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Transform Your Smile With All-on-4 or All-on-6 Dental Implants

     The All-on-4 and All-on-6 dental implant concept is solution that has been developed to maximize the use of available bone and allow the immediate functioning of dental implants for full arch reconstruction cases. It is sometimes also known as all-on-one as a one piece hybrid denture prostheses is supported by the dental implant posts.  

What is All-on-4 and All-on-6?

The All-on-4 and All-on-6 dental implant concept is a procedure that combines multiple dental implants with a single surgery and allows for the insertion of up to six or four dental implants respectively. It is an innovative and pioneering approach which has been successfully used in Europe and Asia for more than 15 years.

What are Some of the Benefits Associated with All-on-4 and All-on-6 Dental Implants?

All-on-4 dental implants are specific type of dental implant that can replace all four missing teeth on one arch. All-on-6 implants are the same but use six implants for more stability missing. Both are done in one surgery with less need for bone grafting and they often allow immediate appearance of natural teeth through some clever engineering.

  • Less invasive procedure as teeth removal, bone re-shaping and dental implant surgery is done in one sitting.
  • Getting dental implants is done faster, less forcefully and more pleasurable than with any other procedure.
  • Cost-effective and fast.
  • There is minimal healing time required before functioning because it is an immediate function procedure.

How are procedure for Full Jaw Immediate Function Treatment(All on 4)?

 This process is done by removing teeth, reshaping bone and inserting dental implants post surgery. All this is done in one sitting which makes it less invasive than most procedures for rebuilding jaws.

  • EXAMINATION AND PLANNING
    • The dentist would first evaluate the health of gums and teeth before deciding what should be done.
    • A preliminary evaluation is usually required to determine if it’s an ideal placement for an implant. A first evaluation, x ray, and CT scan is done to determine implant site positioning and bone condition.
    • The dentist determines what needs to be done and makes sure the equipment, parts, and preparatory works are prepared in advance. 
  • IMPLANT INSTALLING.
    • If there are any existing teeth, the teeth are usually removed before continuing. Alevolplasty is often done following tooth removal to protect or remodel bone. Implants are then installed following the protocol determined by the number of screws (4, 5, 6) based on bone condition and expected long term prosthesis needs. If the patient requires dental temporaries, wait  for 3-5 days preceding the installation of a hybrid acrylic bridge or use patient’s old denture connected to temporary implant abutment for immediate fixation after surgery was done.
  • INSTALLATION THE HYBRID ACRYLIC BRIDGE
    • A teeth impression of the patient is taken within 2 days of implant placement or immediately following implant placement. The bridge is made in the dental lab and the frame is tried on and adjusted before it is securely installed on top of the patient’s new implants.
  • FINAL RESULT
    • Your new teeth is ready to function and eat soft foods, but you should follow the instructions your dentist gave you for caring for them.

Immediate Function Implant Systems

There are several implants brands which to choose from and they would likely range in cost. The top medical methods world-wide for implants are:

  1. All-on-4 from Nobel Biocare
  2. ProArch from Straumann
  3. NeoArch from Neodent by Straumann group

Your implantologist will likely recommend that you have active surface and a good quality dental implant system range in order to increase the success rates of implants.

Pros and Cons of the All on 4 System

The All on 4 system is a “one stage” dental implant technique, where a patient’s success begins with a bone graft and ends up with the tooth restoration. patients can eat what they want, pain is minimal, success rate of 98%. 

Due to the All on 4 procedure, it is possible for us to build a 10 teeth denture by placing four implants. 

Post operative care Instructions for Immediate Function Implants

  1. Only liquid foods may be consumed during the first day in order to avoid inadvertent food particles contaminating the wound and semi-liquid (Mashed) food added during the rest of the week
  2. Avoid eating or drinking anything very hot or cold during the first day after the operation
  3. Moderate post-operative swelling is a normal reaction. However, If you have excessive swelling, severe pain or persistent bleeding please contact the clinic or emergency room
  4. Use antiseptic mouth wash rinses as directed
  5. Smoking and consumption of alcoholic beverages should be avoided
  6. Old dentures may not be worn until adjustments have been made. Early insertion of dentures may delay or affect healing
  7. Avoid putting heavy pressure around the implant site during healing period 

Home Care for All-on-4,All-on-6 Immediate Function Implants

Dental implants need to be brushed and flossed and regular dental visits just as much as real teeth.

1.Brush with a soft toothbrush after eating and before bed to keep your implant clean.

2.To maintain good oral health, brush your teeth at least twice a day. Use the proxy brush or floss threader to clean around areas where bacteria can build up like between your teeth and along your gum lines.

