ALL ON 4 TREATMENT

Dentares is well known in Antalya, Turkey to consistently provide high-quality all-on-4 treatments at affordable prices compared to Eastern Europe, UK and USA. Implants with advanced microtechnologies are used to give patients with decayed dental conditions a renewed, confident smile.

The all-on-4 treatment is a surgical technique that supports a fixed prosthesis with evenly distributed bite closure on only 4 implants per jaw. The all-on-4 technique was developed by a Portuguese dentist called Dr. Paulo Malo in 1998

Dr. Malo concluded that 4 implants placed in certain angles were able to avoid sinus cavities and nerve canals of the jaw bone in order to provide and support a full arch prosthesis.

What is the all-on-4 technique?

The all-on-4 treatment is a surgical technique that supports a fixed prosthesis with evenly distributed bite closure on only 4 implants per jaw. The all-on-4 technique was developed by a Portuguese dentist called Dr. Paulo Malo in 1998. Dr. Malo concluded that 4 implants placed in certain angles were able to avoid sinus cavities and nerve canals of the jaw bone in order to provide and support a full arch prosthesis. Since then, the All-on-4 method has been adopted globally as a standard treatment for patients with severe bone loss.

When severe bone loss is present, it can be observed that the space between the bone structure of the sinus cavity on the upper jaw and the bone structure and nerve canal on the lower jaw is inadequate to support implants. Therefore 4 implants are able to be placed in the anterior (front) jaw avoiding these important areas. Two implants are placed vertically at front positions of the jaw bone and one implant is placed either side of these at 45 degrees facing towards the back of the jaw. The angle allows for even distribution of bite force across a full arch denture, opposed to if all 4 implants were to be placed vertically.

The all on 4 technique doesn’t require sinus lifting treatment or bone grafts because the method only uses the existing structure. So the treatment is an affordable option for patients seeking fixed prosthesis’ because they don’t have additional treatment costs.

Who is a candidate for the all on 4 treatment in Turkey?

The all-on-4 technique is a great permanent prosthesis treatment option for patients with removable dentures seeking to make life easier and to have the ability to have harder foods like steak or nuts.

Patients with severe bone loss on both jaws, many missing teeth, decayed, broken, or wobbly teeth may be suitable for the all on 4 treatment.

In most upper jaw cases, if the sinus has invaded the bone structure to the point of only a few millimetres available. Then sinus lifting and bone graft would make this a riskier surgery and so the all on 4 can be recommended. In lower jaw cases, there is a nerve canal that runs along the bottom of the jaw and stops just outside the chin. If the bone structure between teeth and the jaw’s nerve canal is just a few millimetres, then the all on 4 treatment would be recommended. Complications such as a burst sinus, excessive bleeding and nerve damage are risks not worth taking in order to include posterior implants.

What is the process of all on 4 treatment process?

The whole process requires two visits to Turkey, 3 months apart. The first visit will be 7 days long with about 3-4 appointments. The second visit will be 10 days long and require 4-5 appointments.

How long is the all on 4 treatment process in Turkey?

Patients spend their arrival day getting familiar with the hotel mostly. On the second day we deliver you to the Dentares Smile Clinic with our VIP transfer service for a 30 minute appointment. You’ll complete a patient history and consent forms. Then our patient relations consultant will assist you with having an x-ray and bring you to the Head Physician, Dr. Öyküm for a live consultation.

During the consultation, Dr. Öyküm will be accompanied by our Maxillofacial surgeon, Dr. Dincer. They will discuss your x-ray results, 3D tomography, have an intraoral examination and then provide you with the healthiest treatment plan. If you have any special requests, questions or expectations, we will discuss this here. If the doctors agree that the all on 4 is the healthiest treatment plan for you, a pre-arranged surgery appointment is available if the patient is ready to move forward with their treatment.

