Several dental problems can occur as a person grows older. Tooth loss is one of the most common problems. However, a patient can now obtain an implant quickly because of advances in dental technology. Conventional dentures are slowly becoming a thing of the past because of the advanced implants on the market. Most patients prefer All-on-4 dental implants, but those who want a strong bite or more artificial teeth prefer All-on-6 dental implants. At Hawthorne Dentist, we have reliable dentists who can offer you the best dental implant services if you have lost your natural teeth.
Understanding All-on-4 Dental Implants
Dr. Paulo Malo and Nobel Biocare developed all-on-4 dental implants. These dental prostheses offer patients a fixed, long-lasting remedy for lost teeth. They form the foundation for the lower and upper rows of artificial teeth, supporting the dental implant bridge. This treatment is the best for individuals who have lost or most of their teeth and require replacement.
During the All-on-4 procedure, your dentist inserts titanium implants or anchors directly into your jawbone. The implants can remain in the same position for over 20 years because they are placed directly into the bone. However, the implants can only last this long if you observe proper care.
Your dentist will remove all your teeth and any infected bone or gum before placing the implants into your jawbone. Depending on where you need replacements, he/she will place four implants in the lower or upper jaw. The dentist can put two straight implants in the front and two tilted or angled implants at the back. Implants will be placed at an angle on the upper jawbone to prevent hitting the sinus cavities. Implants should also be angled on your lower jawbone not to hit a major nerve.
Your dentist will also put multi-unit abutments on top of the implants. Abutments will serve as connectors between the artificial teeth and implants. The dentist will then place tailor-made and temporary artificial teeth onto the abutments. Temporary sets of teeth are usually used to give a patient’s jawbone or implants ample time to fuse. After some time, your dentist will place strong and permanent teeth onto your implants three to six months later.
The Difference Between All-on-4 And All-on-6 Implants
The main distinction between All-on-4 and All-on-6 implants lies in the number of implants needed for each type of treatment. Your dentist will put four implants in your jaw during All-on-4 treatment. On the other hand, the dentist will put six implants in the patient’s jaw during All-on-6 treatment. You will have a stronger and more stable structural integrity of the new teeth if more implants are used. This happens because pressure is spread to more implants, and the pressure is distributed evenly onto the jaw itself.
However, it is not enough to say that it is better to have more implants. The primary requirement for dental implants is that your jaw must have substantial bone structure and strength to support the implants. You can only receive more implants if you have more bone. In this case, an All-on-6 treatment might first require the reconstruction of the bone or a bone augmentation procedure. The following are some of the factors that can affect the available options for patients:
- Use of alcohol
- Health conditions like osteoporosis and diabetes
- The density of the bone, and
- The anatomical structure of the jaw
Your dental expert will develop a personalized plan to treat your gum disease and get the gums into optimum and healthy condition for the implants. The dentist can also recommend top implants if your jawbone is too soft or insufficient to support the implants. The following implants can engage different bones to support them:
- Pterygoid implants involve the pterygoid plates at the back of your jaw
- Zygomatic implants involve the cheekbone
Extra Maxillary implants are more popular because of their success. Your dentist will use a cone beam CT (CBCT) scan to investigate if you have diabetes or osteoporosis. You will not be eligible for All-on-4 or All-on-6 implants to replace the entire arch if you have another condition that has affected the underlying structure of your jaw. Some conditions can cause bimaxillary joint disorder, insufficient bone volume, and extreme skeletal malalignment.
Bone Augmentation
Bone augmentation is a dental surgery for people who desire a dental implant but lack sufficient bone to anchor it. A dental surgeon can correct this problem by using a bone augmentation or dental bone graft. In this procedure, a bone mass lost for some time is restored through grafting bone to the area of the future dental implant. This surgical process ensures that the jawbone is dense and strong enough to anchor a dental implant permanently.
A dental surgeon can recommend bone augmentation if you have lost premolars and molars and want to replace them with a dental implant. In this case, there will be less bone after removing the tooth. After the completion, bone augmentation will replenish the bone to ensure the implant anchors firmly. You might require bone augmentation if you have lost jaw bone because of untreated gum disease or if you have suffered an injury.
The Difference Between All-on-4 And Standard Implants
All-on-4 implants differ from standard implants because you only require four implants to support the whole arch. On the other hand, six to ten implants were traditionally required to maintain the solid structural integrity of the entire arch denture. The nature of All-on-4 positioning in your jaw is different from that of standard implants. All-on-4 implants are placed at various depths, distances, and angles to ensure optimum stability. Your dentist will only use four implants in the all-on-four procedure, which is far less invasive. The All-on-4 implants enhance quick recovery in patients.
Whether All-on-4 or All-on-6 Implants Are Long-Lasting
All-on-4 and All-on-6 implants can last 20 or more years if properly taken care of. The longevity is supported by osseointegration. Osseointegration is where the implant posts and the bone fuse together. Over time, the denture might wear out and require replacement after 15 to 20 years, but implant posts rarely need replacement. Our teeth and gums continue to move and change as we grow old. This is why most dentists recommend that people should go for check-ups every one or two years. This will help you know if your implants are still positioned and functioning as intended.
