All-on-4 and All-on-6: Fixed teeth in 24 hours

All-on-4 and All-on-6 replace all the teeth of one arch with a fixed restoration held by 4 or 6 implants. It doesn’t come out like a removable denture. Because our dental lab is inside the clinic, we aim to fit the temporary teeth within 24 hours of the surgery.

All-on-4 or All-on-6?

It all starts with a CT scan. The doctor reads it and decides whether you are a candidate for All-on-4 or All-on-6. We also tell you then that we aim to load the implants within 24 hours, if their primary stability allows it: how firmly they hold in the bone right after they are placed.

See also the contraindications for dental implants.

Before the surgery

• A full set of blood tests.
• A cardiovascular check-up.
• If the surgery is done under sedation, with an anaesthetist (ATI doctor), for some time before it you don’t eat or drink water, as the anaesthetist advises.

The day of the surgery

1. We digitally scan the initial situation.
2. We extract the teeth that need to come out.
3. We place the implants. If a bone graft is needed, we do it in the same session.
4. If the implants are stable, we take a digital impression of their position and send it to our in-house lab.

Temporary teeth the next day

In the lab, the temporary restoration is designed digitally and then milled from PMMA. Usually the surgery is on a Thursday, and we fit the temporary restoration on Friday afternoon.

Until the final restoration

• After 3 months we remake the temporary restoration: during these months the soft tissue (the gum) heals.
• The final restoration is made at least 3 more months after the second temporary one. It has a titanium bar and zirconia teeth.