All-On-4 Dental Implants
The Most Comprehensive Guide to All-On-4 Dental Implants
I am confident this is the most complete and comprehensive guide you will find on the internet regarding All-On-4 dental implants.
On this page, I will share with you my knowledge, life-changing stories, experiences, and passion around All-On-4 dental implants.
My name is Dr. Mamaly Reshad, DDS, Prosthodontist, and founder of ArtLab Dentistry --- which is one of the leading dental implant centers in the World.
So if you're searching to learn as much as you can about All-On-4 dental implants, you'll love my comprehensive guide.
Are you ready? Let's get started.
Dr. Mamaly Reshad, DDS, MSc, Prosthodontist
The All-On-4® Dental Implants Guide Content
Meet Dr. Reshad
Dr. Mamaly Reshad is an internationally known prosthodontist. He is known as the smile expert and is preferred by surgeons, periodontists, and general dentists as their choice for the most complicated situations. It is no wonder he is considered one of the best implant and aesthetic All-On-4® specialists in the world.
Dr. Reshad is an expert in all areas of cosmetic dentistry. He specializes in the treatment of dental and facial problems that involve restoring missing teeth and jaw structures. He is also a highly trained specialist in dental implants, bridges, dentures, implant supported dentures, full mouth reconstruction, complete smile makeover, crowns, porcelain veneers, and many more dental procedures and treatments.
Dr. Reshad routinely receives 5-star ratings for customer experience and All-On-4® results.
The All-On-4® dental implant procedure is the next revolutionary step in cosmetic dentistry, advancing dental implant surgery into the modern age. With this treatment, full arch replacement is made possible in a matter of hours, using a minimal number of dental implants.
What Is The All-On-4® Dental Implant?
The All-on-4® dental implants is a revolutionary method of replacing a full set of top or bottom teeth with the use of only four dental implants per arch, giving same-day results.
Listen to what our recent patient, Moshe, has to say about his All-On-4 experience.
The term All-On-4® can often seem somewhat confusing for prospective patients. All-On-4 is a procedure for complete dental rehabilitation for patients with severely compromised teeth. In essence, the term All-On-4® simply refers to a replacement set of teeth, also called a denture or bridge, that is supported by a set of four fixed dental implants. This is sometimes confused with conventional dentures which rely on suction to remain in place, are supported by soft tissues, and are removable. Instead, the bridge structure in an All-On-4® procedure is permanently held in place by screws attached to four precisely-placed implants per arch and can only be removed by a dental professional or better, a prosthodontist.
Dental Restoration with Dr. Mamaly Reshad
The following video is for illustrative purposes of an actual patient getting a dental restoration with All-On-4 dental implants.
As the baby boomer population transitions into their golden years, the need for full dental restorations will continue rise. In the past, the options for those dealing with total tooth loss consisted of partial or full dentures or dental implants. Between these two standard options, dental implants were the preferred restoration technique.
However, many older patients do not have the necessary bone density in their jaws to support a full set of implants. Until recently, this left them with only one option, a full set of unwieldy dentures. This option is not one that most people wish to live with. Recognizing this need, a system of implant based replacement was developed called All-On-4®. Patients can now enjoy the ease of living with a full set of teeth without the embarrassment and inconveniences associated with dentures.
When patients are in need of a full arch replacement, there is no faster or more comprehensive solution than All-on-4® dental implants.
How Does the All-on-4® Procedure Work?
While there may be minor variations on the All-On-4® treatment technique from one prosthodontist office to another, a typical All-On-4® procedure will consist of three distinct phases:
- Existing decaying, broken, or otherwise compromised teeth are removed. The diseased and damaged tissue is also removed.
- Two titanium implants are embedded in the front of the jaw where there is typically a greater concentration of atrophy-resistant bone tissue. Two additional implants are inserted in the back of the jaw at an angle (typically between 30 and 45 degrees).
- The prosthodontist will attach your new prosthetic dental bridge to the implants and adjust for comfort and fit.
The entire procedure can be completed in less than a day, although the healing process may take 3 to 6 months. Once the healing process is complete, a final prosthetic dental bridge is attached thus completing the All-On-4® process.