Advantages Of All-on-4 Treatment
All-on-4 implants have the following advantages:
- Unlike the six-month gum recovery period required in a regular dental implant treatment, the final prosthesis in All-on-4 implants can be placed within three to six months.
- After initial healing, a temporary bridge can be placed within days of your treatment.
- All-on-4 treatment provides a permanent denture solution.
- All-on-4 treatment will restore the optimum function of your mouth.
- You will require fewer visits to the dental clinic because all implants are placed in one sitting.
- All-on-4 treatment is less invasive.
- Unlike traditional implant treatment, All-on-4 treatment takes a shorter treatment time.
- All-on-4 treatment rarely requires bone grafting.
- All-on-4 implants are cheaper than other full-arch implant options, making them attractive for patients on a budget.
- All-on-4 implants improve the health of the jawbone. They exert pressure to stimulate the jawbone, preserve the facial structure, and prevent further bone loss.
Disadvantages Of All-on-4 Dental Implants
All-on-4 dental implants have the following disadvantages:
- Cleaning around the implants and under the fixed bridge can be challenging and requires special oral hygiene tools and techniques.
- Implant failure is likely. All-on-4 dental implants can only be successful with proper placement and integration. Extra surgical procedures will be required if the implant fails to fuse with the jawbone.
- The implant support is limited because the All-on-4 treatment depends on the available bone structure for stability. This cannot work well with people with severe bone loss.
Advantages Of All-on-6 Dental Implants
All-on-6 dental implants have the following advantages:
Treatment Planning Is Flexible
People with varying jawbone conditions might not qualify for All-on-4 dental implants. All-on-6 dental implants suit patients with compromised bone density or prior bone grafting procedures.
Enhances Chewing Efficiency
Extra implants provide additional support, enabling better chewing and enjoying a broader range of diets.
Enhances Stability
All-on-6 dental implants provide increased stability because six implants spread across the jawbone. This reduces the risk of implant failure and provides a more secure bite.
Disadvantages Of All-on-6 Dental Implants
The disadvantages of All-on-6 dental implants include:
Possible Jawbone Resorption
If there are more implants, more pressure will be exerted on the jawbone, which can cause bone resorption over time.
Expensive
The extra implants used in All-on-6 treatment can make it more costly than All-on-4 implants.
Increased Invasiveness
Unlike All-on-4 dental implants, placing six dental implants calls for a more complicated surgical procedure, which results in prolonged healing.
Factors Affecting The Success Of All-on-4 And All-on-6 Dental Implants
The following factors will determine the success of an implant:
The Cost And Treatment Plan
An implant’s budget and treatment plan will vary from one patient to another. All-on-4 dental implants are affordable because of the smaller number of implants required. However, despite the higher cost, you can consider All-on-6 dental implants if you have specific dental needs or desire additional stability.
Oral Health Situation
A person’s oral health, including the condition of the remaining teeth and gums, will influence the choice between All-on-4 and All-on-6 implants. Your dental surgeon can recommend extra treatments before implant placement if you have periodontal disease or extensive tooth decay.
Bone Structure And Density
The jawbone condition is essential in determining if All-on-4 or All-on-6 implants are best for you. All-on-4 and All-on-6 implants can suit you with enough bone structure and density. However, All-on-6 implants will suit you if you have suffered significant bone loss.
Post-Operative Care And Maintenance
Appropriate postoperative care is important for successful results after the implant procedure. You will recover faster if you follow your dentist’s instructions, avoiding certain foods and taking prescribed medications. Regular visits to the dentist will enable the dentist to monitor the integration of the implant and address any issues. Proper oral hygiene is important for preventing complications and ensuring the implant lasts long.
Smoking And Lifestyle Factors
Smoking and other lifestyle factors can negatively influence the success rate of dental implants. Smoking delays recovery and reduces blood flow, increasing the possibility of implant failure. Dentists encourage people to avoid smoking, especially using tobacco, before and after the implant procedure. Maintaining good oral hygiene practices and a balanced diet contributes to the long-term success of dental implants.
Implant Material And Design
The material and design greatly determine the success of a dental implant. Many implants are made from titanium, which is popular for its strength and biocompatibility. Differences in implant design, like shape and surface texture, can also affect the integration of the implant with the jawbone. High-quality dental implants have higher success rates.
Implant Placement And Position
Placing a dental implant is vital for its success. Appropriate positioning enables the dental implant to align with the adjacent teeth and distributes bite forces evenly. Computer-guided implant planning and advanced imaging can increase accuracy and reduce complications. A competent oral surgeon or dentist will consider factors like alignment and bone structure to place the implant properly.
The Procedure Of All-on-4 or All-on-6 Treatment
The following are the steps of All-on-4 or All-on-6 treatment:
Consulting And Preparing For The Procedure
The dental surgeon will prepare a CT scan to determine your current dental health condition on your first visit. Your dentist will choose the appropriate “all-on” treatment based on the CT scan and a personal evaluation. You will be given several options on how to replace your lost teeth based on the findings of your dental surgeon. You should feel free to ask any questions during the consultation if you have any.
