All-on-4: errors in the clinical approach and ways to solve them

HomeOrthopedic dentistry PROSTHESIS ON IMPLANTS “ALL-ON-4” or “ALL-ON-4”

BIONIC DENTIS CLINIC IS AN OFFICIAL PARTNER OF THE IMPLANT MANUFACTURER COMPANY NOBEL BIOCARE SINCE 2010.

Developed by the Swiss company Nobel Biocare, the “All-on-4” or “All-on-4” prosthesis over the past 10 years has become the most popular design both among patients and among prosthetics specialists with complete absence of teeth.

IN THE PHOTO: TRANSFORMATION OF A PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC TREATMENT USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

European patients appreciated the features of this type of prosthetics for the following reasons:

• To restore all the teeth in the jaw, only four implants are needed. Implants are installed in a special way, which allows you to distribute the chewing load from 12 teeth.
• Bone grafting and bone augmentation are no longer needed. Complex and unpredictable surgery to increase bone tissue is not used with this concept of prosthetics. The peculiarities of installing four implants are such that almost any patient, even with bone atrophy, has a place for their installation.
• quick recovery time. The patient receives a functional fixed prosthesis on implants immediately after the implantation surgery. There is no need to wait 6 months for implant integration.
• a non-removable orthopedic structure on four implants looks and feels like your own teeth. This is a physiological and aesthetic product that is indistinguishable from natural teeth.
• affordable cost: only 4 implants for reconstruction of the entire jaw.

COST OF AN ALL-ON-4 PROSTHETIC

from 216,000 RUBLES*

* subject to installation of the “ALL-ON-4” prosthesis using an interest-free installment program for 24 months with an initial payment of 30 percent. The first payment is 216,000 rubles, then 24 months at 21,000 per month. The installment plan is arranged at the clinic. This is not a public offer. Specialist consultation is required.

IN THE PHOTO: TRANSFORMATION OF A PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC TREATMENT USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

Five undeniable advantages that make it possible to return teeth to the patient in the shortest possible time.

The face of a patient who has undergone prosthetics using the “All-on-4” or “All-on-4” system changes radically: the patient looks 10 years younger.

The functionality of a fixed denture “All-on-4” or “All-on-4” is comparable to one’s own teeth: studies have proven that patients with fixed dentures or natural teeth live 10 years longer than patients with removable dentures. The secret of longevity is in good chewing of food, which is subsequently perfectly absorbed and provides the body with the necessary nutritional elements in full.

IN THE PHOTO: TRANSFORMATION OF THE PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC PROSTHETICS USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

Nobel Biocare has received permission from the Ministry of Health to use the “All-on-4” or “All-on-4” in the Russian Federation.

Dental clinic "Bionic Dentis" is one of the first dental clinics that began to install dentures on "All-on-4" or "All-on-4" implants for their patients.

Over the years of working with this technique, we have gained extensive clinical experience, which allows us to successfully implement the “All-on-4” or “All-on-4” concept even in difficult cases.

IN THE PHOTO: PROSTHETIC PROSTHETICS OF THE LOWER JAW ON 4 IMPLANTS. LEFT: IMPLANTS INSTALLED. RIGHT: ALL-ON-4 FIXED DENTURE

We recommend installing All-on-4 or All-on-4 prostheses in the following cases:

• when the patient is completely missing teeth in the upper or lower jaw
• when the patient is completely missing teeth in both jaws
• when the patient’s own teeth have become completely unusable and need to be removed due to periodontal disease or periodontitis

IN THE PHOTO: TRANSFORMATION OF THE PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC PROSTHETICS USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

Our rules for prosthetics and implantation make our work the highest quality on the Moscow dental market.

PRINCIPLES OF PROSTHETICS ACCORDING TO THE “ALL-ON-4” OR “ALL-ON-4” CONCEPT IN THE “BIONIC DENTIS” CLINIC

EXACT COMPLIANCE WITH TECHNOLOGY

The “All-on-4” or “All-on-4” prosthetic technology has been developed in great detail. The authors of the method require strict adherence to the methodology. We repeat the Nobel Biocare (Switzerland) methodology in great detail. Carrying out a full range of diagnostic and planning procedures, implantation in compliance with Swiss rules and prosthetics in compliance with stages. This puts the result of our work on a par with Swiss clinics.

IN THE PHOTO: TRANSFORMATION OF A PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC TREATMENT USING THE “ALL-ON-4” METHOD. WORK OF DOCTOR OZEROV PETER VLADIMIROVICH

CLINIC EQUIPMENT AT THE EUROPEAN LEVEL

Our clinic operates according to the standards of Nobel Biocare (Switzerland) , which require strict control of each stage of prosthetics and implantation.

