The facts about all-on-four dental implants (2024)

Introduction

A dental implant is a small fixture that is surgically inserted and fused inside the jawbone to take the place of a missing tooth’s root. Essentially, an implant functions as an artificial root to hold a bridge or replacement tooth in place. The merging of the jawbone and dental implant is referred to as “osseointegration”. Once the dental implant is merged with the jawbone, the artificial tooth can stably exist on its own. A crown is later placed to make the prosthetic tooth look real.

The facts about all-on-four dental implants (1)

Implants are used to replace one tooth or a set of teeth. Their purpose is to provide or restore tooth function and make one’s overall dental appearance more aesthically pleasing. Current records show that dental implants have a 98% success rate.

What are all-on-four dental implants?

The facts about all-on-four dental implants (2)

Full-arch fixed implant bridges—often referred to as all-on-four dental implants - is a prosthetic surgical technique that describes a procedure aimed to support the entire prosthesis using only four dental implants. The process of using four dental implants to function as a foundation for a full fixed bridge has been documented as early as 1977. It has been used on dental patients with broken down, decayed or compromised teeth caused by gum disease. The procedure places four implants in the area where there is higher bone density, specifically the anterior maxilla or mandible. Though there are only four implants, it can support ten to fourteen teeth. The implants are surgically placed and immediately on the same day a prosthesis is inserted and connected to the implants. As healing takes place, the implants become part of the jawbone and function as a sturdy foundation for the new teeth.

The all-on-four dental implant surgical process

The basic dental implant surgical component is a one day procedure. It involves the following stages: anesthesia, dental area preparation, implant placement, post-operative cleaning, suturing. The initial stage sees the patient on a dentist’s chair where local anesthesia or general anesthesia will be given. The mouth will be prepared for the implants by removing any teeth that are rotten or failing. Any gum or jaw tissue that is infected will similarly be removed and allowed to heal. Once healed, the patient receives a functional albeit temporary denture or bridge to allow him or her to chew food items. The next stage is the implant process where titanium screws are installed in the jawbone. Usually, two implants are installed in front of the mouth, and two are placed at the back. These anchors serve to withstand the force of artificial teeth.

Once the implants are in their proper position, the surgical sites will be cleaned and the incisions will be sutured. The patient will be taken to the recovery room until he or she recovers from the anesthesia. A temporary prosthesis is connected onto the implants providing a set of teeth that the patient can slowly begin to chew and function with. After three to five months, the patient returns to have a final prosthesis made- one that is better fitted to the healed tissues. After two to six weeks, the final fittings occur to ensure that the new set of teeth are the proper colour, size, and proportion.

Conclusion

After the placement of an all-on-four denture, a patient will be functioning quicker than those who received conventional dentures. The stability provided by implants due to them being fused with the jawbone makes faster recovery possible even on the first day of the placement. Further, this new technology allows the provider to give the patient a beautiful smile with a full set of teeth that can function on the same day as the implant surgery.

The facts about all-on-four dental implants (2024)

FAQs

How successful are All-on-4 dental implants? ›

All on four dental implants are incredibly successful and work well for many people lasting for decades. The success rate of these implants is over 97 percent.

What is the downside of All-on-4? ›

Some patients report a difficulty in speech after the implant surgery. All-on-4 dental implants are expensive and can be cost prohibitive for some patients. The All-on-4 implant surgery can cause tender gums and difficulty eating during the healing process.

What is the failure rate of All-on-4 dental implants? ›

All on Four is one of the most successful treatments offered in dentistry today with the average all on four implants success rate being 96% when performed by an experienced All on 4 dentist.

How secure are All-on-4 dental implants? ›

High Success Rate

The All-on-4 procedure is a cutting-edge cosmetic and restorative dentistry procedure. According to multiple studies, the patient success rate is around 94 percent after ten years, and the prosthesis survival rate is a staggering 98.8 percent after 18 years.

What happens if All-on-4 fail? ›

Potential for implant failure

If something does go wrong, a new implant can be placed instead. The second time around, there is a higher chance of the implant securing successfully to the bone.

