All-on-4 Dental Implants in New York

Tooth loss can occur for various reasons – neglected diseases, injuries, and age-related changes. Previously, the only way out for patients with total or partial tooth loss was to wear removable dentures. Today, dentistry uses more modern and comfortable tooth restoration methods, including implantation. iSmile Dental offers the all-on-4 method, which allows for partial implantation and partial-removable or non-removable prosthetics. This option will enable you to insert all the teeth in a few hours and, at the same time, balanced methods in terms of price-quality ratio.

All-on-4 and all-on-6 technologies

The all-on-4 method combines two proven tooth restoration methods - implantation and prosthetics. The method is based on the use of implants that are implanted in bone tissue. They are then put on prostheses.

iSmile Dental offers the all-on-4 prosthetic method to patients who are missing all teeth or whose teeth are preserved but are recommended for removal for medical reasons. The main requirement for this method is the presence of a sufficient amount of bone tissue in the anterior part of the jaw, which allows you to do without additional surgical operations to build bone. The dentist pinpoints the areas for implantation of implants with a sufficient amount of bone tissue.

In each jaw, two implants are located in the front part vertically and parallel to each other, and two implants are located at an angle of up to 45 degrees in the distal region, where the molars are located. Implants implanted at an angle have a special design, thanks to which the prostheses are fixed directly.

Partially removable dentures consist of 14 teeth. They completely restore chewing function and have an aesthetic appearance, as this number of teeth is enough to create a beautiful smile line and chewing efficiency. All-on-4 technology allows you to insert all teeth in 1 day. But this option is only suitable for some patients since the prostheses need to be removed and cleaned.

Another option for prosthetics is the installation of a fixed prosthesis of 10-12 teeth. In this case, the disadvantage is that more than this number of teeth is needed to create a full-fledged smile line. Therefore, if the patient wants to put a fixed prosthesis with a large number of teeth, the doctor will offer prosthetics on six implants.

If the doctor sees that the patient's bone tissue allows you to implant six implants in the jaw during the preliminary examination, then it suggests using this implantation method. In this method, implants are implanted in the frontal front of the jaw and the area of the lateral molars. The advantage of this technology is that non-removable prosthetics are performed on six implants, while the prostheses consist of 14 teeth. In this case, turnkey dental implantation allows you to create a full-fledged beautiful smile line since the patient has 28 teeth replaced.

For bone atrophy, iSmile Dental uses special longer models of implants implanted in the upper jaw's zygomatic region. Using zygomatic implants allows you to avoid bone augmentation surgery and simultaneously reliably fix the prostheses on the implants.

The dental implantation basis using all-on-4 and all-on-6 technologies allows you to improve a person's appearance quickly. Natural, white, straight, and beautiful teeth visually rejuvenate for several years without expensive cosmetic procedures. Because prosthetics are carried out immediately, the masticatory and facial muscles are activated, which allows you to stop the aging process, which can develop due to the absence of teeth. Patients get used to new prostheses in 10-14 days.

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Treatment planning and prosthesis manufacturing

At iSmile Dental, preparation for implantation begins with an examination. First, the patient must undergo cone-beam tomography, which makes it possible to obtain three-dimensional images of the jaws. According to the pictures, the doctor judges the quality and quantity of bone tissue, the location of the roots of the remaining teeth, and the condition of the periodontal tissues. Next, computer visualization is carried out, which allows you to determine the places for the installation of implants, taking into account the location of the maxillary sinuses and nerves.

Doctors use patient-specific surgical templates. These are stencils that are created based on computer simulation data. The implants are installed according to the plan developed during the computer simulation. During the operation, they are applied to the patient's jaw, eliminating errors at the surgical stage and reducing the trauma of the implant implantation.

Prostheses are placed 4-6 hours after the implants are placed. In some cases, prostheses are installed within three days after surgery. To insert all teeth in 1 day, prostheses are made before implantation. The last stage of dental implantation is the replacement of temporary dentures with permanent ones 3-6 months after the operation.

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Only 4 or 6 implants are implanted in the patient, and a prosthesis of 10-14 teeth is placed on top. Also, savings occur due to the absence of the need to do operations to build up bone tissue. Implants are implanted pointwise in areas suitable for implantation.

Suitable for prosthetics in patients deprived of all teeth on one or both jaws but with a preserved volume of bone tissue. Installation of the bridge on four implants is carried out immediately after tooth extraction or after a short time (up to 12 months).

Implantation according to the All-on-4 technique allows you to restore the teeth of one jaw on four implants in 1 day – 2 extreme titanium rods are installed at an angle of up to 45 degrees bypassing the maxillary sinuses on the upper jaw, and the nerve outlet on the lower jaw.

“All on four” distributes and withstands the load worse, leading to the structure’s loosening. In comparison, the All-on-4 technique has more contraindications than All-on-6 since, in both cases, layers of bone more prone to atrophy are affected. In particular, the lateral part of the jaw suffers.

The presence of implants is not considered a contraindication to magnetic resonance imaging. Almost all modern implants are made of titanium or its alloy, which does not interact with the magnetic field.

Higher risk of implant rejection. Inflammation of the gums is possible, as well as the development of complications higher than other methods of setting artificial roots.

The lower third of the face is tightened, and the nasolabial folds and the second chin are reduced – after implantation of the teeth, the muscles of the face begin to work better, and there is support for them. Plus, a beautiful open smile has always been an attribute of youth.

Give preference to toothbrushes with soft bristles to eliminate damage to the surface of the prosthesis. Brushing your teeth and dentures at least two times a day is necessary. Doctors recommend using dental floss and irrigators to thoroughly clean hard-to-reach places of connection of the prosthesis and implant.

30 years. If rejection occurs within five years after the operation to install the implant, its replacement with a new one is guaranteed. The rate of implant rejection during the adaptation period (5 years) in world practice is only 1%. After adaptation, the probability of rejection is practically excluded.

Installing implants does not hurt at all. The operation is not more painful and demanding than a tooth extraction performed under local anesthesia. In most cases, this type of anesthesia is sufficient.

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