The doctor uses computer software of the patients x-ray and tomography to find the best placement of implants. The patient relaxes in the dental chair and within sterile conditions. The surgeon and assistants sterilise their hands, wear gloves, masks, surgical gowns, hair nets and sterilise the patients mouths, inside and out. The treatment may begin. The maxillofacial surgeon applies local anaesthesia for a pain free operation. The gingiva (gum) is opened and bone exposed. The surgeon prepares the implant socket with the help of dental drills to the appropriate size and diameter. The implant is placed in the prepared socket with a little bit of bone graft. The gingiva is then closed with dissolvable stitches. The stitches disappear in 7 to 10 days.

Temporary dentures are then provided exact to the patients measurements by taking impressions on dental putty. Patients will ask, “will I have fıxed dentures?”. The answer to that question depends on the decision of the doctor. If the doctor finds that the bone structure during surgery is healthy enough to support the osseointegration of implants and the strain of daily bite pressures from a fixed denture. Then the doctor may assign the patient a fixed denture. Whether the denture is fixed or non-fixed, the patient is always advised to keep to soft foods for 3 months while the implants heal. If the patient is given non-fixed dentures, the doctor advises not to use them except for social aesthetic reasons for the first month. The bone structure is greatly reduced compared to healthy patients, so our first duty is to preserve what bone the patient has left.

All on 4 patients require 2 visits to Turkey. The first visit will be to extract remaining teeth, treat abscesses or other conditions and place implants. Patients can think of their 1st visit as the medical stage of treatments. 5 days in Turkey is enough to complete the extractions, implant surgery and provide a temporary denture. Patients will need to adhere to the doctors after care advice and take the prescribed medications: Painkiller, mouthwash, and a course of antibiotics. The patient is able to return home to heal for 3 months at a minimum. After 3 to 6 months, the patient has fully healed and can come back to Dentares for their second visit.

To create the most functional and aesthetic prosthesis, Dentures require 10 days total for their second visit. Patients will have a check up appointment where the doctor assesses a new panoramic x-ray and opens the implants to check up on the healing. Provided that all implants have successfully integrated with the bone structure, the patient can see the prosthodontist.

One of Dentares’ prosthodontists will take impressions of your jaws with dental putty. From these impressions, the doctor and lab technicians are able to build the prosthesis. Zirconia is the most preferred material for prosthesis due to the durability and strength to last over a decade with the correct oral hygiene habits.

The prosthesis is first created by building a basement material that connects all 4 implants together, perfectly distributing the compressive forces of biting. This is achieved through state of the art CAD/CAM computer technologies. A full arch prosthesis will contain 12 ‘crowns’ or prosthetic teeth. After the basement material is constructed, it’s a matter of building the zirconia crowns on top. By using the rehearsal method, we can make tiny adjustments to the full arches so that the bite comes together as smoothly as a puzzle would. Each tooth from the upper and lower jaw sits together in unison creating the most functional and most comfortable prosthesis. After that is achieved, the prosthodontist refines the front teeth to smile design parameters for the most beautiful smile.

What implants are suitable for the all on 4 treatment in Turkey?

Dentares only works with high quality, internationally known brands. All the brands we use can be applied for the all on 4 treatment. The implants we use are Megagen®, Global D® and Straumann®. For more information what makes each of these implants unique, head over to our Dental Implant

What can disturb the all on 4 treatment process in Turkey?

There are a few things that can extend treatment time and affect the osseointegration (healing between bone and implant). Those are abscesses and after-care habits. Patients will discover from the x-ray & 3D tomography results in the consultation stage, if they have bone abscesses. These are little pockets (or cysts) of pus and bad bacteria. If the abscess (1 or more) is within the surgical area implants are to be applied. Then first, we must surgically extract the infection and place bone grafts. This can delay the treatment process a further 3 to 6 months depending on the size of the abscess and bone graft applied.

It’s not possible to speed up bone healing unfortunately, but we can provide good oral hygiene, quit smoking and eat a healthy, diverse diet to ensure the healing is not delayed or affected. Smoking cigarettes and vapes restricts vascular circulation to the gums and bone resulting in vital nutrients and antibodies not being able to reach the healing site. This can lead to an infection and a failed implant. Extending the treatment process by up to 3 to 6 months.

