Fixed prosthesis on 4 implants. Price, can I supply, design

A fixed denture is a dental device that is installed in the absence of your own teeth. The device is mounted with using 4 implantsmade of various materials. The price of the procedure depends on the clinic where the operation is performed.

Who suits

There are certain conditions for jaw prosthetics, since the false jaw is not installed in all cases.

Indications:

• complete or partial absence of teeth on one of the jaws;
• the close location of the maxillary and frontal sinuses to the upper jaw;
• atrophic changes in bone tissue;
• a small amount of bone tissue.

The operation is also indicated in cases where there is no way to save teeth - trauma, cysts, neoplasms, caries.

The procedure is performed under local or general anesthesia. In this connection, before performing it, it is necessary to consult an anesthesiologist.

What teeth is it used for

There are several main ways to install implants, depending on the number of missing teeth. In this case, the procedure allows you to restore both one lost unit and the whole jaw.

A lost tooth can be replaced anywhere on the jaw. However, the implantation of the implant takes place in the bone tissue and only if there is a sufficient amount of it. In other cases, before prosthetics, it will be necessary to increase the missing volume of bone tissue.

Description:

• Restoration of one tooth. A single tooth loss requires the installation of only one implant. In the case of a prolonged absence of a tooth, it will be necessary to carry out a preliminary build-up of bone mass. After that, the patient needs to undergo a rehabilitation course for several months. Then a crown is installed, which imitates the lost tooth in shape and color.
• Recovery of several units. The procedure requires the installation of multiple implants at the location of the missing teeth. After their implantation (after 4-6 months), a bridge is installed, which consists of only one crown. In the absence of more than 5 units, it is recommended to select products from zirconium.
• Complete adentia. With a complete loss of the dentition, prosthetics are carried out only after preliminary procedures, since in most cases this condition accompanied by atrophic changes in bone tissue, the presence of inflammatory processes on the mucous membrane, as well as an uneven surface of the gingival edges. Before the procedure, gum grafting and bone augmentation are performed. After that, they just start installing the implants.

Each case is determined individually, based on the anatomical features of the patient's jaw structure.

What materials are they made of

Fixed prosthesis on 4 implants (the price of the device and direct installation depends on the specific medical institution) made of various materials, each of which is selected individually, based on the physiological characteristics of the patient or according to his desire.

Materials differ in characteristics, service life, reliability, aesthetic qualities.

Manufacturing material	Dignity	Flaws
Plastic	Affordable cost. Minimum installation time Quick addictive Ease Possibility to choose the required color	Rubbing the gums Allergic reactions Color change (darkening) High risks of developing pathogenic microflora
Metal	High strength Ease of care Low cost Long service life	Heavy Low aesthetics High risks of mucosal injury
Ceramics	Strength Ease of care High aesthetic properties Hypoallergenic Ease of construction	High price Fragility Difficulty choosing colors
Composite	Reliability High aesthetic properties Safety Ease of construction	Shorter service life (compared to ceramics)
Sintered metal	High strength Good imitation of the natural dentition Affordable price Long service life Aesthetics Good biocompatibility	The possibility of developing complications (allergies)
Zirconium dioxide	High price Durability and reliability Durability	Risks of mucosal injury

Timing

The service life of prostheses depends on the material used, proper care and other factors. On average, the minimum warranty period for any structure is 5 years. The maximum service life can reach 10 years, after which it will be necessary to undergo a replacement.

The minimum duration of wearing the structures is 3 years.

The highest service life of zirconium products. It can be up to 25 years old (15-20 years on average).

Design

Fixed prostheses on 4 implants (the price of constructions in most cases is determined by the material manufacturing) are a special orthopedic design that imitates the shape of the gums of the lower and upper jaw. The product has an oblong shape, on which artificial tooth crowns are located, connected to each other.

The design is anatomically aligned with the patient's oral cavity and must be fabricated using 3D modeling.

Implant technology

Implantation according to the All on 4 method consists in installing and fixing only 4 implants. Moreover, 2 of them are mounted in the anterior part of the jaw. The location of the implants is parallel to the areas where the teeth were previously located.

The other two implants are fixed in the lateral areas of the jaw. In this case, the location to the axes of the teeth should be about 30-45 ⁰. However, this moment is not fundamental and should be taken into account based on the anatomical structure of the patient's jaw.

The fixture is fixed with dental glue or cement.

What is the price of

The cost of structures depends on many different factors. First of all, the material for the manufacture of prostheses is taken into account. Also, the price is influenced by the volume of work carried out and the complexity of the operation.

With partial adentia, the average cost of the procedure will vary between 40-80 thousand. rub. When installing a full denture on the entire jaw, the price can rise to 300-350 thousand rubles. rub. (in some clinics the cost can be up to half a million rubles).

Classic prosthetics for the entire jaw costs 2 times more, therefore it is not very popular among the population.

Process step by step

Fixed prostheses are installed last after all 4 implants have taken root, because the initial stages, preparation is carried out, which allows you to determine the scope of work and choose the right adaptation. In this case, the cost of the operation is also calculated at the stage of preparation.

Stages:

• Preparatory. At the preliminary stage, the patient is examined, various tests are prescribed, and computed tomography of the jaw is performed. Then an impression of the place where the dentures will be installed is taken from the patient. If necessary, extra teeth are removed or additional bone tissue is built up (if it is lacking).
• Surgical. It implies the imposition of a manufactured impression (a plastic template with holes) and the installation of implants, which are fixed using minimally invasive techniques. Before the operation, the patient is prescribed anesthesia (general, local or sedation - selected individually). The specialist peels off a small area of ​​the mucous membrane and installs an implant, after which the gum is sutured.
• Fixation and installation. It occurs immediately after the implantation of implants and the manufacture of a temporary prosthesis in 2-3 hours. In this case, a temporary prosthesis is installed (the duration of its wearing depends on the degree of implant survival and varies from 3 to 6 months).

