All-On-4

As a Preferred Houston Periodontist, We Understand that a Full mouth rehabilitation that includes extractions of all remaining teeth and a minimum of 4 dental implants per arch to support a fixed bridge.

What is the "All-On-4" Periodontal Treatment?

The term All-on-4 refers to "all" teeth being supported "on four" dental implants, a surgical and technique prosthodontics procedure for total rehabilitation of the edentulous. It consists of the rehabilitation of either edentulous or dentate maxilla and/or mandible with fixed prosthesis by placing four implants in the anterior maxilla, where bone density is higher. The four implants support a fixed prosthesis with 10 to 14 teeth and it is placed immediately, typically within 24 hours of surgery.

Who Needs A "All-On-4" Periodontal Treatment?

Patient or for patients with badly broken down teeth, decayed teeth or compromised teeth due to gum disease.

 

Prosthetic Flexibility

Just as the name suggests, all-on-4 dental implants rely on four implants per arch (8 total if you are having both your upper and lower sets of teeth replaced). Instead of using more implants, we can maximize stability on four alone. This is done by placing two in the front vertically and the two toward the back sides of your mouth at a 45-degree angle.

Procedure

On the day of surgery, we administer a local anesthetic to numb the areas where the implants are to be placed. If necessary, we can also administer a sedative to help you relax throughout the course of the procedure. We make incisions in the gums and then drill holes into the bone. We place the titanium rods and stitch the gums closed around them. Once done, you will be provided with a temporary set of false teeth so that you can eat and speak while you heal.

How are All-on-4 Dental Implants different from dentures?

All-on-4 dental implants differ from dentures because they are a permanent solution for missing or severely damaged teeth. They are secured directly into your own jaw, so they look, feel and function just like natural teeth.
 

How do All-on-4 dental implants compare to traditional implants?
The All-on-4 dental implant technique uses only four implants per arch, whereas traditional implants utilize anywhere from six to eight implants or more in each arch. The implants of the All-on-4 procedure are also placed at an angle, which allows for increased contact by using the natural support of your bone. In addition, the All-on-4 procedure requires no bone grafting for most patients, which is common in traditional implant procedures. Therefore, All-on-4 dental implants save both time and money.

 

How long is the All-on-4 dental implant surgery?
The surgery takes approximately 2.5 hours per arch.

 

What is the success rate with All-on-4 Dental Implants?
Published studies show a 98% success rate using All-on-4 dental implants.

 

Who is the ideal candidate for All-on-4 Dental Implants?
The ideal candidate for the All-on-4 dental implant procedure at Dental Associates is someone who is missing most or all of their teeth, or is currently wearing dentures. Age is not a limiting factor for All-on-4 dental implants as long the candidate is in good health.

 

Where will my replacement teeth be made?
Our clinics do everything in-house. Your new teeth will be crafted by certified lab technicians on-site. In fact, every part of your procedure, from consultation to follow-up care happens under one roof.

 

Will my results look natural?
Absolutely. The All-on-4 dental implant technique gives you permanent teeth that look, feel and function just like real teeth. No one will know you have implants unless you tell them.

 

Why don't I get my permanent set of teeth the day my implants are placed?
As with any surgery, you need time to heal. However, you will not leave our office without teeth! A temporary set of teeth will be placed on your implants. Once the healing process is complete, your permanent teeth will be placed at a follow up visit approximately six months after surgery.

 

What if I just need implants on my bottom arch? What if I someday need All-on-4 dental implants on both arches?
All-on-4 implants can be placed on just the upper or lower arch. Our implant specialists will evaluate your circumstance and if we feel you might eventually need replacement teeth on both the upper and lower arches, we might suggest performing the procedure on both arches at the same time. This provides better results while also saving time and money. Your doctor will work with you to determine what best meets your health needs and financial situation.

 

What type of cleaning is required after an implant is placed? 
Since dental implants should be treated like your natural teeth, daily brushing and flossing is recommended. Our team of specialists and dental hygienists will review oral hygiene instructions with you and recommend the most appropriate daily oral hygiene plan to fit your needs.

If you have any additional questions, comments, or concerns, feel free to contact us here at Texas Periodontal.