UNDERSTANDING ALL ON FOUR DENTAL IMPLANTS: PROSTHESIS OPTIONS, COSTS, AND LONG-TERM CONSIDERATIONS
When considering the All on Four dental implant procedure, it’s essential to understand the complexities and variables that contribute to the wide range of prices offered by different dental clinics. This variation is largely due to the differences in the types of prostheses used, both temporary and final, as well as the materials from which they are made.
Deep Dive into All on Four Components:
The All on Four treatment consists of two main elements: the dental implants embedded in the jawbone and the prosthesis, which includes artificial gums and teeth located above the gum line. The prosthesis is where most of the confusion and cost variation lies, as it comes in different types with varying materials and longevity.
The Healing Process Post-Surgery:
After undergoing the All on Four surgery, there are two critical aspects of healing to consider. Firstly, the dental implants need to integrate with the bone, a process known as osseointegration, which typically takes about 3-4 months. Secondly, there’s the reshaping of the bone and gums due to remodeling, which affects how the prosthesis fits and functions.
Timeline for All on Four Treatment:
Immediately following surgery, patients receive a temporary prosthesis, meant to be used during the healing phase, approximately 5-6 months. Once it is confirmed that the implants have integrated with the bone and the bone and gum have finished reshaping, a final, more permanent prosthesis is placed.
Types of Prostheses:
Temporary Prosthesis: Traditionally, these are created through a chair-side conversion process, which can result in a weaker, more breakable prosthesis. A more modern approach involves digital design, producing a stronger and more reliable temporary prosthesis.
Final Prosthesis Options:
– Hybrid Prosthesis: Combines acrylic teeth and gums with a titanium substructure. It’s more affordable but may face issues like staining, wear, and possible fracturing of the acrylic material.
– Zirconia Prosthesis: Made from zirconium dioxide, it offers strength, aesthetic appeal, and better bacterial resistance than acrylic. However, it’s heavier and if future implant adjustments are needed, a new prosthesis must be fabricated.
– Nano Ceramic Prosthesis: A mix of polymer and ceramic, providing a balance of strength and aesthetics. It’s more adaptable than zirconia, especially if future implant adjustments are required.
Bait and Switch in Prosthesis Selection:
Some dental clinics use low pricing strategies to attract patients, offering inexpensive temporary prostheses without clearly communicating the need for a more expensive final prosthesis. This lack of transparency leads to patient frustration and unforeseen costs.
Considerations for Choosing the Right Prosthesis:
– Healing Time and Process: Avoid clinics that push for a final prosthesis immediately after surgery, as this can lead to poor fit and function due to natural bone and gum shrinkage.
– Quality and Durability:** Understand the differences between various prosthesis types and materials. While hybrids are more affordable, they may not offer the longevity and aesthetics of zirconia or nano ceramic options.
– Long-term Costs and Maintenance: Consider future maintenance and potential replacement costs, especially for hybrid prostheses, which may require more frequent updates due to wear and staining.
Final Advice for Patients:
Patients should seek a comprehensive consultation to understand the full scope of the All on Four procedure, including the types of prostheses available, the materials used, and the long-term implications of their choices. This ensures a well-informed decision that aligns with their expectations, budget, and long-term dental health goals.
