What are All on 4 dental implants?

If you are missing or losing your teeth, you have several all-teeth replacement options. One of the most common full mouth replacement techniques is an All on 4 Perth dental implant treatment, to create you a new smile. The All on 4 technique, using four titanium dental implants surgically placed in your jaw to fix in place a new set of manufactured replacement teeth. This procedure can is used to replace your upper or lower teeth, or both, to restore your smile’s health, function, and aesthetics.

The concept of the All on 4 dental implants solution allowed the total rehabilitation of a complete set of teeth, using less fixtures. This allowed the dentist to avoid bone-deficient areas by placing implants into the healthy bone-dense regions, where the implant fixture can successfully osseointegrate into the jawbone. Typically, two implants are placed at the front, and two at the back, at a slight angle, providing just enough structural support to hold a full set of new prosthetic teeth. As fewer implant fixtures used, it provides a faster and less invasive option.

Your new natural-looking prosthetic teeth are fixed to your jawbone, so they don’t move around like traditional dentures. Once your All on 4 teeth are placed, they feel and function like your natural teeth, giving you a brand-new smile!

 

Kaylene from Bayswater by Aria Dental

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Before and After - All on 4 Perth Gallery

Dental Implants - Before Dental Implants - After
Dental Implants - Before Dental Implants - After
Dental Implants - Before Dental Implants - After
Dental Implants - Before Dental Implants - After

Benefits of All on 4

  • A lifelike, natural-looking teeth replacement option, which looks and feel like your original teeth

  • The All on 4 Perth procedure can be completed in just a short time period

  • The All on 4 Perth surgical procedure is quick, done under sedation and takes only a couple of hours

  • Fast recovery times and virtually eliminates the need for grafting

  • With your new smile, you will enjoy a greater quality of life, improving nutrition & your well-being!

  • Are easy to maintain with dental hygiene not being complicated – learn how to video here

  • Using All on 4 with Zygomatic implants, enables you to get a new set of teeth in just a few days

All On 4 Procedure

All on 4 Implants diagnostic records

STEP 1: INITIAL CONSULTATION

Your first appointment involves a comprehensive evaluation of your full mouth, oral health, gum disease and teeth replacement needs. A thorough oral health evaluation by our dental implant expert or principal prosthodontist is completed. They will assess your missing teeth and suitability for All on four procedures at one of our Perth implant clinics.

They carefully assess what would be the best solution that addresses your concerns and personal requests. Together you will discuss any concerns you may have, and we aim to provide you with advice and recommendations that suit your clinical and financial needs.

If you have gum disease or other treatable issues, you may have these dealt with before proceeding with your  All on 4 Perth implant treatment.

All on 4 Implants Treatment Planning on screen

STEP 2: DIAGNOSTIC RECORDS & TREATMENT PLANNING

We will attain the required diagnostic records and clinical photographs of your full mouth, after accepting the proposed treatment plan to assist in your rehabilitation. This involves digital impressions of your missing teeth to construct a study model, take clinical photographs, and a three-dimensional radiograph (x-ray). These records are essential for the planning phase, where to place your four dental implants and determine the most appropriate path to reach your desired outcome.

dental implant fixtures on scanner

STEP 3: PLACEMENT OF THE DENTAL IMPLANT FIXTURE

As is a full mouth surgery, you will be sedated. The placement of the implant fixtures will depend on various factors determined during the treatment planning phase, such your bone quality and quantity and the design & type of prosthesis.

The surgical procedure of placing the tiny dental implant fixtures into your upper or lower jaw may take a few hours to complete. Once placed, the implant fixtures will be covered by small healing caps to protect them.

Once the dental implant fixtures are placed, a precise digital impression is taken of their positions. This information is sent to our in-house laboratory where your temporary (or provisional) prosthesis will be fabricated.

Provisional All-on-4 Implant Prosthesis

STEP 4: PROVISIONAL DENTAL IMPLANT PROSTHESIS

The provisional prosthesis will be inserted soon after the implant fixtures have been placed. Your provisional prosthesis is acrylic; only your dentist can remove it once set.

There will be space between your new teeth and gums, allowing you to clean around your new implant fixtures and gums. There will be fewer “teeth” on the temporary provisional prosthesis, and you will wear this prosthesis for a minimum of three months. In some cases, additional replacement provisional teeth are required as the gums heal.

