8 common mistakes to avoid when getting dental implants All on Four
All-on-four dental implants are an incredible procedure, but also considered the most complex in implant dentistry. This procedure, also known as total implantation and protocol prosthesis, is capable of revolutionizing the patient’s life. It is offered at the ImplArt Clinic by Dr. Roberto Markarian and involves various skills on the part of the dental surgeon to guarantee the success of the treatment. We’ll give you more details on how All on Four dental implants work and the 8 common mistakes to avoid!
The All on Four dental implant treatment can also be called a total implant or protocol prosthesis. In English, this treatment is also called Full Mouth Dental Implantor All on X. If you have any doubts about how the All on Four dental implant treatment works, don’t worry, we’ll tell you all about it below.
*Learn aboutthe stages of total implant treatment: Total implant: 11 stages of treatment
WHAT IS ALL ON FOUR or ALL ON X ?
All-on-Four dental implants are a revolutionary solution for people who have lost most or all of the teeth in an arch. This technique uses just four dental implants strategically positioned to support a complete dental prosthesis. This provides a stable and secure base for artificial teeth, significantly improving the functionality and aesthetics of the smile. The fact that precisely 4 implants are used determines the name of the technique, ALL ON 4.
But it’s important to note that there are modern prosthetic materials, such as Translucent Zirconia, which will require the implant dentist to carry out more dental implants in each arch. Therefore, total implant treatment usually involves 4 to 6 dental implants, depending on the type of prosthesis that will be installed.
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Here are the top 8 common mistakes to avoid with All-on-4 dental implants.
Here are the common mistakes to avoid when getting All on Four dental implants
In the video below, Dr. Roberto Markarian, implant dentist and director of Clínica Dentaria ImplArt, tells us about the 8 main mistakes to avoid when doing All-on-4 dental implants:
1. Not choosing an experienced implant dentist
All-on-4 implants are one of the most complex dental surgical procedures. As with many things, there is a big difference between being able to perform the procedure and being able to do it well.
You can find many dentists who can perform the procedure, but not all of them do it with excellence. Part of the problem is that many dental practices offer All-on-4 implants these days, but who is behind this offer?
Dental implants All on 4: how to choose a specialist
All-on-4 implants are becoming very marketable, which means that many newly qualified dentists are being trained in the process from an early stage. Even more experienced dentists, but with little experience in oral surgery, are getting into the practice. This results in a market saturated with professionals who may have only performed a few All-on-4 surgeries, but who heavily advertise this treatment.
This can be a minefield for uninformed patients. At the ImplArt Clinic, under the direction of Dr. Roberto Markarian, you’ll find the expertise you need. Before you start, research the dentist’s credentials. Check how many All-on-4 cases he has performed and whether he has specific experience in this type of implant. At ImplArt, we offer a guarantee on our work, reflecting our confidence in the quality of our services.
Meet Dr. Roberto Markarian, clinical director of ImplArt, who tells us more about dental implant surgery where he performs tooth extraction and simultaneous implants. This situation certainly happens a lot with all-on-four dental implants, where extractions take place, in most cases, in the same surgery as the implants.
2. Do not consider whether you can perform more than 4 implants per arch
One of the attractions of All-on-4 dental implants is the number “4”. A full arch of upper or lower teeth with just 4 implants. Only 4 implants to be inserted, saving time and money. Minimum work, maximum results.
However, more dental implants can offer more support. While All-on-4 implants are an incredible tool for many people, restoring an entire arch of teeth with 4 implants is not the “standard” option for full-arch implants.
At Clinica Dentaria ImplArt, we assess the number of dental implants needed to support the fixed prosthesis according to the patient’s bone situation and the material of the prosthesis chosen. For the Translucent Zirconia Prosthesis, we usually use 6 implants, as they will provide additional support for the Zirconia Protocol Prosthesis.
3. Assume that everyone can perform All-on-4 implants
All-on-4 implants are a modern solution for replacing missing teeth with a prosthetic protocol. There are specific criteria for treatment:
- Have enough bone in the mandible or maxilla in the area that will receive the implants
- Have an indication for extraction of all teeth
- Intend to carry out immediate loading
At ImplArt Dental Clinic, we use 3D scans to assess bone health and volume, ensuring that you receive the most appropriate treatment. And if you need bone grafting to allow for the insertion of dental implants, don’t worry: there are several modern bone grafting techniques that will allow for all-on-four dental implants.
*Learn more about bone grafting: Modern dental bone grafting techniques
*Learn about the risks of dental implants: 5 major risks for dental implant users
4. Not checking and researching the brand of implants
Many people pride themselves on saving money by buying generic brands. This is great for many items, such as food and even medicines. But sometimes you’re not just paying for the brand name, but for the history, reliability, longevity and quality assurance that the brand offers.
There are many types of dental implants on the market, and frankly, they’re not all the same. The cost of a dental implant will certainly depend on the brand you choose. Dental implants from generic brands are therefore risky for two main reasons:
- Uncertainty about the quality of the implant itself.
- Uncertainty about the company’s longevity.
At the ImplArt Clinic, we use renowned brands such as Straumann, Neodent and SIN, which offer high quality and longevity for your implants.
