Dental Services : Dental Implants :  Edentulous – All-on-4

All-on-Four and All-on-Six

The All-on-4 and All-on-6 dental implant concept is solution that has been developed to maximize the use of available bone and allow the immediate functioning of dental implants for full arch reconstruction cases. It is sometimes also known as all-on-one as a one piece hybrid denture prostheses is supported by the dental implant posts.  

Bangkok International Dental Center (BIDC) is a the fore-front of treating patients requiring full arch reconstruction and dental implants. Our leading dental implant center in Bangkok consists of a top team of well-experienced and highly qualified implantologists who treat immediate function cases. They have place a large number of full arch prostheses for our international patients within one trip.Our implant dentist team is also the FIRST in Thailand to treat patients on Straumann’s full arch ProArch BLX implants at BIDC.

All-on-4

All on Four Immediate Function Implants

If you have endentulous or soon-to-be full jaw missing teeth, full arch immediate function concept is an option for a smoother and less sudden transition. Consult our highly experienced specialist on your options.

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Benefits of All-on-4 and ProArch

  • Suitable for almost various bone quantities including cases requiring bone grafts.
  • It is a less invasive procedure as teeth removal, bone re-shaping and dental implant post surgery is done in one sitting.
  • There is minimal healing time prior to functioning as it is an immediate function procedure.
  • Fast and cost effective.
  • It is a fixed prostheses solution.

Procedure for Full Jaw Immedate Function Treatment

The all-on-4 and all-on-6 immediate function dental implant may not apply to all cases.  Consult your dentist before choosing your tooth replacement option. The treatment procedure and steps for full arch dental implant treatment using the all on four and all-on-one concept is as follows:

jaw with no teeth

1. Before the procedure

The dentist determines what needs to be done and prepares the equiments, component parts and pre-paratory works prior to the day of surgery. A first evaluation, x-ray and CT Scan is done to determine implant site positioning and bone condition.

all-on-four

2. Installing the implant

If there is existing teeth, teeth are removed. Alevolplasty is commonly done after teeth removal to preserve and shape existing bone. The implant posts is then installed dental implants. The number of implants of 4, 5, 6, or more placed is basded on on bone condition and expected final prothses. If patient requires a temporary dentures during the 3 to 5 days wait time for the fixed hybrid bridge /overdentures, a temporary dentures can be opted prior to start of surgery or your old dentures may be re-lined for wear.

all-on-one

3. Attaching the hybrid bridge

Teeth impression for the hybrid bridge / overdendtdure is taken immediately after teeth implants placement or within the next 2 days. The hybrid bridge / overdenture frame is made in the dental labs. Upon its delivery, the framework is tried on and adjusted before it is securely installed on top of the implants.

all on four

4. End result

Your new teeth is ready to function, please do however eat soft diets during thef first few weeks and follow your dentist’s post care instruction on cleaning and caring for your new set of all-on-4 teeth.

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Immediate Function Implant Systems

There are several brands of immediate function implant systems. The top 2 implant systems world-wide are:

  1. All-on-4 from Nobel Biocare
  2. ProArch from Straumann

For immediate function systems, your implantologist will likely recommend having active surface and a good quality dental implant system range in order to increase the survival and success rates. 

For Nobel Biocare, NobelActive implants is the preferred implant system of choice. NobelSpeedy (Malo patent) or NobelReplace (standard implants) do not contain the special active surface coating that allows for faster osseointegration properties that helps to improve implant integration.

For Struamann, the available ranges of active surfac implant include SLActive, Roxolid SLActive and the BLX implant system. The Straumann BLX system is the latest implant that is designed specifically for immediate function with special surface, shape and small size.

Recovery Expectations

Following placement of the dental implant posts, you may feel sore or tenderness in surrounding gums and implant site. As it is a full jaw surgery, the areas may also be swollen. Please are recommended to rest and consume liquids for the first few days.

After All-on-4 and All-on-6 cases done at BIDC by implantologists. 

BIDC Leading Dental Implant Center

Postcare Instructions for Immediate Function Implants

  1. Only liquid foods may be consumed during the first day in order to avoid inadvertent food particles contaminating the wound and semi-liquid (Mashed) food added during the rest of the week
  2. Avoid eating or drinking anything very hot or cold during the first day after the operation
  3. Moderate post-operative swelling is a normal reaction. However, If you have excessive swelling, severe pain or persistent bleeding please contact the clinic or emergency room
  4. Use antiseptic mouth wash rinses as directed
  5. Smoking and consumption of alcoholic beverages should be avoided
  6. Old dentures may not be worn until adjustments have been made. Early insertion of dentures may delay or affect healing
  7. Avoid putting heavy pressure around the implant site during healing period 

Care for Immediate Function Implants

Dental implants require the same care as real teeth, including brushing, flossing, and regular dental check-ups:

  • Brush after eating and before bedtime around the implant with a soft toothbrush
  • Floss at least once to twice a day. Use the proxy brush or floss threader to remove plaque under and around these areas to maintain good oral hygiene. Buildup of food debris and plaque on your teeth and gums can become infected.
  • Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
  • Be careful about chewing toffees, gum, grainy rolls and tough food in this area
  • See your dentist for regular professional check-ups and cleanings

Conclusion – All-on-4 Dental Implants

All-on-4 implants is the name of immediate function system by Nobel Biocare whereby a fixed hybrid denture is secured onto 4 dental implant posts. 2 of the outer posterior implants is titled in order to anchor to anterior bone that tends to be more dense. If 5 implants is used, it is called All-on-5. If 6 implants is opted, it is known as All-on-6. If you use Straumann implants, their immediate function concept is known as ProArch.

There are several benefits to this full jaw immediate function replacement solutions in terms of speed of treatment. It also enables a smoother transition for individuals who are soon-to-be edentulous. The All-on-4 concept does however carry higher risks and special care will be required over-time. Unlike implant-supported dentures that are removable, All-on-4 hybrid bridge are fixed and will need to be professionally removed for cleaning and maintenance. Like any prostheses, it may need adjustments or replacement over the long-term. 

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