All on 4 (5, 6, 7 or 8) Implants are a set of titanium metal posts or screws that will be surgically implanted into the patient’s jawbone under the gums. Once they are fully fastened and have healed correctly, these will serve as the base for the new replacement teeth which will then be placed by our dentist.
With this state-of-the-art technology, the All-on-Four fixed prosthesis is undoubtedly the number one method for teeth replacement. Why? First, is that it does not require a new root for each missing tooth. Second, is because you can plant up to eight screws on each jaw, which is already a lot. In fact, a minimum of four implants are already enough to support a complete set of dentures.
Nevertheless, the patient can still choose to get their permanent restorations planted on four or up to eight new roots in each jaw — depending on the severity of their case.
Overall, these full mouth prostheses will not only return your bright smile, but will also allow you to live your life normally as if you never lost a single tooth. Furthermore, these look, feel and function like normal teeth so there will be no problem when it comes to eating or speaking.
Using the all new permanent prosthesis, the patient can either have an all-on-four, an all-on-five, up to an all-on-eight set of artificial roots placed on each of their jaws. These titanium screws will provide support to either a removable or a fixed set of dentures.
Among these, the all-on-four fixed prostheses is the most commonly used. This kind uses two new roots and plants them in the front of the jaw while the remaining two roots are planted at the back at a 45 degree angle.
In situations where it is necessary to have more support and retention for the prosthesis, the dentist will decide whether to use 6 or even 8 titanium screws and place each of them in the patient’s jaw. However, this kind of practice is not often done because using more than 4 titanium screws would require a higher volume and thickness of the jaw bones.
In general, patients who want to replace their missing teeth using dental implants are the best candidates for acquiring any kind of fixed prostheses. This kind of dental procedure is ideal for the following situations:
- Overall Mouth Reconstruction – If the patient wants to have a full mouth rehabilitation of their upper or lower jaw, then fixed prostheses is perfect for you. In this case, we advise using permanent multiple tooth prostheses for support dentures. Using this method, our dentist will help our patients get a new set of replacement teeth with gorgeous new restorations.
- Complete Smile Makeover – For patients who want to have a gorgeous smile and shiny white teeth, this method is also for you because it’s the best oral restoration you can get for lost teeth. With our fixed prostheses, you can gain your confidence back and show everyone your best smile.
- Fully Reabsorbed Bone – Unfortunately, conventional implants cannot be placed into a patient’s mouth if their jawbone isn’t thick enough. In case like this, using a full mouth prosthesis to give a complete mouth reconstruction is more preferable over other similar tooth replacement methods. Patients who have this kind of condition would normally get a bone graft first so the conventional implants would fit properly or they could consider acquiring a mini dental restoration to replace teeth in the upper and/or lower jaw.
The construction and placement of the All-on-4 up to All-on-8 is done in two phases: The first part involves the installation procedure while the second part consists of loading them in the patient’s jaw along with a suitable prosthesis.
- Installation – before installing the fixed prostheses, our dentist will first administer local anesthesia to the affected area to make sure that our patient will have a completely pain-free and comfortable experience. However, for patients with anxiety issues or those who are too worried about the pain, our dentists may consider giving them conscious sedation. Once the local anesthesia has taken effect, our dentist will now start the surgical procedure by making an incision over the soft tissue that’s overlying the jaw bone where the new roots need to be placed. Then a surgical flap is raised, and a small hole is drilled in the jaw for the installation. Afterwards, the small titanium roots will then be screwed (applying enough force), into position.
- Implant Loading – Traditionally, a complete prosthesis would be placed in the new roots using an abutment, once the surgical site has fully healed and recovered. However, using state-of-the-art dental technology and techniques, modern dentists are now able to immediately place them in the patient’s jaw using the right prosthesis. In the case of immediate loading, the dentures and their abutments are prepared beforehand and are inserted at once as soon as the initial surgery has been completed.
Fixed prostheses have a couple of advantages as compared to the traditional prostheses that we’re familiar with, including dentures and bridges. They are:
- It’s convenient. – with this, patients are able to enjoy the convenience, durability, strength and comfort provide by their new set of fixed prostheses. It allows them to eat and speak naturally, like they used to plus it gives them a boost of confidence thanks to its aesthetic appeal. Also, these artificial roots provide a stable foundation to support their new teeth therefore eliminating the problems with chewing or speaking.
- It’s strong and durable. – fixed prostheses are incredibly durable as compared to traditional dentures, which will eventually need to be repaired or replaced frequently. In addition, these are easy to maintain and they don’t fall off. As long as you maintain good oral hygiene and eat healthy, you can expect these modern prostheses to last even up to a lifetime.
- Quick Recovery. – we know how hard it is to undergo any kind of surgery so our dentists make sure to conduct as minimal surgery as possible. Fortunately, because these permanent restorations only need to use four artificial roots (in most cases), the entire procedure, as well as the recovery period, is much shorter and therefore easier for the patient.\
- Does not require bone grafting. – traditionally, when using conventional implants, bone grafting is required to increase the thickness of the jawbone. However, for the fixed prosthesis, it is no longer necessary because the titanium screws can now be placed where the quality and quantity of bone is less evident. Commonly, the effects of bone resorption are very small in the front portion of the jaw bone. This means the two new roots in the front part of the jaw are very stable and quite effective in holding the prosthesis. While the remaining two at the back are usually installed at a 45 degree angle. This means they can be placed in cases where there is even less space between the upper and lower jaw bone than usual. Furthermore, we can even use mini-implants for the same purpose in specific cases.
Overall, the All-on-Four Dental Implants are sure to provide our patients with a gorgeous smile that’s picture-perfect. So what are you waiting for? Call us or visit our office in Costa Mesa, CA. We are located in Orange County, California which is just ten minutes away from Newport Beach and near Huntington Beach in OC.