All-On-4

This treatment is for fully edentulous patients who have somewhat adequate existing dentures.

The development of cone beam CT scanning technology and 3-D treatment planning software (NobelClinician powered by Procera [Nobel Biocare]) have allowed patient treatment to be expedited and minimally invasive. Using these technologies, these cases can be treatment planned virtually to produce a CAD/CAM surgical template to place the implants in a precise, predetermined position. The immediate functional loading in a single surgical procedure is modified using the computer-aided manufacturing protocol (CAM). A new final non-removable teeth are fabricated (CAM) with a titanium framework (PIB – procera implant bridge)to support the acrylic teeth within 10 -14 days. This could be done in a few days, however the manufacturing process holds us up.

Benefits of All-On-Four Implants

As with all computer-guided surgery, this procedure is minimally invasive and quick. However by not having the interm, non-removable acrylic teeth the patient saves several thousand dollars. Granted you are without teeth for 10-14 days, so it is a trade-off.

This includes the following for inclusive treatment:

• Gathering of information, for example, X-ray’s.
• Computer-aided planning, computer-aided surgery if this is the optimum option.
• A new denture may or may not be required for the conversion phase to a non removable teeth.
• Surgical placement of 4 implants, any bone contouring (alveoloplasty) necessary to follow the All on 4 protocol.
• Placement of abutments.
• All necessary impressions and facial measurements.
• Laboratory conversion and fabrication of non removable provisional teeth.
• Placement of the non removable provisional teeth (Reinforced acrylic teeth), placement of the temporary plugs.
• Follow-up care for 3-6 months during the healing process.
• Any adjustments or repairs during the healing period.

No Extraction of Teeth Or Sedation Required

Extraction of teeth and sedation are not required. Sedation is only done if the patient requests it, otherwise, it is done with regular freezing (local anesthetic). If these acrylic-supported teeth are used beyond their recommended time, please see the attachment.