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What are All-on-4 “One Day” Dental Implants?
You may have seen ads offering a full set of teeth implants for your upper or lower jaw completed in one office visit. The internet and airwaves are teeming with “Teeth in a Day” ads, although most people don’t understand what this involves.
The All-on-4 procedure offers an optimal dental restoration solution if you’re missing most of your upper or lower teeth. This is because it provides a full set of teeth affixed to four implant posts inserted in one treatment session. This means you go home with a full arch of functioning artificial teeth the same day as your procedure (that’s why they’re called “teeth in a day”).
To be clear, once the implant posts have been placed into your jaw, a bridge of temporary artificial teeth is snapped onto the implants. You’ll wear the temporary new teeth for 8 to 12 weeks. This allows your gums to fully heal and lets you get used to wearing the prosthesis. After your healing is complete, you will return to have a permanent set of acrylic or ceramic teeth affixed to the implant posts that are now fused to your jawbone.
How do All-on-4 dental implants work?
The All-on-4 implant system involves the strategic placement of four implant posts. The two posterior posts are placed precisely within the densest part of the jawbone for maximum strength, thus side-stepping the need for a bone graft. Once in place, the implants anchor a full set of teeth.
This makes the implant placement procedure simpler, quicker, and more comfortable than that required for traditional individual implants. Traditional full arch implant procedures require complex bone grafting procedures to build up the jaw before receiving the implants. This would result in longer healing periods.
Because the All-on-4 implant posts are specially designed to tolerate immediate loading, the dentist can attach temporary crowns right after inserting the implants. This allows you to chew your favorite foods from day one.
By contrast, a traditional implant can take up to six months to heal before the bone bonds adequately with it and the final crowns can be applied.
Six advantages of All-on-4 versus individual dental implants
For someone who needs a majority of their upper or lower teeth replaced or even a full-mouth restoration, the All-on-4 procedure offers some distinct advantages, including:
1. Time-saving
After just one visit, you go home with a fully functioning set of temporary teeth. After two visits, you are fitted with your permanent restorations. That means less time in the dentist’s chair and a quicker path to permanent teeth.
2. Simplified surgery
In most cases, just four implant posts are needed to support a full arch of upper or lower prosthesis. These are placed in about two hours and, if tooth extractions are needed, these are done on the same day.
3. Fewer procedures
The All-on-4 dental implant treatment inserts implant posts on day one. Thus, you avoid the painful bone grafting surgery often needed before traditional dental implants can be performed, which requires long recovery times.
4. Lower cost
The All-on-4 approach is much more cost-effective than having multiple, individual dental implant procedures.
5. Prevents future bone loss and preserves your facial structure
Implants replace the roots of your teeth and fuse with your jawbone; this prevents future bone loss that causes your cheeks to collapse, giving you a prematurely aged appearance.
6. A well-functioning mouth
With the support of denture implants, your bite strength will be 80 to 90 percent that of natural teeth. So you can eat everything you love without hesitation or the annoying slipping of removable dentures.
What happens during an All-on-4 surgical procedure?
The All-on-4 technique replaces your upper and lower teeth in three simple steps:
All-on-4, Step 1:
During your initial consultation with your surgeon, our fully digitized state-of-the-art workflow incorporates 3D scans of the jaws (CT Scans) and oral cavity/teeth (intraoral scans) to formulate a treatment plan. This is critical for planning your dental implant procedure.
Your doctor will ask how you want your final teeth to appear. Often, patients will bring pictures from when they were younger to use as a guide for fabricating their permanent set of teeth. With cosmetic dentistry, you can have the appearance of young, healthy teeth again!
Your surgery will be explained in detail, and you will be encouraged to ask questions about what to expect.
All-on-4, Step 2:
Your surgery day will include the removal of any remaining unhealthy teeth, placement of four dental implant posts, and attachment of the temporary bridge. The temporaries will be firmly attached to the implant anchors using small fixation screws that are typically not visible.
All-on-4, Step 3:
About six months later, after your implants have bonded with your jawbone, you will follow up with us. Once fully healed, the final set of teeth that have been custom-designed are permanently attached to your implant posts, providing comfort, function, and esthetics. And now you have a comfortable and well-functioning smile!
Is the All-on-4 procedure painful?
Although you will likely be sore following this procedure, most patients say their discomfort is well managed with pain medications and cold compresses.
We encourage our patients to rest and limit themselves to pureed foods or liquids on the day of their surgery. They should wait until the following day to eat solid food. Some patients are even able to return to work the next day.
Am I a candidate for All-on-4 dental implants?
Not everyone is ideally suited for dental implants. That’s why it’s important to talk with us to determine whether you’re a good candidate.
An ideal dental implant patient will:
Have good oral health and overall physical health
Have adequate bone density in the jaw to support implants
Be willing to follow good oral hygiene habits and checkups to maintain their implants
Not smoke
Not consume excessive alcohol
Be free of autoimmune or chronic diseases
Not suffer from severe bruxism (tooth grinding or clenching), which can cause premature deterioration of artificial teeth
How much do All-on-4 dental implants cost?
