All-on-4™ concept by Changing Faces®

At Changing Faces® Denture Clinics the pioneering techniques of the All-on-4™ dental implant concept are combined with the benefits of Changing Faces® denture components. The All-on-4™ concept reduces the number of dental implants required to restore an entire arch of teeth and enables Changing Faces® denture components to be fitted to dental implants on the same day of implant placement. The treatment is made possible by combining technical skills of our Clinical Dental Technicians with the surgical expertise of some of the UK's leading Implant Dentists.

What is the science behind the Changing Faces® All-on-4™ smile?

This technique was developed to provide patients who had experienced total tooth loss with an efficient treatment concept using only four dental implants to support a full arch of teeth.

Two dental implants are placed vertically in the front of the jawbone with the remaining two dental implants placed at the back of the jaw, tilted up to 45°, which means less bone is needed. Traditional fixed full arch dental implant techniques require 6-10 implants with a period of healing time where the bridge cannot be fixed to the implants. Extensive bone grafting for implant placement may also be required.

With the All-on-4™ technique, the bone to implant contact is optimised and the need for any bone grafting is minimised. Also the angled implants can be anchored in much better quality bone found in the front of your jawbone. Tilting the implants also helps the Implant Dentist avoid vital structures, the sinuses and nerves.

The configuration and position of the implants along the jawbone once braced together with the Changing Faces® denture components and a Titanium framework, helps to spread the forces transmitted from the teeth to the jaw bone also allowing for better distribution of biting forces from a full arch of replacement teeth.

• There is no need to remove a denture after meals or at night time. The full arch of teeth can be cared for and cleaned just like natural teeth
• The full arch of teeth fits the natural contours of your mouth and feels like a full set of natural teeth
• No compromise on taste as the full arch of upper teeth does not cover the roof of your mouth
• Your bite force is greatly increased so you can enjoy the foods you previously could not
• Choose from a wider choice of food with a more varied diet for healthier living
• Promotes a healthy jawbone by preventing further bone loss
• The treatment is considered long term and can last for decades or a lifetime if cared for properly
• The entire procedure can be completed in just one day with an immediate loading concept that avoids multiple procedures

How does All-on-4™ differ at Changing Faces®?

By use of the All-on-4™ technique our experts have learnt to utilize biomechanical principles and traditional engineering sciences to fully restore the lost structures and functions of rows of natural teeth. At Changing Faces® we believe that dental implants and the attached denture components act as one functioning masticatory system.

As well as restoring the smile, your Changing Faces® fixed denture components also offer a dual effect by correcting the proportions of the face adding volume so you will achieve a more natural, youthful look. The look of a Changing Faces® smile will be influenced by your gender, personality and age, an innovative approach only offered by Changing Faces® called Denture Genics™.

Are you suitable for the All-on-4™ technique?

All-on-4™ is suitable for patients who want a more permanent solution than removable full dentures. The All-on-4™ technique offers permanent fixed teeth in a day utilising Changing Faces® denture components.

Individuals suitable for All-on-4™ are those that:

• Have loose dentures that affect their quality of life
• Have severe periodontal gum disease and tooth loss
• Have suffered loss of jawbone due to the loss of their teeth
• Have failing crowns and bridges along with loose teeth that need extracting
• Have been told that they do not have enough bone for dental implants

What does the Changing Faces® All-on-4™ procedure involve?

1. First you attend a consultation to meet the Changing Faces® All-on-4™ team of experts where you can discuss your suitability for treatment with an Implant Dentist and ask any questions that you may have about treatment.
2. Following this you will undergo a CT scan, imaging and diagnostics so that the Implant Dentist can prepare a digital 3D treatment plan of your procedure, which ensures highly accurate, safe and predictable implant placement. You will also have the opportunity to discuss the look of your new teeth, utilising the Changing Faces Denture Genics™ concept.
3. If you are a candidate for All-on-4™ then a detailed treatment plan will be provided. You will attend your first appointment where the implant site is prepared by an Implant Dentist according to the All-on-4™ protocols and if required they will extract your teeth. Four dental implants are inserted with the implants at the back of your jawbone placed at an angle.
4. A provisional Changing Faces® denture will then be finalised and secured to the dental implants by the Implant Dentist. After which you will be given time to rest in a relaxation area. Within a few hours you will be able to go home with a new smile and get on with your everyday life*.

After approximately three to six months once your implants are fully integrated into your jaw, your final fixed bridge of Changing Faces® denture components will be fitted by the Implant Dentist.

*Patients will be required to attend pre and post-operative consultations and reviews

All-on-4™ is a registered trademark of Nobel Biocare AG