Tooth Restoration Options
The All-On-4® Dental Implant Solution Vs. All The Rest
The All-On-4® dental implant solution is the most state-of-the-art solution for patients who are missing teeth, whether due to accident, illness, or disease. This revolutionary approach replaces your missing teeth with a full dental bridge. It is a permanent solution supported by as few as four dental implants per arch. The implants are placed at a precise angle to provide the most stability in the bone.
This procedure provides a permanent solution from the very first day. You will leave your appointment with new teeth that will look like and function just like natural teeth. You will be able to chew and go on about your normal life following your surgery. After 3-6 months of healing time, your permanent teeth are placed.
Who Are All-On-4® Dental Implants For?
The All-on-4® treatment is a highly recommended option for individuals looking for a complete, permanent solution for edentulism, or tooth loss, and decayed or otherwise severely compromised teeth. The All-on-4® solution is particularly ideal for patients whose soft tissues, whether due to disease or other circumstances, cannot support a conventional set of dentures, as well as for those suffering from bone loss in the jaw for whom vertical implants are not a feasible option. Aesthetically, All-On-4® treatments match or surpass conventional whole-mouth alternatives while still looking and functioning like a natural set of teeth, making them an appealing option for anyone looking for a complete smile makeover.
What Are The Benefits of All-On-4® Dental Implants?
Are you looking for a complete smile makeover? The All-On-4® procedure is an excellent option for individuals suffering from tooth loss as result of decay, periodontal disease, unfortunate circumstance, and even accidents. You don’t have to continue to be embarrassed to smile! All-On-4® treatment at ArtLab Dentistry can give you back your smile and confidence within a single day.
The entire All-On-4® procedure, excluding follow-up checkups and adjustments, can be completed in a single day. This includes a complete removal of compromised teeth, emplacement of implants, and the attachment of a full set of temporary, natural-looking and functioning teeth.
Beautiful and Natural Esthetics
Whether acrylic, porcelain, or another custom material, All-On-4® solutions can be crafted to blend in seamlessly with your mouth and support your facial structure and features. More importantly, the implants help stimulate and retain existing bone structures, particularly in the jaw, which helps maintain a fuller, more suitably shaped and more youthful face.
Unlike conventional dentures, which rely on suction to remain in place, All-On-Four® dental implants behave like a true set of complete teeth. Once healing is complete, you can eat, drink, and chew whatever you want, whenever you want, wherever you want.
A Permanent Solution
Once your new set of All-On-4® teeth are fixed in place, they can last a lifetime with regular maintenance and care. Durable materials and a custom fit ensure that your new teeth will be YOUR teeth from the time healing completes to many decades into the future.
Incredibly Cost Effective
Compared to traditional vertical implants, the All-On-4® is hands down the winner. It is extremely cost-effective as a result of the reduced number of implants and the avoidance of certain bone grafts.
"My Mom would still be covering her mouth to smile if it wasn't for Dr. Reshad!"
--Mina D | Santa Monica, CA
What Can I Expect Before and During My All-On-4® Dental Implant Procedure?
A private consultation with Dr. Reshad is necessary before the All-on-4® procedure can be implemented. After your consultation, and assuming you are a candidate for the All-on-Four® dental implant procedure, the next step will be for Dr. Reshad to map out your personalized treatment plan. Using CT Scan technology, highly sophisticated cameras, X-Rays, and impressions, he will outline every aspect of your surgery before it occurs, allowing the day of your surgery to be as streamlined as possible.
Once these set-up steps are complete and your treatment plan is finalized, the All-on-Four® dental implant procedure will take just one additional day. You come in the morning and leave in the afternoon with a brand-new smile.
After the implants have been placed, patients can leave with a functioning set of teeth while their jaw heals. The healing process is unique to each person and depends on the amount of bone that was available for the implants and their general health. The average time between the initial implant surgery and full healing is approximately 6 months. Once this is complete, a custom set of permanent teeth is affixed to the implant base giving decades of carefree service. This fully concludes your All-On-Four® treatment.
Our patients love their new full arches, and the ArtLab Dentistry success rate is what makes us among the finest All-On-4® dental implants providers around.
