All-On-4 Plus
THE ‘PLUS’ FACTOR

Unleashing artistic expression at the pinnacle of science and innovation with dental implants for long-term results.

With our unique All-On-4 Plus approach each treatment is planned on an individual basis, and whilst certain patients may need additional implants or procedures for long-term results, we aim to avoid prolonged treatment duration with further advanced techniques that afford minimal disruption to our patients’ day-to-day life and function. Whether it’s with four or more implants, with or without grafting, All-On-4 Plus® encompasses indication-specific treatment planning incorporating Our Clinic’s innovative techniques that have a built-in contingency and facilitate the delivery of an immediate final restoration in the most streamlined process.

RESHAPING OF THE JAWBONE AND GUM SURGERY

When teeth are lost the gums shrink because the underlying bone undergoes natural atrophy and resorbs. Prior infections, gum disease, trauma or other conditions of the teeth that have lead to their necessary removal also results in defects in the jaw bone and an uneven surface.
The re-shaping of the jawbone with a procedure called alveolectomy, or alveoplasty, removes the rugged areas of the jawbone to leave a flatter surface and more favourable surroundings for dental implants. By removing the rugged areas, we also eliminate the parts of the jaw that are most susceptible to resorption, and can rely on the deeper bone that is of a better quality for improved heath of the dental implants over time.
Apart from improving the conditions for the placement of the fixtures, the re-shaping of the bone also improves the amount of space that is available for the construction of the teeth, which improves our ability to design a restoration that is more durable and aesthetic, and helps ensure that the transition between the prosthesis and natural gums remains hidden.
The re-contouring of the jawbone also creates a flat interface of the prosthesis where it contacts the natural gums, which helps patients in cleaning and maintaining good hygiene.

BONE AUGMENTATION – (WHEN REQUIRED)

Every case is different, and the bone anatomy can even vary in the same patient between the left and the right sides. In some cases, particularly in the upper jaw, there may simply not enough bone for as standard All On 4 approach because the anatomy of the sinuses is such that they do not allow for implants to be placed sufficiently towards the back and they would be placed closer together instead of being more ideally spread out. This may result in a shortened arch situation with less than a full complement of teeth in the prosthesis.
Whether it is at all required is assessed on an individual basis, but bone augmentation, particularly of the sinus spaces, using traditional or some of our own newer methods, may offer a number of benefits both short and long term as described under sinus grafting.

MAIN BENEFITS: Improved surgeon’s visualisation of the bone anatomy, wider spread of the implants with potentially more teeth in the arch-space, and improved contingency by having newly formed bone.

PRECISE IMPLANT POSITIONING USING LATEST TECHNOLOGY 3D TOMOGRAPHY

We use unique methods to ensure the dental implants are positioned in a way that makes them not only simpler to restore from an engineering perspective, but also reduces the bulkiness in the mouth for improved comfort, speech and hygiene.

ADDITIONAL FIXTURES – (ONLY WHEN INDICATED)

We strongly believe in a minimalistic approach to the number of implants that we place to support a full set of replacement teeth for one primary reason: to improve your ability to clean. However, every case is different, and sometimes there are conditions that require us to place additional implants for improved support. These conditions can be divided into two main categories: the forces that are applied on the implants through the prosthesis during function VERSUS the resistance of the system of the supporting fixtures and the bone to withstand those forces.
For long-term health we need to ensure that the foundations of the system are able to withstand the insults from function. In situations where the insults are significant, such as in patients who are heavy grinders, or where the foundations are inadequate, such as the case in very poor quality bone, there may be a tipping point disturbing the healthy equilibrium, leading to potential problems. The placement of additional implants improves the support and the biomechanical resistance, and is only used when deemed required, or when a significant increase in the size of the arch and the number of teeth is desired.