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All on 4® Treatment Concept & Dental Implants


Missing teeth is a serious issue. When you lose your teeth, every aspect of your life is affected. Basic tasks like eating and speaking become incredibly difficult. Your smile suffers. Even the health and shape of your jawbone is affected, which not only alters your bite but your face shape as well. The more teeth you lose, the more significant the effects. At Progressive Oral Surgery & Implantology of Long Island, we can replace multiple missing teeth, or even an entire arch, we can replace those teeth with dental implants and the All on 4 treatment concept.



What is the All-on-4® Treatment Concept?


When you have lost an entire arch of teeth, a full arch restoration is used. Typically, this treatment involves the use of 6 to 8 implant posts. However, for implants to be successful, you need to have sufficient bone mass in your jaw.

Without enough bone mass, your jawbone cannot properly fuse to the posts. This can result in loose implants and implant failure. Even the failure of a single post can mean the failure of the entire restoration.

In many cases, a bone graft is required to restore strength to your jawbone. This is an additional surgical procedure with additional healing time. The All on 4 treatment concept provides a full arch restoration without the need for a bone graft.



What are Dental Implants?


A dental implant consists of a post, abutment, and restoration to replace a missing tooth.Dental implants are a modern treatment used to replace missing teeth. This treatment is unique from traditional treatments in many ways.

One of the biggest differences between traditional treatments and dental implants is that implants act as a complete replacement tooth. They require a surgical procedure, in which small posts are surgically placed into your jawbone, and they can restore a single missing tooth or multiple missing teeth.

As you heal from surgery, your bone gradually fuses with these posts in a process called osseointegration. This process stabilizes the posts within your jaw, essentially turning them into the roots that will then provide support for your replacement teeth. Implants are a versatile treatment and can replace a single tooth to an entire arch.



Why Should I Replace Multiple Missing Teeth?


Losing multiple teeth is a serious issue that should be addressed as quickly as possible. Here are a number of reasons why you should replace missing teeth with a dental implant solution (like All on 4):
•  When you lose teeth, it becomes difficult to bite, chew, and speak.
•  Your smile deteriorates, as does your confidence.
•  Tooth loss also impacts your jawbone.



How does tooth loss impact the jawbone?


When you are missing teeth, your other teeth will begin to 'collapse' in around the missing areas and your jawbone will begin to lose bone mass- but dental implants can stop this from happening.
1.  The teeth provide stimulation for your jaw. Every time you chew, this stimulation tells your body to send essential nutrients. Following tooth loss, however, simulation is lost.

2.  Your body begins to think the jaw needs fewer nutrients. Since it thinks the jaw doesn't need nutrients, it therefore does not send as many. Over time, your jawbone gradually begins to weaken. This alters the shape of your jawbone, which can then also alter the shape of your face.

3.  With dental implants, however, we can stop and prevent bone loss in your jaw. The posts function just like the roots of your natural teeth. In addition to restoring your abilities to eat and speak and restoring the quality of your smile, dental implants help to restore stimulation to your jawbone, once again letting your body know that nutrients are required.



How Does the All-on-4® Treatment Concept Work?


The All on 4® Treatment Concept is not unlike any other type of dental implants, but it is specially designed for those with low amounts of jawbone to anchor the implants into. The success of this treatment is not so much the number of implant posts, but how these posts are placed within your jaw.

The All on 4 Treatment Concept involves 4 dental implants placed at a strategic angle for patients with low amount of jaw bone.All on 4 uses only 4 posts. This treatment involves the surgical placement of implant posts into your jaw to provide support for a full arch of replacement teeth.
•  Two of these posts are placed vertically at the front of the jaw, where the bone is naturally thicker and stronger.
•  The other two posts are placed at the back of the jaw, inserted at a 45-degree angle.

At this angle, the posts are providing optimal contact with your jawbone, maximizing osseointegration. Your bone can properly fuse to the implant posts and turn them into the stable roots that your replacement teeth need. Because of this, the need for a bone graft is eliminated.



