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ALL ON FOUR

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All On Four

All-on-Four is a treatment method developed for patients with complete edentulism or numerous teeth that need extraction, where a fixed prosthesis is placed on only four dental implants. This method offers a more stable, functional, and aesthetic solution compared to traditional full dentures.

What is All-on-Four?

All-on-Four is an implant-supported full-arch prosthesis system applied to individuals who have no teeth in the lower or upper jaw or are at risk of losing all their teeth. A fixed dental prosthesis is screwed and attached to four dental implants placed at special angles.

Before starting All-on-Four treatment, the patients' general health status and jawbone structure are evaluated in detail. Patients' expectations and treatment goals are determined in consultations with the dentist.

Why is All-on-Four Preferred?

All-on-Four treatment is often preferred in edentulous patients because it offers the following advantages:

  • Full-Arch Prosthesis in a Single Surgery: Generally, implant placement and temporary prosthesis application can be done on the same day. This way, patients get rid of edentulism in a short time.
  • Fewer Implants: Only four implants are sufficient for a full-arch prosthesis. This can reduce treatment costs and shorten surgical time.
  • Reduced Need for Bone Grafting: Thanks to the angled placement of the posterior implants, the need for bone grafting may be eliminated in some patients who do not have sufficient bone volume.
  • High Stability and Function: The prosthesis fixed on the implants is much more stable and functional than traditional removable dentures. Chewing ability increases significantly.
  • Aesthetic Appearance: The fixed prosthesis offers an appearance close to natural teeth and increases patients' self-confidence.
  • Faster Healing Process: A faster healing process is generally observed compared to traditional implant treatments.
  • Comfortable Use: The fixed prosthesis eliminates problems such as sores, discomfort, and falling out caused by removable dentures.

    • How Does the Pre-All-on-Four Process Work?

    All-on-Four application must be meticulously planned and implemented by an experienced implantologist. The general process consists of the following steps:

    • Detailed Examination and Evaluation: The dentist evaluates the patient's oral and jaw structure in detail clinically and radiologically (panoramic x-ray, tomography, etc.). General medical history is taken, and the patient's expectations are understood.
    • Treatment Planning: In light of the data obtained, the most suitable positions and angles for implant placement are determined. Surgical guides are prepared if necessary.
    • Implant Placement Surgery: Under local anesthesia or sedation, four dental implants are placed at the designated points. Posterior implants are usually placed at an angle.
    • Temporary Prosthesis Application (If Necessary): After implant placement, in some cases, a temporary full-arch prosthesis can be attached to the implants on the_same day or shortly after. This prevents the patient from being immediately edentulous.
    • Healing Process: A healing period of usually several months is expected for the implants to fuse with the jawbone (osseointegration).
    • Permanent Prosthesis Fabrication and Placement: After healing is complete, the patient's oral impressions are taken, and the permanent, fixed full-arch prosthesis is prepared in the laboratory and screwed onto the implants.

    What are the Types of Prostheses Used in All-on-Four?

    Fixed full-arch prostheses are generally used in All-on-Four treatment. These prostheses may differ according to their materials:

    • Acrylic Prostheses: It is a more economical option and is generally used as a temporary or long-term temporary prosthesis.
    • Hybrid Prostheses: These are prostheses in which acrylic teeth are placed on a metal or titanium substructure. It offers durability and aesthetics together.
    • Zirconium or Ceramic Prostheses: These are more costly prosthesis types that offer high aesthetics and durability. They are very close to the appearance of natural teeth.

    Can I decide how my teeth will look before All-on-Four treatment?

    Yes, before All-on-Four treatment, you can plan the shape, size, and color of your new prosthesis in detail with your dentist. Different options are evaluated to achieve the aesthetic appearance you desire.

    In how many stages is the All-on-Four procedure completed?

    The All-on-Four procedure is generally completed in several stages: detailed examination and planning, implant placement surgery, healing process, and fabrication and placement of the permanent prosthesis. In some cases, a temporary prosthesis application may also be performed.

    Will I feel pain during All-on-Four implant surgery?

    You will not feel any pain during the procedure as implant surgery is performed under local anesthesia or sedation. After the procedure, there may be mild pain, swelling, or bruising, but these can usually be controlled with medication.

