Presenting Clinical Problem
A retired patient presented to Greenvale Dental House with widespread decay and multiple missing teeth that were making eating and speaking increasingly difficult.
- Widespread tooth decay
- Multiple missing teeth
- Difficulty eating and speaking
Treatment Approach
After an initial consultation and examination, the treating dentist, Dr Fong, assessed whether the patient was a candidate for a full-arch All-On-4 restoration. Because the remaining natural teeth could not be preserved, the plan was to remove them and place a custom set of prosthetic teeth on four positioned implants.
- Removal of the remaining, unpreservable teeth
- Placement of four implants to support a full arch
- Adjustments for function and appearance
Who is a candidate for All-On-4?
Candidacy depends on factors such as the amount and quality of jawbone, gum health, general and medical health, and habits like smoking. Age alone does not decide suitability. A consultation with examination and imaging is needed to assess whether All-On-4 is appropriate, and results vary between people.
Clinical Outcome
This patient’s care was staged over roughly nine months, with regular appointments during treatment. The full-arch restoration supported eating and speaking and was shaped to look natural. Treatment timelines and outcomes differ from person to person.
A thorough examination is the starting point for assessing suitability, and more complex cases can be planned as part of a wider smile makeover.
Frequently Asked Questions
Who is suitable for All-On-4 implants?
Suitability is assessed case by case and depends on jawbone volume, gum health, general health and lifestyle factors rather than age alone. Some patients need preparatory treatment first, and a consultation with imaging is needed to confirm candidacy.
How long does All-On-4 treatment take?
Timelines vary. From assessment to the final bridge, treatment often spans several months to allow for healing and integration; this case took around nine months. Your dentist can outline a likely timeline for you.