Implantation Stage
Your dental surgeon will remove all the remaining teeth and place the implants in one sitting on the day of your scheduled implantation. The surgeon will place two implants in the front of your mouth during an All-on-4 treatment. The dental surgeon will also put two implants at the back of your mouth.
Post-Surgical-Fitting or Temporary Prosthetics
Once a successful surgery has been performed, your dental surgeon will closely monitor your recovery progress and determine when to place the temporary prosthetics. In many situations, the dental surgeon can place a temporary prosthesis within seven days of inserting the implants. Your dental surgeon will, however, do several tests before placing a temporary replacement. The tests will help the dental surgeon place the implants properly and ensure that the entire structure has substantial stability.
Post-Surgical Fitting of Permanent Denture or Bridge
Two to six months after the placement of the implants, your jaw will be ready to receive the final fixed denture or bridge. However, this period can differ from one patient to another because it depends on many factors. Your dentist will determine when you receive the final dental prosthesis if you regularly visit the dentist.
Maintenance And Aftercare Of All-on-4 And All-on-6 Implants
After a successful treatment, you must ensure a long life for your new dental implants or fixed dentures. You will be able to maintain the proper condition of your teeth with regular visits to the dental hygienist and your dentist. Your dentist will guide you on the appropriate care for your new smile.
The Cost Of All-on-4 And All-on-6 Implants
The significant distinction between All-on-4 and All-on-6 implants is the cost. All-on-4 implants are more affordable because you require fewer implants. Their average cost is around $59,000. This cost encompasses restoring the lower and upper jaws with a long-lasting set of hybrid prostheses attached to the implants.
The All-on-4 treatment in the United States can cost between $35,000 and $120,000 for the entire set of teeth and take no more than one year. However, it will also depend on the status of your jawbone and the need for extra treatment like sinus lifts and bone grafting.
You will spend more money on an All-on-6 treatment because it requires two extra implants. The average cost for All-on-6 in the United States is between $40,000 and $140,000. However, the price will differ based on the following:
- Whether your dental insurance helps to meet any of the related costs
- Dental expert, and
- The need for extra procedures
Sometimes, a dentist can provide same-day, long-lasting prosthetic solutions using other affordable materials. However, the cost can differ when comparing prices.
Pain After Undergoing A Dental Implant Procedure
A surgeon will open up the tissue in your mouth during a dental implant surgery. He/she will drill one or more titanium rods into the bone under the gums. This offers a long-lasting root for a replacement false tooth. You will be under local anesthesia during the dental implant procedure and will not feel pain. You can experience pain during recovery, but this will take several days. The good news is that the pain can be managed with medication. You should seek treatment if you have pain that lasts longer than a few days or gets worse.
After dental surgery, a patient can experience some pain or discomfort, but it should not last long. Once local anesthesia wears off, you could experience more acute pain. The pain will be around the dental implant. You could also experience the following symptoms after a dental procedure:
- Jaw pain
- Minor bruising
- Swelling around the face and gums
- Bleeding at the surgery site
Your dental surgeon will guide you on how to manage and reduce pain. Post-procedure care can include:
- Prescription and over-the-counter medication for the pain
- Using ice packs to prevent swelling
- Avoiding hot and hard foods
- Take a rest on the procedure day and subsequent days, depending on how you feel
You will experience temporary pain after a successful dental implant procedure. The pain can linger for three to five days after the procedure. You only need to take painkillers for one or two days.
If you are comfortable, you can return to work the day after the surgery. However, jaw stiffness, bruising, and swelling can last several days. These signs should clear within seven to ten days after the procedure.
Causes Of Throbbing Pain After A Dental Implant Procedure
It is common for a person to experience throbbing pain for a more extended period after a dental implant procedure. You can experience sharp pain some hours after surgery once the anaesthesia wears off. However, the pain should clear with pain medications and time. You can also experience additional pain if you develop complications after the surgery. Your dentist or dental surgeon should review these signs.
Incision Line Opening And Pain
Incision line opening is a common problem after an implant surgery. This occurs when the area around the rod reopens after the dental implant procedure. You will feel irritation or pain following the incision opening. Your dental surgeon will guide you on the number of times you should rinse your mouth with an antibiotic or chlorhexidine solution to prevent infection. You should seek additional medical care if the pain does not fade.
Find a Reputable Implant Dentist Near Me
Missing teeth can affect your confidence, making you shy away from social places. Dental implants are an ideal tooth replacement solution. However, not all people are candidates for dental implants. You must have sufficient bone to support the implants. If you are unsure whether you qualify for dental implants, you should contact an experienced dentist to help you know if you are eligible. Your dentist can recommend All-on-4 or All-on-6 implants, depending on the condition of your jawbone and the implant support needed.
The Hawthorne Dentist has experienced dentists who can handle All-on-4 and All-on-6 implants. It does not matter whether you are missing one or several teeth. We have what it takes to recommend and place the appropriate dental implants. Contact us today for a comprehensive dental assessment and quality dental implant placement. Contact us at 310-775-2557 to speak to one of our dentists.
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