Ask The Expert: All-on-4 and Dental Implants. How Do I Choose?

The large number of dental treatments available - implants, veneers, and bridges, just to name a few - allows you to choose among a wide range of procedures.

But not all treatments are the same, and you should make sure you choose the procedure that best suits your specific needs.

Understanding what your options are, what each treatment entails, and how the procedure is performed, are the first steps towards making an informed decision.

We asked Dr. Mert Yuce from CTG Dentalcare to answer a few questions and give us some professional insight into dental implants and the All-on-4 concept.

Dr. Mert Yuce, DDS, PhD

As a member of the Turkish Dental Association, Dr. Mert Yuce, DDS, PhD, graduated in Health Sciences at the Department of Prosthodontics, and practices at CTG Dentalcare in Izmir as a specialist in prosthodontics.

Dr. Yuce, what is the All-on-4 concept and how does it work?

The All-on-4® is a dental implant technique consisting of placing 4 implants to support a full arch of teeth. This technique can be used to provide patients with a new set of fixed (non-removable), highly aesthetic, and immediately functional teeth in as little as a single appointment.

Who is the ideal candidate for All-on-4 treatments?

Patients who are eligible for this type of treatment are typically edentulous, i.e.have lost all of their original adult teeth, partially edentulous, or are suffering from a failing dentition as a result of advanced periodontal disease. Many have existing loose or failing bridgework, and others are denture or partial denture wearers.

In addition to All-on-4, there are also All-on-6 and All-on-8 treatments. How do they work?

The All-on-6/8 dental implant systems are techniques in which 6 or 8 dental implants are strategically placed in either the upper jaw (maxilla) or the lower jaw (mandible) to support an arch of teeth.

What should patients think of when considering this treatment?

The main focus for patients should be bone mass, as it ultimately indicates what is the best way to replace their missing teeth with dental implants. Once the patient fully understands what technique is best for their mouth, the second step would be focusing on finding the most experienced implant dentist for their procedure.

What is the difference between All-on-4 and All-on-6/8?

This is the big question patients ask us most of the times.

The fundamental difference between an All-on-6/8 implant bridge and an All- on-4 implant bridge is the amount of implants placed to provide support for the final dental prosthesis.

To use a simple analogy, think of a chair that has four legs. An All-on-4 implant bridge works similarly. If one leg of a chair is broken, what happens to the person sitting on it? The answer is obvious: the chair no longer supports the weight and the person falls off the chair. An All-on-4 bridge works the same way. If one of the implants fails, the full arch of all the teeth can no longer be supported by the remaining 3 implants and either the entire restoration breaks or the remaining implants are overloaded and will fall as well.

What is a dental implant and who is eligible for this procedure?

A dental implant is an artificial tooth root that is placed into the jaw to hold a replacement tooth or bridge.

The ideal candidate for a dental implant has good oral health. Adequate bone mass in the jaw is needed to support the implant, and the best candidates have healthy gum tissues and present no periodontal disease.

Dental implants are intimately connected to the gum tissues and the underlying bone. Since periodontists are the dental experts in this area, it may be worth consulting with one of them before and during surgery.

Not only do periodontists have experience in working with other dental professionals, they also have the special knowledge, training, and facilities that allow patients to reach natural-looking teeth that feel as their own.

What should patients expect right after surgery?

Dental implant surgery is usually an outpatient surgery performed in stages:

  1. The damaged tooth is removed.

  2. The jawbone is prepared for surgery, a process that may involve bone grafting, i.e. adding natural or artificial bone material when the available bone is not sufficient.

  3. After the jawbone heals, the oral surgeon places the dental implant in the jawbone.

  4. The patient goes through a healing period that may last several months.

  5. The oral surgeon places the abutment, which is an extension of the implant. In some cases, when the implant is very stable, this can be done at the same time when the implant is placed.

  6. After the soft tissue heals, the dentist will take impressions of the teeth and jawbone to create natural-looking crowns that will later be placed over the implant.

The entire process can take many months from start to finish, mainly due to healing times.

Can this be considered a permanent solution?

Yes, dental implants may be a permanent option for people who have lost one or more teeth due to periodontal disease, an injury, or other related reasons.

We would like to thank Dr. Yuce for his precious contribution!



Are you interested in a dental treatment, or need more information about traveling abroad to get one done? Our Health Managers will be happy to answer any questions you may have and explore your options with you!


About CTG

Since 2004, CTG Dentalcare offers high-quality dental treatments with a focus on cosmetic dentistry, endodontics, implants, orthodontics, and periodontics. Located in the West of Turkey, in Izmir, the facility has a long experience in dealing with international patients and its staff works tirelessly to make sure every patient get the highest quality treatment and the utmost attention.

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