What Is the All-On-4 Treatment?

All-On-4 is a treatment used to implement permanent prosthetic teeth in patients with little jawbone. The procedure can be compared to normal dental implants, with the exception that All-On-4 only uses four to six dental implants for an entire arch of teeth. To find out more about dental implants, and All-On-4 in particular, please read our information below.

How Do Dental Implants Work?

As we mentioned briefly already, the All-On-4 dental implant technique is closely related to normal dental implant techniques, so to understand this revolutionary procedure for patients with a minor amount of jawbone, we need to look at how dental implants really work.

Dental implants could be described as a titanium cylindrical or tapered post, which is placed into the jawbone; this part of the procedure is executed by an experienced oral surgeon. Once the dental implant is inserted into the jaw, the patient needs to heal. During this time, the dental implant needs to fuse with the jawbone in order to be successful. When the implant has fused, the dentist or oral surgeon can add an abutment to each of the implants. An abutment is a connector, which forms the connection between the dental implant and the prosthetic teeth. When these abutments are in place, the dentist can connect your prosthetic teeth.


 When Do Patients Switch from Normal Dental Implants to All-On-4 Dental Implants?

Even though most patients looking for prosthetic teeth can benefit from the All-On-4 treatment, most people do not end up with this procedure until they hear they have insufficient jawbone for normal dental implants. Unfortunately, a lack of jawbone can hinder a patient from getting regular implants.

What Causes Jawbone Deterioration?

Jawbone deterioration can have many causes and some of these causes could hinder the patient in obtaining dental implants all together. To understand the possibilities and limitations of a dental implant technique, we need to take a closer look at the causes of jawbone deterioration.

Teeth Removal

The loss of teeth is not always something that can be avoided, because accidents do happen. However, losing teeth can affect the amount of jawbone you have available, since the tooth actually stimulates the jawbone underneath. When teeth are missing, the jawbone is no longer stimulated and may start to deteriorate. For that reason, some patients will get a single dental implant when they lose a tooth.

Patients who have suffered a severe loss of teeth may not be eligible for normal dental implants, because these patients usually suffer from a severe loss of jawbone. If these patient do not want to choose bone grafting, they may look at alternatives such as All-On-4.

Periodontal Disease

Some conditions can stop you from getting any form of dental implant, for example periodontal disease. Periodontal diseases include all infections related to the gums, and these infections could cause some serious damage to your oral health. Therefore, patients struggling from any periodontal disease cannot benefit from normal dental implants or All-On-4.

Periodontal disease can lead to further problems that may affect the health of your mouth, considering the fact that this infection has a negative impact on one or more periodontal tissues; this includes the alveolar bone, periodontal ligament, cementum and gingiva. There are also two different types of periodontal disease: gingivitis and periodontitis.

The cause of gingivitis can be found with dental plaque, a substance that can become a problem if you have poor dental hygiene. Plaque can start to produce toxins and poisons, which irritate the gums and cause the gums to swell, inflame or even bleed, hence why many adverts on TV encourage you to visit your dentist if you struggle with bleeding gums.

Periodontitis is considered as a more severe form of periodontal disease. It is an overactive immune response to a bacterium that can be found on the surface of the tooth. If not treated in time, this condition could lead to serious dental problems such as progressive bone loss and teeth loss.

How Do I Clean My Teeth and Implants After All-On-4?

Your replacement teeth will take the same amount of effort as your normal teeth, because plaque and bacteria can still affect the effectiveness of your new dental implants. The manner in which you clean your dental implants will also depend on the amount of dental implants you have. Because of the fact this article focusses on the All-On-4 technique, we will focus on the techniques to clean multiple dental implants.


Use a Toothbrush

When you brush your teeth, you may need to change your brushing technique a little. You will also need a special toothbrush, which is made for dental implants and prosthetic teeth specifically. Dental implants can make it harder to reach certain places, so make sure you ask you dentist or dental hygienist about the best toothbrush to clean your teeth.

The End-Tufted Brush

An end-tufted brush, also known as an interspace brush, is commonly recommended by dentists for hard-to-reach areas, more specifically the areas around the implant supported tooth or inside of the teeth.

Interdental Brush

Patients must be able to get between the artificial teeth to remove plaque, bacteria and food residue. The interdental brush is the perfect tool for that, because it can easily get to the places that cannot be reached with a normal toothbrush. However, never use toothpaste when you use an interdental brush.


There can be certain areas that even the interdental brush cannot get in between, so in those cases, it is necessary to floss. Some dental clinics will be able to recommend specific floss for dental implants, which in some cases will be needed.

When flossing, do not forget about the abutment posts and the bridge next to the gum line. To clean these areas, use a sideways stroke to remove food residue, plaque and bacteria. For further tips on dental implant cleaning, please consult your dentist or dental hygienist.



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