Have you ever been or are you currently struggling with loose teeth?
Perhaps you have already lost your teeth or are struggling with a denture?
Are you finding it difficult to chew your favourite food or are you self-conscious about speaking to people face to face?
If you answer yes to any of these questions then there is a solution for you.
How does All on 4® work?
All on 4® works by removing all or most of your problematic teeth and then replacing them with a minimum of four dental implants (think of these as false tooth roots). The two at the front of the mouth go in straight and the two at the back of the mouth are put in at an angle. This helps to distribute your biting force over the whole mouth, whilst still providing you with the support you need. What happens next is the best part – You are never without teeth. Teeth that have been premade for you and only you are then screwed onto the man-made roots the day they are placed and this provides you with the comfort of having an immediate improvement – no more loose teeth or troublesome plate! However this 1st set of teeth are temporary, and you will be provided with a long term, aesthetically better set of teeth once the healing phase of 8-10 weeks is complete. Did I mention you can tailor your long term set of teeth to look exactly the way you would like them?
Patient – 60 year old male
Prior to treatment the patient attended for an in depth consultation with Mr Arshad Ali. This was to discuss all of his concerns which turned out to be mainly that he had an upper arch existing bridge which now had abscesses in many areas. This bridge had been made in Trinidad seven years previously. He was also aware of a wobbly tooth and receeding gums. Mr Ali advised on the possible treatments that would be beneficial but the only way to find the best solution would be if we could visualise his top jaw in 3D. This allows us to measure the bone height, width and depth in the whole top arch, allowing us to advise the patient of his options accurately. He decided to proceed with a 3D scan of his mouth and after a short 5-minute wait, he had the news he had hoped for. Implants were possible. Not only possible, but really the only solution, as the CT scan showed his other teeth weren’t great either – but he already knew that. We discussed the various options available and he ultimately wanted the implants but also something that didn’t come in and out of his mouth, as this would make him feel old before his time. All on 4® was his solution. We took some before pictures to keep on record as a base line of how our patient started his journey
Initially our patient attended for a second complementary consultation. By this point he had his letter and costs and this was just to ensure he understood the treatment and everything that it would entail. The plan was discussed and we advised his top right molar was to be removed before he went on holiday and at this visit we would take the impressions to have his temporary teeth made for his return from Australia. We then took a set of impressions to make a replica of the patient’s mouth. He had already had his top wisdom tooth removed by his dentist. From this impression the lab made a bespoke temporary set of teeth that could be aligned with the implants once placed.
Our patient arrived bright and early, but maybe not so bushy tailed as expected, as he was a little nervous of what the day had to hold for him. However, this quickly subsided once we got started. The procedure consisted of initially numbing the top half of his mouth, removing all of the remaining top teeth and placing the six top implants – all of this lasted approximately three hours. The rest of the day was spent ensuring our patient was comfortable and pain free while his temporary set of teeth were being adjusted with the dental laboratory. Our patient decided to head home for a while and come back later in the day when his teeth were ready. He was provided with Ice (to stop any swelling from starting), antibiotics and painkillers to take at home. This rest lasted around four hours. His temporary set of teeth were then secured into place at 4.30pm and our patient couldn’t have been happier with his temporary result. He loved that he couldn’t, even if he wanted to, take them out. The following day, Arshad was shopping at Braehead when he bumped into our patient who was smiliang away; no pain, swelling or bruising!!
We reviewed our patient around 4 weeks after placement of the implants. He had no problems with swelling or bruising and was happy with his experience thus far. We introduced a Waterjet® at this stage so he could keep his gums and under the bridge clean. We also recommended a Hygienist visit so they could clean him mouth to a standard we wished him to maintain. The hygienist also went over how to use the Waterjet®.
At this stage we are three months after initial placement. On this visit we removed the temporary bridge and took impressions and sent this to the lab to make a final bridge for us. We replaced the temporary bridge and the patient was to return in one week for the next stage.
One week later, we tried in the wax version of our final bridge. We don’t proceed to a titanium base at this point to ensure there is no discrepancy with the impression taken last visit. This is to ensure everything is as accurate as possible. Our patient was enquiring about whitening his bottom teeth at this visit – what was great as we hadn’t yet chosen the final shade of our top teeth. He was advised to have in-surgery laser whitening and combine this with home whitening for two weeks. This would allow us, at the next stage, to match the new shade of his bottom teeth to the teeth we would place on his final All on 4®.
We tried in his new teeth and checked how he bites together. Everything is perfect, except that the patient feels his teeth are too straight! We made some minor adjustments which added character and the patient was delighted with his natural look. Next visit – fitting the final All on 4® bridge!
The grand reveal. We removed out patient’s temporary bridge for the final time. Our patient, who we have gotten to know very well over the past four months, is absolutely delighted, as are we. We took some images to show him his before and after pictures and provided the patient with a free hygienist visit so they could show him how to maintain his new teeth.
In all the sessions I had at the centre the staff were extremely friendly and helpful. For anyone with any apprehension about visiting a dentist they made you feel at ease. Having confidence in your dentist makes the whole experience less traumatic and Mr Ali goes to great lengths to ensure you fully understand your treatments and I stills that confidence.
My treatment has gone exceptionally well. It was completed in a relatively short period of time (the time was dictated by ensuring that proper healing had taken place and that the implants were secure).
I would have no hesitation in recommending Mr Ali and his team to all my family and friends. Some have already experienced implants at other establishments and are amazed at what I have had carried out in such an efficient manner and pain free.