  

In some cases, a temporary prosthesis may not be installed immediately after implantation, but several days after the procedure. This factor depends on the individual characteristics of the patient - the general well-being of the patient, the condition of the gums or jaw.

It is necessary to use a temporary construction for 5-6 months or until the implants take root. Only after that, the temporary prosthesis is removed and a fixed one is installed.

Denture care

After prosthetics, certain rules must be followed, which will extend the life of the structures and avoid various complications. These rules must be observed both when installing a temporary prosthesis and after fixing non-removable structures.

Care:

• Adhere to certain dietary rules. It is recommended to exclude hot meals and drinks, to refuse products with high acidity and spices.
• Observe moderate physical activity, since increased activity can complicate the process of implantation.
• You should refuse to visit, baths, saunas.
• Avoid hypothermia of the body.
• Treat the oral cavity with chlorhexidine or special infusions and decoctions of chamomile, sage. In this case, it is not allowed to use products that contain alcohol.
• It is recommended to use a special toothbrush with soft bristles.
• You should stop using toothpastes containing fluoride. It is also not recommended to use various rinses. For these purposes, it is best to purchase an irrigator.

Also, it is recommended to undergo preventive examinations by a specialist 2 times a year. During this period, the specialist can remove the fixed prosthesis and carry out cleaning, which will also extend the life of the product.

Contraindications

A fixed prosthesis on 4 implants, the price of which is affordable for the majority of the population, can be installed only in the absence of any diseases or disorders. In other cases, it is recommended to refuse prosthetics and consult a doctor who will help you choose a different way to eliminate the problem.

Contraindications:

• periodontal disease or periodontitis (in this case, with the permission of a doctor, prosthetics using 6 implants is possible);
• diseases of the oral cavity, accompanied by the formation of pus;
• the period of pregnancy and breastfeeding;
• mental disorders;
• diabetes;
• severe diseases - systemic diseases, cancerous tumors, anemic disorders;
• endocrine disorders;
• pulmonary tuberculosis;
• immune disorders;
• blood diseases (lymphocytic leukemia, lupus erythematosus), including blood clotting disorders;
• diseases of the cardiovascular system.

Before installing implants, a mandatory check for contraindications is required, since otherwise the operation can lead to various complications.

Potential harm and problems

Complications and other problems after the installation of prostheses are extremely rare, but require immediate attention to the specialist who performed the prosthetics, since the process can be aggravated and lead to a number of additional problems.

Possible problems:

• fracture of the basis of the structure - most often occurs at temporary bridges;
• inflammation of the oral mucosa - special medications and proper hygiene are required;
• pere-implantitis is an inflammatory process that develops in the area of ​​the implant and bone tissue and is caused by the development of pathogenic microorganisms.

The most dangerous complication is pere-implantitis, since the violation leads to the destruction of the bone tissue that holds the prosthesis. Ultimately, this can completely lead to the loss of the structure and other diseases of the oral cavity and teeth.

In order to avoid the development of pathology, it is recommended to regularly clean the mouth and dentures.

Advantages and disadvantages

Fixed prosthesis on 4 implants (the price of other types of prosthetics may differ from each other in to a large extent) has both positive and negative aspects in comparison with other types prosthetics.

Advantages:

• Minimal use of implants. Classic prosthetics implies the installation of 6 or 10 implants.
• The possibility of instant installation of non-removable structures, there is no need to use removable dentures, which, moreover, have increased fragility.
• There is no need to carry out additional procedures for grinding adjacent teeth.
• No additional surgical intervention - bone grafting.
• The minimum implantation time is no more than 2-3 hours.
• Ease of care. There is no need to remove structures for cleaning.
• Fixation reliability.
• Absence of impairment of taste perception.
• Prevention of further atrophic changes in bone tissue.
• Dentures do not disturb diction and articulation, do not cause the development of nausea or other negative signs.
• The duration of use is 5-10 years, in some cases 20-25 years.

Despite the obvious advantage of constructions over other types of prosthetics, the operation has some disadvantages.

Flaws:

• The presence of contraindications. Installation is not permitted in all cases, especially in the presence of diseases of the cardiovascular system.
• Lack of a large number of experienced specialists in the post-Soviet countries.
• Divergence of medical sutures (if the operation is performed incorrectly).
• Carrying out training using computer modeling. Not every clinic has such equipment.
• Development of allergic reactions, especially in cases of using metal structures.
• There is a high risk of accidental damage to nerve endings and other areas near the jaw.
• In the absence of a certain amount of dental tissue, it is necessary to carry out additional procedures to build it up.

Also, after the prosthetics, slight swelling and bleeding may occur. This condition is temporary and occurs in most cases. The symptom does not require additional treatment and goes away on its own. If these signs persist for a long time, you should immediately consult a doctor.

Fixed dentures on 4 implants are a modern and practical way to restore lost dentition and increase the aesthetic appeal of a smile. Before carrying out the procedure, you should familiarize yourself with the contraindications in advance and consult a specialist. It is recommended to check the price of the operation in advance at the clinic where the prosthetics will be performed.

Video about dental prosthetics on 4 implants

Dental prosthetics according to the All on 4 system: