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All-on-4 dental implants:
Your complete guide.

Green Door Dental Dentist
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What is All-on-4?

All on 4 dental implants are an effective and lasting way to replace missing teeth and regain your smile confidence.
Feeling embarrassed about missing teeth is common. The emotional impact of losing your teeth is very real.
 
From long-time denture wearers and people with damaged teeth to those with missing teeth— All on 4 has helped countless people achieve natural-looking teeth.
 
The All-on-4 dental procedure replaces all your missing teeth on 4 dental implants. The four (in some cases six) small titanium implants are placed with expert precision into the jaw. These provide rock-solid support for your new set of fixed teeth.
 
And the best news? In most cases, the teeth (upper, lower or both) can be fitted to the dental implants in as little as 2-3 days after surgery. This means you don’t have to be without your teeth. You can restore your smile and get on with living your best life in no time at all!
Treatments
1
Two straight dental implants at the front and two implants at the back at a 45-degree angle to avoid the nerve. With this precise placement, even people with severe bone loss can receive the treatment.
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Connectors create a level surface and attach the teeth to the implants.
3
A strong, natural-looking tooth bridge is fixed onto titanium implants with special screws.
Compared to the traditional method of replacing all teeth with dental implants, All-on-4 is less invasive and uses fewer implants making the treatment and the healing time a lot shorter. It’s also a fantastic option for those who want a full set of natural, functioning teeth without the discomfort of dentures.
With Green Door Dental’s experienced dentists, you can feel confident you’ll receive quality, precision treatment to restore your smile and your confidence.
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What are the alternatives to All on 4?

The All-on-4 concept is the only fixed full-arch treatment with 25 years of documented clinical success. Yet, it is not the only treatment option for patients wanting to replace all or most of their teeth. Let’s explore some of the alternatives to All-on-4 dental implants.
Dentures
There’s no denying that dentures are an affordable tooth replacement option. Often, cost is the main reason why patients choose dentures over All on 4. And yet, if you’re a denture wearer you’re no doubt familiar with their wobbly and ill-fitting nature.
 
Poorly fitting dentures can cause gum irritation and mouth ulcers. Not to mention problems eating and talking clearly. Worrying about your dentures slipping takes its toll on your confidence and enjoyment of life.
 
Despite the improvements to modern dentures, they’re not the lasting solution that all-on-4 offers. Dentures only replace the teeth, not the roots. Loss of jawbone over time is one of the most common complications with dentures.
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Pros of Dentures
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Cost-effective
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Procedure is quick and non-invasive (unless existing teeth need to be removed)
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No downtime or recovery period
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Low maintenance — easy to clean and look after
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Cons of Dentures
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Will need replacement eventually. Worn over a long time, can cause bone loss
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May slip and affect speech and self-confidence
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Can impact what you can and can’t eat — upper dentures cover taste receptors on roof of mouth
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Can cause discomfort and be painful at times
Implant-supported overdentures
This option is more commonly used for people who have recently lost all or most of their bottom teeth. Essentially, it’s a denture that’s held in place by two dental implants placed in the jawbone. The denture is fitted with special attachments to help it snap onto the implants. Hence, they’re sometimes called snap-on dentures. Overdentures sit securely on the gum but are still removable.
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Pros of overdentures
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Cost effective compared to other teeth replacement treatment
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Implant supported, making it more comfortable and secure than traditional dentures
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Cons of overdentures
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More expensive than traditional dentures
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Only suitable for the button jaw
A combination treatment
In some cases, the most suitable option for replacing missing teeth is to have a combination of treatments. This might involve single implants, dental crowns, tooth bridges, or implant-supported bridges.
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Pros of a combination treatment
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Healthy, natural teeth can be saved
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Cons of a combination treatment
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Can be expensive
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Treatment time may be lengthy and involve multiple procedures
Traditional full mouth dental implants
Using traditional dental implants to replace all teeth can involve up to 8 individual implants. These are inserted into the jawbone to act as the roots of the missing teeth. The implants are positioned straight (not at an angle). To be suitable for this treatment you either need adequate jawbone density or be able to have a bone graft.
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Pros of traditional full mouth implants
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Good alternative to ill-fitting dentures or tooth bridges
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Preserves jawbone quality and stops further bone loss
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Looks and functions like real teeth
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Cons of traditional full mouth implants
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May involve several procedures, which can take many months or, sometimes, years
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Only suitable for people with enough bone volume and density
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The most expensive option for replacing all teeth

Do nothing

It’s easy to be fooled into thinking that doing nothing will save you money and reduce your risk of complications. This isn’t the case. Here’s why:

  • Leaving gaps in your mouth can cause the remaining teeth to shift, become crooked and endure added stress, increasing your risk of cracked teeth and decay.
  • Missing teeth can have a negative impact on your emotional wellbeing. Feeling embarrassed when talking or smiling can make you self-conscious and may lead to anxiety about socialising with family and friends.
  • Tooth loss and bone loss to the jaw can affect your facial structure, causing sagging and a sunken appearance.

