All-on-4 implantation

Modern concept of dental prosthetics in “K+31”. All teeth in one day. Instant dental implantation is quick, painless and long-lasting.
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All-ON-4 implantation is an innovative method of restoring dentition on one jaw using four implants, which serve as the basis for a bridge. The technology allows patients with edentia to regain the functionality and aesthetics of their smile in the shortest possible time.

The technique was developed by dentist Paulo Malo from Portugal in 1998 and is still being improved, expanding the capabilities of implants. The Swiss company Nobel Biocare introduced this method of prosthetics in 2004. Unlike traditional implantation, it provides quick rehabilitation. The implants are placed at a certain angle, which increases their stability and allows them to be used even with limited bone tissue.

ALL-ON-4 implantation
Pros and cons of All-ON-4 implantation

The advantages of the technique include:

  • Cost. Using four implants reduces costs compared to full implantation
  • Aesthetics. Modern dentures look natural and improve the appearance of your smile
  • Convenience. Dentures are easy to care for and provide high chewing comfort
  • Short installation time. The process takes from two days to several months
  • Possibility of installation for bone tissue atrophy without bone augmentation
  • Durability. The prosthesis lasts up to 5 years without special care
  • Reliable fixation due to the use of screws
  • Guarantee. Manufacturers provide a lifetime warranty on products
  • High quality. Products meet international standards

Dental prosthetics on four implants requires highly qualified doctor and precision in execution. The cost of the operation depends on the condition of the oral cavity, the types of prostheses and implants, and the structural features of the jaw.

Indications for All-ON-4 implantation

Dental implantation with 4 implants is recommended for people who have experienced serious destruction or complete loss of teeth due to periodontitis, caries and other diseases. It is relevant when the number of healthy teeth does not exceed six and their further preservation is impossible or impractical. Removing defective teeth and installing an All-ON-4 prosthesis helps restore the aesthetics and functionality of the dentition.

The operation is also performed if there are such indications:

  • Partial or complete absence of teeth
  • Impossibility of bone grafting
  • The desire to have a beautiful smile without the use of a removable structure
  • Age over 50

Despite the safety and high survival rate of implants, the All-ON-4 technique is not used in cases of severe gum inflammation and a habit such as smoking. These conditions negatively affect the result of prosthetics and lead to further destruction of bone tissue.

Among the contraindications, doctors also highlight
  • Inflammatory diseases of the oral cavity
  • Diseases of the nervous system
  • Respiratory disorders
  • Oncology
  • Poor blood clotting
  • Insufficient bone tissue
  • Autoimmune diseases

Also, simultaneous implantation is not performed if the function of the temporomandibular joint is impaired.

Types of prostheses for implantation All-on-4

There are two main types of prostheses in this system: temporary and permanent.

The All-on-4 implantation system from Nobel Biocare provides for the installation of a prosthesis on special abutments. The prosthesis is fixed with screws, providing reliable fastening. Depending on the patient's condition and needs, the appropriate type of prosthesis is selected, which guarantees comfort, functionality and aesthetics.

Let's take a closer look at the types of prostheses from the well-known manufacturer Nobel Biocare:

  • Temporary dentures Their main task is to ensure the patient’s comfort and adaptation during the healing period after surgery. The products are lightweight and made from safe dental materials. The service life varies from six months to three years.
  • Adaptive prostheses without frame A budget option that is less stable and requires replacement after 6-12 months. Suitable for patients who want to reduce costs at the initial stage of treatment.
  • Adaptive prostheses with frame More durable and durable, can last up to three years. A titanium or metal reinforcing base ensures the reliability of the structure.
  • Temporary dentures made of acrylic and plastic Acrylic structures are the best choice in terms of price and quality ratio. Plastic products are the most affordable, but less durable option.
  • Permanent dentures They can be made using a reinforcing beam, acrylic, ceramic composite, or adding diamond chips and nanocomposites for strengthening. Artificial crowns made of ceramic or zirconium dioxide make the structure more durable, which can last up to 15 years or more.
General information about the procedure

Planning and preparation

Before undergoing simultaneous implantation of ALL-ON-4, the patient must undergo a comprehensive examination. It includes:

  • Checking the condition of hard dental tissues
  • Studying medical history
  • X-rays
  • 3D scanning
  • Oral examination

These tests help the dentist fully evaluate the patient's dental condition and identify potential problems that need to be addressed before All-ON-4 implantation.

