All on 4
All on 4: A Complete Solution for Tooth Replacement
The term All-on-4, also known as All-on-Four or All-in-Four, refers to the concept of supporting an entire set of teeth on just four dental implants. This prosthetic procedure is designed for patients who are completely edentulous or have severely damaged teeth due to decay or gum disease.
- Process
The procedure involves the rehabilitation of the upper or lower jaw by placing four implants in the front part of the jaw, where bone density is usually greater. These four implants support a fixed prosthesis with 10 to 14 teeth, which is placed immediately, usually within 24 hours of the procedure.
- Main Features of All-on-4:
- Four dental implants: This approach uses four implants to support a completely fixed bridge, a concept documented since 1977.
- Immediate replacement: The All-on-4 procedure allows for permanent, screw-retained replacement on the same day for the entire upper and/or lower set of teeth using a bridge or prosthesis.
- Suitable for significant tooth loss: It is particularly beneficial for patients with significant tooth loss or decay and for those who cannot receive traditional implants due to bone loss in the jaw area.
Often, tooth loss is accompanied by loss of bone density, which poses challenges for traditional implant placement. The All-on-4 techniques utilize the dense bone that remains in the front part of the jaw and place two angled implants to avoid sinus cavities in the upper jaw and the nerve canal in the lower jaw.
- Procedure Protocol
The All-on-4 protocol involves placing at least four implants in one jaw. The posterior implants are usually angled between 30 and 45 degrees relative to the bite plane. This positioning ensures that the implant is placed in front of the maxillary sinus in the upper jaw and in front of the mental nerve in the lower jaw.
The heads of the implants typically protrude in the positions of the second premolars, allowing for the posterior consolidation of a molar tooth, resulting in a prosthesis or bridge of about twelve teeth.
- Conclusion
For those considering this option, it is advisable to consult a dental clinic to assess specific needs and discuss the best treatment plan tailored for you.
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Frequently Asked Question
What about Cost and Evaluation?
The cost of the All-on-4 procedure varies based on the final materials of the prosthesis. A careful analysis of the bone structure is crucial for its success. The best way to assess bone density is through a Cone Beam Computed Tomography (CBCT) scan.