When a patient faces the threat of losing all of their teeth. Or friends notice they don’t smile much anymore and seems detached – what can be done?
We have many patients present with significant tooth erosion and severe sensitivity to hot and cold food and liquids or poorly fitting dentures.
This patient remarks, “I was the lady/gent that did not smile…I was just so embarrassed about my teeth and just very conscious of them…I’d get dressed up to go somewhere and everything was perfect, except for my teeth…and when asked for a photo…I’d go to the back and hide behind everyone else!”
After continued dental Treatments, there was a Solution.
The term ‘ALL-ON-4’ or “Teeth in a Day” refers to the replacement of ALL teeth on dental implants, which support them. It is a modern technique where implants are placed to support a fixed dental arch ( or teeth). Our various techniques in placing the implants, overcome bone deficiencies often found in the back of the jaws. This avoids the need for bone grafting. Dental implants themselves are small titanium fixtures that are inserted into the jawbone and have, for a long time, been used to support a tooth or a ‘Bridge’ of a segment of teeth. The fixtures form the foundation for the prosthetic replacement teeth. However, when we replace a full set of teeth, often referred to as full arch rehabilitation, whether in the upper or lower jaws or both, we do not need to place an implant under every tooth. We place implants in the front of the arch and in the back at an intended angle, and together these form the required foundation to support the prosthesis. By placing the implants at an angle, we are able to avoid the parts of the jawbone that are of a typically poor quality. This not only means that we can avoid the need for bone grafting, but we can also rely on these to reliably support a prosthesis fitted within days of the surgery.
By using fewer dental implants to support the prosthesis there is a smaller number of components, thus more versatility to design the most optimal function and aesthetics. Importantly there is also less in the way of cleaning, which helps simplify the hygiene and maintenance over time.
STEP 1 – Helping you Decide:
A Complimentary Pre-consultation at Dentology Dental Care with our Clinical Team lead by Oral Surgeon, Dr Yuval Samuni.
Our clinical team establish a diagnosis and treatment plan for you, including our Dental Prosthetist and Dentist, who have been sufficiently involved in the entire process by working side-by-side with our Oral Surgeon who performs the “All on Four or procedures”. This appointment will be with our Oral Surgeon who will oversee your treatment once you decide to proceed. We will examine your mouth, explore all your treatment alternatives and determine the most appropriate solution to fit your individual needs and expectations. Where there appear to be no-All-On-4 treatment options and when appropriate, you may also need to see another team clinician to examine the viability of those options that do not involve the removal of your teeth, if any. Appointment Duration: 30 minutes.
STEP 2 – Your Treatment Plan & X-Rays
Special x-rays called cone-beam CT (CBCT) scans are needed to complete your diagnosis, determine your suitability for any sort of treatment, and plan the positioning of the fixtures. Approximate Fee: The assessment of your x-rays is included in the fee of your consultation and there will be a separate fee for the CBCT $ 180.00, part of which will be claimable through Medicare.
STEP 3 – Mock-up and pre-operative workup: Pre Operative Procedures:
Once you decide to proceed with oral rehabilitation involving any of our treatments, you will need to attend the clinic for photos, models and other records as required, so as to enable the team to design with you, the optimal set-up of the replacement teeth in terms of both appearance and function. The great advantage is, you get to see what the final teeth are going to look like before the procedure. Appointment Duration: 30-60 minutes.
Step 4– Treatment Process -All On 4 Dental Implants
After removing the teeth (if any), cleaning out any remnants of disease and preparing the jaw bone to accept the fixtures, these are inserted according to the workup along with any repair or reconstructive work as may be required. The wounds are closed with dissolvable sutures that take 7-10 days to completely dissolve without the need for another appointment to remove them. The surgery is typically done under Local Anaesthetic or some form of sedation.
Impressions are then taken of the implants through a tiny opening in the gum, and this is sent to the laboratory.
The stents that the laboratory had prepared in advance are then used as a first try-in to help get very close to an optimal arrangement in the next stage. We use this procedure to also place your “new transitional bridge”. This will be attached to the implants and whilst you are enjoying comfort in a recovery area, we can check and monitor any necessary adjustments before you leave. The “transitional bridge” can last up until 6-18 months. We will discuss moving then a permanent bridge that will provide years of function and smiles. Appointment Duration: 1 – 3 Hours
Step 5- Let’s look at the new smile.
The very next day to have your replacement teeth checked. There is no need for any sort of anaesthetic at this appointment. The prosthesis is rigidly attached to the fixtures and is aimed for optimal function, appearance, comfort and hygiene. Appointment Duration: 30-60 minutes