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The Step-by-Step Procedure for All-on-4 Full Arch Dental Implant-Supported Appliances

For people who are missing most (or all) of their teeth, all-on-4 full arch dental implant-supported appliances are one of the best replacement options available. Also known as hybrid implant-supported dentures, all-on-4s are a natural-looking and durable set of false teeth that attach to titanium implant posts. 

If you’ve been considering dental implants you’re probably wondering what to expect. Many people have questions about the all-on-4 procedure, so we explain the process in detail below.   

The All-on-4 Full Arch Dental Implant-Supported Appliance Procedure: A Step-by-Step Guide 

Step 1: Consultation

As with any oral surgery, an initial consultation is necessary to determine whether you are a good candidate for the procedure. During this visit, we will evaluate your gums and jawbone to see if they are healthy enough to support dental implants. This involves taking dental x-rays and performing a detailed CBCT scan (cone beam computed tomography) of your mouth.

The CBCT scan and x-rays also aid in:

  • Planning for the most accurate placement of the implants
  • Fabricating a comfortable, natural-looking set of false teeth 

We will also determine whether any tooth extractions are necessary before placement, such as if the remaining teeth have serious decay. You should also expect to discuss your medical history and current medications.

If getting all-on-4s is the right procedure for you, then we will go over the treatment plan with you. This is a good opportunity to ask any questions you have about the procedure and dental implant aftercare. 

Next, you will schedule any necessary tooth extractions and the all-on-4 dental implant arch placement—both of which can often be scheduled for the same day. Our advanced in-house technology makes the overall process of getting dental implants extremely efficient.

Plan to wear comfortable clothing, since the appointment can take a couple of hours. You’ll also need to ask someone to bring you home afterward because you will be sedated during the implant procedure, which can impair driving.  

Step 2: Tooth Extractions

The next step after the consultation is to remove the remaining natural teeth to make room for the all-on-4 dental prosthesis. The tooth extraction is typically performed on the same day as implant placement. If you don’t have any remaining teeth, then you will only need to have the implants placed. 

Step 3: Placing the Dental Implants

After you have been sedated using general anesthesia, we will place the dental implants and a temporary arch. At Copper Creek Dental, we fabricate a surgical guide that helps us place the dental implants with optimum accuracy. The surgical guide is custom-created using a scan of your mouth, and it will fit over your gums to mark the exact placements for the implant posts. 

Using the guide, we make incisions in the gums, and place the number of implants necessary for your treatment (four for all-on-4, six for all-on-6, and so on). Then we stitch the gums closed around the implants. After surgically placing the implants, we attach a temporary set of false teeth to protect the implant posts and restore your smile while your mouth heals. 

Step 4: Recovery

The healing process after dental implant surgery typically takes around three to six months. Luckily, you will never be without teeth during that time thanks to the temporary prosthesis. Copper Creek Dental also offers platelet-rich fibrin therapy to naturally speed up the healing process.

Make sure to closely follow all of your post-operative instructions, and to take any prescribed medication as directed. 

As your mouth heals, the implant posts fuse to your jaw bone in a process called osseointegration. This is what makes all-on-4s so stable, and what makes them superior to other restorations like dentures and bridges. 

Step 5: Attaching the Permanent Restorations

After your mouth has fully healed, you’ll return to have the permanent full arch (set of false teeth) attached to your dental implants. Your dentist will check your bite and make any necessary final adjustments to your prosthesis.

Hybrid Implant-Supported Dentures in South Jordan, Utah

If you’d like to get back to living confidently with a full set of teeth, contact Copper Creek Dental. We help adults in Daybreak and the neighboring communities transform their smiles in as few appointments as possible. We can determine whether you need all-on-4 full arch dental implant-supported appliances, single implants, or other restorations. Give us a call at 801-280-1911 to schedule a consultation so you can find out whether getting all-on-4s is the right treatment for you. 

Images used under creative commons license – commercial use (3/23/2023). Photo by Marius Christensen on Unsplash

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