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All teeth on 4
(or more) implants
Cost
Removable dentures – starting at $15,799
Permanent bridges – starting at $28,984
Duration
First consultation – 60-120 mins
Second consultation – 30-45 mins
Preparation
Before – No preparation required.
After – If you have had implants with a bridge:
Maintain good oral hygiene as you usually would.After – If you have had implants with a denture:
Remove and clean the dentures twice a day.After – Take care when removing and replacing the dentures.
What are All Teeth on 4 (or more) Implants?
Four implants are placed (and in some dental indications five or six implants) in either the top or bottom jaw and a denture or bridge is placed onto the implants. When a denture is used, the denture is made so that it snaps onto the four implants so the patient can take it on and off for cleaning. When a bridge is used, the bridge can be attached to the implants so that it is permanent (where only the dentist can remove it for maintenance) or it can be made removable. The key component of the fixed All Teeth on 4 (or more) Implants system is that the denture is made prior to the surgical day and placed onto the implants the same day the implants are surgically placed.
This denture will be exchanged into a final bridge once the healing of bone and soft tissue is finished and the new three dimensions of oral functions have been successfully established.
Benefits of an implant supported denture:
Denture stays firmly in place while eating, talking or smiling.
Enjoy all those foods given up by denture wearers.
There are no more embarrassing moments when a denture becomes loose at an inopportune time.
No more trips to the restroom to remove food under your denture while at a restaurant.
Upper dentures can be made without covering the roof of the mouth which alters speech or gags patients.
Bone levels are preserved with the implants which reduces the need for relines.
Feeling of confidence renewed.
Better aesthetic results as no need for denture components under lip.
It is usually the only way to regain a full restoration of facial dimensions, also known as the “oral facelift”.
Process of removable style All Teeth on 4 (or more) Implants:
CBCT scan to determine the optimum location of implant sites or the need for grafting when insufficient bone is present.
Impressions taken to have dentures fabricated.
Implants are placed in very favourable conditions and the dentures are affixed to implants.
Healing of implants before making final denture which will have metal reinforcing for 4-9 months.
Impressions taken again and discuss any modifications required from the initial denture, such as teeth arrangement, colour or flange design.
Possible to try in new dentures for confirmation of tooth colour and arrangement prior to processing.
Deliver new denture that is removable with locator components.
Process of permanent bridge (zirconium)
The benefit of the zirconium bridge option of All Teeth on 4 (or more) Implants is aesthetics and durability and, most of all, an immediate way to restore an edentulous condition. This may also be done at the same appointment as the last teeth have to be extracted.
The zirconium bridge feels more like real teeth than the acrylic used to make the denture. It is considerably more expensive but worth every penny for those who want the best.
The permanent bridge option of All Teeth on 4 (or more) Implants starts with the same initial steps but the initial restoration will be a fixed and stable metal-supported acrylic bridge. The second, permanent bridge can be made from Zirconium or a metal reinforced acrylic base. Both fabrication methods will have a space between the gum tissue and the underside of the bridge for access to cleaning. Some patients with a very high upper lip may not be candidates for the permanent bridge option made from Zirconium as a flange of some sort is required.
The permanent bridge fabrication would start after the six-month healing phase and would take about a month to complete.
All of these restorations may also be fabricated as hybrid solutions, meaning that they can be altered from fixed to removable if any medical condition requires this step to maintain easier handling.
Please note: ‘All on 4’ is a trademarked term that is used to describe the dental procedure for placing all teeth on four implants, hence the name. Since the name is trademarked, we will use the term All Teeth On 4 (or more) Implants.
FAQ
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A basic All Teeth on 4 (or more) Implants denture costs about $10,000. This would be applicable if adequate bone is present for the placement of the four required implants. If bone grafting is required to add bone to an area for implant placement, there would be an additional fee of up to $2,000. This fee would be less for a single grafting site.
The basic All Teeth on 4 (or more) Implants denture includes:
— Upper or lower primary denture
— Four implants placed into the bone
— Four abutments (attachment devices to hold the denture)
— Upper or lower secondary denture after an initial healing time of six months.
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A basic All Teeth on 4 (or more) Implants permanent bridge costs about $24,000. This would be applicable if adequate bone is present for the placement of the four required implants. If bone grafting is required to add bone to an area for implant placement, there would be an additional fee of up to $2,000. This fee would be less for a single grafting site.
In the case of more implants needed (five and six implants), the costs may rise to approximately $28,000.
The basic All Teeth on 4 (or more) Implants permanent bridge includes:
— Upper or lower primary denture
— Four implants placed into the bone
— Four transitional abutments (attachment devices to hold the denture)
— Upper or lower permanent zirconium bridge after initial healing time of six months
— Four permanent style abutments to hold bridge to implants.
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The implants supporting your denture will last for 10-20 years. The acrylic denture made to fit over the implants will last 8-12 years. However, most people find the denture will last more than 12 years, but there are some people who will require replacement at the 8-year mark.
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A replacement denture would cost about $2,000 as long as all abutments and implants are in good order.
In the case of a hybrid denture, where a fixed bridge has to be altered and changed into a removable solution the price may vary between $4,000-$8,000.
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The implants supporting your denture will last for 10-40 years. The zirconium bridge made to fit over the implants will last 10-18 years. However, most people find the bridge will last a lifetime, but there are some people who will require replacement at the 10-year mark.
Zirconium is extremely durable and made to last indefinitely. The case for replacement need is usually abuse, such as using your teeth as tools. Unfortunately, there is no way to repair a zirconium bridge and a new one will be required if a single tooth is broken.
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A replacement bridge would cost about $8,000-$10,000 all long as all implants are in good order. Some restorative parts may be still usable, but a few of these parts will have to be changed.
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The existing denture may be used for the immediate restoration, even if a relining/alteration has to be considered.
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This is possible since the four implants are universal. However, the abutments would have to be changed. Again, the individual case and costs would have to be considered and quoted.
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There is a guarantee for five years on the prosthetic parts – If an implant fails during the healing period it will be replaced with no other costs other than the material costs (implant and sometimes the bone graft material).
We offer a free replacement of any implant that fails within the first six months of placement. Once the permanent bridge or secondary denture is made, it is very difficult to place an implant under those appliances.
If the denture or bridge breaks due to a fault in the fabrication, we will replace it at no charge. However, if the denture or bridge breaks due to abuse, trauma or accident, the replacement cost is borne by the wearer.
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This procedure is a very safe way to restore edentulous jaws and offers an incredibly high success rate of nearly 99%.