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All on 4 Dental Implants: Minimally Invasive Full-Arch Options

What are All On 4 Dental Implants?

What are All On 4 Dental Implants?

All on 4 is a dental implant technique that replaces an entire arch of missing teeth using just four dental implants (straight or tilted). In the upper jaw, the bone is generally less dense compared to the lower jaw, which can present challenges for implant placement surgery. To address this, the All-on-4 procedure often involves using the angled implants technique, placing the two posterior implants at an angle to maximize contact with the available bone and avoid anatomical structures like the sinus cavities.

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In the lower jaw, the bone is typically denser, providing a more solid foundation for implants. However, considerations such as the position of the mental nerve and the shape of the jawbone and the healing time for dental implants are important factors in planning the implant placement.

The All-on-4 approach offers a solution for patients with significant tooth loss or decay in either the upper or lower jaw, providing a stable and functional set of teeth in a minimally invasive way.It offers a fixed, permanent solution for those with extensive tooth loss by fitting over each fixture with a bridge prosthesis (an artificial device that fills the gap where one or more teeth are missing), linking up with your jawbone to provide you with a full set of teeth in a day.

In Malaysia, around 15% of adults aged 60 and above have lost all their teeth, making All on 4 a popular choice. You’ll enjoy a full set of natural-looking teeth supported by strategically placed implants, restoring your smile and confidence.

How do All on 4 Dental Implants Work?


Unlike traditional dentures, All-On-4 fixed implants eliminate the need for adhesives, remain securely in place, don’t require removal for cleaning, and resist degradation over time. This “soft” implantology approach minimizes the number of implants needed per jaw while preventing jawbone deterioration caused by the absence of natural or artificial tooth roots. Alongside offering a natural and aesthetically pleasing appearance, All-On-4 dental implants restore a genuine smile and enable efficient, durable chewing. Additionally, any gum issues can be addressed beforehand through a gummy smile treatment, ensuring optimal results before the procedure.

All On 4 Dental Implants Benefits

  • Eat your favourite Foods without Worry: You’ll regain full chewing power. Bite into crunchy apples or enjoy a juicy steak without worry. All-on-4 implants are as strong as natural teeth.
  • Natural-Looking Smile: Your new teeth will blend seamlessly with your appearance. Custom-made to match your facial features, they’ll look and feel just like your own.
  • Quick Results: You’ll walk out with new teeth in just one day. The efficient procedure means less time in the dentist’s chair and more time showing off your smile.
  • Comfort All Day: Say goodbye to sore gums from ill-fitting dentures. Whether you’re working or playing, these fixed implants won’t slip or rub or cause irritation.
  • Minimal Recovery Time: You’ll heal faster with less pain and no damage to adjacent teeth. The targeted approach uses a graftless solution, getting you back to normal life quicker as the number of implants is limited.
  • Boost Your Confidence: You’ll feel like yourself again. Many patients report improved self-esteem and quality of life after getting their new smile.
  • Long-Lasting Solution:Your investment will pay off for years to come. With proper care, All-on-4 implants can last a lifetime, saving you money in the long run.
  • Less Hassle: Avoid demanding and time-consuming additional surgeries.
  • Preserve Jaw Bone: You’ll maintain a youthful facial structure. The implants stimulate bone growth, preventing the sunken look often associated with tooth loss.
  • Improved Speech: There will be no more slurring or mumbling often caused by loose dentures. All-on-4 implants provide stable support, helping you speak more clearly and confidently.
  • Allergy-Free Materials: All-on-4 implants use biocompatible materials, ensuring safety for individuals with sensitivities or allergies to metals or other substances.
  • Stain-Resistant Finish: The prosthetic teeth used in All-on-4 are resistant to staining, helping you maintain a bright smile even after enjoying your favorite coffee or wine.
  • No pre-implant surgery: The creation of a bridge surmounted by a false gum does not require pre-implant surgery like Sinus Lift.
  • Eliminate issues associated with decaying teeth: All-On-4 implants completely replace decayed teeth, eliminating problems like pain, infection, and the need for ongoing dental repairs.

Am I A Good Candidate For All On 4 Dental Implants?

