All-On-4 Dental Implants: Benefits, Procedure, and Cost

Duration

4-5 Days

Cost

Start From 1200$

Guarantee

Lifetime

Additional Services
  • Annual Check-Up
  • Local Anesthesia
  • Free Panorama X-ray
  • Free Teeth Extractions
  • Private Language Assistance
  • Free Transportation Airport-Hotel-Clinic-Airport

Table of Contents

Imagine waking up every morning with a smile you can’t wait to show the world a smile that feels as natural as it looks. For those struggling with missing teeth, this dream may seem out of reach. 

with revolutionary advancements in modern dentistry, The days of uncomfortable dentures are gone. even if you’ve lost all your natural teeth, a permanent, fixed set of replacement teeth is now within your reach. Dental implants are the magic solution that can restore your smile, confidence, and quality of life.

But now, you’re probably wondering, “ How can I replace all the teeth I’ve lost with fixed restorations? Does this mean I’ll need an implant for each missing tooth?”

Of course not! There’s a specialized dental implant system designed to replace all your teeth using fewer implants than the number of teeth lost. it’s usually referred to as an All-on-X dental implant system.

This system relies on placing a small number of implants that support a fixed full-arch bridge.

The system’s name is based on the number of implants used. For example, there’s the All-on-4 system and the All-on-6 system.

The All-on-4 system is a game-changer, offering a quick, durable, and cost-effective solution for full-arch restoration.

Curious about how the All-on-4 system works and Why this solution is 

so popular? Keep reading to uncover everything you need to know about this innovative treatment and why it might be the perfect option for you.

What Is All On 4 Dental Implants?

All-on-4 dental implants system offers patients a reliable and efficient solution for replacing an entire arch of teeth. This treatment is part of the All-on-X (AOX) protocol, a flexible approach where “X” represents the number of implants used. 

This system can be modified to meet specific individual anatomy and functional requirements. The All-on-4 system consists of four implants placed inside the jawbone to maximize stability and support when a full-arch prosthesis is applied.

The all-on-4 system helps to eliminate the need for individual implants for every missing tooth. Instead, it uses angulated posterior implants to avoid vital anatomical structures such as sinuses or nerves, making the procedure suitable even for patients with significant bone loss. This reduces the need for bone grafting, shortens treatment time, and minimizes overall cost.

All-on-4 Dental Implants

Who Is A Good Candidate For All-On-4 Dental Implants?

The patient who has lost most or all of their teeth in the upper or lower jaw and is seeking a permanent solution will be a great candidate for All on 4 dental implants, but they should meet some criteria :

  1. They should have healthy gums, as this is necessary for the stability of the implants and to maintain oral health.
  2. Ideally, patients should have enough bone in the jaw to support the implants. However, The All-on-4 system allows for successful results even in conditions when some bone loss has already taken place, due to the usage of angled implants to avoid areas of bone loss and therefore minimize the use of bone grafting.
  3. To ensure the long-term success of the implants, the patient should be able and ready to follow proper oral hygiene practices.

Who Is Not A Candidate For All-On-4 Dental Implants?

There are certain clinical conditions where All-on-4 dental implants are not the superior option. These include:

1) Untreated chronic conditions: Uncontrolled medical conditions such as diabetes, heart conditions, or disorders affecting the immune system,  could affect post-surgery recovery in relation to the healing process of a patient. This should be put under control first before undergoing any implantations.

2) Patients with active gum disease or severe periodontitis might not be considered good candidates. Because an unhealthy gum will fail an implant, gum diseases should be treated and brought under control before considering implants.

3) In cases of severe bone loss in the jaw, where bone grafting is not possible, All-on-4 may not be possible.

4) As with any other surgical procedure, smoking interferes with the healing process and also increases the risk of implant failure. Smokers may need to quit smoking for some time before and after undergoing the procedure.

