform to the contours of the dentures for adequate cleaning, whereas stiff bristles will not be able to conform very well and are likely to cause abrasion of the denture acrylic resin. If a patient finds it difficult to utilise a toothbrush e.g. patients with arthritis, a brush with easy grip modifications can be used.[32]
Regardless of the type of dentures you get, it will take some time to get used to them. Don’t be surprised if it takes you a few weeks to get accustomed to the feel of your new dentures. Most people experience some level of discomfort or soreness in the beginning. If you experience pain as well, speak to your dentures dentist about what you can do to minimize the discomfort.
It is extremely important to practice healthy dental hygiene when wearing dentures. There is an increased risk of developing a more serious medical condition should oral irritation result from improper dental hygiene. These conditions include, but are not limited to, periodontal disease, leukoplakia (thickened white, potentially precancerous patches on the mucous membranes, also called smoker’s tongue) and fungal (denture stomatitis) infections.
The dentist let the receptionist girl put the goo in the ID that's sets to a clear rubber to cushion between the ID & my newly extracted teeth. It had too much on one side, was crooked in my mouth & at the top on the other side had no cushion lining which caused a bad sore to form almost immediately. After 5 days I couldn't take it anymore. I drove there (55 miles) to get them to redo the lining. The first time it took her all of 5 minutes to do it. I walked in, they were all there... but was informed that they were ‘about' to leave & told I had to come back the next day! No compassion or good customer care for their patients. DO NOT GO HERE!
For patients with multiple missing teeth – Having multiple missing teeth would mean that speech could be impaired and chewing would be much more difficult. Also, a patient could experience low-self confidence and consciousness over their appearance. Full and partial dentures can help ease those burdens and give the patients a new smile and a new outlook in life.
See your dentist as soon as possible if your removable partial denture breaks, cracks or chips or if one of the teeth becomes loose. Also, your partial denture may need to be adjusted if you lose one of the supporting natural teeth. Sometimes dentists can make the repairs, often on the same day. Complex repairs can take longer. The sooner you make an appointment, the sooner you have a well-fitting partial denture again.
Implant-supported dentures offer a number of benefits over traditional dentures. Patients with implant-supported dentures can eat, speak, and smile with confidence, knowing that their dentures are securely in place. Further, implant-supported dentures can actually improve a patient's oral health. Read on to learn more about the benefits of implant-supported dentures.
No matter your role, you will find the rewards of working with us to be, well, extremely rewarding. As the nation’s largest affiliated dental practice network of its kind, Affordable Dentures & Implants is able—and proud—to offer the array of benefits someone of your abilities deserves. So whether you’re a dentist or lab professional or part of one of our practice or business support teams, you will be supported and rewarded for what you do.
Should I Get Dental Implants?According to the American Association of Oral and Maxillofacial Surgeons, statistics show that nearly 70% of adults aged 35 to 44 years in the United States have at least one missing tooth due to an accident, tooth decay, gum disease, or dental fractures.Dental Implants or Dentures?But there’s no need to go through life with missing teeth. These days, many good alternatives are available. Dental implants and dentures are the most common options. Dentures are false teeth, and although their quality has improved, they’re not ideal for everyone. If not secured with denture adhesive, dentures might slip out of place while eating or speaking, which could be embarrassing, and partial dentures might promote infection and decay in other teeth if they aren’t fitted properly, which may increase the risk that you would need a tooth filling on the abutment (adjoining) tooth. That said, dentures may be the best choice for people whose gums and jaw are weak or unhealthy.Should I Get Dental Implants?If you are missing teeth and your gums and jaw are healthy, you may benefit from dental implants, which are replacement teeth that are implanted surgically into the jawbone. With good oral hygiene, dental implants can last for 20 years or more without the need for replacement. Dental implants are often a popular choice for people who have only one or two teeth missing, but they can be an alternative to dentures if you have several missing teeth. As long as your gums and jaw are healthy, two or more implants can serve as a base of support for several replacement teeth.
I at age 16 was in car accident went through the windshield and lost 4 on top and 4 lower so have had partials the last 30 years. Now I have one tooth left on top so I at least need the upper denture implant as for the bottoms well they are not great but can make due a few more years before I will have to get them. I have very lil income as I have just started my cleaning business last year. That being said I am very willing to trade services so long as it a denture implant or something very similar. Right now business is pretty slow always is during the summer. I am OCD and a perfectionist most likely the reason I love cleaning and do it better than most anyone with lil to no chemicals except the normal items you already have at home that care not harmful to the environment people/pets. You give me a beautiful smile back so I can also eat more than soups/foods that require lil to no chewing. I will give u the cleanest office & home 5 days a week for 6-8 months promise /injects>