All-on-4 implant procedures are treatments that utilise the minimum number of implants possible, achieved by placing specially sized dental implants in specific treatment-specific positions within the jawbone to create the support areas for fixed dentures covering the entire jaw. It is a suitable treatment alternative for patients who have lost all their teeth in the jaw and for whom the comfortable use of removable dentures is not possible, or for those who wish to have fixed dentures. It stands out because it can be applied even when sufficient bone tissue for implants is not present in all areas of the jawbone, provided that the necessary bone level for implants is present in specific areas only. This feature allows implants and fixed dentures covering the entire jaw to be applied in many patients without the need for additional surgical procedures. The minimum number of implants required for the system is four, but this number can increase to eight depending on the current condition and volumetric characteristics of the jawbones. As it allows for the application of temporary dentures immediately after treatment, it can eliminate aesthetic losses and speech problems associated with toothlessness in a very short time.

How is Treatment Performed in All-on-4 Implant Applications?

Before treatment with the All on 4 method can be performed, a detailed examination is necessary. During the initial examination, the patient's clinical and radiographic findings are reviewed, various records are taken, and the patient's suitability for implant placement and possible prosthetic treatment alternatives are evaluated. To assess the suitability for dental implant treatment, the length, volume, and quality of the jawbone in different areas are considered. In addition, the adequacy of the gum tissue is also evaluated, as it is a crucial factor in the success of implant treatments. Rarely, the current state of the tissues may be insufficient for All on 4 applications. However, in these cases, the problem can be resolved by performing additional surgical procedures to increase the amount of tissue in the relevant areas. In rare cases where additional surgical procedures are necessary, sufficient volume can be created with bone grafts, and after the necessary time has passed for the newly created bone to reach sufficient quality, All on 4 treatment can be performed. If the necessary conditions for All on 4 application are met, measurements of both jaws are taken to design the temporary prostheses that will be prepared. Following this procedure, detailed evaluations are performed using three-dimensional computer-assisted tomography to determine the most suitable location and size of implants for the planned prostheses in the mouth. After determining all the necessary details for the treatment phase, the application session can begin. Dental implant placement can be completed painlessly and comfortably under local anesthesia, or sedation or general anesthesia can be used to control anxiety and provide a more comfortable environment for the patient if they are afraid of the treatment process. In cases where the patient has teeth in their mouth but all the teeth in the jaw are damaged and need to be extracted, the treatment begins with the extraction of these teeth. Implant placement can be performed in the same session following tooth extraction, or the healing process of the relevant tissues can be awaited. When the implant placement begins, sockets are prepared in the jawbone according to the characteristics of the implants to be placed, and the implants are placed in the relevant sockets. Then, temporary prostheses created from the jaw measurements are placed on the implants. A waiting period of approximately 3 months is entered to allow the implants to fuse and form an ideal connection with the bone. After this process is complete, the necessary checks are performed and permanent dental prostheses are fixed onto the implants.

What Should Be Considered After All-on-4 Treatment?

In the All on 4 procedure, it is normal to experience minimal pain and swelling due to the surgical procedure and the resulting changes in the tissues. Applying cold compresses during the first 24 hours following treatment is highly beneficial in controlling this condition and promoting rapid healing. In addition to this application, using the medications prescribed by the dentist following the treatment in accordance with the dentist's recommendations will significantly speed up the healing process in the area and contribute significantly to a comfortable post-treatment period. It should be borne in mind that the implants are in the process of integrating with the bone tissue after treatment, and care should be taken to minimise the load on the temporary dentures. During this initial three-month period, it is important to avoid hard and sticky foods and to focus on soft foods in the diet to ensure proper bonding. After transitioning to permanent prostheses, the individual can return to their standard diet. Our clinic offers this treatment alternative with the necessary equipment and specialist doctors for All on 4 treatments. You can book an appointment at our clinic at any time and obtain more detailed information about the implant and prosthesis treatments that are suitable for you.