Presenting Clinical Problem
A patient presented to Greenvale Dental House with multiple missing teeth in both the front (anterior) and back (posterior) regions of the arch, which made eating and speaking difficult. All-On-4 was considered as a way to replace multiple missing teeth with a single fixed prosthesis.
- Multiple missing teeth in anterior and posterior regions
- Functional difficulties affecting eating and speaking
- Aesthetic concerns from tooth loss in visible areas
- Compromised oral health indicating full-arch restoration
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 missing-teeth distribution and remaining tooth structure
- Assessment of bone quality and quantity for implant placement
- Discussion of the All-On-4 process and expected outcomes
Phase 2: Extraction and implant placement
- Removal of any remaining compromised 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
- 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 several months, and the patient followed the recommended oral-hygiene practices afterwards.
Individual results vary. Success depends on bone quality, implant integration and oral-hygiene maintenance, and not everyone is a suitable candidate. Fixed prostheses need regular professional maintenance and may require adjustment over time. Suitability can only be confirmed at a clinical consultation.
Frequently Asked Questions for Greenvale and Craigieburn Patients
Can All-On-4 replace both front and back teeth?
Yes. All-On-4 provides full-arch replacement, including anterior and posterior teeth. Four implants support a complete arch, restoring function across the whole jaw regardless of where teeth are missing.
Will All-On-4 look natural?
The prosthesis is customised for tooth shade, shape and arrangement, and can be designed to complement your facial features. Perceptions of appearance vary between individuals, and a try-in stage allows this to be checked before final delivery.
How soon can I use my new teeth after surgery?
An immediate temporary prosthesis is typically fitted on the day of surgery, allowing soft foods soon after, with dietary restrictions during early healing. The final prosthesis is usually delivered after three to six months, when the diet is gradually broadened.
