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What to Consider before Going for All on 4 Dental Implants?

Full-arch fixed implant bridges are commonly referred to as all-on-4 dental implants. Once a lesser-known term, the treatment has now taken the world by storm. The best cosmetic dentist in India knows well that it is extremely important to consider some factors and listen to the patient’s view before preparing the treatment plans.

Let me first inform you that four or six dental implants are used to support the bridges of all-on-4 dental implants. These implants are made of a variety of materials including monolithic zirconia, porcelain fused to a cobalt-chromium frame, or acrylic blended with titanium.

Here are the three most important factors worth considering before making a plan for all-on-4 dental implants:

  • Speech Issues
  • Parafunction
  • Proprioception

Let us discuss each of these factors in brief detail:

Speech Issues: It’s one of the major concerns for the patients. The bridges supporting the implants need horizontal and vertical bulk to provide strength. Vertical needs are not unique and subject to various restorative materials. However, for most bridges, a height of 15mm or more is common. It has forced many clinicians to replace healthy bones and soft tissues. As a patient, you must have known about the compromise. If a patient is too much concerned about speech, the dentist should an alternative choice.

Parafunction: Parafunctional habits – for example, clenching, irregular chewing, etc – may adversely affect your treatment choice. Teeth are capable of detecting forces more quickly than implants. In presence of parafunction, replacing all teeth is important. From the technical viewpoint, it is still an all-on-four practice but the patient may consider it a modification of fixed bridges.

Proprioception: It is a crucial factor.  It is often an overlooked aspect when dentists recommend dual-arch treatments for their patients. Periodontal mechanoreceptors or PMRs are a part of the periodontal ligament. Teeth are extremely sensitive to even low forces and it is because of these receptors. A dental implant does not feature a periodontal ligament.  Ten times more force is required to produce the same proprioception that a natural tooth offers. The patients should consider it before going for an on-4 dental implant.


Therefore, the all-on-4 implants have multiple negative sides and you must consider these points before going for the treatment. No doubt, the treatment is growing in popularity worldwide but you should weigh both pros and cons in order to decide whether it will be suitable in your case. To know more check out

12/27/2018 Back

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