  • Missing teeth: You have lost most or all of your teeth in one or both jaws and looking to replace them with lesser downtime as compared to multiple implants.
  • Bone density: You have enough jawbone to support four implants. Bone loss in the jaw area or having little or no jawbone might be a factor. Patients without sufficient bone density will have to undergo a bone grafting prior to their All On 4 procedure.
  • Terminal dentition: If the teeth are beyond saving and need to be replaced with a new solution.
  • Gum health: Your gums are free from severe periodontal disease which is a form of gum infection.
  • Age: You are an adult, approximately older than 18 years old, with fully developed jawbones.
  • General health: You are in good overall health without conditions that affect healing. This can be checked through medical history.
  • Smoking Status: You are a non-smoker or willing to quit for the procedure as non-smokers would be good candidates for All on 4 treatment.
  • Denture issues: You struggle with loose or uncomfortable traditional dentures.
  • Commitment: You are ready for a long-term tooth replacement solution.
  • Time: You can commit to the healing process and follow-up appointments.
  • Chronic Teeth Grinding (Bruxism): If you grind or clench your teeth, you may need to address this habit before receiving implants, as it can put excessive stress on them. It is not typically about quitting the habit entirely before the All-on-4 procedure, as this can be difficult to control without intervention. Instead, the focus is on managing and mitigating the effects of bruxism both before and after the implants are placed.
  • Difficulty Adapting to Bridge Thickness: You may struggle to adjust to the thickness of a dental bridge, which can impact comfort and function.
  • Proprioception: This refers to the body’s ability to sense and control the position and movement of your jaws, which might influence your suitability for All-On-4.
  • High Caries Index: If you have a history of frequent tooth decay, this could also be a factor in determining your candidacy for the procedure.

A thorough evaluation by an experienced implant dentist is crucial to determine if All-on-4 is right for you. They will assess your oral health, bone structure, and medical history to create a personalised treatment plan.

Conditions All On 4 Dental Implants Can Treat

  • Missing teeth: Can be fully restored with All On 4. You’ll get a complete set of fixed teeth to replace your lost ones. This treatment gives you back your smile and helps you eat comfortably again.
  • Losing teeth: If you’re about to lose your teeth, All On 4 offers a smooth transition. You won’t have to worry about being without teeth. The procedure can be done right after extractions, giving you new teeth straight away.
  • Very damaged or rotten teeth: All On 4 can replace teeth that are beyond saving. You’ll have a fresh start with a strong, healthy-looking smile.
  • Misaligned or crooked teeth: For cases where natural teeth are severely misaligned and cannot be easily corrected, All-on-4 can provide a straight, well-aligned set of replacement teeth.
  • Bad gum disease: Often leads to tooth loss. All On 4 can help even if you’ve lost bone due to gum problems. The implants can be placed in areas with enough bone, avoiding the need for grafts.
  • Loose dentures: Can be a thing of the past. If you’re tired of uncomfortable dentures, All On 4 gives you fixed teeth. You won’t have to deal with slipping or sore spots anymore.
  • Low bone density in your jaw: All On 4 uses special techniques to place implants even when bone is scarce. This often means you can avoid bone grafts.
  • Difficulty eating and speaking: For those struggling with chewing or clear speech due to missing or damaged teeth, All-on-4 restores functionality, improving quality of life.

Diagnosing The Need For All On 4 Implants

During a consultation, your dentist will thoroughly assess your oral health to determine whether this treatment is right for you.

Key Steps in the Diagnosis:

Comprehensive Oral Examination:

Comprehensive Oral Examination:

Your dentist will evaluate the health of your gums, the condition of any remaining teeth, and your bite alignment to ensure a strong foundation for implants.

X-rays and Imaging:

X-rays and Imaging:

Advanced imaging, such as X-rays or 3D scans, will be used to assess your jawbone’s density and structure. This crucial step helps your dentist plan the precise placement of the implants.

Review of Medical History:

Review of Medical History:

Be prepared to share your medical history, as certain conditions can impact your eligibility. These may include:

  • Diabetes (especially if poorly controlled)
  • Smoking habits
  • Bone loss or jaw deterioration

All On 4 Dental Implants Procedure

During the Procedure

Watch Dr. Samintharaj Kumar explain he process of All-On-4 Dental Implants here:

Consultation and Planning:

The process begins with an in-depth consultation to evaluate your oral health. Your dentist will perform detailed 3D scans and imaging of your mouth to plan the precise placement of the implants. This ensures optimal support, alignment, and functionality.

Preparatory Treatments:

If necessary, preparatory treatments such as tooth extractions or gum disease management will be performed to ensure your mouth is ready for the All-on-4 procedure. In some cases, bone grafting may also be discussed if bone density is insufficient.