    In which cases is All-on-Four treatment applied?

    All-on-Four treatment can be preferred in cases of complete edentulism in the lower or upper jaw, patients at risk of losing all their teeth, those dissatisfied with traditional removable dentures, or situations requiring bone grafting.

    Am I a suitable candidate for All-on-Four?

    Whether you are a suitable candidate for All-on-Four is determined by the detailed examination and evaluation conducted by your dentist. Good general health and sufficient jawbone volume are important.

    In which cases may All-on-Four not be recommended?

    • In those with uncontrolled systemic diseases,
    • In those with advanced bone loss and where bone grafting is not appropriate,
    • In those who do not pay attention to oral hygiene and have low treatment motivation,
    • In those with some psychological disorders (your dentist will inform you).

    Can All-on-Four treatment be performed during pregnancy or breastfeeding?

    Pregnancy and breastfeeding are generally not suitable times for elective dental treatments. However, in emergencies, the most appropriate approach should be determined by consulting your dentist.

    Do All-on-Four implants affect my natural teeth?

    In All-on-Four treatment, your natural teeth may have been lost or need to be extracted. The placed implants replace the natural teeth and ensure the fixation of the prosthesis.

    What are the advantages of All-on-Four compared to traditional full dentures?

    All-on-Four is more stable, more functional, more aesthetic, and more comfortable than traditional full dentures. It does not move, does not cause sores, and significantly increases chewing ability.

    Can the All-on-Four prosthesis be removed?

    The All-on-Four prosthesis is fixed to the implants by screwing and cannot be removed by the patient. Only the dentist can remove the prosthesis with special tools. This increases the stability and function of the prosthesis.

    What are the Advantages of All-on-Four Treatment?

    The main advantages of All-on-Four treatment are:

    • Fixed Prosthesis in a Short Time: It offers the possibility of getting a fixed or temporary prosthesis usually on the_same day with a single surgical procedure.
    • Fewer Implants: Only four implants are sufficient for a full arch.
    • Reduced Need for Bone Grafting: Thanks to the angled placement of the posterior implants, the need for bone grafting may be reduced.
    • High Stability and Chewing Function: Chewing ability increases significantly thanks to the fixed prosthesis.
    • Aesthetic and Natural Appearance: Provides an appearance close to natural teeth.
    • Comfortable Use: More comfortable than removable dentures.
    • Cost-Effectiveness: May be more economical than traditional full implant treatment.

    What problems can be solved with All-on-Four treatment?

    Problems such as complete edentulism, difficulties experienced in the use of removable dentures, insufficient chewing function, and aesthetic concerns can be effectively solved with All-on-Four treatment.
    • ✔ Elimination of complete edentulism.
    • ✔ Ensuring the stabilization of removable dentures.
    • ✔ Improvement of chewing function.
    • ✔ Restoration of an aesthetic smile.
    • ✔ Creation of a comfortable oral structure.

    Can I have All-on-Four for a single jaw?
    Yes, All-on-Four treatment can be applied for a single jaw (lower or upper). The problem of edentulism in only one jaw can be solved according to need.

    What is the role of All-on-Four in the smile design process?
    All-on-Four treatment is an important part of the smile design process. The shape, size, and color of the new prosthesis are planned according to the patient's facial features and aesthetic expectations.

    How long is the lifespan of an All-on-Four prosthesis?
    With proper oral care, regular dental check-ups, and careful use, the lifespan of an All-on-Four prosthesis can be many years. The success of the implants and the durability of the prosthesis are important factors affecting this period.

    What should I pay attention to after getting All-on-Four?
    Regular and proper oral care is very important after getting All-on-Four. You should clean your prosthesis using special brushes, interdental brushes, and oral irrigators recommended by your dentist. You should not neglect regular dental check-ups.

    What should I do if there is a problem with my All-on-Four prosthesis?
    If there is a loosening, fracture, or any other problem with your All-on-Four prosthesis, you should definitely not intervene on your own and should contact your dentist as soon as possible.

    Does the color of the All-on-Four prosthesis change over time?
    The color of high-quality All-on-Four prostheses does not change easily over time. However, heavy smoking or excessive consumption of some staining foods can cause surface stains. Regular cleaning prevents this situation.

