All on 4
Miličić Dent applies the All-on-4 implant-prosthetic concept in completely edentulous patients or those patients who have lost almost all of their teeth and whose remaining teeth cannot be used as support for a prosthetic restoration – dental bridge.
All-on-4 is a fast and minimally invasive method that represents the fastest permanent solution for complete edentulism in one or both jaws.
It simultaneously provides:
- good bite function
- excellent smile aesthetic
All-on-4 has been the highest quality functional-aesthetic rehabilitation of edentulous jaws worldwide for several decades, thanks to its creator, Dr. Paul Maló.
Advantages of All-on-4 compared to traditional implantology
- All-on-4 is the fastest permanent solution for complete edentulism. From toothlessness to a full set of teeth, it takes only 24 hours!
- Functionality and excellent smile aesthetic are achieved in a single day.
- Significantly shorter treatment duration compared to conventional implant surgery – no need for sinus lifting procedure (sinus lift) or bone augmentation.
- Minimally invasive procedure.
- Ultimately, a more cost-effective solution thanks to the use of only 4 implants and the avoidance of sinus lifting and bone augmentation procedures.
- In case the bridge is damaged, it can be repaired quickly and easily on the same day the patient visits the dental office because the bridge is screwed onto the implants instead of being cemented.
- High success rate of the therapy – over 95% when using certified premium implants.
- Easy maintenance of oral hygiene – no difference compared to brushing natural teeth. A toothbrush, toothpaste, dental floss, and mouthwash are sufficient.
- Quick post-operative recovery – the patient can rapidly return to their daily routine.
What is All-on-4?
All-on-4 is an implant-prosthetic method carried out in two phases:
First phase: Placement of 4 premium dental implants in one jaw, onto which we place and fix a temporary bridge on screws within 24 hours.
Second phase: Fabrication of a permanent bridge, made of a more aesthetically pleasing and stronger material, which requires a few more days.
Protocol for All-on-4 at Miličić Dent Polyclinic
FIRST PHASE
EXAMINATION AND DIAGNOSTICS
In order to assess whether you are a candidate for this procedure, it is necessary to conduct diagnostics – OPT X–ray panoramic imaging (orthopantomogram) and CBCT scans. OPT X – Ray imaging is a 2D view, while CBCT gives us a 3D view that enables us to assess the bone condition (width and density) in the third dimension. These scans are crucial in determining whether the implant can be placed into the bone and whether osseointegration will occur.
- Examination of the oral cavity by an oral surgery specialist.
- CBCT imaging and scan analysis.
- Photography of the patient’s current smile.
- Digital Smile Design – digital scanning and virtual presentation of the future smile to the patient.
- Planning of the oral surgery procedure using specialized software which measures the bone and positions the implants.
- Presentation of the planned treatment to the patient.
OPERATION
- The procedure is performed under local anesthesia with the possibility of additional conscious sedation, should the patient choose so.
- Oral surgery specialist extracts the remaining teeth and removes inflammatory tissues, cysts, etc., and then levels the ridge to create an ideal foundation for implant placement.
- Four premium dental implants are installed using special techniques – 2 implants are placed straight into the anterior part of the jaw, and the remaining 2 are positioned laterally at an angle to avoid the depression of maxillary sinuses in the upper jaw and nerve injury in the lower jaw.
- Special abutments, called Multi-units, are placed on the implants to enable immediate loading of the implants thanks to their primary stability, allowing further placement of fixed teeth within 24 hours.
IMPRESSIONS AND TRIALS
- Taking impressions
- Teeth placement trial
- Future smile aesthetics trial
DENTAL BRIDGE FABRICATION
Dental technicians complete the hybrid bridge in the dental laboratory.
FIXATION OF THE BRIDGE AT THE DENTAL PRACTICE
We position and fixate onto the screw the bridge, which fully meets all functional and aesthetic requirements.
SECOND PHASE
The second phase follows after osseointegration, i.e. the process of firm integration of the implants into the surrounding bone, which takes 4-6 months. During this time, the patient uses the temporary bridge as if they had their natural teeth.
- Taking impressions
- Teeth placement trial
- Future smile aesthetics trial
- Bridge fabrication on a titanium framework in a dental laboratory
Individual zirconia or all-ceramic crowns are placed onto the framework, depending on the patient’s preference. They give artificial teeth a natural appearance and provide superior aesthetics compared to the temporary bridge.
What is the difference between a temporary and a permanent bridge?
A temporary bridge is made of a simpler material – acrylic, while a permanent bridge (also called fixed or definitive bridge) is made of more durable and aesthetically superior materials, which require a few more days for fabrication:
– ceramic crowns
The fixed bridge consists of a full set of teeth, i.e. it consists of 12-14 crowns, while the temporary bridge consists of 10 dental facets.
Before
After
Is All-on-4 a painful experience?
As already mentioned, All-on-4 is a minimally invasive method since the oral surgical/implant phase is performed under local anesthesia and/or conscious sedation. Conscious sedation is recommended for patients who have significant fear of dentists and of surgical procedures.
After the surgical procedure, the patient is provided with:
- antibiotics to prevent bacterial penetration and inflammation around the implants during the early stage of the therapy.
- pain relief tablets.
- cold compresses.
- dietary instructions.
- oral hygiene instructions.
Why should you choose to do All-on-4 at Miličić Dent Polyclinic?
- Top-quality fabrication of protheses using the best materials on the dental market.
- Fabrication of a titanium milled framework instead of an outdated fabrication method of dental bridges, e. g. a cast framework.
- In comparison with some other clinics and dental practices that use ready-made faceted bridges i.e. multiple crowns connected together, we create individual zirconia or E-max (full-ceramic) crowns. Each crown is made separately and then cemented onto the framework.
- Based on your desires and in accordance with your facial features, we offer a large selection of colors, shapes, and sizes of the teeth to ensure that your new smile perfectly complements your face.
Do you wear a denture that causes you discomfort in public? Consider the fantastic All-on-4 method – in just 24 hours it gives you back your:
- Self-confidence
- Steady bite force
- Beautiful smile
With All-on-4, you will never hide your smile again!
Book an examination and find out if you are a candidate for All-on-4.
Book your specialized dental examination in our dental polyclinic
