What is All on 4 dental implants
All-on-X dental implants are becoming increasingly popular in the dental field. The procedure allows dentists to replace multiple teeth or entire arches with just a few implants. All-on-4 ® is the Nobel Biocare-trademarked name for the treatment, but all-on-X is the commonly accepted generic term. The “X” refers to the number of implants, which can be four or more, all the way up to eight. Typically, full arch reconstruction of edentulous ridges requires five to 10 dental implants; however, some patients demanding fixed implant-supported prostheses are not able to medically or economically afford complex bone grafts and/or a greater number of implants. These situations could pivot the treatment plan toward the All-on-4 protocol.
Patients today have increasingly high expectations about dental restorations; they demand natural looking rehabilitations that can be delivered quickly.
Patients want to enjoy a high quality of life. Expecting to make no compromises on activities such as eating, talking and laughing, patients look for A fixed prosthesis that’s comfortable to wear. Predictability and reliability
For 72% of patients it is very or extremely important that their restoration guarantees an esthetic result: Attractive appearance with natural looking teeth ѹ Receive new teeth within a short period of time
Patients are looking for less demanding procedures: Less invasive treatment with minimal discomfort. Affordable treatment with a high-quality outcome
Fixed restoration with 4-6 implants, all straight
Fixed restoration with 4 implants, posterior are tilted
Providing fixed restorations for edentulous patients is a complex procedure that requires the evaluation of many clinical and individual aspects. Within the existing Straumann product portfolio, you can now choose from several prosthetic treatment options to help edentulous patients:
When treating edentulous cases, removable options represent a more straightforward approach, whereas a fixed option with 4 or more implants (straight or tilted) represents a more advanced approach.
The new Straumann® Pro Arch for fixed edentulous restorations combines several treatment steps which reduce complexity without compromising the outcome. From planning and implant placement to the final restoration, the entire treatment is seamless for the patient.
- Roxolid® – reducing invasiveness with smaller implants. Roxolid material with excellent mechanical properties may allow the use of smaller-diameter implants with the same clinical performance as regular-diameter titanium implants.
- Slactive® – designed to maximize treatment success and predictability. Faster osseointegration to enhance confidence in all treatments. Reduced healing time from 6 to 8 weeks to 3 to 4 weeks. Increased predictability in stability critical treatment protocols
- Increased efficiency with new prosthetic portfolio. Prosthetic flexibility due to smaller abutment dimensions and different angulations. Comprehensive portfolio for immediate temporization. Custom-milled bar designs as a framework for final fixed bridges. Accessibility for every lab
- 2D conventional implant prosthetic planning based on (CB) CT scanning or x-rays
- 3D digital implant planning for predictable results and treatment efficiency
- Scientifically supported Straumann Bone Level Implants
- Roxolid® material with excellent mechanical properties
- Outstanding SLActive® surface designed to deliver increased predictability in stability critical protocols
- Straumann Planning Giode to support tilted implant placement
- Internal CrossFit® implant-to-abutment connection for long-term stability
- Abutments with a low-profile design, additional abutment angulations and universal abutment connector
- Abutment portfolio allows
- Immediate temporization to deliver teeth within a good primary stability is achieved
- High-end final restorations with the option for custom-milled hybrid and wrap-around designs
all on 4 dental implants CARE AND MAINTENANCE
For long-term success and proper fit of the fixed prosthesis, thorough patient instruction, and periodic check-ups are recommended. It may be necessary to exchange the Occlusal Screws at each check-up visit.
During patient visits, you should carefully examine the:
- Condition of peri-implant tissues with regard to diseases: ‒ Plaque and calculus, bleeding, recession, bone loss, radiographs
- Superstructure: ‒ Occlusal fit and articulation, proper fit of the fixed bridge, wear of occlusal surface, retention, attachment loosening, abutment status
- Function of the prosthesis.
For proper care at home, instruct the patient to clean the space between gingiva and fixed bridges, especially around the implants on a regular basis. Dental floss, super dental floss or interdental brushes are recommended.