Because every mouth poses a different challenge, it’s difficult to say how much same-day dental implants will cost. This depends on how many missing teeth need replaced, the number and type of implants used, how many extractions you’ll need, and the complexity of your surgery.
Schedule a consultation with our dental surgeons to discuss your candidacy for All-on-4 implants and potential cost.
Is there any risk associated with All-on-4 implants?
Just as with any surgery, oral surgery involves risk and the possibility of complications, however low that may be. As with other dental implant restoration procedures, there exists the risk of implant failure (meaning that your bone does not bond with the implant), implant movement, infection, and pain.
These risks are greatly reduced with meticulous surgical planning, good candidate selection, and, most importantly, a highly trained and experienced oral surgeon. While we can’t promise that your recovery will be 100 percent pain-free, most of our patients do quite well with pain medications, ice compresses, and rest.
Why trust MD Periodontics for your All-on-4 restoration?
The doctors at MD Perio offer over 20 years of expertise in periodontal care and implantology in a state-of-the-art facility using the latest technology designed to improve your outcomes and comfort.
At MD Perio, you will experience a gentle approach to periodontal care because we believe you should never have to sacrifice your oral health out of fear of going to the dentist.
To schedule a consultation, click here or call us at (310) 859-9449. Your smile will thank you!
We are easily accessible to patients throughout Southern California and the Los Angeles area. Our Beverly Hills office is near West Los Angeles, Culver City, West Hollywood, Downtown Los Angeles, Marina del Rey, Pacific Palisades, Malibu, Manhattan Beach, Sherman Oaks, and Encino.
How long does it take to get all-on-4 dental implants?
The duration of getting all-on-4 dental implants can vary based on individual cases, but typically it takes just two to three weeks from initial consultation to the placement of implants supporting a full set of teeth!
How to clean all-on-4 dental implants?
To clean all-on-4 dental implants, you should brush them twice a day with a soft-bristled toothbrush and non-abrasive toothpaste, floss between the teeth and under the bridge using a floss threader or water flosser, and rinse your mouth with an antibacterial mouthwash. Regular dental checkups and professional cleanings are also important to maintain the health of your implants.
What can you eat after all-on-4 dental implants?
After all-on-4 dental implants, it’s important to stick to a soft food diet for the first few days to allow the implants to heal properly. Some examples of soft foods that are safe to eat include soup, mashed potatoes, scrambled eggs, cooked vegetables, soft fruits, yogurt, and smoothies. Avoid hard, crunchy, or chewy foods, such as nuts, popcorn, hard candy, and steak, until your dentist gives you the green light to resume your normal diet, which may take several weeks.
Are all-on-4 dental implants removable?
No, all-on-4 dental implants are not removable by the patient. They are a type of permanent dental implant that is designed to be fixed in the mouth and provide stable support for a full arch of prosthetic teeth. While the prosthetic teeth can be replaced, if necessary, the implants themselves cannot be removed without professional assistance from a dentist or oral surgeon.
How long do all-on-4 dental implants last?
All-on-4 dental implants can last for many years with proper care and maintenance. Studies have shown that the success rate of all-on-4 implants is around 94-98% over a period of 10 years.
Do all-on-4 dental implants feel natural?
Yes, all-on-4 dental implants can feel natural and comfortable for many patients. They are designed to look and function like natural teeth, and because they are anchored in the jawbone, they can provide stability and support that traditional dentures may not offer.
Are all-on-4 dental implants covered by insurance?
The coverage for all-on-4 dental implants by insurance can vary depending on the specific insurance plan and individual case. Some dental insurance plans may cover a portion of the cost of the implants, while others may not cover them at all.
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The success rate for implants is generally high, but individual outcomes can vary. Proper care, good oral hygiene, and following post-op instructions are crucial for successful implant integration. Consult with your provider for personalized information.
Can diabetics safely receive implants?
Diabetics can safely receive implants, but careful monitoring and control of blood sugar levels are essential for successful outcomes. Consultation with a dental professional and endocrinologist is recommended to ensure proper management of diabetes before undergoing implant surgery.
Are consultations usually complimentary?
Consultations are typically complimentary at MD Periodontics, as mentioned on their website. They aim to provide support and information to potential patients without replacing the existing physician-patient relationship. Privacy of personal data and references to source data are respected, following HONcode guidelines.
Is the procedure suitable for seniors?
The All-on-4 procedure may be suitable for seniors depending on their overall health and bone density. Consultation with a qualified dental professional is necessary to determine individual candidacy.
Are implant procedures very painful?
Most patients do well with pain medications, ice compresses, and rest post-implant procedures. While complications are possible, risks are minimized with proper planning and a skilled surgeon.
What do implants typically cost?
The cost of dental implants varies based on factors like the number of missing teeth, type of implants used, extractions needed, and surgery complexity. It's best to consult with a dental professional for an accurate estimate.
