ALL ON

FOUR
OPTIONS
MAJOR DR PRAVIN PRATHIP J
MALLIGAI DENTAL HOSPITAL
WHAT IS ALL ON
FOUR

The term ALL-ON-4 refers to the

replacement of ALL teeth ON FOUR
dental implants, which support them. It
is a modern technique where the back
implants are tilted 45 to provide the
required support for total
rehabilitation. The tilting the back of
implants helps overcome bone
deficiencies often found in the back of
the jaws and most often avoids the
need for bone grafting.
PATIENT BENEFITS ON ALL ON FOUR

IMPROVED APPEARANCE
IMMEDIATE TEETH
EASY TO CLEAN
CHEAPER TO MAINTAIN
SHORTENED TREATMENT DURATION
AVOIDS BONE GRAFTING
TEETH OPTIONS AVAILABLE IN 3 DAYS
IMMEDIATE ACRYLIC BRIDGE
FIRST SET OF DENTURES GIVEN WITH THE INR
4 LAKHS PACKAGE- LAST FOR FIVE YEARS

How it will look? Package includes

Nobel bio care active implants 4 on
each jaw
Sugery charges
Immediate acrylic bridge
Initial acrylic charges
Can opt for sedation free
Cbct scans free
Photographs - free
 Milled titanium frame with acrylic teeth
3lakhs extra after the initial package

How it will look like? Treatment package includes

Complete set
Light weight
Option 1
Less expensive compared to zirconia and
other options
Most commonly done procedure
Treatment time 10 days working time
Or Milled Titanium Frame with ceramic
Individual crowns 3 lakhs extra

How it will look? Package includes

Can be done after 4-5 yrs of initial surgery
Initial bridge could wear and tear
All crowns are fitted individually on the
Option 2
milled titanium frame
Also called as Malo Bridge.
Expensive for prosthetic reasons
Appearance wise this is the best.
Treatment time 12 days working time
Milled Zirconia frame with Monolithic Porcelain
layered bridge- Rs 4.5 lakhs extra

How it will look? Package includes

Complete zirconia solutions
Most expensive treatment due to the
Option 3 amount of work involved
Fully designed in a computer cad cam
model.
Suited for people who are not bothered
about the money but looking for the best
Treatment time-15 working days.
Zirconia
bridge
High esthetics
 I am considering having immediate teeth replacement with All
On 4 , can I elect to have a zirconia bridge instead of high impact
acrylic?

IThe simple answer is no, for three main reasons. Firstly, after your implant treatment your
jawbone must adhere itself to the titanium implants through a biological process known as
osseo-integration. One of the reasons that we prefer to use an acrylic material for the
construction of the bridge that is fitted to the implants is because it is more forgiving on the
bite and can absorb some of the forces. With Zirconia, because of its high rigidity it would
transfer the impact of the bite more readily through to the implants, which could
potentially disturb the process of integration. The second reason is because the Zirconia
can take a number of weeks to complete, and we would not dare to ask our patients to
be without any teeth whilst waiting for the zirconia production. Thirdly, wearing the acrylic
bridges affords us the opportunity to re-assess the aesthetics and function once you are
fully recovered and eating all types of foods. If there are any changes required, we can
incorporate these into the design of the new zirconia bridge. The original acrylic bridge will
always serve as a spare set in case we need to do any sort of adjustment to the zirconia
bridge in the future.
I have had my acrylic bridges now for 5 years and I
love the look, can the new zirconia bridge be
shaped similar to my old implant bridge?

Absolutely. If you want an exact replica, we can CAD-

cam your original bridge and convert it to monolithic
zirconia. However, we usually prefer to do another
template and try it in your mouth. Sometimes there are
improvements that we make that you may not otherwise
have considered, but might ultimately prefer.
How long will the zirconia bridge last ?

We estimate that the zirconia bridge, especially the

monolithic version, will last 10-15 years. It is possible that it
could last well beyond that, but it is also possible that it will
last less. The main unknown is not so much the durability of
the material, but whether there is any question as to the
health of the supporting implants over time. In our 6-year
follow-up of Zirconia at the time of this publication we
have not seen any sort of adversities.
 THANK YOU
Major Dr Pravin
Malligai Dental Hospitals &
Academy

CALL me at 9176138205 for any clarifications