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All-on-4-Advance TM Presentation
EDENTULISM
• By 2025, the global population over age 65 years will double from the 2005 levels, to about 820 million people.
• In the USA, 21% of the population will be over 65 years by 2050.
• CDC /NIH survey results show that approximately 30% of the current US population over age 65 are completely edentulous (have none of their own teeth).
• There are approximately 37 million edentulous Americans today; that’s over 50% more common than Diabetes (estimated at 24 million Americans).
Missing Teeth: A Very Common Problem
All-on-4™ Immediate Load dental implants come with a wide range of benefits, including:
• - Minimal recovery time• - Minimal discomfort• - More affordable• - Easy maintenance• - Allows to eat a wider variety of foods• - Never have to be removed• - Stabilize your jawbone• - Single visit / One week complete procedure• - Complete smile make over in just ONE WEEK procedure with Ohio State University
(OSU Frame) protocol.• - Top of the line Concierge Service offered, includes transportation to and from
airport, hotel to dental clinic and best fit Hotel accommodation.• - Proofed -- 50% to 70% LOWER price Vs REGULAR procedure price in the USA.
ALL-ON-4™ -THE BENEFITS
• Functional Capabilities : Eat, chew and speak normally again with ease and comfort.
• Nutritional Condition : Enjoy more of the foods you love and benefit from a balanced diet and better nutrition.
• Self Confidence : Feel more secure knowing your teeth won’t slip or come out while speaking or eating.
EFFECTS OF DENTAL IMPLANTS ON EDENTULISM
Significant Improvements in :
REPLACING ALL THE TEETH
Replacing all the teeth using dental implants has historically been a challenge due to the lack of bone available for implant placement or the proximity of vital structures that need to be avoided (the sinus cavities in the upper jaw and the nerve canal in the lower jaw).
Many patients are told they are not implant candidates or that they will need bone grafting prior to having dental implants placed. Bone grafting can be painful, costly and take several months or longer to heal.
Now What?
REPLACING ALL THE TEETH
Traditional implant techniques often call for the placement of 8-10 (or more) implants to replace an entire set of upper or lower teeth, and because the bridge only replaces teeth (not lost gum tissue) it can look unnatural and have a “horse tooth appearance”.
What was commonly done?
ALL-ON-4™It’s The Solution!
By placing only four implants at specific angles where the bone volume remains, a full dental bridge can be placed the same day….and all almost always without bone grafting!
• There are not case too extreme for this new technology.
• Eliminates bone grafting and the need for multiple procedures
• “Immediate function” and superior aesthetics with “fixed bridge” (non-removable) within One Day after the implants are placed
• Anchorage in anterior bone of both jaws (higher success rates for dental implants)
• More people eligible for implant supported non-removable bridge
• Less costly and less invasive than traditional alternatives
• High success rates (lower jaw 99.86%; upper jaw 98.50%)
ALL-ON-4 ™| Advantages
ALL-ON-4 ™| Advantages
All-on-4 option s are:a. A Single visit – A complete smile make over in just 4 days procedure with our Exclusive protocol.b. We are a specialized clinic on All-on-4® Hybrid Prosthesis Procedures.c. Success rates higher than traditional implant techniques– 98%;d. Virtually eliminates the need for bone grafting, which is invasive, costly, and uncomfortable for patients;e. Surgery procedure is well tolerated and of a short duration - typically takes about 1 to 2 hours for complete oral rehabilitation;f. Can usually be performed in patients with diabetes, osteoporosis or other health conditions that are often contraindications for bone grafting;g. All Implants done in a single trip – not only the surgery, but also the placement of fixed (non-removable) teeth with immediate function and after few days the permanent bridge. Traditional techniques often involve multiple surgeries and can take over a year to complete;h. Natural-looking teeth that feel and work like your natural dentition;i. Highly hygienic - easy to maintain and clean;j. Cost-savings - typically about half the cost of alternative techniques (you save bone grafting and the placement of more than 4 implants).
ALL-ON-4 ™| Advantages
Will my teeth look natural?Absolutely! The All-on-4 dental implant technique gives you permanent teeth that look, feel and function just like real teeth … for life!! No one will know you have implants unless you tell them.
