All-on-4® dental implants are a long-term smile restoration that can restore the function and appearance of a full arch of teeth. It relies on four strategically placed implants to anchor a fixed, permanent denture, offering stability and comfort not typically found in traditional removable dentures. Understanding the process and benefits of All-on-4 can help patients make informed decisions about this innovative dental option.
With the All-on-4 dental implant system, a periodontist can replace an entire upper or lower arch of teeth using only four implants. They place two implants vertically at the front of the jaw, then position two at an angle in the back to maximize contact with the jawbone. There, they act as new tooth roots but support a full arch restoration: a permanent denture.
All-on-4’s strategic placement helps provide strong support for the denture, even in cases where bone density may be lower in certain areas. Therefore, it can eliminate the need for bone grafting — a common qualifying procedure for traditional dental implants. As a result, patients can get a full set of new teeth faster than before.
The process of getting All-on-4 dental implants begins with a comprehensive examination. A periodontist will begin with dental X-rays or 3D imaging to assess bone health and determine the optimal place to insert the implants. Once the treatment plan is finalized, the patient can schedule an appointment for implant placement. Patients typically need some time off work and other regular activities, so this gives them time to prepare.
During the All-on-4 placement procedure, the periodontist will use pain management techniques to support patient comfort. Then, they will carefully place four titanium implants into the jawbone at precise angles and depths. As mentioned, this creates the foundation for the permanent denture.
Most patients can expect to have a temporary restoration placed the same day, which means they leave with a functional set of teeth while the implants heal. This immediate-loading approach minimizes downtime and provides an instant improvement in appearance and oral function. The periodontist will schedule another appointment to place the final, custom-made restoration after the healing phase is complete.
The goal of the healing phase is to allow the implants to fuse with the jawbone in a process called osseointegration. This process is vital for creating a secure and long-lasting foundation for the restoration. Without it, the implants can fail. Healing times can vary, but it takes several months on average.
Some mild discomfort, swelling, or bruising is normal during the first few days after having All-on-4 dental implants placed. Thankfully, these side effects usually go away quickly. Following the periodontist’s aftercare instructions, including maintaining good oral hygiene and attending follow-up appointments, promotes a smooth recovery.
Living with All-on-4 dental implants offers many advantages over traditional dentures. Because the restoration is securely anchored to implants, the permanent denture cannot move around while eating or speaking. This stability allows for a more varied diet, including foods that may be difficult to enjoy with removable dentures.
Oral hygiene is still essential with All-on-4 implants. While the restoration itself is not susceptible to decay, the surrounding gums and bone must remain healthy to support the implants. Regular dental visits, combined with daily cleaning around the restoration, increase the chances of long-term implant success. Many patients report improved confidence and quality of life after transitioning to All-on-4 dental implants.
With proper care, All-on-4 dental implants can last many years, often a lifetime. The titanium implants themselves are highly durable and resistant to wear, essentially serving as new tooth roots. That said, the prosthetic arch may require replacement or adjustment over time due to normal use. Regular checkups with a periodontist allow for early detection of any issues, keeping both the implants and restoration in working condition.
Diet, tobacco use, oral care, and other lifestyle factors can also influence the longevity of the permanent denture. Those who maintain good oral health practices typically experience the longest lifespan from their All-on-4 dental implants. This combination of durability and stability makes them a good choice for full-arch tooth replacement.
All-on-4 dental implants are a stable and functional full-arch tooth replacement. They also look and feel just like real teeth. Find out if you are a candidate for this treatment in an appointment at our Fort Myers office.
Request an appointment here: https://perioimplantsfortmyers.com or call Periodontal & Implant Specialists at (239) 791-7667 for an appointment in our Fort Myers office.
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