Planning Your Procedure
Before we begin your All-on-4 procedure, we start with a consultation that includes a discussion of your restoration goals and an examination of your current teeth and/or gums.
We’ll listen to your restoration goals and make sure that All-on-4 will be able to meet them. Because All-on-4 provides a high degree of function, it really is a good procedure for most people, but it’s important to understand the benefits and limitations of the procedure before we move forward.
Next, we will examine your teeth and/or gums to make sure you will be able to get All-on-4. We’ll check for gum disease, and make sure that you have adequate bone density to support the dental implants. To make sure about the bone levels, we will use CT scans, which construct a 3D image of your jawbone, allowing us to precisely plan the placement of the implants.
If you still have some teeth, we will take an impression of them to design your denture. This is especially important if you are just getting one arch done and have opposing teeth that we will need to harmonize the new denture with.
Just One Day for a Brand New Smile
Your All-on-4 procedure can usually be completed in a single day. Usually, you will be under heavy sedation for the procedure. When you are put under, you will have your old teeth. When you come to consciousness again, you will have your new teeth.
First, we will remove any remaining teeth. All-on-4 can only be used to replace a full arch of teeth. Next, we will place the four implants.
Two of the implants are straight up-and-down implants, but two of them are angled to maximize contact between the implant and the bone. These angled implants are a major part of All-on-4’s success. They allow for more support further back in the arch, and they allow us to capitalize on the bone you have. That’s why most people can get All-on-4 without a bone graft, even though they might have been told they need one for other implant dentures.
Once the dental implants are placed, we will fit the provisional denture–which we designed using the impressions we took during consultations. The provisional denture–also called a healing denture–will be fully secured to your dental implants. You won’t have to remove it for cleaning.
Sometimes, we may not do the final fit for this provisional denture on the same day, depending on whether you’ve recovered sufficiently from anesthesia to allow us to gauge your bite.
Recovery and Final Denture
The healing denture protects your surgical site and helps stimulate the building of bone around the dental implants. It also helps you adjust to the denture. Although it’s less dramatic a change than going to traditional dentures, it will still feel different.
During follow-up appointments, we will check on the healing of your teeth and implants. We will also talk about whether you want to have a fixed or removable restoration for your final denture. Then we will design the final denture. While the healing or provisional denture is mostly plastic, the new denture will be made of an advanced ceramic that can be reinforced with titanium to stand up to the toughest chewing situations.
To get started with your All-on-4 procedure in Westchester County, please call (914) 352-5175 for an appointment at Advanced Dentistry of Mohegan Lake.