Health Benefits of All-On-4® Dental Implants
People with missing or failing teeth tend to choose foods that are soft and easy to chew. All-On-4 implants support a fully functioning set of teeth that allow for wider choice of foods at meal time. This not only makes eating more enjoyable, it allows for a broader base of nutrients to be ingested.
When teeth are missing from the jaw, the bone begins to reabsorb, which causes deterioration of facial structures. Having the ability to chew stimulates the bone and prevents bone loss.
People dealing with this issue are now seeking among the best All-On-4 Los Angeles can provide. At ArtLab Dentistry we are proud to be at the cutting edge of this latest technology helping our patients preserve the natural structure of their face and their youthful appearance.
Daily oral hygiene is easier with All-On-4 implant supported teeth. Caring for them requires brushing and flossing as well as seeing your dentist for regular cleanings. Unlike conventional dentures, you will never have to remove these teeth, or clean them every night with harsh chemicals.
One of the greatest benefits of our All-on-Four treatment is the increase in self-esteem and self-confidence that results from restoring your smile in a day. Deteriorating teeth, periodontal disease, and dentures can place limits on social interactions. Replacing dentures or failing teeth with All-On-4 implant technology restores self-confidence in social settings.
Before & Afters
Patients from all over Southern California are given new energy to their smiles, resulting in a fresh outlook on life. Browse through our gallery and see what a difference the Dr. Reshad and his team at ArtLab Dentistry can make.
Los Angeles All-On-4® Implant Specialists
While full arch replacement of the past used to require as many as ten dental implants, the revolutionary All-on-Four® treatment only requires four implants. This is due to the discovery that when rear implants are installed at a 45-degree angle, they can fuse with bone not usable with previous dental implant techniques. In some cases, this takes away the necessity of bone grafting, which can be both costly and time-consuming. With All-on-4, your implants get installed the same day, giving you a functioning beautiful smile just hours after you come in for the procedure. This can save you months and sometimes years, waiting for implants to heal and other complications that get in the way.
All-On-Four® For Cancer Patients
Cancer patients who have had a portion of their jaws removed can request a specialized version of the All-on-4® that utilizes the cheekbone for the placement of dental implants if the patient has an insufficient amount of jawbone remaining. This procedure is well researched and documented and gives proven results to patients who have struggled with their health.
Pros and Cons of Acrylic vs. Porcelain Teeth for All-On-4 Dental Implants
The All-On-4 treatment is a fantastic full-mouth reconstructive procedure that can completely transform your smile. However, choosing the right materials for your new smile can often be confusing for potential patients looking to balance the cost, durability, and esthetics of their new teeth.
Dentures vs. Bridges vs. Implant Materials
To help crystallize the material options available, it is helpful to break the All-On-Four procedure into three distinct sets of a functional prosthesis, the dentures (the actual teeth), the bridge (the gum prosthesis), and the implants (the screws holding everything in place). For this article, we will only be looking at the material options for the dentures (teeth) and explore material options for the bridges (gums) and implants (screws) in future installments. Below we examine the pros and cons of the two most common materials employed in the creation of dentures: acrylic and porcelain.
Pros of Acrylic Resin Teeth
Economical: Acrylic dentures are easily the most affordable option available to most patients.
Quick to Manufacture: Acrylic dentures are also easy to make, which often means that your temporary bridge, which is emplaced on the day of your surgery, will often be made from acrylic. Ease and efficiency of creation also mean that replacement dentures are far less troublesome.
Pros of Porcelain Teeth
Superior Durability: Porcelain is a harder substance than acrylic making them less susceptible to daily wear and tear. By retaining their shape and structure, porcelain solutions also help retain natural jaw movements and alignments longer.
Easier Maintenance: All-On-4 patients who choose a porcelain solution will find that their teeth are more stain-resistant and easier to clean. Because porcelain is a non-porous material, food debris, bacteria, and the damaging biofilm they engender, are less likely to stick to the prosthesis and are easily removed by routine dental care regimens.
Natural Feel & Better Esthetics: Many All-On-4 patients find that porcelain dentures function, look, and feel more similarly to their natural teeth. They chew better, sound better, and look more like a natural set of healthy teeth.
