A Complete Guide
To Full Mouth Dental Implants
- Dr Theo Spyrakis has specialised in implant dentistry and All-On-4 since 2007
- Our cutting-edge technology ensures a natural looking tooth replacement that feels, fits and functions just like natural teeth
- Gain peace of mind, our implants come with a 5 year warranty*.
Full Mouth Dental Implants: The Natural, Comfortable And
Functional Teeth Replacement
If you’ve been struggling with damaged or missing teeth or aren’t happy with your dentures, then you’ve come to the right place to find out about the alternatives for full teeth replacement. The full mouth implant procedure is an advanced technique, which allows an arch of teeth to be supported by only four teeth implants. As a quick, minimally invasive, and extremely successful procedure, full arch implants has become a popular alternative to dentures. With a highly trained and experienced dentist at the helm, full mouth dental implants produces beautiful results, giving patients back their smiles and enabling them to smile again with confidence. As an expert in All on 4 Implants in Sydney, we’ve put together a guide to cover everything you need to know about full set of dental implants, helping you make the right decision for you.
What is the All on 4
Dental Implant Procedure
The question is, What is All on 4? All on 4 is an advanced dental implant technique. Dental implants are small titanium screws that fit inside your jawbone to replace the root of a missing tooth. In the case of a single tooth, a crown would be attached to the implant to produce an incredibly realistic and functional prosthetic tooth. In the case of full mouth implants, the whole set of upper or lower teeth is replaced, but, instead of needing an implant for each of them, they are supported with just four dental implants.
In conventional dental implants procedure, to replace a full arch, eight or more implants are required. This method has limitations as it requires implants to be screwed into areas of reduced bone density at the back of the mouth. This can require bone grafting and sinus augmentation to strengthen the jaw bone, a significantly more invasive procedure. Conversely, with All on 4, only two implants are needed at the back of the mouth, cleverly angled at 45 degrees to avoid bone-deficient areas while retaining strength.
All on 4 offers some distinct advantages over conventional implants:
- Only four implants are needed to support a full arch
- Eliminates the need for bone grafting
- The less invasive procedure reduces the healing and rehabilitation process
- It’s a much quicker procedure
- There is more flexibility to design and fit the optimum replacement teeth
- Doesn’t require the same density of bone to secure the implant
- You receive your new fixed teeth in as little as 24 hours after surgery
The History of
Full Mouth Implants
However, it was the innovation of adopting a 45-degree angle for posterior implants that led to the evolution of All on Four implants and its acceptance as a superior treatment option.
Prof. Malo has become a world-renowned expert in advanced oral rehabilitation, inventing several other techniques to help patients with complex restorative cases. He is also the author of several leading books in the field of restorative dentistry, has released several scientific publications and has lectured around the world on oral rehabilitation.
Full Mouth Implants
at Bexley Dental
The clinic at Bexley Dental is exceptionally welcoming, and alongside Dr Spyrakis, we have a team of experienced dentists, hygienists and dental nurses who are all experts in their fields all while putting patients at ease. All of our full arch dental implant procedures are led by Dr Spyrakis, and his continued passion and enthusiasm for the field of implantology ensures we offer the very best treatment to our patients.
Dr Theo Spyrakis -
Our All on 4 Expert
Dr Spyrakis started his career in general dentistry, but it wasn’t long until he noticed the tremendous need for better treatment options for patients requiring dentures. He saw his patients struggling with loose and poorly fitting dentures, which were not only uncomfortable but often left them lacking in self-esteem.
In 2002, Dr Spyrakis attended an education program on the latest developments in implant dentistry. And that’s when he first learned about the All on 4 technique. The full mouth dental implant procedure was exactly the type of treatment option he’d been looking for. The ability to support a full set of teeth with just four implants gave so many more options for placement–without bone grafting–meant that patients had a new option available to them.
