All on 4

The All on 4 implant procedure is now a well-established treatment concept with more than 15 years of published research. 

The concept was developed for efficiency, with the ability to restore an entire arch (jaw) of the teeth using a minimal number of implants as possible for the procedure. It also enables the bridge to be fitted to the implants the exact same day.

Traditional implant treatments tend to require more than 4 implants to restore the entire jaw and healing times tend to take longer when a bridge is unable to be fitted. Our All on 4 dental implant in Manchester procedure involves placing 4 implants, as the name suggests, and using these to support a bridge carrying 12 or more teeth. The first two implants are fitted directly into the front of the jaw at a 90-degree angle, while the other 2 implants are placed further back in the jaw at 30 to 45-degree angles. This creates a bracing support for the implants and jaw bone.

The All-on-4 treatment is well supported by the literature and clinical evidence, and we offer this treatment with confidence for our patients. Success rates above 96% are reported, and we confidently offer free replacement in the unlikely event of a failed implant.

Advantages of All-on 4 treatment

There are several advantages that you can gain from All-on 4 treatment including:

– The treatment only requires 4 implants, compared to more in a traditional dental implant procedure

– A fixed bridge is provided on the day and removable dentures are not required to be worn whilst your teeth heal

– It can reduce the need for bone grafting and sinus lifts

– Improves speech and overall functionality

– Prevents further jaw bone loss

Download All on 4 Treatment Brochure

Implant treatment

Although implant surgery is usually performed under a local anaesthetic, for added comfort some patients prefer complete sedation which can be an option.

On the day of your surgery, we’ll remove any remaining teeth so the bone can be shaped and the implants can be placed. Once this has happened, the gum is stitched closed but fitted to tuck away underneath the bridge so it’s not visible. As its fitted with dissolvable stitches you should expect them to become invisible after 3 weeks of the surgery and they won’t need to be manually removed.

We’ll start by fitting your first bridge which is a temporary prototype bridge which will be the prediction based on the detailed preparation that will be conducted with the technician. The prototype allows time for modification over the following months including your tooth colour, shape and position ahead of making your eventual final bridge. This means you can end up with the ideal teeth that you want.

Around 6 months we’d expect your temporary bridge to be removed after a series of appointments. Impressions will be taken amongst other records to ensure your final bridge can be made to your ideal design.

After implant placement surgery

Expectedly, you will feel some discomfort and swelling after the implant surgery so give yourself at least 5-10 days to recover. This can vary from person to person but it’s advised to avoid making diary commitments during this time just in case.

How much swelling occurs varies from patient to patient. If you have several implants or require any surgical procedure then this will contribute to the amount of swelling you have. There can also be occasions where along with the swelling, you may experience bruising of the skin in the area but over a week this should fade. Swelling could be greater if you are a regular smoker or have a pre-existing medical condition related to soft tissue healing. There may also be some nasal and/or sinus issues that you experience.

For the majority of cases, we should expect the surgery element of the treatment to be completed at the first stage and then no further surgery should be required. If necessary secondary procedures may be needed if there are new discoveries made at the time of surgery, in which case the original plan discussed before the surgery may need to be modified. It’s important to remember that this is a relatively rare occurrence and you will be advised of any changes to the plan ahead of time so you’re aware of how this will affect the progress of your treatment. In the majority of the cases, the treatment is completed within one visit without complication.

To ensure that the treatment is conducted safely, minor procedures may be required to expose and check for firm, bony attachment so concerns are reduced about healing and the fitting of more or one implant. Recovery is largely uneventful from these minor procedures but if you’re expected to have these you’ll be advised of what to expect beforehand.

Invisalign

Invisalign is a system of almost invisible clear aligners used to straighten teeth. The treatment consists of wearing a series of Invisalign aligners that you change at home weekly.

The aligners are one of the world’s most advanced clear orthodontic systems available.

 

Implants

We only used the best material and implant systems at Hale Dental and Implant clinic. Nobel Biocare is a world leader in the field of innovative implant-based dental restorations.
They have over 65 years of continuous innovation, all stemming from Per-Ingvar Brånemark’s ground-breaking discovery of osseointegration in 1952. Since then, they have committed to science-backed and forward-looking solutions.

Teeth Whitening

Enlighten is widely acknowledged as the most effective whitening system in the world. It’s the only one that guarantees a Vita shade B1 result for every patient. We are proud users of Enlighten.