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 Oxnard, Ventura County 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 Details:

#1 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 the 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.

#2 Parafunction:

Parafunctional habits – for example, clenching, irregular chewing etc – may adversely affect your treatment choice. Teeth are capable of detecting forces more quickly than the 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.

#3 Proprioception:

It is a crucial factor.  It is often an overlooked aspect when the 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.

Schedule Your Own Private Consultation with Dr. J

Anacapa Dental Art Institute is proud of their dedicated service to Ventura County. Lead by world-renowned top cosmetic prosthodontist Dr. Jivraj and his expert staff, Anacapa has the expertise and facility to handle whatever your cosmetic dental situation may be. Whether it’s a tooth whitening or a full mouth reconstruction, expect nothing but some of the best dental care Ventura County has available.

Call today for a private consultation. Renew your smile, renew your life.


We look forward to providing families with exceptional care and advanced treatment options. To schedule an appointment with Dr. Jivraj contact our Oxnard, CA, dental office today by calling 805-988-3320. Our office at 2821 N Ventura Road, Building H, Oxnard, 93036 welcomes patients in and around Oxnard, CA, including Santa Barbara, Woodland Hills, Ventura, and the surrounding Southern California communities.

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