The provisional prosthesis helps your dental professional confirm the correct shape of your final teeth and allows changes to be made should you have trouble adapting to the shapes and new contours of the design. Patients often take several weeks to be comfortable with them. During this provisional healing period, speech or eating ability may be slightly compromised.

All-on-4 Post-Operative Stage healing

STEP 5: POST-OPERATIVE STAGE

Post-surgery, you will develop varying grades of bruising &/or swelling. We will provide you with a script for anti-inflammatory and pain relief medication for this. Swelling typically lasts for two days following the procedure.

Initially, you may find eating and speaking difficult. It may take time to “retrain” your oral musculature and adapt to your now improved dental situation. This can sometimes feel difficult and does requires patience, perseverance, and practice.

You will have a liquid diet in the week following the surgery and slowly progress to soft foods. During the three-month healing period, please avoid all hard foods. A healing period is necessary to allow the implants to successfully osseointegrate into the jawbone, after which the temporary prosthesis is replaced with the final prosthesis.

Definitive All-on-4 Implant Prosthesis

STEP 6: DEFINITIVE IMPLANT PROSTHESIS

After a successful healing period, your final definitive prosthesis fabrication will commence. A new digital impression scan is completed, followed by any new design updates. Your input is vital. Your feedback on the shapes of teeth you like, and colours are discussed in detail, and the smile design is modified and improved. Aria’s laboratory team carefully analyses the design to ensure they are perfect before your final teeth are created. After a few try in appointments, your new final teeth are placed.

As with all dental treatments, the prosthesis has a finite lifespan. To maximise the prosthesis’s longevity and any dental treatment completed, it is essential to have optimal home care and professional dental maintenance. Careful assessment of the implant solutions and prosthesis at the dentist is required on a routine basis to ensure your mouth is free from infection and the prosthesis is cleaned correctly.

Am I a Candidate?

There are no physical contraindications would stop a patient from having the All on 4 Perth treatment completed. Patients with significantly reduced bone availability in the upper jaw may be prescribed zygomatic implants rather than conventional implants to assist with teeth replacement.

Most people are suitable for an all-on-four treatment, especially if you:

  • No longer have any of your natural teeth or are missing teeth.

  • Wearing a denture or find wearing dentures uncomfortable

  • Have advanced gum disease or many decayed, damaged teeth

  • Have problems eating a wide range of foods

  • Lack of adequate bone tissue for conventional dental implant procedures

Due to the benefits in look and feel, All on 4 using dental implants perth, has become a popular alternative to dentures for replacing an arch of teeth. One of the many benefits of the All on 4 Perth costs is the quick turnaround that enables you to get a new set of teeth in just 1-3 days. You could have your teeth extracted and implants placed on the same day (assuming you don’t need a bone graft). Also, on that day, your surgeon could place a temporary bridge so that no one will know that you’ve had your teeth removed – or implants placed. After completely healing from your implant surgery, your dentist will fit you with a permanent fixed bridge.

All on 4 Perth Price

Approximately speaking, the cost of a Basic All on 4 dental implant treatment, made in Acrylic for a top or bottom jaw, starts from $25,000*. Please book a complimentary dental implant solution consultation with our dental specialist for more accurate quote. Read more here about the cost on All on 4.

All on 4 Perth implants are for less complex cases and use an Acrylic-made arch. If you have more complex oral requirements, and would like a Zirconia ceramic bridge, restorative dentistry, you should investigate our Full Arch Replacement options.

Read more on why we don’t quote prices without physically seeing patients.
*Pricing guide only – information is up to date for 2022

Aria’s Complimentary Consultations

At Aria Dental, we offer patients a complimentary dental implant consultation, which includes your appointment, an examination, and any x-rays or diagnostics required by our dentist to complete your detailed treatment plan. This no-out-of-pocket Aria service can cost up to $750 at other clinics.

What is Osseointegration?

Osseointegration is where a direct structural and functional connection between the living jaw bone and the surface of a load-carrying implant is made. After a dental implant is placed into the jawbone, the bone grows right up to the implant surface, stabilising the implant without any other soft tissues or fibres between the jaw bone and implant. A strong bond is a key to the All on 4 teeth replacement solutions.