Alcohol causes oral dehydration, dilates the capillaries, and interrupts a process called osseointegration. Dehydration and dilation increases swelling and can lead to blood clots, leading to necrosis of the capillary. Affecting the transport of nutrients and healing factors to the implant area. Osseointegration is the process of bone to implant integration. The bone tissue grows into the microscopic pores and enhanced surface areas of the implant.

The temporary denture is created only for aesthetic reasons. The denture is made of a brittle acrylic and is prone to breaking with improper usage. Dentures should not be used functionally. This means that the denture is not made to withstand bite forces while chewing and is only meant for aesthetic reasons. For example you can talk to your work colleagues, friends and family with a confident smile. This is because dentures place force on the implants and can disturb healing. It will always be the priority of the doctor to ensure the maximum benefits of healing. This is to protect the patient. We need to preserve the bone structure we have.

For these reasons: smoking, drinking and inappropriate denture wear can disrupt the healing process and lead to complications; extending the process healing time to 3 or even 6 months.

What are the benefits of the all on 4 treatment in Turkey?

Implants have been shown to significantly reduce bone loss in most patients. When it comes to the preservation of your bone structure, implants are a really good option to consider. Not only that, the implants allow the patient to have a functional and aesthetic set of dentures. Patients can experience an instant bloom of confidence when their prosthetics are first fitted.

The bite force is evenly distributed so patients are able to eat whole foods again. They are able to enjoy steak, nuts, apples, candies and other wholesome foods once again.

The best part about the aesthetic design is that the patient gets to choose a designer style and a shade of white they feel happy with.

In the UK, the all on 4 treatment requires 9 to 12 months to complete. At Dentares in Antalya, Turkey, you can complete the all on 4 treatment within 3 months.

The all on 4 treatment is also much more affordable compared to prices in the UK, USA and Eastern Europe. Due to the economic conditions of Turkey in recent years, dentistry in Turkey has created a significant price point advantage for tourists.

Turkey has a great hosting culture and it shows at Dentares. Patients always feel safe and cared for during their stay. Patients are given a VIP transfer service between the hotel, clinic and airport, a hotel for their stay, and the service from clinic staff and doctors are second to none.

Turkish doctors have been able to hone their dental skills with daily implant and prosthesis treatments. At Dentares, specialist doctors are assigned for each stage of treatment, ensuring patients are tended to by experts for each treatment, every step of the way.

What are the disadvantages of the all on 4 treatment in Turkey?

Unfortunately, scientists haven’t been able to hack the body healing factors. Our bone tissues still take months to heal and so for the all on 4 treatment we need to allow 3 months to complete.

Patients are required to travel from their home countries to Turkey for treatment. So patients need to manage work and life responsibilities to have the time to come to Turkey twice. In reality, the all on 4 treatment can be finished in Turkey in 3 months opposed to the UK where it can take 9 to 12 months to complete. So patients really save time at the end of the day and have their dream smile fast.

The all on 4 treatment requires surgical risk and fully licensed and experienced surgeons to complete the treatment and so it can get pretty expensive. Comparatively, the all on 4 treatment can be a third of the price of western countries.

Long-term smokers and frequent drinkers may have a hard time for a few weeks or months looking after the implants post-treatment. It is recommended not to smoke or drink alcohol while the body recovers. Patients can use nicotine patches but it does not replace the habit of having the physical feeling of a cigarette in the mouth.

Some patients can struggle having no temporary dentures or non-fixed dentures because they need to take them out and clean them each day. They are only given as an aesthetic measure.

Having implants means that patients will need to wait 3 to 6 months. Patients will follow the hygiene advice of the doctor to ensure their implants heals and integrates with the bone in the best possible way. This means actively caring and attending to small changes, cleaning and so on.

