Prosthodontic Perspective to All-On-4® Concept for Dental Implants
The All-on-4 Dental Implant Procedure, From Start to Finish
This revolutionary method solves the problem of multiple tooth loss and reconstructs a person’s mouth to restore complete function. This guide explains how to get All On4 implants. Losing teeth could result from many factors.
Some result from an accident impact, some are from a serious disease of teeth or other problems with natural teeth. Whatever is the causes and symptoms of tooth loss, there must be treatment for restoring full-functioning teeth.
All on four, the concept
Alveolar atrophy is the main obstacle when placing implants, and is confined to the posterior regions of fully ventilated patients. In these patients with biomechanically compromised limbs, there are surgical implants that will only improve the thickness of the edentulous bone. This enhancement process could lead to increased patient morbidities and deterioration j oral further.
A solution to this problem of supporting implants in unfavorable edentulous areas is using tilted dental implants, to increase the anterior lateral spacing of missing teeth and the dental implant.
General Considerations for All on Four
The primary concern in all four procedures was to attain the initial and primary stable at a minimum 35 Ncm to a maximum 45 Ncm.
A minimum 5m bone width is required for placing implants. A minimum 10m bone height will be available in maxillary regions and 8mm in the mandibular.
A tilting implant placement can have the effect that angulation can reach at least 30 degrees. In a tilting implant placed at edema, the access hole on the most distal implant screw is to be located obliquely from the first premolars and on the first premolars.
No severe parafunction
dismiss the cantilever
best treatment for older age, OSMF patient or advanced Gum disease patient
Advisable to place the implant in between sockets
showed with minimum bone height and width
Pre-Procedure & Patient Prep for All-on-4 Treatment
Once a patient was fully informed about the procedure and the dentist confirmed they had qualified the patient for treatment, the next step in treatment began.
The preparation of the procedure requires many standardized measurements to plan the placement of the implants and the shape of the replacement teeth prosthesis.
The implants must be positioned correctly to give final implant supported prosthesis treatment, and the patient maximum stability between the final implant supported prosthesis and fixed implant supported final prosthesis, and multi implant supported prosthesis, fixed prosthesis, implants fixed prosthesis and implants.
The All-on-4 Procedure, Step By Step
Will measure the correct distance between the upper and lower jaw to maintain a safe and secure position after the surgical procedure. It helps keep your facial body as it did during surgery.
When the patient’s sedation has finished, surgical procedures begin. Existing and remaining teeth will be extracted and excess or broken gums removed.
An incision is required at the end to expose the jawbone, to reduce ridges at both the top and lower brows.
New Teeth in One Day
One of the most significant benefits of implant-supported dentures is the ability to walk into your dental office needing a single or double arch and walk out with implant-supported dentures the same day.
Patients can leave with a fully reconstructed smile. However, remember the same-day benefits only reflect the placement of implants and temporaries, as there is no shortcut to osseointegration.
This treatment is not complete until the implants have fully fused to the bone, which can take several months and the permanent restorations bond to the implants.
For same-day treatment, your dental office must be equipped with 3D imaging technology to map your jawbone and fabricate temporary dentures.
All-on-4 Implant Dentures
We designed dental implants to fit a full full arch using bone grafts whole full arch and are four-in-one oral implants.
These dental implants have also been called “full arch dental implants with only four implants”. Compared to a normal tooth replacement, they are almost identical in appearance with identical functions.
Comparison of tilted v/s non-tilted implants
If a prosthesis has multiple implants, the spreading of implants and its stiffness reduces the bending induced by the implants.
The longer cantilever in the two posterior implants may have some effect on the reduced pressure of the implants.
Strain gauge data from Krekmanov demonstrate significantly different forces between a tilted implant versus a titled, implant placement.
A theoretical model shows that increased protrusion-supported tilted implants reduce the impact on the tilted implants further.
Occlusal scheme for immediate loading for All-on-Four concept
Limit the width of cantilevers if necessary. Simultaneously, bilateral contacts of all teeth, excluding posterior teeth proximal for implant ejection.
For lateral moves, group function or guided by linear flat pathways with minimum vertical impose, except for tooth on the cantilever, lateral. In a large movement, the direction is centered across the anterior teeth, including canines in rounded linear directions and a minimal vertical superposition.