    How long does All-on-Four treatment take?
    Since All-on-Four treatment includes implant placement surgery and prosthesis fabrication processes, the total treatment time can take several months. However, implant placement is usually completed in a single session, and in some cases, a temporary prosthesis can be fitted on the_same day.

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From the moment you first contact us before the surgery, you can get a consultation by having a video consultation with our patient coordinators and, if necessary, with our doctor who will perform the surgery, and by meeting with our doctor who will perform the surgery on the day of the surgery.
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Unless your doctor requests it, there is no need to have any tests.
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If you are having a combined surgery, you can come with your companion, enable your operator for international use, bring an F-type plug or converter to charge your electronic devices, and you can watch our video for more.
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You should not consume alcohol for up to a week before the surgery because alcohol thins the blood and changes the effect of anesthesia.
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To overcome the fear of surgery, get information about the process from your doctor, focus on thinking positively, apply relaxation techniques such as deep breathing and meditation, get support from your loved ones, and if necessary, seek professional help from an expert.
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Our doctors apply the techniques that will give the most permanent results in the long term with the most up-to-date and accepted techniques. However, these techniques may vary according to the patient's demands. Before the surgery, the doctor and the patient mutually agree on which technique will be applied.
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Patient history, patient demands, and patient visuals are needed.
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Of course, you do. Our doctor who will perform the surgery provides the final checks.
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The pre-treatment process begins with the patient's detailed dental examination; x-rays are taken, a treatment plan is created, and the patient is informed and consent is obtained. The treatment appointment is scheduled, and any medications to be used and things to pay attention to are explained. On the appointment day, the patient comes to the clinic, the treatment area is prepared, and the necessary anesthesia is administered to begin the procedure.
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This period may vary depending on the type of treatment. While some treatments can be completed on the_same day, some may require several sessions. Please consult your physician for detailed information.
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On the treatment day, it is important to pay attention to the eating and drinking rules recommended by your doctor and to arrive at the clinic on time. Inform your doctor about any medications you are taking.
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We ensure your personal treatment safety and privacy in accordance with international standards of patient rights and responsibilities.
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Although it varies depending on the type of treatment, generally the dentist who will perform the operation, auxiliary personnel, and if necessary, an anesthesiologist are present.
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To ensure that the treatment takes place in a safe and hygienic environment, sterilization, use of hygienic materials, anesthesia safety (if necessary), patient monitoring, and infection prevention measures are taken.
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Of course, you will. Before the treatment, your doctor will perform the final checks and inform you about the process.
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Local or general anesthesia may be applied depending on the type of treatment. Your doctor will decide which type of anesthesia will be applied. You will be conscious with local anesthesia, while you will be unconscious with general anesthesia.

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How soon can I eat normally after All-on-Four?
After All-on-Four implants are placed, it is recommended to follow a soft diet for the first few weeks. Your dentist will give you specific instructions on when you can eat normally according to your healing process.

When can I return to my daily activities after All-on-Four?
You can usually return to light daily activities on the_same day or the day after All-on-Four implant surgery. However, it is recommended to avoid strenuous activities for a few days.

What should I pay attention to in the first few days after the All-on-Four procedure?
It is important to pay attention to your oral hygiene in the first few days after the All-on-Four procedure, rinse your mouth as recommended by your dentist, and follow a soft diet. Also, avoid extremely hot or cold foods.

Do I need to apply special care for All-on-Four? For how long?
Regular and careful oral care is necessary for the longevity of your All-on-Four prosthesis. You should clean your prosthesis using special brushes, interdental brushes, and oral irrigators recommended by your dentist. This care should be maintained for life.

When can I brush my teeth after the All-on-Four procedure?
You can usually start brushing gently the day after the All-on-Four procedure, according to your dentist's instructions. Your physician will inform you about special brushes and techniques.

How long does it take to fully get used to the All-on-Four prosthesis?
The time it takes to get used to your All-on-Four prosthesis may vary from person to person. You may feel a little different at first, but you are expected to get completely used to your prosthesis within a few weeks.