Natural Tooth Vs Dental Implant comparison

 

What is Jaw Bone Resorption?

When you lose some or all of your teeth, you also lose your tooth root, which is vital for stimulating your jaw bone and a reason why tooth replacement is so important. This stimulation keeps your bones strong; without this, the bone starts to resorb or disintegrate. Eventually, the resorption can be quite noticeable, with the individual’s lower face and mouth starting to fall in. Dental implants help prevent jaw bone resorption as the implant acts as an artificial tooth root, stimulating the jaw bone and maintaining a more youthful appearance. If you already suffer from jaw bone respiration, to be able to proceed with your full teeth replacement, you will likely require bone grafting so you have enough bone before your dental implant treatment is placed, or opt for a Zygomatic implant option. Jaw bone resorption is very common amongst users of traditional dentures.

bone-resorption

Zygoma Dental Implants

Zygoma Implants Inserted into The Back Of The Jaw

Zygomatic implants are considered to be a relatively new advancement in dental implant technology. Since their introduction into the dental implant world, they have been gaining popularity for their effectiveness in patients who would otherwise not qualify for dental implant placement. The use of Zygoma dental implants eliminates the need for jaw bone grafting.

If you have severe maxillary (rear teeth) jaw bone resorption and require a full teeth replacement, Zygomatic implants might be the implants for you. These implants dramatically shorten the total rehabilitation or “time-to-teeth” when compared to other methods to restore a patient’s top jaw bone.

After a person loses their teeth and needs teeth replacements, the jaw bone also gets lost over time. When you have a denture, this can place pressure and cause more progressive bone loss. Down the road, this can cause severe bone loss and can make the denture no longer fit. Some traditional dental titanium implants may not be an option if the jaw bone loss is this severe. The Zygoma implants were developed especially for these types of cases.

Consultation and assessment should be completed by a Dental Specialist. These Zygomatic implant treatments are not as common as traditional dental implant treatment and require an expert with extensive experience and skill.

Zygoma Implants Vs Traditional Dental Implants

Zygomatic-and Traditional ImplantsA Zygoma implant is much longer in length than a conventional dental implant. A Zygoma implant is still inserted through the mouth, but it anchors much higher in the cheekbone, in the zygomatic bone, instead in the jaw. Due to the solid bone in the cheeks, Zygomatic implants have high level of immediate stability and offer a perfect foundation for the immediate placement for an all tooth replacement, such as All on 4 Perth.

Zygoma implants can provide the foundations needed for a full arch set of fixed or detachable prosthetic teeth. Zygomatic implants are often used in combination with traditional dental implants. When Zygoma implants are used, patients can often have a fixed provisional prosthesis fitted shortly after surgery, avoiding multiple surgeries and the additional healing time required with grafting.

Fewer Procedures, a Faster Journey
The procedure is safe and predictable when performed by an experienced surgeon. This procedure is effective workaround for those who have a poor bone mass, require bone grafting or a sinus lift. The Zygoma implants procedure is completed at Aria Dental’s Perth Dental Implant Centre, under IV Sedation, by our Specialist Prosthodontist Dr Michael Zaninovich.

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All on 4 Perth – FAQs

How much does All on 4 cost in Perth?

The cost of an All on 4 dental implant procedure can vary between individuals. The cost of All on 4 implants depends on whether you require things such as bone grafting. The cost will also depend on whether you require 4 dental implants and an upper or lower bridge.

A missing teeth solution, the cost of basic All on 4 dental implants in Perth is approximately $25,000 per bridge. It can be more cost effective, if having a full mouth of teeth (both upper and lower arch) replaced at the same time. It will be like having your natural teeth back!

Please book a free consultation with our Perth All on 4 experts for an accurate quote.

*Pricing information is an average from price, up to date for 2022 

All on 4 bridge

What is the success rate of the All on 4 dental implants?

The success rate for the All on 4 treatment is very high, with several published studies reporting success rates between 95% to 99% for up to 10 years. Dental implants in Perth WA have been a popular treatment for people missing teeth for many years, and All on Four (using 4 dental implants) is a great treatment option for those missing all thier teeth.

Implants as tooth replacement are safe and effective and have a very high success rate. However, as with any surgical or invasive procedure, there are risks involved when placing dental implants. Before proceeding, you should seek an opinion from an appropriately qualified health practitioner for a All on 4 Perth, like a Perth Dental Specialist Prosthodontist, who is registered with the Australian Dental Association.

