The all on 4 dental implant in Turkey treatment concept consists of a non-removable prosthesis retained by four implants that are strategically positioned in available bone. The process, since then, has been updated further and now finds its place among the dentistry profession worldwide. The ALL-on-4 methods best suit those patients who have a few remaining teeth, very serious decaying, or those who have already suffered from the loss of a lot of jawbone. They are designed to be positioned in both upper and lower jaws at four strategic positions by the teeth.
Why are all-on-4 dental implants so unique? Historically, teeth were replaced with bone. Then, with the discovery of dental implants, the dental profession learned to replace missing teeth roots with titanium screws to support restorations such as crowns, bridges, or dentures. Traditionally, advanced teeth implants were placed one per tooth, or at least 6-8 were placed to restore full arch implants of teeth. Nowadays, most patients do not even have up to 6 to 8 remaining teeth to replace. That is where the All-on-4 approach will come in. It is because this approach makes efficient use of available 3D bone; hence, atrophied and edentulous patients can restore aesthetics and function by means of this minimal invasive method. Efforts, therefore, are focused on the prosthetic, abutment, computer-aided design, and manufacture of implant-supported screw-retained teeth for full arch implants reconstruction. The clinical advantage embodied in the aforementioned approach is that it simultaneously encompasses the restoration of both aesthetic and function. These treatments can easily be adapted to address the remaining heterogeneous group of patients.
The all on 4 dental implant in Turkey treatment concept was developed largely to meet the needs of toothless patients, somewhat in contrast to most other dental replacement options in the market, such as traditional implants and dentures. Probably one of the most coveted advantages that come along with All-on-4 dental implants is aesthetics; they tend to give a more youthful look since they distribute facial support evenly. The procedure is also centered around the restoration of oral function, providing the ability to chew in a natural way. In addition to these advantages, All-on-4 dental implants are one of the most effective solutions, as they allow patients to recover much more quickly than older dental implant options. As the surgery is less invasive than traditional implants and can be done within a few hours, one of the best benefits is that most patients claim they feel more comfortable and exhibit much less anxiety about the procedure.
One of the main failures of the implant system is the need for bone grafting, but most patients who get All-on-4 dental implants can avoid having to undertake this painful procedure. The cost of dental implants is one of the main concerns of patients, and the all on 4 dental implant in Turkey is a great, money-saving option; after a patient has received the All-on-4 implants, 30% of the necessary bone volume for traditional implant placement is no longer needed. Perhaps most notably, all-on-4 dental implants are unique because the dental prosthesis can be attached the same day in only a few hours. The advanced teeth implants have been maintained at 94% over three years and 93% over an impressive ten-year period.
The all on 4 dental implant Turkey solution is a surgical technique that positions implants into strategic areas of the mouth to maximize existing bone. Step One: Patient Evaluation First, the patient has a complete examination with X-rays and diagnostic tools to determine whether or not they are a candidate for implants. Following that, the doctor studies the X-rays and makes a surgical plan that will serve him during the placing of the implant. It indicates which teeth should be extracted, which bone grafts will be required, and exactly where the implant should be positioned. Positioning of Implants Strategically Considering the eventual position of the prosthesis, this stage of All-on-4 treatment planning considers the optimal positioning of the implants. Teeth are replaced not only for function but for natural aesthetics, adjusted overall length, and width. The all-on-4 dental implants technique allows for implants to be anchored in the dense bone because they are tilted as much as 30 and 45 degrees from the horizontal plane to avoid the maxillary sinus and in the mandible to allow for sufficient bone to safely drill and allow for the use of as much bone as possible. Surgical Technique The All-on-4 technique is based on minimally invasive, computer-guided surgery. This allows for the maximum amount of bone to be used when the implants are being placed to ensure a secure, stable surface. Also, computer-guided surgery makes it possible and highly predictable for immediate loading protocols. The all-on-4 dental implants system allows full arch implants of non-removable teeth to be placed in the same visit. When the patient arrives in the morning, the teeth are old, and in the middle of the day, the advanced teeth implants are placed, and the temporary prosthesis is attached to the implants. The patient walks out that same night with some type of a bridge that does not come out of the mouth. After a four to six-month healing period, a new prosthesis is made that will hold up for years. Postoperative patients are given medication and detailed verbal and written instructions expounding on the simple four-step rules of what to do postoperatively. The patient can expect some moderate swelling and soft-tissue bruising. They are instructed to ice the face for the first 36 hours and not to brush their teeth for six hours after surgery. They are to eat soft, cool foods for the first 24 hours. They are also prescribed an antibacterial mouth rinse, which they use for the first six weeks, and are instructed on a regimen of how to use it. With new software on the market, general dentists are permitted to work with top oral surgeons to restore patients using the all on 4 dental implant in Turkey implant system. Dental professionals should try to do it all: plan the case together, work with the patient before and after surgery in restorative terms, and understand the significance of the radiographic evaluation and implant placement. Always make great oral surgery on a cone-beam patient a team product.