Pre-Surgery Preparation:

On the day of surgery, you’ll receive local anesthesia or sedation (if needed) to ensure you remain comfortable and pain-free throughout the procedure.

Tooth Extraction and Implant Placement:

  • Any remaining teeth are gently extracted to prepare your mouth for the implants.
  • Four titanium implants are then placed into your jawbone with a strategic approach:
    • Two implants are positioned at the front of the jaw for stability.
    • Two angled implants are placed at the back to maximize support and leverage existing bone structure.
  • This advanced technique often eliminates the need for bone grafting, even in cases of moderate bone loss.

Temporary Teeth:

A temporary fixed denture is attached to the implants immediately after placement, giving you a fully functional and natural-looking smile the same day. The entire process typically takes 2-3 hours per jaw.

After the Procedure

Dr. Samintharaj Kumar explains the follow-up on the All-On-4 Dental Implant procedure:

  • Managing Discomfort: Expect some swelling, soreness, or mild discomfort for a few days. Your dentist will provide pain management advice and may prescribe pain relievers or antibiotics to prevent infection. Applying an ice pack can help reduce swelling.
  • Dietary Adjustments: Stick to a soft-food diet for approximately six weeks to allow proper healing. Avoid hard, crunchy, or sticky foods. Suggested foods include soups, mashed potatoes, yogurt, scrambled eggs, and smoothies.
  • Healing and Integration: Over the next 3-6 months, the implants will fuse with your jawbone in a process called osseointegration, creating a strong foundation for your permanent teeth. Regular follow-up appointments will monitor healing and ensure progress.
  • Fitting Your Permanent Teeth: After the implant fuses with the jawbone — a process that may take several months — an abutment is secured to the implant. This connector extends above the gum line and serves as the attachment point for the prosthetic tooth or teeth.
  • Long-Term Care for Your New Smile: Practice excellent oral hygiene, including brushing and flossing daily. Your dentist may recommend tools like an interdental brush or water flosser. Schedule regular check-ups and cleanings to maintain your implants and gum health.

All On 4 Dental Implants Risks

  • Infection: Your mouth has loads of bacteria. Sometimes, these can cause an infection around the new implants. Signs include pain, swelling, and fever.
  • Implant failure: Sometimes, the implants don’t bond well with your jawbone. This can make them loose or fall out.
  • Acute Sinus problems: Upper jaw implants can poke into your sinus cavity. This might cause pain or sinus infections.
  • Gum recession: The gums around your new implants might shrink back. This can make the implants show more than they should.
  • Bone loss: Over time, insufficient care or excessive stress on the implants can lead to gradual bone loss around the implant area, compromising stability.
  • Peri-implantitis: This is a specific infection and inflammation of the tissues around the implant, which can lead to implant failure if left untreated.

It’s crucial to chat with your dentist about these risks before you decide. They can explain how likely these are to happen and how to avoid them.

To lower your risk of infection, follow your dentist’s care instructions carefully. This includes proper cleaning and taking any prescribed medicines. If you notice any odd changes after your surgery, ring your dentist straight away.

All On 4 Dental Implants Complications

  • Nerve damage: The procedure can potentially affect nearby nerves, causing numbness or tingling in your lips, tongue, or chin.
  • Chronic sinus problems: If implants are placed in your upper jaw, they might protrude into your sinus cavities, leading to sinus issues.
  • Prosthesis fracture: The fixed denture attached to your implants can crack or break, especially if you bite down on hard foods.

Post-operative care is crucial for implant survival. You’ll need to follow your dentist’s instructions carefully, including proper oral hygiene and regular check-ups.

Most complications can be avoided or treated if caught early.

If you’re considering this treatment, chat with your dentist about the risks and benefits for your specific situation.

All On 4 Dental Implants Cost In Malaysia

The cost of All-on-4 dental implants in Malaysia typically ranges from RM 14,948 to RM 45,000, making it significantly more affordable than in many Western countries. The exact price depends on factors such as the clinic you choose, the materials used, and the complexity of your case.

Quality You Can Trust

Despite the lower costs, many Malaysian clinics adhere to international standards. Here’s why you don’t need to compromise on quality:

 

  • Clinics often use premium materials and well-known implant brands.
  • Many dentists are trained abroad and bring international expertise to their practice.
  • Strict safety and hygiene standards are followed to ensure excellent outcomes.

