Table of Contents What is the Concept of All-on-4 Implants? The Surgical Procedure (All-on-4). What Are Computer Guided All-on-4 Implants? Average Recovery Time after the All-on-4 procedure. The Cost Involved in Administering Care after Surgery. All-in-4 Implants When Compared to Dentures.

1. Is All-on-4 Dental Implants Right
for You? Key Aspects to Understand

2. Introduction
There is a lot of discussion about the benefits and downsides of the “All-on-4” dental
techniques. To grasp the effects of this procedure, you first need to have accurate
information. “All-on- 4” is a term that refers to the dental procedure where „all‟ your teeth
get support from four implants. It is a surgical technique based on prosthodontics procedure.
The All-on-6 is also a prosthodontics technique, which means all teeth are receiving support
from six implants.
The procedures are a bit more complicated than they sound in the definitions above. Even
so, many tout them as the best for patients with compromised, badly broken down, or
decayed teeth. One of the brainchildren behind the All-on-4 procedure is the Portuguese Dr,
Paulo Malo, who used the technique to treat a patient satisfactorily in 1988.

3. Table of Contents
What is the Concept of All-on-4 Implants?
The Surgical Procedure (All-on-4).
What Are Computer Guided All-on-4 Implants?
Average Recovery Time after the All-on-4 procedure.
The Cost Involved in Administering Care after Surgery.
All-in-4 Implants When Compared to Dentures.

4. What is the Concept of All-on-4 Implants?
Looking at the number of people who have undertaken the procedure, it is accurate to say
that the All-on-4 concept is perfect for full-arch treatments with tilted implants. The
approach uses a graftless and a cost-efficient solution.
Here is a detailed explanation of the characteristics of this technique:
Full arch rehabilitation using four implants: Uses two straight implants and two anterior
implants tilted at a 45-degree angle in your posterior to anchor your set of teeth.
Graftless Procedure: Enables dentists to skip bone grafting all together. It utilizes the bone
available by tilting your posterior implants.
Immediate Function: Uses a fixed provisional bridge to load implants for patients who
meet the criteria, immediately.

5. Tilting the two posterior implants ensures enhancement of the bone-to-implant contact.
That‟s how this procedure uses minimum bone volume to provide optimized bone support.
More importantly, the titling improves anchorage with quality anterior bone, while the
implant design enables bio-cortical anchorage around the cortical bone in the nasal fossa and
the sinus wall.
The All-on-4 technique rehabilitates your full set of teeth. Since the 1990s, many clinicians
in the countries of Sweden, Portugal, South America, and the US have helped to advance
this procedure by starting from angulation of back implants. Paul Maulo is a Portuguese
dentist, and one of the people who funded the technique‟s studies, later using it to treat a
patient. The benefits of All-in-4 include:

6. Full-arch restoration
Shorter installation times when compared to conventional implants
Prevents further bone loss
Eliminates the need for bone grafting during a procedure
The All-on-6 procedure has similar advantages. It also has a shorter treatment time, you will
not need bone grafting, and it lasts, plus it helps you achieve the most beautiful set of teeth.
Both of these procedures have astonishingly high success rates.

7. The Surgical Procedure (All-on-4)
Most people feel scared when getting first-time implants. It is not a surprise because
conventional implants have for a long time been infamous due to the pain and lengthy
timelines associated with them. Still, the All-on-4 is a whole other different technique.
Here‟s the whole procedure you will undergo at the dentist‟s facility:
Step one: It is about comfortability before the surgical operation. A dentist will make sure
that you are at ease so that they can administer general or local anesthesia.
Step two: At this stage, the dentist prepares your mouth and removes any failing teeth.
He/ she also remove any infected or diseased tissue from your gums or organs.

8. Step three: Here, the implementation process begins. The dentist places titanium screws
in your jawbone. He or she then inserts the implants, fastening them in place using the
screws. Usually, two implants face towards your mouth‟s back, while the other two face
the front. They help the anchor to bare the denture force evenly.
The last step: After successful placing of the implants, your dentist thoroughly sutures all
incisions and cleans the surgical sites. He or she then moves you to a recovery room so
you relax and wake up (from the anesthesia).

9. What Are Computer Guided All-on-4 Implants?
Dentists use computer software and high tech equipment for placement of these implants.
The process involves utilizing a scanner to perform scans with a diagnostic/ surgical guide
that has radiopaque teeth. The information retrieved from the scanner helps the lab
technicians and dentist to locate virtual implant components within the bone and prosthesis.
This technology is also used to figure out the best area to place locking pins for stabilizing
the arch‟s guide during surgery. The modern techniques and high precision equipment used
for computer-guided All-on-4 implants ensure that dentists achieve the best possible results.
Computer-guided implant procedures take into account the therapeutic information and
patient anatomy.

10. A dentist uses a radiological guide derived from radiological data to create 3D models to
assess the quantity and quality of the available bone. According to many studies, this
technique is better than all others. Here are the benefits of going for the computer-guided
All-on- 4 implants:
Doctors are able to administer smaller, cleaner, and precise incisions, which enables the
patient to heal faster.
The risk of complications is lower when compared to other methods.
The software help dentist to make exact implantations and determine accurate treatment
plans by using cone beam CT scans.
The technology also enables more patients to get treatment. Before the use of software,
All-on 4 dental implants were for only those without dental structure or bone volume
issues.

