All on 4 Plus Implants

Teeth Replacement with dental implants is more challenging in the upper jaw than it is in the lower. The All On 4 Plus treatment offers solutions to address these challenges, whilst still focusing on addressing patients’ common desire for an uncomplicated treatment process as well as predictable aesthetics and function with immediate replacement teeth.

There are a number of factors that we take into account when planning dental implants for full set teeth replacement in the upper jaw. The All On 4 Plus technique addresses these factors in a number of ways:

  • Reduced Bone Density: : this may impact on the stability of dental implants at the time of surgery and could therefore affect the timing of tooth replacement. That is, if the implants placed in the bone are not stable enough, it is not desirable to attach a teeth replacement bridge to them. The All On 4 Plus technique may involve additional teeth implants that are suitable for poor quality bone. These are placed in a special way to attain improved stability at the time of surgery. We also group these implants by connecting them to each other through the replacement bridge, and this means that the load can be shared by all the teeth implants. In the vast majority of cases by using these advanced methods, we are still able to fit the replacement teeth within 1-3 days of the surgery.
  • Bone Resorption and Reduced Bone Volume: following tooth loss, resorption (loss of volume and size) of the alveolar bone is a natural phenomenon. The alveolar bone is the outer part of the jawbone, which once housed the teeth. The upper jaw is smaller in size and resorption is often more advanced, which means that when considering full set upper teeth replacement, there is less available bone width to fit the teeth implants. The All On 4 Plus technique involves an alveolectomy, the re-shaping of the thinner alveolar bone until the base of the jawbone is sufficiently wide to accept the implants. In certain cases we also use additional advanced techniques to improve bone width that enables us to place the implants and fit immediate replacement teeth.
  • Maxillary Sinuses: the maxillary sinuses are spaces in the jawbone that may preclude teeth implants in the back of the upper jaw due to lack of bone. The All On 4 Plus technique involves placing the back implants at an angle alongside the sinuses, and where indicated, place a bone graft in the sinus space at the same time. For the graft material we often save and recycle the bone from the alveolectomy.

At the Centre for Aesthetic and Implant Dentistry, we aim to ensure that your treatment is tailored, lasting and as comfortable as possible. Contact us to book and appointment to discuss your suitability for All On 4 Plus Implants.

What is All On 4 Plus?