All On 4
In Lab Time
Please call 630.679.8686 to schedule
See below

ADA Codes
See below


Schedule a Pick-Up
Click here to Schedule a Pick-Up


ADA Codes

Implant/abutment supported fixed denture for completely edentulous arch - A prosthesis that is retained, supported and stabilized by implants or abutments placed on implants, but does not have specific relationships between implant positions and replacement teeth; may be screw retained or cemented; commonly referred to as a "hybrid prosthesis."

D6078 Implant/Abutment supported fixed denture for completely edentulous arch (previously deleted code) See below for further details
D6114 Implant/Abutment supported fixed denture for edentulous arch — maxillary
D6115 Implant/Abutment supported fixed denture for edentulous arch — mandibular

D6079 Implant/abutment supported fixed denture for partially edentulous arch (previously deleted code)
See below for further details
D6116 Implant/abutment supported fixed denture for partially edentulous arch — maxillary
D6117 Implant/abutment supported fixed denture for partially edentulous arch — mandibular

Back To Top

Clinical Indications

A procedure option for the edentulous mandible or maxilla patient or for patients with badly broken down teeth, decayed teeth or compromised teeth due to gum disease, known as the All-on-4 treatment concept, is a prosthodontics procedure
  • The procedure is best for patients with significant tooth loss or decay and for people whose bone loss in the jaw area prevents them from getting conventionally oriented (vertical) dental implants.
  • Often, tooth loss is accompanied by loss of the jaw bone which poses the problem of reconstruction of the jaw bone requiring bone grafting.
  • The All-On-4 protocol is considered to be a graftless solution thereby avoiding the long and costly road of rebuilding bone when conventionally oriented implants are used.
  • For the implementation to be successful a careful analysis of the bone structure needs to be made.
  • The most ideal way to evaluate the bone is by a CBCT scan.
  • The All-On-4 protocol is for at least 4 implants to be placed in a jaw.
  • The back implants are typically angled approximately 30 to 45 degrees from the biting plane.
  • The implant is placed in front of the maxillary sinus in the upper jaw (maxilla) and in front of the mental nerve in the lower jaw (mandible).
  • The head of the implant emerges in approximately the second premolar position. This will allow a molar tooth to be cantilevered posterior resulting in a denture or bridge with approximately 12 teeth.
  • The All-on-4 treatment concept owes its name to the very nature of the method, which consists of applying a dental prosthesis with at least twelve teeth (bridge) fixed in the jaw, based only on four titanium implants.
Back To Top

Preparation Requirements

Start with an accurate, void-free impression using a custom tray.
Please see In Lab Time for a sequence of procedures required prior to the day of surgery (provide an Artistic pdf printout option) Facial photos are taken, with maximum smile line established, for proper evaluation:
  1. Full-face
  2. Lip at repose
  3. Full smile
  4. Left lateral smile view at full smile (retracted if necessary)
  5. Right lateral smile view at full smile (retracted if necessary)
  6. Teeth separated 10 mm showing occlusal plane
Study models are taken:
  1. Maxillary
  2. Mandibular
  3. Bite record at maximum intercuspation
  4. Facebow
Evaluation of collected information
  1. First identify the teeth that cannot be saved.
  2. Analyze the occlusal plane for structures that will interfere with normal movements and function.
  3. Analyzing the photographs:
    1. Are the incisal edges position of the central incisors the correct length?
    2. If the incisal edges are different lengths, is one of them an acceptable length?
    3. If neither of the centrals have an acceptable length, should the length be shortened or lengthened? If so, by how much?
    4. From the lateral smile views, are the teeth in an acceptable labial plane? If not, how much should I move them?
    5. From the lateral smile view, are the teeth in an acceptable axial angle? If not, how much and which way should they be moved?
What if the patient has a denture already?
  1. Same photos are to be taken
  2. Same study models are to be taken
  3. Same evaluation process is to be followed
  4. Artistic recommends a new, temporary denture for use as a transitional prosthesis.
Back To Top

Adjustments

Follow normal protocol for denture adjustments

Back To Top

Patient Delivery

In most cases, the day of delivery provides a screw-retained, same-day replacement for the entire upper and / or lower set of teeth with a denture.

Back To Top


Patient Care

Good oral hygiene must take place before, during, and after placement of dental implants to ensure the health of the implant.

Back To Top

Manufacturer Specifications

Mfg. Specifications

Back To Top