What should I do if there is a problem with my All-on-Four prosthesis?
If there is a loosening, fracture, or any other problem with your All-on-Four prosthesis, you should definitely not intervene on your own and should contact your dentist as soon as possible.

Are the results of All-on-Four permanent?
Yes, All-on-Four treatment is a long-lasting solution with proper care and regular check-ups. However, good oral hygiene is essential for the health of the implants and prosthesis.

Does the color of the All-on-Four prosthesis change over time?
The color of high-quality All-on-Four prostheses does not change easily over time. However, heavy smoking or excessive consumption of some staining foods can cause surface stains. Regular cleaning prevents this situation.

Does gaining or losing weight or pregnancy affect my All-on-Four prosthesis?
Situations such as gaining or losing weight or pregnancy do not directly affect the appearance of your All-on-Four prosthesis. However, changes in your general health status can affect your oral health, so it is important to have regular check-ups.

Will infection occur again in the area where All-on-Four implants are placed?
All-on-Four implants are made of titanium, so they do not decay. However, an infection called peri-implantitis can occur around the implant due to insufficient oral care or other factors. Therefore, regular and proper oral care is very important.

Will my teeth feel larger or different after the All-on-Four prosthesis?
Your All-on-Four prosthesis may feel a little different at first, but you will get used to it in a short time. Your dentist will ensure that your prosthesis is natural and functional.

How can I reduce the risk of infection after All-on-Four?
To reduce the risk of infection after All-on-Four, you should pay attention to your oral hygiene, care for it as recommended by your dentist, and contact your physician immediately in case of any swelling, redness, or pain.

When should the All-on-Four prosthesis be replaced if necessary?
Replacement of your All-on-Four prosthesis is generally not necessary unless there is a problem. However, it can be replaced in case of excessive wear, fracture, or changes in your aesthetic expectations. The lifespan of the implants is generally much longer.

Does gum recession affect my All-on-Four prosthesis? How can it be prevented?
Gum recession can cause problems in the areas where your All-on-Four prosthesis meets the implants. You can prevent recession by maintaining your gum health with regular and proper oral care, dental check-ups, and a healthy lifestyle.

If I have gaps between my teeth, can they be corrected with All-on-Four?
Since All-on-Four treatment is applied in cases of complete edentulism, it is not used to correct gaps between your existing teeth. However, the gaps between the teeth of your new prosthesis can be planned aesthetically.

What can I do to extend the life of my All-on-Four prosthesis?
To extend the life of your All-on-Four prosthesis, you should practice regular and proper oral care, avoid hard and sticky foods, and go to your dentist for regular check-ups. Also, avoid traumas that could damage the implants.

What should I do if an unexpected situation occurs with my All-on-Four prosthesis?
If an unexpected situation (loosening, fracture, severe pain, mobility, etc.) occurs with your All-on-Four prosthesis, you should contact your dentist immediately.

How is the Healing Process After All-on-Four?
The healing process after All-on-Four implant surgery usually takes a few weeks. However, there are some points you should pay attention to:

  • Pay Attention to Oral Hygiene: Rinse your mouth as recommended by your dentist and clean gently with special brushes.
  • Follow a Soft Diet: Consume soft and easy-to-chew foods for the first few weeks.
  • Avoid Excessive Force: Stay away from hard and sticky foods that could damage the implants and prosthesis.
  • Do Not Neglect Regular Check-ups: Go for check-ups at intervals determined by your dentist.
  • Use Your Medications Regularly: Use the medications prescribed by your dentist (painkillers, antibiotics, etc.) regularly.

In which cases is All-on-Four applied? (Front, back, etc.)
All-on-Four is generally applied in completely edentulous lower or upper jaws for patients who have lost or are at risk of losing all their teeth. It can be done for a single jaw or both jaws.

Is a natural look achieved after All-on-Four?
Yes, All-on-Four prostheses are designed to offer an appearance close to natural teeth. The shape, size, and color of the teeth are determined according to the patient's facial features.

What is the lifespan of All-on-Four implants and prosthesis?
All-on-Four implants are intended to last a lifetime with correct surgical techniques and good oral care. The lifespan of the prosthesis, however, varies depending on the material used and the patient's care, but it can be used for many years with regular check-ups.

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