Presenting Clinical Problem
A patient presented to Greenvale Dental House concerned about a failing dentition that was affecting everyday eating and speech. Clinical examination recorded a mix of missing, misaligned and decayed teeth.
- One missing tooth
- Several misaligned teeth
- Significant tooth decay
- Difficulty chewing and speaking
Treatment Approach
After reviewing the extent of decay and misalignment, the treating dentist, Dr Fong, discussed the options for replacing multiple compromised teeth. A full-arch All-On-4 approach was considered — a fixed set of replacement teeth supported by four implants, which avoids a removable plate.
The plan involved:
- Extraction of the decayed and misaligned teeth
- Placement of four implants positioned to support a full arch
- A custom-designed fixed arch shaped for chewing and appearance
All-On-4 is not suitable for everyone. Whether it is appropriate depends on bone volume, gum health and general health, and it carries the usual surgical risks of implant treatment. Results vary from person to person and suitability needs a clinical consultation.
Clinical Outcome
Once healing was complete, the fixed arch gave the patient a stable bite and the ability to chew a wider range of foods than before treatment. The replacement teeth were designed to feel secure and look natural, and the patient reported easier speech. Outcomes of this kind depend on the individual and are not guaranteed.
Missing or failing teeth can also be addressed in other ways — for example a smile makeover combining several treatments — depending on how many teeth are involved.
Frequently Asked Questions
Can you eat normally with All-On-4 implants?
Because the arch is fixed to implants rather than resting on the gums, many people can chew a broader range of foods than they could with a loose plate. Your dentist will guide you on when to reintroduce firmer foods as the implants heal.
Does All-On-4 replace every tooth?
All-On-4 replaces a full arch — the upper jaw, the lower jaw, or both. Where only one or a few teeth are missing, single or multiple implants may be more appropriate.