All On 4 Dental Implants Procedure

The All-on-4 dental implants procedure is done with lots of precision to ensure long-term success, especially in the process of healing where the implant integrates with the jawbone. It is a sensitive procedure that requires a highly qualified and experienced professional dentist, with the right tools and expertise to achieve the best results. To help you, fully understand the procedure from all angles, here is a simple explanation of the procedure steps.

   Consultation and Evaluation

  •  Before starting any practical steps for the All-on-4 procedure, your doctor will evaluate your medical history to rule out any health conditions that could affect the success of the implants (such as uncontrolled diabetes).
  • They will also take X-rays and a CT scan to assess the density of your jawbone, identify the locations in which they will place the implant, and determine the position of vital anatomical structures to avoid them during the surgery. 
  • From this assessment and after discussing your goals and expectations, your doctor will create a treatment plan suitable for your case. They will also decide if they are going to do immediate loading, which means placing a temporary prosthesis on the same day of the procedure and determining the appropriate prosthetic design to meet your needs.

Pre Surgical Preparations

  • Some pre-surgical preparations should be done before starting, such as extraction of any remaining damaged teeth and cleaning of the gums and surrounding tissues to remove any inflammation or infection to ensure a healthy field for implant placement. In cases of advanced gum disease, additional treatments may be required before the procedure. 
  • Bone graft is not required in most All-on-4 cases, as a result of the angled placement of the implants, The dentist can place the implants in areas with higher bone density and avoid areas with lower density.  
  • Usually, this procedure is done under local anesthesia. In some cases, and based on the patient’s preference, sedation might be used to ensure their comfort during the procedure.

Implant Placement Surgery

  • Four titanium implants will be placed in the jawbone, two in the front (placed vertically) and two in the back (angled at 30-45 degrees) to maximize stability and avoid anatomical structures like the sinuses or nerves.

Temporary Prosthesis Placement 

  • After placement, an assessment of the stability of each implant should be done. If the implants achieve sufficient primary stability (usually a torque of 35-45 Ncm), immediate loading may be considered.
  • If the implants are stable, a temporary prosthesis may be attached on the same day of implant placement. 
  • If the implants do not achieve sufficient stability or the patient has compromised bone quality, the patient waits 3-6 months for the implants to integrate with the bone before attaching any prosthesis.

Healing and Osseointegration

  • Regular checkups will be scheduled to follow the healing process and ensure there are no complications.
  • Over a few months (from 3 to 6 months), osseointegration occurs, and the implants fuse with the jawbone, resulting in a permanent and stable implant. 

Final Prosthesis Placement

After osseointegration occurs and the stability of the implants is confirmed, it’s the time you’ve been waiting for to get permanent, fully functioning teeth and a beautiful smile.

  • An impression of the patient’s mouth will be taken to make a custom, durable permanent prosthesis.
  • The final prosthesis will be made of Zirconia Crowns, providing durability, a natural appearance, a comfortable and stable fit, full functionality, and biocompatibility.
  • When the final prosthesis is ready, They will be securely attached to the implants.

All On 4 Dental Implants Pros and Cons

What Are The Benefits of All On 4 Dental Implants?

1- Unlike dentures, the All-on-4 system provides a fixed permanent solution for those who have lost most or all of their teeth, offering them better stability and comfort.

2- The All-on-4 dental implant procedure is less invasive (using fewer implants) and takes about 2 to 4 hours, which is considered a short time compared to traditional implant methods.

3- Using angled implants reduces the need for bone grafting, as they allow the dentist to place the implant in areas with high bone density and avoid areas with lower density. Additionally, using this technique enables the dentist to avoid vital anatomical structures.

4- The All-on-4 system restores full chewing ability and a natural-looking smile. Implant-supported bridges have a high success rate, as they can last over 20 years, so many patients enjoy long-term results and enhance their quality of life.

5- The dental implants will be fixed in the jawbone, so they stimulate it and prevent the bone loss that usually occurs with missing teeth, which helps to maintain the structure of the face.

