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All-on-4 — Carmichael, CA

The Fast Path to a Restored Smile

Happy, relaxed senior man with All-on-4 in Carmichael

Dental implants replace the roots of lost teeth, it is a great treatment solution to replace missing individual tooth. However the cost for implant restoration will add up quickly when patient have lost multiple/majority of their dentition simply due to the amount of implants that are required. In these scenarios, it is often possible to replace an entire arch of lost teeth with as few as four dental implants and its supported prosthesis to recreate your smile! This innovative and yet cost effective treatment, called All-on-4 or “teeth in a day”, could provide you with a brand new smile in just a single appointment after your initial consultation. If you would like to find out if this remarkable procedure is right for you, get in touch with Sheng Ji, DDS, MD Oral & Maxillofacial Surgery today to request a consultation.

Why Choose Sheng Ji, DDS, MD Oral & Maxillofacial Surgery for All-on-4?

  • Dual-Trained Surgeon in Both Medicine and Dentistry
  • Sedation Options to Promote Patient Comfort
  • Fast and Reliable Full-Arch Tooth Replacement

How Do All-on-4 Implants Work?

Illustration of All-on-4 for top and bottom arches

As its name implies, All-on-4 or “teeth in a day” involves the use of just four dental implants to support an entire arch of prosthetic teeth. Dr. Ji will place anywhere from 4 to 6 implants, with some of the implants at an angulation to avoid critical anatomy such as nerve endings and maxillary sinuses. This strategic placement of angled implants allows Dr. Ji to avoid the need for additional sinus augmentation or excessive bone grafting, and achieves optimal spread of the implants to allow for whole arch rehabilitation of your smile within a single surgical appointment. These implants will then serve as the foundation for the new prosthesis that you will wear home that same day.

Immediately after the implants are in place, provisional (temporary) prosthesis that is fixed to the implants will be delivered that same appointment. The provisional prosthesis will be adjusted for your comfort and fit, and it is totally fixed to the implants (unlike your traditional denture where you have to take it out every night). You will wear this provisional prosthesis for 3-5 months while the implants continue to integrate and heal. At a later appointment, after the implants have fully healed, the permanent prosthesis that is fixed to the implants will be delivered, offering you a lifelong healthy smile.

Am I a Candidate for All-on-4 Implants?

Patient and dental team discussing candidacy for All-on-4

The majority of adults who have lost all or most of their teeth throughout a dental arch qualify for All-on-4. In general, candidates:

  • Are in fair overall health. You should be well enough to undergo minor surgery.
  • Have adequate jawbone density to support dental implants. Most people meet this criterion, even without a bone graft.
  • Stick to good habits. Thorough oral hygiene and a commitment to avoiding tobacco will help your new smile to stand the test of time.

What Are the Benefits of All-on-4 Implants?

Senior woman enjoying the benefits of All-on-4 dental implants

Some benefits of All-on-4/“Teeth in a Day” treatment include:

  • Since the prosthesis is permanently fixed in your mouth via implants, they are quite convenient. In many ways, caring for them is just like caring for natural teeth.
  • All-on-4 final prosthesis provide a strong bite force that can stand up to virtually any food, including relatively tough and hearty foods.
  • You can receive a new set of teeth on the same day as your dental implants are placed.
  • Dental implants stimulate the jawbone and help to keep it healthy, strong, and whole.
  • Your final restoration will be designed to look and function as natural as possible.

All-on-4 vs. Traditional Dental Implants

Dentist using model to explain details of how dental implants work

All-on-4 is different from traditional dental implants in numerous ways. For example, All-on-4 generally allows for faster loading of the implants or in simpler terms, light functions such as chewing softer food immediately after surgery with the new teeth. This is because the prosthesis is supported by multiple implants, and the chewing force/load is evenly distributed across multiple implants to allow light function as the implants heal.  In the case of traditional single implants, loading/function is not ideal for healing.  All-on-4 might also cost less due to instead of replacing each missing tooth of an arch individually, only 4 to 6 implants are required to provide a foundation to support an entire arch of dental prosthesis that replaces your dentition. Additionally, getting an immediate prosthesis or new smile with All-on-4/“Teeth in a Day” is an advantage that most traditional implant treatments lack. You will walk out of the office with a brand new smile that is fixated to the implants within the same day of surgery.

If you are looking for a brand new smile due to multiple failing teeth/partially edentulous, or if you are unsatisfied with your current denture and want a better alternative treatment, Dr. Ji will discuss the pros and cons of each treatment and decide whether All-on-4/“Teeth in a Day” is the treatment of choice for your case. Feel free to reach out to Dr. Ji’s maxillofacial surgery office in Carmichael/Fair Oaks today for a consultation!

All-on-4 FAQs

Illustration of All-on-4 dental implants for top and bottom dental arches

Dr. Ji and our team are eager to help you rebuild your lost teeth. Before you book your All-on-4 consultation, though, you may want to learn more about the treatment process ahead of you. To assist you, we have put together a list of answers to some of the most commonly asked questions about this procedure. If your specific questions are not addressed, reach out to us directly. We look forward to speaking with you!

Does It Hurt to Get All-on-4 Implants?

You can expect to be quite comfortable during the surgery. Our practice offers multiple types of sedation, and we will choose the one that we believe best fits your unique situation. You may feel little to nothing while Dr. Ji is inserting your implants.

After any sedation and local anesthesia wear off, you are likely to experience some soreness and swelling. Our team will provide you with detailed post-op instructions that will keep your discomfort to a minimum and help you enjoy a smooth healing process.

What Can I Eat with All-on-4 Dental Implants?

While you are still recovering from your surgery, you should stick to a soft or no-chew diet. Items like pudding, brothy soups, and smoothies (without seeds) are good choices. As you heal, you will be able to incorporate a greater variety of foods into your diet.

After your provisional denture has been replaced with a permanent one, you will be able to eat almost anything. You will have a strong bite force that can stand up to a wide range of foods, including tough and chewy items.

Are Traditional Implants Ever Better than All-on-4 Treatment?

Each patient, and each case, is unique. Dr. Ji will make a treatment recommendation based on your circumstances. In some instances, traditional implants are better than All-on-4. For example, traditional methods may use more implants, which can provide greater stability for a denture. Our team will help you weigh the pros and cons of any procedure that you are eligible for.

Will I Be Able to Remove My All-on-4 Denture?

An All-on-4 denture is designed to be permanently attached to the implants that support it. You will not be able to remove it on your own. The only time it should be taken out of your mouth is when you visit your dentist for a checkup; they can remove your prosthetic, inspect it, and clean around your dental implants.

Many patients love the convenience of always having their teeth in their mouth. It feels more natural than a removable prosthetic that has to be removed each night.