SAME DAY IMPLANT
All on 4/6

Another type in the implant treatment is the same day dental implant. This way can be done when the conditions are  convenient. In this treatment type, following the implant screw’s placement into the bone, tooth can be done in the  same visit without waiting 3 months.

Same day implant is known as immediate loading, too. It’s a procedure to make the interim or permanent prosthesis on it the same day where it’s screw was placed.

ALL ON 4

SAME DAY IMPLANT
All on 4/6

Same day implant is known as immediate loading, too. It's a procedure to make the interim or permanent prosthesis on it the same day where it's screw was placed. But not every medical case is convenient for this procedure. Primary condition for it to be done is to provide the primary stabilization during the implant placement. And for this, quality bone tissue is needed. In this step, your doctor's guidance will be important.

Dr. Engin UTKAN

All on 4/6 (All on four/six)

This technique is based on placing 4/6 implants to upper jaw and lower jaw. With the all on 4/6 implant technique, permanent fixed prosthesis can be applied to lower jaw in at least 5 weeks, and to upper jaw in at least 12 weeks. This way is an advanced technique which provides the fixation of the dental prosthesis in the same day. Especially this is a convenient technique for the patients of ours, who have bone loss in the back teeth areas, to use fixed teeth.


All on 4/6 technique is a dental procedure which is used for reconstruction of the patient’s mouth, who loses important
amount of teeth from one or two jaws. In this procedure, generally, there is no need for bone grafting, therefore this is a
perfect solution for the patients who have low bone density or mass on their jaws. Nevertheless, in some cases, it is seen
that the grafting procedure was done.

Nevertheless, this type can not be used in every case too, so it is important to choose the convenient case. You may not
be the best suitable candidate for this procedure if you’re smoking or diabetic. This treatment is recommended in the cases which includes missing teeth or the cases which the remaining teeth in the mouth extractions and replacing them with implants is decided. All on 4/6 treatment presents longer term and stabilized treatment alternatively to traditional prostheses.

 

All on 4/6 Implant Procedure:

It’s based upon applying four or six dental implants to our edentulous (fully toothless) patients. Implants are placed with certain angles in the same day and after that the dental prosthesis is fixed. There is no moving on the fixed teeth unless our patients demands or our doctors take them off. This is the treatment way for our patients who can not use prosthesis because of the advanced bone loss.

In order to avoid all of the problems that may occur during the treatment, before the treatment planning, the bone is comprehensively evaluated by ways of x-ray and tomography. In this procedure, advanced technology systems are used. Treatment process is planned with bone thickness and height considered.

What Are The Treatment Steps Of The All On 4/6 Implant Technique?

In this treatment we examine our patients clinically and radiologically first. We prepare suitable plans for our patients with the measurements of computerized tomography. Then after 4 or 6 dental implants’ placements we fixate the denthal prosthesis on the implants. Permanent teeth’s preparation continues on for 10 to 12 days with special trials. Approximately after 3 months, we finish our patients’ permanent prosthesis.

What Are The Benefits Of All On 4/6 Implant Technique?

It shows rapid healing.

It provides you to take pleasure in easily eating and talking again.

Saves the patient from using attachable and detachable traditional removable dentures.

Even though traditional removable dentures effectively fill the gaps of the lost teeth, this type of execution provides a permanent and stabilized solution for recreating a complete teeth line. This gains the feeling of having his or her own teeth to the patient and provides a better life quality where they can safely eat and talk once again. With All on 4/6 dental implants, you don’t need to use prosthesis glues or take your prostheses off to clean and  sterilize them.

All On 4/6 Implant Treatment Process:

The entire procedure is done in one day, and usually in 2-4 hours. Even though All on 4/6 procedure generally doesn’t require a bone grafting, this execution may be necessary depending upon the patient’s bone density. Everyone’s mouth and bone structures are not the same, therefore dentist’s proper examination of the patient’s mouth before the procedure is important. During the process dental implants are placed into the jaw bone under local anesthesia. Afterwards, during the healing period, an interim prosthesis can be attached on the implants. After healing of the implants, permanent dental bridge or prosthesis are fixed to implants.

In first three months from the procedure, mouth heals and bone and gums change their shapes in order to assort with the new system. In this time period patients must be careful about to not eating solid foods. Right after the procedure, a little bit of discomfort and swelling is an expected situation.

For most of the patients, symptoms decrease. After the procedure, patients must have their teeth checked frequently, especially in first 3 months. It is  very important for you to reach to your dentist immediately if something’s not right, in order to prevent any complications or an infection.

 

F.A.Q. ABOUT SAME DAY IMPLANT DENTAL TREATMENT

It can be done to patients who don’t have systemic diseases and have a convenient oral health.

It can be placed in the toothless zone in the same day. But the process time may vary according to the surgical technique and the number of the implants to be done.

It’s not right to apply immediate loading (same day implant) when the primary stabilization is not ideal. If there’s a situation like this, it’s more feasible to apply to upper prosthesis to the bone after 3 months osseointegration (bone coherence) time, after the prosthesis cohered to the bone, as in the traditional way.

Primarily, implant screw is surgically placed to the bone. Then the upper prosthesis part is applied temporarily or permanently with it’s size measured.

Implant’s success are based on different factors. It’s not right to appoint a certain date to this. A lot of factors effect the implant’s succes and the amount of time it has inside the mouth such as existence of the enough amount and quality of the bone tissue, existence of the enough amount of the keratinized gums, patient’s mouth hygiene, patient’s possibility of having a systemic disease, surgical technique, accurate appliance of the prothesis which was done to upper implant. Implant’s healthy time amount in the mouth is lengthen out in the condition of all of the terms are ideally provided.

It’s better for them to not go for this type of implants since same day implants’ first rule is providing the primarily stabilization and it’s hard to ensure this on the patients who suffer from osteoporosis.

It’s possible to feel pain after all on 4/6 implant procedure. But this pain is very dull. Swellings may be seen too. Our dentists administer post process pain killers for our patients to use when these pains are felt.

There’s no pain during the process since it’s done under local anesthesia. But if our patients who have tomophobia (fear of surgical procedures) demand it, this process can be done with sedation or general anesthesia. Thus our misdoubted or anxious patients can get through this process without feeling any pain.

Ther are some issues to be cautious about nutrition after 4/6 implant process. Our dentists prescribe diets to our patients after this process. This diet program must be followed by the patients during 3 months osseointegration time. Not to consume solid foods and following the hygiene rules are recommended. After, with the permanent prosthesis, nutrition can be done without needing any additional diets. But if there’s a fracture on the prosthesis during this process; our dentists must be visited and the fracture must be fixed.

Before everything, patients must be careful about 4 or 6 implants. Except daily routine toothbrushing; mouth showers, tooth brushes and teeth flosses are recommended for oral care and cleaning. Patients must come to our doctors and have their teeth checked once every six months.

Success rate in all on 4/6 implant technique is pretty high. According to researches, it’s quite an advantageous treatment way within long term evaluations.

The difference between two of them is; all of 4 or 6 implants are placed in the jaw with more angle then normal implant type. Thus, they can get more support from the bone. In this way, 4 or 6 implants can carry the load of 8 implants.

Dt. Engin UTKAN

Dt. Utkan was born in 1975, İstanbul. He graduated from Istanbul University faculty of dentistry in 1998.


Utkan carries his studies on in the areas of aesthetic dentistry, implantology and smile design while employing the methods by using the possibilities of the latest modern medical techology with his comprehensive experience.


Utkan speaks good command of English, German and Italian.

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Utkan CLINIC
Dental Aesthetıcs

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