Presenting Clinical Problem
A patient presented to Greenvale Dental House with multiple broken and chipped teeth across the front of the mouth, along with extensive decay and generalised discolouration. Because the damage affected most of the teeth, All-On-4 was considered to replace the arch with a fixed prosthesis.
- Multiple chipped and broken teeth across the anterior region
- Extensive tooth decay affecting multiple teeth
- Generalised tooth discolouration
- Compromised oral health indicating comprehensive treatment
Primary objective: full-arch fixed implant restoration using the All-On-4 technique.
Treatment Approach
Phase 1: Assessment and treatment planning
- Comprehensive oral examination and radiographic assessment, including a CT scan
- Evaluation of the chipped teeth, extent of decay and remaining tooth structure
- Discussion of All-On-4 alongside alternative treatment approaches
- Assessment of bone quality and quantity for implant placement
Phase 2: Extraction and implant placement
- Removal of the broken and decayed teeth under appropriate anaesthesia
- Surgical placement of four implants using the All-On-4 technique
- Attachment of an immediate temporary prosthesis on the day of surgery
- Post-surgical care instructions and monitoring of healing and integration
Phase 3: Final prosthesis fabrication and delivery
- Impressions taken for the final fixed prosthesis
- Framework and tooth-arrangement design with shade customisation
- Try-in appointment to verify fit, function and appearance
- Delivery of the final All-On-4 prosthesis and ongoing maintenance advice
Clinical Outcome
All-On-4 treatment was completed with four implants placed and a fixed prosthesis delivered after the healing period. Treatment took place across multiple appointments over roughly four months, and the patient followed the recommended oral-hygiene practices afterwards.
Individual results vary. Success depends on bone quality, implant integration and healing capacity, and not everyone is a suitable candidate. Some patients experience complications that need further treatment, and fixed prostheses require regular professional maintenance and daily home care. Suitability can only be confirmed at a clinical consultation.
Frequently Asked Questions for Greenvale and Craigieburn Patients
When is All-On-4 more suitable than repairing individual teeth?
All-On-4 may be more appropriate when multiple teeth have extensive damage, decay or structural compromise. Individual restorations preserve natural teeth where possible, but can be less predictable when most teeth are affected. The choice depends on the extent of damage and your individual circumstances.
Can tooth shade be customised with All-On-4?
Yes. The prosthesis can be customised for tooth shade, shape and arrangement during fabrication, in consultation with your preferences and facial characteristics. The exact shade depends on the prosthetic material and lighting, and a try-in appointment allows this to be checked before final delivery.
What happens to the implants if the prosthesis breaks?
If the prosthesis fractures, the implants usually remain intact in the jaw and the prosthesis can often be repaired or replaced while they stay in place. Any damage should be assessed promptly, and regular professional maintenance helps identify potential issues early.