What Does the Price Usually Include?

Most All-on-4 packages cover:

 

  • Initial consultation and treatment planning
  • Advanced imaging (e.g., CT scans and X-rays)
  • Tooth extractions (if required)
  • Implant surgery
  • Temporary fixed teeth to use while your implants heal
  • Permanent, custom-made prosthetic teeth

Are There Subsidies For All On 4 Implants In Malaysia?

No, there are currently no government subsidies available for All-on-4 dental implants in Malaysia. The cost of this procedure is typically paid for out-of-pocket by patients.

While subsidies aren’t offered, you may find some clinics provide financing options or payment plans to help make the treatment more affordable. It’s worth asking about these when consulting dentists.

Some private insurance plans might offer partial coverage, but you’ll need to check your specific policy details. Dental tourism packages can also help reduce overall costs by bundling treatment with accommodation and travel.

Why Choose Nuffield Dental For All On 4 Dental Implants?

World-Class Expertise You Can Trust

World-Class Expertise You Can Trust

  • Led by Dr. Kumar, an implant expert with over two decades of experience, placing dental implants since 2004.
  • Trained under Dr. Paulo Malo, the inventor of the All-on-4 technique, in Lisbon, ensuring a direct connection to the origin of this revolutionary procedure.
  • Successfully performing All-on-4 surgeries and restorations in England and Singapore since 2009, he’s now looking to bring his expertise to Malaysia.

Tried-and-Tested Technology & Materials

Tried-and-Tested Technology & Materials

  • We use Swiss-made implants from Nobel Biocare, the gold standard for All-on-4 treatments, renowned for their durability and precision.
  • We follow sterilization protocols with high-end vacuum autoclave machines to ensure a safe and hygienic environment.

Convenience and Efficiency

Convenience and Efficiency

  • Our 3 dental clinics are conveniently located in Malaysia, so you can quickly get the help you deserve.
  • Get a fully-functional, natural-looking smile in just one day — no long waiting periods.

With Nuffield Dental, you’re choosing expertise, innovation, and a team that genuinely cares about helping you reclaim your smile and confidence.

Maintaining Your All On 4 Implants

Dr.Samintharaj Kumar on the recovery process for All-On-4 Dental Implants:

  • Maintain good oral hygiene: Brush twice daily with a soft-bristled toothbrush and non-abrasive toothpaste. Floss regularly and use an antimicrobial mouthwash to keep your gums healthy.
  • Follow a proper diet: Start with soft foods and gradually introduce harder ones as advised by your dentist. Avoid sticky sweets and hard objects that could damage your implants.
  • Attend regular dental check-ups: Your dentist will monitor healing, ensure proper implant integration, and make necessary adjustments. Never skip these appointments!
  • Avoid harmful habits: Refrain from smoking and excessive alcohol consumption, as they can slow healing and impact implant success.
  • Watch for warning signs: If you experience persistent pain, swelling, or signs of infection, contact your dentist immediately.

By following these steps, you can keep your All-on-4 implants in great shape for years and healing time for your dental implants will not be that long.

Alternatives to All On 4 Implants

1. Traditional Dentures

Traditional dentures are removable prosthetic devices designed to replace missing teeth. They rest on the gums and rely on suction or adhesives to stay in place.

Pros:

  • Non-invasive and do not require surgery.
  • More affordable upfront compared to implant-based solutions.

Cons:

  • May lack stability, leading to movement during eating or speaking.
  • Can contribute to bone loss over time due to lack of stimulation to the jawbone.

2. Implant-Supported Overdentures (Snap-In Dentures)

Overdentures are removable dentures that attach to dental implants, providing increased stability compared to traditional dentures.

Pros:

  • Improved retention and stability during daily activities.
  • Preservation of jawbone health due to implant stimulation.

Cons:

  • Requires surgical placement of implants.
  • Higher cost than traditional dentures.

3. All-on-6 Dental Implants

Similar to the All-on-4 approach, the All-on-6 method uses six implants to support a full arch of teeth, offering enhanced support and stability.

Pros:

  • Provides a full set of 14 teeth per jaw, offering better chewing capacity and comfort.
  • Distributes the load more evenly, which can be beneficial for individuals with weaker jawbones.

Cons:

  • Involves more implants, leading to a longer and more complex surgical procedure.
  • Higher cost due to additional implants and associated procedures.

