Four Must-Know Aspects about All-On-4® Implants Every Patient Should Know First

Dr Ved Berani – Principle Dentist at Healthy Smiles

Dr Ved Berani
Special interests -
Implant dentistry and
All-On-4® advanced implants

International Congress of Oral Implantologists (ICOI)

People who are in the process of losing many, if not most, of their teeth – or who have already undergone the process , the wonders of modern dental technology comes to their rescue. Instead of bridges and dentures, however, dentists and their patients consider All-On-4® implants as the best option, especially with the lower costs in comparison with the conventional teeth replacement methods.

Before getting All-On four implants, below are four aspects to consider. You will be better able to decide whether the All-On-4® implants cost, which can range from $13,000 to $29,000 are an option for your dental requirements.

 

Effect of Teeth Loss

Teeth loss has several serious consequences, especially for younger and older people, which explains the popularity of tooth replacement methods including dentures and implants. These serious consequences can be categorised into:

Physical Health Impact

The loss of several teeth will obviously affect the function of teeth, such as biting and chewing on food, which will have an impact on overall health. The bone that supports the missing teeth will also atrophy (i.e., waste away) resulting in the bone’s top layer and the bones underneath it – the jawbone proper – to starting resorbing (i.e., melt away).

Due to the missing teeth, the affected person may become less comfortable with smiling and laughing as well as talking to others, even kissing. This is not surprising as modern society consider a complete set of healthy (i.e., white with no traces of cavities, tartar, and plaque) teeth as a physical asset.

Less Implants, More Teeth

The technology behind All-On-4® implants enables dentists to perform a minimum number of dental implants yet support a maximum number of replacement teeth. The All-On-4® Melbourne-based dentist will then be able to make as few as 4 implants in supporting a full arch, either the upper jaw or lower jaw, of non-removable replacement teeth – and all in a single day!

All-On-4® implants are small, screw-shaped posts designed to replace the root of missing teeth particularly the part housed in the bone underneath the gum. These are usually made of titanium, a metal with a unique property of being able to fuse with the surrounding bone (i.e., osseo-integration), thus, its sturdy quality.

All-On-4® dental implants look, feel, and function just like real teeth as well as kept in their top condition with the same oral hygiene practices (e.g., regular brushing and flossing). These implants also allow the normal functioning of the entire stomatognathic system including the muscles, jaw joints, and nerves aside from restoring the support for the cheeks and lips.

The result: A fresher facial appearance with full function of the entire mouth system.

Factors Affecting Success

But not every person with missing teeth is considered a good candidate for All-On-4® implants. Potential candidates should have the bone structure to support the implants and in relatively good health; underlying medical conditions (e.g., diabetes) and lifestyle habits (e.g., tobacco smoking) are considered in the screening process.

Success will also depend on these factors:

  • The implants must be strategically placed for maximum support.
  • The implants must remain completely immobile once placed in the jawbone, which will allow osseo-integration to happen. Even small forces and minute movements can adversely affect the healing process, thus, patients must adopt a soft diet for the first 6-8 weeks.

Fortunately, the minor sacrifices that comes after the All-On-4® implants are well worth the major benefits after the healing period has been completed.

Implant Procedure in a Nutshell

The All-On-4® Blackburn dentists will likely adopt the following procedure:

  • Dental examination, which involves a complete physical examination of the teeth, gums and jawbones to determine suitability for the implants as well as determining the initial design for them.
  • Diagnostic examinations, which involves CT scans of the patient’s facial structures.
  • Planning for the implants’ position in the jawbone using computer simulation.
  • Precision surgery, which can be simultaneously performed with extracting the teeth, shaping the bone, and placing the implants.
  • Placement of temporary acrylic replacement teeth, which are directly attached to the implants
  • Recovery period lasting approximately 3 months
  • Replacement of the temporary teeth with the permanent teeth, which are made of stronger materials.

Possible Complications

The following risks are listed to inform you, not alarm you. There may be other risks that are not listed.

General surgical risks:

  • Allergic reaction to the anaesthetic
  • Short-term nausea following general anaesthesia
  • Rarely, excessive bleeding from the surgical site may be life-threatening and require blood transfusion
  • Infection of the wound may require antibiotic treatment

Specific risks of implant surgery:

  • Affected sinus: The sinuses are air-filled cavities within the skill. An implant inserted into the upper jaw may contact or perforate the lining of the sinus within the bone (maxillary sinus) and cause infection (sinusitis). Antibiotics are typically used to treat the infection. Excessive bleeding from an affected sinus is rare.
  • Fractured lower jaw: Rarely, the lower jaw may break during the procedure. Specialist treatment may be necessary.
  • Damaged nerve: The inferior dental nerve runs the length of the lower jaw. An implant can damage this nerve and cause the numbness in the gums, lips, or in the skin around the mouth. In most cases, the numbness is temporary and resolves within six to 18 months. In some cases, the numbness is permanent.
  • Inhaling or swallowing equipment or parts: The patient may inhale or swallow the implant, attachments or a piece of equipment. This can cause complications such as breathing obstruction. Surgery may be needed to remove the object

Specific risks of implant treatment:

  • Speech problems: Some patients may have speech problems following the fitting of the artificial tooth. This usually resolves once the patient gets used to the altered feel of the mouth. If not, speech therapy may be recommended.
  • Gum tissue growth (hyperplasia): Gum surrounding the implant may enlarge and push above the gum line, causing redness and pain. Gum growth may be reversed with good oral hygiene or can be surgically removed.
  • Local infection: The area around the implant may become infected. If infection does not respond to antibiotics, the dentist may have to remove the implant
  • Systemic infection: In certain people, implants can lead to infection in areas other than the implant site. Infectious endocarditis is a potentially life-threatening infection of the heart. People who have undergone heart surgery are most at risk of this rare complication
  • Bone loss: In most cases, biting and chewing encourages strong bone tissue to grow around the implant. In rare cases, the implant causes bone loss, and the implant eventually becomes unstable
  • Loose implant: The implant may fail to integrate with bone, or it may become unusable with time. The implant must be removed another inserted into the jawbone nearby. Alternatively, the bone is given time to heal and another implant is inserted into the original site.
  • Loose tooth: The artificial tooth may come loose from the abutment, or the abutment may come loose from the implant. Either case requires treatment to tighten or replace the screws.
  • Tooth problems: Chipping or breakage can occur. In some cases, a new artificial tooth must be created and fitted.
Warning: “Any surgical or invasive procedure carries risks. before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.” Results shown above may vary from individual to individual.
 
 
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Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

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