TOTAL Rehabilitation with All-on-4® Implants
Total rehabilitation with implants through the All-on-4® technique is a revolutionary solution for edentulous patients or those with compromised dentition. This procedure allows for the placement of a fixed prosthesis supported by only four dental implants. It is a highly effective alternative to replace removable dentures, providing comfort, security, and a natural appearance.
This technique was developed to maximize the use of available bone, strategically placing the implants to ensure the immediate placement of fixed teeth. As a result, the patient can leave the consultation with a new smile on the same day.
ADVANTAGES OF THE ALL-ON-4® TECHNIQUE
The All-on-4® technique offers numerous advantages when compared to other oral rehabilitation methods:
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Immediate results – The patient receives a provisional fixed prosthesis on the same day as the surgery, avoiding long periods without teeth;
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Avoids bone grafts – As the posterior implants are placed with an inclination, it is possible to use the existing bone without the need for bone grafts, reducing treatment time and contributing to a better postoperative outcome;
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Greater comfort and stability – Unlike removable dentures, implant-supported fixed prostheses offer a comfortable fit, eliminating issues like instability or gum irritation;
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Improved chewing and phonetics – The fixed prosthesis allows for efficient chewing and more natural speech, significantly improving the quality of life;
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Bone preservation – Dental implants stimulate the jawbone, helping prevent bone resorption and maintaining facial structure;
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Ease of cleaning – Cleaning fixed prostheses is similar to that of natural teeth, making good oral hygiene maintenance essential.
Indications for Total Rehabilitation with Implants
The All-on-4® technique is recommended for patients who face significant tooth loss and seek a definitive solution to restore their smile.
This treatment is indicated for:
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Patients who use removable dentures and desire a fixed alternative;
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Patients with generalized dental mobility due to advanced periodontal disease;
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Patients with teeth that are irrecoverable from an aesthetic and functional standpoint;
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Completely or partially edentulous patients who seek a complete and stable rehabilitation.
Execution of the Treatment
The treatment with the All-on-4® technique follows a well-defined protocol to ensure predictability and clinical success. The process is divided into three main phases:
1st PLANNING
In this initial phase, I conduct a detailed assessment of the patient’s oral and general health to ensure that the technique is suitable for their case. This stage includes:
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Radiological exams, such as orthopantomography and computed tomography (CT), to analyze the bone structure;
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Digital impressions of the jaws to create precise models;
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A detailed discussion about the patient’s aesthetic and functional expectations.
This planning allows for the definition of the ideal implant positions and the customization of the future fixed prosthesis for a harmonious and natural result.
2nd SURGERY AND PLACEMENT OF THE TEMPORARY FIXED PROSTHESIS
On the day of the surgery, the dental implants are placed strategically to ensure maximum stability. The majority of the procedure is performed under local anesthesia, making it minimally invasive and comfortable for the patient.
One of the great advantages of the All-on-4® protocol is the ability to place a temporary fixed prosthesis immediately after surgery. This prosthesis is pre-made and adjusted to the patient, allowing them to regain both chewing function and smile aesthetics on the same day.
3rd PLACEMENT OF THE PERMANENT FIXED PROSTHESIS
After a healing period of 4 to 6 months, during which the implants integrate into the bone, the final phase of the treatment begins. In this stage:
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Detailed impressions are taken to create the permanent prosthesis;
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Fitting tests are conducted to ensure comfort, functionality, and an ideal aesthetic result;
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The permanent prosthesis is placed, providing a stable and lasting smile.
After the completion of the treatment, it is essential for the patient to maintain a routine of regular check-ups for monitoring and maintenance.
POST-OPERATIVE CARE
After the surgery, it is essential to follow certain recommendations to ensure a smooth recovery and the success of the treatment:
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Proper diet – During the first few days, it is advisable to opt for a soft diet to avoid excessive pressure on the implants;
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Rigorous hygiene – Cleaning the prostheses and gums should be done with interdental brushes and floss specific for implants;
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Avoid harmful habits – Tobacco and excessive alcohol consumption can compromise healing and the longevity of the implants;
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Maintenance appointments – Regular follow-up visits every 6 months are recommended to ensure the health of the implants and gums.
CONCLUSION
The All-on-4® technique represents a revolution in oral rehabilitation, offering a quick, effective, and lasting solution for edentulous patients.
This procedure restores masticatory function, improves smile aesthetics, and provides better quality of life.
With personalized planning and proper follow-up, it is possible to achieve highly satisfactory results, ensuring comfort and security over the years.
If you are looking for a definitive solution for your smile, schedule a consultation so we can evaluate the best approach for you.
CLINICAL CASES
