All-on-4 is a permanent tooth replacement solution for those who need a full arch, whether upper or lower. Since it’s a permanent solution, it’s easier to maintain. It can be treated like your natural teeth and only be removed by the dentist.
In Pearland, Texas, Dr. Afroz Burges can handle all your tooth replacement needs, including All-on-4. She has been providing excellent dental care for more than 20 years for patients in Pearland and around.
The cost of All-on-4 is a lot less than restoring a full arch with single dental implants, and since there are only four rods, recovery is easier.
All-on-4 is typically recommended for patients who are either missing a full arch or the arch is too damaged to be repaired. This also works well for patients who have a bone loss because it doesn’t require as much bone to support the restoration. In fact, many times, a bone reduction procedure is required to make room for the prosthesis.
If you’ve had traditional dentures for some time and they’re not ideal, All-on-4 may be a great alternative. Some patients can’t get adjusted to the bulkiness of a traditional denture and a single artificial tooth may be too bulky.
Basically, the benefits of All-on-4 include:
Schedule your consultation today with Dr. Burges and the team to determine if All-on-4 is an appropriate treatment for your tooth loss.
The expense of any surgical procedure stems from the expertise of the dental surgeon and the complexity of the procedure. Apart from this, there are various other reasons to choose oral surgeons over other dentists to perform these type of surgeries.
The cost of All-on-4 typically ranges from $15,000 to $28,000, with the average cost being around $21,000. It’s important to understand this is the base cost and it does not include any additional procedures such as the initial consultation or extractions.
The final cost of All-on-4 depends on the condition of your mouth and the materials used. Of course, no matter what, the cost is typically much less than the cost of individual implants to replace a full arch.
We do accept a variety of insurance plans and will work with your insurance company to determine whether they cover All-on-4 treatment. We also accept cash or credit and for patients who qualify, we accept CareCredit, a medical financing option.
In the preliminary stages, All-on-4 is similar to traditional dental implants. However, the surgery itself is a bit different:
The initial meeting with Dr. Burges is like a regular exam. At this time, you can ask any questions or bring up any concerns. She and the team will work with you to build a treatment plan. X-rays will be taken to ensure optimal placement of implants and, if necessary, extractions will be scheduled.
This step will differ for each patient based on their personal needs. The most common mouth prep procedures include periodontal treatment and extractions. If you have active periodontitis, you may experience infection and failure of your dental implants.
If you do have periodontitis, Dr. Burges may perform scaling and root planing or the contaminated teeth may be extracted. An impression will be taken so that your denture will be ready as soon as the rods are implanted.
Typically, patients are placed under local anesthesia for the All-on-4 procedure. If you need sedation dentistry, make sure that you let the team know during the initial consultation so it can be included as part of your treatment plan.
A total of four implants will be placed in your jawbone. Two will be in the front and two in the back at a 45° angle. This will provide the stability needed to support an entire fixed arch.
Depending on the condition of your mouth, Dr. Burges may fit your denture the same day but if this is not possible, you will be sent home with the implants and possibly a temporary denture. In this case, your prosthesis will be mounted 3 to 6 months later once healing has been completed.
Just like with other surgical procedures, the All-on-4 implant procedure comes with some risks. Dr. Burges helps you detect and avoid the following issues. If you are facing any discomfort, Dr. Burges will examine your mouth and determine if there’s something that needs to be fixed.
Since the prosthesis covers the gums, patients who have All-on-4 often don’t realize how strongly they are biting. This leads to harder chewing, which wears down the prosthetic teeth prematurely and can even cause implants to break. This is known as proprioception.
The second potential issue is known as parafunction and is caused by bruxism. This is primarily an issue if only one arch is done. Your opposing teeth may become damaged because of the jaw clenching.
Some patients struggle to adapt to the prosthesis in their mouth, which typically clears up within a few weeks. Some patients find this annoying. An expert implant dentist walks them through this time.
Since gums are covered by the prosthesis, it can be difficult to remove food debris and bacteria. This shouldn’t happen if the prosthesis is placed correctly. Dr. Burges has been trained in All-on-4 treatment, as well as other tooth replacement options. She is an expert and you’re less likely to experience this issue. Brushing your teeth and cleaning your mouth daily can help prevent this issue as well.
In some cases, All-on-4 issues lead to implant failure. This could be a complication with any implant-based solution. The average failure rate of dental implants is low- around 5% and can be prevented by practicing proper aftercare, oral hygiene, and eating soft foods as recommended.
There are several questions that come up often in our initial consultations, including:
How long does All-on-4 last?
With proper care, All-on-4 should last 10 to 15 years. This means that you visit the dentist twice yearly for a professional cleaning. Dr. Burges may remove the prosthesis to clean it outside of your mouth. Optimally, dental implants should last for the rest of your life, unless something goes seriously wrong, you shouldn’t have to remove them.
Is All-on-4 painful?
The All-on-4 procedure is similar to the placement of multiple dental implants. Typically, All-on-4 is done under local anesthesia and traditional implants require total sedation. If you need sedation, let the team know during the initial consultation so they can put it in your treatment plan.
What is recovery from All-on-4 surgery like?
Recovery time from All-on-4 surgery is fairly straightforward. Most patients are able to return to work within a few days. Full recovery may take less than the typical 8 months required for traditional dental implants. You may have some symptoms similar to those associated with traditional dental implants, including gum tenderness, oozing and bleeding, and swelling.
How do you clean All-on-4?
You will brush your All-on-4 denture twice daily just as you would your natural teeth with a soft-bristled toothbrush. You can use a manual or electric brush. You should also be flossing or using a water flosser just as you would with your natural teeth. The most important part of care is regular checkups and cleanings.
Does All-on-4 look real?
Since the prosthesis covers your gums, you may feel that it doesn’t look completely natural. However, it’s not likely that anyone will be able to notice the difference. All-on-4 looks more natural than traditional dentures.
If you are interested in learning more about All-on-4 and using it as a treatment for your tooth loss, contact the office today and schedule your consultation with Dr. Afroz Burges DDS, PA. She and the team will meet with you to help you learn more about your options and what you can expect with All-on-4 treatment.