Presenting Clinical Problem
A patient presented to Greenvale Dental House with extensive tooth loss across both the upper and lower jaws, together with decay and damage in the remaining teeth. Full-mouth All-On-4 was considered to restore both arches with fixed, implant-supported teeth.
- Extensive tooth loss in both the upper and lower arches
- Significant decay and damage to the remaining teeth
- Functional difficulties with eating and speaking
- Compromised oral health indicating full-arch restoration
Primary objective: full-arch fixed implant restoration of the upper and lower jaws 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 remaining tooth structure and extraction requirements
- Assessment of bone quality and quantity for implant placement
- Discussion of All-On-4 alongside alternative full-arch options
Phase 2: Extraction and implant placement
- Removal of the remaining compromised 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 monitoring of healing and integration
Phase 3: Final prosthesis fabrication and delivery
- Impressions taken for the final fixed prostheses
- Framework and tooth-arrangement design
- Try-in appointments to verify fit, function and appearance
- Delivery of the final upper and lower prostheses and ongoing 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. The patient followed the recommended oral-hygiene practices afterwards.
Individual results vary. Success depends on bone quality, implant integration, oral hygiene and general health, and not everyone is a suitable candidate for full-mouth treatment. Fixed prostheses need regular professional maintenance and may require adjustment or component replacement over time. Suitability can only be confirmed at a clinical consultation.
Frequently Asked Questions for Greenvale and Craigieburn Patients
What is the difference between All-On-4 and other dental implants?
All-On-4 uses four angled implants to support a full arch, whereas some traditional approaches use six to eight implants per arch. The angled placement can make use of available bone and may reduce the need for grafting. Both provide fixed teeth, but the planning, surgery and prosthetic design differ.
Can I eat normally with All-On-4?
All-On-4 usually improves eating function compared with conventional dentures, though some dietary changes may be needed. Very hard, sticky or tough foods may need to be avoided or cut smaller. Chewing typically improves compared with missing teeth or loose dentures, but will not exactly replicate natural teeth.
How do I clean All-On-4 teeth?
Daily cleaning uses specialised brushes and floss threaders around the implant abutments and beneath the prosthesis, and a water flosser can help with harder-to-reach areas. Regular professional maintenance is essential for thorough cleaning and assessment of the implants and prosthesis.
