Restore your teeth once and for all using all-on-4 technology in a private dentistry centre in Minsk! A unique prosthetics system is designed for people with complete or partial loss of teeth (adentia) to restore lost chewing, speech, aesthetic functions. It involves the installation of a fixed prosthesis on implants immediately after surgery or in the next three days. Computer simulation of the process, the use of surgical templates during surgery eliminate the risk of errors. The clinic carries out dental implants for patients not only from Belarus but from neighbouring countries according to individual programs. Doctors give a perpetual guarantee on the system, provide services for maintenance of installed prostheses.
Why turn to the clinic “Dudko and Sons”
Regardless of the dental treatment protocol, the quality of the installation of pins, prostheses and comfortable wearing depends on the professionalism of the dentist-surgeon, orthopedist, and dental technician. If incompetent doctors take up the case, the process is fraught with damage to the nerve, maxillary sinus floor, inflammation, and rejection of the implant. If installed incorrectly, tissue and alveolar bone are injured.
In our clinic, the operation is performed by specialists of the first and highest qualification categories, trained at the courses of the method developing company and received the appropriate licenses. They participate in scientific conferences, have numerous publications in specialized local magazines, including on the topic of innovative all-on-4/6 implant technology. Developed medical tourism convinces of the professionalism of doctors and the quality of the services provided in our clinic.
Prices for the implantation of All-on-4 in Minsk
One of the key benefits of the protocol is affordability. Depending on their financial capabilities, clinic patients can choose a premium system from a ceramic composite with a titanium beam or a more affordable metal system from a wide range. Cost varies by brand:
- Nobel BioCare – 10 500 BYN
- MegaGen – 6 290 BYN
- Alpha-Bio – 5 800 BYN
- Strawman Pro-Arch –10 280 BYN
The essence of the all-in-four method
Dental treatment protocol refers to one-stage implantation with immediate loading of an acrylic prosthesis within 1-3 days after surgery. The principle is due to the introduction of 4 two-part titanium pins into the jaw, consisting of an intra-root part and an abutment – an adapter for installation of fixed adaptive prostheses. Surgeons use standard, angled, multi-unit abutments, long zygomatic oblique with oblique edges, depending on the state of the jaw and restoration area. The safety of implants and the compatibility of metal with tissues has been scientifically proven. The percentage of bone fusion is above 97%.
Indications for installation
Implantation by a modern technique is recommended for people who have:
- all or several teeth are missing;
- simultaneous removal of the remaining units is necessary;
- worried about a chronic inflammation of the gums;
- on rickety roots are orthopedic constructions.
Features installation of implants
The All-On-4 protocol differs from the classical two-stage implantation in a quick result. It is used for mild to moderate atrophy of bone tissue, when the height of the gums above is at least 10 mm, below 8 mm, and the width is 5 mm. If the patient has enough bone tissue, immediately or on the following days, the abutments are loaded with a prosthesis. In the second case, the patient undergoes an additional operation to increase the volume, wait up to six months, then prosthetics.
According to the all-in-four protocol, in 80% of cases, patients are fitted with temporary acrylic prostheses for four supports of 10 teeth for the period of the final implant engraftment. Two multi-unit abutments are located directly in front, the other two at an angle of about 30-45 ° relative to the axes in the region of the fifth to sixth molars. If the height and width in these places are less than usual, the doctor moves the working field forward. This arrangement allows you to achieve the necessary stabilization of the screw, to prevent displacement during chewing load at first.
Stages of treatment
Dental technology allows the introduction of titanium rods, even under challenging conditions. Success is determined by advance planning. The technique consists of 4 stages:
- stage: planning
- the doctor prescribes an instrumental and laboratory examination;
- on the basis of pictures of cone beam tomography selects a location for the introduction of the supports;
- develops a visual model of the operation;
- prepares a surgical template for an impression for the introduction of screws with jewellery precision.
- the dentist performs oral sanitation;
- defined with bite and color;
- takes casts.
- after anesthesia implants are implanted (artificial roots);
- forms a gum;
- the prosthesis is attached to the beam.