Why I get my permanent set of teeth only 3 days after my implants are placed?As with any surgery, you need time to heal. However, you will leave the country after 9 days of the surgery with your permanent teeth! Once the healing process is complete 3-days after, a multilayered set of teeth will be placed on a titanium bar and on your implants after three – four days of the surgery
What if I just need implants on my bottom arch? What if I someday need All-on-4 dental implants on both arches?All-on-4 implants can be placed on just the upper or lower arch or both. -- Dr. Freer and Dr. Saenz, your implant specialists, will evaluate the circumstances and if they feel you might eventually need replacement teeth on both the upper and lower arches, they might suggest performing the procedure on both arches at the same time. This provides better results while also saving time and money. They will work with you to determine what best meets your needs both health wise and cost wise.
What type of cleaning is required after an implant is placed? Dental implants should be treated like your natural teeth, daily brushing and flossing is recommended. Our team of specialists and dental hygienists will review oral hygiene instructions with you and will recommend the most appropriate oral hygiene treatment plan to fit your needs.
Are there any additional costs/fees to expect at the end of the treatment?It’s not our policy to add extra costs to our final quotation, however if during the first consultation show up some different oral situation, will be discussed during the consultation appointment with the patient.
ALL-ON-4 ™| Advantages & FAQ
Optionsare:
1. A Single visit – A complete smile make over in just 7 days procedure with the exclusive protocol ALL-ON-4 -Advantage™ - Immediate Loading
2. Success rates higher than traditional implant techniques– 98%;3. Virtually eliminates the need for bone grafting, which is invasive, costly, and
uncomfortable for patients;4. Surgery procedure is well tolerated and of a short duration - typically takes about 1
to 2 hours for complete oral rehabilitation (Lower and Upper Jaws);5. Can usually be performed in patients with diabetes, osteoporosis or other health
conditions that are often contraindications for bone grafting;6. All Implants done in a single trip – not only the surgery, but also the placement of
fixed (non-removable) teeth with immediate function and after few days the permanent bridge. Traditional techniques often involve multiple surgeries and can take over a year to complete;
7. Natural-looking teeth that feel and work like your natural dentition;8. Highly hygienic - easy to maintain and clean;9. Cost-savings - typically about half the cost of alternative techniques (you save bone
grafting and the placement of more than 4 implants).
ALL-ON-4 ™| FAQ
How are All-on-4 Dental Implants different from Dentures?All-on-4 implants are a permanent set of teeth that look and feel like natural teeth. All-on-4 dental implants:· Are permanent teeth that are brushed and cleaned like natural teeth· Do not have to be taken out · Do not need adhesives· Are comfortable because they do not press down on your gums· Allow you to experience the hot and cold of your food, as well as the taste· Allow you to bite with increased force (up to 70% more), so you can eat all of your favorite foods again· Prevent bone deterioration · Restore your facial features
ALL-ON-4 ™| FAQ
How do All-on-4 dental implants compare to traditional implants?
The All-on-4 dental implant technique utilizes only four implants per arch, whereas traditional implants utilize anywhere from six to eight implants, or more, in each arch. The implants of the All-on-4 procedure could be also placed at an angle, which allows for increased contact by using the natural support of your bone. In addition, the All-on-4 procedure requires no bone grafting for most patients, which is common in traditional implant procedures --- All-on-4 dental implants save time, money, and discomfort.
How long is the All-on-4 dental implant surgery?The surgery takes approximately 1 hour per arch.
What is the success rate with All-on-4 Dental Implants?Published studies show a 98% success rate using All-on-4 dental implants system.
Who is the ideal candidate for All-on-4 Dental Implants?The ideal candidate for the All-on-4 dental implant procedure is someone who is currently wearing dentures or who will need dentures in the future. Age doesn’t matter.
ALL-ON-4 ™| Prettau Zirconia Bridges
We’d like to introduce you to the future of highly aesthetic Zirconia bridges, The ZirkonZahn Prettau bridge.
Prettau Zirconia is far more translucent than Zirconium of the past.
