What Is All On 4?
Oftentimes patients will ask us what is All On 4 and how is it different from the conventional implant procedure?
All On 4 is a dental implant technique where the upper or lower set of teeth is replaced with just four implants. These four Implants act as a support mechanism for the placement of a new set of fixed teeth.
With the All On 4 dental implant procedure, the posterior implants are tilted 45° towards the rear of the mouth and placed into the anterior maxilla, a region of the jaw with higher bone density. Compared to other implant methods, the All On 4 technique doesn’t require the same density of bone in order to secure the implant.
All On 4 Dental Implant Procedure & Immediate Fixed teeth
All On 4 Dental Implants procedure is a revolutionary treatment for the replacement of a complete set of teeth for the patient who almost reached the end of their natural teeth or they have no teeth at all with the placement of only four Dental Implants in each jaw, through minimally invasive surgery. The Dental implants fixed in the bone act as the foundation for All on 4 dental bridge
The procedure involved in the All on 4 technique is somewhat different from the conventional implant placement technique by placing tilting the posterior implant at 45 Degree angle and allows even patients with virtually no bone to have a fixed set of teeth without bone grafting
The traditional way to replace the missing teeth with dental implants would have been removing all your teeth to let that area heal and in the meantime, you have dentures that are removable, and then you through the process of building up the bone placing the implant and then having fixed teeth on the implant.
What all 4 dental implant treatments promise is that you can have your unhealthy teeth removed and then you can have the dental implant placed on the same day.
The credit for the success of the All on 4 dental implant system goes to Multiunit Abutments.
The multiunit abutments come in 3 different styles
And is basically to redirect the implant angle and also to bring the tissues and abutment to the same level. So we are able to bring the abutment to the tissue level and it's easier to work from a prosthetic point of view.
It also allows us to angle the implant distally to avoid sinuses, to avoid the inferior alveolar nerve which is able to get an Anterior-Posterior spread as maximum as possible. And as the spread is maximized there will be a minimum cantilever
When to choose All on 4 Dental Implants Over Conventional Implants
This All On Four Dental Implant procedure is most suitable for the patient who lacks sufficient bone level required for traditional implant placement and either has been discouraged for fixed dental implant prosthesis or told they need to undergo costly and time-consuming bone grafting procedures before placing the dental implant.
Advantages of All on 4 Dental Implant System
Higher success rate than conventional implant system
The need for invasive and costly procedures such as bone grafting is eliminated
The total time duration is relatively short
All done in one day: not only the implant placement but also the placement of fixed teeth done on the same day.
Hygienic and easy to clean
Things to Know About All on Four Dental Implant Systems
How Much Time Does it Take
All four dental implant treatments usually require a couple of appointments where we discuss the treatment, discuss all of the options go through the treatment planning, and take the x-rays & models before the surgery.
What is the difference between a traditional implant and an All 4 Dental Implant system?
There is absolutely no difference between the implants we place in all 4 dental Implants treatments & traditional implants treatment. So the implant still needs 3 to 6 months to fully fuse with your bone.
The difference In all 4 is because all the implants are connected there is very little movement of the implant while chewing and this is what gives this treatment high success.
But during the healing period, the bone shape continues to change and that’s why we recommend changing the acrylic bridge you get at the time of surgery to a much stronger metal bridge.
How much pain should I expect?
We can have you sedation but a lot of my patients who actually have this require only local anesthesia and you would be surprised to know how little discomfort is present in most cases afterward.