3.Rinse thoroughly with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes

4.Be careful about chewing toffees, gum, and tough food in this area.

5.Get regular professional check-ups and cleanings with your dentist.

Conclusion

This full jaw all-on-4,all-on-6 immediate function replacement solutions offer several benefits as they can be completed in a shorter amount of time. It also offers a smoother transition for those who are close to being edentulous. The All-on-4 concept does, however, come with higher risks and special care will need to be provided over-time. Unlike implant supported dentures, hybrid All-on-4 bridges are fixed which means they will not need to be removed.

Dental implants are fast and cost effective, but they may not be right for everyone. Consult with your dentist before deciding which option is best for you.

 

Testimonials

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ขอขอบคุณ คุณหมอแอ้น ที่ดูแล ให้คำปรึกษาเป็นอย่างดี ความเป็นกันเองของคุณหมอทำให้คนที่หวาดกลัวการพบหมอฟันรู้สึกผ่อนคลาย

สิ่งที่สำคัญที่สุดของคลินิกแห่งนี้ การทำให้คนไข้รู้สึก ”วางใจ” รู้สึก “ปลอดภัย”

ประทับใจสุดๆก็คือคุณหมอแอ้นตอบไลน์แอดด้วยตนเอง รู้สึกว่าตัวเองโชคดีที่มาใช้บริการที่นี่ค่ะ

ภาวินี / Thailand

It was very easy to communicate right from the initial contact. Very responsive, detailed oriented and very professional. All details of extensive dental work were discusse way in advance and all complicated dental work was done on time and exactly as was planned. Very satisfied with results and highly recommend Dr. Nalat to anyone who needs professional dental work. With great appreciation

Arunas Vanagas / U.S.A

ชอบที่คลินิกSmile and Shine ดูแลได้ครบวงจร มีทันตแพทย์ครบทุกด้าน เครื่องมือทันสมัย เหมือนไปทำที่รพ.ทางทันตกรรม ทำให้ไม่ต้องเสียเวลาไปหลายที่ ที่สำคัญคุณหมอที่นี่ทำให้ความรู้สึกกลัวเวลาทำฟันหายไป โดยสิ้นเชิง เพราะคุณหมอมือเบามากค่ะ

เกื้อกมล / Thailand

She is simply the best Dentist, surgeon, cosmetic expert, wonderful person, I recommend her to all my family, friends and anyone who appreciates professionalism, perfection, courtesy and friendliness! Thank you Nalat!

Eunice climaites / U.S.A

ขอบคุณสำหรับการฝังรากเทียมที่สุดปราณีต เช็คความเรียบร้อยตลอดการทำและไม่เจ็บเลย…ค่ะ

มั่นใจค่ะว่าฟันที่ทำกับคุณหมอนลัท จะสวยงามและใช้งานได้อย่างเต็มประสิทธิภาพค่ะ…ขอบคุณมากค่ะ

 

Wichitra / Thailand

ขอบคุณทั้งคุณหมอและเจ้าหน้าที่ค่ะ ดูแลและอธิบายรายละเอียดอย่างใส่ใจ คุณหมอนลัทใจเย็นมากค่ะ ไปคลีนิคแล้ววางใจว่าจะได้รับการรักษาและบริการที่ดีค่ะ

Ravar Kanithasen / Thailand

DR.NALAT WONGWATJANA,DDS,FICOI

ทันตแพทย์รากฟันเทียม

  • The second class Honors D.D.S., Faculty of Dentistry Chulalongkorn University, Thailand, 2009
  • Certificate of completion basic implantology ,Osstem,2015
  • Certificate of completion intermediate implantology ,Osstem,2015
  • Certificate of completion advance implantology ,Osstem,2015
  • Certificate in Implant externship program,State university of New York  at Stony Brook School of Dental Medicine.,2016
  • Cert. of Completion, Invisalign, Align Technology, Inc.
  • Certificate of clinical proficiency in orthodontics ,Prime orthodontic
    Award and accreditation
  • Honorable mention award,Esthetic implant competition,TPA with ITI Straumann.(Thai Prosthodontics Association and International team of implantology,straumann),2015
  • Accreditation of ADVANCE IN IMPLANTOLOGY -DGOI  (Deutsche Gesellschaft für Orale Implantologie -German Society ofOral Implantology),2017
  • Fellow of the International congress of oral implantologists (ICOI) / USA 2019

PUBLICATIONS
Dr.Nalat Wongwatjana,D.D.S, –  Bangkok. “Staged Approach Single Dental Implant in Aesthetic Zone,
THAI ASSOCIATION OF DENTAL IMPLANTOLOGY,Vol.40,2017

 

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