Can All-On-4 Restore Chipped and Decayed Teeth in Greenvale?

Case Note ID: Dec-2024-ACD
Location: Greenvale Dental House (serving Greenvale, Craigieburn, Roxburgh Park, Coolaroo, Attwood)
Primary Treatments: All-On-4 Plus Full Arch Restoration
Supporting Technology: Implant Placement Systems, Fixed Prosthetic Frameworks

Presenting Clinical Problem

• Multiple chipped teeth across anterior region
• Extensive tooth decay affecting multiple teeth
• Generalised tooth discolouration
• Compromised oral health requiring comprehensive treatment
• Primary objective: Full arch fixed implant restoration using All-On-4 technique

Treatment Plan & Clinical Process

Phase 1: Assessment and Treatment Planning

• Comprehensive oral examination and radiographic assessment including CT scan
• Evaluation of chipped teeth, decay extent and remaining tooth structure
• Discussion of All-On-4 versus alternative treatment approaches
• Bone quality and quantity assessment for implant placement
• Treatment planning for full arch All-On-4 restoration

Phase 2: Extraction and Implant Placement

• Removal of chipped and decayed teeth under appropriate anaesthesia
• Surgical placement of four implants using All-On-4 technique
• Immediate temporary prosthesis attachment on day of surgery
• Post-surgical care instructions and healing monitoring
• Assessment of implant integration during healing period

Phase 3: Final Prosthetic Fabrication and Delivery

• Impression taking for final fixed prosthesis fabrication
• Framework and tooth arrangement design with shade customisation
• Try-in appointment for fit, function and aesthetic verification
• Final All-On-4 prosthesis delivery and attachment to implants
• Post-delivery care instructions and maintenance protocols

Clinical Outcome

All-On-4 treatment was completed with four implants placed and fixed prosthesis delivered following healing period. Treatment required multiple appointments over approximately four months. The patient maintained appropriate oral hygiene practices following treatment completion.

Individual All-On-4 outcomes vary significantly. Success depends on bone quality, implant integration and healing capacity. Fixed prostheses require regular professional maintenance and daily home care. Some patients experience complications requiring additional treatment. No guarantees can be made about specific outcomes for any individual patient.

Frequently Asked Questions for Greenvale and Craigieburn Patients

When is All-On-4 better than fixing individual teeth?

All-On-4 may be more appropriate when multiple teeth have extensive damage, decay or structural compromise. Individual restorations preserve natural teeth when possible, but may be less predictable when most teeth are affected. Treatment selection depends on extent of damage and individual circumstances.

Can tooth shade be customised with All-On-4?

All-On-4 prostheses can be customised for tooth shade, shape and arrangement during fabrication. Shade selection occurs in consultation with patient preferences and facial characteristics. However, exact shade outcomes depend on prosthetic material and lighting conditions. Try-in appointments allow shade verification before final delivery.

What happens to the implants if the prosthesis breaks?

If All-On-4 prosthesis breaks or fractures, the implants typically remain intact in the jaw bone. Prosthesis can often be repaired or replaced whilst implants remain in place. However, prosthesis damage requires prompt assessment to prevent complications. Regular professional maintenance helps identify potential issues before failures occur.