What is the All-on-4 Technique?

The All-on-4 technique is used for fixed restorations for patients who have no teeth or whose existing teeth will be extracted.  The biggest advantage of All-on-4 treatment is that fixed prostheses can be made  without the need for  complex surgical procedures. In addition, the obligation to remain toothless for months in classical methods is eliminated in the All-on-4 technique and temporary teeth can be placed in your mouth right after the implant application.

In patients with no teeth, there is a decrease in bone volume in the posterior regions due to tooth loss. With old techniques in order to correct this volume deficiency, advanced surgical procedures such as sinus surgery and bone splitting are required. But with All-on-4 concept now everything is more simple and fast.

Who is the All-on-4 Technique Suitable for?

  • Patients who have lost all their teeth
  • Patients who need to have their teeth extracted in the mouth
  • Patients who do not have sufficient jawbone thickness in the posterior region
  • Patients with any systemic disease that precludes advanced implant surgery

How is the All-on-4 Technique Applied?

When you apply to your dentist for implant treatment; Your doctor first determines the roadmap of treatment based on your 3D x-ray (dental tomography) and intraoral evaluation. Your doctor creates your treatment plan by asking questions about your general health, medical history, complaints and expectations.

In the All-on-4 technique, your pre-operative impressions are taken and your temporary teeth that you will use after the operation are prepared. In this way, the necessity of being toothless after the surgery is eliminated.

Before starting the surgery, the areas where the implant will be placed are locally anesthetized. Then, if you have teeth to be extracted, the teeth are extracted and your implants are placed in the same session. In the All-on-4 technique, 4 implants are placed in your jawbone, two in front and two in the back. Implants placed in the anterior region at a right angle, implants placed in the posterior region are placed at an angle. Depending on the details of your planning, in some special cases, plus 1 or 2 more implants can be used as further support. At the end of the procedure, temporary prostheses prepared according to the impressions taken before the operation are attached to the implants. In this way, you will leave your doctor on the same day without losing anything from your smile, even with a much more beautiful smile. 3 months after the operation, after your gums heal and your implant establishes a solid connection with the bone, your fixed, permanent teeth are attached.

Although the post-operative recovery process varies according to the general health status, age and oral care of each patient, it is generally completed within 5-7 days. 2-3 days is enough for you to return to your daily life and work. There are situations that patients should pay attention to in order to complete this recovery as soon as possible. The most important of these can be listed as paying attention to oral hygiene at the optimum level, ensuring the hygiene of the surgical areas and eating softly for a while in order to avoid trauma in the surgical areas.

After the operation, using the drugs recommended by your doctor and strictly following the care practices recommended for each patient will increase both the success of the treatment and your comfort. It also allows you to have a painless healing process.

During the healing process, you should come to your controls regularly and inform your dentist in case of any problem. In this way, this process will continue  in a healthy way.

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