 So, not replacing teeth may seem like an easy fix, but the truth is it’s likely to cause much bigger problems.

Fixed vs. removable teeth
replacement options - what is
the difference?
Deciding to replace missing teeth and restore your smile is a BIG decision. When choosing the right teeth replacement option it can be helpful to know the difference between fixed and removable solutions.

Fixed: 
Means that the teeth are fixed into the mouth with special dental screws and can only be removed by your dentist. All-on-4 is a fixed option, which means it’s super strong and won’t move - but you will need to have it taken out by a dentist for cleaning and maintenance every 12-24 months.

Removable: 
Means you can take your teeth out when you like— such as for daily cleaning. Generally, removable teeth replacement options work by using ‘snap-on’ fixtures (like with implant-supported dentures) or glue (this is the case with dentures).
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What does the All-on-4 procedure involve?

You’ll be glad to hear that All on 4 is a relatively straightforward and quick procedure. Here’s a look at exactly what happens during treatment—so you feel comfortable and confident in your decision.
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The consultation
The All-on-4 treatment is truly life changing, so there’s no surprise it starts with a thorough consultation with Dr Connell. Don’t worry, it's completely judgement and pain free. Not a single pointy or sharp object in sight! Just think of it as a friendly chat.

During the consultation we’ll take a look at your teeth and mouth and talk through your medical history to assess your suitability. We take some photos and digital scans of your teeth to ensure All on 4 is the best treatment for you. If we feel it isn’t, we’ll discuss the alternative options for restoring your terrific smile. Plus, you’ll have the chance to get all your questions answered (no matter how many you have).

Typically, we'll also present you with your individual treatment plan—including costs (no surprises here!). We'll also follow up with an email so you don't have to worry about trying to remember everything.
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Planning phase
This is where we get busy with our special digital software. Using the notes, scans and photographs taken during your initial consultation we plan the size and angles of the dental implants. We'll also work out the precise placement of your new teeth for best results.
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Implant placement
Under IV sedation (this is optional) your All-on-4 dental implants will be placed. A surgical guide is positioned on the jawbone to ensure the implants are positioned in the exact spot intended. A healing abutment is then placed on top of your implant. This protects and seals the top of the implant to prevent bone or gum tissue from growing into or over it during this phase.

This stage of the treatment requires any existing teeth to be removed. With IV sedation you’re awake but feel no pain. You’ll be completely at ease and relaxed throughout the whole all on 4 procedure. However, it also means you won’t be able to drive, so you’ll need a family member or friend to take you home. We’ll see you in 2-3 days to fit your temporary tooth bridge

We recommend you eat only soft foods for the first few days following treatment. This helps avoid putting too much pressure on your new implants. It’s a good idea to stock up beforehand on your favourite soups and yoghurt.
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Fitting of a temporary tooth bridge
The great thing about All-on-4 is that most patients have their initial tooth bridge connected to their implants within a few days after surgery. This is a temporary custom-made prostheses, using quality acrylic. It is screwed onto the implants (takes around 45 minutes) and means you can smile happily while your gums and jawbone heal.

Just like a fingerprint we all have different bites, and we need to ensure we get your bite just right! During this stage, 2 or 3 dental visits may be needed to check how well the bridge fits and tweak it, if needed. This will help ensure the final bridge feels, functions and looks perfect.
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Post-op review
10 days after your initial surgery we’ll get you back in for a quick check up. We’ll make sure you’re healing well and remove the stitches.
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Final bridge fitting
You’re on the home straight! Approximately 3 months after surgery you’re ready to have your final bridge placed. Made in Australia from durable, biocompatible (this means you won’t have any adverse tissue reactions) materials, zirconia and titanium, this long-lasting tooth bridge is the closest alternative to natural teeth—and should be cared for like real teeth.

Aftercare

The good news? Recovery time after All-on-4 surgery is minimal. You may notice some swelling and bruising and feel mild pain or discomfort. This is completely normal and can be eased with OTC pain medication such as Ibuprofen or Panadol. We recommend taking things easy by doing the following:

  • Rest and avoid heavy lifting
  • Drink plenty of fluids (avoid hot drinks)
  • Eat soft, nourishing foods and avoid hard or sticky foods
  • Keep your teeth and dental implants clean

While the gums and jawbone will take around 6 months to completely heal, you can get back into your usual daily routine after a few days. Here are a few tips to help ensure you get a lifetime of smiles from your All on 4 dental implants.

