All on 4 Dental Implants FAQ’s
All On Four Dental Implants Frequently Asked Questions
How are All On Four Dental Implants different from dentures?
As opposed to dentures, All On Four dental implants are a permanent set of teeth that look and feel natural, which means they:
- Are permanent teeth that are brushed and cleaned like natural teeth
- Do not have to be taken out and cleaned each night
- Do not need messy, sticky adhesives
- Do not press down on your gums, preventing discomfort
- Allow for you to taste and experience the hot/cold of your food
- Do not cause you to gag
- Allow you to bite with increased force, which means you can eat all of your favorite foods
- Prevent bone deterioration
How do All-On-Four Dental Implants compare to traditional implants?
All On Four Dental Implant procedures utilize only 4 implants, whereas traditional implants utilize anywhere from 5 to 8 implants in one arch. Because the posterior implants of the All-On-Four procedure are placed at an angle, it allows for increased support by using the natural support of your bone.
Also, traditional implants often require bone grafting, a process that can take 6 months or more. The All-On-Four Dental protocol requires no bone grafting for most patients, with a success rate that is equal to or better than traditional implants.
All-On-Four Dental Implants save you from unnecessary surgery and discomfort, as well as time and money.
What makes Dr. Golpa qualified to perform All-On-Four procedures?
Dr. Golpa has performed dental implant procedures for nearly two decades and has become a leader in the Las Vegas area because of his expertise in the field. He has studied under the pioneer of the All-On-Four protocol, Dr. Paulo Malo.
Every patient is different and can be complex due to health issues and unique bone conditions. But, Dr. Golpa has seen it all and can provide each patient with a solution that will be safe and effective for them.
Furthermore, the Golpa Dental Implant Center is fully equipped with imaging equipment, an on-site lab and an experienced team to provide you with the best care possible.
How many All-On-Four Dental Implant Procedures has Dr. Golpa performed?
Dr. Golpa has been performing dental implant procedures for nearly two decades. The All-On-Four protocol was pioneered in Europe. Published papers began appearing around 1994. At the time, it seemed a radical concept defying many long held beliefs. Dr. Golpa was immediately intrigued by the concept, though skeptical, and began following the literature. After reviewing 10 years of published data suggesting astonishing results, primarily from Dr. Paulo Malo the pioneer of the All-on-Four technique, Dr. Golpa began to believe that perhaps this young surgeon from Portugal might be on to something.
In 2005, Dr. Golpa was privileged to be invited to a lecture given by Dr. Malo in California. After meeting Dr. Malo, studying his body of evidence, and questioning his methods, Dr. Golpa was convinced that this was a compelling new method for alleviating the crippling effects of total tooth loss. Dr. Golpa asked Dr. Malo if he could come to Portugal and study with him and he agreed. Early in 2006, Dr. Golpa went to Portugal and began an in depth study of both the surgical and prosthetic protocol. Immediately upon returning home, Dr. Golpa began offering this procedure and now works with All-on-Four cases routinely with patients from all over the world. He feels that, in most cases, it provides a better and more permanent solution for his patients.
What is his success rate with All-On-Four Dental Implants?
Published studies show a 98.2% success rate using All-On-Four Dental Implants on the lower arch, and a 97 – 98% success rate using them on the upper arch.
Dr. Golpa agrees with those studies. In rare occasions, an implant can fail to integrate. In that instance, Dr. Golpa will discuss your options with you and determine the best solution. In most cases, it simply requires placing the implant in a slightly different position.
Who is the ideal candidate for All-On-Four Dental Implants?
The ideal candidate for the All-On-Four Dental Implant procedure is someone who is currently wearing dentures or will need dentures in the future and is in good health with little bone deterioration. If you or Dr. Golpa are concerned about any health issues, he will contact your physician to discuss your medical condition and determine if this procedure is right for you. Dr. Golpa will obtain medical clearance from your doctor, if your doctor feels that it is acceptable to proceed with the procedure. It is rare for a medical condition to interfere with your ability to have this procedure.