Cons of Acrylic
Less Durable: While incredibly resilient and esthetic, acrylic is still less durable than the porcelain alternative. That means that the dentures may have to be replaced within 3 to 5 years. On the plus side, acrylic teeth can be manufactured relatively cheap and quickly which make regular updates and touchups much less cumbersome.
Higher Maintenance: Because acrylic is a “softer,” more porous material than porcelain, acrylic dentures will require a slightly higher level of maintenance. Acrylic teeth are more susceptible to accidental breakage during use, staining, and general wear and tear. It is not uncommon for Acrylic dentures to require regular polishing to maintain a consistent look.
Cons of Porcelain
Costly: Porcelain is generally more expensive than the acrylic alternative, although they need less maintenance and potential replacements over time.
Whether you choose acrylic or porcelain teeth for your All-On-4 treatment, the single most important factor for a successful result is an experienced prosthodontist with real-world experience. All-On-4 prosthetics must be carefully crafted, fitted, and adjusted for each individual to mimic their natural bite, jaw alignment, and mouth shape. Sizing incorrectly for any of these factors, however slightly, can result in breakage, dysfunction, and damage to your investment. A skilled prosthodontist will minimize these potential complications.
Are All-On-4 Dental Implants the right solution for me?
The best way to determine if you are a candidate is to take our ArtLab AL4 Dental Implant Test. It's easy, quick, and will provide you with an immediate assessment if the All-on-Four Dental Implant is a solution to consider. You can do it right now --- click here to check out our Dental Implant Assessment & Estimator.
How do All-On-4 Dental Implants work?
The key to the All-On-4 Dental Implants is the customized bridge based on as few as four titanium implants. Our solution takes advantage of existing bone, even utilizing cheekbone, to provide a stable, permanent arch for tooth restorations.
Will All-On-4 Dental Implants work for me?
The All-On-4 is a procedure best suited for patients with missing teeth, already in dentures, or with significant tooth loss or decay. It is also a good solution for patients with bone loss in the jaw area that prevents them from getting traditional dental implants. Take our assessment estimator here.
How many visits to my prosthodontist are necessary for the procedure?
The All-On-Four Dental Implants procedure typically requires the following visits:
- Initial consultation - This meeting will help Dr. Reshad determine the proper treatment plan. It will also include gathering all the pertinent medical history, necessary x-rays, photographs, dental impressions, and a CT scan.
- The procedure visit - This is where the actual process takes place for the placement of the All-On-Four Dental Implants. Following placement of the dental implants, the patient is fitted with a temporary set of teeth, that look and function like your own teeth, allowing you to chew your food and appear as normal.
- Follow-up appointments - About 3 to 6 months later, after allowing time for your mouth to heal, you will receive your permanent teeth. There may be a few follow-up visits to ensure comfort and fit.
What is the success rate for All-On-4 Dental Implants?
There are many things to consider such as the need for bone grafting or sinus lifts during the procedure, which can contribute to increased healing times, costs, and higher failure rates. All-On-Four implants are placed at an angle, avoiding the sinus and engaging more bone, which provides a better opportunity for success.
How can I determine if I am a good candidate for the procedure?
There are a few questions to ask to see if you may be a candidate for All-On-4 implants.
1. Have you lost teeth due to an injury or decay?
2. Are you missing all or most of your teeth?
3. Do you currently wear dentures?
A further determination must be made by your prosthodontist, which involves an exam and X-rays to check if your bone structure can support implants. Other determining factors include your general health, existing health conditions (tobacco use, diabetes, etc), and bite alignment.
What makes All-On-Four Dental Implants different?
All-On-4 dental implants is a revolutionary method to provide a full set of top or bottom teeth while using only 4 dental implants for each arch. The implants are typically placed at an angle, which engages more bone and requiring fewer implants per arch.
Will I be without teeth while they are being made?
No, you will leave your implant appointment with a full set of functioning, attractive temporary teeth. Your gums will need time to heal from surgery, and the implants need time to fuse with the bone before the permanent teeth are placed.
Can All-On-4 Dental Implants be used for upper and lower teeth?
Yes, most certainly a patient can have both arches done using the All-On-4 procedure.
