iStomatolog > Dental implants > All-on-4 Kyiv

All-on-4 implantation in Kyiv

Who is a candidate for All-on-4 implantation?

The absence of teeth is a significant aesthetic and functional defect that significantly reduces the quality of life and creates psychological discomfort. Removable dental constructions, which have been used for many years in cases of extensive or complete tooth loss, have numerous drawbacks, including a poorly fitting prosthesis that can shift with significant bone atrophy, restrictions related to consuming hard foods, and the need for replacement and correction every few years.

All-on-4 implantation is one option for prosthesis in cases of complete tooth loss in the upper or lower jaw (or both) that enables the creation of a comfortable, non-removable structure that meets aesthetic and functional requirements.

The Invention of the All-on-4 Technology

Interestingly, this technique is not innovative and was first used in 1998 by dentist Paulo Malo in Portugal. Successful treatment of the first patient spurred the development of this direction.

The Nobel Biocare company patented the technology of installing a non-removable dental prosthesis supported by four implants All-on-4. It has conducted the most clinical trials on the use of non-removable prosthesis on toothless jaws with immediate load.

For almost 20 years, patients who have lost all their teeth for various reasons have had the opportunity to install comfortable non-removable prostheses using the All-on-4 method and significantly improve their quality of life. The technology is well-studied, safe, and reliable.

Indications for All-on-4 implantation

Indications for prosthesis on 4 implants using the All-on-4 method are:

  • Complete tooth loss;
  • Partial tooth loss when the remaining teeth need to be removed for various reasons.

All-on-4 Kyiv

 

When planning All-on-4 prosthesis, it is important to note that all installed implants must be connected into a single structure with a special metal frame on which the dental prosthesis will be fixed.

This will provide the necessary strength for the entire structure.

Stages of All-on-4 prosthetic treatment

Stage 1: Diagnostic examination

Analysis of computer tomography data to determine the height, width, and density of the jawbone. Examination of the patient's oral cavity. An important criterion in selecting the "All-on-4" prosthesis is determining the position of the gum line in the edentulous jaw when smiling. Agreement on the future prosthesis design.

Stage 2: Planning

Virtual placement of implants in the jaw with consideration of the planned prosthesis design. Making a template and temporary prosthesis (implants can be placed without using a template).

Stage 3: Implantation and temporary prosthesis

Implant placement using a surgical template and fixation of a temporary acrylic prosthesis. The prosthesis can be fixed immediately after implant placement or after 2-3 days. Ceramic composite prostheses can be used as an adaptation prosthesis.

Stage 4: Osseointegration and permanent prosthesis

Osseointegration of implants (adherence to the jawbone) for 4-6 months with subsequent replacement of the temporary prosthesis with a permanent one.

The practical experience of the iStomatolog dental center shows that with clear implementation of implantation and prosthesis planning protocols, the success rate of the All-on-4 procedure is more than 98%.

The All-on-4 prosthetic principle

The name of the technique indicates that the foundation of the dental structure consists of four supporting elements, which are the implants - titanium rods inserted into the jawbone. The implants are placed in such a way as to provide even distribution of the load on the jaw and prevent possible displacement of the prosthesis in any direction.

How implants are placed according to the All-on-4 technique?

  • Two implants are vertically and parallelly placed in the front area (area of the anterior teeth);
  • One implant is placed at a 45-degree angle in each of the lateral areas of the jaw (in the area of the 5th and 6th molars).

Implant placement at an angle allows for increased contact area between the implant and the bone tissue during chewing.

