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All-On-4™

Traditional removable dentures are one of the most common ways to address most or all missing teeth; however, many patients who use these types of dentures experience discomfort and frustrating limitations. At Scripps Center for Dental Care, our skilled dentists offer a state-of-the-art alternative called All-on-4. This technique can provide greater comfort, stability, and freedom than traditional dentures without the cost of a full set of dental implants.

What Is All-on-4™?

All-on-4 is a type of implant denture that is used to replace missing teeth on the upper or lower arch. This device, sometimes called an implant-supported denture or an implant-anchored denture, utilizes four dental implants secured by a denture appliance, providing a snug, comfortable fit and typically excellent results. If you are not a candidate for a full set of dental implants due to insufficient jawbone density, All-on-4 may still be an option for you.

Dentures

What Are The Pros And Cons Of All-on-4™?

Patients may experience different benefits depending on what concerns about traditional removable dentures or loss of teeth bothered them initially. In general, some of the benefits of All-on-4 include:

All On 4
  • Exceptional security and stability without “slippage”
  • Reduced gum irritation
  • No messy pastes, gels, or other types of adhesives
  • Ability to chew and speak with ease and comfort
  • Retention of jawbone density
  • Beautiful results and easy maintenance

While considered by many to be a highly effective method of replacing entire rows of teeth, All-on-4 is not for everyone. This technique is most successful for patients with a healthy immune system who are willing to undergo oral surgery. The jawbone density of an individual can also contribute to whether one may or may not benefit from All-on-4. Our dentist and oral surgeon will review your medical history and take the appropriate x-rays and diagnostic images to assess whether your smile can be restored with All-on-4.

All-On-4™ vs. Traditional Dentures

All-on-4 implant dentures are popularly thought of as a more secure and natural-looking upgrade from removable dentures. The use of implants to snap a prosthesis in and out of place often allows patients to feel more confident when eating, drinking, or speaking, not to mention introduces the ability to enjoy tougher foods due to the reduced gum slippage. In addition to All-on-4 anchored dentures often making daily life more convenient, this technique can also be beneficial to a patient’s oral health. While removable dentures can present the appearance of a full smile, they do not stimulate the bone tissue as a natural tooth root would. Consequently, dentures alone typically cannot prevent bone erosion caused by missing teeth. In contrast, the implants utilized by All-on-4 are designed to mimic the function of a tooth root while replicating the tooth body, effectively restoring both form and function.

All-On-4™ vs. Full Mouth Restoration

When using dental implants to recover a dental arch, patients generally have two options: full mouth restoration with a full set of dental implants, or using All-on-4 to secure a custom-made denture with four to six implants. Generally speaking, patients with less bone volume may be better suited for All-on-4 since the technique does not require as much jawbone support as numerous implants placed consecutively. However, full mouth restoration with single implants can also have its own advantages, such as not having to wear a denture and enhanced bone stimulation. The best approach for you will depend on your needs, and our dentists will discuss your goals with you to formulate an ideal treatment plan.

What Should I Expect During The All-on-4™ Procedure?

All-on-4 is specifically used to replace a full arch, either the upper, the lower, or both. If you’re looking to replace a quadrant of teeth, implant dentures can still be useful to you, and we will discuss your options at your initial consultation. Our primary concern is always to provide exceptional care based on your individual needs and goals. With All-on-4, you can have:

Mouth

Upper Arch Replacement

In most cases, four dental implants will be used to replace all of the teeth on the upper arch (top of the mouth). If you have any remaining teeth, these will be carefully extracted prior to beginning the All-on-4 treatment.

Lower Arch Replacement

The lower arch replacement works just like the upper arch: usually four dental implants will be placed to anchor the denture appliance, which replaces all the teeth on the bottom of the mouth. Again, if there are any remaining teeth, these will be removed prior to the treatment.

Full Mouth Restoration

In the event you need all your teeth on the upper and lower arches replaced, we may recommend a full mouth restoration. This procedure is fully customizable and allows us to restore your smile with the best possible outcome. If this technique is right for you, we will provide detailed information about the process and what you can expect.

Digital images will be taken to help our dentists plan your procedure with precision for the optimal outcome. During this process, we will determine if four implants or six implants (called All-on-6) will provide the desired result. The implant posts will be placed through the gumline and into the jawbone, where they should gradually integrate with the bone. Once healed, the permanent denture appliance will be affixed. While you are healing, we will provide a temporary denture, so you will never be without a functional smile.

What are the Risks of All-On-4™?

Complications from All-on-4 are rare, but the risks do exist—especially if a qualified dental team is not performing your treatment. Issues that can arise from All-on-4 include complications during the osseointegration (bone fusing) process, infection, negative reactions to the sedation or anesthesia, and/or implant failure caused by gum disease. Most of these risks can be avoided with the attention and care of an experienced All-on-4 dentist, who can accurately assess whether you are a good candidate for the procedure. This is why we utilize a multispecialty team at Scripps Center for Dental Care, which includes an in-house oral surgeon, prosthodontist, periodontist, and two AACD-accredited cosmetic dentists to help ensure the safe restoration of your smile using the best restorative dentistry treatment for your unique needs.

How Much Do All-on-4™ Dental Implants Cost?

The cost of All-on-4 will depend on the details of your treatment plan. That said, at our practice an implant-supported full arch hybrid denture generally costs around $27,000 to $35,000 per arch (upper or lower), depending on the number of implants needed and the complexity of your program. While this number includes a fixed transitional healing denture (temporary), final fixed denture, and all parts, lab fees, and surgical procedures, it doesn’t include general anesthesia services. We understand that cost is an important part of your decision-making process. We are dedicated to delivering the best possible care at every stage of treatment, and that includes providing information about the price of All-on-4. We will go over the full estimated cost of your personalized program at your initial consultation. Dental insurance typically covers a portion of the cost, and we offer dental financing if you would like to consider a payment plan for some or all of your treatment.

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