The AL4 also referred to as 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 AL4 or All-On-4® Dental Implant?
The AL4 or 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.
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.
ALL ON FOUR
This patient received all-on-4 zygomatic implants, which are placed in the patient's cheekbones. This enabled us to give her fixed teeth. We fitted her temporary teeth in one day and installed her permanent teeth several months later after her implants had sufficiently healed.
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 AL4 - All-On-4® Implant Solution versus the all the rest
The AL4 or All-On-4® 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.
Cost: $500 - $14,000
- You can easily replace all of your missing teeth
- Dentures tend to be less expensive than most newer options available.
- They provide you with the ability to eat a broader range of food than you would be able to eat with few or no natural teeth.
- Reduces the chance of jaw problems or changes in your bite.
- They can often be inconvenient and require messy adhesives.
- A full upper appliance may obstruct or partially cover the palate reducing your sense of taste and enjoyment of food and eating.
- Because dentures are not anchored in your jaw, there is a risk of atrophy in the jaw bone once all the natural teeth are removed.
- If not cleaned properly and on a regular basis, there is increased risk of infection or gum disease.
- They can be difficult to control in your mouth.
- Denture breath
AL4 or All-On-4 Implant Solution
Cost: from $18,500
- Many people regain comfort and confidence by replacing missing teeth with All-on-4 dental implants.
- Can replace an entire mouth of teeth with just four dental implants and only one surgery -- in only 1 day!
- Get a full set of new teeth in only one day.
- Secure placement deep in the jawbone, so implants will not shift or loosen over time.
- There is usually no bone graft that is necessary.
- 90% chewing ability restored
- Lower cost than other treatment alternatives.
- It demands a high level of bone to hold implants in place.
Cost: $2,000 - $18,000
- They are more secure than traditional dentures and are removable.
- There is no need to remove natural teeth that are still healthy.
- Snap-on dentures fit over any remaining teeth and attach directly to them with a snapping action, creating a comfortable but secure and snug fit.
- If some natural teeth are missing, implants can be embedded in the gums and act as supports for the snap-ons.
- They are less likely to rub against the gums and create irritation since the devices attach to the teeth or implants and not the gums.
- Are less expensive than partial or complete denture implants.
- It is possible some existing teeth may require filing into a shape that will ensure a better anchor for the overdentures.
- Over time the fit may not be as snug due to changes in the mouth or gum line and could require a new set.
- Can take up to 6-12 months for the final set.
- They are bulky.
- Snap-in dentures need constant replacement. They typically last two to 10 years.
Cost: $60,000 - $110,000
- Dental implants offer permanence. Once the procedure for placing the implants is complete, your tooth is permanently fixed to the jaw and does not easily get loose.
- A good prosthodontist can make these look like natural teeth.
- Implants are much more comfortable because they look and feel like real teeth with no telltale "clicking" noises or speaking and chewing difficulties that occur with dentures.
- You care for your implants in the same way you care for your real teeth --- with regular dental visits and good oral hygiene.
- They are much more expensive than other newer options that are available. Because of this reason, it is often considered a last resort.
- Dental implants aren't a quick fix like the All-On-Four. These are often a 1 to 2-year process to completion.
- Not everyone is qualified for dental implants.
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.
What Can I Expect Before and During My 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.
Bonus Interview Footage with Dr. Mamaly Reshad on the CAD CAM Process
Will the ArtLab AL4 Dental Implant solution work for me?
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.
Dr. Mamaly Reshad on Dental Implant Technology
There are many things to consider when it comes to implants such as bone grafting or sinus lifts which can contribute to increased healing times, costs, and higher failure rates. Also having more implants in the mouth also reduces your natural bone area. With the AL4 Dental Implants, the implants are placed at approximately 40 to 45-degree angle, avoiding the sinus and engaging more bone which provides a better opportunity for success by far compared to traditional implants.
The All-On-Four Dental Implants procedure typically requires the following visits:
- Initial consultation - This meeting will help the Prosthodontist determine the proper treatment plan. It will also include gathering all the pertinent medical history, necessary x-rays, photographs, dental impressions, and a CAT 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.
There are a few questions to ask yourself 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?
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.
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 a 40 to 45 degree angle, which engages more bone, and requiring fewer implants.
Yes, you will leave your implant appointment with a full set of functioning, attractive temporary teeth. Your gums will need time to heal and the implants need time to fuse with the bone before the permanent teeth are placed.
Yes, most certainly a patient can have both arches done using the All-on-4 procedure.
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.
With proper care and maintenance, studies have shown that dental implants can last 25 years or more.
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.