Not only did the All on 4 technique provide a new option for people who would struggle with their dentures because they were loose or poorly fitted, making them incredibly uncomfortable, and even affecting their self-esteem, but it opened up the possibility of implants for previously unsuitable patients. Since learning about the treatment 20 years ago, Dr Spyrakis has dedicated his working life to full mouth implant dentistry and has spent the last 19 years travelling the world to ensure he trains with the very best in the field:
- New York and Las Vegas, USA – undertook an intensive surgical implant training
- Marseille, France – studied with innovative leaders in surgical implants Dr Patrick Palacci and Dr Franck Renouard
- Sydney University, Australia – completed a mini-residency in Oral Implantology
- Malo Clinic, Portugal – selected to study with the founder of the All on 4 technique
While Bexley Dental offers a full-service dental practice, Dr Spyrakis focuses the vast majority of his time to the All on 4 treatment, performing over 550 All on four and single dental implants procedures every year. What this means is that implant dentistry is more than just an additional service at the practice; it is a distinct specialism. Dr Spyrakis is recognised as one of the most experienced full mouth dental implant dentists in Sydney and has made a significant impact on many patients’ lives.
Who is Suitable For
All on 4 Implants
The short answer is that a full mouth implants can be a consideration for anyone who is struggling with failing, damaged or missing teeth. There are some common scenarios in which we might suggest the treatment:
- You don’t have a fully operational set of teeth, and it greatly impacts upon your day to day life, what you can eat and how you look when you smile.
- You have tried wearing dentures but are fed up with them not fitting correctly, causing you discomfort, and potentially flying out of your mouth mid-sentence.
- You’ve been unable to have conventional implants due to reduced bone density resulting from tooth loss or gum disease.
1. What if I
Have High Blood
If you already have high blood pressure, then the thought of undergoing any surgery can be a major concern. In fact, the additional rise in pressure caused by anxiety and the adrenalin in the anaesthetics historically meant that implants weren’t a possibility.
Fortunately, nowadays there are ways to alleviate the risks associated with high blood pressure. Firstly, as part of our medical assessment we would advise you to see your doctor regarding the procedure. They will be able to ensure that your medication is adequately adjusted and potentially make small adjustments that will ensure your blood pressure remains within the necessary range to carry out the procedure safely.
The second option, and one we often recommend, is sleep dentistry. Sleep dentistry uses IV sedation, which, not only isn’t adrenalin based, but is safer than general anaesthetic. What’s more, sleeping through the surgery minimises the impact of anxiety and stress.
2. What if I Have
It is a common misconception that periodontal disease will stop you from having dental implants. The reality is that periodontal disease is, more often than not, the cause of failing teeth. There is no reason that periodontal disease should stop you having a full arch implant procedure and the treatment could well solve the problem
3. What if I Have
a Lack of Jaw Bone or
The All on 4 implants method is the ideal solution for those with a lack of bone as the angled implants don’t need as much bone density to be secure. As the implants anchor into the jaw bone in an innovative way, it often isn’t necessary to undertake invasive bone grafting procedures.
In the past, a lack of jaw bone or poor quality of bone was a significant problem for those wanting implants. The procedure required a considerable amount of preliminary work to build the jaw back up to be strong enough to support up to eight implants.
4. What if I Smoke?
It’s important to understand that smoking whilst having dental implants increase the chances of dental implant failure. The reason being that smoking restricts the amount of blood which flows to the tissues around the implant, resulting in reduced oxygen and nourishment. By smoking, the natural healing process is compromised, and the area will struggle more to recover from the surgery. Smoking can also limit bone growth, affecting the integration of the implant into the jawbone.
People who start smoking again after implant placement are much more likely to have implant failure. If you’re a smoker considering dental implants, the ideal solution would be for you to quit permanently. However, we understand that this isn’t always possible and respect the life choices of our patients. What we do insist, however, is that you are able to stop smoking during the procedure and for at least two weeks after. If you give yourself time to heal, then you have much more chance of successful treatment outcome.