How is All on 4 Different from Other Dental Implant Solutions?


The major difference between All on 4 dental implants and other multiple dental implant solutions is the number of implant posts that are used. With most full arch restorations, we typically use 6 to 8 implant posts.

There are other treatments, such as bar retained dental implants, that only use 4 posts, but your teeth clip into place on a titanium bar that is attached to your implant posts. The teeth are still removable and need to be removed for cleaning. All on 4, your teeth are screwed into place on your implant posts just like other types of dental implants. This prevents the need to remove your teeth every night to clean them. You can continue to care for you're All on 4 implants just like your natural teeth.



Does My Insurance Cover All on 4?


More and more insurance companies are beginning to provide coverage for dental implants, as well as All on 4. However, most that do provide coverage only provide a portion. This is because, while dental implants provide health benefits, they are still seen as a cosmetic procedure. You will need to contact your dental insurance provider to find out if they do indeed cover All on 4, and if so, how much they will cover.



How Much Does All on 4 Cost?


The cost of All on 4 depends on many factors. These factors include scans and X-rays, extractions, necessary dental procedures before treatment, the materials used, anesthesia costs, and the number of office visits needed. Typically, a single arch can range anywhere from $15,000 up to close to $35,000 before any type of insurance coverage is applied. This treatment costs less than a regular full arch replacement that uses 6 to 8 implants. It also costs much less than undergoing a bone graft and then receiving dental implants.



What is the Process to get the All on 4® Treatment Concept?


The process for All on 4 requires a surgical procedure that is done under local anesthesia and sedation, a healing period, and the attachment of a final restoration.
1.  Consultation: During your initial consultation, we will go over your sedation costs to determine the best one for your needs.
2.  Surgery: Surgery begins with small incisions in your gums to expose your jawbone. Holes are drilled into your jaw based on your treatment plan. The posts are placed immediately inside, and your gums are sutured closed. Before you leave the office, temporary teeth are affixed to your implants, which are used until you heal.
3.  Healing: We wait until you have fully healed from surgery, a process that can take several weeks to several months.
4.  Restoration: We then design and create your custom dental restoration and secure it into place on your implant posts.



An implant-retained denture is an alternative solution to the All on 4® Treatment Concept.

What are Alternatives to All on 4?


There are other alternatives to the All on 4. These options include:
•  Traditional Dentures: These are a removable prosthesis that sits directly on your gums.
•  Implant-Retained Dentures: Implants provide stability for your denture, but your gums still absorb a majority of your chewing forces.
•  Bar Retained Implants: 4 implant posts are placed in your jaw and are connected by a titanium bar. Your replacement teeth clip into place on the bar and still need to be removed daily for cleaning.



What is the Best Solution to Replace Multiple Missing Teeth?


To determine the best solution for you, we conduct a thorough consultation. During this consultation, we go over your medical history and your dental history.

Dental implants provide the most benefits when it comes to replacing missing teeth. Not only do they restore the functions of your missing teeth and the quality of your smile, but they also help to stop and prevent bone loss in your jaw.

If you are missing an entire arch of teeth and do not have the bone mass to support the 6 to 8 implants required for a regular full arch replacement, the All on 4 treatment concept provides you with a great option that helps to avoid the need for a bone graft while still offering the same benefits as other dental implant procedures.



Ready to Schedule Your All on 4 Consultation?


Replacing multiple missing teeth is essential for restoring the functions of those teeth and your quality of life. If you are interested in learning more about dental implants and the All on 4 treatment concept, and finding out if these solutions are right for you, call Progressive Oral Surgery & Implantology of Long Island at (516) 274-9979 to schedule your consultation today.
Garden City
601 Franklin Avenue Suite 110
Garden City NY 11530
516.741.4415 • Fax: 516.741.4417


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Great Neck
23 Bond Street Suite 8
Great Neck NY 11021
516.482.0329 • Fax: 516.482.0401


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Jackson Heights
3706 82nd Street Suite 304
Jackson Heights NY 11372
718.565.8800 • Fax: 718.565.2729


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