Presenting Clinical Problem
A patient presented to Greenvale Dental House with multiple missing teeth across both the upper and lower jaws, together with decay in the remaining teeth. Upper and lower All-On-4 was planned to restore both arches with fixed prostheses.
- Multiple missing teeth in the upper and lower arches
- Extensive decay affecting the remaining teeth
- Functional difficulties with eating and speaking
- Compromised oral health indicating full-arch restoration
Primary objective: upper and lower 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 missing teeth, remaining tooth structure and extent of decay
- Assessment of bone quality and quantity for implant placement
- Discussion of the All-On-4 process, timeframes and expectations
Phase 2: Extraction and implant placement
- Removal of the remaining decayed teeth under appropriate anaesthesia
- Surgical placement of four implants per arch using the All-On-4 technique
- Attachment of immediate temporary prostheses on the day of surgery
- Post-surgical care instructions and regular monitoring of integration
Phase 3: Final prosthesis fabrication and delivery
- Impressions taken for the final fixed prostheses for both arches
- Framework and tooth-arrangement design
- Try-in appointments to verify fit, function and appearance
- Delivery of the final upper and lower prostheses and long-term maintenance advice
Clinical Outcome
All-On-4 treatment was completed for both the upper and lower arches, with four implants placed per arch and fixed prostheses 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 general health, and not everyone is a suitable candidate for dual-arch treatment. Fixed prostheses need regular 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 both upper and lower All-On-4 be done at the same time?
Dual-arch All-On-4 can be carried out in a single surgery or staged across appointments, depending on your health and the complexity of treatment. A single surgery reduces the overall timeline but involves a longer procedure, while a staged approach allows recovery between surgeries.
How do I eat during All-On-4 healing?
Immediate temporary prostheses allow soft foods soon after surgery, with dietary restrictions during early healing. Hard, sticky, chewy or very hot foods should be avoided for several weeks, and foods are gradually reintroduced as healing progresses.
What maintenance does All-On-4 require?
All-On-4 needs daily home care with specialised brushes, floss threaders and water flossers to clean around the implants, plus regular professional maintenance, typically every three to six months, for thorough cleaning and assessment. This ongoing care supports long-term results.