11. Average Recovery Time after the All-on-4
procedure
Recovery from traditional dentures has always taken about 3-8 months. With the All-on- 4,
you will heal faster when compared to conventional methods. The stability provided by the
implants fused to your bone ensures that recovery starts from day 1.
Here is a breakdown of the healing process from the moment your dentist finishes the
surgery:
A few hours later: After the All-on-4 procedure, a dentist places gauze packs over the
surgical areas. These packs stay on until you stop bleeding, which should take about one
hour after surgery. Once the dentist confirms you have no excessive bleeding, the removal
of the gauze packs occurs. your mouth as clean as possible, always.

12. When you arrive at home: You should take care not to harm the tender areas. Avoid
touching or rinsing the surgical wounds. For brushing your teeth, use a very gentle
toothbrush. You should not smoke right after surgery to ensure the surgical spots heal
right. Use a medicated rinse to keep your mouth as clean as possible, always.
The next day: After you wake up, check to see if there is any bleeding in your mouth.
After confirming you are not bleeding, use salt water to rinse your aperture. Repeat that
procedure 2-3 times during the day.
The following days: It is vital that you rest well for a sufficient period after the dental
procedure. Avoid lifting heavy objects, bending over unnecessarily, or any other strenuous
activity. It is to prevent swelling or bleeding. More importantly, train yourself to stand
slowly when you sit for a while. Standing quickly leads to lightheadedness.
The average recovery time after the All-on- 4 processes should be at least 4-6 months. Don‟t
forget to eat soft foods and rest well. It will quicken your healing process.

13. The Cost Involved in Administering Care after
Surgery
The cost of recovery depends on how well you care for your wounds. Other than the initial
cost of surgery, you do not incur a lot of expenses after the procedure. You will need to
invest in a softer toothbrush, a non-abrasive toothpaste, and mouthwash.
If you can, wash your mouth using good old baking soda diluted in a little water. It is quite
soft on a microscopic level despite having a gritty feeling to it. Baking soda also has the
least abrasive components. Your doctor will also recommend a kit and other products plus
medication to help with recovery.
Thus, the after-care cost should not be in excess of $600. There are some cases where the
„recovery‟ expense shoots up as a result of a complication or two. It is why you cannot
overemphasize sufficient care after the All-on-4 or the All-on-6 surgical implant. However,
don‟t worry if any of the issues in the list below crop up. Your dentist will help you through
any trouble:

14. 1. Persistent Bleeding
It is a situation where bleeding around your gums will not stop. Many a time, this situation
results from the patient biting down on gauze packs. The DIY remedy for persistent bleeding
involves repositioning the gauze, stop doing any physical activities, sit upright, or cool your
mouth with ice cubes. When nothing works, book an appointment with your dentist as soon
as possible.
2. Sharp Sensations
They occur inside your orifice due to the bony walls that previously supported the now
missing teeth. You may notice protrusions of small bones, a few days after the surgical
process. Consult your dentist if the situation becomes alarming.

15. 3. Dry Lips
Your lips might dry up since your mouth will stretch to accommodate the wearing gauze.
Hydrating ointments will help you solve this issue.
4. A Sore Throat
The gauze will also keep your mouth slightly ajar increasing the risk of a sore throat. If you
happen to feel that your swallowing is painful, there is a very high chance it‟s a sore throat. This
is a symptom that passes after a few days.
5. Stiff Muscles
A stiff jaw is as a result of the gauze that keeps your jaw in a certain position for a long period.
You can counteract the stiffness stretching your jaw every now and then. Do it slowly and
gently.

16. 6. Surgical Complications
All surgeries have risks. Possible complications after the All-in-4 procedure are profuse
bleeding, poor healing, and infection. As much as a dentist will try and avoid such issue,
they sometimes do occur. Watch out for symptoms of these complications and visit your
dentist the moment sense something is not right.
7. Discolouration
It usually occurs a few days after surgery. You will notice blue, black, and/or yellow colours
around the areas. There is no need for alarm in such a situation since it is something normal
with All-on-4 procedures. To get rid of the colouring, try applying moist heat on your cheeks
from 36 hours after the surgical process.

17. All-in-4 Implants When Compared to Dentures
These two tooth replacement procedures come in handy when a patient is suffering from
tooth loss due to issues like inflammatory gum disease. Dentures can either be complete or
partial. For this procedure, a metal framework permanently or temporarily holds dentures
that replace missing teeth. Here‟s where the All-on- 4 beats dentures:
a) Close Resemblance to Natural Teeth
All-on-4 implants look exactly like real teeth in translucence and color. You bet no one will
notice any difference if you replace even one tooth via this implant technique. On the other
hand, dentures are entirely different to natural teeth because they are prosthetic devices or
plates.

18. b) Multiple Teeth Replacement
With four dental implants, you can easily anchor a set that will permanently replace lost
teeth throughout the top or bottom of your gums. When it comes to dentures, the dentist
replaces each missing teeth with a plate. The procedure does not offer the efficiency in All-
on- 4 processes.
c) Durability
Prosthetic teeth are stain resistant and tough because most are porcelain-made. It makes
them ideal for normal functions of the orifice. Via All-on-4, you will be back eating
everything you love sooner than you would expect. For dentures, there are restrictions
because you have to protect the plates.

19. Patient reviews and dentists‟ stories have for a long time confirmed that the All-on- 4 and the
All-on-6 are extremely successful remedies. By looking at the risks and benefits, you will
see for yourself that these procedures are right for anyone. They help you achieve a full,
continuous killer look, and a smile worth the hassle.
New Teeth in a Day provides their patients with the convenience to get their all dental
implants done under one roof—in a day. With some of the best dental experts Canada has to
offer, they are always ready to provide the quality dental care that you deserve. For all your
All-in-4 dental implant concerns, don‟t hesitate to contact them at (855)999-7478 for a free
consultation.

20. The End
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