*Discoverthe Neodent Dental Implant Line: Neodent dental implant lines
*Get to knowthe Straumann Dental Implants Line: Straumann’s high-tech dental implants
5. Assuming you’ll have final teeth on the same day
The promise of “final teeth on the same day” is attractive, but not everyone is an ideal candidate for this approach. To be eligible for immediate loading implants, you need to have very good bone volume and meet certain characteristics for this technique. In addition, immediately after surgery, the anatomy of the area is altered by the surgery and becomes swollen, so making a final prosthesis on the same day as surgery may not be the ideal solution.
But don’t worry, at Clinica ImplArt the patient always wears a temporary prosthesis after total implant surgery. This way, patients are never left without teeth while waiting for their dental implants to osseointegrate.
*If you want to know how dental implant surgery works, go to: How is a dental implant done ?
Post-operative care with All-on-4 implants
At ImplArt, we guarantee an honest and realistic assessment of the feasibility of immediate loading implants for you, clearly explaining the process and the time needed to obtain definitive results. We make sure you know that the teeth fixed on the day of surgery are temporary and that you will need to return after a few months to receive permanent teeth.
6. Assuming it’s better to extract all the teeth and start again
Keeping your natural teeth is always the best option. At ImplArt, we prioritize saving natural teeth when possible, using treatments such as root canals to avoid unnecessary extractions and preserve oral health. Extracting healthy teeth should be the last option, and it is preferable to work around existing teeth and keep them.
7. Wearing teeth prematurely after the first surgery
After All-on-4 implant surgery, it is crucial to allow time for osseointegration. One of the most important factors in dental implants is osseointegration, which is the growth of bone around the implant, fixing it in place.
At ImplArt, we provide detailed post-operative instructions to ensure that you avoid overloading the implants prematurely and compromising bone integration. For the first six weeks, avoid biting and chewing hard foods with your temporary prosthesis so as not to compromise the implants.
8. Choosing and comparing treatments based on price rather than quality
Although ImplArt uses high-tech materials, we offer competitive dental implant prices without compromising on quality. Our experienced team and the use of high-quality materials ensure that you receive the best value for your investment in oral health.
When it comes to the cost of dental implant treatment, it is very difficult to make a choice based on the price of the treatment alone. A number of factors must be taken into account, such as the experience of the team, knowledge and practice in the procedure, as well as the types of materials and technologies used in the treatment. Imported implants will certainly have a higher value than domestic implants. When it comes to prosthetics on All on Four dental implants, the same is true: materials such as resin will be cheaper than porcelain or zirconia.
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Consultation for dental implants All on Four
At the ImplArt Clinic, Dr. Roberto Markarian and his team are ready to offer you a detailed and personalized initial consultation, ensuring that you make informed and safe choices about your All-on-4 dental implants. Right from your initial consultation, you will be presented with all the options for dental implants and modern dental prostheses to choose from. See below how the evaluation consultation at Clinica Dentaria ImplArt works:
HOW TO MAKE IT ALL ON FOUR?
The first step to getting your treatment with ALL or 4 is to book your appointment today to find out how we can transform your smile with safety and quality.
During the initial consultation, the patient’s general and oral health is assessed, as well as the volume and quality of bone in the mandible/maxilla, aesthetics, gum shape and other aspects. To assess bone volume, radiological examinations such as panoramic radiography and computed tomography will be requested.
This stage also verifies the need for bone grafting prior to implant surgery, as well as the need for medical supervision if the patient has pre-existing diseases that could interfere with the success of rehabilitation with dental implants.
*Readmore about dental implants: Dental implant: Learn all about dental implants in this guide
All on four dental implants
Find out more about treatments at Clinica ImplArt
To find out more about the treatments at Clinica Dentaria ImplArt, check out the images of our treatments on Instagram https://www.instagram.com/clinicaimplart/.
Our videos on Youtube: https://www.youtube.com/@ImplArtImplanteseestetica
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To see our photo gallery of our treatments, click here!
Contact us by WhatsApp (11) 3262-4750
Dr. Roberto Markarian, implant dentist
Text written by DR. ROBERTO MARKARIAN – CRO-SP 73.583
Founder and Director of the ImplArt Dental Clinic – Dr. Roberto’s Linkedin profile
![Dental implants: Learn all about dental implants in this guide 7 Dr. Roberto Markarian implant dentist](https://www.implart.com.br/wp-content/uploads/2023/05/DR.-ROBERTO-MARKARIAN-IMPLANTODONTISTA.jpg)
Dr. Roberto Markarian is a reference in dental implants and computerized dental prostheses in Brazil. As well as having more than 10,000 implants installed, he is a researcher who produces knowledge that is published worldwide in renowned scientific journals in the field of dentistry. He is responsible for promoting knowledge and high technology applied to all the treatments offered by the ImplArt Clinic.
- Post-Doctorate in Implant Dentistry – Univ SL Mandic (Campinas-SP) – 2020
- PhD in Implant Dentistry – Doctor of Implant Dentistry, Univ SL Mandic – 2017
- Dr. Roberto Markarian Specialist in Dental Implants at USP (Implant Dentist) – 2008
- Specialist in Prosthodontics (Prosthodontist ) by the CFO – 2006
- Master in Prosthodontics, USP – 2005
- Graduated as a Dental Surgeon from USP (São Paulo) – 2001
- Member of the Clinical Staff of Hospital Alemão Oswaldo Cruz
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