Lady Before and After her Dental Implants in Perth

Will I be awake during my All on 4 implant procedure?

Preferably as with dental implant solutions, you will be heavily sedated during your All on 4 implant procedure. The options available for sedation for replacement teeth include general anaesthesia, IV sedation or oral anti-anxiety medication – different types of sleep dentistry.

Regardless of your choice of sedation, your comfort throughout the procedure will not be compromised while your four dental implants are placed. Most patients and dental clinicians consider IV sedation most appropriate for prescribing All on 4 Perth procedures.

Stress Free Sleep Dentistry

Will I look swollen after my implant procedure?

For the first couple of days after your 4 dental implants are place for your new teeth procedure, you may experience some minor swelling or bleeding, which is normal and unlikely to cause any pain.

The swelling will generally reach a maximum two days after the surgical procedure. Written post-operative instructions and pain medication will be prescribed to you. You can always call us and get in touch with your dentist if you have any concerns.

You will need to have a liquid diet in the week initially following the surgery, and slowly progress to soft foods. During the three-month healing period, please avoid all hard foods.

Man smiling after receiving dental implant

How long does it take to recover from All on 4 implants?

On average, the recovery time for All on 4 dental implants is five to twenty days. Of course, this depends entirely on your personal circumstances.

Every individual’s dental treatment and All on 4 Perth circumstances are different. Your recovery time will depend on the type of surgical procedures you need.

It is important to note that All on 4 dental implants are completed in stages, and each stage will have its own recovery time frame.

All on 4 with dental implants

Will I be uncomfortable or in pain after the All on 4 procedure?

It is natural to experience swelling and discomfort after the All on 4 implant Perth procedure. For the majority of patients, the discomfort subsides in the first forty-eight hours.

Patients can be prescribed analgesics such as Panadeine Forte and anti-inflammatory medication to help manage any discomfort throughout the initial healing phase.

If a patient experiences undue significant pain, they are advised to contact the Aria clinic immediately for the prescription of alternative medications.

Aria Dental recovery room

How long do All on 4 implants last?

The dental industry agrees that 10 years is a typical lifespan of dental implants.

As with any dental implants, once your titanium dental implants have been fused to the bone, your new teeth should last for decades, if cared for properly.

In research testing, many dental implants have been kept perfectly in place for more than 40 years – but the agreed industry standard is that dental implants have a lifespam of 10-12 years.

Please note that surgical or invasive procedures and all dental procedures carry risk.

Man who has had All on 4 at Aria - Patient Video

What is the difference between Acrylic and Zirconia dental bridge?

There are 2x main material options in which your arch of teeth can be made from, acrylic or zirconia. The dental implants serve the same function for both types of solutions, but the difference in the materials used to make the bridge significantly affect its final look, feel, and performance.

Acrylic – typically used in All on 4 – A liquid acrylic resin is poured into a mould and, once it hardens, the casting is removed, traditional denture-like teeth are added, and the bridge is attached to the implants. Acrylic bridges are a very economical long-term solution. The teeth are not customised, and the plastic tends to deteriorate over a number of years and take up stains.

Zirconia – typically used in full arch replacements – The full-arch bridge is precision-milled from a solid block of zirconia, hand-coloured and polished to match natural teeth & gums and anchored to dental implants. Zirconia bridges are very strong and provide a stable structure that dramatically reduces any movement while reducing the pressure / tension on the actual dental implants.

Zirconia Full All on 4 Arches

Why is it that you don’t require a bone graft for All on 4 implants?

All on 4 full teeth replacement method is popular option for patients wanting new teeth. The All on 4 procedure is a little different from other dental implant procedures as two implants at the back of the jaw are angled to sit in places where there is more bone volume to support the bridge. Consequently, the need for a bone graft is often eliminated.

If you have severe maxillary (rear teeth) jaw bone resorption, Zygomatic implants might be the implants for you. These implants dramatically shorten the total rehabilitation or time-to-teeth when compared to other methods to restore a patient’s top jaw bone. The use of Zygoma dental implants eliminates the need for jaw bone grafting. You should seek a second opinion from a dental specialist when considering Zygoma implants.

Zygomatic-and Traditional Implants