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    Advantages of the "All on Four" implant method

    The technique of placing dental prostheses on four implants is well-studied and has several valuable advantages compared to other tooth replacement technologies for full edentulism:

    • Financial savings compared to classic implantation and prosthetic methods
    • No need for bone grafting to increase the volume of bone tissue in both width and height, or sinus lifting
    • Minimal trauma (implants are placed in a gentle way thanks to the use of 3D modeling technology and surgical templates)
    • Possibility of installing the prosthesis immediately after implantation
    • Fast tissue regeneration period
    • High strength of the structure due to the consolidation of all implants into a single system with a titanium beam to which the prosthesis will be attached
    • Short adaptation period (most patients get used to the prosthesis within 14 days)
    • Possibility of adjustment (the prosthesis construction is fastened with screws, allowing the dentist to remove it without damaging its integrity).

    Chewing load is recommended from the first days after implantation - this is necessary for stimulating blood circulation and bone tissue regeneration. The hardness of food is gradually increased, and accordingly the load on the implants gradually increases.

    What type of prosthesis is used in All on 4 implant placement?

    The standard option for prosthetic replacement on four implants involves the installation of acrylic prostheses (plastic), secured on a titanium frame. The base of the structure imitates a part of the gum and corrects irregularities of the alveolar ridge. Materials such as ceramic composite, zirconia dioxide, and ceramics can be used to create permanent prostheses, which are characterized by a long service life, high biological compatibility, and superior aesthetics.

    What implants are used for the All on 4 technique?

    Most globally recognized implant manufacturers (Neobiotech, Straumann, Megagen, MIS, Dentis, and others) have implant and multi-unit lines in their arsenal for implantation and prosthetics of edentulous jaws. However, the leader and founder of this type of edentulous jaw prosthetics is Nobel.

    Disadvantages of the All on 4 system

    When evaluating the possibility of using the All on 4 method, fairly high requirements are imposed on the condition of the jawbone tissue:

    • the height of the bone in the implant installation areas on the upper jaw is at least 10 mm, on the lower jaw - 8 mm;
    • the width of the alveolar ridge is at least 5 mm;
    • high bone density;
    • easy or moderate degree of bone tissue atrophy.

    With severe atrophy or "soft" bone, implantation and prosthetics with the All on 4 system are not performed. When prosthetic with a non-removable structure, the possible number of teeth on the prosthesis for one jaw is 10-12 units. Unfortunately, this is often not enough to create a beautiful smile line.

    What prostheses are used in All on 4 implant prosthetics?

    Prostheses can be conditionally removable and non-removable.

    Conditionally removable prosthesis: replaces up to 14 missing teeth. Provides full chewing efficiency and high aesthetics. The disadvantage is the need to remove and clean this prosthesis.

    Non-removable prostheses do not need to be removed, but they are limited in the number of installed teeth to 10-12 for one jaw. This is not enough for a wide smile of the patient, and in such a situation, prosthetics with "All on 6" are offered, which provides a greater number of supports for the prosthesis and the possibility of making a longer dental arch.

    Adaptation and care after implantation and prosthetics of "All on 4"

    Adaptation to the prosthesis takes place within 1-2 weeks. After this time, the prosthesis is already perceived as one's own teeth, speech normalizes, the patient no longer focuses attention on the prosthesis when eating, and the fear of possible trauma to the prosthesis/implants/jaw disappears.

    The "All on 4" design does not require special care. It is enough to clean it with a toothbrush and paste twice a day, and undergo professional hygiene and examination by a dentist once every six months.

    Features of All-on-4 prosthetics at iStomatolog clinic in Kyiv

    The iStomatolog clinic in Kiev successfully uses the All-on-4 implantation for the rehabilitation of patients with complete absence of teeth on one or both jaws. Clear compliance with the protocols of diagnosis, implantation, and prosthetics allows us to achieve good long-term results. We use implant systems from South Korean manufacturers, Dentis and Megagen, as well as the Swiss Nobel system.

    Cost of All on 4 prosthetics at iStomatolog clinic in Kuiv

    The price of All-on-4 dental prosthetics depends on the implant system (Switzerland or South Korea) and the construction of the permanent prosthesis.

