Sometimes referred to as an "Immediate Loaded Full-Arch Prosthesis," the All-on-4® Treatment Concept is a game changer in dentures. Traditional dentures are known for being uncomfortable, potentially embarrassing and a huge life adjustment. We can change all of that. The All-on-4® Treatment Concept system permanently stabilizes your denture in place with the use of dental implants.
A dental implant is a post, most often we use a titanium metal implant, though there are metal free ceramic posts also available. Our team, including Dr. Castellon and Dr. Buskin, can surgically insert this post through the denture directly into your jawbone. For dentures, we use between four and six implants on each arch. As the bone heals, a natural process called osseointegration occurs. Osseointegration means the taking in into the bone, your tissue heals around the implant, integrating it into the bone, fusing the device and bone together. Once fully healed, the implant is now a part of the bone, and should be a solid stable device. Your denture is permanently secured with the use of these implants.
Why should I stabilize my denture?
Stabilizing your denture is a bigger expense, and requires a minimally invasive surgical procedure, so why would a patient want to get their denture stabilized with dental implants? Dentures are not fun, in fact, they are a huge inconvenience. Dentures may offer some limited ability to chew, but they will never feel or function like your own natural teeth. Patients find them frustrating, and even painful. Traditional dentures are known to come loose, rock around on your gums, and become uncomfortable as the patient’s jaw bone changes from lack of teeth. Having your implant secured in place with dental implants changes all of that.
Implant supported dentures will not shift or move in your mouth. They are the closest in feeling as your own natural teeth. You can greatly maintain or even increase the range of food you are able to chew. Patients who have implant supported dentures will feel considerably more comfortable and confident in their teeth versus patients with traditional loose dentures. This system is more than suction or adhesive, it’s dentures that have been surgically secured to your jaw with metal posts.
Stability Even In Minimum Bone Volume
One of the essential parts to most implant surgeries is having adequate bone to sink the implant into. Patients who are missing their teeth often lack bone, that is what makes the All-on-4® Treatment Concept different than other implant procedures. This system uses longer implants that are placed at a tilt to capture denser bone. By tilting the two implants in the back, and using longer implants, we are able to increase the bone-to-implant contact, reducing the need for bone grafting. This is ideal for patients who have decreased bone mass, the tilted posterior (back) implants can be anchored in better quality bone, reducing any rocking in the denture and improving the support of the implant-supported denture.
All-on-4® Treatment Concept Surgical Procedure
Unlike other implant procedures, we should not have to perform a bone graft prior to surgery. However, we will want to review any and all health related information including all medications the patient is taking, even if it seems unrelated. How the patient heals is vital to the success of this procedure. Patients with medical problems does not eliminate them as a candidate, in fact this procedure has been approved for even medically delicate patients, but we may ask to make some adjustments to increase healing abilities.
The surgical procedure of placing implants is minimally invasive. We begin by ensuring the comfort of the patient. Most patients are find that a local anesthetic is all the is necessary, though we can also provide a variety of conscious sedation options if needed.
Once the patient is comfortable, we can then begin. Using a specialized drill, we make the needed space in the bone. The All-on-4® Treatment Concept system uses longer implants that are placed at an angle, this is done to reach thicker, denser bone. The implants, along with the denture are placed together, meaning the patient leaves with the denture fully stabilized in place.
Healing after Surgery
Healing after the surgical placement of your immediate loaded implants is similar to healing from other dental surgeries. You will experience discomfort for the first several days, we invite our patients to take all prescribed pain medication to reduce discomfort. Besides tissue healing, the patient will also be experiencing bone healing, which will take longer than tissue healing. We will advise the patient to take care with their bone healing process and to easy soft, gentle foods for several months while the bone heals. Additionally, we will want you to be aware of any indications of symptoms that are out of the ordinary including excessive bleeding, swelling, or signs of infection. All of this information will be discussed in office.
With the All-on-4® Treatment Concept, our patients benefit from having an immediate implant-supported restoration, as a temporary tooth restoration is screwed onto the implants right after surgery. Many implant procedures are done over the span of months, but using immediate load dentures you can come in with no teeth and leave with a mouthful of permanent stable teeth.
Besides stabilizing a denture device, once the patient has stabilized implants, there are so many other prosthetic solutions that can be applied. From individual crowns, to dental bridges, partials and removable overdentures, implants open a whole realm of possibilities.
The All-on-4® Treatment Concept allows us to streamline the time needed for dental implant treatment, giving you the smile you've always dreamed of in less time.
To learn more, call us today at (972) 503-7200.