Google “All On 4,” and over 25 billion results appear. This treatment option is a fast-growing area of dentistry. The concept of All On 4, also known as full-arch implant-supported bridges, is a highly desirable alternative to conventional removable dentures driven by patient demand.
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All On 4
Often, patients come to the dental practice to request this treatment. There are many benefits to treating patients with All On 4 and giving them the best possible outcomes and experience is critical to overall patient satisfaction.
Specific criteria should be implemented when attempting these types of cases, especially when implementing a digital workflow.
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Several factors must be considered when deciding on this treatment option. Each patient presents unique considerations that should be evaluated individually when deciding on the best treatment plan. These cases are usually supported by 4 to 6 implants and a framework fabricated from monolithic zirconia, a cobalt-chromium frame with stacked porcelain, a titanium frame with acrylic, or another restorative option.
With their versatility, these fixed prostheses offer several benefits over conventional dentures, including:
With so many benefits, it is easy to see why this is such a highly sought-after option.
Higher Success Rates Mean Proper Patient Evaluation
To increase the success rate, though, it is essential to properly evaluate whether a patient is well-suited for this type of treatment. For example, patients with medical issues, those who take various medications, or those who smoke have a higher risk of experiencing a failure at the implant level.
It is critical to assess these issues and obtain appropriate X-rays and cone-beam CT scans when matching a patient to this treatment option. Other issues that need to be evaluated are:
These issues should be discussed with the patient before implant placement to ensure they are aware of the many benefits and potential issues that might affect the final restorative outcome and their overall satisfaction.
All On 4 Digital Workflow
Using a fully digital workflow for full-arch implant-supported restorations offers many benefits. Patient acceptance is enhanced, and the overall process is more efficient, predictive, and comfortable.
To achieve these benefits, the clinician must understand the overall All On 4 dental implant process and be familiar with the digital workflows. Therefore, Burbank Dental Lab recommends that doctors implement digital processes to complete several cases using conventional impression methods. Also, the clinician should be familiar with using an intraoral scanner.
With the proper experience, a digital workflow will be as follows:
1. Evaluate the patient’s existing denture
2. Pre-surgery
3. Post-surgery
4. Temporaries
5. Post Osseointegration
As with many dental procedures, there are several different approaches a clinician can take when deciding on a specific workflow of a particular case. The digital protocols offer the highest level of fabrication processes. Understanding the overall pros and cons of these cases is extremely important.
Also, knowing which workflow would work best is important. When working on these large, complex cases, Burbank Dental Lab should be involved as early as possible to support proper treatment planning. The doctor-lab relationship is essential during an All-On-4 case to ensure complete patient satisfaction.
A large case like this deserves the best, and that is exactly what we offer here at Burbank Dental Lab. If you are interested in working with Burbank Dental Lab on your next All On 4 cases, call or chat with us today.
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