Five Things To Know

What Are the Five Things I Need to Know About the All-On-4 Procedure?

The all-on-4 dental implant procedure has become a viable alternative for patients who are not eligible for normal dental implants. If you are considering having all-on-4 dental implants, be sure to read on! Below, you will find the five most important things you need to know about the all-on-4 dental implants.

1.    All-On-4 Is Possible with a Low Bone Volume

When someone loses teeth, a loss of jawbone is almost inevitable. Unfortunately, a lack in jawbone often means not being able to get normal dental implants. However, patients with an insufficient amount of jawbone for normal dental implants might be eligible for the all-on-four treatment.

The reason why patients with less jawbone volume can use all-on-four dental implants, but not normal dental implants, can be explained by the way the all-on-four treatment is executed. During all-on-four, the surgeon can actually tilt the posterior dental implants by 45 degrees, which delivers a more stable foundation for your new teeth.


2.    All-On-4 Does Not Require Bone Grafting

One of the biggest benefits of all-on-four is that the treatment could eliminate the need for bone grafting in patients with little jawbone. Bone grafting is a surgical procedure, which is focussed on the repair of bone volume. Unfortunately, these procedures tend to be lengthy and nature and quite expensive.

There are two different types of bone grafting nowadays. The first type of bone grafting is called the allograft; this is a procedure where bone is obtained from a donor. Before the bone is implemented in the patient, the bone is cleaned and then stored in a tissue bank. The autograft is another common form of bone grafting. Contrary to the allograft, the bone used during the autograft is obtained from the body of the patient. Locations that could be used to obtain that bone include the hips, ribs, pelvis or the wrists. Whether the surgeon uses the allograft or the autograft will depend on the specific problem you are dealing with.

Bone grafting is also accompanied by a number of risks. These risks include pain, swelling, nerve injury, rejection of the bone graft by the body of the patient, inflammation and reabsorption of the graft. Because of these risks, patients should always inform themselves properly before deciding on acquiring a bone graft.

3.    Replacement Teeth Are Provided on the Day of the Surgery

Most people do not want to consider dental implants because they believe they will be left without any teeth for a couple of months. Even though this may be the case with some of the more conventional dental implants treatment, it is not the case for the all-on-four dental implant treatment.

The all-on-four dental implant treatment is usually divided into two stages. During the first stage, the oral surgeon will remove any remaining teeth and place the dental implants into the bone of the patient. When the implants are in place, the patient can wait in the recovery room of our Malo Clinic until their prosthesis arrives. When the patient eventually leaves the clinic that same day, they will have teeth which will enable them to benefit from the advantages of dental implants almost straight away.

Of course, patients do need to return to the clinic for the second stage. The second stage takes place when the dental implants have fused with the bone and when surrounding tissues have healed. During this stage, the surgeon will fix the permanent teeth to the abutments of the dental implants.

larry and patient

4.    It Is Best to Take Some Time Off from Work

Even though taking time off work is not obligated, our team of dentists and oral surgeons does recommend taking some time off from work to recover from the first stage of the procedure. Shortly after the first stage of the all-on-four treatment, patients can experience common side-effects such as swelling, bleeding and general discomfort. For that reason, it is advised to take it easy for a couple of days and avoid strenuous activities.

Considering patients may experience some pain after the procedure, the oral surgeon or dentist may prescribe some pain management medication. However, do not take any pain management medication without having acquired permission from the oral surgeon or dentist in advance, because some pain medications could affect the healing process. Always contact the Malo Clinic regarding questions about pain management!

Not sure how much time you will need off work? Be sure to inform about your recovery process at the Malo Clinic before your procedure takes place. Each patient is unique, so it is not possible to provide an accurate time-estimate on recovery. However, the surgeon may be able to give you an indication based on the procedure you are going to have.

5.    All-On-4 Dental Implants Need to Be Maintained Like Normal Teeth

Even though artificial teeth cannot develop cavities like normal teeth do, they still need to be maintained like normal teeth because plaque could cause problems with your dental implants in the long run. When a patient does not have good oral hygiene, excess plaque and bacteria may lead to a condition called peri-implantitis, an infection of the tissues surrounding the dental implant. If left untreated, the condition could eventually lead to inflammation and the loss of jawbone.

Good oral hygiene is just one aspect of looking after your dental implants, because you will still need to book regular visits with your dentist and dental hygienist, just as you would do for your normal teeth. By visiting your dental hygienist at a regular basis, you can get a professional clean without causing damage to the crown of your dental implant, or the dental implant in general. Visiting your dentist is a good idea as well, because x-rays could be taken to detect problems such as peri-implantitis early. Your dentist can also check the condition of your dental implants, which can avoid further problems. In conclusion, a combination of good oral hygiene and regular visits to the dentist may give you dental implants that will last for a considerable amount of time!



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