Although implant-supported prostheses are opposed in the excursive movement to removable permanent dentures missing teeth, they do not balance contact. Simultaneously, bilateral point contact on the anterior region of dog’s teeth.
Advantages of the All-on-4 Concept
Avoid complicated surgeries. The procedure is less intrusive and safer.
Graft less procedures.
Allow a longer implant anchored by bone grafting in good quality bone.
An implant is easily positioned in optimum shape for the patient with good biomechanical function,
quick cleaning: simplified surgical procedure / prosthetic procedure.
Reduced costs based on a reduced number of implants.
Excellent performance.
Axis a posterior implant: Avoid anatomy.
Get longer implants anchored to better-quality bones.
Reduced posterior cantilevers.
Pros and Cons of Fixed Implant denture
Easy eating and drinking
High self confidence
Good esthetics
Easy in Speaking
Bone health
Skipping Denture adhesive
Less risk of Complications
Easy Recovery Process
How to Care for All-on-4 Implants
Just like your teeth, implants and implant dentures will need to be cleaned daily. You will still need to come in for your regular adult check-ups to ensure the health of your bone and gums. Below are some ways you can care for your implants:
Brush your dentures regularly using a soft-bristled toothbrush at least twice each day.
Use dental floss between any gap spaces to clear out food particles, or use a water flosser to make flossing easier.
Inform your doctor if you notice any changes in your gumline. Some changes may be normal after the first two weeks your appliance is install
Limitations
Good general health and acceptable oral hygiene;
Sufficient bone for 4 implants of at least 10mm in length; and
Implants attain sufficient stability for immediate function.
Common Post-Surgery Issues and how to deal with them?
Here are some common issues you may experience in the days following surgery:
- Persistent Bleeding
- Swelling
- Pain
- Nausea
- Discoloration
- Sharp Senses in your mouth
- Dry Lips
- Sore Throat
- Stiff Muscles
FAQ
How long do All-on-4 implants last?
All-on-4® implants are a relatively long-term product. Although 10 years seems not long it is important to know why these numbers came about. This product is a two-part system consisting of dentures and four dental implants.
Are All-on-4 implants a good option?
Implants are commonly used by patients suffering from broken teeth. Dental implant technology has a great success rate that lasts many thousands of years. These implants are extremely successful, with a 98 per cent success score.
What is the All-on-4 implant concept?
The “all four” treatment model has been developed to maximize the use of available leftover bone in a trophic jaw and allow immediate function and avoid surgical procedures requiring the addition or removal of bone if needed.
How many teeth do All-on-4 implants have?
This all-in-4 implant or complete denture will replace all of the tooth structures. Every implant used with a complete denture, contains 14 teeth: Four incisors are used in the jawbone of the molar.
How many teeth are on All-on-4?
Implants provide stability to the prosthesis for up to 14 teeth and are usually inserted within 24 hours of surgical procedure.
What is the cost of All-on-4 dental implants in India?
- Costs of Allon-4 Dental Implant in India.
What is fixed dentures?
Fixed dentures. Dentures are prosthetic teeth which sit on artificial gum tissue on top of your teeth. Fixed prosthesis dentures are secured differently from conventional dentures.
Which is better fixed or removable dentures?
If your jawbone is missing it is better to take snap-on dentures than to put them on a fixed prosthesis because they need little more support than permanent restorations. Another major advantage for most patients is that removable implants are considerably cheaper than the fixed prosthesis implants.
Can you have permanent fixed dentures?
Dentures are removable permanently within 1 day by using an efficient number of implants to secure the dentures in place. Your jaw will have a full upper or lower jaw with just four implants.
What is the disadvantage of fixed denture?
Surgery involved The main disadvantages to putting dentures into the patient are surgeries. Surgical procedures are usually minimally dangerous and still surgical. It’s possible that an oral procedure may be painful in its recovery, but the risks are high.
Are permanent dentures a good option?
Permanent Dentures can help replace removable dentures that can be worn without the need of removing the tooth. Permanent dentures can be fixed on any of missing teeth in your upper and lower jaws. These dentures are much safer and more durable compared to other types of removable dentures.
Are permanent dentures painful?
After your implant is installed, you will want dentures to feel like natural teeth. Although some discomfort can be anticipated shortly afterwards, the majority may be relieved with sedative medication.