All on 4 dentistry procedures or all-on-4® dental
Poland or the Republic of Poland is located in Central Europe. It neighbours Germany, The Czech Republic, Slovakia, Ukraine, Belarus, Russia and Lithuania.
Poland’s countryside is traditional and unspoiled. Tourists can visit museums, churches, rural centres, castles and traditional Polish workshops. Since Poland joined the European Union there was an influx of international travellers coming into the country and discovering its rich cultural, natural and gastronomic heritage. Travellers can indulge in history, architecture, different types of food and nature.
Poland has a reliable state-funded healthcare system. Generally, doctors in Poland are extremely well trained. Soon after Poland entered the European Union, the private healthcare sector thrived and more private clinics and hospitals were opened.
Poland also has plenty of medical universities and university hospitals: The Medical University of Bialystok, The Medical University of Warsaw, The Medical University of Poznan and many others.
Many tourists visit Poland solely for medical care, with dental care and plastic surgery being the preferred choice. Most patients come from the Scandinavian countries, Germany and Belarus but patients from the United Kingdom and United States are also quite common.
Some of the most important cities in Poland are:
Warsaw – The capital of Poland and a thriving business centre
Gdansk – Formerly known as Danzig
Cracow – The Cultural Capital of Poland
Poznan – It is considered to be the birthplace of the Polish nation
Cracow is the Cultural Capital of Poland. It’s also Poland’s historical capital in the middle ages. The old town of Cracow is filled with monuments, churches and traditional Polish buildings. Cracow is also the home to Europe’s largest medieval market place. Cracow’s old town is an UNESCO World Heritage Site.
The Bialowieza National Park is an UNESCO World Heritage Site – it’s a huge area of woodland on the border with Belarus.
Malbork Castle is the biggest red brick Gothic castle in Europe. This is also an UNESCO World Heritage Site.
Slowinski National Park is the home to the biggest dunes in Europe. It’s also very close to the Baltic Sea so a trip is well worth it.
The Wieliczka Salt Mine is the oldest enterprise in the world and one of the most beautiful places in Poland. The salt mine has been operational since the 13th century and it has its own Church built entirely out of salt. The salt statues built by the miners themselves are also worth seeing.
● Poland has a temperate climate mostly. Summers are generally quite warm and delightful while winters are rather cold. Polish winters are generally dry and precipitations are a bit rarer than in the summer months.
● Poland’s main airport is Warsaw International Airport (WAW). Tourists can find direct flights to almost any European capital. Intercontinental flights to the US or China are also quite common.
● The official language in Poland is Polish but English, German and French are also popular languages, especially among younger individuals.
● Poland uses the Zloty (PLN) as currency. One Euro is roughly 4.2 PLNs. Tourists are advised not to use the currency exchanges in airports or hotels.
● Poland uses the 230V, 50Hz electrical system fitted with European style plugs but it’s not uncommon to find adapters for British or American style plugs.
All on 4 dentistry procedures or all-on-4® dental implants are a type of prosthodontic treatment which can be used to replace broken, decayed or otherwise compromised teeth from the lower and upper jaw. Paulo Malo invented the all-on-4 dental implants procedure around 30 years ago, and it quickly gained popularity among dentists as well as patients from all around the world. All-on-4 procedures have several advantages over other types of dental restoration procedures, including:
All-on-4 dental implants are recommended for patients with a large number of missing teeth due to trauma, tooth decay or other reasons. Patients suffering from bone loss, which are unable to opt for traditional, vertical dental implants can also benefit for this procedure.
All on 4 dental implants are not recommended for heavy smokers or patients suffering from bruxism. Pregnant patients should postpone their surgery until after giving birth. This procedure is also not recommended for patients with a weak or suppressed immune system as well as patients who suffered a heart attack recently.
Patients will first need to have a set of dental X-rays done in order to check for any potential problems related to bone loss in the area. A CBCT scan may also be used for this purpose. If there are any remaining teeth on the maxilla or mandible, they will have to be removed.
The procedure begins with the dentist administering local anesthesia to the patient. Once the implant area is numb, the dentist will begin creating 4 different incisions in the patient's gum tissue. With the gum tissue out of the way, the patient's bone is exposed – implants then can be screwed into place. The implants are angled at 30 to 45 degrees – this is done to avoid sensitive areas such as the mental nerve in the mandible or the sinus in the upper jaw. After placing the implants, the dentist will close all incisions with sutures. Depending on the patient's state of health, a permanent or provisional prosthesis is placed over the implants, and the patient may begin recovering. The procedure generally lasts between 2 and 3 hours.
3 - 5 days
2 - 3 hours
Most patients can return to work in a few days after undergoing the all on 4 procedure. The next three months are essential for the success of the surgery – patients will receive a complete guide on what to do and what to avoid during the time necessary for the bone to heal. Solid food is prohibited for up to four weeks after the procedure – patients can consume liquid food instead. During the first seven days after the operation, most patients will experience discomfort and a lot of swelling.
The following risks and complications are associated with all on 4 dental implants:
● Nerve damage
● Osseointegration failure
● Damage to the sinus
● Loss of jaw bone
Patients can expect the following side effects after an all on 4 dental implants procedure:
● Considerable swelling
● Minimal bleeding
All on 4 reviews set the success rate at 94.8%, 10 years after the procedure has been performed.
After the all on 4 procedure, patients will be able to enjoy natural-looking teeth with no dietary restrictions. Patients will need to maintain good oral hygiene practices in order to maintain the longevity of the implants and prosthesis.
– What are the alternatives available?
All-on-6 and all-on-8 dental implants are available as alternatives for an all-on-4 procedure. Some patients might want to opt for traditional dentures, for example, but the all-on-4 system provides a permanent solution based on a fixed prosthesis.
– How long does the procedure take?
An all on four procedure usually takes around 2-3 hours, but it depends from case to case.
– Are angled dental implants safe?
Definitely. A study based on 245 patients with a total of 980 implants revealed a 94.8% success rate, ten years after the procedure was performed. When the all on four systems is used, any pressure on the prosthesis is distributed among all the implants, so the angle of the implants has no ill-effect.
This content is written and reviewed by our medical content team in September, 2019.