All-on-4 is a dental implant concept that uses fewer implants in the upper or lower jaw than traditional methods. This procedure can also avoid the need for bone grafting procedures. On average, with traditional implants, the upper jaw would require between 6 to 8 implants, while the all-on-4 requires only 4 implants. With the all-on-4 technique, the posterior implants are inserted at an angle of 30 to 45 degrees rather than vertically. With this new method, patients who suffer from bone loss may sometimes be eligible for the procedure without the need for a bone graft.
Who Is This For?
The ideal candidates for an All-on-4 are patients who have lost all of their upper or lower teeth or patients who want to replace their damaged teeth.
Potential Risks & Side Effects
Most people can go back to work in 24 hours after having all-on-4 treatment.
Success Rate: 95%
How Does it Work?
To understand what all-on-4 implantation is, you should first know what an implant is. A dental implant is a small screw, usually made of titanium, inserted into the bone of your jaw in the space left by a missing tooth. Once the implant is placed in your mouth, your dentist attaches a dental crown to the screw. This replaces a lost tooth.
Now multiply this technique by four and you get All-On-4 implantation except that instead of using one implant for each missing tooth, you can just use four implants at the top and four at the bottom as the main anchors. Then your dentist can attach a prosthesis for the full jaw to these 4 implants. The All-on-4 technique, therefore, makes it possible to replace all the teeth of a jaw with 4 implants instead of placing an implant for each tooth, which represents a great saving.
What Does All-On-4 Treatment Involve?
1. Consultation for All-on-4 Treatment
The first step to start your all-on-4 process will be the online consultation phase. At this step, our specialist will try to learn your medical story and complaints to make sure you are a suitable candidate for this treatment. Your allergies, medications you use, your ideas about the process and your priority expectations from treatment are the most important data to determine the most appropriate treatment for you.
The photo of your tooth/teeth that you have problems with will be very useful to understand your eligibility during the online consultation phase.
2. Planning Your Trip and Choosing the Clinic
At this stage, we will provide you a list of clinics and dentists for your all-on-4 treatment by considering your preferences. Once you evaluate the options and choose one of them, we will immediately arrange the dates and build your trip plan by aiming to start the treatment process as soon as possible.
3. Final Consultation with Your Dentist
When you arrive at the dentist's office, you will have a face-to-face consultation with your dentist. He or she will ask you some questions to try to understand your expectations better and also make you understand what you should expect from your all-on-4 treatment. Your dentist will explain everything you need to know about the process with its possible risks and complications and try to simulate the results as much as possible, in order you to feel ready and comfortable.
4. Medical Examinations
Before the All-on-4 process begins, your dentist will conduct medical tests to make sure that you are in acceptable health status for the treatment. If any risk obtained, dentists try to eliminate them first. Your dentist will also assess hard jaw tissue using medical imaging, such as a cone beam volume tomography (CBCT).
After anesthesia or sedation is applied, the dentist will prepare your mouth for the implants, which involves cleaning the mouth and removing the remaining teeth that are failing. He will then remove any sick or infected tissue from your jaw and gums.
Then the implantation process begins. This means that your dentist will insert the titanium screws into your jaw. Most likely, the dentist will place two implants in the front of your mouth and two more in the back of your mouth so that the "anchors" can distribute the force exerted on the prosthesis when you eat.
Once the implants have been placed, the dentist carefully cleans the surgical sites and sutures all the incisions if necessary. You will then be taken to a recovery room where you can relax and take the time to wake up from anesthesia.
What Are the Advantages of An All-On-4 Technique?
The major advantage of the All-On-4 is the possibility of having a fixed prosthesis and chewing the same day of the procedure. By comparison, a conventional technique requires a minimum of 3 months before the fixed prosthesis.
Here are some additional benefits of an All-on-4 technique:
Things You Should Consider After All-On-4 Treatment
Is All-On-4 Procedure Painful?
After the all-on-4 treatment, the pain is almost non-existent, but if it is felt, it can be relieved with standard pain medication.
How Durable Is All-On-4 Technique?
All-on-4 implants can last a lifetime with regular checks by a dentist and personal care for oral hygiene.
What Is the Difference Between the All-On-4 Technique and Dentures?
Conventional dentures are custom made for each patient's jaws and fit the gums. They stay in place by suction with the palate or sometimes require the help of a dental adhesive. However, over time, the supporting bone will resorb, and the prosthesis will become less stable. The prosthesis should be replaced regularly to avoid discomfort. The all-on-4 technique involves the placement of four dental implants. Through the chewing process, the jaw bone is stimulated and thus the bone loss seen with permanent dentures is reduced. Since this is a fixed prosthesis technique, there is no risk of the teeth moving around while eating or talking. Besides, the all-on-4 concept gives a more natural appearance and the possibility of eating more solid foods.
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