Implant Dentists That Do All-On-4

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The term All-on-4 refers to “all” teeth being supported “on four” dental implants, a surgical and technique prosthodontics procedure for total rehabilitation of the edentulous patient or for patients with badly broken down teeth, decayed teeth or compromised teeth due to gum disease. It consists of the rehabilitation of either edentulous or dentate maxilla and/or mandible with fixed prosthesis by placing four implants in the anterior maxilla, where bone density is higher. The four implants support a fixed prosthesis with 10 to 14 teeth and it is placed immediately, typically within 24 hours of surgery.

all-on-4-dental-implantsImplant manufacturer Nobel Biocare was among the first to identify the evolution of the All-on-4 technique as a potential valid and cost-effective alternative to conventional implant techniques, and funded studies by Portuguese dentist Paulo Maló to determine the efficacy of this approach. During this time this technique was also used by various other clinicians around the world.

All-on-4 is not an invention, but rather a treatment technique that has evolved over time and has the following features:

  • four dental implants to support a full fixed bridge (documented since 1977)
  • the use of angulated implants in the back to overcome bony deficiencies or anatomical structures (documented since 1990)
  • immediate loading (documented since 1990)

The concept itself of the total rehabilitation of a full set of teeth supported by as few as four fixtures was not a new one. Professor P-I Branemark, who discovered osseointegration, published numerous articles in the 70s with successful rehabilitation of a full arch supported by this number of fixtures. However, it was the angulation of the back implants that led to today’s All-on-4, and has been trialed by numerous clinicians simultaneously in the USA, Sweden, Portugal, and South America in the 1990s. The technique evolved when in an attempt to avoid certain anatomical limitations typically seen in the back of the upper and lower jaws have, clinicians successfully avoided bone-deficient areas with the use of angulated implants. Anatomical limitations are more prevalent in patients with full dentures, and once the back implants are placed at an angle there is often only enough room left for two more implants in the front. This has led to the use of only four fixtures to support a full set of teeth.

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cat-icon 901 N. Pacific Coast Highway Suite 200B Redondo Beach, CA 90277
cat-icon 31876 Del Obispo St #9, San Juan Capistrano, CA 92675, USA
cat-icon 1420 E Roseville Pkwy Suite 230, Roseville, CA 95661, USA
cat-icon 1045 W El Camino Real, Mountain View, CA 94040, USA
cat-icon 4520 Donald Ross Rd #110, Palm Beach Gardens, FL 33410, USA
cat-icon 135 San Lorenzo Ave # 640, Coral Gables, FL 33146, USA
cat-icon Lauderdale Dental Square, 3015 Bayview Dr suite b, Fort Lauderdale, FL 33306, USA
cat-icon 499 E Central Pkwy #220, Altamonte Springs, FL 32701, USA
cat-icon 7450 France Avenue South, Edina, Minnesota 55435, USA
cat-icon 22 Old Short Hills Rd # 211, Livingston, NJ 07039, USA
cat-icon 8228 Louisiana Blvd NE suite c, Albuquerque, NM 87113, USA
cat-icon 3807 Spicewood Springs Rd #100, Austin, TX 78759, USA
cat-icon 9398 Viscount Blvd #1a, El Paso, TX 79925, USA
cat-icon 4201 Bee Cave Rd suite a103, West Lake Hills, TX 78746, USA
cat-icon 947 Gessner Road Suite A-230, Houston, TX 77024, USA
cat-icon 2020 Babcock Rd Suite 26, San Antonio, TX 78229, USA
cat-icon 610 Old Campbell Rd #116, Richardson, TX 75080, USA
cat-icon 88 Finch Ave E, North York, ON M2N 4R5, Canada
cat-icon 3690 Portage Road, Niagara Falls, ON L2J 2K9, Canada
cat-icon 808 York Mills Rd #32, North York, ON M3B 1X8, Canada
cat-icon 50 Chemin de la Rabastalière E, Saint-Bruno-de-Montarville, QC J3V 2A5, Canada
cat-icon 213 Le Marchand Mansion, Edmonton, AB T5K 0J8, Canada