    The total cost of all stages of "turnkey implantation" can be obtained by registering for a free consultation through the online form on the website. After analyzing the data from the computer tomography of the jaws and 3D diagnostics, we can offer possible options of different price categories for both the implants and the prosthesis. In addition, the doctor will provide information on possible alternative options for restoring the dental row and possible drawbacks.

    Full Price list of dental clinic services is available at the following link 

    FAQ

    The cost of dental implant installation (excluding the cost of the implant crown) directly depends on several factors and ranges from 300 up to 700 euro. The cost of implant installation depends on the following factors: the implant system used (leading implant manufacturers strictly adhere to all production standards, from the quality of the titanium to the precision of thread application and product sterility, and they also provide a warranty for their products - accordingly, the cost will be higher. Examples include Straumann, Megagen, Nobel, Ankylos, MIS); the equipment used for implant installation (implants can be installed on a regular dental chair, but the use of special equipment such as a physiodispenser allows for safe installation without risking injury or overheating of bone tissue); the need for additional procedures (sinus lifting, bone grafting, gum plastic surgery, etc.); and the dentist's qualifications.
    Dental implants do not pose any danger to the patient's health. They do not affect the functioning of the organs and systems of the human body. The implant material is biologically inert and biocompatible.
    "Turnkey" implantation means that the patient receives a new tooth in place of the missing one that corresponds to the functional and aesthetic characteristics of the lost tooth. The stages of turnkey implantation include implant placement, abutment and crown installation. Additional procedures such as tooth extraction, bone and gum plastic surgery, and sinus lifting may also be included.
    The installation of the implant itself takes about 10 minutes. The total duration of a visit for the installation of one implant is about 30 minutes and includes: pre-implantation preparation of the patient, anesthesia, implant placement, stitching, post-implantation manipulations, and recommendations. The duration may be increased if additional procedures are required, such as tooth extraction, bone and gum plastic surgery, sinus lifting, etc. The necessity for these procedures is determined by the doctor and agreed upon with the patient.
    When the implant is placed in the location of a long-removed tooth without additional manipulations with bone or gum tissue, pain is absent or insignificant in the first few days and does not require painkillers. Pain after dental implant surgery is mild, easily eliminated by painkillers, and may be present for 1-3 days. In case of significant intervention on bone tissue and gums or the installation of a large number of implants, pain may be present for up to 5-7 days (by the 7th day, it usually subsides).
    The integration (osseointegration) of the implant takes from 1 to 6 months depending on the initial situation, implant system, type of bone, jaw on which the implantation was performed, accompanying operations on the bone and soft tissues. On average, this is 2-3 months for the lower jaw and 4-6 months for the upper jaw. However, the patient does not feel the implant integration process, and it is more correct to speak of the healing time of the gum in the implant placement area, which is about 7-10 days (actually until the stitches are removed).
    All-on-4 Kyiv

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!
    Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
    Що мене очікувало в центрі iStomatolog.
    1. Відсутність очікування біля кабінету.
    2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
    3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
    4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
    5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
    І нарешті результат, який я навіть вже і не очікувала.
    Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    Якби мені раніше хтось сказав що я полюблю ходити до стоматолога, то я б не повірила)
    Але тут працюють дуже відповідальні, приємні і турботливі професіонали! Дякую всій команді цієї стоматології, і окремо дякую моєму стоматологу Пекарському Віталію за прекрасну роботу. Тепер я і солодке їм без болі, і більше посміхаюсь ☺️
    Я із задоволенням буду ходити тільки до вас 😊
    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Все мы знаем, как сложно выбрать хорошего врача, но могу с уверенностью сказать, приходите в клинику “IStomatolog”- здесь Вы найдете лучшего доктора Виталия . Очень хороший доктор-внимательный, доброжелательный, настоящий профессионал своего дела. Спасибо за Ваш труд, желаю Вам благополучия и успехов! А еще в кабинете чистота, комфорт, свежий воздух и приятная музыка. Рекомендую☝️
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.

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