Renew Confidence in Your Smile
Multiple missing teeth or an entire arch of missing teeth can pose numerous aesthetic and functional difficulties. Patients with multiple missing teeth may already notice that their cheeks and lips appear to be sinking inward. A full arch of failing or absent teeth not only cause self-consciousness and embarrassment, but can also lead to a decline in health, the loss of jaw bone, and increased difficulty eating and speaking – not to mention the social judgment you have to endure whenever you open your mouth in public.
While dentures do an adequate job of restoring some aesthetics and function, they do not compare to the permanency and natural beauty of full arch dental implants. Solutions, such as All-on-4® dental implants and implant-supported dentures, not only restore a full arch of missing teeth but also help to replace the lost bone structure and fill out the cheeks, directly and positively influencing the outward appearance of the face. With full arch dental implants, not only will the aesthetics of your smile be fully restored, but you will be able to eat, speak, and laugh with a renewed sense of confidence in your smile!
New Teeth the Day of Surgery
Our prosthetic-driven full arch dental implant process begins in our Digital Smile Design Studio. Here, we start with the outward appearance and work inward, focusing on where new teeth must be positioned to balance harmoniously with the facial structure. This starting point is deliberate and effective, helping us and you visualize the end result digitally and with a physical mock-up you can try on. Once we have created the most ideal smile for your face, we place the necessary number of dental implants into your jaw bone with a custom guide to ensure accuracy in the final result. If you have severe jaw bone loss in your upper jaw, Dr. Sohl may recommend Zygoma dental implants, which are anchored in your cheekbones, either separately or combined with traditional implants to secure a prosthesis. After the surgery is complete, we are oftentimes able to secure a temporary prosthesis onto the dental implants, which you will wear until your final restoration is complete. You will be able to leave our office on the day of surgery with a set of brand new teeth!
Fusing Experience and Technology
Dr. Michael Sohl has over 30 years of experience placing and restoring dental implants and has worked closely with some of the most prominent doctors in dentistry, including world-renowned prosthodontist, Dr. Thomas J. Balshi, who trademarked the Teeth in a Day® protocol. In addition, he holds Diamond Partner status with Nobel Biocare and Master Status from Rosenthal’s Aesthetic Advantage.
Our restoration solutions using dental implants must always be two things: aesthetically-driven and long-term predictability. For this reason, we invest in the latest technology dentistry offers today. Our implant supported Smile creation process begins with digital diagnostics including Cone Beam CT scans, and intraoral scans. The teeth, and therefore the smile is designed using sophisticated Exocad software from Cone Beam CT scanners to guided implant placement and digital smile design. When used together, this technology creates a drastic improvement in patients’ experiences, predictability in treatment planning, and increased surgical precision and accuracy. This is all geared toward providing restorations with the highest possible aesthetic outcomes and the greatest level of function, comfort, and longevity.
Implant Supported Bridges
Implant-supported dentures improve stability and strength by securing dentures or a full-arch prosthesis to ball-retained or bar-retained dental implants. Eliminating the need for messy pastes and discomfort of dentures, this solution provides greater support, better aesthetics, and improved biting and chewing power.
Always on. All-on-4®
Unlike dentures or other removable solutions to tooth loss, All-on-4® is a permanent fix that uses full arch fixed implant bridges to replace a full arch of missing, cracked, or decayed teeth. Dr. Sohl uses the All-on-4® technique when it no longer makes sense to attempt to use traditional implants to restore a full smile. This usually happens when there are multiple teeth that are already missing or need to be removed – to the point that full replacement with All-on-4® is the better option.
All-on-4® dental implants, as the name suggests, use only four dental implants placed strategically in the jaw bone where most bone volume is present. Ideal for patients with bone loss due to missing teeth, All-on-4 dental implants® provide patients with the stability of a full-arch prosthesis that functions like natural teeth, looks aesthetic, and feels authentic.
All-on-4® vs. Traditional Dental Implants
Traditionally, dental implants consist of two parts; a post that is surgically implanted into the socket of the missing tooth, and a crown that looks just like the missing tooth. The crown is attached to the post once the post has been inserted into the socket.
