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All On 4 Dental Implants has become a very popular treatment option for many who have already lost their teeth or are on the verge of losing their teeth. It is often called “teeth in a day” because patients walk out of the dental office with a full complement of teeth following a few hours worth of treatment. Many understand the basic process of all on 4 dental implants but do not understand the planning and experience that goes into such a procedure.

All on 4 dental implants are ideal for patients who have either lost many of their top or bottom teeth or for those who are in the process of losing the teeth. This type of tooth loss can be brought on by many factors including age, genetics, trauma, and periodontal disease.

All On 4 Dental Implants Treatment Option

For many patients the convenience of the all on 4 dental implants procedure trumps the cost. The cost for all on 4 dental implants can be anywhere between $17,000 – $35,000 per arch. The convenience factor is, that almost all of the work is completed in one day. There are, of course, pre and post surgical follow up visits. So what are the exact steps in the all on 4 dental implants procedure?

Steps For All On 4 Dental Implants

Step 1

This visit comprises the initial consultation with your dentist. This visit builds the foundation for a successful all on 4 dental implants procedure. This visit comprises of the following:

-Pre operative pictures

-Impressions and bite registration. These will be used to create study models that will be sent to the dental laboratory in the fabrication of your custom dentures.

-Consultation with the surgeon. Radiographs and Cat scans to get a clear picture of where the anatomy is located for planning the surgical phase with dental implants.

-This first step will also include a discussion of how you want your final teeth to appear. Often times patients will bring pictures from when they were younger and had a full set of healthy teeth. This gives the dentist and dental laboratory a guide to use when fabricating a new set of teeth.

Step 2

Patient will arrive at the dental office the morning of the all on 4 dental implants procedure. This visit will include the following:

-Removal of any remaining teeth

-Placement of 4 dental implants.  These dental implants act as “pillars” to the bridge that supports the prosthetic teeth. The all on 4 dental implants process takes advantage of existing bone, even if scarce, avoiding having to use bone grafts. The posterior implants are substantially angled at approximately 45 degrees to avoid compromising the sinus cavity in the upper jaw and the nerve canal in the jaw.

-Insertion of temporary denture. The complete temporary denture is fabricated using the highest quality materials to look as natural as your own teeth. The denture is fixed to the implants immediately using screws. This allows the denture to be secure and comfortable to the patient.

Step 3

A few months later (usually 6 months), once complete healing and integration of the dental implants to the bone has taken place, a final complete denture is usually custom fabricated. This bridge typically consists of a metal framework. This allows for a stronger system, and usually has a few more back teeth.

What Is Recovery Like?

Though you may be sore from your dental procedure, most cases will not see a big limitation on daily activities. Though some patients are able to eat a light meal the same day, you may wish to wait until the following day to eat solid food. Some patients are even able to return to work the next day.

All On 4 Dental Implants Conclusion

For many, the all on 4 dental implants procedure has been a blessing. It has allowed many to have “teeth in a day” and given them the freedom to speak and chew again like when they were younger. It is important to note, choosing the right dentist and surgeon for this procedure is critical. There are many offering discount all on 4 dental implant procedures. The treatment planning, surgery, and fabrication of final denture requires training, skill, and knowledge. This includes fixing any problems that may arise during and after the process. Choosing the wrong dentist can create a lot of problems during and after the procedure. Choose wisely.

Dental implants have given dentists the ability to easily replace missing teeth to restore smiles to their natural appearance. For those needing more extensive tooth replacement, dentures have been the traditional option. Traditional dentures come with many compromises. These include poor fit, oral sores from ill fitting dentures, along with decreased ability to enjoy our favorite foods. Luckily, newer techniques have been developed that can remove those compromises and give you a natural looking and feeling smile. This newer technique is called all on 4 dental implants or all on 4 dentures. This technique allows for 4 dental implants to be placed in strategic locations to give support and stability to a denture.

All On 4 Dental Implant Procedure Explained

The All on 4 Dental Implants procedure was developed in the 1990′s by researchers at dental implant manufacturer Nobel Biocare. The all on 4 dental implants system has allowed for many patients who were not good candidates previously to suddenly have options for a fixed denture.

The All on 4 Dental Implants technique uses four (4) specially designed dental implants on the upper or lower or both.  The dental implants towards the back are placed on an angle to take optimal advantage of the patient’s existing bone structure. These specially designed dental implants have the ability to support the immediate fitting of replacement teeth. This treatment is attractive to those unhappy with wearing a removable denture or those in need of full upper and/or lower restorations. With the All on 4 dental implants procedure, qualified patients receive just four dental implants and a full set of new upper or lower replacement teeth in just one appointment. This can usually be done without the need for dental bone grafts.  The real attraction to the all on 4 dental implants procedure is how quickly permanent dental implants can be placed. This allows patients the ability to leave the same day with a denture that is fixed in place and stabilized by the dental implants.

Traditionally, the  approach to restoring a full arch of teeth (either upper or lower) usually involved dental bone grafts, six or more dental implants, and as much as 18 months of treatment. In that time, the patient would be wearing an interim denture while the dental bone grafts and dental implants heal and integrate into the bone. This can be very expensive, time consuming, and uncomfortable for a patient to continuously go back for treatment.

