Presenting Clinical Problem
A patient presented to Greenvale Dental House with teeth that were extensively worn, chipped and uneven, along with generalised discolouration. Because the damage was widespread across the arch, All-On-4 was considered to restore the mouth with a fixed prosthesis.
- Multiple chipped and worn teeth across the dentition
- Generalised tooth discolouration and staining
- Uneven tooth appearance and alignment
- Extensive damage indicating comprehensive 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 extent of tooth wear and damage, and restoration options
- Discussion of All-On-4 alongside alternative full-arch treatments
- Assessment of bone quality and quantity for implant placement
Phase 2: Extraction and implant placement
- Removal of the remaining damaged 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 with patient input
- 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 healing capacity, and not everyone is a suitable candidate. Some patients experience complications that need further treatment, and fixed prostheses require regular maintenance and may need adjustment over time. Suitability can only be confirmed at a clinical consultation.
Frequently Asked Questions for Greenvale and Craigieburn Patients
When is All-On-4 chosen over restoring individual teeth?
All-On-4 provides full-arch replacement when extensive wear or damage affects most teeth. It does, however, involve removing the remaining teeth, whereas individual restorations preserve healthy tooth structure. The choice depends on the extent of damage and your individual circumstances.
How long does All-On-4 treatment take?
All-On-4 usually takes several months from consultation to final prosthesis. Implant placement and a temporary prosthesis occur on the first surgical day, followed by roughly three to six months of healing before the final prosthesis is made. The total time varies with individual healing.
What does All-On-4 feel like compared with natural teeth?
All-On-4 improves function compared with missing teeth or dentures, though the sensation differs from natural teeth. The fixed attachment removes the movement associated with dentures, but some awareness of the prosthesis may remain. Chewing improves, without exactly replicating natural teeth.