Does the All-On-4 Dental Implants procedure work for everyone?
No, there are some patients for whom the procedure is not recommended. For example, if you are currently wearing dentures, but your facial structure is drastically altered or collapses somewhat when your dentures are removed, you would not be a candidate for All-On-4 dental implants.
How long will my All-On-4 Dental Implants last?
With proper care and maintenance, studies have shown that dental implants can last 25 years or more.
The All-On-4® Dental Implant Procedure - Is It The Best?
Are All-On-4 Dental Implants The Best Solution for a Complete Smile Makeover?
Advances in dental science have resulted in substantial improvements in tooth replacement therapies. Gone are the days of your grandparents’ unwieldy, clumsy removable dentures. Instead, it is now possible to get replacement teeth that look, feel, and behave like your natural teeth, and at a lower cost than conventional dental implants. When all the factors are taken into account, including longevity, look and feel, and total lifetime costs, I am confident you will find All-On-4 Dental Implants to be the best total teeth replacement strategy available.
Conventional Implants vs. Traditional Dentures vs. All-On-4 Dental Implants
Once upon a time, the gold standard for a natural, long-lasting, and good-looking tooth replacement treatment relied on the use of conventional dental implants. With a conventional dental implant procedure, each tooth must be replaced with its own dental implant and crown prosthesis. As you can imagine, in cases of full mouth reconstruction or other extensive dental or maxillofacial restorations, replacing each individual tooth with an implant can become quite cumbersome and quite costly.
Replacing 32 teeth with individual implants not only requires enormous time and effort but it also places a tremendous physical strain on a patient’s health. Furthermore, many conventional implant procedures also necessitate a prior bone grafting procedure adding to the complexity, cost, and recovery time patients must endure.
On the other hand, patients who decide that they just cannot afford or don’t want extensive, invasive oral surgery via conventional implants are stuck with traditional dentures.
"When all the factors are taken into account, including longevity, look and feel, and total lifetime costs, I am confident you will find All-On-4 Dental Implants to be the best total teeth replacement strategy available."
--- DR. MAMALY RESHAD, DDS.
Most of these tooth replacement solutions don't feel natural nor do they last for an extended period of time due to a variety of reasons. They are, however, quite affordable and require no dental surgery.
Unfortunately, for patients who want a tooth replacement solution that looks, acts, and feels natural, traditional removable dentures are far from ideal. Removable dentures aren’t structurally anchored into a patient’s mouth like dental implants are. As a result, they often shift or can even accidentally fall out of a person’s mouth.
While considerably more affordable than more permanent solutions, dentures also don’t last very long. Regular daily wear and tear often necessitate denture replacements every few years.
Patients with bruxism, or teeth grinding, or who have particularly strong bites can find themselves replacing their dentures even more often. In comparison, dental implants can last decades or even a lifetime when cared for and maintained properly.
For dentures, patients must use special denture paste, instead of regular toothpaste, because regular toothpaste can damage and abrade the acrylic material with which they are fabricated. When the cost and inconvenience of constant upkeep and replacements are taken into account, opting for a seemingly more expensive, more permanent teeth replacement treatment can actually be less costly in the long run.
This is where All-On-4 Dental Implants come into the picture.
All-On-4 Dental Implants offer the best of both worlds. They combine the affordability and minimally-invasive nature of traditional dentures with the longevity, structural integrity, and aesthetics of conventional individual implants.
Here’s How It Works
Instead of relying on one dental implant per tooth, All-On-4 Dental Implants instead utilize four strategically located dental implants to support a full arch of teeth. Patients can receive a full set of new teeth with just 8 implants (4 per arch). Instead of one implant supporting just a single tooth, four implants are utilized to support a prosthetic bridge upon which all the teeth are embedded. This approach is sometimes referred to as an “implant-supported denture” solution.
5 Reasons Why All-On-4® Dental Implants Are Considered The Best Tooth Restoration Option
1. All-On-4 dental implants are less expensive than conventional implants.
According to a peer-reviewed journal study, patients who opt for All-On-4 Dental Implants can expect significant savings when replacing one or both of their dental arches. Adjusted for inflation, consumers who went with All-On-Four Dental Implants saw a savings of over $7,000 per arch. For a full-mouth reconstructive procedure involving total arch replacements for both arches, patients saved well over $14,000 per procedure when compared with conventional implants. Better yet, with reduced surgery and recovery times, patients who opt for All-On-4’s can get back to their daily routines in considerably less time. Time is money too.