To restore blood circulation in the gums and the speedy healing of structures recommends immediately loading the jaw, excluding only solid food. On the first day after implantation in the operating field, discomfort is felt, temporary swelling is possible. The patient receives an anaesthetic to relieve pain.
After 6-8 months after the integration of implants with tissue, the dentist fixes the dental structure.
The main advantages
The main advantage is the possibility of prosthetics in the absence of all teeth. A minimum number of supporting implants makes dental implantation available. Moreover, the technology allows you to:
- in 80% of cases, can do without building bone tissue and bone grafting to restore the volume of the jaw;
- in a matter of days, you can purchase a beaming smile;
- will pay much less than installing individual implants under crowns.
Unlike removable structures, they do not overlap the palate and hyoid area, retain articulation. At the same time, they do not subside during eating and talking, provide a uniform load on the jaw. The effect of All-on-4 implantation is new teeth, and a tightened lower third of the face without lowered corners of the mouth and folds in the nasolabial triangle.
What is the uniqueness of the method?
In the vast majority of cases, there is no need for surgery to install a bone block or synthetic filler to restore the physiological size of the gums. In case of noncritical mass loss, large implants are inserted at an angle into the tubercles of the upper jaw or the zygomatic process, at the channel of the mandibular nerve, bypassing the anatomical formations. Another feature is the ability to introduce artificial ones immediately after removing the roots into the holes, strengthening them with a tissue, installing a gingival cuff, and in the absence of contraindications, immediately put on a prosthesis.
Installation of implants – video:
The disadvantages of all-on-four
Dental implantation methods cannot be called ideal, although there are separate protocols for each case. The “all-on-four” strategy is not used with heavy gum loss. Even the cheekbones with individual long pins intended for implantation into the bones cannot save the situation. Bone deficiency, even with an inclined arrangement, does not allow them to be firmly fixed.
In the long run, this leads to displacement of the screws, damage to the dental structure. Especially dangerous is the installation in the upper jaw, where the rods are implanted bypassing the maxillary sinus. Even with moderate progressive atrophy due to uneven occlusal load, it can shift and perforate the bottom of the sinus. In such cases, patients undergo classical osteoplasty to increase the gingival volume with the simultaneous installation of screws.
Classic implants for the All-on-4 protocol
Zygomatic implants Nobel Zygoma
Types of Implants
The method is supported by all manufacturers working in the dental segment. Today on the market systems of different classes are presented: premium, mid-price category, economy.
- The leader is Nobel, which manufactures systems with a root-like body of a pin and a conical connection, providing a tight bond of the prosthesis.
- Zirconium and titanium Straumann implants are distinguished by a thin diameter, which allows installation on a narrow alveolar ridge.
- MegaGen system with shortened thread ensures fast osseointegration.
- Alpha-Bio titanium alloy products compete with premium quality analogues and are suitable for different types of implantation.
Our suppliers of orthopedic constructions:
Alternatives and comparison of methods
Alternative implantation options for “All-on-4” are as follows:
- ProArch implantation of the Swiss brand Straumann;
- All-on-4 implantation on Israeli AlfaBio and MIS implants;
- “All-on-4” implantation on Korean Megagen implants;
Operations under these protocols have been successfully carried out in our clinic for many years.
Questions of our clients
How many days does the whole procedure take with the installation of implants and a prosthesis. Can I plan an implantation if I live in another country?
The whole procedure takes from 2 to 5 days. To plan a treatment plan and agree on the dates of admission, first take and send a 3D computer image.
How often, after installing the pins, you need to visit a doctor, and when the sutures are removed. Can I go to a dental clinic for residence for control?
As a rule, we remove the stitches for 7-10 days. But everything is very individual. You can remove the stitches on the 5th day, of course, the patient can already go to the clinic at the place of residence for this.
Do prostheses affect articulation and the pronunciation of complex sounds?
Properly made dentures affect pronunciation for the better. At first, an adaptation period is possible – getting used to pronunciation. It lasts no more than a few days after the installation of new prostheses.
When it is possible to load the prosthesis actively, how many days after surgery, is it forbidden to eat solid food?
Within two weeks, it is recommended to follow a “soft” diet after surgery.