Need To Know

All You Need to Know About All-On-4!

Patients who are missing several teeth, or have suffered bone loss due to these missing teeth, could benefit from an All-On-4 treatment, a revolutionary dental implant technique that eliminates the need for bone grafting in most cases. Want to know more about this procedure and its benefits? Please read the information below!

Where Does All-On-Four Come from?

All-On-4 is a dental implant treatment that was developed by Nobel Biocare, an implant manufacturer, and Portuguese dentist Dr Paula Malo. Through their cooperation, both parties were able to develop a technique that required less dental implants than conventional dental implant procedures.


Why Are All-On-4 Dental Implants Different from Dentures?

Dental implants are a permanent form of tooth replacement, which means they do not have to be taken out or put in, contrary to dentures which can be removed. During the All-On-4 procedure, the oral surgeon will insert four dental implants. These implants will carry the replacement teeth, so they are of a permanent nature.

Having permanent dental implants may eliminate some of the discomforts patients experienced with dentures in the past. The fixed nature of the implants prevents teeth from slipping or shifting while you eat or speak, which are the main benefits patients notice after they have obtained dental implants. Of course, a good fitting denture will not slip or shift, but is subject to relining and rebasing over a certain period of time.

How Are All-On-4 Dental Implants Different from Traditional Dental Implants?

Traditional dental implants are fixed into the mouth of the patient by inserting a total of eight dental implants, while the All-On-4 technique only uses four. However, in some cases, the surgeon may choose to use six.

Most patients do not have to use bone grafting to use All-On-4 dental implants either, because the technique allows the surgeon to place the posterior implants at an angle, which increases the stability of the structure carrying the replacement teeth.

When Is a Patient Eligible for this Dental Implant Treatment?

Patients who are missing teeth due to injury, gum disease or tooth decay can be good candidates for the procedure. Before patients can get confirmation from their dentist or oral surgeon, they do have to go through a thorough examination of the mouth and jawbone. The dentist or oral surgeon will also look at the patient’s general health; this to ensure that the patient does not suffer from a condition that could hinder the success of the treatment, or the recovery process in general.

There are certain medical conditions and medical treatments that could prevent patients from obtaining an all-on-four treatment. These conditions and treatments includes connective tissue disorders, steroid therapy and bone disorders. There are also lifestyle choices that could affect the outcome of the treatment, for example smoking. Even though suffering from these conditions does not immediately exclude a patient from the treatment, the patient will need a more thorough assessment before they are given the all clear for dental implants.

Contrary to popular belief, age is not really a restriction when you want to obtain the all-on-four treatment. However, general health is an important denominator, so older patients in good health could still benefit from the procedure.


What Are the Phases Used to Execute All-On-Four?

Even though the implementation of dental implants may vary from patient to patient, the procedure can be divided into two clear phases: the implant placement stage and the hybrid titanium bridge.

During the first stage of the all-on-four treatment, the surgeon will extract any teeth that need to be removed before the placement of the dental implants. Once the teeth have been removed, the surgeon will add the implants and attach a fixed bridge. Then, the patient has to heal for several months until surgeons can proceed with stage two.

Stage two usually takes place several months after the initial procedure, when the implant area has healed. During the second stage, your dental clinic will have done the necessary laboratory work to provide you with your permanent titanium-based implant bridge.

Can All-On-Four Be Used for Both the Upper and Lower Teeth?

All-On-Four is a technique that can be used to replace both the upper and lower teeth. If the patient requires both, an oral surgeon may be able to replace both dental arches during stage one of the treatment.

Should I Take Time Off from Work?

It is not uncommon for patients to experience swelling, bleeding and general discomfort after the first stage of the treatment. Therefore, it is recommended to take a few days off from work and avoid activities that are overly strenuous for a couple of days.

After the all-on-four procedure, patients may be prescribed some pain management medication, which can reduce some of the pain that is experienced after a dental implant procedure. Patients should always check with their dentist if the pain management medication could affect their ability to work with heavy machinery or drive.

How Do I Care for My Dental Implants?

Even though prosthetic teeth are not susceptible to cavities like normal teeth, they still need to be cared for as normal teeth, because denominators such as plaque and bacteria could affect your implants in the long run.

First of all, it is necessary to brush and floss your dental implants on a daily basis. To do this properly, it is a good idea to obtain the right toothbrushes and floss, which are especially made for people with dental implants. If you have no idea where to obtain these toothbrushes or floss, be sure to contact your dentist or dental hygienist.

Of course, to keep your teeth and gums healthy, you must also make a regular follow-up appointment with your dentist or dental hygienist. The dental hygienist will be able to give your teeth and implants a professional clean, while the dentist can check if your dental implants are still in the correct place and have not been affected by wear and tear.



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