What is „All-on-4“and why is it offered?

Our patients often ask us if there is an alternative to dentures if they are missing multiple teeth on one or both of their jaws. Unfortunately, more and more young people are facing this problem. The answer is – yes, there is such a reliable and good alternative to dentures and it is “All-On-4”
As can be seen from the name itself, „All- On-4“ is a registered trademark. This technique for placing fixed dentures was developed by Professor Palo Malo from Portugal in cooperation with the implant manufacturer Nobel Biocare after years of clinical research and numerous observations of the process before it was established as a reliable one with a specific and strict protocol. We say all this because, unfortunately, there are many procedures being offered that claim to be “All On 4” but have not actually received the necessary credibility to do so. It is true that only five Bulgarian dentists have passed such training in Portugal in the clinic of professor Palo Malo. And the only one of these five who uses the latest digital protocol developed by them is Dr. Parusheva.

 

What is this procedure?

In short, it is the placement of four implants in specific places in the jaw, as the back ones being specific and placed at a 45-degree angle and a bridge fixed over them. It can be most easily represented by the following picture.

When is it necessary and what is the advantage of All On 4 over the traditional way of placing several implants?

Sometimes patients have too many, if not all, missing teeth. Then the usual way is to place a removable denture with all its inconveniences, when eating or to place multiple implants – purely logical, reaching up to 15 per jaw. Very often, the lack of teeth is accompanied by a lack of bone, necessary for the placement of all these implants. Thus, practically the only alternative for such clinical cases is “All-On-4”. Moreover, the less invasive surgery means that the recovery and rehabilitation time is significantly shorter. Fewer implants also make it possible to avoid bone reduction to the maximum extent (posterior implants are placed at 45 degrees and this is how it is achieved greater strength of the structure). Last but not least, the presence of four implants gives greater flexibility for the design of the teeth and their construction and fit in the patient’s mouth.

The permanent construction on the implants:

Advantages of the digital protocol in All On 4™

The main advantage is the accuracy down to the micron and the predictability of the result. Intraoral scanning also helps creating a faster and more accurate bridge over the implants. This allows the patient to have, albeit temporary teeth, ready the very next day or even the same day. Last but not least, of course, is the creation of the dream smile through a DSD ( Digital Smile Design).

Surgical guide for “All-On-4”:

Even greater comfort with anesthesia

Many patients are worried about the longer dental surgery and the work of placing the four implants. That is why at our Dental clinic Dr. Parusheva, the procedure is performed with sleep anesthesia. Thus, the patient is provided with the necessary psycho-emotional comfort during the procedure in the presence of an anesthesiologist with all the necessary monitoring and the most modern anesthesia equipment.

Dental Clinic label

 София, кв. “Оборище”,

ул. “Васил Друмев” 4 

тел: 0899915986

office@dr-parusheva.com

dr-parusheva@dr-parusheva.com

Dental Clinic label

 София, кв. “Оборище”,

ул. “Васил Друмев” 4 

тел: 0899915986

office@dr-parusheva.com

dr-parusheva@dr-parusheva.com