Can All-On-4 Replace Missing and Decayed Teeth in Greenvale?

Case Note ID: Dec-2024-AMD
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

• Multiple missing teeth in upper and lower arches
• Extensive tooth decay affecting remaining dentition
• Functional difficulties with eating and speaking
• Compromised oral health requiring full arch restoration
• Primary objective: Upper and lower full arch fixed implant restoration using All-On-4

Treatment Plan & Clinical Process

Phase 1: Assessment and Treatment Planning

• Comprehensive oral examination and radiographic assessment including CT scan
• Evaluation of missing teeth, remaining tooth structure and decay extent
• Bone quality and quantity assessment for implant placement
• Discussion of All-On-4 treatment process, timeframes and expectations
• Treatment planning for upper and lower All-On-4 placement

Phase 2: Extraction and Implant Placement

• Removal of remaining decayed 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
• Regular assessment of implant integration during healing period

Phase 3: Final Prosthetic Fabrication and Delivery

• Impression taking for final fixed prosthesis fabrication for both arches
• Framework and tooth arrangement design
• Try-in appointments for fit, function and aesthetic verification
• Final All-On-4 prosthesis delivery for upper and lower arches
• Post-delivery care instructions and long-term 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. Treatment required multiple appointments over several 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 systemic health. Not all patients are suitable candidates for dual arch treatment. Fixed prostheses require regular maintenance and may need adjustment over time. No guarantees can be made about specific outcomes for any individual patient.

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 performed in single surgery or staged across appointments depending on patient health and treatment complexity. Single surgery reduces total time but involves longer procedures. Staged approach allows recovery between surgeries but extends timeline.

How do I eat during All-On-4 healing?

Immediate temporary prostheses allow soft foods shortly after surgery, though dietary restrictions apply during initial healing. Hard, sticky, chewy or very hot foods should be avoided for several weeks. Gradual food reintroduction occurs as healing progresses.

What maintenance does All-On-4 require?

All-On-4 requires daily home care using specialised brushes, floss threaders and water flossers to clean around implants. Regular professional maintenance (typically every 3-6 months) is essential for thorough cleaning and implant assessment. Professional maintenance supports long-term success.