All-On-Four Frequently Asked Questions
Patients who are missing a significant number of teeth and need to have their entire mouth restored have multiple treatment options, one of which is an all-on-four implant denture. Other options like traditional dentures and dental bridges are less expensive but are not as stable and do not last as long as an implant denture.
Here, we will review some frequently asked questions regarding all-on-four dental implants but the best way to determine if this treatment is right for you is to speak with your dentist.
All-On-Four: Frequently Asked Questions
What is an all-on-four? It is a fixed dental prosthesis that uses dental implants to sit securely in place.
What is the difference between a traditional denture and an all-on-four? Traditional dentures are secured with retention, suction, and adhesive and can be removed by the patient for cleaning and sleeping. An all-on-four is screwed directly onto dental implants and cannot be removed by the patient.
How long does implant surgery take? It takes about 2.5 hours per arch to place the implants.
Are all-on-fours natural looking? Modern dentistry has come a long way in the aesthetics department and all-on-four dental implants are a very natural-looking restoration option. Since they are screwed onto implants, there is no risk of your denture slipping when you eat or speak.
Can an upper and lower all-on-four be placed at different times? Yes! Each arch can be restored when needed. You may find that it is more cost effective to have them done at the same time but if one arch is perfectly healthy and the other needs restoration, you can still have an all-on-four.
Why is the permanent denture not placed the same day as the implants? A temporary denture is placed the day you get your implants because the implants need time to heal and integrate with the jaw bone. The temporary allows you to clean your implants to prevent infection and also protects them when you speak and eat. They also help you become accustomed to your new smile and bite!
When do I get my permanent denture? Full implant integration takes about 6 months. Once the doctor who placed your implants clears you for restoration, your dentist will place your permanent denture.
How do I clean my all-on-four? Implants should be treated just like natural teeth and need to be brushed and flossed daily. At your professional cleanings with your dentist, they will remove the denture and the hygienist will clean each implant as well as the denture before your dentist puts it back on the implants.
Who can have an all-on-four? Any healthy adult patient may be a candidate, regardless of age, as long as there are no underlying medical conditions.
What is the success rate for an all-on-four? Studies show a 98% success rate for all-on-4 implant-supported dentures.
It is important to understand the process and costs associated with all-on-four dental implants. Your dentist will provide a treatment plan with treatment and fee details before you decide if this is the right path for you.