Të gjitha-në-4 is a life-changing solution for those with tooth loss: a full arch of teeth on 4 implants.
But what does it entail, and how do we address the concerns about cost, recovery time, and long-term success?
What is the All-on-4 Procedure Step-by-Step?
All-on-4 is a full dental implant solution that involves 4 implants placed at an angle to support a full arch of teeth. Here’s the process:
Consultation
Preparation
Implant Placement
Temporary Restoration
Healing and osteointegration
Final Prosthesis
This has a high success rate; studies show a 93.8% to 98.7% survival rate over 3 to 10 years.
| Step | Përshkrimi |
|---|---|
| Konsultimi Fillestar | Assessing oral health and planning the treatment (1) |
| Preparation Phase | Anesthesia, sedation, and tooth extractions if necessary (2) |
| Implant Placement | Surgical insertion of four implants per arch, angled for maximum bone utilization (1) |
| Temporary Restoration | Attaching a temporary prosthesis for immediate function (3) |
| Healing and Osseointegration | Allowing the implants to bond with the jawbone (3) |
| Final Prosthesis | Securing the permanent full arch restoration (2) |
All-on-4 Preparation
Consultation and Expectations
The consultation is the first step in the All-on-4 process; we assess your oral health and plan the treatment.
During this consultation, we will discuss your expectations, address any concerns you may have, and outline the process.
All-on-4 Consultation: Understanding Your Needs
The All-on-4 consultation is to understand your specific needs and if this procedure is for you.
We will review your dental history, assess the condition of your jawbone, and discuss the benefits and risks of the procedure.
Studies show that proper planning and patient selection are key to the success of All-on-4, with a 93.8% to 98.7% survival rate over 3 to 10 years (1)
Dental History and Expectations
A thorough dental history review is important to ensure the All-on-4 procedure is customized to your needs.
We will review any previous dental work, assess the condition of your remaining teeth, and discuss your expectations for the procedure.
This approach minimizes the risk of complications and ensures a good outcome.
The All-on-4 Procedure: A Breakdown Preparation Phase: Anesthesia and Sedation
The preparation phase of the All-on-4 procedure involves anesthesia and sedation to make the experience comfortable and pain-free.
This is especially important for patients who have anxiety or fear related to dental procedures.
Studies show that sedation in dental implant procedures can reduce patient anxiety and overall satisfaction (2)
Implant Placement: Surgical Insertion and Angulation
The implant placement involves 4 implants per arch placed at an angle to maximize bone use.
This angulation allows for even force distribution and minimizes the risk of implant failure.
Studies show All-on-4 can achieve high success rates even in patients with limited bone, a 95.5% survival rate over 5 years (1).
Temporary Restoration: Temporary Prosthesis
The temporary restoration involves attaching a temporary prosthesis to the implants, allowing for immediate function and aesthetics.
This temporary solution provides patients with a functional and comfortable set of teeth while the implants heal and integrate with the jawbone.
A study shows that temporary restorations can improve patient satisfaction and quality of life during the healing period (3).
Healing and Osseointegration
The Healing Process: Osteointegration and Bone Fusion
The healing process in All-on-4 involves osseointegration, where the implants bond with the jawbone, creating a solid base for the prosthesis.
This takes several months, during which the implants integrate with the bone, ensuring a strong and stable connection.
Studies show that osseointegration can be influenced by implant surface roughness and systemic diseases (3).
Dietary Instructions During Healing
During the healing period, a soft food diet is crucial to minimize the risk of implant failure and osseointegration.
A study shows that a soft food diet can reduce implant failure by 1.4% compared to 4.8% for patients who didn’t follow a soft food diet (2).
Avoid hard or sticky food to prevent complications and a smooth healing.
| Dietary Recommendations | Përshkrimi |
|---|---|
| Soft Food Options | Yogurt, scrambled eggs, mashed potatoes, and cooked vegetables (2) |
| Foods to Avoid | Hard or sticky foods such as nuts, seeds, and raw vegetables (2) |
| Benefits of Soft Food Diet | Significantly reduces the risk of implant failure, with a reported failure rate of 1.4% compared to 4.8% for patients who did not follow a soft food diet (2) |
Final Prosthesis
Permanent Full Arch Restoration
The final step of the All-on-4 procedure is to attach the permanent full arch restoration to the implants.
This happens after the healing and osseointegration phase, when the implants are solidly attached to the jawbone.
A study shows that a fixed prosthesis can improve patient satisfaction and quality of life; 96.4% of patients were highly satisfied with the outcome (2).
Finishing and Follow-Up
After the final prosthesis is attached, we will make any necessary adjustments for comfort and function.
Follow-up appointments will be scheduled to check on the healing and address any concerns or issues that may arise.
Studies show that regular follow-up care can reduce complications and improve long-term success (98.5% survival rate over 10 years) (4).
Përfundim & Çështje kryesore
Çelës-Takeaways:
All-on-4 is a full dental implant solution with high success rates.
It’s a process from consultation to final prosthesis attachment.
Proper planning and patient selection are key to the procedure.
It can improve patient satisfaction and quality of life.
konkluzioni:
All-on-4 is a life-changing dental solution that gives you a full arch of teeth in 4 implants.
Now that you know the process and the benefits, you can make an informed decision about your dental health.
With high success rates and predictable results, All-on-4 is a reliable solution for tooth loss.
FAQ
Referencat
- Maló P, de Araújo Nobre M, Lopes A, Ferro A, Gravito I. All-on-4 Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level. Clin Implant Dent Relat Res. 2015 Oct;17 Suppl 2:e531-41. doi: 10.1111/cid.12282. Epub 2014 Dec 23. PMID: 25536438.
- Lopes A, Maló P, de Araújo Nobre M, Sanchez-Fernández E. The NobelGuide All-on-4 Treatment Concept for Rehabilitation of Edentulous Jaws: A Prospective Report on Medium- and Long-Term Outcomes. Clin Implant Dent Relat Res. 2015 Oct;17 Suppl 2:e406-16. doi: 10.1111/cid.12260. Epub 2014 Sep 5. PMID: 25195544.
- Taruna M, Chittaranjan B, Sudheer N, Tella S, Abusaad M. Prosthodontic Perspective to All-On-4 Concept for Dental Implants. J Clin Diagn Res. 2014 Oct;8(10):ZE16-9. doi: 10.7860/JCDR/2014/9648.5020. Epub 2014 Oct 20. PMID: 25478475; PMCID: PMC4253293.
Neni: Prosthodontic Perspective to All-On-4 Concept for Dental Implants
- Soyfer V. Review Article on the All-On-Four Treatment Concept in Dental Implants. Arch Surg Clin Res. 2023; 7: 019-023. doi: 10.29328/journal.ascr.1001070.
Neni: Review Article on the All-On-Four Treatment Concept in Dental Implants
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