Missing teeth can affect the way you look, eat, talk, and smile. Fortunately, there are a variety of replacement options that can restore the function and appearance of your teeth. In addition to offering traditional dentures and bridges, our prosthodontist, Dr. Dean E. Kois, is experienced in both designing and surgically placing implant-supported dentures to replace entire arches of missing or severely damaged teeth. One technique he uses to accomplish this is the concept known as All-on-Four.
What Is All-on-Four?
All-on-Four is a system that involves using approximately four dental implants to secure a denture. Instead of replacing each missing tooth with a dental implant, the entire arch is replaced using an implant-supported denture. This denture is held in place by the four implants—two near the front of the mouth and two towards the back, which are placed at a slight angle to make the most of the available jawbone. Depending on the patient, more than four implants may be recommended to increase the likelihood of a successful outcome.
What Are the Pros and Cons of All-on-Four Dental Implants?
All-on-Four can be highly beneficial for the right candidates. Dr. Kois takes the time to thoroughly assess patients to determine if the implant denture technique is ideal for them, or if an alternative option is more appropriate for their needs. In general, All-on-Four can offer the following benefits:
- Creates a secure foundation for the custom-made denture
- Optimizes jawbone contact, eliminating the need for bone grafting in some patients
- Allows the teeth to be replaced in a single day for many people
- Provides long-lasting and natural-looking results
During the consultation process, Dr. Kois will perform a comprehensive oral evaluation and go over each patient’s medical history. While All-on-Four can be a great option for many people, Dr. Kois will only recommend this technique for those considered good candidates. He advises those considering the solution to seek an experienced oral professional that prioritizes their safety and wellbeing. Patients with inadequate jawbone density, as well as those suffering from conditions that complicate their ability to heal, are at a higher risk of implant failure and may be more suitable for an alternative solution.
What Does the All-on-Four Procedure Entail?
The All-on-Four dental implants procedure is customized down to the finest detail for every patient. After determining candidacy, Dr. Kois will begin the in-depth planning process to ensure the surgery is performed with the utmost precision. If any preliminary work is needed, such as tooth extraction, this will need to be completed before the implants are placed.
On the day of the All-on-4 procedure, the implants will be carefully placed according to the surgical plan, after which the restoration can be placed. Depending on the patient’s unique needs, Dr. Kois may perform one of the following:
- Upper Arch Replacement treats the upper row of teeth using at least four dental implants to anchor the denture to the jaw.
- Lower Arch Replacement addresses the lower row of teeth, replacing the entire arch with the implant-supported denture.
- Full Mouth Restoration is ideal for those who need both their upper and lower arches of teeth replaced, using at least eight implants total.
After the All-on-Four procedure, patients will receive a temporary restoration, which will be worn as the implants gradually fuse to the jawbone. After approximately four to six months, the permanent denture can be secured onto the implants. This denture is custom-made to ensure a comfortable fit and beautiful results.
If you have any questions about the All-on-Four dental implants system, or would like to learn if the technique is right for you, please contact Kois Dentistry to schedule an appointment.