All On Four & All On Six Dental Implant
All-on-Four and All-on-Six implants offer effective and permanent solutions for addressing missing teeth. Both methods provide full prosthetic support while differing based on the number of implants placed in the jawbone. All-on-Four is advantageous for patients with low bone density as it reduces the need for grafting, whereas All-on-Six provides greater stability and load distribution, making it preferable for areas subjected to high chewing stress, such as the upper jaw arches. These methods offer reliable options for patients requiring fixed prostheses and are selected based on the specific needs of the jawbone.
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What are All-On-Four and All-On-Six Implants?
All-on-Four and All-on-Six implants are modern and permanent treatment methods that provide solutions for missing teeth. In the All-on-Four technique, implants are placed at an angle to optimize bone usage and reduce the need for grafting. The All-on-Six technique, on the other hand, is supported by six implants and provides greater stability, especially in areas of the upper jaw that experience high chewing forces. These techniques became widespread after the FDA approved titanium implants in 1982, offering a less invasive option compared to traditional dentures and allowing patients to use their prostheses on the same day.
How do All-On-Four and All-On-Six Implants Work?
All-on-Four and All-on-Six implant systems aim to restore full dental arches in patients with edentulism by using a minimal number of implants to achieve functional and aesthetic results. All-on-Four provides durable prosthetic support with four implants, while All-on-Six offers additional stability with six implants. Both methods maximize the use of existing bone structure, providing a comfortable solution for the patient.
Key features of All-on-Four and All-on-Six implants:
- Provides stability
- Offers wide load distribution
- Enhances functional aesthetics
- Reduces the need for bone grafting
All-on-Four distributes the stress from chewing evenly among the implants by angling the posterior implants, while All-on-Six provides additional resistance to chewing forces with two extra posterior implants, enhancing the durability of the prosthesis over time.
When are All-On-Four and All-On-Six Implants Used?
All-on-Four and All-on-Six implant techniques offer effective options for treating edentulism. These two techniques provide different advantages based on the patient’s needs and jawbone conditions. Here are the details showing when All-on-Four and All-on-Six implants are used:
- For edentulous patients
- When durability against chewing stress is required
- When bone quality and quantity are limited
- To provide an aesthetic appearance after tooth extraction
- For patients dissatisfied with removable dentures
- For patients seeking quick results
All-on-Four stands out for its ability to be completed in a single surgical session and reducing the need for bone grafting. If the patient’s gum and bone condition do not sufficiently support All-on-Six, All-on-Four, which requires less bone, is applied. The All-on-Six technique is preferred for patients requiring more extensive fixed prostheses and functional chewing abilities.
Who are All-On-Four and All-On-Six Implants Not Suitable For?
While All-on-Four and All-on-Six implants provide effective methods for addressing missing teeth, they may not be suitable for every patient. The contraindications for these implant systems are determined based on the patient’s specific health conditions and anatomical features. Absolute contraindications cover situations where treatment cannot be applied, while relative contraindications require special attention.
Absolute Contraindications
- Insufficient bone volume
- Severe systemic health issues
- Chronic infections
- Uncontrolled osteoporosis
Relative Contraindications
- Smoking
- Advanced age
- Poor oral hygiene
- Psychological conditions
Specific Anatomical Considerations
- Sinus pathologies
- Tooth anatomy
Considering these contraindications, candidates for All-on-Four and All-on-Six implants are determined. Since each individual’s jawbone structure and overall health status differ, a thorough evaluation process is necessary to identify suitable candidates.
How are All-On-Four and All-On-Six Implants Placed?
All-on-Four and All-on-Six implant methods are innovative dental treatment techniques designed to create full dental arches with a minimal number of implants. In both methods, a personalized treatment plan is prepared, and a careful evaluation process is conducted before and after the procedure.
- Pre-procedure evaluation
- Preparation of the treatment plan
- Local anesthesia or sedation
- Tooth extraction (if necessary)
- Implant placement
- Immediate loading (if applicable)
- Healing and osseointegration process
- Final prosthesis placement
- Post-procedure care recommendations
- Long-term follow-ups
These methods provide patients with a stable and aesthetic set of teeth by addressing tooth loss effectively. Particularly, the All-on-Six system is recommended for areas of the upper jaw that endure high chewing stress due to its enhanced stability.
What are the Side Effects of All-On-Four and All-On-Six Implants?
All-on-Four and All-on-Six implants offer permanent and reliable solutions for addressing missing teeth, but some side effects and potential complications may occur after their application. These implants may cause short-term side effects as well as long-term complications in certain cases.
Immediately Observed Side Effects:
- Swelling and mild pain
- Bruising around the gums
- Temporary difficulty in speaking
Possible Complications:
- Infections and peri-implantitis
- Implant failure
- Bone loss
- Nerve damage
- Bite imbalance
- Sinus problems
- Gum recession
Long-Term Considerations:
- Material breakage
- Development of peri-implantitis
To enhance success and minimize risks, patients should choose experienced surgeons, maintain excellent oral hygiene, and avoid smoking. These measures ensure the implants remain healthy and functional in both the short and long term. Additionally, regular check-ups allow for the early detection and treatment of potential issues.
How Successful are All-On-Four and All-On-Six Implants?
All-on-Four and All-on-Six implant systems offer high success rates and long lifespans, making them reliable options for patients. Research indicates that these systems maintain their effectiveness over long-term follow-ups, especially in patients with low bone loss risk.