The implantation operation is carried out in a separate operating room, which has all the equipment to ensure that the operation is safe for the patient.

Compliance with the rules of sterilization of premises and equipment, following the Swiss protocol eliminates infection during surgical procedures.

Digital X-ray monitoring of the installation and accuracy of the fit of the prosthesis to the implants is carried out using our own orthopantomograph. This control method is considered the most accurate and guarantees the patient a long service life of the orthopedic structure manufactured within the walls of our clinic.

"BIONIC DENTIS" IS A RELIABLE DENTAL CLINIC THAT HAS BEEN OPERATING STABLE SINCE 2006. ACCORDING TO THE RATING OF THE INDEPENDENT DENTAL PORTAL 32top.ru, OUR CLINIC HAS BEEN IN THE TOP 10 OF THE BEST DENTISTS IN MOSCOW FOR 7 YEARS!

IN THE PHOTO: TRANSFORMATION OF A PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC TREATMENT USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

ONLY CERTIFIED MATERIALS

The “All-on-4” or “All-on-4” prosthesis from Nobel Biocare (Switzerland) requires the use of European materials for the manufacture of the orthopedic structure. The authors of the method calculated the strength and load in such a way that the orthopedic product would be durable and light. The prostheses made in our clinic from European materials have high strength characteristics and long service life. The use of Swiss composite teeth makes “All-on-4” or “All-on-4” dentures highly aesthetic and indistinguishable from your own teeth. A variety of shades and styles of composite teeth make it possible to customize the prosthesis to suit the requirements of the most demanding patient.

IN THE PHOTO: TRANSFORMATION OF A PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC TREATMENT USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

ONLY CERTIFIED DENTISTS

The “All-on-4” or “All-on-4” technique can only be learned in Europe or the USA. Our specialists have international certificates from Nobel Biocare (Switzerland) in prosthetics and implantation.

Extensive experience and a large number of successfully performed prosthetics on patients using this concept gives us the right to say: we employ the best doctors in prosthetics on four implants.

One of the distinctive features of our dentists is that they are certified specialists in both orthopedic dentistry (dental prosthetics) and surgical dentistry (dental implantation). Having 2 state certificates, all work with the patient is carried out by one doctor. Which brings the result of prosthetics to a qualitatively new height.

The clinical thinking of a doctor who has two certificates and carries out the entire cycle of work on diagnostics, implantation and prosthetics allows him to take into account all the nuances of the work and achieve a better result of prosthetics even in complex cases.

IN THE PHOTO: TRANSFORMATION OF A PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC TREATMENT USING THE “ALL-ON-4” METHOD. WORK OF DOCTOR OZEROV PETER VLADIMIROVICH

OWN LABORATORY WITH CONTROL OF EVERY STEP OF PRODUCTION OF PROSTHESES

Manufacturing an “All-on-4” or “All-on-4” prosthesis from Nobel Biocare (Switzerland) requires a high level of skill not only from the orthopedic doctor, but also from the dental technician. Our clinic has its own dental laboratory. We employ dental technicians who have been certified in this type of prosthetics and specialize in it. That is, such technicians make only “All-on-4” or “All-on-4” prostheses, and are highly qualified specialists.

IN THE PHOTO: TRANSFORMATION OF A PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC TREATMENT USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

NAVIGATION SURGERY ONLY

An important feature of our work is the installation of implants only according to preliminary computer planning using implantation navigation templates. This is an extremely important feature of the work, which has the following advantages:

• correct position of implants
• no risk of damaging bone tissue
• no risk of damaging the blood vessel
• no risk of nerve damage
• correct angles of inclination of the implants lead to high structural rigidity and long service life of the “All-on-4” or “All-on-4” prosthesis.

The precision and accuracy of our doctors’ work using the template allows us to avoid post-operative pain and swelling and speed up the recovery time for patients after surgery.

IN THE PHOTO: TRANSFORMATION OF THE PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC PROSTHETICS USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

IMPLANTATION AND PROSTHETICS ACCORDING TO THE STANDARD OF THE MINISTRY OF HEALTH OF THE RF.

In the Russian Federation, strict standards for dental implantation and prosthetics have been developed, which regulate the work of the dental clinic, the work and qualifications of the doctor, as well as the materials used. “All-on-4” or “All-on-4” prostheses manufactured according to the STANDARD OF THE MINISTRY OF HEALTH OF THE RF are durable and safe.

The standards of Nobel Biocare (Switzerland) are no less stringent.

A few clinics in the Russian Federation can afford implantation and prosthetics work at the level of our clinic. Total control and recording of the stages of prosthetics and implantation guarantee patients high quality and accuracy of all manipulations, and as a result of the work - an aesthetic and durable prosthesis.

