What is an All on 4 ?

If you are missing teeth (or are soon to lose all your teeth) because they have broken down, you have several options for your full teeth replacement. One of the most common techniques is to use an All on 4 dental implant techique to support a set of new, manufactured teeth. If you have lost all your upper or lower teeth, a full arch fixed implant prosthesis, may be a good option to restore your smile’s health, function, and aesthetics, instead of a traditional denture.

All on 4 is a treatment technique, where ‘all on 4’ refers to “all” teeth being supported by 4 titanium dental implants. This is a procedure for the replacement of a patient’s badly broken-down or terminal teeth, decayed teeth or compromised natural teeth. The four implants support a new set of teeth, on a fixed full-arch prosthesis displaying around 10 to 14 teeth.

The All on 4 implants concept itself, allowed the total rehabilitation of a full set of teeth (a full teeth replacement), supported by as few as four fixtures. This allowed clinicians to avoid bone-deficient areas by placing implants into healthy bone dense areas ,where the implant fixture could successfully osseointegrate into the jawbone.

Two implants are placed at the front, with two at the back, placed at a slight angle, providing enough structural support to hold a full, fixed set of new prosthetic teeth. As there are fewer implant fixtures placed, it provides a faster and less invasive option. The new natural-looking teeth are fixed to your jawbone enabling you to not only look and feel good but also function very similar to natural teeth.

All on 4 are for less complex cases and are typically made using an Acrylic-made arch. If you have a more complex oral requirements and require restorative dentistry, Learn more about Full Arch Rehabilitation here. 

Kaylene from Bayswater by Aria Dental  – Meet Our Patient Videos

Book a Complimentary All on 4 Consultation

With Aria Dental's Specialist, you’re in safe hands
DD slash MM slash YYYY
Preferred method of communication*
Have you previously visited Aria Dental?*
This field is for validation purposes and should be left unchanged.

All on 4 Perth – Dental Implants Benefits

  • A long-term solution for teeth replacement and restoring smiles

  • Higher success rates than traditional implant techniques (Around 98%)

  • Takes only three days (or one day with Same Day Teeth technology). Traditional dental implant procedures can require multiple visits and could take up to a year to complete

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

  • The All on 4 cost is more economical option than some alternative techniques for full mouth rehabilitation that require bone grafting and more than four implants

  • Virtually eliminates the need for bone grafting. Consequently, the procedure is suitable for patients that are otherwise not eligible for dental implants, such as those with osteoporosis, diabetes or other health conditions contraindicated for bone grafting

  • Helps prevent bone resorption

  • You will enjoy a greater quality of life, improving nutrition & your well-being!

  • A lifelike, natural-looking teeth replacement option, that look and feel like your original teeth

  • Are easy to maintain – post treatment, good dental hygiene is not complicated

Restoring Smiles – Before and After – All on 4 Treatment

Before and After of four patients

All-On-4 Procedure

STEP 1: INITIAL CONSULTATION

Your first appointment involves a comprehensive evaluation of your oral health, any gum disease and teeth replacement needs. A comprehensive oral health evaluation by our Principal Prosthodontist is completed, where he’ll assess your missing teeth and suitability for an All on 4 Perth procedure. He carefully assesses what would be the best solution that addresses your concerns and personal requests. He will discuss any concerns you may have and aim to provide you with advice and recommendations that suits your needs, both clinically and financially. NB: If you have gum disease or other treatable issues, you may have these dealt with before proceeding with your implant treatment.

STEP 2: DIAGNOSTIC RECORDS & TREATMENT PLANNING

Following acceptance of the proposed treatment plan to assist in your rehabilitation, we will attain the required diagnostic records and clinical photographs. 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 to determine the most appropriate path to reach the desired outcome for you.

STEP 3: PLACEMENT OF THE DENTAL IMPLANT FIXTURE

This appointment is often completed when you are sedated. The number of implant fixtures required will depend on various factors, that are determined during the treatment planning phase. These include your bone quality & quantity and the design & type of prosthesis that is most suitable for you. The surgical procedure of placing the tiny dental implant fixtures into you jaw may take a few hours to complete. Once placed, the implant fixtures will be covered by small healing caps until your final prosthesis is ready to be inserted.

Once the dental implant fixtures are placed, a precise digital impression is taken of the implant positions. This is sent to our in house dental laboratory so a temporary (or provisional) prosthesis can be fabricated. Our in house laboratory, is a cost effective solution which allows our products to be more affordbable, with patients receiving a much high quality product at a much lower price than elewhere.

STEP 4: PROVISIONAL DENTAL IMPLANT PROSTHESIS

The provisional prosthesis will be scheduled to be inserted soon after the implants fixtures have been placed. Your provisional prosthesis is generally made of acrylic and metal. It is screwed onto the implant fixtures, and so you will not be able to remove it. It will have a space underneath to allow you to clean around your new implant fixtures and gums. There will be less “teeth” on the provisional prosthesis, and you will wear this prosthesis for a minimum of three months. In some case, an additional replacement provisional teeth is required as the gums heal.

The provisional prosthesis helps your dental professional confirm the correct shape of the teeth and allow 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 changes or eating ability may be slightly compromised.

STEP 5: POST-OPERATIVE STAGE

It is common that you may develop varying grades of bruising or swelling and require anti-inflammatory and pain relief medication. The swelling will generally reach a maximum two days after the surgical procedure. Written post-operative instructions are provided and pain medication will be prescribed to you.

You may find eating and speaking difficult. It may take some time to “retrain” your oral musculature and adapt to your improved dental situation. This can sometimes be difficult for patients, and will require patience, perseverance and just practice. 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.

