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While there are significant advantages to the All On 4, there are also inherent risks the patient needs to be aware of. A primary concern with this technique is the risk of failure. In the event of just one implant failure, the entire restoration may fail. Load distribution over 4 vs. 6 vs. 8 implants is substantial.
Another myth about common problem areas associated with the All On 4 is that it is commonplace that the All On 4 patient will endure jaw atrophy that occurs in the posterior region of the jaw that leads to atrophy and eventually fracture susceptibility. This atrophy poses an increased risk of jaw fracture. Since the all on four technique only places implants in the anterior of the jaw, the bone in the posterior is not stimulated to remain and retain its dentistry; consequently, posterior jaw resorption can occur.
THE "ALL ON 4" TREATMENT PROTOCOL
Generally speaking, our office implores a three-stage "All On 4" treatment protocol categorized by the following phases:
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