All on 4 dental implants guide – what you need to know

  (photo credit: INGIMAGE)
(photo credit: INGIMAGE)

You've heard it all before — you can have perfect teeth with dental implants.What are they really?

An All-on-4 procedure, also known simply as "All-on-4," is a specific type of dental implant procedure based on a single tooth replacement concept of four implants and three or fewer crowns, bridges, or dentures to help patients achieve optimum dental health.
Here you'll find everything you need to know about All on 4 Dentistry. 

What are All-on-4 Implants?

All on 4 dental implants are a form of dental implant used to replace an entire arch of missing teeth. They are named so since they only use four instead of the traditional six or eight implants. The key to this approach is the angle at which the implants are placed, which helps provide stability and support to all other teeth.

Instead of removable partial dentures or complete dentures, they are often chosen because they are a fixed solution attached to the jawbone. 

How all 4 Dental Implants work

The four systems are designed to use implants at the front of your mouth as anchors and then place prosthetic teeth on them. Because of this you can get a full set of teeth at once rather than waiting for individual implants to heal and be added.

The procedure is fairly simple: your teeth are removed, and any remaining teeth are extracted. Four titanium posts are then drilled into your jawbone at a 45-degree angle, keeping them from bone grafting. It is after all these that prosthetic teeth are attached.
Although you'll be able to chew immediately after implantation, it's best to avoid hard foods until you've fully healed.

When all on, 4 Dental implants are your ideal choice

Implants are a great option for replacing missing teeth. They look good and function like real teeth.

However, you might be unsure about which type of dental implant would be right for you. If you're thinking about dental implants in the future, here are conditions which we feel that all on 4 procedure is ideal.

When you've had an accident

If you have just lost most of your tooth in an accident, all on 4 dental implants can work best since it is a drastic action. The same case is also applicable in case you have lost two or three teeth.

Yet, it isn't always needed to replace just one or two teeth - sometimes dentists can use implants instead, which are cheaper and easier than this option.

When you have bone loss

All-on-4 implants are ideal for you if you suffer from bone loss and gum disease. Similarly, if you want to replace your teeth with dental implants but aren't a candidate for traditional dental implants, All-on-4 is ideal.

Ultimately, dental implant treatment can be offered to all patients regardless of their existing bone quantity. However, a sinus lift is performed first in cases where patients don't have the required amount to support dental implants. 

Benefits of All-on-4 Implants

In the past, dentures were the only alternative to replace missing teeth, but today there are other options such as All-on-4 implants. Below are some of the benefits of the latter over other options.

All-on-4 implants are a more affordable option than conventional.
As with any dental procedure, the cost can be a major factor in your decision. You should also keep in mind what your insurance covers and how much you will need to pay out of pocket. But overall, All-on-4 implants are less expensive than other solutions that replace lost teeth, such as implants for each tooth or a traditional bridge.
You also have to be familiar with the cost of the procedure and potential follow-up that may be needed after the initial surgery. For instance, conventional implants may require more follow-up procedures, increasing their overall cost compared to all on 4 solutions.
All-on-4 implants require fewer total implants.
Generally, four implants per arch are necessary to replace all teeth in the jaw, while traditional implant procedures may require up to six implants per arch.
In addition, instead of placing the implants parallel to one another, they are placed at a 45-degree angle along the back of the jaw. This is beneficial because there is more bone density in that area than in the front of the jaw.
All-on-4 implants are often more comfortable than traditional implants since they rely on the bone structure of the back of the jaw.
The denser bone in this jaw provides more support for these new teeth, making them less likely to shift out of place. Additionally, some patients even report that All-on-4 implants have less pain and bleeding than other options--and that it's also less invasive.
Additionally, All-on-4 implants are better for the bone structure of the jaw. They also help prevent bone loss which is a common problem with traditional dentures, while still providing a natural look and appearance
All-on-4 Implants do not require extensive surgery and therefore are less painful than other solutions.
Anyone who has researched implants knows that they are a fantastic solution to tooth loss. However, many people tend to worry about the pain associated with implant surgery and recovery, yet with All-on-4 implants, you don't have to worry about that.
They are designed to be installed using a one-stage surgical procedure instead of two or three like other types of implants require. If there is less risk of trauma to the gums, jawbone and soft tissue. Less trauma, ofcourse, means less pain and less downtime after the procedure.
Additionally, after surgery, you will be able to brush and floss your new teeth just as you would your natural ones - so in the long run, better oral hygiene improves overall health
All on 4 implants provide a permanent solution that can last for decades, especially when properly cared for.
The All on four treatment allows you to enjoy the benefits of your youthful and natural-looking smile as you toward improving your overall health. Furthermore, dentists can attach a set of fully customized teeth once the implants have been placed on improving your aesthetic appearance and chewing capabilities.
So you will be able to eat comfortably and enjoy a full range of foods for years with no teeth or gum repercussions. All on 4 implants can last for decades with proper care and maintenance.
Risks of All-on-4 implants
While dental implants are one of the most effective solutions to replace missing teeth, some risks are associated with all-on-4 dental implants. Below are some of them.
Failure of the crowns
Your All-on-4 dental implants will only last as long as the crowns they support. Some crowns are more durable than others, so choosing a dentist who uses quality materials is essential. Even if you receive a beautiful smile and solid bite, improper attachment of the crowns could lead to premature failure.
It's also important to keep the teeth clean and free of decay. If decay is allowed to progress under a bridge or below a crown, bone loss may be more rapid than expected with proper care.

