Can All-On-4 Restore Multiple Missing Teeth in Greenvale?

Case Note ID: Dec-2024-AOF
Location: Greenvale Dental House (serving Greenvale, Craigieburn, Roxburgh Park, Coolaroo, Attwood)
Primary Treatments: All-On-4 Plus Upper and Lower Arches
Supporting Technology: Implant Placement Systems, Fixed Prosthetic Frameworks

Presenting Clinical Problem

• Extensive tooth loss in both upper and lower arches
• Significant tooth decay and damage to remaining dentition
• Functional difficulties with eating and speaking
• Compromised oral health requiring full arch restoration
• 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 remaining tooth structure and extraction requirements
• Bone quality and quantity assessment for implant placement
• Discussion of All-On-4 versus alternative full arch restoration options
• Treatment planning for upper and lower All-On-4 placement

Phase 2: Extraction and Implant Placement

• Removal of remaining compromised teeth under appropriate anaesthesia
• Surgical placement of four implants per arch 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
• 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 for both upper and lower arches with four implants placed per arch. Fixed prostheses were delivered following healing period. The patient maintained appropriate oral hygiene practices following treatment completion.

Individual All-On-4 outcomes vary significantly. Success depends on bone quality, implant integration, oral hygiene and systemic health. Not all patients are suitable candidates for All-On-4 treatment. Fixed prostheses require regular professional maintenance and may need adjustment or component replacement over time. 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

What is the difference between All-On-4 and regular dental implants?

All-On-4 uses four angled implants to support a full arch of replacement teeth, whilst traditional implant approaches may use six to eight implants per arch. The angled implant placement in All-On-4 can avoid areas of low bone density, potentially eliminating bone grafting requirements. Both approaches provide fixed tooth replacement, though treatment planning, surgical technique and prosthetic design differ between methods.

Can I eat normally with All-On-4?

All-On-4 prostheses allow improved eating function compared to conventional dentures, though some dietary modifications may be required. Hard, sticky or very tough foods may need to be avoided or cut into smaller pieces. Chewing function typically improves significantly compared to missing teeth or loose dentures, though will not replicate natural dentition exactly. Adaptation period varies between patients.

How do I clean All-On-4 teeth?

All-On-4 prostheses require daily cleaning using specialised brushes and floss threaders to clean around implant abutments and beneath the prosthesis. Water flossers can assist with cleaning difficult areas. Regular professional maintenance appointments are essential for thorough cleaning and assessment. Proper home care combined with professional maintenance helps maintain implant and prosthesis longevity.