Combine this with staining techniques applied by world class dental technicians, and you’ll see a bridge the likes of which were unimaginable in regards to strength and aesthetics. By eliminating veneered porcelain, you are not only sure to avoid chipping, but also eliminating wear on opposing teeth.
Whether you opt for the Prettau bridge or our milled PMMA/Titanium bar bridge, our experience allows for an even higher level of predictability for your restoration.
Prettau Zirconia is the strongest
material in Dentistry
ALL-ON-4 ™| Zirconia VS Acrilic Hybrid with Titanium Frame
FAQ - PROS and CONS
ACRYLIC:
Description: Typically a Titanium Milled (CAD/CAM) Bar Connects the four implants. Acrylic denture teeth are set on the bar, tried in for approval of esthetics, and the teeth are processed (connected to the bar) with a pink acrylic. So in essence, there are 3 layers: the bar, the teeth, and the pink acrylic gum that connects everything.
Prosthodontists needs to set the necessary room for all layers (14-16mm), otherwise the bridge will not fit in the space provided. Repairs /breaks on the acrylic hybrid All-on-4 bridge are a result of the minimized space.
PROS: Cost is Less (denture teeth come "stock,“ fabricated in a specialized factory).Easier to repair - Acrylic is softer, so there is a "give" to the bite, for grinders (Bruxism) they will slowly wear away the acrylic, similar to natural teeth. However, if the material is more stiff (Ceramic) a grinder can chip the restoration (too brittle). For this grinders must wear a night protection to sleep.
CONS: Staining more frequentDelamination (Debonding) of tooth from acrylic. Wear is faster, Higher repair; in a study in the Journal of Prosthodontics, 255 patients were followed up for an average of 15 years, and approximately 58% had one or more prosthetic events (i.e, chipped/broken tooth, loose implants screw) during that recall period. Overall survival rates at 20 years were 86% for prosthesis (bridge), 15% survived free of any event.
ALL-ON-4 ™| Zirconia VS Acrilic Hybrid with Titanium Frame
FAQ - PROS and CONS
ZIRCONIA:Description: A monolithic, high-strength material that is directly fitted to the 4 implants (without a titanium bar).
PROS:- Zirconia is Harder than Acrylic (for grinders they will wear away slower the zirconia compared to acrylic).- Can layer porcelain for more aesthetics, natural look (should be as minimal layering as possible)- No chance for tooth delamination/debonding (All one piece)- Can be used in limited space situations (12-16 mm of space)
CONS: - Cost is Higher (requires expensive CAD/CAM milling/sintering machinery, custom hand finishing and finset detailing)- Harder to repair (since the material is all one piece, if a "chip" occurs, the entire bridge needs to be replaced, OR a ceramic veneer can be glued to the front surface of the bridge as an alternative)- Because of the incredibly stiff nature of the zirconia there is a potential for failure from fracture of the entire zirconia bridge if used improperly.
All-on-4™
Clinical cases
ALL-ON-4 ™ Case 1
ALL-ON-4 ™ Case 2
ALL-ON-4 ™ Case 3
ALL-ON-4 ™ Case 4
ALL-ON-4 ™ Case 5
ALL-ON-6 ™
ALL-ON-4 ™ More Cases Before After
ALL-ON-4 ™ More Cases
• Zygomatic is the most advanced technique that exists nowadays in the market for UPPER JAW. It is a treatment normally done under special conditions and there is very few Maxillofacial Surgeons doing this kind of treatments, there is only a handful of them.
•The Zygomatic implant is an alternative to bone grafting in extremely resorbed maxilla.
• With extremely resorbed maxillas, fixed prosthesis can be provided with Zygomatic implants.
• Either a conventional two stage procedure or a one-stage surgical procedure with and immediate function.
ALL-ON-4 ™| Zygomatic Implants
ALL-ON-4 ™| Zygoma Implants
Zygomatic Implants for patients that have been told they are not candidates for dental implants due to lack of bone in the upper jaw. These patients can benefit from a new implant developed called Zygomatic Implant System.
This latest implant system provides an excellent alternative to bone grafting procedures for the severely resorbed upper jaw bone with minimal surgical trauma and maximum oral function.
