All on 4 Implantation in Minsk

Features of installing a prosthesis for 4 implants

The All-On-4 protocol differs from the classic two-stage implantation in a quick aesthetic result. It is used for mild to moderate bone atrophy. If the patient has enough bone tissue at the implantation sites, immediately or in the following days, the abutments are loaded with a temporary prosthesis. In the second case, the patient undergoes an additional operation to increase its volume. When the implants finally take root, the temporary acrylic prosthesis is changed to a permanent one.

According to the “all in four” protocol, two implants are installed in the area of ​​12 / 22-13 / 23 teeth, the other two are fixed at an angle of about 45 ° in the area of ​​the fifth-sixth molars. If the height and width of the bone in these places is less than necessary, the dentist moves them slightly forward. This arrangement allows the necessary stabilization to be achieved and prevents the denture from shifting during chewing.

Stages of treatment

Modern dental technology makes it possible to use titanium or composite implants even in difficult conditions. The technique consists of 4 stages:

1. stage: planning
   • the patient is undergoing the prescribed examination;
   • based on visual examination and study of CT scans, the locations and sizes of implants are determined;
   • a surgical template is made if necessary.
2. stage: therapeutic
   • dentist-therapist removes cariogenic and inflammatory lesions;
   • professional cleaning of the oral cavity is carried out;
   • the surgeon removes teeth that interfere with prosthetics.
3. stage: surgical
   • required anesthesia is being applied
   • an operation is being performed to implant future prosthetic supports;
   • the orthopedist takes impressions and sends them to the laboratory;
4. stage: laboratory
   • a computer model of the patient’s jaw is created from the impressions;
   • on special CAD-CAM equipment, details of the future prosthesis are modeled and manufactured;
   • dental technicians in the laboratory assemble the artificial jaw, detail and bake it in the oven;

For the speedy normalization of blood circulation in the gums and the speedy healing of structures, it is necessary to load the jaw within a period not exceeding five days. Immediately thereafter, you can chew with confidence, excluding only solid foods. On the first day after implantation, slight discomfort is felt in the operating field, temporary edema is possible.

5. stage: prosthetics
   • The orthopedist makes a fitting and if the prosthesis fully matches the patient’s gingival contour and does not cause him discomfort – attaches it to the implants

Main advantages

The main advantage is the possibility of prosthetics on fewer implants, which reduces the overall cost of the operation. In addition, the technology allows:

• in 80% of cases it is possible to do without expensive bone grafting;
• to restore all teeth in a matter of days;
• unlike removable structures, do not overlap the palate and hyoid region. At the same time, they practically do not cause discomfort while eating and talking.
• provides a more even load on the jaw and reduces bone regression.

The effect of All-on-4 implantation is new teeth and a tightened lower third of the face without drooping mouth corners and folds in the nasolabial triangle.

Disadvantages of the “All-on-4” system

Still, the method of implanting a prosthesis on 4 implants cannot be called ideal. The “all-in-four” strategy is not used for severe gum loss, which can ultimately lead to screw misalignment and damage to the dental structure. In such cases, patients undergo classical osteoplasty to increase the volume of the gums, followed by the installation of screws.

Implant brands for All on 4

The method has an analogue among all manufacturers. Originally invented by Nobel Biocare, today it is represented by more than two dozen analogs of various prices from premium to economy. According to statistics, most often we carry out implantation on Straumann and Osstem systems

1. The leader is Nobel, who pioneered this technology and manufactures premium quality systems with a tapered abutment connection to ensure a tight denture connection.
2. Zirconium and titanium Swiss Straumann implants are of impeccable quality and slightly more affordable price than the previous manufacturer. Which makes their installation the best choice for a wealthy patient.
3. The Korean Osstem System is the world leader in the number of implants installed. They provide excellent and fast osseointegration. A lot of patents in materials and technologies, as well as a moderate pricing policy put them on a par with the world leaders in the production of implants.

We work with the following manufacturers:

Questions from our clients