What does All On 4 mean?
The term All On 4 refers to “all” of the teeth in either the upper or the lower jaw being supported by 4, 5 or sometimes 6 dental implants. The primary appointment is a surgical procedure followed by a restorative phase. At the end of this appointment the patient will go home with a full arch of teeth attached to the implants. This procedure is ideal for the total rehabilitation of a patient missing all of their teeth, badly broken down teeth, decayed teeth or teeth with gum disease.
How long will the All On 4 Implants last?
All on 4 dental implants are meant to be a permanent dental solution. Your implants can last 20 years or more with proper care. The long-term success rate after 10 years is more than 94 percent, according to some scientific studies.
Who is a candidate for All On 4 Dental Implants?
Ideal All On 4 implant denture patients should:
- Have good oral health
- Be in good physical health for surgery
- Not be taking medications that impair healing
- Be a nonsmoker
Oral health problems that threaten natural teeth can also threaten dental implants. If you currently have gum disease or have had gum disease in the past, it puts your implants at risk. We can treat gum disease and watch for its return, but you need to be aware of this risk. Diabetes may impact your oral health and will be considered in your treatment plan. If you have had recent or impending radiation therapy to the jaw you cannot receive dental implants.
Physical Health & Medications
Age is never a barrier to dental implant surgery if you are healthy. Some medications can interfere with dental implant healing. The most common concerns are antidepressants and osteoporosis medications known as bisphosphonates.
Smoking can increase your risk of dental implant failure by three times or more. It’s best to quit altogether, but if this is not possible you should at least quit during your treatment time and healing.
What are the treatment steps?
Your initial consultation visit will be approximately one hour and will include a CT scan of your mouth, photographs, and dental molds will be made. Your team of doctors will evaluate your physical and dental health, discuss your treatment options, time of treatment, expectations and costs. The next visit will be your surgery appointment with both an oral surgeon and a restorative dentist. During this appointment teeth will be removed, implants will be placed and you will have your your new set of teeth permanently attached to the implants. This will be a long day so you should plan for a long visit and then plan to rest and relax that evening. You should anticipate taking it easy for the next few days to promote healing. You will return to the office one week later to evaluate your healing and function.
In closing, the All On 4 is a state of the art, sophisticated restoration of either or both the upper and lower arches. The planning and treatment is very detailed and requires a skilled oral surgeon and highly qualified and experienced restorative dentist. While initial cost for this treatment may seem high, one must first appreciate the value this investment will provide. The All On 4 provides a lifetime of enjoyment with improved self confidence free of painful and diseased teeth that have caused years of embarrassment. This new treatment option can provide a healthy and comfortable smile you can be proud of in just one day with a lifetime of satisfaction.
Before and After