Presenting Clinical Problem
A patient presented to Greenvale Dental House with a combination of missing and heavily discoloured teeth across both the upper and lower jaws, which had gradually affected chewing and oral hygiene.
- Missing teeth
- Discoloured teeth
- Difficulty eating and maintaining oral hygiene
Treatment Approach
The treating dentist, Dr Fong, carried out a full examination and discussed the options for replacing multiple teeth in both arches. An All-On-4 Plus approach was considered for a full fixed arch on the top and bottom.
Because both arches were involved, the plan covered:
- Removal of the discoloured and unsalvageable teeth
- Placement of implants to support a full fixed arch in each jaw
- Custom full-arch prostheses designed for function and a natural appearance
Treating both arches is a larger undertaking than a single arch and is not right for everyone. Suitability depends on bone, gum health and general health, the treatment carries surgical risks, and results vary — a clinical consultation is needed to assess candidacy.
Clinical Outcome
After treatment, both arches were restored with fixed full-arch prostheses. The result supported a return to eating a wider variety of foods and was shaped to look natural. This reflects one patient’s course of care; individual outcomes differ and cannot be guaranteed.
Replacing discoloured or uneven teeth can also form part of a broader smile makeover, depending on the clinical picture.
Frequently Asked Questions
Can All-On-4 treat both the upper and lower jaw?
Yes. All-On-4 can restore a single arch or both arches, with a separate set of four or more implants supporting each fixed bridge. Treating both jaws is a larger procedure planned in stages.
What is All-On-4 Plus?
All-On-4 Plus is a full-arch implant protocol in which the number and position of implants is planned case by case. Your dentist will explain what is proposed for your situation.