What is the average age for All-on-4 dental implants? ›

Normally, this takes place around the age of 17 or 18, but every individual is different and only a dental implant specialist can determine whether the level of development of a patient is sufficient for the surgery to be done.

Do All-on-4 feel like real teeth? ›

Look and Feel Real: All-on-4 dental implants in Toronto look and feel like your real teeth. While it may take some time to get used to them, eventually, you won't notice any difference. You'll have plenty to smile about, and all your photos will show a full, bright smile.

How painful is All-on-4? ›

Post-surgery, patients may experience mild to moderate discomfort, which is a normal part of the healing process. This pain usually peaks within the first 24 to 48 hours and gradually subsides over the following days.

Does All-on-4 last a lifetime? ›

Although All-on-4 implants can last a lifetime with good oral health, the prosthesis is likely to wear down more quickly. Dental restorations, like fixed dentures, are susceptible to wear and damage associated with biting and chewing.

Who is not a candidate for all on 4 dental implants? ›

All-on-4 dental implants may not be suitable for individuals with certain medical conditions, such as uncontrolled diabetes, severe gum disease, or significant bone loss. Additionally, those who smoke or have inadequate oral hygiene may experience complications.

How much do All-on-4 implants cost in the US? ›

The procedure not only transforms your smile but also provides a long-lasting solution to tooth loss. The average cost ranges from $15,000 to $30,000 per jaw, which includes the surgical placement of four dental implants and the attachment of a full arch of teeth.

Which oral site has the highest implant failure rate? ›

Several studies have tried to compare implant failure rates regarding implant insertion region of the jaw. Studies have reported that implants fail in the maxilla more than the mandible9-13. Furthermore, the maxillary anterior region exhibited the highest rate of implant failure.

Do All-on-4 look real? ›

This procedure provides a permanent tooth replacement option without any extra attachments, clasps, etc., thus giving them an appearance much more like natural teeth than most fixed dental prostheses, such as bridges. All-on-4 is a dentures alternative and should be treated when discussing the procedure with a dentist.

Which is better All-on-4 or all on 6? ›

In terms of stability and bone integration, All-on-6 dental implants surpass All-on-4. They provide a stronger and more stable base for the prosthetic dental arch compared to All-on-4, potentially extending the prosthetic arch's longevity.

What is the success rate of all on four? ›

All-on-4 implants are a popular choice, and for a good reason, with a success rate of 98.2%. These dental implants use fixed dental arches with four implant points instead of individual dental implants. Are you interested in getting all-in-four dental implants?

Can All-on-4 implants fail? ›

All-on-4 dental implant failure can occur at any moment after the procedure. Failures of implants may become apparent anywhere from a few months to a few years after the surgery. Some problems, however, might only become noticeable after a longer amount of time has passed.

How many teeth do you get with All-on-4 implants? ›

Each All on 4 denture typically contains fourteen teeth, including 4 incisors, 4 premolars, 2 canines, and 4 molars. These implants are designed to allow a whole set of 14 teeth to rest on only 4 dental implants. Four titanium posts are implanted to support a fixed dental prosthesis containing 10 to 14 teeth.

What is the long term success of All-on-4? ›

Clinical outcomes after 10–18 years of follow-up were investigated among patients who had a mandibular rehabilitation with the All-on-4® treatment concept. The cumulative prosthetic survival rate was 98.8% (only 4 out of 471 patients lost their prostheses due to implant failures).

Top Articles
Latest Posts
Article information

Author: Jerrold Considine

Last Updated:

Views: 6538

Rating: 4.8 / 5 (58 voted)

Reviews: 81% of readers found this page helpful

Author information

Name: Jerrold Considine

Birthday: 1993-11-03

Address: Suite 447 3463 Marybelle Circles, New Marlin, AL 20765

Phone: +5816749283868

Job: Sales Executive

Hobby: Air sports, Sand art, Electronics, LARPing, Baseball, Book restoration, Puzzles

Introduction: My name is Jerrold Considine, I am a combative, cheerful, encouraging, happy, enthusiastic, funny, kind person who loves writing and wants to share my knowledge and understanding with you.