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What is All on 4 treatment?

All-on-four implants, as the name suggests, consist of four implants with artificial teeth attached to them. This article will explain the entire concept of this treatment and provide current or potential patients with all the important information. Without a doubt, implant treatment has successfully conquered the world of dentistry. Practiced since 1965, implants have evolved to become the most effective and natural dental treatment available. It is also important that the implant lasts for life, if there are no complications or accidents during that time. Thanks to dental implants, patients have been able to fill the gaps between their teeth, restore the aesthetic appearance of their smiles, and boost their self-confidence. It quickly became apparent that patients who needed more dental implants were at higher risk of complications and health problems from so many implants. Of course, implantologists have recognized this and the All-on-4 treatment has hit the market. The name “All on 4” can be described as “all new teeth on 4 implants”. The originator of this treatment was Paulo Maro, a Portuguese dentist who played an important role in implantology. He began working on advances in implant treatment in the early 90’s and finally in 1998 an All-on-4 treatment was performed with his highly qualified team of professionals.

In order to understand the essence of treatment, it is necessary to understand its basic elements: implants and dentures. A dental implant is a screw-like surgical device that is fixed in the jaw. It is made of titanium, and thanks to this material, an implant placed in the jaw naturally fits into it (this happens as a biological process called osseointegration) and can replace the root of the tooth. The role of implants is to hold prostheses (crowns, dentures, bridges, etc.).

All-on-4 treatment implies a complete restoration of the jaw, so the prosthesis in this case is a bridge that replaces all teeth. Depending on the patient’s individual suitability, the bridge consists of 10-14 teeth. With All-on-4 dentistry, in one jaw he places four implants to support a complete bridge. This technique allows for durable and esthetic restorations in one or two jaws and is the most effective treatment of this type. This is achieved thanks to three main characteristics – at the same time being great advantages, namely: Immediate effect and function, durability, and Minimize interference with the jaw.

A brief description of the above is that all four implants perform their function with visible results as soon as the patient leaves the dental office. In the dental office, the patient is fitted with the prosthesis immediately after the implant is placed. All on four patients leave the dental office with new smiles. Of course, a prosthesis placed immediately after implantation is temporary and will be replaced by a permanent bridge later. It will take months. However, the patient already has temporary teeth after the first visit (implants). In terms of function, temporary prostheses restore the aesthetic appearance of a smile, allow eating solid food, and improve speech. Regarding durability, the question “How long will all on four implants last?” is one of the most frequently asked patients. Well, All on 4 is an incredibly long lasting procedure and considering that full jaw dental implants are used in the elderly, the vast majority of them will keep them forever. is highly dependent on patient care and oral hygiene, but is said to take at least 20 years, and sometimes over 30 years. Technology and advances in medicine are seen when comparing the most extensive range of dental treatments, as they are permanent full jaw restorations, to bone interventions involving only the placement of four implants. Remarkably developed, interventions are minimal compared to the effects achieved.

Ideal candidates for All-on-4 treatment

All-on-4 treatment is primarily performed in the elderly, but let us elaborate on the candidates for this procedure. The most important information to remember is that there are no strict criteria for selecting candidates, only implantologists qualify patients for all-on-4 after a thorough individual examination. , this treatment has been performed on millions of people, and based on the data collected from them and their dentists, there are several frameworks for performing all-on-four.

Therefore, the best candidates are those who have lost most or all of their teeth along the jaw ridge. The main target group is the elderly and those who have had an accident or are suffering from tooth decay. I’m not happy with my smile. On the contrary, dentists always try to preserve natural teeth whenever possible, and full mouth dental implants are never placed based on the patient’s requirements. , can only be placed if the jawbone structure is adequate. If patients do not meet this criterion, they should be pretreated first. It is also important that candidates are in good oral health and that their general health is amenable to surgical intervention. Anyone considering this procedure should list all medications they are taking.Some medications may interfere with healing. Finally, smoking is unacceptable as it adversely affects the healing process. The above conditions are not strict, but general and flexible, so please do not disqualify or disqualify for treatment as only dentists have the authority to do so.

All on 4 - steps of the treatment

We guide you through all stages of treatment, from the first contact with your dentist to the final result.

Initial consultation

Initial counseling is important for treatment. It’s time for your dentist to thoroughly examine your oral and general health, perform and analyze X-rays and CBCT(Cone Beam Computed Tomography) examinations, and ask important questions. about smoking, dental hygiene, health problems and medications, and treatment expectations. A dentist will then make the final decision on her suitability for All-on-4 treatment. It’s also the perfect time for the patient to decide if the dentist is meeting their expectations. The bond and trust between dentist and patient is very important and allows for a successful and stress-free treatment. Patients should seek another expert’s opinion if the dentist does not convince them or if their expertise or skill is questionable.

Placement of dental implants

At this stage, proper treatment begins. The visit begins with jaw preparation for implants. All on 4 is for edentulous patients only. If the patient still has teeth, they must be extracted. The implant is then inserted. There are four implants in one jaw. This is a surgical procedure in which the patient is given an anesthetic. Local anesthesia with sedation is usually sufficient. However, in extreme cases such as dental phobia, general anesthesia is also possible. Patients do not need to worry about pain during surgery, regardless of anesthesia. The implants are precisely positioned to keep the nerves and sinuses intact.