During the consultation, the doctor discusses with the patient his expectations and goals, describes in detail the benefits of the operation and the expected results. As soon as the patient receives full information and gives his consent to the operation, preparation begins. The doctor takes a series of measurements to plan the placement of implants and design the denture. This approach ensures the artificial tooth fits perfectly, comfort and stability. The doctor measures the height of the gums, bite and the degree of reduction of the alveolar ridge.

Next, bite impressions of both jaws are made to create wax prostheses. These prostheses help to check placement and fit, and temporary implants are made from them. After preparing all the components, the patient is scheduled for surgery.

How is the operation performed using the All-ON-4 method

Before starting dental prosthetics on 4 implants, the doctor prepares the jaw, administers an anesthetic, and performs sanitation of the oral cavity. He then removes existing teeth and damaged tissue and makes an incision to reduce the ridge. After this, the implants are installed, the bone is smoothed, and sutures are applied.

Abutments are attached to the implants, acting as a support for a fixed denture on 4 implants. The doctor then fills the holes in the temporary denture, checks the bite and adjusts the contact points for proper occlusion. The whole process lasts from 2 to 4 hours, depending on the condition of the oral cavity.

Rehabilitation and installation of a permanent prosthesis

After the all on 4 turnkey implantation operation, the patient receives recommendations on caring for the oral cavity. He is also prescribed painkillers. It is important to avoid hard and tough foods during treatment while the implant integrates with the bone.

After implantation, the doctor makes an impression of the jaw to create a permanent prosthesis. In production, strong and durable materials are usually used: zirconium, ceramics, metal-ceramics. The permanent denture fits tightly to the gums and imitates the natural appearance of teeth.

Pay attention! After installation of a permanent prosthesis, the patient will have to adapt. At this time, it is necessary to visit the dentist to monitor the condition of the implants and prosthesis.

Regular visits to the doctor help prevent possible complications and guarantee the durability and functionality of new teeth.

Complications after implantation of All-ON-4

After immediate All-ON-4 dental implantation, patients may encounter some complications. They arise due to the following reasons:

  • Errors in planning. If the implantologist and prosthetist do not coordinate their actions or neglect careful preparation, this leads to loosening of the structure, breakage of the prosthesis and its separation from the supports
  • Incorrect installation of implants. Errors are most often associated with the use of low-quality surgical templates or their complete absence. This increases the risk of damage to the jaw structures and improper load distribution on the implants
  • Manufacturing defects of the prosthesis. Errors in the manufacture of a prosthesis affect its comfort, aesthetics and service life. Incorrectly selected materials or insufficient precision lead to discomfort and rapid wear
  • Low quality of raw materials. The use of non-original or low-quality materials causes allergic reactions or rapid wear of the prosthesis
  • Lack of guarantees for implants and their non-compliance with standards lead to injuries or the need for repeated operations

To avoid these problems, it is important to choose qualified specialists and a clinic with a good reputation that has the necessary certificates and licenses.

Oral care after All-ON-4 implantation

After immediate installation of the All-ON-4 implant, special attention should be paid to oral hygiene. Using a soft toothbrush helps prevent scratches on your dentures and prevents the accumulation of food debris and the development of bacteria. Brushing should be done twice a day, carefully and thoroughly treating each artificial tooth.

After eating, it is useful to rinse your mouth with antiseptic solutions or decoctions of medicinal herbs. Such rinses remove food debris and prevent inflammatory processes.

Important! The irrigator will be an excellent assistant in caring for the prosthesis, especially after the implants have completely healed. It not only removes food debris, but also improves blood circulation in the gums.

It is also recommended to have regular professional cleanings by your dentist. It ensures durability and reliability of the structure, prevents the development of inflammatory diseases of the oral cavity.

Immediately after express dental implantation, you should avoid spicy and sour foods and monitor the temperature of the food. It is recommended to avoid excessive physical activity and sleep only on your back for the first two weeks after surgery to reduce swelling. Compliance with all recommendations ensures rapid healing and stabilization of implants.

Our doctors

Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the dentistry department, dentist-therapist, dentist-orthopedist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
All specialists
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Price

Reception
Price
Temporary non-reinforced prosthesis 10 teeth, All-on-4 technology
from 157 700 ₽
10 Teeth Reinforced Provisional All-on-4
from 253 700 ₽
Prosthesis with cast reinforcement, All-on-4 technology
from 414 750 ₽
Prosthesis with cast reinforcement and individualized gums, All-on-4 technology
from 497 700 ₽
Prosthesis with individualized gingiva with CAD/CAM milled bar, All-on-4 technology
from 663 700 ₽
Prosthesis with individualized gingiva with milled bar Nobel Procera, All-on-4 technology
from 722 200 ₽

FAQ

Is it painful to have All-on-4 implantation?