6- Fewer implants in All-on-4 can reduce the overall cost of restoring a full arch of teeth compared to traditional implant procedures. This makes it a more affordable option for patients seeking a permanent solution for tooth loss.

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What Is The Downside of All On 4 Dental Implants?

  • The All-on-6 technique uses six implants instead of four at  All-on-4, offering greater stability and support, especially for patients with sufficient bone density and strong chewing power. But, both options provide better comfort and functionality compared to traditional dentures.
  • As with any implant procedure. It may not be suitable for patients with uncontrolled medical conditions that affect healing ( ex: uncontrolled diabetes) or patients with severe bone loss and bone grafting is not an appropriate option for them. 
  • Normally there may be some discomfort or swelling during the healing process after the surgery, follow your dentist’s instructions and medication will be described to help you recover well. 
  • Although it is considered a permanent solution for tooth loss, over a long time some patients may experience bone resorption, and that could affect the stability of the implants.
  • It takes 2 to 6 months for the implants to integrate with the bone, so the patient will need to wait until the implants are stable and ready for the final prosthesis.
  • Compared to other options for replacing missing teeth, such as traditional dentures, the All-on-4 procedure is more expensive.

Post Surgery Aftercare

  • The success rate of All-on-4 implants is considered very high, ranging from 95% to 98%. This not only depends on the patient’s overall health but also on adherence to aftercare instructions, which is very important to ensure the success and longevity of the implants.
  • It takes around 3 to 6 months for the implants to fully integrate with the jawbone (osseointegration).
  • You must schedule regular dental check-ups, as it is very important for your dentist to monitor the healing progress.
  • During this healing time, you must follow your dentist’s dental implant aftercare instructions regarding post-surgical care and maintain good oral hygiene to prevent any complications.
  • Regularly, you must clean around the implants carefully using a soft toothbrush and any additional tools recommended by your dentist, such as an interdental brush or water flosser.
  • For the first few weeks after surgery, stick to a soft-food diet to avoid putting excessive pressure on the implants and interfering with the osseointegration process. You can gradually reintroduce firmer foods. Most patients can return to eating normally after about 8 to 12 weeks, depending on their healing and the stability of the implants.
  • After surgery, it is very important to rest for a few days and avoid excessive exercise. The way you sleep after surgery will also affect healing. It’s recommended to sleep on your back with your head slightly elevated using extra pillows. This position helps reduce swelling and minimizes pressure on the surgical area. Sleeping on your side or stomach may interfere with healing.
  • You must avoid smoking and alcohol for at least a few weeks after the procedure, as both have an effect on the process of healing. Smoking reduces blood flow to the gums, which will lead to slower healing and increase the risk of implant failure. Alcohol irritates the surgical site and interferes with medications prescribed for post-surgical care.

All-on-4 Dental Implants: Alternative Comparisons

When thinking about options for replacing missing teeth, All-on-4 is an excellent choice with significant advantages over traditional options like dentures or individual implants. Even when compared to All-on-6, All-on-4 still has a great advantage.

All-on-4 vs. Individual Implants:

The All-on-4 system is a treatment plan that requires the positioning of only four implants within the jaw to support a full-arch bridge in the case of the replacement of a full arch or even most of the teeth in the jaw. This makes the procedure less invasive, reduces the healing time, and also shortens the duration of the procedure if it is compared to placing an individual implant for each missing tooth.

On the other hand, individual implants are an ideal option for the replacement of one or a few missing teeth.

All-on-4 vs. Dentures:

Traditional dentures have many disadvantages:

  • They are removable.
  • They can feel unstable, affecting speech and chewing ability.
  • They may cause bone loss over time due to a lack of stimulation to the jawbone.
  • They need regular adjustments and might require replacement after a short time.

These disadvantages can be avoided by the All-on-4 treatment system, as it is a fixed, permanent solution, offering higher stability, chewing power, and a more natural appearance. These implants are designed to last decades if patients maintain proper care.

Which is better All-on-4 or all-on-6 Dental Implants?