  1. Treat your implants like natural teeth
    Carefully clean around your implants and teeth twice a day.
  2. Don’t skip regular dental check-ups
    We recommend scheduling a professional teeth check and clean every 6 months.
  3. Try a gum stimulator
    Willing to go the extra mile to take care of your All-on-4 dental implants? A gum stimulator is a handy rubber tool that massages the gums. This helps to dislodge trapped food, promote blood flow to assist the healing process, and support healthy gums.
Tip
Dr Connell highly recommends using a water flosser to help maintain good oral health care at home. What is a water flosser? It’s a device that uses a steam of high-pressure water to dislodge plaque and food debris from in between the teeth.

Not only is it quicker and less fiddly than using dental floss, it’s also 50% more effective for cleaning around implants than string floss. This is why Dr Connel gives a water flosser to every All-on-4 patient.
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Keep learning about the All on 4 Procedure
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What are the pros and cons of all-on-4

All-on-4 is a popular choice for replacing missing teeth. But, as with any treatment, looking at the pros and cons can help you decide whether it’s right for you. Let’s dive in.
 
By far, one of the biggest pros for All-on-4 is that you can have a new set of fixed, natural-looking teeth in as little as 3 days. There’s very little downtime and the recovery period is relatively quick. 
 
There’s also the innovative angled placement of the implants. This makes All-on-4 a fantastic graft-free solution. It gives patients with osteoporosis or loss of jawbone an effective alternative to dentures.
 
If you’re a denture wearer you’re no doubt familiar with feeling them slip and causing discomfort and mouth sores. Dentures are porous too, so they tend to discolour over time. This may leave you feeling shy about your smile—especially when there are cameras around!
 
There is no one-size-fits-all solution in dentistry. But for people who are tired of loose, uncomfortable dentures, All-on-4 dental implants have proven to be a good alternative. They're also a great option for people who want to avoid dentures altogether—but want to rediscover the joy of smiling.
All-on-4 dental implants
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Pros of All on 4 dental implants
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Replace all missing teeth with a fixed solution in just days!
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Look, feel and function like real teeth
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The jawbone is stimulated, preventing bone loss
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Durable with a longer lifespan than many other replacement teeth options
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Cons of All on 4 dental implants
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Costs more than removable dentures
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Requires surgery
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Recovery and healing period required
If you have missing or failing teeth, it’s likely you spend A LOT of time thinking about this. Maybe you ‘put up’ with the pain and discomfort. Perhaps you’ve become used to not being able to eat some of your favourite foods. But every time you look in the mirror, you’re reminded of the smile you’ve lost.

Replacing missing teeth can help you regain your smile and your happiness.
Keep learning about
the Pros and Cons of All-on-4
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Am I a good candidate for all-on-4?

The all-on-4 treatment is suitable for most healthy people, regardless of age. Even patients with diabetes or osteoporosis, who are ineligible for traditional implants, can have All-on-4 dental implants.

Still unsure whether you’re a good candidate for the All-on-4 implant procedure? Answer the following questions to help find out.

  • Have you lost most or all your natural teeth?
  • Do you have severely broken down, damaged or loose teeth?
  • Do you have gum disease?
  • Do you have jawbone loss?
  • Are you looking for an alternative to dentures?

If you answered yes to one or more of the questions above, there’s a good chance you’re a suitable candidate for All-on-4.

Can I get All-on-4 if I smoke?
Yes, *but* if you’re a smoker, most dental practitioners will recommend you quit smoking before having All-on-4 to encourage successful treatment. Smoking restricts the blood vessels and decreases the blood flow to the gums. This increases the chance of dental implant failure.
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Could All-on-4 be the tooth replacement option you’ve been dreaming about?
Come in for a judgement-free consultation and we can chat through your eligibility, plus answer any questions you have. Book your implant consult online here.
Keep learning about the All on 4 Candidate
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How successful are All-on-4 dental implants?

All on 4 dental implants have an extremely high success rate.
95-97% Success*
The documented success rate of dental implants.
*According to numerous studies in dental journals
98% Satisfaction*
The number of All-on-4 patients who would recommend it to a friend. *Reported in this 2012 study
15+ Years
Dr Connell’s experience in performing All-on-4 treatments
Keep learning about the All-on-4 Success Rate
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How much does
All-on-4 cost?