Failure of the implant

A few factors can lead to the failure of a dental implant.

Poor hygiene

It's important to maintain good oral hygiene before and after your All-on-4 implants. It is key to brush and floss thoroughly and use mouthwash daily.

Lack of bone in the jaw

Sometimes, the bone around the implant can deteriorate, which would require an additional procedure to replace it. This will likely affect future results if you need All-on-4 implants again in your other jaw.

These risks are rare but possible side effects of using All-on-4 implants. You should always consult with a professional about any worries you may have to make an informed decision about treatment options for missing teeth.

Infection in the mouth

As with any implant, an All-on-4 implant can become infected. This is often the result of poor oral hygiene. The infection can spread to the surrounding tissue, including your jawbone. If the infection isn't treated right away, it could cause the implant to fail.

However, your dentist may remove the implant and clean out the area before placing a new implant if you have an infection.

Infection at the site where the implant is placed

After you receive your implants, you may be at risk of infection. Your dentist will give you specific instructions on how to care for the sites of the implants. If you do not follow these instructions, the site may become infected.

People with diabetes or immune system problems are at greater risk of implant infections.
However, you can reduce your chances of getting an infection by following your dentist's recommendations, practicing good oral hygiene, and having regular dental checkups once you have received your new teeth.

Sinus problems

One of the main risks with All-on-4 implants is the possibility of sinus problems in the upper jaw. The maxillary sinus is located on top of your jaw and is lined with a thin layer of tissue that separates it from the jawbone.

If an implant is placed too close to or into this thin layer, you could experience severe sinus problems such as severe pain, swelling, headaches, and other symptoms.

Loss of the placement site for a future implant

As the risk of losing an implant is very low, it can happen. If you're considering getting implants, your dentist will examine your mouth and talk to you about your medical history to ensure there are no issues.

Your jawbone might not be able to support a dental implant if it's too thin, weak or soft. You might need bone grafting to strengthen the area before getting implants, or you may be able to get smaller implants instead.

There are risks, but it's still a good option for many people

Once you have your new teeth, you'll want to take good care of them. Following a few basic guidelines for oral hygiene will keep them in great condition.

Brush your teeth twice a day with fluoride toothpaste, or as often as your dentist recommends. Floss daily and use mouthwash to reduce plaque buildup.
Consider using an electric toothbrush, which can be more effective at reducing plaque than regular brushes.
Visit the dentist regularly for checkups and professional cleanings.
If you follow these tips, there's a good chance All-on-4 implants will last for long.

Before and After Care for All on 4 Implants

If you're ready to get your all on four dental implants? Well, I'm sure you are asking yourself a catalog of questions like;

What do you need to do before the surgery?

You don't have to take anything special. However, your dentist may tell you to avoid certain medications and supplements that increase bleeding or cause excessive swelling or bruising. You should also stop smoking for a week before and after surgery. 

To prepare for a quicker recovery, make sure you have an adequate supply of soft foods like eggs, yogurt, and applesauce in your home so that eating isn't a difficult task for the first few days after surgery.

After the Surgery: What Can You Expect?

A few days after surgery, it helps if someone cleans plaque from the surgical sites. The sooner this happens, the better because any bacteria left behind can lead to infection. Avoid hard and sticky foods while healing, alcohol use, smoking and chewing ice or gum on that side of your mouth until completely healed.

Other than these items mentioned here, follow your dentist's instructions regarding the care of implants immediately following their placement and long-term care recommendations to avoid potential problems down the road with these new teeth!

At Nuvia Smiles, we focus on All on four implants, which are increasingly becoming the implant procedure of choice. They involve no bone grafting, meaning less pain afterward and much quicker healing and recovery times. 

There is also no need for dentures in the future, just a simple set of removable teeth that slot onto your implants when wearing them. The procedure itself requires four titanium implants, which can then be used to hold 4-8 teeth each, depending on how many you have missing.

Ultimately, if you were looking for a great reason to smile about your dental implants, Nuvia Smiles offers the latest technology in Dental Implant restoration.



This article was written in cooperation with OMD