However, because of his expertise, Dr.Golpa has been able to work with all types of bone conditions and those who might have been turned away from other dentists. In this instance, Dr. Golpa might have to place additional implants to counteract the bone loss or perhaps help you to grow more bone, but no matter what, Dr. Golpa will personally evaluate your case to provide you with the best possible results.
If Dr. Golpa feels that you are not a good candidate for All-On-Four Dental Implants because of health concerns or severe bone loss, don’t worry; Dr. Golpa is an expert in all types of dental implants. There are always alternative procedures to meet your needs.
Where will my replacement teeth be made?
Your brand new smile is crafted in our Beverly Hills, CA lab. Every part of your procedure, from beginning to end, is created in America’s top lab and Dr. Golpa personally oversees each step to ensure the best results possible.
Will my results look natural?
Dr. Golpa uses the latest concepts in smile design to create your new smile. Dr. Golpa takes your facial features, skin tone, age, and personality into consideration when creating your new permanent set of teeth to ensure that they are congruent with your features. It is important that they are the right size, shape, color, and proportion. A common mistake made by dentists inexperienced with the subtleties of the prosthetic demands, is to show a line, when smiling, where the artificial gums meet your natural gums. This is evaluated by Dr. Golpa during the surgical planning to ensure that this junction is not visible during smiling or speech and you have the most natural outcome possible.
Prior to the fabrication of your final set of new teeth, Dr. Golpa makes sure that you are pleased with the size, shape, color, proportion, and comfort of your new teeth. Many patients comment that their new teeth are more beautiful than their permanent teeth ever were. You can be confident in your new smile.
Dental Implants on both arches?
It is perfectly fine to have All-On-Four Dental Implants on only the lower or upper arch. However, if you feel you might need dentures on both eventually, it is typically best to perform the procedure at the same time to achieve better results, and save you time and money. But in certain cases, we can schedule separate procedures to meet your financial and health needs.
Our fees are an average 0f $7,500-$12,500 per arch, lower than most providers. ClearChoice Dental Implants, for instance, charges an average of $25,000 per arch. They employ a ‘team” of experts, and every member of that “team” must get paid. Dr. Golpa expertly performs every aspect of your oral rehabilitation, from your initial consultation, to the day you leave with your beautiful new teeth. Dr. Golpa only answers to one person, You. Our fees are also lower than traveling to countries like Mexico or Costa Rica, when you factor in all the fees involved, not to mention the hassles and dangers of foreign travel. Before you have any teeth removed, come in for a second opinion!
The technique for total rehabilitation of the edentulous, All-on-4TM is a surgical and prosthetic medical procedure. The concept was developed, institutionalized and systematically analyzed in the 1990s through studies funded by Nobel Biocare in collaboration with a Portuguese dentistPaulo Maló. It consists of the rehabilitation of the edentulous maxilla and mandible with fixed prosthesis by placing four implants in the anterior maxilla, where bone density is higher, allowing the highest success rate. The four implants support a fixed prosthesis with 12 to 14 teeth and it is placed immediately on the day of surgery. All-on-4TM is a registered trademark of Nobel Biocare.
Description of the procedure
Often, tooth loss is accompanied by loss of the jaw bone which poses the problem of reconstruction of the jaw bone. For the implementation to be successful it is necessary to transplant bone from other parts of the body, for example, the iliac crest or the skull and apply it in the area where it is planned to deploy tooth or teeth. Transplantation of bone graft technique takes between three and six months so that the implants can be placed. After implant placement, it is necessary to wait two to three months, after which time it is possible the placement of the fixed prosthesis. The total rehabilitation time lasts about twelve months.
Many patients can not do the transplant of bone for general health reasons (diabetes and others). The rehabilitation of the teeth in this way (the transplantation of bone) due to health problems is impossible in 20% of patients.
The process All-on-4™, will address these drawbacks because it consists in establishing a fully customized denture (bridge) based only on four titanium implants. These implants act as “pillars” to the bridge that supports the prosthetic teeth. The invented process allows takes advantage of existing bone, even if scarce, avoiding having to use bone grafts.
The posterior implants are substantially angled at approximately 45 degrees to avoid compromising the sinus cavity in the upper jaw and the nerve canal in the jaw.