Although rare, local complications that may occur during dental implant surgery are: nerve injury that may result in numbness; but is usually temporary and bleeding. Complications that may arise after surgery are: infection and failure of the implant to integrate with the bone.

How much does the all-on-4 treatment cost in Turkey?

In Turkey, the all on 4 treatment can be up to 70% cheaper than UK, USA and Western European prices. Of course it also comes down to the specific patient’s need. Some patients may have abscesses in their planned implant area so the infection(s) are required to be surgically removed and treated. They will need to wait 3-6 months for these areas to heal before implants can be placed.

Patients have the option to choose the brand and quality of their implants. Dentures offers Megagen®, Global D® and Straumann® for the all on 4 treatment. This can dramatically affect the price.

Dentares has two full time maxillofacial surgeons available to handle all on 4 treatment, abscess removal, extraction, sinus lifting and bone graft procedures. So their skills are well developed. It pays to have an experienced surgeon on your team. At other clinics you may not get a full time specialist resulting in lower quality surgery.

The prosthesis material, clinic reputation and prosthodontist will also vary the price. Visit our dental crown page for more information

What's the difference between all on 4 and all on 6 treatments in Turkey?

The all on 4 treatment uses angled implants to provide stability in the back of the jaw due to the loss of bone. The all on 6 treatment is different because candidates for the all on 6, have sufficient bone structure to support 6 vertical implants evenly placed in the jaw.

Dentares
All On 6 Treatment

Dentares in Antalya, Turkey has consistently provided high-quality all-on-6 treatments at affordable prices to Dental Tourists. Quality implants with new microtechnologies and state of the art equipment are used by our experienced Doctors to deliver complete smile makeovers
What is the all on 6 treatment in Turkey?

The all on 6 treatment is considered the complete smile makeover because doctors have the potential to use all available treatments in combination with the all on 6 treatment to deliver renewed, happy smiles.

The all on 6 treatment utilises 6 implants evenly placed vertically to the bone structure on each jaw. This system is a great option for patients of all sorts of oral conditions. If the patient has a healthy amount of bone structure, the all on 6 is a great option to preserve bone and provide a permanent denture system.

In cases where the sinus cavity has invaded the bone structure of the upper jaw and there is still available bone. We can increase the amount of structure by lifting the sinus and placing bone graft. Implants in most cases are still able to be placed in combination with bone grafts and sinus lift operations. However this would extend the recovery time for 3 months to 6 months to allow sufficient healing. Sinus lifting and bone grafts are not always required, so long as there is a healthy amount of bone structure for the implants to be successfully placed and integrated.

On the lower jaw, unless there are divets, extraction sockets or abscesses in the bone structure, placing bone graft would not be necessary.

The preservation of bone structure is key to having a healthy set of teeth or dentures for the rest of our lives.

Who is a candidate for the all on 6 treatment in Turkey?

Any patient who will have full extractions or is already without teeth, and looking for a permanent denture solution, that has healthy bone structure. These patients are seeking to improve their quality of life, confidence and social engagement. Sometimes a hearty steak is not possible to eat by a person losing their teeth or experiencing pain when chewing hard foods.

Patients that present with bone loss on both jaws but have enough structure to support implant treatment. Also those with multiple missing teeth, cracked, broken or ground down teeth are suitable for the all on 6 treatment.

In most cases where the sinus cavity has invaded the bone structure but there is still more than a centimetre of bone structure, sinus lifting and bone grafts are an added treatment but still allow the candidacy of these patients for the all on 6 treatment.

In the lower jaw, the doctor needs to see enough bone structure between the gingiva (gum) and the nerve canal on the lower side of the jaw. If there is enough structure, then the doctor can place implants. If there is not enough structure, this could compromise the nerve canal and lead to numbness. So the doctor always plans the precise measurements of the implant and the true placement within the jaw. If there is not enough bone structure, then the all on 4 treatment may be recommended instead.

What treatments are involved in the all on 6 treatment in Turkey?

