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Implant Supported Teeth

All on Four Procedure


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Transcript

For many reasons, a patient sometimes loses teeth in one arch or both arches, upper and lower. Sometimes the patient becomes hopeless, and they would like them to have their teeth replaced to get a new smile and also to function better.

There are different options for replacing teeth (a full arch) and can go from a removable solution to a fixed one.

The new exciting procedure that has been going on for a while is what we call “All on four.”. Basically, it's a fixed bridge fixed to four implants. In some cases, we can provide that service all in one day, but there's a lot of planning involved before and after that day.

How does this process start?

It begins with a consultation. The patient and I will see what the best option for them is. If we decide that this is, the patient needs to go to see an experienced and qualified oral surgeon. The patient will get a CT scan where they will evaluate the bone and determine whether it is a candidate to get an all on four.

Once that is determined, we can start with the process of fabricating the hybrid bridge that's going to be connected to the all on four implants. This process takes about four to six weeks. There is a one-day appointment where the implants are placed in the morning by the oral surgeon and in the afternoon where I fit the hybrid bridge over the four implants. This bridge is highly functional over the four implants, making it possible for the patient can enjoy a steak or eat an apple the same day.


If you have an ill-fitting denture or hopeless teeth, then an ALL-on-4 dental implant procedure will provide you with a new set of permanent replacement teeth. The new teeth will be fixed to as little as 4 implants placed strategically in the jaw to provide secure and stable support. You can eat with the confidence of natural teeth. With proper planning, on the day of implant placement, you will get a new set of teeth. All this can be done while you are sedated.


Problems with Traditional Dentures

  • Loose dentures
  • Embarrassment of dentures moving during conversations, laughing and smiling
  • Inability to eat desired foods
  • Extreme decline of chewing force
  • Altered taste of foods
  • Bulky acrylic plastic
  • Messy adhesives
  • Hassle of taking the dentures out at night
  • Sore spots on the gum tissue
  • Loss of bone

These problems with traditional dentures can be resolved with the All-on-4 dental procedure


Benefits of the All-on-four dental procedure


Benefits of the All-on-four dental procedure
Benefits of the All-on-four dental procedure
Benefits of the All-on-four dental procedure
  • Patient receives a brand new smile in just one day.
  • Final restoration is fixed and does not come out.
  • Increased self-confidence.
  • Increase chewing ability. You will be able to bite into an apple and chew as if you have natural healthy teeth.
  • Improve ability to taste food by freeing roof of the mouth from bulky upper dentures
  • Eliminates frustration of bulky removable dentures. No more glue.
  • Restores a youthful appearance and fills out facial contours. In most cases reduces wrinkles.
  • The angled back dental implants avoid sensitive area. The dental implants have more surface area contact with bone resulting in a more stable new teeth.
  • Angled back dental implants avoid the needs for bone grafts reducing cost and recovery time.
  • Entire procedure can be done in a day, even with full mouth extractions. Patient leaves with a full set of teeth.
  • Minimal recovery time.
  • Teeth do not rest on the gum, thus no sore spots, easy maintenance and easy to keep clean.

The Process To Get Your Non-Removeable, Permanent Teeth

Dental implants are a permanent and appealing solution to replace missing or extracted teeth. They are better than other alternatives like bridges because no additional teeth need to be altered to place the new tooth.

The Process To Get Your Non-Removeable, Permanent Teeth

The entire implant process is performed over the course of a few months. The first part of the process is to install the implant itself, where a screw is placed into the jaw bone. An incision is made in the gum so that the implant can be inserted. Multiple implants can be placed at once if necessary. After the implants are placed the gums are sutured.

The implant must be allowed about 3-6 months to heal, and during this time the jaw bone will form around the implant in a process called osseointegration. During this healing time you can have temporary crowns installed so that you can eat and speak normally and maintain a proper aesthetic appearance for your smile.

After the implant has healed it is time to place an abutment on the implant. The abutment serves as the base for your new tooth. One this is placed an impression of the abutment is taken and is used to create your permanent restoration. Some offices have an onsite lab to create the crown, but others will have to send it to an outside lab. Once the restoration is completed you can return to the office to attach the restoration permanently. Your smile will look just like it used to, and after a short period of getting used to the implant it will feel just like one of your own teeth.


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Dr Victor Muradian

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