If the majority of your teeth have been lost or damaged, All-on-4 dental implants are an excellent full arch replacement solution. In comparison to more traditional tooth replacement treatments such as dental bridges, all on four implants are less invasive, do not require bone graft procedure, and are a good option for individuals with low bone density or jawbone deterioration. Replace your ill-fitting dentures with snap-on dentures supported by dental implants and rebuild your smile at Precision Dental in Astoria and Bayside, Queens, NY.

What is All-on-4®?

Dental Implants All on 4All-on-4 dental implants are one of the most popular and affordable treatments for replacing a complete arch of teeth. Tried, tested, and widely used for decades, this procedure is quite different from other tooth replacement options.

All-on-Four is specifically designed to help people who are edentulous, meaning they are missing all their natural teeth in one or both arches. You will still wear a removable denture, but instead of moving around on the gums, it is held firmly in place with special attachments on its fitting surface.

Usually, multiple dental implants are needed to secure a complete arch of teeth, but All-on-Four uses just four dental implants, so treatment is more accessible. It is normally used to hold lower dentures firmly because they tend to cause more problems, but this procedure can also secure upper dentures.

Who Should Get All-on-4®?

All-on-Four can be especially helpful for anyone who lost teeth some time ago and who may have seen their jawbone deteriorate and resorb. Because this technique makes maximum use of available bone, there is less need for bone grafts. The implant-retained denture provides greater biting strength than an ordinary denture that rests directly on the gums. As it is removable, it is easy to maintain. It’s also a great option for people who may be more nervous about having implant surgery because of the relatively few numbers of implants needed. Hence, treatment is faster and less invasive.

What is the Procedure for All-on-Four Dental Implants?

During the All-on-4 implants procedure, the four dental implants are inserted where your front teeth used to be, as this is where the jawbone tends to be stronger and thicker. Two implants are placed upright, while the other two are placed on either side but tilted backward. Tilting these dental implants allows the dentist to use longer implant posts, which improves strength and stability by increasing contact with the surrounding bone. After bonding with your jawbone, these implants may comfortably support a denture.

Instead of resting on your gums, your implant denture comes with special attachments on the fitting surface. These attachments clip firmly onto the dental implants ensuring your denture cannot move. However, you can easily unclip the denture whenever you wish to clean it.

What are the Alternatives to All-on-4?

If you are not a suitable candidate for All-on-4 implants owing to oral health problems or still have too many natural teeth, you may be able to reap the benefits of other tooth replacement options, such as:

Implant-supported bridges. A fixed dental bridge is a nonremovable appliance held in place by three to six prosthetic implants. Implant bridges may be your best option if not all of your teeth in an upper or lower arch are missing or damaged, and you don’t want to extract them in order to install a full-arch prosthesis.

Removable full dentures. Removable dentures that are not supported by implants sit directly on the gums and are made out of an acrylic gum-colored base that holds the denture teeth in place. The actual denture teeth are designed and arranged to look as natural as possible, and the overall effect may be quite pleasing. Dentures are popular among many individuals since treatment is non-invasive and quick, and dentures are reasonably affordable. Dentists, on the other hand, commonly hear patients complain about their dentures, and issues such as lack of bone support and slippage can be significant.

What is the Success Rate for All-on-Four Implants?

According to a longitudinal study published on PubMed, the cumulative patient-related and implant-related success rates for All-on-4 implants are 94.8% and 98.1% at five years and 93.8% and 94.8% with up to 10 years of follow-up. The survival rate of the prostheses was 99.2% with up to 10 years of follow-up.

According to another clinical retrospective study published on PubMed that investigated the implant survival rate, marginal bone loss, and related risk factors of all-on-4 (5 or 6) prostheses after 1 to 4 years of follow-up, the implant survival rate was 99.38%, and the prosthesis survival rate was 100%.

If you’re interested in learning more about all on four dental implants, don’t hesitate to get in touch with Drs. Alexander Bokser and Irene Bokser, a skilled restorative dentist and expert periodontist at the Precision Dental Office in Queens, NY.

This page was modified on by Dr. Alexander Bokser, DDS (Dentist) of Precision Dental NYC

Dr. Alexander Bokser | Dr. Irene Bokser

Dr. Alexander Bokser is a dentist in Astoria, NY and Bayside, NY. He received his degree from New York University College of Dentistry, licensed by the New York State Board of Regents and the North East Regional Board of Dental Examiners.

He is currently teaching dentistry at Albert Einstein School of Medicine. Dr. Bokser has received numerous awards in dentistry and community service. He is a member of the American Dental Association, Academy of General Dentistry, and North Queens Dental Study Club.
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The information on this website is to provide general dental information. In no way does any of the information provided reflect definitive dental advice. It is important to consult the best in class dentist in Astoria regarding ANY dental questions or issues. A thorough evaluation should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call our dentist in Astoria, Queens to schedule a consultation.

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