REPLACING SEVERAL MISSING TEETH

All-On-4

All-On-4 dental implants, also known as teeth in a day are used to support a full denture bridge. The All-On-4 dental implants is a procedure that can replace all your teeth in a day, giving you a novel smile.

When in comparison with separate implants, All-On-4 Dental Implants are an stellar alternative as fewer implants are used and the procedure is done faster and hence, making it cost-efficient in the long run.

They are especially suitable for patients who are missing multiple teeth in a row and would like to have all of them replaced in one hassle-free, seamless procedure.

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What is an All-On-4 Dental Implant?

What is an All-On-4 Dental Implant?

All-On-4 Dental Implants, also known as pro-arch, teeth-in-a-day or full mouth implants, is a method where 4 or 6 implant fixtures are placed into each jaw at one go.

Within the same day, a bridge prosthesis will be fitted over each fixture, linking up with your jawbone to provide you with a full set of teeth in a day.

Anyone who is due for an extraction is eligible for an All-On-4 Dental Implant.

All-On-4 would be an ideal option for you if you are looking to replace multiple missing teeth with lesser downtime as compared to multiple implants or if you have teeth that your dentist has deemed irreparable.

People who opt for All-On-4 dental implants share of the similarities:

Loss of their teeth
Bone loss in the jaw area
Terminal dentition (Where teeth have a hopeless prognosis and must be replaced with something novel)
Dentures

All-On-4 Procedure

Stage 1: Consultation

Detailed Exploration of Concerns

When you attend your consultation at Nuffield Dental, our team of dentists will discuss all your concerns regarding the procedure and ultimately, if you are suitable for an All-On-4 surgery.

Full Dental Assessment

Our dentist will thoroughly examine your general health, as well as the condition of your teeth and gums. This may include having to take some X-rays and CBCT scans (Cone-beam computed tomography). The CBCT Scan is a medical imaging technique to consisting of X-ray computed tomography. A divergent pyramidal- or cone-shaped source of ionizing radiation is directed through the middle of the area of interest onto an area x-ray detector on the opposite side, as sometimes an X-ray may not be able to give a specific area that requires scanning a specific image. These steps are taken to assess your suitability for the All-On-4 dental implants procedure or other treatment options.

Individualised Treatment Plan

Our dentists will hereafter thoroughly explain your condition, the benefits and risks of each of the possible options, and tailor a final treatment plan after consulting with you.

Stage 2: All-On-4 Procedure

Anaesthesia

Before commencing, the relevant areas will be completely numbed with local anaesthetic so that you will not feel any pain at all during the whole procedure, solely slight pressure or vibrations.

All-On-4 Dental Implant Procedure

Our dentist will first carry out any necessary extractions of the relevant teeth. Thereafter, he or she will precisely place suitably-sized All-On-4 implant fixtures into your jaw bone.

Interim All-On-4 Dental Implant Bridge Prostheses

Our in-house laboratory will then proceed to custom-make your interim All-On-4 dental implant bridge prostheses. These will be fitted to your implant fixtures in the same sitting, successfully restoring your smile, form, and function on the same day.

Stage 3: Post-operative

Your body requires a few days to accept the implant. You will then be required to come down for a second appointment for the dentist to access the healing process.

Watch Dr. Samintharaj Kumar explain he process of All-On-4 Dental Implants here:

A bridge will be inserted into the patient's mouth.
However should all of the above treatment plan be unsuitable for you due to jawbone loss(as this treatment differs depending on the needs of the individual) sometimes you may require a Zygomatic Implant. This implant is suitable for patients who have severe bone loss or lack of bone volume in the upper jaw but still want dental implants.

Benefits Of All-On-4 Dental Implants

Benefits of All-On-4 Implants

All-On-4 implants look and feel like your natural teeth. They provide an efficient and effective way to replace a full-arch of teeth overnight.
Permanent Solution. Unlike dentures that could risk falling out mid-way through a day, All-On-4 poses as a long-term solution.
Convenience. Instead of having to remove dentures, All-On-4 works like your own natural set of teeth and requires no sticky dental adhesive.

Durable and Long-Lasting. Once your All-On-4 implants are successfully fused into your jaw bone, these implants are known to last a lifetime with proper maintenance and care.
Completion in one surgery. The entire All-On-4 surgery is done in one single surgery, which means less discomfort that you would have to experience.
Fewer implants installed. This in turn would be cost-efficient as compared to single dental implants in the long run, and this would also mean lesser downtime after the overall surgery.

Risks Of All-On-4 Dental Implants

Risks of All-On-4 Dental Implant

Anaesthesia associated risks.
As with all surgeries, this is highly dependent on the health related risks that come along with an individual. This would mean any pre-existing conditions that would be declared upon the first consultation with Nuffield dentists. However, anaesthesia problems are deemed rare and usually can be avoided with a transparent discussion with your dentist.
Implant failure. This happens when your body rejects the implant, which also means that your jaw bone is unable to fuse with the All-On-4 implant.

