All-On-4 Dental Implant Case Study

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Video Transcript

So typical case that we completed recently, and this patient came looking for an All-on-4 solution X-ray - obviously he had terminal teeth with no chance of repair.

He had All-on-4 for both the top and bottom jaws. Now, these big black circles here where the sinuses are on the upper jaw. A sinus is a big airspace in the jaw where there's no bone, so we can't use that for dental implants.

In the past, that case would have had sinus grafting, which means packing bone into those spaces. And then waiting six months for the bone to consolidate and then implants can be placed in that region vertically after six months. More time for healing and people come back four months later, so it'd be a 10-month process.

With All-on-4, we angle the implants into the high-quality bone that runs along the front of the sinus and then two at the front. On the lower jaw, there's nerves that interfere with implant placement, these black circles, where the nerves exit on the lower jaw, as we go backwards, there's limited bone height and thickness above the nerve for safe implant placement.

So again, we tilt the implants like this to miss the nerve and then two at the front. This is him (the patient) the following day. So again, this is the sinus wall here, sinus wall here, implants are angled to miss the sinus, two straight at the front, lower jaw, there's a nerve here in here. So we tilt the implants to traverse where the nerve exits, and we then get a full arch of teeth.

This was a 2-day process as opposed to 9 - 10 months for a grafting case.

This is the dental bridge that patient received the day following surgery. It has internal reinforcement, which you can see here on the X-ray. This bridge must finish flush at the back implant, here and here, we can't go beyond these implants on the first set of teeth.

It's part of my lab protocol, is too much stress on the bone and the teeth if we extend backwards initially. Once we have the bone integrating and these implants fuse to the jaw, we can then extend further with cantilever.

So the first bridge has reinforcement which is moderately strong, the ideal second set of teeth come at 4 months and it looks like that. That's a one-piece titanium milled frame, very very strong. It's not segments like you see here how they're prefabricated parts.

What we've done here for out patient is milled from one piece of titanium, very strong and the cantilevers are going backwards.

A lot of people in the market who are advertising all-on-4 present this as their final product (segmented). It's very important for patients to be aware that this is the ideal final product (showing GC Dental Solutions All-on-4).

These ones (showing segmented) wear over time and things start breaking, this one (showing GC Dental Solutions All-on-4) you cannot break the frame.

The cost for the second set of teeth at 4 months is $8,000, that includes the frame and the other teeth.

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