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When is All – on – 4 the best option? 5 factors to consider when creating your dental treatment plan

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 When is All – on – 4 the best option? 5 factors to consider when creating your dental treatment plan

Time gone is when dentures were the only option for edentulous or missing teeth spaces. In this modern era, advancements in Implant dentistry has given better treatment options and thus patient satisfaction. Going back few years, patients were not offered all-on-4 full arch implant-supported prosthesis. On the contrary, today, All-on-4 option is widely accepted and carried out in clinical dentistry. So it’s time to create your dental treatment plan.

Awareness among the population and good long term results has caught attention of patients with relatable scenarios. However, it is advised to consult your dental implantologist for your missing teeth replacement as each case varies and medical history varies.  

Let’s discuss five important guidelines that your dentist will consider when planning your dental treatment. 

factors such as parafunction, occlusion, periodontal disease, the size of the space to be restored, and the patient’s budget.

All On Four Dental Implants Before After Lahroe Pakistan
  1. Speech concerns 

Implant-supported bridges require both vertical and horizontal bulk for strength. Patients should be aware that every prosthesis is designed and has characteristics very close to that of natural teeth and supporting structures. However, it is yet important to understand and adapt to the slightest changes for a better outcome. As with Age, bone quality, surgical intervention for sinus lift in complete dental implant fixed teeth could not be offered to every patient all in four is the best option for Aesthetics and functions.  

2. Periodontal Status 

It is highly important to evaluate patient’s periodontal condition before planning implants. The periodontium are the supporting structures around the tooth. Likewise, the same periodontium needs to be healthy to support the implant and thus the final prosthesis. Patients with poor oral hygiene, periodontal or gum disease, smokers, or systemic disease should be examined and treated by their dentist before deciding for implants. All on four dental implants is good alternative to patients with past periodontal disease. Mostly edentulous patients are good candidate for All on four complete Dental Arch solution. 

3. Proprioception 

One important feature the implantologist would consider is proprioception. It is termed as the awareness or signal transduction of bodily movement. In case of patients with dual arch All-on-4 implant supported prosthesis it is noted that patients bite excessively as compared to patients with remaining natural teeth. This can result in fractures of the restoration or bone loss 

in cases where dual arch implant support prosthesis is planned, the best dentist will consider staging the treatment and treating one arch at a time. This step may help patient in better adapting and enough time to develop mechanoreceptors in the orofacial regions such as muscles, joints and periosteum. 

4. Parafunction & Aging 

Parafunctional habits such as clenching, bruxism, irregular chewing cycles is a critical factor to consider for long term prognosis of the treatment. It is recommended to consult your dentist / implantologist when planning for dental implants. All on four is a great option as it helps in regaining the lost facial tone by the ridge support making you look fuller, younger as it improves the facial sagging caused by bone loss.  

5. High caries index 

Patients with high caries index indicate patient’s concern toward oral hygiene. Implant demands good oral hygiene and cleanliness for life long results. Thus, it is duty of your dentist to guide you about oral hygiene measurements and risk factors associated with poor oral hygiene.  


All-on-4 dental implant support prosthesis is no doubt one of the best treatment options for edentulous patients. Yet, this is not advised blindly to patients with similar scenarios. One must consult Best Dentist in Lahore for complete checkup and examination. Case selection is crucial for better outcomes. 

Consultant at Dental Aesthetics make sure you are being evaluated for the best treatment according to your needs and requirement with social current and past dental history. The aim of the consultant is to educate you about the pro and cons of the treatment. Feel free to contact us at Dental Aesthetics for missing teeth replacement option which is designed on you by the digital Dental technology. 

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