The invention All-on-4™ owes its name to the very nature of the method, which consists of applying a dental prosthesis with at least twelve teeth (bridge) fixed in the jaw, based only on four titanium implants.
The specific implants or pillars used by Maulo are protected by international patenting. The all on four protocol can be used successfully with alternative implants or pillars.
Patent claims for the dental implant fixation
According to the first claim accepted under the European patenting process, the implant (7) is characterized by having a form that allows an effective anchoring even in a jaw bone (1) with a combination of soft and hard bone portions or inlays (2, 3, 4, 5), which fixture can be applied in holes (6, 8) with diameters (D’, D’’) which are substantially smaller than a main diameter (D) of the fixture (7) so as to produce a clamping effect (10) on the fixture (7) from the soft bone portion (3) or portions, said fixture (7) comprising an outer surface, the main diameter (D), an end surface and a front portion (7b), which from the point of view of diameter grows very much narrower towards the end surface and which is arranged with both a cutting function (12, 13, 14, 15) and a threading function (11) and is thus able, upon contact with a hard bone portion (4, 5) or portions, to penetrate through these hard bone portions (4, 5) without causing any substantial tendency for displacement of the respective hard bone portion (4, 5), and a thread (11) which has one, two or more thread turns and extends along the greater part of the outer surface and also down along the front portion (7b) while substantially maintaining its thread profile, wherein the main diameter (D) is 4 mm, the diameter (d) of the end surface is 2 mm, and the front portion (7b) has a Height (H) which is substantially equal to the diameter (d) of the end surface.
Price of the treatment
The price may vary for each country or region, and normally it is divided in two phases
- On the first phase it is removed any remaining teeth, and it is placed the four dental implants and an immediate temporary bridge secured to the four implants. This phase may cost between $10000 to $15000, being dependent on the above factors.
- Some months after the above phase, after complete healing and bonding of the implants to the bone, a final bridge is typically fabricated. This bridge typically contains a metal framework, which strengths the system, and often a few more posterior teeth. This phase may cost between $10000 to $17500, being dependent on the materials used and the type of teeth (porcelain or acrylic)
The total price (if considered both superior and inferior archs) may reach $57000.
- ^ Maló, Paulo; Rangert, Bo; Nobre, Miguel (2003). “‘All-on-Four’ Immediate-Function Concept with Brånemark System® Implants for Completely Edentulous Mandibles: A Retrospective Clinical Study”. Clinical Implant Dentistry and Related Research 5: 2–9. doi:10.1111/j.1708-8208.2003.tb00010.x. PMID 12691645.
- ^ a b Malo, Paulo; Rangert, Bo; Nobre, Miguel (2005). “All-on-4 Immediate-Function Concept with Branemark SystemR Implants for Completely Edentulous Maxillae: A 1-Year Retrospective Clinical Study”. Clinical Implant Dentistry and Related Research 7: S88–94. doi:10.1111/j.1708-8208.2005.tb00080.x. PMID 16137093.
- ^ “Trademarks”. Nobel Biocare. May 25, 2011.
- ^ Maló, P; Nobre, M; Lopes, A (2011). “Short implants in posterior jaws. A prospective 1-year study”. European journal of oral implantology 4 (1): 47–53. PMID 21594219.
- ^ Maló, Paulo; De Araújo Nobre, Miguel (2011). “Implants (3.3 mm Diameter) for the Rehabilitation of Edentulous Posterior Regions: A Retrospective Clinical Study with Up to 11 Years of Follow-Up”. Clinical Implant Dentistry and Related Research 13 (2): 95–103. doi:10.1111/j.1708-8208.2009.00188.x. PMID 19681926.
- ^ Malo, Paulo; de Araújo Nobre, Miguel; Lopes, Armando; Moss, Steve M.; Molina, Guillermo J. (2011). “A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up”. Journal of the American Dental Association 142 (3): 310–20. PMID 21357865.
- ^ a b WO patent 2004091424, Carvalho, Paulo Malo, “Fixture for anchoring in jaw bone”, issued October 28, 2004
- ^ http://choosedentalimplants.com/content/26310-average-cost-all-4-procedure
- ^ http://dental-implants.dentiq-dentistry.com/cost-all-on-4.html
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