4. Dental Bridges

Dental bridges are fixed prosthetic devices that replace one or more missing teeth by anchoring to adjacent natural teeth or implants.

Pros:

  • Fixed solution that doesn’t require removal for cleaning.
  • Can be a suitable option when only a few teeth are missing.

Cons:

  • May require alteration of healthy adjacent teeth to serve as anchors.
  • Does not prevent jawbone loss in the area of the missing teeth.

Each of these alternatives has its own set of advantages and considerations. It’s essential to consult with a qualified dental professional to determine the most appropriate option based on your specific oral health needs, bone structure, and personal preferences.

All-On-4 Dental Implants vs. Traditional Implants

All-On-4 Implants:

  • Guided implant surgery uses advanced digital technology to ensure precise implant placement, optimize implant specifications, enhance surgical predictability, and minimize complications.
  • Requires only four implants per jaw to support a full set of teeth.
  • Faster and often more cost-effective than multiple traditional implants.
  • Ideal for patients with low bone density as it usually avoids the need for bone grafting.

Traditional Implants:

  • Best for replacing one or a few teeth.
  • Involves placing individual implants for each missing tooth.
  • Can take longer and cost more for multiple replacements.
  • Offers more flexibility for partial tooth loss.

Choosing the Best Option:

  • Your dentist will help determine the right choice based on your oral health and needs.

All-On-4 vs. All-On-6

Key Difference:

  • All-On-4: Uses 4 implants per jaw.
  • All-On-6: Uses 6 implants per jaw for extra support and stability.

Factors to Consider:

  • Cost and Invasiveness: All-On-4 is generally more affordable and less invasive.
  • Stability and Bone Health: All-On-6 provides added stability and may preserve bone health better in the long term.

Decision-Making:

  • Consult a qualified dentist or prosthodontist.
  • Factors like bone density, oral health, and personal needs will determine the best option for you.
  • Both options aim to improve your oral health and quality of life.

Preventing The Need For All On 4 Dental Implants

  • Maintain excellent oral hygiene: Brush twice daily with fluoride toothpaste. Floss regularly to remove plaque and food particles.
  • Schedule regular dental visits: See your dentist every six months for check-ups and professional cleanings. Early detection of dental issues prevents them from worsening.
  • Eat a tooth-friendly diet: Limit sugary and acidic foods to protect enamel. Drink plenty of water to rinse away bacteria and food debris.
  • Protect your teeth from damage: Wear a mouthguard during sports to prevent injuries. Avoid using your teeth to open packages or bite hard objects. If you grind your teeth at night, ask your dentist about a night guard.
  • Quit smoking: Smoking weakens your immune system, increases the risk of gum disease, and leads to tooth loss.
  • Address tooth loss promptly: Replace missing teeth with bridges or implants to prevent shifting and bone loss. Maintaining a full set of teeth supports jaw structure and bite alignment.
  • Manage dry mouth: Sip water frequently to keep your mouth hydrated. Use sugar-free gum to stimulate saliva production and reduce cavity risk.

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FAQs

Is the All On 4 dental implant procedure painful?

How long can my All On 4 dental implants last?

How long does the All On 4 procedure take?

Can I get All On 4 implants for just one arch?

What's the recovery time for All On 4 dental implants?

Is it hard to talk with All On 4 dental implants?

Can I eat normally with All on 4 implants?

Will my All on 4 implants look natural?

Can I get All on 4 implants if I have existing dental issues?

What if an implant fails?

How do All-On-4 dental implant compare to traditional implants?

Medical References

Patzelt, Sebastian BM, et al. “The all‐on‐four treatment concept: a systematic review.” Clinical implant dentistry and related research 16.6 (2014): 836-855.

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Why Choose Nuffield Dental?

Nuffield Dental is a one-stop, multi-disciplinary dental care centre in Malaysia. At Nuffield, we put you first. We believe in providing personalised service for each patient.

Nuffield Dental is a one-stop, multi-disciplinary dental care centre. Here at Nuffield Dental, we pride ourselves of our personalised oral care for each and every one of our patients. We need to make sure you get all the help you need to make your dental procedures comfortable, accessible and seamless.

Our dentists have been accredited in root canal and oral surgery for 20+ years. We have accredited dental providers who are skilled in the area of dental implant surgery.

Please call one of our Nuffield Dental clinics in Malaysia for pricing details.

Call +6012 596 1737
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