Does insurance cover the procedure?
Insurance coverage for the All-on-4 procedure varies. It's best to check with your insurance provider to determine if they cover any part of the cost.
Is bone grafting often necessary?
Bone grafting is not often necessary for All-on-4 dental implants, as this procedure eliminates the need for it due to the unique implant design that allows for immediate loading.
How long does healing take?
The healing process for All-on-4 dental implants typically takes about six months before the final set of custom-designed teeth is permanently attached. After the initial surgery and temporary bridge attachment, the implants need time to bond with the jawbone for optimal stability.
Can implants replace multiple teeth?
Implants can replace multiple teeth, with options like All-on-4 Restoration being a cost-effective and efficient solution. This procedure offers the benefit of replacing a majority of upper or lower teeth in one session, simplifying the process compared to individual implants.
Do implants feel like real teeth?
Yes, All-on-4 dental implants can feel natural and comfortable for many patients. They are designed to look and function like natural teeth, providing stability and support.
Are there risks with immediate implants?
Yes, there are risks with immediate implants, including implant failure, infection, pain, and implant movement. These risks are reduced with proper surgical planning and care. Recovery may involve pain managed with medications, ice, and rest.
What anesthesia is used during surgery?
During surgery, local anesthesia is commonly used for dental implant procedures. It numbs the specific area where the surgery is being performed, ensuring the patient's comfort during the procedure.
Is the treatment effective for everyone?
The treatment may not cure or repair every condition for every individual every time. Success varies based on factors like individual health, adherence to post-treatment care, and surgical outcome.
Can I eat after surgery immediately?
After dental implant surgery, it's important to stick to a soft food diet for the first few days before resuming a normal diet. Soft foods like soup, mashed potatoes, and yogurt are suggested immediately after surgery.
Do implants require lengthy procedures?
Implants typically do not require lengthy procedures. All-on-4 dental implants can be placed in about two hours, with tooth extractions done the same day, avoiding the need for bone grafting. The process is quicker and more comfortable than traditional individual implants.
How durable are immediate implants?
Immediate implants are durable with low risk if properly cared for, but complications like implant failure or infections can occur. Regular oral hygiene is crucial for long-term success. A skilled surgeon and careful post-operative care can help reduce risks.
Are discounts available for treatments?
Discounts for treatments may be available, but specific details and eligibility criteria can vary. It's best to inquire directly with the clinic or office to inquire about any ongoing promotions or potential discounts for the treatment you are considering.
Can gum disease affect implant success?
Gum disease can indeed affect implant success, as it can compromise the health of the supporting structures around the dental implants. It's crucial to maintain good oral hygiene practices and address any signs of gum disease promptly to ensure the long-term success of your dental implants.
Can teeth extractions occur the same day?
Yes, teeth extractions can occur on the same day as the placement of All-on-4 dental implants.
Are there options for temporary teeth?
Yes. Temporary artificial teeth can be attached to All-on-4 dental implants immediately after placement, allowing for quicker, more comfortable restoration than individual implants.
What is the typical procedure duration?
The typical duration for the All-on-4 dental implant procedure is about two hours, including the placement of implant posts and temporary bridges. Additional appointments may be needed for follow-up and final restoration.
Are results from implants immediately visible?
Results from implants are not immediately visible, as it takes about six months for the implants to bond with the jawbone before the final set of custom-designed teeth can be permanently attached.
How are implant procedures cared for?
To care for implant procedures, brush twice daily with a soft toothbrush, floss using a floss threader or water flosser, rinse with mouthwash. Stick to a soft food diet post-surgery. Implants may not be removable by the patient and can feel natural to wear.
Is traveling abroad for implants recommended?
Traveling abroad for dental implants can be risky due to differences in regulations, quality standards, and follow-up care. It's recommended to have such procedures done locally where you can ensure quality, access post-operative care, and address any issues promptly.
Can I have a full smile in a day?
Yes, with All-on-4 "One Day" Dental Implants, you can have a full smile in a day. The procedure allows for the placement of implant posts and temporary teeth on the same day for a quicker and more comfortable restoration process.
How many implants are needed generally?
The All-on-4 procedure typically requires four dental implant posts for upper or lower teeth replacement.
Do implants ever need replacement?
Implants themselves do not typically need replacement, but prosthetic teeth or bridges attached to the implants may need to be replaced over time due to wear and tear.
What's the recovery period for implants?
The recovery period for dental implants varies for each individual. It typically ranges from a few days to a few weeks, depending on the complexity of the surgery, the number of implants placed, and the individual's healing process. It's essential to follow post-operative care instructions provided by your oral surgeon to ensure a smooth recovery.
Are teeth extractions required for implants?
Yes, teeth extractions may be required for implants, especially in cases where a majority of upper or lower teeth need replacement. This necessary step allows for the placement of implant posts, ensuring a secure and long-lasting restoration.
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