Benefits Of All On 4 Dental Implants

-Proven Procedure. The All On 4 Dental Implants procedure is more than a decade old with over a 98% success rate.

-Immediate Results. Patients experience a dramatic improvement in chewing ability, teeth stability and overall comfort immediately. Since the dentures are placed the same day as the dental implants, the benefits are almost immediate.

-Stability. Unlike traditional dentures, All-on-4 dentures supported by dental implants are not removable by the patient. Because they are secured by implants, they fit more securely and do not have the ability to shift around in the mouth like traditional dentures.

-Improve Cosmetic Appearance. Ability to restore your facial features and remove some wrinkles around the mouth.

-Minimal Recovery Time. The procedure generally requires minimal recovery time.

-Convenience. The All on 4 dental implants technique can usually be completed in a minimum of two visits. You will leave the office with a beautiful new smile on the same day!

-Ability To Enjoy All Foods. All-on-4 dentures restores full chewing functioning, so your diet is no longer limited by impaired chewing. An all on 4 denture will increase biting force by as much as 70% or more over a traditional removable denture.

-Maintain Existing Bone Levels. Dental implants help prevent further bone loss.

-Increased Confidence. Missing teeth can detract from a person’s self-confidence. In addition to improved quality of life, many patients find that restoring the aesthetics of their smile improves their self-esteem and makes them less self-conscious. You will have greater comfort and confidence when smiling, speaking, and eating. You will look better. You will feel better.

-Denture Adhesives Not Needed To Keep Denture In Place.

Conclusion

The All on 4 denture procedure can restore the quality of life for many. If you are unhappy with your current denture or think you might be a candidate, see your dentist for a thorough evaluation. This first step could lead to a new smile and new possibilities in life.

 

For many, the fear of the unknown keeps them from making decisions that can improve their lives. The same holds true when it comes to our smiles and dental health. A well educated patient makes informed, smart choices that can have dramatic effects on their overall well being. Below you will find some common questions about the all on 4 dental implants procedure.

What Appointments are Needed for All On 4 Dental Implants?

The All on 4 Dental Implants procedure consists of the following visits:

Initial Visit(s) – The initial visit(s) for the all on 4 dental implants procedure is necessary for the dentist to do a proper treatment plan for you. These visits will include gathering pertinent medical history, needed X-rays, dental impressions, photos, and a CAT Scan. The dentist will then be able to review all the information with the patient and develop the proper course of treatment.

Actual All On 4 Dental Implants Procedure Visit – At this visit the patient will undergo the procedure for placement of the 4 dental implants. Following placement of the dental implants, the dentist will place the denture in and the patient will leave in the afternoon with a beautiful set of fixed, functional teeth.

Follow-up Appointments - The patient will need to return to the dentist for occasional dental examinations over the next several days, weeks, and months to ensure comfort and fit. In about 6 months, the patient will return for a final set of dentures. The reason for the 6 month wait is to give the tissues in the mouth time to heal properly, correct anything the patient wishes to change, allow the implants to properly integrate into the bone, and to fabricate a titanium bar to fully support the teeth.

Common All On 4 Dental Implants Questions

What is the difference between traditional dental implants and all on 4 dental implants?

The dental implants used in the all on 4 procedure are specially designed to use as few dental implants as possible while giving proper support and stability. Traditionally, 6-8 dental implants would need to be placed to give similar support to a traditional denture. By placing the dental implants at slight angles it is possible to use fewer dental implants (generally 4-5) which decreases cost and healing time. This also has the advantage of not needing bone grafts prior to surgery.

How Do I Know If I Am A Good Candidate?

The ideal candidate for the All-on-4 dental implant procedure is someone who is currently wearing dentures or who is headed in that direction. Age does not matter but all dental implant candidates should be in good health and be a non smoker.

What is the success rate with All on 4 Dental Implants?

It is very similar to traditional dental implants. Long term studies show that all on 4 dental implants have a success rate over 98%.

Published studies show a 98% success rate using All-on-4 dental implants.

How long is the All-on-4 dental implant surgery?

The surgery itself takes approximately 2-3 hours per arch.

Will I leave the dentist with new teeth on day of surgery?

Yes! On the day of surgery a temporary set of dentures will be placed. The reason the dentures are temporary is to give your dental implants a chance to heal properly. Once the healing is complete a new set of dentures will be fixed in place. Sometimes the denture can not be secured to the new implants immediately. In this case, the bone is not strong enough and needs to heal for a few months while a traditional denture is worn.

Will my results look natural?

Yes! The All-on-4 dental implant procedure gives you permanent teeth that look, feel and function much like real teeth. No one should ever know but you and your dentist.

Can All On 4 Dental Implants be used on both arches?

Yes! The procedure can be used for either an upper or lower denture or both at same time.

How Are My New Teeth Maintained?

Dental implants should be treated like your natural teeth, daily brushing and flossing is required to maintain your new smile. There is also still a need for regular dental visits to have the implants and teeth cleaned and screws changed  to ensure the dental implants are solid, clean and free of infection.

All On 4 Dental Implants Conclusion

All on 4 dental implants have revolutionized dental care for many. To have secure, strong teeth made in a day removes many of the barriers that prevented treatment in the past.  Your dentist will let you know if all on 4 dental implants is a viable option for your oral condition.