As you can imagine, doing this for 4, 6, 8, or 14 missing teeth just doesn’t make sense. While bridges can let dentists “bridge” the gap between teeth, they still usually require anchor teeth so they can be attached. With All-on-4®, the remaining teeth on the top or bottom of the jaw are usually removed, and four strategically placed posts are inserted in their place that allows a full new bridge to be placed. The teeth look so lifelike that only you and Dr. Sohl will know they aren’t real!
Once the bridge is affixed, it is generally considered a permanent solution. All-on-4® bridges can last upwards of 15 years if properly cared for, with many patients not having to have them adjusted again their entire lives. If repairs or replacements do need to be made, they can often be attached to the original posts.
The All-on-4® Procedure
Initial Exam and All-on-4® Consultation
Whether you live in Stuart, Port St. Lucie, West Palm Beach, or the surrounding area, your All-on-4® journey begins with a visit to see Dr. Michael Sohl at his comfortable offices. There, Dr. Sohl will assess your situation, looking at your mouth via digital X-rays to help you determine possible treatment options. Depending on the condition of your teeth and gums and jawbone, Dr. Sohl may advise you to keep a few teeth or have them all removed and replaced with an All-on-4® bridge.
If it appears that All-on-4® is the solution that works best for you, Dr. Sohl will begin the process of designing your replacement teeth via the Dental Smile Design Studio. The Dental Smile Design Studio is Dr. Sohl’s in-house digital smile restoration lab, which takes 2D photographs of your current smile and uses them to create 3D models of your potential replacement teeth. This speeds up the time it takes you to receive your new smile, and it also gives you the ability to be a part of the process. You’ll work together with Dr. Sohl to craft a smile that will keep you smiling for years to come.
When you have your All-on-4® full arch fixed implant hybrid installed, it will happen at Dr. Sohl’s Stuart office. Dr. Sohl will make sure you are comfortable and numb the mouth with anesthesia. General anesthesia is usually not required for All-on-4® implants. However, we offer IV sedation for your comfort. Using the XNav, Dr. Sohl will place the implants at the four places in the jaw where the bone density is at its greatest to maximize their integrity. Once the implants are in place, a temporary full-arch hybrid will be installed, which means you will leave Dr. Sohl’s with a new set of teeth the same day as your surgery!
Recovery and Aftercare
One of the major positives of All-on-4® is that the recovery time is significantly reduced due to fewer posts being implanted into the mouth. Most patients can eat solid food after a liquid diet of a few weeks, versus months with traditional implantation.
Immediately following your surgery, we will provide you with pain medication to minimize your initial discomfort. We recommend taking at least one to two days off from work, but the more time you can give yourself to heal, the better.
YOUR DIET AFTER ALL-ON-4® SURGERY
Your diet is one of the most important components of the recovery process following your All-on-4® surgery. Although we can place your implants and attach your hybrid in a single day with this method, it still takes three months or more for the implants to fuse with your jawbone.
During the first few weeks, we recommend a soft diet to avoid unnecessary chewing. Scrambled eggs, pasta, or cooked vegetables are a good choice during this time and things you can easily cut with a fork. Slowly, you can begin to incorporate other foods into your diet. This is a gradual process and should keep your chewing to a minimum. Once you get your final prosthesis you can reintroduce other foods back into your diet.
Once you’ve gotten used to your All-on-4®, you can care for it just like you would your normal teeth!
Make Your Smile “Ultra” With Crystal Ultra™
Dr. Sohl is always on the lookout for new innovations that improve the patient experience, particularly when it comes to arches. That’s why he’s pleased to offer his All-on-4® patients Crystal Ultra™. The Crystal Ultra™ material improves upon traditional fixed arches by being more responsive and gentle than other ceramics. These arches are also 60% lighter than traditional arches and 6 times stronger than acrylic dentures.
Before and After Photos
All-on-4® Dental Implants Case 1
All-on-4® Dental Implants Case 2