Risk of infection. Any type of surgery could run a risk of infection, however, the risks for infection can be cut down with proper aftercare. The type of infection to look out for in this specific case would be peri-implantitis, which is a type of infection associated with implants. Symptoms associates with Peri-implantitis is as follows;

Bleeding or pus.
A fever.
Throbbing pain.
Redness and swelling in the gums.
Bad breath.
Difficulty chewing your food.
The implant feels loose. Getting help for this is critical, you can reach any of our Nuffield panel of dentists here at +65 9839 7363.

All-On-4 Dental Implant Cost

With scientific studies and researches done in referred journals recording the success rate of the All-On-4 procedure, this particular dental treatment is beginning to gain traction. This specific treatment's advantage happens to cost-friendly than other protocols as it uses fewer implants as it avoids bone grafting, henceforth saving you a significant amount of money. So, how much does it cost to do an All-On-4 Dental implant prosthesis?

It is easier to estimate the cost of the All-On-4 treatment plan than the traditional full-mouth implant surgery. In Singapore, a single arch implant cost ranges from S$12,000 - S$36,000. These are the minimum cost range for the procedure, and the cost is highly variable on the needs of an individual. However at Nuffield, you can claim up to S$5700 for the entire procedure, this is dependent on the type of treatment that the dentist prescribes.

All-On-4 Recovery And Maintenance

What to expect after All-On-4 Dental Implants

Dr. Samintharaj Kumar explains the follow-up on the All-On-4 Dental Implant procedure:

Here at Nuffield, our panel of providers usually make a follow-up appointment at the 1-week mark to check if the bridge has been cleaned properly. This is followed by the 2 week mark where the bridge and stitches are removed. At the 8 week mark is where the healing begins and if everything is healthy. Finally at the 6-month mark is where the final bridge is made.

Some of the side effects that patients have experienced after All-On-4 procedure are:

Discomfort or swelling where the implants are located.
Bleeding at the implant area.
Difficulty adapting to bridge bulk. This may affect speech for certain individuals temporarily.
Sore throat.
Jaw discomfort or a stiff jaw.

These side effects usually last for a week or two, and these side effects can be alleviated with medication issued by your dentist.

Maintenance Of All-On-4

Dr.Samintharaj Kumar on the recovery process for All-On-4 Dental Implants:

After your surgery, it is strongly advised to take a week off your normal day to day routine to ensure smooth recovery as swelling ensues. Bruising sometimes occurs but it disappears after 3-5 weeks. According to patients, pain is minimal but again this differs as well.

Maintenance of your All-On-4 Dental Implants is essential for to ensure longevity. Tips on how to maintain your All-On-4 implants are as such:

Consistently maintain excellent oral hygiene.
Maintain good gum health.
Regularly have dental check-ups.
Do not place excessive biting forces on the implant due to a dysfunctional bite or by grinding their teeth.
Do not smoke.

All-On-4 FAQs

Is the All-On-4 Dental Implant procedure painful?

Hear about it from Dr.Samintharaj Kumar:

Patients are known to have issues with bruising and swelling after the procedure, which typically goes away after a while. The pain from All-On-4 Dental Implants is lesser known from the patients who have done their procedure at Nuffield.

How long can my All-On-4 Dental Implant last me?
All-On-4 dental implants use the same technology as traditional implants such that when the All-On-4 dental implants fuse with the patient’s bone during the healing process, they will have a lifespan that is similar to traditional implants. Vast majority of dentists agree that patients can expect All-On-4 dental implants to last at least 20 to 25 years, with the potential to last the duration of the patient’s life.
How long does the All-On-4 procedure take?
The surgery itself takes about 2 - 2.5 hours per jaw(or per arch).

How do All-On-4 dental implant compare to traditional implants?
The All-On-4 dental implant technique uses solely four implants per arch, whereas traditional implants use anywhere from six to eight implants or in each arch. The implants of the All-On-4 procedure are also placed at an angle, which allows for increased contact by using the natural support of your bone. In addition, the All-On-4 procedure requires no bone grafting for many patients, which is common in traditional implant procedures.

Can I just do an All-On-4 Dental Implant for one arch? What if I someday need All-On-4 Dental Implant on both arches?
All-On-4 dental implants can be placed on just the upper or lower arch. An implant provider will evaluate your circumstance and if they feel you might eventually need replacement teeth on both the upper and lower arches, they may suggest performing the procedure on both arches at the same time. This provides enhanced results while also saving time and money. Your doctor will work with you to determine what best meets your health needs and financial situation.
What is the recovery time for my All-On-4 Dental Implant?
The downtime for the All-On-4 Dental implant process differs with each individual. The sedation should wear off in approximately 4-5 hours, after which the healing period would be about 3-5 weeks. People take about 6-8 months for the implants to be integrated with the jawbone.

Why Choose Nuffield Dental?

Nuffield Dental is a one-stop, multi-disciplinary dental care centre. At Nuffield, we put you first. We believe in providing personalised service for each patient.

Nuffield Dental is a one-stop, multi-disciplinary dental care centre. Here at Nuffield Dental, we pride ourselves of our personalised oral care for each and every one of our patients. We need to make sure you get all the help you need to make your dental procedures more comfortable, accessible and seamless.

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Our dentists have specialised in implant dentistry and oral surgery for more than 20 years. We have accredited dental providers who are skilled in the area of dental implant surgery.

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