2. All-On-4 dental implants last much longer than traditional dentures.
Studies consistently show All-On-4 Dental Implants often last for decades if not a lifetime if cared and adequately maintained. A longitudinal study of the survival of All-on-4 implants with up to a decade of follow-up, yielded patient-related and implant-related success rates of 94.8 percent and 98.1 percent, respectively, at five years, and 93.8 percent and 94.8 percent, respectively, with up to 10 years of follow-up.
In comparison, traditional dentures last no longer than five years with most patients facing the prospect of replacing their dentures in as few as 2 to 3 years. One of the critical scientific reasons traditional dentures, no matter how well-made and well-fitted, will never last longer than implant-based solutions is that dentures do not retain underlying bone structures. Those who use dentures will inevitably suffer from a process known as bone resorption whereby the body naturally absorbs the bone in the jaw. As the underlying jaw bone deteriorates, the shape and contours of a patient’s mouth and face will inevitably shift necessitating replacement dentures for the best fit.
3. All-On-4 dental implants are minimally invasive.
Rather than face 32 individual implants into the jaws for a complete set of two arches, patients only need eight individual implants. The sheer difference in the scope of the intervention is for many the sole reason they opt for All-On-4 dental implants over conventional dental implants.
The drastic reduction in invasiveness and incisions into the sot and hard tissues of the mouth and jaw mean remarkably less potential for complications, such as a severed nerve or postoperative infection.
The strain on a patient’s health is also minimized making All-On-4 Dental Implants a better option for older patient’s. Perhaps one of the All-On-4 procedures greatest strength is its circumvention of traditional preemptive bone graft procedures which are often necessary for patients who opt for conventional dental implants. By anchoring specific dental implants at an angle in the back of the jaw where the bone is plentiful, prosthodontists can eliminate costly and time-intensive bone grafting procedures entirely allowing patients with minimal jaw bone depth to still receive the benefits of an implant-based solution.
4. All-On-4 dental implants stimulate bone growth.
All-On-4 Dental Implants are an implant-based teeth replacement solution. That means that they also convey many of the same benefits of being physically anchored and structurally integrated into the jaw as conventional implants.
Implants transmit the forces of mastication or biting and chewing, from the mouth into the jaw. This serves two distinct and essential purposes. First, by mimicking a natural tooth’s roots, implants give the patient a more natural feel. Pressure from eating, biting, chewing, and other teeth-related activities can be felt in the jaws.
Secondly, by transmitting these forces from the mouth into the jaws via implants, the underlying bone is stimulated. Without adequate stimulation, the bone will deteriorate and eventually disappear.
5. All-On-4 dental implants look and feel great.
All-On-Four Dental Implants give patients the benefits of conventional dental implants without the high surgical burden and high prices. More importantly, All-On-Four Dental Implants give patients a look and feel they want.
Implant-based teeth replacement therapies merely look and feel better than traditional dentures and other conventional solutions. Dental implants not only replicate the visible part of a tooth but the roots and underlying structure as well. In fact, with time the body will integrate the implant into the bone itself through a process known as osseointegration. All-On-4 Dental Implants become an extension, in look and feel, as part of your body itself.
All-On-4 Dental Implants at ArtLab Dentistry
The most critical factor for a successful All-On-4 dental implant result is having an experienced and skilled prosthodontist, like Dr. Mamaly Reshad, who has extensive and daily experience with dental implants.
All-On-4 dental implant prosthetics require a skilled and talented team of specialists who ensure the prosthetics are carefully crafted, fitted, and adjusted for each person in order to mimic their natural bite, jaw alignment, and mouth shape. Incorrect sizing or fitting for any of these factors, however slightly, can result in pain, breakage, dysfunction, or damage to your investment and quality of life. A skilled prosthodontist is an area you want to make sure you've done your homework to ensure you have the right prosthodontist for the job.