What is the All On Four Implant Technique?


Dental implants are the most effective solution for patients suffering from missing teeth. Dental implants look like your own natural teeth and perform their functions in that way. The All On Four technique is a technique that allows the fixation of the dental prosthesis on the same day on four dental implants placed at certain angles in edentulous patients. Patients who are planned for All On Four treatment should first undergo a clinical and radiological examination. A suitable planning is made for the patient by making measurements on computerized tomography (CT). This treatment consists of two stages as surgery and dental prosthesis procedures. After four dental implants are placed on the patient as planned on the day of treatment, the temporary dental prosthesis is fixed on the dental implants on the same day. Three months later, the patient is given permanent dental prostheses.

Who can be treated with All On Four treatment?

This treatment can be applied to all edentulous (no teeth) patients who do not have any systemic disease that may prevent dental implant surgery and have sufficient bone volume. After the procedure, the temporary dental prosthesis fixed on the dental implants can be used immediately. However, in the three-month period, which is the process of fusion of dental implants and bone, patients should be fed with a recommended diet. After this process is completed, it is possible to return to the normal diet with the permanent prosthesis to be made.

What are the advantages?
• Provides edentulous patients with the opportunity to perform fixed dental prosthesis with a single surgical procedure on the same day.
• The operation is easier since no advanced surgical procedure such as sinus lifting (sinus lift surgery) or bone addition is applied.
• Dental implant operation time is very short.
• Since the number of dental implants used is reduced and does not require extra surgical procedures
• The cost is even lower.
• Personal planning, aesthetic appearance and smile aesthetics are provided.
• It is easy to clean and maintain.
• It is suitable for patients who cannot use removable dentures.
• Its design is different from palatal denture (full denture). It is easier to use because it does not cover the patient’s palate.
• It is suitable for patients residing in the city or outside the country, as the number of treatment sessions is small.

Is it a reliable technique?
The All On Four technique is a technique that has been successfully applied in dentistry for over 10 years. This technique offers patients a reliable, fast and cost-effective treatment option in dentistry. Although it requires extra cost, technology and skill, physicians dealing in this field often use it and it is seen that a very high success rate is achieved.

How is the classical implant different from bridges?

In the standard implant technique, the implants are placed in the jawbone with an average angle of 90 degrees. A minimum of six implants are required to support the bridge prosthesis. It is necessary to wait for a recovery period of three to six months before teeth can be placed on it. In addition to these, sometimes bone grafting may be required if the patient does not have enough bone tissue.

The Difference Between Traditional Method and All On Four Technique
All-on-Four Technique

• Requires only four implants for a fixed bridge.
• It is usually a cheaper and more effective solution.
• Mostly, treatment can be performed without bone grafting.
• Implants and teeth can be inserted at the same time (within a single appointment).

Traditional Method
• Six to eight implants are required for a fixed treatment.
• More implants require surgery and appointments, and are even more costly.
• Usually a bone graft is needed and the treatment period is longer.
• It requires more than one appointment, a temporary prosthesis should not be inserted until the permanent prosthesis.
• Requires a six-month recovery phase.

Implant complications
High predictability and long-term success in implant treatment are well documented. Complications can occur after any type of prosthetic or surgical procedure. Biological complications including soft tissue reactions, sensory disturbances, progressive marginal bone loss and loss of integration have been reported in the literature. Mechanical complications can include fractures or loosening of components in the system.


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