Like any medical procedure All-on-4 has its share of risks. We’ve written on several occasions of the many perks associated with an All-on-4 dental implant; but many might be wondering what could potentially go wrong with the procedure. Today we are going talk about risks and the steps you should take to avoid them.
First, a reminder, over 97% of All-on-4 procedures lasts for at least 10 years, (and probably a lot longer, but we only have the empirical data for that timeframe), and an inexperienced or shady dentist plus bad aftercare account for over two-thirds of all-on-4s failures.
Risks with the implants
Perhaps the most concerning risk is the possibility that at least one of the implants doesn’t take hold; either because it was misplaced, it was faulty or because the bone didn’t heal appropriately. Recent studies have shown that consuming alcohol and tobacco during the first few weeks after an all-on-4 procedure may increase the risk of implant failure, as both of these products have a detrimental effect on the healing process. Fortunately, even if it’s bothersome, an implant failure has little consequences; due to the simplicity of the process, a dentist can easily set another appointment to replace it in a single sitting.
In Dental Solutions we take every precaution to make sure that the implants won’t fail, first, by having experts in All-on-4 treatment, such as Dr. Xochipilli Bojorquez. An secondly, by making sure that we use the best dental equipment and the latest technology available, your safety and well-being is our primary goal.
Problems with the denture
On the other hand, the permanent denture affixed to the implant can also present its own share of issues. One of the most common mistakes new dentists make when placing all-on-4s is to make the final denture from acrylic or plastic. While this could work in theory, these materials tend to stain very quickly, and they accumulate residues and tartar, which may lead to bad breath. It’s not that big a deal when used for temporary dentures, since the can be removed and cleaned, but that’s not the case with an All-on-4.
All-on-4 dentures should be made out of zirconia or fused porcelain, which isn’t just easier to maintain, but also has a lower risk of chipping or fracturing. And in case it does happen, the dentist can easily fix or replace the denture as needed.