While your happiness is worth every cent, at Green Door Dental we like to be upfront about our all on 4 dental implants cost.

The cost for your treatment is $29,500 per top or bottom jaw. To get more information on pricing and payment plan options, download our Tooth Replacement Price List here.

There’s no ignoring the fact that All-on-4 is a costly treatment. But truthfully, it’s an investment in your happiness. Most people can’t even imagine the difference it will make to their self-confidence and quality of life until it’s done.

Imagine the joy of seeing yourself in the mirror with beautiful natural-looking teeth. Think of the freedom you’ll feel smiling for the camera or just being out with friends—laughing and chatting without having to cover your missing teeth.

Worried about the cost? Don’t stress about having to pay the cost upfront or even in one lump sum. Our flexible payment options can help ease the pressure on your wallet. We can also chat with you about your eligibility for accessing your super to pay for your dental treatment.
No one likes surprises when it comes to cost
The price of your All-on-4 treatment at Green Door Dental includes everything from the initial consultation and the surgery to the final tooth bridge. The only extra is the cost of sedation. But Medicare will cover part (and often, most) of this.
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Keep learning about All on 4 Cost
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How do I choose an All-on-4 dentist?

Do your hands get clammy at the thought of a dental visit? Finding a dentist who recognises dental fear (and totally gets it) will make you feel completely at ease.
 
All-on-4 can be a life-changing treatment. You’ll want to choose a dentist who understands the emotional toll of tooth loss and will discuss any concerns you might have. This way you can rest assured your beautiful, natural-looking smile is just days away!
 
To help you find a dentist you can trust, that has plentiful training and a proven track record in successful All-on-4 procedures, here are a few factors to consider.
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Is the clinic using a reputable dental implant brand?
Not all dental implants are equal. Implants from the leading brands are well-researched and have an excellent reputation for high quality and longevity. Amongst the top brands in Australia are Nobel Biocare, Astra Tech and Straumann.

While using a less expensive implant might reduce the cost of your treatment, potentially you could pay more in the long term. Cheaper implants use less robust materials, and their success rate may be lower.
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What training does the dentist have in this procedure?
Truth bomb: there are no regulations on the amount of training a dentist needs to perform dental implant surgery. Some dentists can complete a 1 or 2-day course and start placing implants with minor experience. Feel a little uneasy?

Don’t worry, your smile is in great hands at Green Door Dental. Dr Connell has a Diploma in Clinical Dentistry (Dip.Clin.Dent — Oral Implants), which means he's completed a 1.5 year graduate diploma from Sydney University,  alongside countless other dental implant courses over the course of his 15+ years of providing dental implants to his patients.
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How many years of experience does the dentist have?
While some less experienced dentists may offer lower prices, you risk ending up with a result you dislike. Or even worse, treatment failure. Remember that All-on-4 is an irreversible surgical procedure, so you’ll want peace of mind that it’s going to be done right—the first time.
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How many years of experience does the dentist have?
The more All-of-4 treatments a dentist has performed, the more success stories, right? Don’t just ask your potential All-on-4 dentist how many times they’ve performed this procedure. Ask to see the longest patient follow-ups they have.

You’re choosing All-on-4 to get your smile and your life back. But not just for a few years. You want to keep smiling confidently now and well into the future. Finding a dentist who’s All-on-4 work has stood the test of time is a great big tick √
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Can they provide before and after images?
An All on 4 clinic that’s proud of its success should have a bunch of images before and after all on 4 dental implants to share with you. And don’t hold back. Ask if you can speak with a few previous patients to hear about their experience.
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Do they have a highly trained sedationist?
Some clinics don't offer IV Sedation. Others do, but rather using a qualified medical professional to provide and supervise IV Sedation their dentists do it, which poses more risk.
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Does All-on-4 cost include the bridge?
If you’ve looked into All on 4 costs you’ve no doubt realised that prices can vary widely. We’re talking from $17,000 to upward of $30,000 (that’s a really big difference). And, if you look at getting the treatment done overseas, in countries such as Thailand or India, the costs can be even cheaper.

There are many reasons for the difference in price. The main reason is whether or not the price includes the final tooth bridge. When quoting, many clinics only include the temporary tooth bridge, which should be worn for a maximum of 12 months and will need to be upgraded to a final bridge eventually. So, when considering the cost for All-on-4 make sure you ask “Does it include the final tooth bridge?”
We’ve got an A Team – so you’ll get Amazing results
Team up Dr Connell’s advanced training and 15+ years of experience in All-on-4 treatments with that of our medical anaesthetists Dr Peter Andrews and Dr Zoe Rodgers and you know you’re in great hands. Plus, at Green Door Dental, we only use reputable brands (Nobel Biocare or Astra Tech).
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Keep learning about Choosing your All-on-4 Clinic
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What are the potential risks?

