What is the All-on-Four Technique?

All on four technique is a treatment technique in which we fix the prostheses we prepare for our patients who have lost all their teeth on the implants placed on straight and angled implants on the same day and send our patient home with teeth on the same day.

Why do we do All on Four?

In cases where we lose all our teeth, the teeth themselves are not the only thing we lose. Along with tooth loss, serious losses are also observed in the amount of bone surrounding the tooth. Bone loss is one of the factors that directly affect the number and location of implants we can place.

Another factor that limits implant placement with tooth loss is anatomical formations such as sinuses and nerve structures in our jaw bones. With bone loss, these anatomical structures become more superficial and we need to use advanced surgical techniques to place implants without damaging these structures. Conditions such as the general health status of our patients, prolonged treatment time, increasing treatment costs can sometimes prevent the use of these techniques.

In such cases, we use this technique because it allows us to make implant prostheses for our patients very quickly by placing our implants inclined.

Are Teeth Fixed in All on Four Technique?

In this technique, we prepare permanent prostheses for our patients on the first day in a period between 3-6 months depending on the temporary situation. All of the temporary and permanent prostheses we use in this technique are prepared as fixed prostheses. In other words, our patient leaves the clinic with fixed teeth on the day of the operation and completes the entire subsequent 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 may prevent implant application.

In addition, thanks to the treatment options developed today, this procedure can also be applied to individuals with controlled systemic diseases with the approval of their doctor.

How Does the Treatment Process Work with the All on Four Technique?

Using the imaging and intraoral records taken during the first examination of our patients who will be treated with this technique, an application plan is created and the preparation of the patient’s temporary teeth begins. If the patient has old prostheses at the beginning of the treatment, these prostheses can be arranged and used as temporary prostheses.

After the temporary teeth are prepared, the day of implant placement is determined and on the day the implants are placed, the temporary teeth are fixed in the mouth and our patients leave the clinic with their fixed teeth.

Does Pain Occur During the Procedures?

In routine applications, implant placement procedures are performed under local anesthesia in the clinical environment. In this way, there is no pain during the procedure. After the procedure, there may be mild tingling and minor swelling due to anesthesia, and these tingling are so little that they can be controlled with painkillers.

Especially in cases where surgical guide is used, these discomforts are almost non-existent and it is possible to continue their normal lives after leaving the clinic on the day of the operation.