A healing period of approximately three months is necessary to allow the implants to successfully osseointegrate into the jawbone, after which the provisional prosthesis is replaced with the final prosthesis.

STEP 6: DEFINITIVE IMPLANT PROSTHESIS

After confirmation of successful implant healing, your final definitive prosthesis fabrication stages will commence. An update of the digital impression scans is completed, followed by any new design updates. Your input is vital. Your input on the shapes of teeth you like and colours is discussed in more detail and the design plans for your teeth is modified and improved. The design is carefully analysed by our skilled laboratory team to ensure they are perfect before your definitive implant prosthesis is milled and fabricated. After a few try in appointments, once everybody is happy, your new set of teeth are inserted.

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

Am I a suitable All on 4 dental implant solution candidate?

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

Most people are suitable for the All on 4 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 has become a popular alternative to dentures for replacing a full set of teeth. One of the many benefits of the All on 4 cost is the quick turaround, that it enables you to get a new set of teeth in just a 1-3 days. You could have your teeth extracted, then have implants placed on the same day (assuming you dont 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 you’ve completely healed from your implant surgery, your dentist will then fit you with a permanent fixed bridge.

All on 4 Price

Approximately speaking, the price of a Basic All on 4 dental implants treatment, made in Acrylic for a top or bottom jaw, starts from $25,000*. For an accurate quote, please book in for a complimentary dental implant consultation with our dental specialist.

All on 4 are for less complex cases and are using an Acrylic-made arch. If you have a more complex oral requirements and require restorative dentistry, Learn more about Full Arch Rehabilitation here. 

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

What is Osseointegration?

Osseointegration is where a direct structural and functional connection between living jaw bone and the surface of a load-carrying implant is made. After a dental implant is placed into the jawbone, over time, 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 the 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. 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 resporation, 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 are placed. Jaw bone resorption is very common amongst users of traditional dentures.

bone-resorption

Zygoma Dental Implants for Patients with Severe Jaw Bone Loss

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. The use of Zygoma dental implants eliminates the need for jaw bone grafting.

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.

Zygomatic implants are considered to be a relatively new advancement in dental implant technology. They were developed in the late 1990s by the father of dental implantology, Dr. Per Ingvar Branemark. 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.

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

What Is the Difference Between Zygoma Implants & Traditional Dental Implants?

Zygomatic-and Traditional ImplantsA Zygoma implant is longer than a conventional dental implant. It is still inserted through the mouth, but it anchors into the cheekbone (in the zygomatic bone) as opposed to the dental arches (alveolar bone) in the mouth. Due to the solid bone in the cheeks, Zygomatic implants have a high immediate stability and offer the perfect foundation for immediate placement of replacement teeth.

Zygoma implants are designed to be permanently attached into the cheek bone (zygoma bone) which sits above the upper jaw (maxilla). The Zygoma implants procedure is completed in Aria’s surgery, under IV Sedation. Zygoma implants can provide the foundations needed for a full arch set of screwed in or detachable prosthetic teeth. Zygomatic implants can also be used in coordination with traditional dental implants.

Depending on the patient needs, either 2 (one each side) or 4 (2 each side) implants are placed to support full or partial dental bridges. The procedure is safe, and predictable when performed by a surgeon with experience in the technique, and is provided with sedation options.  When Zygoma implants are used, patients can often have a fixed provisional prosthesis fitted shortly after surgery, avoiding multiple surgeries, and the healing time required with jaw bone grafting.  Just like traditional implants these Zygoma implants will also need a healing period of a few months until the final set of teeth will be fabricated and placed.

Eliminates the Need for Supplemental Procedures

Zygoma Implants Inserted into The Back Of The Jaw

Oftentimes, when dental implants are placed in the upper jaw with low bone mass, supplemental procedures may be necessary. One common procedure is known as a sinus lift, whereby the bone between the oral cavity and sinus cavity is thickened to prevent the implant from damaging the sinuses. Usually, the patient would need to wait until the sinus lift has healed before the dental implants can be placed. With Zygomatic implants, however, there is no need for these supplemental procedures. Not only does this mean less procedures, but it also means that you can get your implants sooner rather than later.

Book your complimentary All on 4 consultation today!

Click Here

Frequently Asked Questions for All on 4 dental implant solutions

How much does the All on 4 procedure cost?

The All on 4 procedure can vary in price between individuals, depending on what they need for teeth replacement. For example, some require a bone graft before commencing. Approximately speaking, the price of  a basic All on 4 dental implants Perth treatment for missing teeth, starts from $25,000*. For an accurate quote, please book in for a free consultation with our dental specialist. *Pricing information is an average from price, up to date for 2022 

What is the success rate of the All on 4 procedure?

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 have been a popular treatment for people missing teeth for many years, and All on Four is a great treatment option for those missing all thier teeth.

Will I be awake during my implant procedure?

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

Regardless of which sedation option you choose, while your four dental implants are placed, your comfort throughout the procedure will not be compromised. Most patients and dental clinicians consider IV sedation most appropriate for the prescription of All on Four.

Will I look swollen after my implant procedure?

For the first couple of days after 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 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.

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 are prescribed analgesics such as Panadeine Forte and anti-inflammatory medication can be well managed and comfortable during 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.

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!

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

How long does it take to have the All on 4 procedure?

The inital All on 4 full teeth replacement procedure, as is only just four dental implants, usually takes between 1-3 days, the placement of your four dental implants depending on your needs and the techniques used for your surgery. But depending on your particular case, if bone grafts are required, there may be some extra healing time required – surgical and dental procedures, invasive procedure carries risks.

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

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.