Prosthetic Teeth

I Am Looking at Getting Some Prosthetic Can I Use the All-On4 Procedure?

There are many options for prosthetic teeth, but sometimes, patients find themselves not being able to obtain them due to a lack of jawbone. In the old days, these patients would have to undergo bone grafting, a process where bone is replenished in order to support the dental implants. However, All-On-4 is a procedure that does not require bone grafting, but can provide a patient with minimal jawbone with prosthetic teeth. To learn more about this procedure, please read the information provided by the Malo Clinic below.

How Does All-On-4 Work?

All-On-4 is a surgical technique used in dentistry, mainly for patients who do not have sufficient jawbone for normal dental implants. The technique is based on just four (up to a maximum of six) dental implants, which are used as the foundation for an entire arch of prosthetic teeth. In most cases, the prosthetic teeth are placed into the mouth within twenty-four hours of the surgery.

Why Choose this Alternative Procedure?

The alternative treatment invented by Nobel Biocare and Dr Paula Malo carries some specific benefits. First of all, the treatment will lead to improvement in quality of life, since the prosthetic teeth will restore the functioning of the mouth, which includes speech and eating.

All-ON-4 is also accompanied by less surgeries for patients with less jawbone. These patients will not need bone grafting, because the posterior implants are can be tilted, which gives the entire structure enough stability to carry the prosthetic teeth.

In some cases, surgeons can also use longer implants, this to increase the contact between the bone and the implants and to avoid vertical bone augmentation. In addition to that, the tilted implants can be inserted in anterior bone of better quality, which has the ability to avoid important anatomical structures.

Is There Scientific Evidence to Support the Usefulness of All-On-4?

There is a substantial amount of scientific evidence proving the effectiveness of the treatment, especially looking at the long term possibilities. Studies have shown that the treatment is accompanied by high cumulative survival rates, more specifically 96.3% – 100 % up to four years and 94.8% to 98.0% up to ten years.

What Criteria Must Patients Meet to Be Eligible for the Procedure?

To benefit from the procedure, patients must meet certain medical criteria. First of all, the patient must be in good general health and cannot suffer from a condition that could hinder the effectiveness and success of the treatment. A good example of such a condition is uncontrolled diabetes, because this condition could affect the results of the treatment and cause the implants to fail. Therefore, patients will need to undergo a thorough medical evaluation before they are considered for the treatment.

Secondly, patients who want to take advantage of the treatment cannot smoke. As you may be aware of already, smoking increases the failure risk of the treatment, the chance of infection, and decreases the speed of the healing process.

Is the Procedure Painful?

The dental implant procedure is executed under a local anaesthetic, which will be administered by the oral surgeon. Patients usually do not experience pain during the procedure, but may experience some discomfort and swelling shortly after the procedure.

What Happens After the Procedure?

There are some things patients should take into account shortly after having their dental implant procedure. All patients who had dental implants should follow these aftercare guidelines closely, since they could prevent complications.

During the first 24 hours after the procedure, patients must be very careful with the area where the procedure was executed; this means not rinsing vigorously or probing the area in question with an object. However, patients are allowed to brush their teeth gently.

Smoking during the healing process is strongly advised against, because smoking can have a serious negative impact on the healing process. Smoking after your dental implant procedure may also cause more discomfort and increase the chance of dry sockets. Dry sockets are complications commonly associated with tooth extractions and can be described as painful areas that start to develop within three to four days after your procedure.

Of course, oral hygiene will be the key to the success of your dental implants. The evening after your surgery, be sure to brush your teeth gently, but take special care on the areas where the procedure was executed. During the cleaning process, some patients may experience some minor bleeding. However, solutions such as saltwater cannot be used until 24 hours after the procedure. If bleeding is still present then, use a saltwater rinse to stem the bleeding.

The same day of the procedure, patients should take it easy for a while. During the first day, patients should limit their activities and not do any strenuous physical activities, which could increase bleeding, swelling and pain. Patients may also get lightheaded when standing up too quickly so special care should be taken.

One day after the procedure, the patient needs to rinse the mouth on a regular basis, especially after eating. Even if the patient has only eaten one meal that day, rinsing needs to be done a minimum of two to three times a day.

Bleeding can occur for another two days after the procedure, but bleeding should never be excessive. If the patient should experience persistent and excessive bleeding, the patient must contact their dentist as soon as possible and avoid strenuous activities until their visit.

As mentioned before, patients may experience some physical discomfort after their procedure. Physical discomfort usually occurs in the form of pain and swelling, and in some cases nausea. If the patient has experienced bleeding shortly after the procedure, the combination of the anaesthesia and swallowed blood may cause the patient to feel unwell. If any of these symptoms should become severe, be sure to contact your dentist right away.

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