What’s all on four concept?
All-on-Four is a treatment technique in which we fix temporary dentures on four implants placed in the jaw on the same day for patients who have lost all their teeth.
Why do we do All-on-Four?
When we lose all our teeth, we lose more than just the teeth themselves. The amount of bone surrounding the tooth is also significantly lost. Bone loss is one of the main factors that directly affects the number and placement of implants that can be placed.
Another factor that limits implant placement with tooth loss is anatomical structures such as sinuses and nerves in the jaw bones. As bone loss progresses, these anatomical structures become more superficial and we need to use advanced surgical techniques to place the implants without damaging these structures. The patient’s general health status, the length of the treatment, and the increasing treatment costs can sometimes prevent the use of these techniques.
In such cases, we use this technique by placing our implants at an angle, which allows us to make implant-supported prostheses for our patients very quickly.
Are the teeth fixed in All-on-Four technique?
In this technique, we prepare permanent dentures for the patient in a process of 3-6 months depending on the temporary situation on the first day. In this technique, both the temporary and permanent prostheses that we use are prepared as fixed prostheses. In other words, our patient leaves the clinic with fixed teeth on the operation day and completes the entire process with fixed teeth.
Who can All-on-Four be applied to?
It can be safely applied to all patients who have no teeth in their mouth, have sufficient bone volume, and do not have a systemic disease that can prevent implant application.
In addition, thanks to the developing treatment options today, this procedure can be applied to individuals with controlled systemic diseases with the approval of their doctor.
How does the treatment process work in All-on-Four technique?
Using the imaging and intraoral records taken at the first examinations of our patients who will be treated with this technique, the application plan is created and the preparation of the patient’s temporary teeth is started. If the patient has old prostheses at the beginning of the treatment, these prostheses can be adjusted and used as a temporary prosthesis.
After the temporary teeth are prepared, the day of implant placement is determined and on the day of implant placement, the temporary teeth are fixed in the mouth and our patients leave the clinic with fixed teeth.
Does pain occur during the procedures?
In routine applications, implant placement procedures are performed in the clinic under local anesthesia. This ensures that there is no pain during the procedure. After the procedure, when the effect of the anesthesia begins to wear off, there may be slight leaks and small swellings, and these leaks can be controlled with pain relievers.
Especially in cases where surgical guide is used, these discomforts are very few, and they can continue their normal lives after leaving the clinic on the day of the operation.
How should All-on-Four prostheses be maintained?
All-on-Four prostheses are fixed prostheses placed on implants. The cleaning of these prostheses is very important, as in all prostheses.