Set abutments

It takes several months for the bone and gums to heal after the implant is placed. It usually takes 3-6 months. A permanent bridge can only be set after this time. Immediately after implant placement, the implantologist will place a gingival former. This allows the gingival tissue at the implant site to heal. Temporaries can also be placed in these abutments. Once the gingiva has healed, replace the healing abutment with the final abutment that supports the permanent prosthesis. Generally, it takes about 4-6 weeks for the gums to heal after the abutment is placed. By taking good care of their gums, patients can help them recover faster (e.g., refraining from eating, cleaning properly). Once recovery is complete, the dentist can proceed to the final stages of treatment.

Adjust the bridge

A fixed bridge acts as a new set of teeth and should be a perfect fit. Restorative dentists need to be very precise and meticulous to create all-on-four dentures that are natural, aesthetically pleasing and match the patient’s smile. Therefore, a model of the permanent prosthesis may be made in multiple visits. The end result of this stage is to create ideal teeth, which vary widely in length. To create a custom-fit denture, your dentist will take impressions of your teeth, superstructure, and jaw. The bridge also customizes bite registration and smile look. Once the model is complete, the lab will begin building the actual bridge. Before final placement of the bridge, the patient will make some adjustments to assess how it feels in the mouth. The bridge is adjusted and adjusted as many times as necessary, and is attached to the abutment once the patient’s consent is obtained. All-on-4 treatment ends at this stage.


However, recovery is not a direct part of All on 4 therapy and plays a major role in transplantation. Taking care of dental implants can hasten or delay recovery and the ability to place a permanent denture. Only the patient can manage it. First, the success of oral surgery is highly dependent on good oral hygiene. After the implant visit, the dentist will always explain how to clean the All on 4 dental implant. These mainly include using a toothbrush, hot salt mouthwash, and regular mouthwash.All on 4 Eating after implants should also follow your dentist’s instructions. It is recommended to keep food away from the surgical site and avoid smoking for as long as possible. In fact, smoking is the greatest danger and should be stopped until the wound is completely healed. Immediately after transplantation, refrain from eating or drinking cold or hot drinks until the anesthesia wears off. Do not touch the surgical site with your fingers or tongue. Exercise is allowed 48 hours after transplantation. Bruising and swelling are common in patients, but this is normal and should go away in a few days.It can also be reduced by using an ice pack. However, although the main concern is pain, there is nothing to worry about. If pain occurs after the transplant, it will last for a short time and regular pain relievers will help.

The cost of all on four - UK

In the UK, the average price for a complex All-on-4 treatment is £13,000-16,000 per arch. This price includes consultation, CBCT scan, X-ray, implants, abutments, temporary and permanent restorations. For two jaw treatments, the average cost of a full mouth dental implant in the UK is £27,000. Needless to say, there are clinics that offer more competitive prices for the same services, and searching the data for this article found clinics offering all-on-4 prices starting at £11,000. There are clinics with much higher prices for the work. £25,000 for maxilla.

When looking for a clinic, patients should keep in mind three main aspects. First, prices vary, mainly because private dentists are free to set their prices. If you are confident in your expertise, experience, and skills, you can charge more for your services. Also, if more patients are expected, the fee can be lowered. It’s pure economics most of the time. Secondly, the cheapest all-on-4 implant in the UK costs him as much as £10,000, which is extremely rare and only individual dental offices can offer such prices. Patients getting such cheap all-on-4 prices should ask about the price components. As it happens, the dental office offers him a price of £6000, but he doesn’t say it’s only for implants. Patients should be aware of the price. Finally, if a patient is looking for professional treatment with a reputable dentist and high-quality materials, be thorough about the dental clinic and its fees rather than opting for the cheapest treatment you can find. should be thoroughly investigated.

The cost of all on four abroad

For those who find All on 4 too expensive in the UK and do not qualify for NHS reimbursement, there are excellent alternatives to doing full mouth dental implants abroad. The 21st century is the age of medical tourism. Open borders, direct and cheap flight connections, widespread use of English between doctors and clinics, openness to foreign patients, and finally four dental implants abroad affordable for everyone. More than 15 million medical tourists visited in 2017 thanks to the availability of . This trend is constantly moving forward.

When it comes to dental care, Turkey, Hungary and Poland are the most popular, while the most common nationalities of medical tourists are American, German, British and Scandinavian. Most clinics now offer complete treatment and stay packages that include not only the cost of treatment, but also accommodation, transportation and, in some cases, airfare. In fact, it’s no different than a regular vacation package. Focusing on All on 4 treatment abroad, the price is double that of All on 4 in Poland and Turkey, not only in Western European countries such as the UK, Germany, France, Norway and Denmark, but also in the United States. . The Hungarian All-on-4 is also a cheaper option. Even including airfare and accommodation, patients can save thousands of pounds on treatment costs. How much does an All on 4 dental implant cost? They are shown in the following table.


All-on-4 procedures are tangible evidence of the evolution and advancement of dentistry. Four implants supporting the permanent prosthesis ensure natural-looking, aesthetic and lasting results. It is the leading solution for edentulous and nearly edentulous patients who have the chance to completely change their lives from a physical and psychological perspective. It is said that the cost of an all-on-four dental implant is a lifetime investment, requiring the patient to spend the money immediately but avoid future dental problems.Not only in the United States but also in Western European countries , the cost of All on 4 may exceed people’s budgets, but there are alternatives offered by thriving medical tourism. Traveling for treatment has never been easier and millions of people definitely do. Traveling for treatment can save you a lot of money while maintaining professional service, not to mention the tourist side of the trip. But whether at home or abroad, All on 4 guarantees a healthy and happy life.

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