All On – 4 (All On-Four) dental implant is a breakthrough in the dental industry of Nobel Biocare Implant (Sweden).
The All On – 4 full-mouth dental implant technique is the most modern full-mouth dental restoration method, helping to restore chewing function and high aesthetics in cases of total tooth loss and bone deficiency in the position behind the teeth.
1. What is All On 4 dental implant?
Previously, in case of complete tooth loss, it was necessary to wear removable dentures or implant 6-8 Implant pillars for restoration, but now All On 4 implant will bring a set of teeth that are aesthetically pleasing, chew well but at a reasonable cost, suitable for the financial conditions of many patients than traditional methods.
All On 4 full-mouth dental implant is a method of implanting 4 Implant pillars into the jaw bone of each jaw. Of which, 2 Implant pillars are placed straight at 2 teeth number 2 and 2 pillars are placed at an angle at 2 teeth number 5. These 4 Implant pillars act as real tooth roots, helping to support the denture to restore the tooth body including 12 teeth and are fixed on the Titanium CAD/CAM bar.
2. Cases where All On 4 dental implants should and should not be used
Although All On 4 dental implants are the optimal method of full-mouth dental restoration, we also need to better understand the cases where All On 4 dental implants should and should not be used.
2.1 Cases indicated for All On 4 dental implant
– Cases of total tooth loss (entire upper jaw, entire lower jaw or both jaws).
– Cases of severely damaged teeth, complete tooth loss of 6 teeth or more.
– Patients with severe periodontitis that cannot be repaired and must have all teeth extracted.
– When patients have lost all teeth but are not healthy enough to implant too many implants.
– Subjects who need to restore many teeth or restore the entire jaw but need to save time.
2.2 Cases where All On 4 dental implants are not recommended
– Relatively contraindicated for pregnant women, people with cardiovascular disease and people with severe inflammation in the implant position.
– Absolutely contraindicated for people addicted to stimulants such as alcohol, beer, cigarettes.
– People with poor oral hygiene and uncooperative with the doctor during treatment should not have All On 4 implanted.
– Some cases of systemic diseases such as cardiovascular disease, diabetes, … affect surgery and treatment time.
– Depending on the severity, the doctor will decide whether or not to have All On – 4 implanted.
3. Is All On 4 dental implant good?
All On 4 dental implant is a modern method, however every method will have certain advantages and disadvantages.
3.1 Advantages of On All 4 dental implants
Restore chewing function almost like real teeth
4 Implant pillars made of pure titanium are firmly implanted and completely integrated with the jawbone, acting as real tooth roots. Therefore, when implanting teeth, you can regain chewing function, feel the taste of food like real teeth without worrying about looseness or falling out.
Prevent jawbone loss
Long-term tooth loss will cause the jawbone to rapidly deteriorate, leading to the face easily aging and becoming older than its age. Implanting All On-4 full-jaw implants will restore strong teeth, preventing jawbone loss, because the titanium implant pillars act as real tooth roots. This is a special advantage of the implant method that other methods cannot meet.
Restore aesthetics, bringing harmony to the teeth and face
All On-4 implant helps restore the full number of teeth on the jaw, the resorbed gums will be restored with a plastic base that is the same color as the real gums. Early implant placement prevents bone loss, so there will be no deformation of the lips, cheeks and face. Therefore, in addition to ensuring chewing function, All On 4 implant placement also helps the face to be harmonious and aesthetic.
Limiting sinus lift and jaw bone grafting procedures
The All On 4 implant method almost does not require sinus lift or bone grafting. Because for this method, the implant will be implanted in the front teeth area. This is the position with the least bone loss on the jaw, so when the implant is inserted, it still ensures firmness without the need for bone grafting or sinus lift.
High durability, lifetime
Compared to other full-jaw restoration methods such as removable dentures, the lifespan is only about 5 – 10 years. The All On 4 restoration method has a lifespan of 20 – 30 years. If you take good care of your teeth, the implant can even last forever.
Maximum cost savings compared to single implant placement
When the All On 4 implant method was not yet available, we needed 8 implants to restore the entire jaw. But with All on 4 implant placement, we only need 4 implants, so it will save costs and shorten the treatment time.
3.2 Disadvantages of All On 4 dental implant method
In addition to the outstanding advantages, All On 4 dental implants also have the following disadvantages:
Requires the doctor to perform with high expertise and skills
All On 4 dental implants are a complex restoration method, not every clinic or doctor can perform it and ensure patient safety. So you need to research carefully to choose a reputable dental clinic to ensure absolute safety.
The dental clinic needs modern equipment, a sterile treatment room
All On – 4 full-mouth dental implants require being performed in a specialized clinic, with modern equipment, facilities and a sterile room. This is the minimum condition to ensure safety during the implant process.
The cost of All On 4 dental implants is higher than traditional methods such as: tooth restoration with removable dentures, .. but in return are the outstanding advantages mentioned above. Compared to the single implant method for full-mouth restoration, All On 4 implant will be more cost-effective.
4. All On 4 dental implant procedure
All On 4 full-mouth implant placement at the Dental Clinic is performed in 9 steps:
Step 1: Take a 3D film, the doctor will examine you in general and make a treatment plan.
Step 2: Place the implant with the surgical guide according to the treatment plan.
Step 3: Re-examination and attach the temporary jaw after 1 day.
Step 4: Re-examination and check after 7 days.
Step 5: Re-examination and check the recovery.
Step 6: Re-examination and check the implant impression to serve as the basis for the final tooth restoration.
Step 7: Test and check the accuracy of the implant impression.
Step 8: Test the CAD/CAM Titanium frame on the implant.
Step 9: Attach the final jaw, completing the All On-4 dental implant.
6. Notes when planting All On 4 implants
To ensure safety before and after All On 4 dental implant, you should note the following issues:
6.1 Before performing All On 4 dental implant
– The All On 4 implant method is only applicable when you are 18 years old or older. Because at this time the jawbone has fully developed in height, thickness and standard jawbone level, enough hardness, full alveolar bone, so it is eligible for implant.
– Ensure good health, if you are having health problems, you need to accurately describe your condition if you have chronic diseases such as cardiovascular disease, diabetes so that the doctor can have appropriate treatment solutions.
– Stop using stimulants, tobacco, alcohol at least 1 month before implant to avoid affecting the recovery process when implanting teeth.
– Prepare a comfortable mentality so that the treatment process is smoother.
6.2 Notes after All On 4 implant surgery
– Apply cold compresses to the cheeks and lips at the implant site to reduce swelling in the first 1-2 days after implantation. In the following days, apply warm compresses to dissolve blood clots and reduce swelling.
– Absolutely do not rinse your mouth with diluted salt water because salt water has high antiseptic properties and will kill newly formed cells.
– Gently clean your mouth in the first days after implantation, use mouthwash containing Chlorhexidine 0.12% twice a day to clean your mouth.
– Do not smoke for 2-4 weeks after implantation.
– Follow your doctor’s instructions and use medication as prescribed.
– Eat soft, easy-to-swallow foods. Drink plenty of water to clean the oral cavity. Avoid food sticking, falling and accumulating at the implant site.
– Do not use your hands, tongue or sharp objects to touch the implant site.
– To avoid the implant from being loose, the patient should not exercise, jog or run too hard or too hard
– Have regular check-ups according to the doctor’s appointment, adjust chewing force and bite if necessary.
All On 4 dental implant is the most modern full-mouth dental restoration method today. Although the cost is higher than the removable restoration method, in return, All On 4 implant will be more optimal, with many outstanding advantages, helping you save costs and shorten treatment time. However, you need to pay attention to some of the above issues to ensure health safety.