IN THE PHOTO: TRANSFORMATION OF THE PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC PROSTHETICS USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

Basic concept of the principle.

Two of the four implants are installed in the front part of the jaw in a position as close as possible to the teeth that were previously in this place.
And the other two implants are immersed into the jaw on the left and right sides at a certain, strictly specified angle - it is 30-45 degrees. It is this position of the implants that gives excellent results in the primary stabilization of implants in the bone and allows the installation of an orthopedic structure on the day of the implantation operation.

“ALL-ON-4” PROSTHETICS WITH DETERMINATION OF INDIVIDUAL PARAMETERS OF EACH PATIENT.

All our patients are unique. This must be taken into account when planning prosthetics and manufacturing orthopedic structures.

We use, without fail, in each case of prosthetics, two methods that allow us to make a prosthesis that will be perceived by the patient as his own teeth:

• working with a facebow, which allows you to transfer all the individual parameters of the patient’s upper jaw.
• working with a centrofix, a device that allows you to take into account the individual parameters of the movement of the lower jaw.

The use of these methods makes the dentures we manufacture from Nobel Biocare (Switzerland) bionic, that is, they replicate all natural characteristics and integrate into the patient’s dental system.

IN THE PHOTO: TOTAL PROSTHETIC PROSTHETICS OF THE LOWER JAW USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

Features and benefits of the technology

• the optimal solution for complete restoration of the jaw – one or both at once,
• quick results - treatment takes no more than a week,
• high aesthetics of the final result - the prosthesis is equipped with acrylic gum, designed to hide defects in the edge of the mucous membrane. The adaptive design has lightweight plastic or ceramic-composite crowns - the latter are more reliable and durable and do not require re-prosthetics. After osseointegration of the titanium roots (after six months or a year), it is possible to install a stronger and more durable prosthesis, and even replace the material of the crowns - for example, with ceramic composite or zirconium dioxide. However, you can also use inexpensive plastic, but the service life will be shorter,
• refusal to build up atrophied areas of bone - inclined installation of lateral implants or the use of zygomatic models allows treatment in conditions of bone tissue atrophy without the need for its preliminary build-up. If resorption is very pronounced in the upper jaw, standard lateral implants are replaced with zygomatic ones, and they are attached to denser and sterile parts of the cranial bone, namely, in the zygomatic bone, as the name implies,
• rapid tissue restoration - occurs due to the compression effect, that is, compaction of the thickness of the bone tissue at the time of screwing in the implant (with a minimally invasive method of installing structures). In any case, the immediate installation of a prosthetic structure allows you to quickly normalize nutrition, restore chewing function, and provide the necessary load to activate metabolic processes in atrophied areas of the bone. All this contributes to faster and better engraftment of artificial roots. In addition, the stabilizing beam under the prosthesis connects the implants together and does not allow them to move,
• the possibility of minimally invasive installation - the use of special surgical templates made it possible to carry out such operations not in a flap, but in a less traumatic way. An elastic stencil with slits for the implantation sites is placed on the gum, after which punctures are formed in the mucosa and bone, through which the rods are screwed into the bone. Surgical templates are developed using computer simulation, which minimizes any risk of deviation from the norm,

• possibility of adjusting the prosthesis - the orthopedic device is fixed with a screw. This means that the structure is attached using small screws that pass through the chewing surface of the teeth. Therefore, the prosthesis can always be removed for relining, but this can only be done by the attending physician,
• choice of prosthetic options - immediately after implantation, a simple prosthesis on a metal beam and with plastic crowns can be installed. There is also the option of installing a more expensive, but reliable and high-quality structure with ceramic composite crowns and an individual titanium beam,
• rejuvenation effect - the prosthesis is fixed immediately, which contributes to the rapid restoration of the chewing and facial muscles, returns them to tone and helps fight wrinkles around the mouth, which often appear due to missing teeth.

BIONIC PROSTHETICS “ALL-ON-4” OR “ALL-ON-4”

The “All-on-4” or “All-on-4” dentures manufactured at the Bionic Dentis clinic are bionic. Such designs completely imitate the lost part of the patient’s body (teeth and part of the jaw bone). The methods used restore so effectively:

• chewing function
• tactile sensation of food
• speech function and articulation
• patient's appearance

that a strong feeling is formed in the brain that the patient has his own teeth.

IN THE PHOTO: TRANSFORMATION OF THE PATIENT'S APPEARANCE AS A RESULT OF PROSTHETIC PROSTHETICS USING THE “ALL-ON-4” METHOD. PHOTO OF DOCTOR OZEROV PETER VLADIMIROVICH

The importance of preparing for treatment

Any immediate loading protocol involves working in conditions of varying degrees of bone atrophy. That is why it is so important to conduct a thorough diagnosis of the patient in advance, make sure that he has no contraindications for implantation, and select the most suitable places for implantation and design models. You will definitely have to undergo cone beam tomography - this is a 3D image with a high degree of image detail. If zygomatic implants are to be implanted, you will need to undergo multi-slice tomography to obtain even more complete and detailed information about the clinical picture.

