What are All on 4 implants?

All on 4 implants use a set of four titanium implants surgically placed in your jaw to fix a new set of manufactured replacement teeth. This procedure can replace your upper or lower teeth, or both, to restore your smile’s health, function, and aesthetics.

If you are missing or losing 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 a new smile.

All on 4 teeth replacements allowed the total rehabilitation of a complete set of teeth, using fewer 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 are 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 have been 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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Perth All on 4 Treatments Before and After Teeth Replacement

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 Teeth Replacement

  • A lifelike, natural-looking teeth replacement option that looks and feels like your original teeth

  • The All on 4 Perth procedure can be completed in just a short 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 an excellent quality of life, improving nutrition & your well-being!

  • Are easy to maintain with dental hygiene not being complicated.

  • 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 ALL ON 4 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 All-on-4 implant experts and principal prosthodontist is completed. They will assess your missing teeth and suitability for an All-on-4 procedure at one of our Perth All-on-4 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 all on four implants and determine the most appropriate path to reach your desired outcome.

dental implant fixtures on scanner

STEP 3: PLACEMENT OF THE ALL-ON-FOUR 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 as your bone quality and quantity and the design & type of prosthesis.

Placing the tiny 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 All on 4 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?

No physical contraindications should stop a patient from having an All on 4 procedure. 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:

  • You no longer have any of your natural teeth or are missing teeth.
  • Wearing a denture or finding 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 of All on 4, it 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.

Price of All on 4 Teeth Replacement in Perth

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 a more accurate quote. If you’d like to learn more, have a read of our article about All on 4 costs in Australia.

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, or restorative dentistry, you should investigate our Full Arch Replacement options. For more information, refer to our article about All On 4 vs Full Arch Replacement.

Zygomatic implants are considered 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. Learn more here.

Read more on why we don’t quote prices without physically seeing patients.
*Pricing guide only 

Aria Dental’s Complimentary Consultations

Aria offers a FREE All on 4 dental implant consultation at our clinics in Perth CBD, Maddington, North Perth, Midland and Scarborough. The consultation includes your appointment, an examination, and any x-rays or diagnostics required by our implant dentist to complete your detailed dental treatment plan. An All-on-4 consultation can cost up to $750 at other implant clinics.

Zygoma Dental Implants – All on 4 Perth

Zygoma Implant

If you have severe maxillary (posterior teeth) jaw bone resorption and require a complete teeth replacement, Zygomatic implants might be the implants for you. These implants dramatically shorten the total rehabilitation or “time-to-teeth” 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. Learn more about Zygomatic Implants here.

Fewer Procedures, a Faster Journey
The procedure is safe and predictable when performed by an experienced surgeon. This procedure is an effective workaround for those with a poor bone mass, requiring 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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Frequently Asked All on 4 Teeth Replacement Questions

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 

Provisional Implant Prosthesis

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.

Success Dental Implant

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.

Implant Process

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.

Barry Smiles

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.

Implant Recovery

Is getting All-on 4 painful?

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.

Recovery Room Aria Dental

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 lifespan of 10-12 years.

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

Andrew

What is the difference between Acrylic and Zirconia dental bridge?

There are two 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 – Traditional denture-like teeth are mounted on a titanium bar and fixed with wax for an aesthetic-functional try-in. When approved by the prosthodontist, the bridge is processed by replacing the wax with high-pressure injected acrylic resin and polished. The teeth have only minimal customisation and being acrylic-based 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 Teeth Implant

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 Implants