By Dr. Leyli Shirvani, owner and dentist at My Dentist San Francisco.
1. What are All-on-4 Dental Implants?
The Concept
All-on-4 dental implants have revolutionized the way we approach full mouth restorations. This innovative treatment involves placing four to six implants strategically in the upper or lower jaw, which serve as the foundation for a full set of prosthetic teeth. The placement of these implants allows for optimal load distribution and provides a secure base for the attached prosthesis.The expression all-on-4 comes from the fact that at least we need 4 implants to be able to make a fixed bridge. Many times, we can add more due to higher predictability and lower risk of redoing the whole bridge incase of losing 1 or 2 implants in the future. The reason we are referring to all-on-4 to all-on-x is for this reason.
The Prosthetics
The prosthesis attached to these four implants is a full-arch set of teeth, which looks and functions like natural teeth. These prostheses are custom-made for each patient to ensure comfort, perfect fit, and a natural appearance. They are like a roundhouse bridge.
2. All-on-X Dental Implants Procedure
Initial Assessment
The procedure begins with an in-depth assessment. Using advanced diagnostic tools such as 3D X-rays(CBCT). We evaluate the condition of the patient's jawbone, oral tissues, and remaining teeth. This analysis helps us determine the patient's suitability for All-on-4 dental implants and plan the implant placement.
The Procedure
On the day of the procedure, the patient is placed under anesthesia for comfort. The four implants are then carefully inserted into the jawbone. Two or more implants are placed at the front of the jaw and two at the back at precise angles to utilize the available bone volume most effectively. After the implants are placed, a temporary full-arch prosthesis is fitted. This immediate loading of the implants is a significant advantage of the All-on-4 procedure. This can happen in most cases.
3. Advantages of All-on-X Dental Implants
Immediate Results
One of the most attractive benefits of All-on-X dental implants is the immediate transformation. Unlike traditional implant procedures that often require a healing period before the prosthetic teeth can be placed, All-on-X allows for the attachment of a temporary prosthesis on the same day. This means patients can walk out of the clinic with a brand new smile immediately after the procedure.
Bone Grafting Often Unnecessary
Traditionally, patients with significant bone loss were not considered good candidates for implants unless they underwent bone grafting. However, the strategic angling and placement of All-on-X implants often eliminate the need for this additional procedure, even for patients with low bone density.
4. Comparing All-on-X Dental Implants to Dentures
Long term Solution
Unlike dentures, which need to be removed and cleaned daily, All-on-X dental implants provide a fixed, a long term solution. This eliminates the inconvenience and potential embarrassment of removing dentures, and patients never have to worry about their prosthetic teeth slipping or falling out.
Superior Comfort and Functionality
Since All-on-X implants are securely anchored to the jawbone, the prosthetic teeth function more like natural teeth compared to dentures. This allows patients to eat a wider variety of foods and speak more clearly and confidently. Additionally, because the implants stimulate the jawbone, they help prevent the bone loss that often accompanies long-term denture use.
6. Maintaining All-on-X Dental Implants
Daily Care
All-on-4 dental implants should be cared for like natural teeth, with daily brushing and flossing. It's also important to clean under the prosthesis to remove food particles and prevent plaque buildup. Water flossers are a very crucial part of cleaning. We provide our patients with detailed care instructions and recommend specific products for optimal implant maintenance.
Regular Dental Check-ups
Even though prosthetic teeth cannot develop cavities, regular dental check-ups are still crucial. These visits allow us to ensure the implants are healthy, the prosthesis is functioning well, and the patient's overall oral health is good.
7. All-on-X Dental Implants: Cost Considerations
Initial Investment
Although the upfront cost of All-on-X dental implants can be higher than other tooth replacement options, they're often more cost-effective in the long run. When you consider their longevity, convenience, and the health benefits they offer, it's easy to see why many patients choose All-on-X as a worthwhile investment in their oral health and quality of life.
Potential Coverage
Dental insurance coverage varies widely, but many plans cover at least a portion of the cost for implants. We're always happy to help patients understand their insurance benefits and to work with them to develop a payment plan if needed.
8. The Lifespan of All-on-4 Dental Implants
Longevity of Implants
With proper care, the implants themselves can last a long time. Like natural tooth roots, they become integrated with the jawbone and provide a stable foundation for the prosthetic teeth. Like natural teeth, they can get periodontal problems and start showing signs of gum inflammation or bone loss.
Prosthesis Lifespan
While the implants can last a long time, the full-arch prosthesis may need replacement or adjustment over time due to normal wear and tear. However, with good care, most prostheses last many years before needing replacement.
9. Suitability for All-on-X Dental Implants
Ideal Candidates
The All-on-X procedure is ideal for patients who are missing most or all of their teeth in an arch, but it's also an excellent solution for those with failing teeth who are facing the prospect of extraction. Patients with bone density issues can also be good candidates thanks to the strategic placement of the implants.
Medical Considerations
Although most people are good candidates for All-on-X, certain medical conditions can affect suitability. Chronic conditions like diabetes or heart disease, habits like smoking, or certain medications may affect healing and implant success. It's important to discuss your complete medical history during the consultation.
10. The All-on-X Dental Implants Procedure: What to Expect
Anesthesia
The All-on-X procedure is performed under anesthesia, ensuring patients are comfortable throughout the process. We offer several options for anesthesia and will discuss these with you to determine the best choice for your needs.
Same-Day Results
One of the most compelling benefits of the All-on-X procedure is the immediate results it provides. Patients leave the office with a full set of functional, aesthetically pleasing temporary teeth on the same day as the procedure. After the healing period, which typically lasts a few months, the temporary prosthesis is replaced with a permanent one.
11. The Impact on Quality of Life
Improved Functionality
With All-on-4 implants, patients can regain nearly all the functionality of natural teeth. This means unrestricted food choices, clear speech, and no discomfort or pain when eating. The improvement in oral function can significantly enhance overall quality of life.
Boosted Confidence
The aesthetic transformation with All-on-4 implants is truly remarkable. A full set of beautiful, natural-looking teeth can work wonders for self-esteem. Patients can smile, laugh, and engage in social activities without worrying about missing or failing teeth.
12. Addressing Common Concerns About All-on-4 Dental Implants
Surgical Risks
Like any surgical procedure, the All-on-4 implant procedure comes with certain risks, such as infection or nerve damage. However, these risks are minimal and can be further mitigated by following aftercare instructions and opting for a highly experienced dental surgeon, like those in our team at My Dentist San Francisco.
The Possibility of Failure
While the success rate of All-on-4 implants is very high, there's a slight chance of failure, often due to the body not accepting the implant, poor oral hygiene, or heavy smoking. To minimize these risks, we ensure thorough patient evaluation, meticulous surgical procedure, and provide detailed post-operative and maintenance instructions.
All-on-4 in San Francisco
All-on-4 dental implants are a transformative solution for patients dealing with extensive tooth loss or failure. This one-day procedure can restore your smile and significantly improve your oral health and overall quality of life. If you're considering All-on-4 dental implants, we welcome you to contact My Dentist San Francisco for a consultation. We're committed to helping our patients find the best solutions for their dental needs and guiding them every step of the way on their journey to a beautiful, healthy smile.