Factors Affecting Success:
- Bone density
- Oral hygiene
- Non-smoking
The All-on-Four system has demonstrated survival rates exceeding 98% over five years and around 94% over ten years, particularly in mandibular applications with survival rates reaching up to 93%, while maxillary prostheses surpass 99%. Additionally, a 20-year meta-analysis shows that approximately 80% of implants remain successful over two decades. These data indicate that the All-on-Four treatment is a reliable full-arch rehabilitation solution for edentulous patients.
Although success rates are high, some complications may arise, such as peri-implantitis and marginal bone loss. Marginal bone loss remains minimal within the first year post-placement and can vary between 0 to 0.2 mm annually in subsequent years.
How Should Care be Done After All-On-Four and All-On-Six Implants?
Post-All-on-Four and All-on-Six implant care is crucial for supporting the healing process and ensuring the implants remain healthy in the long term. To enhance success rates, meticulous attention must be paid to both oral hygiene and lifestyle during the post-operative period.
Post-Operative Follow-Up
- It is important to follow the dentist’s recommendations during the initial follow-up period.
Pain Management
- Use pain relievers such as ibuprofen as prescribed, following instructions carefully.
Dietary Restrictions
- Adopt a liquid diet for the first 24-72 hours post-surgery, followed by a soft diet for a few weeks.
Hydration
- Consuming plenty of fluids accelerates the healing process.
Oral Hygiene
- Rinse with saltwater and avoid alcohol-based mouthwashes.
The first two weeks require careful maintenance to ensure healthy healing continues. During this period, it is important to avoid excessive physical activities and get adequate rest. The diet can gradually be expanded to include more soft and chewable foods. Avoiding smoking and alcohol is essential as these substances can hinder the proper integration of implants.
In the long-term post-surgery phase, the osseointegration process is crucial for the implants to fully integrate with the jawbone. Regular check-ups monitor the health of the implants and surrounding gums. Additionally, maintaining oral hygiene with a soft-bristled toothbrush and regular brushing and flossing using implant floss or water flossers is recommended. Adopting a diet that avoids hard and abrasive foods protects the implants. Professional cleanings by dentists help remove plaque buildup and ensure the implants remain healthy and functional.
The Best Doctors Performing All On Four & All On Six Dental Implant in Izmir
In Izmir, All On Four & All On Six Dental Implant is not just about choosing a dentist; working with the best doctors directly impacts the success of your treatment. At AvrupaDent, we offer you the chance to choose from the best doctors performing All On Four & All On Six Dental Implant in Izmir. Achieve a healthy and aesthetic smile with us.
Our Branches and Our Doctors
Health Group
As Avrupadent Health Group, we provide services in many districts of Izmir, especially in Buca and Gaziemir.
Frequently Asked Questions
All-On-4 implant treatment is suitable for individuals who are edentulous or experiencing advanced tooth loss and desire a fixed full dental prosthesis. This method is particularly beneficial for patients with bone loss as it often eliminates the need for bone grafting. Clinical studies have shown that the survival rates of upper jaw implants are between 93.9% and 100% over a five-year period, and mandibular implants have survival rates ranging from 91.7% to 100% over 18 years. However, factors such as smoking, systemic diseases, and teeth grinding can affect the outcomes.
The All-On-Four treatment process typically consists of three stages. The first stage involves examination and planning, which takes about 1-2 weeks. Following that, the surgical procedure is performed, which takes approximately 2-3 hours per jaw. After implant placement, a healing period of 3-6 months is required for osseointegration. Once healing is complete, the final prosthesis is placed. This process is shorter and less costly compared to traditional implant methods, which may involve multiple stages and longer timelines.
The All-On-Four treatment differs from traditional dental implants in several key ways: All-On-Four uses only four implants to support a full dental arch, whereas traditional methods place an implant for each missing tooth. Additionally, All-On-Four treatments often allow for temporary teeth to be placed on the same day, whereas traditional implants may take months and involve multiple stages. All-On-Four reduces the need for bone grafting by angling the posterior implants, while traditional implants may require grafting based on bone density. Lastly, All-On-Four is less invasive and generally more cost-effective as it requires fewer implants and surgical procedures.
The healing process after All-on-4 implant treatment generally involves several stages. The first few days may include mild swelling, bruising, and pain, which typically subside quickly. During the first week, patients should consume soft foods and maintain good oral hygiene. The osseointegration process, where the implants fuse with the jawbone, takes several months, so avoiding excessive pressure on the implants is crucial. Typically, after three to six months, the temporary prosthesis is replaced with the permanent one. The long-term success rate of implants is high, with studies showing a 98% success rate after five years and 95% after ten years. With proper care and regular check-ups, All-on-4 treatment provides long-lasting and satisfactory aesthetic and functional results.
The long-term success rates of All-on-Four implant treatments are very high; mandibular (lower jaw) implants have survival rates between 93-98% over 10-18 years, while maxillary (upper jaw) implants exceed 94.7% over 5-13 years. Prosthesis success rates are 98.8% in the mandible and 99.2% in the maxilla. Additionally, a 20-year meta-analysis indicates that approximately 80% of implants remain successful over two decades. These data demonstrate that All-on-Four treatment is a reliable full-arch rehabilitation solution for edentulous patients.
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