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All-on-4® Treatment Concept


Using the All-on-4® system, we can provide our patients with a full arch of permanent dentures. Once healed, they will not rock, wiggle, or come loose, they will firmly stay exactly where they belong. The All-on-4® system uses your denture in combination with dental implants for permanent retention. Having your denture retained with dental implants removes so many of the frustrations that comes with traditional dentures and helps it feel like your own natural teeth. At Victor Nitu DDS, we can provide you secure, functional teeth when your natural teeth are no longer healthy.

According to the American College of Prosthodontists, thirty-six million people in the U.S. are missing a full arch of teeth. If you are one of the millions of American considering your denture options, you have come to the right place! We can help you have dentures that work and feel much like your natural teeth, best of all, they stay in place, you never have to feel toothless again.

At Victor Nitu DDS, we specialize in a variety of stabilized full-arch replacement options, including both removable bar retained dentures and ball retained dentures. Additionally, we offer a non-removable denture option known as the All-on-4 system. This provides the patient, a complete fixed bridge that is supported by a series of dental implants. This immensely beneficial system has revolutionized the way our patients live with dentures, vastly increasing their function and feel.

What Is All-On-4?


The All On 4 treatment combines the patient’s denture with four dental implants. A dental implant is a titanium rod that is surgically implanted into the jaw bone. The two posterior implants are longer in length, designed to capture thicker bone, they are placed at a precise angle to maximize the strength and support of your jawbone. The two anterior implants are placed at a vertical angle like conventional implants where less chewing force is used.

The All-On-4 Procedure


As with any treatment, the All-on-4 placement process begins with a consultation. During your consultation, Victor Nitu, DDS will collect information and begin a series of diagnostic tests to create a treatment plan. Candidacy for treatment is contingent on the patient’s ability to heal properly. Patients who have decreased healing, may need to make some lifestyle changes, or changes with their physician prior to treatment. Our initial preparatory work may include digital x-rays, CBCT scans, and other 3D images..

Please inform our team of all medications you are taking, prescribed or not, whether they see relevant or not. We want to understand all aspects of our patient’s health. The All On 4 treatment generally does not require a bone graft procedure due to the depth of the implants used for this surgery, though we will want to help the patient have healthy gums to reduce the likelihood of infection developing following surgery. With a treatment plan in place, we can schedule your procedure.

On the day of surgery, we will have already created a treatment map, detailing precise placement and angles of the where the implants will be placed. We will consult with the patient on pain relief options, which often include one of several conscious sedation options that we have available.

Once comfortable, we will make four small incisions in the gums to expose the underlying bone and place the implants. With the bone exposed, we then use a specialized dental drill to create four tiny holes in the jaw. The implants are deeply embedded into the jaw. Though this may sound extreme, the entire process is only minimally invasive and safe for even our medically delicate patients.

With the implants in place, we can then attach the abutments, which are support structures to link the screws to your restoration. With the abutments, we can then install a prefabricated denture restoration. The All On 4 system is one of the few implant treatments that allow for same-day restoration placement. Most implant-supported restorations need to be placed at a later date.

It is important to note that the first prosthetic we place is temporary. Once the healing process is complete, we will take an impression of your mouth and fabricate a permanent fixed bridge. Most All On 4 bridges are made from porcelain or zirconia.

The Benefits Of All On 4


•  Function: Once healed, your implant stabilized dentures will quickly feel like your own natural teeth. They will stay firmly in place, allowing you to resume your regular diet.
•  Appearance: Dental labs today create prosthetic pieces that look more natural than every before. Using porcelain and zirconia, the teeth contain the same light-reflective properties of natural enamel.
•  Longevity: Dental implants are not new, they have been used and studied for decades and the reports are extremely positive! Studies have shown dental implants to be highly successful. Many patients are finding their implants to last them a lifetime.


Schedule Your Consultation Appointment


If you want to see if you could benefit from the All-on-4® Treatment Concept, call (480) 536-8228 to schedule your consultation appointment now!
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