If you have edentulous jaw or have current full dentures with resorption at posterior area, an minimally invasive solution for fixed full-arch restoration is the All-on-4 treatment concept.
With All-on-4, you have a provisional fixed full-arch prosthesis during the same period of surgery. The concept uses places two anterior implants and titles two implants at the posterior area maximising the use of front anterior bone. This is followed by implant-retained hybrid denture attached to the implant posts.
The All-on-4 treatment concept can be done for both the upper and lower jaw. Your implantologist may recommend more than four implants based on bone and oral conditions.
During your first visit, your dental specialist will evaluate your oral condition to determine if you are a suitable for immediate function full arch dental implant treatment. Considerations include any infection in gums and jaw bone and your bone condition. If there is infection, this will first need to be treated. And if bone loss is signficant, alternative options such as zygoma implants or bonegraft may be recommended.
Panoramic x-rays and a 3D CT scan is taken. Image helps your oral surgeon pre-plan the best angle and depth to place your implant posts. Digital surgical template guides may also be taken at this stage on request.
Any preliminary dental treatments (if any) is first cleared prior to the start of the All-on-4 surgery.
The actual dental mplant post surgery can be done under local anaesthesia as an outpatient procedure in our day clinic or as under moderate sedation and general anaesthesia as an in-patient procedure. Please consult with your implant oral surgeon on selected choices. If the implant post surgery is done under sedation, additional health checks and pre-preparation timings will be required.
Sedation OptionsDuring the day of surgery, your implant oral surgeon may provide additional instructions before arriving for your actual surgical appointment based on sedation option chosen. If you are undergoing any sedative options on as an outpatient returning home on the same day of surgery, we recommend having someone accompany with you after your visit.
Dental implant post placement is a typically completed within 1 to 3 hours by your implant oral surgeon. BIDH’s team of implantologists are top tier specialists, each well experienced and qualified, many of whom are American board certified.
After surgery on the same or next day, your prosthodontist arranges to take an impression of implant in building your provisional fixed hybrid dentures.
The All-on-4 treatment concept is designed to maximize the opportunity for immediate function. Your dentist will often be able to place a temporary restoration on or very shortly after the day of surgery.
Based upon surgical placement visit and actual bone condition, your implant dentist will inform and make recommendations corresponding if the prostheses is ready for immediate or delayed loading.
Full mouth dental implants options