By the way, it is better to carry out such examinations in specialized diagnostic centers with the most modern professional equipment. Also, before treatment, you will have to pass all the necessary tests, undergo an examination by specialized doctors if necessary, heal the teeth remaining in the mouth and relieve inflammatory processes. Only after this can you proceed directly to treatment planning.

COST OF NEW GENERATION PROSTHESIS WITH IMPLANTS AT THE BIONIC DENTIS CLINIC

The cost of “All-on-4” prostheses consists of the following components:

• cost of diagnostic procedures and planning.
• the cost of removing unusable teeth and roots, if necessary.
• cost of manufacturing a surgical navigation template.
• cost of implantation
• cost of temporary prosthesis
• cost of permanent prosthesis

APPROXIMATE CALCULATION OF THE COST OF PROSTHETICS USING THE “ALL-ON-4” SYSTEM FOR ONE JAW

4-6 months after stage 1, a permanent prosthesis is installed. Its price is presented below:

"BIONIC DENTIS" - PREMIUM CLASS DENTAL CLINIC

Dentists-implantologists-orthopedists of the Bionic Dentis clinic are certified specialists in two dental specialties:

• orthopedic dentistry
• surgical dentistry.

When you contact our clinic for installation of a modern denture, one specialist will work with you from the beginning to the installation of a permanent denture.

Thanks to their knowledge in related fields, doctors take into account all the nuances of implantation and prosthetics, and work much more efficiently and responsibly than when a surgeon puts implants on a patient and another doctor, an orthopedist, provides prosthetics.

DENTISTS CLINIC SPECIALIZING IN INSTALLING MODERN PROSTHESES WITH 4 IMPLANTS

Ozerov Petr Vladimirovich

Chief physician. Dentist, implantologist, orthopedist, surgeon. Laser dentistry specialist

More details

Andreev Dmitry Lvovich

Dentist orthopedist-implantologist.

More details

Frolov Andrey Konstantinovich

Orthopedic dentist

More details

REAL STORY OF A PATIENT: INSTALLATION OF IMPLANTS AND MODERN IMPLANT PROSTHESIS

Patient Anna Konstantinovna, 65 years old, came to the Bionic Dentis clinic with many dental problems: pain in the gums, tooth mobility. The diagnosis was made: generalized periodontitis of the III degree.

Treatment carried out:

• removal of failing teeth
• installation of German dental implants
• prosthetics using the “all on 4” system

All surgical procedures were performed in 1 visit and 1 operation.

As a result of treatment, the oral cavity was completely rehabilitated within 1 week.

Features of dental care after treatment

The prosthetic structure is attached with a screw, which means that only the treating specialist can remove it, for example, for relining. Therefore, caring for a new smile after prosthetics with 4 implants does not involve any special manipulations or procedures. You will need to maintain a proper level of hygiene, brush your teeth twice daily, rinse your mouth every time after eating and regularly visit the dentist for preventive purposes.

Experts in the field of dentistry and implantology, in particular, recommend purchasing an additional brush and irrigator for better cleansing of plaque and food debris. Immediately after surgery, the chewing load should be increased gradually. At the same time, you will have to give up too much solid food, flying, visiting baths and saunas, and intense physical activity for a while.

CLINICAL CASES OF INSTALLATION OF A NEW GENERATION PROSTHESIS ON IMPLANTS

According to European studies in 2021, a pattern was identified: the life expectancy of people with modern fixed dentures is on average 10 years higher than that of people who use removable dentures.
Proper non-removable prosthetics will not only improve your quality of life, but will also prolong your life!

Dentist-Orthopedist

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PROSTHETIC EXPERTS WORK WITH YOU USING THE ALL-ON-4 NOBEL BIOCARE SYSTEM (SWITZERLAND).

The expert qualifications of the implantologist at the Bionic Dentis clinic, Petr Vladimirovich Ozerov, are confirmed by the Russian Association of Dental Implantology

And also the European Institute of Implantology DAVO (Spain) together with NOBEL BIOCARE

According to the independent rating of the most popular dental port in the Russian Federation 32top.ru, Dr. Petr Ozerov has been among the 5 best implantologists in Moscow for the 3rd year in a row.

If you value high quality work, excellent service and choose the best medical technologies, our clinic will be the best choice for you.

We are not a network clinic where everything is streamlined.

We work individually with each patient, achieving the best results that last for decades.