Dental Library: Understanding All-on-4 Implant

all-in-4-implants

08.30.2018
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What is All-on-4?

All-on-4 is a surgical technique prosthodontic procedure performed for total rehabilitation of severely damaged teeth, caused due to tooth decay, injury or any other gum disease. In this procedure ‘all’ refers to the entire set of teeth which are rehabilitated using ‘four’ dental implants that support them.

When should you consider All-on-4 Implant?

If all your tooth has been broken in an accident or an injury, then you can rehabilitate them using an All-on-4 implant.

A patient who is suffering from teeth decay or any gum disease that has damaged the structure of their teeth.

All-on-4 Procedure

All-on-4 is a prosthodontic procedure in which the rehabilitation of mandible (lower jaw), dentate maxilla (upper jaw), or edentulous using a fixed prosthesis by inserting four implants inside the anterior maxilla, which has a higher bone density. The whole structure of the new teeth is supported on the four implants.

How does the All-on-4 procedure take place?

The whole procedure requires the patient to be put on anesthesia as it is a painful procedure.

Step 1: Initially for placing implants in the upper or lower jaw, it necessary that the damaged or the broken teeth of the patient are cut or removed from their mouth.

Step 2: Once the damaged teeth are removed, four implants are placed in the lower or upper jawbone. The outer implants are drilled and placed vertically in the jaw at an angle of 45 degrees, while the inner implants are placed straight on a 90-degree angle.

When used in the mandible (lower jaw), tilting the posterior implants can help in achieving good bone anchorage.

Note: The different might use a non-tilted approach for placing the implants, but the tilted placement has been to provide more natural results, making the patient more comfortable after the procedure

Advantages of All-on-4 Implants

•    Decreases the requirement of getting a bone graft

•    Full-arch restoration

•    Shorter installation time needed than other implants

•    Prevents bone loss

Cost of an All-on-4 implant in India

The average cost of the All-on-4 implant in India ranges starting from USD 3,000 per implant including the value of the crown. The same procedure can cost more than USD 12,000 in developed countries like the USA and UK. However, the cost of the implant might vary depending on the condition of the jaw bone, and the gum of the patient. Other factors that might affect the cost of the procedure include the material and the structure of the implant or the instruments used for placing them.

FAQs

Is all-on-4 implant a painful procedure?

Yes, All-on-4 is a painful procedure, but the patient doesn’t feel any pain during the process as he/she put on anesthesia that numbs their senses. The procedure involves cutting off the patient’s natural teeth, then drilling their jawbone for inserting the implants. The patient might feel slight pain for a few weeks after the procedure but it is tolerable and usually fades with time as the gum heals.

Are All-on-4 worth its cost?

Yes, All-on-4 helps in complete rehabilitation of the teeth, that works wonders in allowing people with severely broken or decayed to have a new set of perfect teeth.

How long does All-on-4 last?

All-on-4 is a type of implant, and like most implants, it is designed for lasting over a period of 25 years. Implants alternatively last around 5 to 15 years, before requiring a replacement. As with natural teeth, the crowns on the implants can also get damaged demanding a new one.

Explore Medmonks.com to learn more about different dental procedures and the best dentists to perform them to get the perfect set of teeth.

Neha Verma

A literature student, aspiring writer, fitness enthusiast and an abstractionist, with a curious mind..

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