In comparing All-on-4 to All-on-6, the latter technique is based on the placement of six implants, not four. This gives more stability and support for the replacement teeth, and that is a great option for patients with high chewing force with sufficient bone density.

The extra implants in Turkey add approximately $1,000 to $2,000 to the overall treatment cost per arch compared to All-on-4.

Both options work well for full-arch restorations, but All-on-4 is still preferred by many patients since it has given long-term results with less expense.

All On 4 Dental Implants Cost In Turkey

Turkey has become a popular destination for medical tourism because of its combination of affordable costs, high-quality care, and the opportunity to explore the country’s rich culture and scenic beauty while receiving treatment. also, Turkey Become a very popular destination for dental tourism because Most insurance plans in the US and the UK do not cover All-on-4 implants, as they are in most cases classified as cosmetic procedures. That is why people go abroad for dental treatment, it saves them money while not compromising on quality. The cost of All-on-4 dental implants varies depending on the country. For example, in the United States, the average cost typically ranges between $20,000 to $30,000 per arch. In the UK, prices are slightly lower, averaging between £12,000 to £16,000 per arch. However, In Turkey, the cost is significantly lower, ranging from $4,000 to $10,000 per arch.

At Sauve Clinic, within walking distance from most of the important historical landmarks of Istanbul, you will find exactly what you need. A team of highly qualified dentists is ready to ensure that you get the best quality at affordable prices.

All-On-4 Dental Implants FAQs

How Long Do All On Four Implants Last?
  • All-on-4 dental implants can serve a person for 20 years or more if taken good care of. The implant may last a lifetime since it is made of titanium which gets incorporated into the jawbone. The prosthetics bridge that is connected to the implants may need to be replaced after a period of 10-15 years due to normal wear and tear. Some other factors that may influence the lifetime of the implants include; General health, dental hygiene, and personal habits.
Do All-On-4 Feel Like Real Teeth?
  • Yes, All-on-4 implants are designed to feel and function like natural teeth. They are securely fixed in the jawbone, offering stability for chewing and speaking. While they don’t have the same sensation as natural teeth, they look and feel very similar, providing a natural and comfortable experience.
Can I Eat Normally With All-On-4 Dental Implants?
  • Yes, once the healing process is complete you can eat normally. These implants provide strong support for a full-arch prosthesis, allowing you to chew comfortably and efficiently, similar to natural teeth.
Do They Put You To Sleep For All-On-4 Implants?
  • Local anesthesia is usually used for dental implant procedures. However, most dental clinics offer sedation or general anesthesia for All-on-4 surgeries to ensure the patient’s comfort and relaxation during the procedure. Generally, the choice of anesthesia depends on the patient’s preference and the dentist’s recommendation, based on the complexity of the procedure.

Is It Hard To Talk With All 4 Dental Implants?
  • No, it is not hard to talk with All-on-4 dental implants. All-on-4 implants are fixed and stable, which helps prevent slippage or discomfort that can affect pronunciation. Most patients adjust quickly and speak normally after the initial healing period.

How Painful Is All-On-4 Dental Implants?
  • The All-on-4 procedure is not very painful. During the surgery, local anesthesia or sedation is used to ensure you don’t feel pain. After the procedure, you may experience mild discomfort, swelling, or soreness, which can be managed with prescribed pain medication and by following your dentist’s post-operative care instructions. Most patients recover quickly and report that the pain is manageable.
When Do Most Dental Implants Fail?
  • Most dental implant failure cases happen within the first few months to a year after placement. The common causes of failure include:

      • Pre-existing health conditions like diabetes or smoking can certainly affect the healing and osseointegration process, leading to implant failure.
      • Infections around the implant site may also lead to failure.
      • Trauma, excessive biting force, and too much pressure on the implant can also lead to failure.
      • If the patient doesn’t follow the dentist’s aftercare instructions and doesn’t maintain proper dental hygiene, it can cause gum disease or infection, which will directly affect the implant.