Having any surgical or invasive procedure can pose a risk. Choosing a highly qualified, experienced dental implant surgeon that uses only the highest quality, reputable dental implant materials will help keep potential risks to a minimum. 

Issues that can occur with dental implants include the following:

Implant failure

Around 5% of implants fail. In other words, they don’t fuse to the bone or have been incorrectly placed. The risk is low, and even if the implant fails, a new implant can be placed. The good news is that there’s a high chance of integration the second time around.

Infection

Again, the risk of infection is low. It can occur because of contamination during surgery or due to a pre-existing condition. If treated early, infection isn’t too big of a worry. The signs to look out for include:

  • Implant feels loose or wobbly
  • Redness or swelling around the gums
  • Bad taste or breath
  • Pain or bleeding around the implant
  • Pus
  • Fever

On the plus side, by practising good at-home oral care and booking in for a professional clean every 6-12 months you can help keep infection at bay.

A delay in healing

Healing can take longer than planned due to an underlying health condition or an allergic reaction to the medications. You’ll be glad to hear this isn’t a common occurrence though.
 
Experienced dentists can identify patients at higher risk of complications and work with them to avoid potential issues. 

There are also things you can do to reduce your risk. This includes:

  • Choosing an experienced All-on-4 dentist
  • Following your dentist’s aftercare advice
  • Practising good oral hygiene
  • Avoiding smoking
Keep learning about All-on-4 Risks
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All-on-4: FAQs

How long do All-on-4 dental implants last?

Good question! Our All-on-4 dental implants are made from high quality titanium, which are designed to be practically permanent. The tooth bridge is made from zirconia, another strong, long-lasting material. Zirconia bridges can last 10 to 15 years—in some cases a lifetime.

But in honesty, the survival rate for your new teeth largely depends on you. If you follow your dentist’s guidelines (avoid eating hard, sticky, or chewy foods at first) and practise good oral hygiene, it’s likely you can enjoy your fabulous smile now and well into the future.

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Do you always use four implants?

Most of the time, four implants are all that’s needed. If we think it’s necessary (to ensure successful treatment), we’ll place six implants. This is decided on a case-by-case basis and is included in the cost.

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Can I skip the temporary bridge and go straight to the final one?

Wow, wouldn’t that be amazing—but the short answer is no. After treatment your jawbone needs to cosy up to the implants (a process called osseointegration). We use an acrylic bridge because it’s less rigid than the final material. Acrylic absorbs some of the force from your bite, so as not to disturb the important process of integration.

The temporary bridge acts as a snazzy stand in. It gives you time to get used to your new teeth and provide any feedback. If tweaking is needed, we can factor this into the final design.

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Is the All-on-4 procedure painful?

Absolutely not. We understand that pain is a concern for many people who are considering All-on-4 dental implants. But don’t let this stop you from saying goodbye to your gaps. You can choose to be sedated during treatment. This means you won’t feel, or remember, a thing. Following the surgery, most patients feel fine. Any discomfort is mild enough to be eased with OTC pain relief.

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What if I’m unhappy with the result?

We can honestly say this is highly unlikely. No longer will gaps and missing teeth define who you are. All-on-4 doesn’t just replace your missing teeth, it helps you regain your sense of self—now that’s something to smile about!

During your initial consultation we’ll talk you through the whole process, answer any questions you have. Even better, our Smile Design technology can show you how you’ll look with a new set of natural teeth. Imagine seeing your dream smile in real life!

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Is All-on-4 worth the cost?

They say you can’t put a price on happiness, but we understand All on 4 dental implant costs need some thought. If our previous patients are anything to go on, we know that once you get your All-on-4 dental implants you’ll find it hard not to smile.Many people are blown away by how different, how amazing, how confident they feel. They are excited to eat, laugh, talk, and socialise—and we think that’s worth every cent.

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I haven’t visited a dentist in years. Does that mean I’m ineligible for All-on-4?

Not at all. Whether you visit Green Door Dental at Moss Vale or Gregory Hills, you’ll get judgement-free dental advice! We will happily assess your eligibility just like we would our regular patients. And one of the great things about All-on-4 is that it’s suitable for most people.

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Teeth replacement options price guide


Download our guide and get a general cost breakdown on single and multiple-tooth implants and All-on-4 costs. Including information on:

• Key factors affecting  All-on-4 cost
• Payment plans
• Sedation

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