In our clinic, the operation is performed under local anesthesia, so the patient does not experience any pain.

Will it hurt after All-on-4 implantation?

There may be some pain that will go away a few days after implantation. In some cases, patients are prescribed analgesics.

How should I prepare for All-on-4 implantation?

No special preparation is required.

Do I need to take antibiotics before All-on-4 implantation?

If All-on-4 implantation is carried out immediately after tooth extraction or the patient has periodontitis, then antibiotics must be taken.

Is it possible to have All-on-4 implantation if you have diabetes?

If the patient's glycated hemoglobin level is less than 6%, then it is possible. If the level is 6-8%, some precautions need to be taken. If it is above 8%, you will have to postpone surgery until the level drops.

What is the service life of All-on-4 implants?

The service life of some prostheses that are installed after implantation is 3–5 years. But All-on-4 implantation systems such as Nobel Biocare or Noris Medical come with a lifetime warranty.

What type of denture care is required after All-on-4 implantation?

Oral hygiene after All-on-4 implantation differs little from regular dental care. In the first weeks, teeth are brushed with a soft brush and a non-abrasive, fluoride-free toothpaste. And once every six months you need dental cleaning to remove plaque and tartar. But recommendations for oral care after implantation may differ depending on the implants used.

Why is All-on-4 implantation indicated when all teeth are missing?

Because when there are teeth, other implantation and prosthetic approaches are used. And in the absence of all teeth, only four implants are enough to fix the prosthesis.

What implants are used in K+31?

Our clinic uses Nobel implants - some of the best on the prosthetics market.

How securely does a prosthesis hold on four implants?

The prosthesis holds securely. This is a time-tested technology that has already been used by thousands of patients. And it is constantly improving.

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Reviews 10

As a patient, I can see the doctor's attention and attitude during the appointment and pain relief. What I saw was that Yukova M.R. is a responsible, attentive and caring doctor who helped me save a tooth from extraction. Today, during an appointment, another dentist-orthopedist in another clinic took a picture and praised the work and asked for contacts where and who treated this tooth. Top class! Thank you again!!!
09.11.2024
Sagidova S.P.
Valentina Frantsevna is the only doctor I have trusted with my teeth for several years now. An excellent specialist, a professional in her field, always an ideal result. I am very glad that I found my doctor! I recommend
19.10.2024
Semenova Elena Alexandrovna
Thanks to Elizaveta Andreyevna for the treated teeth. A wonderful, sensitive, caring, very attentive doctor. I liked her as a specialist, she found all the problem teeth, treated them without causing pain. I highly recommend the dentist. The quality of her work is top notch!
19.08.2024
Marina Aksenova
Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
05.08.2024
Zaitseva Tatyana
An excellent doctor. The easiest way to remove an eight. fast and low-traumatic operation. Easy and painless recovery. All this thanks to the golden hands of the doctor.
31.07.2024
Sergey
I came to Elena Nikolaevna with acute toothache, 07/28/2024. The tooth was badly damaged, it was difficult to eat and sleep. Thanks to Elena’s careful treatment and approach, I began to feel much better. Very attentive doctor, one of the best dentists in my life. Thank you very much for your welcome.
28.07.2024
Lerskaya Nadezhda Evgenievna
Great doctor! This is something amazing, such a non-traumatic removal! Just some miracles!
26.07.2024
Julia K.
I was looking for a doctor’s appointment with a microscope. I'm glad I ended up with Olesya Kayinbekovna. Great specialist, polite, balanced! I am grateful to her for her genuine desire to help.
12.07.2024
Ruslan
I am very pleased with the work of Dr. Irina Yuryevna Nikolaeva, she is an excellent dentist. She dealt with my caries quickly and without any pain. An attentive, kind, professional attitude towards the patient captivates and forces you to reciprocate with a review)
12.07.2024
Nikolai Igorevich
My daughter had a sharp toothache and we urgently had to look for a pediatric dentist. They chose Anastasia Eduardovna. Examination revealed pulpitis. There were 2 options, removing the tooth or trying to save it. The doctor said that of course it’s better to try to save it. We treated our tooth in two visits. At the first appointment, everything was cleaned, a temporary filling was placed, and then we were observed for 2 weeks to ensure there were no complications. After 2 weeks we went to the doctor and got a permanent filling. We are very pleased with the attitude and quality of Anastasia Eduardovna’s work.
12.07.2024
Olga Yurievna
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