The prime dissimilarity between all-on-4 dental implants and any other standard or traditional full-arch modern implant solutions is the application of four implants only to support a complete arch prosthesis. This one feature also differentiates all-on-4 dental implants from other full arch modern implant solutions, such as All-on-5, All-on-6, and All-on-7. The major advantage of All-on-4 dental implants is the avoidance of additional bone sculpting. The minimal requirement of anatomical grafting for the insertion of four implants not only saves time but also decreases the morbidity associated with traditional methods. Since the entire procedure is usually planned and completed in one day, even on-site group teeth transplants are a possibility. In contrast to traditional implant methods, these implants offer a lower level of complexity and psychological trauma.
Firstly, clinical justification is required to justify the utilization of four dental implants for full arch implants prosthesis retention. Since these implants engage both the cortical and cancellous bone of the pre-maxilla and pre-mandible, the bone quality is practically irrelevant except in cases with very low bone density. It is necessary to have advanced teeth implants distally tilted at least 30 to 45 degrees to fit into firm bone and a stress-free framework with as natural and uniform a load transmission as feasible. The all-on-4 dental implant in Turkey protocol suggests 4 to 10 mm of lateral cantilever for the maxilla and mandible, respectively. If needed, these lateral cantilevers can even reach 20 mm without any biomechanical or clinical consequences. The protrusion of a prosthesis beyond the distal row of implants acts as a lever on the distal implants and is, in fact, desirable because it helps to decrease rigid frame stress developing in the distal implants. Roughly speaking, with a passive or bar-clip retained metal reinforced acrylic full arch implants prosthesis, one could go up to 20 mm in both jaws.
The last part of this chapter will focus on a series of clinical reports showing all stories from complex cases to single-implant cases and varying predicted outcomes. In all cases, careful planning and follow-up were key concepts for a successful outcome. All patients were under the care of one clinician and one technician responsible for their etiology, diagnosis, and treatment plan. all on 4 dental implant in Turkey treatment planning includes initial fabrication and placement of the drill guide. Following this, a CBCT is taken, and the draft at this stage can be falsified if it is considered too risky or not beneficial to the patient. Post-surgery, a screw-retained PMMA bridge is used to allow soft-tissue healing. At 3 weeks, a putty reline of the bridge is usually performed, all this being included in the inclusive price. It should also be noted that patients can be seen by a multidisciplinary team of surgeons, dental assistants, and support all under one roof, should they require additional pre-op or post-op dental treatments. At 6 months follow-up, implants can progress to a definitive implant crown, although bone level can be altered by further relining the crown due to further reduction when conversions 4 months after surgery in the upper jaw and 6 months in the lower jaw will be required. Regular visits will be made weekly initially, going to fortnightly after the first month, and finally monthly until placement of the definitive crown; it should be noted here that some patients do not need the grafting of the all on 4 dental implant in Turkey zygoma insertion technique. Finally, the only center in the country that places the abutments, impression copings, and implants for the final outcome, with technicians helping at the time of surgery to assist in impression-taking for the final outcome. Most treatments or studies were either undertaken by single operators or in the academic sector, where the final outcome is less scrutinized. The cases and studies of dental implants described were undertaken or spearheaded at a multi-practice private practice with converging expertise and experiences in this specific field of implant surgery and prosthetics. These case studies provide clinical evidence supporting the effectiveness of the implant and can provide the patient with satisfaction of high-quality standards.