Including 6 implants per jaw, there are bone grafts, sinus lifting, extraction, abscess clean, membrane, and masseter botox injection. Not all of these treatments may be required.

Bone graft is a material that allows for the natural reabsorption to a patients own bone increasing the available bone structure for successful implant fusion.

Sinus lifting is a delicate procedure that involves surgical opening the bone structure and care fully lifting the sinus membrane and placing bon graft material for future successful implant osseointegration.

Extraction includes the removal of any tooth or damaged tooth that has now become a bundle of nerves (often yellowish-brown in colour)

Abscess cleaning refers to a build up of pus and bad bacteria within a pocket of the bone structure, often going undetected without the aid of an x-ray or tomography scan.

A barrier membrane is used in some bone graft treatments to keep the bone graft in place and the membrane keeps soft tissue and bone tissue separate. The membrane is often dissolvable and will be absorbed into the body over a month post-treatment.

The masseter is a muscle in the jaw responsible for the condition known as bruxism. This is a grinding condition brought on by stress and with a harmless 5 minute botox procedure, can be controlled.

How much does the all on 6 treatment cost in Turkey?

It varies very from patient to patient. The patient gets to choose their preferred implant brand from Megagen®, Global D®, and Straumann®. They may also require additional treatments such as bone grafts, sinus lifting, extraction, abscess clean, membrane, and masseter botox injection. Price will also vary on the reputation of the clinic and its doctors. Dentares has two full-time maxillofacial surgeons so your treatments are always handled by a specialist. The all on 6 can include the most amount of dental treatments available and with every patient’s needs being different, there is no way we can place a flat fee.

What implants are able to be used in the all on 6 treatment in Turkey?

The all on 6 treatment is preferred with implant brands: Megagen®, Global D®, and Straumann®. Some have a clean implant certification, SLactive microtechnology feature, and with immediate loading capacity. To read about the implant brands in more detail, head over to our implant brand page.

What are the advantages of the all on 6 treatment in Turkey?

The all on 6 treatment allows patients to completely restore the health of their dental status and obtain a perfectly functional and beautifully aesthetic smile. Implants also preserve the remaining bone structure in a patient. The bite force is equally distributed over a full set of aesthetic dentures. So by having implants, no specific area is made responsible for almost all biting, chewing and grinding. This in turn, will prolong the lifetime of your natural bone. Other advantages include:

  • Patients have a boost in their quality of life.
  • The patient chooses their designer smile style and colour
  • Compared to UK, USA and Eastern European countries, having the all on 6 treatments and other minor treatments are considerably more affordable. Up to 70 percent cheaper.
  • Patients can obtain their new smile within 3-6 months compared to other countries, that would take 9-12 months
  • Patients are given a hotel for their stay, VIP transfers, medications, temporary teeth, and night guards for free
  • The clinic staff are very friendly
  • A coffee machine is always available for a free quality coffee, day or night.
  • Dentares have specialised doctors so every treatment is performed by an expert
What are the disadvantages of the all on 6 treatment in Turkey?

The all on 6 treatment can take between 3 to 9 months to complete depending if bone grafting, sinus lifting or multiple major abscesses are present. Patients need to wait these months with temporary dentures which can feel bulky. Other disadvantages include:

  • Needing to travel from their home country to Antalya, Turkey for treatment with 2 to 3 visits of 7-10 days stay. Patients save approximately 6 months of time if they were to get the treatments in Turkey rather than places like the UK.
  • The Treatments carry a surgical risk and so fully licensed and experienced surgeons can become expensive. Comparatively, the all on 6 treatment can be up to 70% in Turkey.
  • Smokers and drinkers are required to quit or reduce these habits where possible to allow proper integration of the implants and healing of the bone and gums. Nicotine patches are an option.
  • Patients need to take better care of their oral hygiene especially after the all on 6 treatment.
  • Although rare, local complications that may occur during dental implant surgery are: nerve injury that may result in numbness; but is usually temporary and bleeding. Complications that may arise after surgery are: infection and failure of the implant to integrate with the bone.
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