5. What if I have
While smoking is a factor that is completely in your control. Not everyone has control over the health conditions that impact their eligibility to have a dental implant procedure.
For many, Diabetes and High Blood Pressure used to be two conditions that could easily cause them to be ineligible for treatment with dental implants.
Check Your Suitability For The Dental Implant Procedure. Take Our Suitability Test and Find Out if You Qualify For The Procedure.
That meant a much higher risk for peri-implantitis, an inflammatory process that causes bone loss around the dental implant. But due to advancements in the treatment of diabetes, it no longer has to prevent people from having the procedure. As long as blood sugar levels can be maintained, the patient’s body is able to fight infection and heal normally, lowering the risk for diabetes-related complications. And increasing the dental implant treatment’s success rate.
There are still precautions and certain conditions that need to be met before patients with those conditions can be cleared to undergo treatment. The good news is that many more people with these conditions are eligible today thanks to advances in medical treatment that allow their conditions to be more effectively controlled.
What is a Full Mouth Implant
At Bexley Dental, having a full arch implant treatment comprises of three main stages:
1. Your Assessment
For all patients considering full mouth implants, the first step is an implant assessment with Dr Spyrakis. This phase is as important as the procedure itself, allowing us to make a detailed plan of your personalised treatment and to ensure you will receive the outcome that you’re hoping for. An assessment with Dr Spyrakis will include:
- A discussion around what you want to achieve from the treatment – understanding our patients and their motivations helps us deliver the results they want.
- A detailed study of your medical history – this allows us to understand your overall health and to take into account any medical conditions which may impact the treatment.
- A 3D x-ray – this enables us to get an accurate picture of your jawbone and to determine the optimum position for your implants.
- A set of photos and videos of your mouth – we need to see what you look like when you’re smiling, speaking and resting so we can create the ideal tooth shape for you.
- A set of moulds of your mouth – these act as the template upon which we will design your new teeth.
- A discussion around your treatment options – while we are experts and advocates of the All on Four method, we believe that it’s vital for you to be fully informed about all of the alternatives.
After you’ve had your assessment, Dr Theo will create a detailed treatment plan. He will discuss this with you, outlining the treatment, the timeline and the cost. While you may be sure that All on 4 is the right treatment for you, it is always worth taking the time to digest all of the information and thoroughly consider the treatment before proceeding.
2. Your Treatment
One of the many incredible things about All on 4 implants is the speed of the treatment. The implants themselves will be placed in a few short hours. On the day of your surgery, we’ll settle you into one of our specialist rooms, where you’ll meet your anaesthetist. Upon sedation, the implants will take around four hours to be put in place. It will then take a couple of hours for you to safely recover from the anaesthetic before you’re able to go home.
The day after your implants have been placed comes the exciting part; you get to see your new smile for the first time. You’ll come back to the clinic, and Dr Spyrakis will ensure that your teeth are perfectly aligned. This will involve checking your bite, reviewing how your teeth fit together and examining the exact position. This gives you the opportunity to say how the teeth feel so we can make any finishing touches that may be needed. And that is it, your teeth will be securely fitted to your implants, and you’ll be grinning from ear to ear.
3. Your Aftercare
As with any medical procedure, you’ll need to take some precautions afterwards to ensure you keep your smile on the straight and narrow. We’ll give you a guide to your aftercare, so you know exactly what to do, and more importantly what not to. It can take up to six months for your bone to grow around the implants, so, while they feel fully secure, caution is required.
Directly after the procedure, you may experience some bruising and swelling around your face. However, any bruising or swelling should start to fade after a few days and within a week should no longer be noticeable. We advise that you take it easy during the first week after your treatment ensuring you don’t overexert yourself, that you’re eating soft, nourishing foods and that you’re drinking plenty of water. That said, most patients are surprised at how quickly they recover and feel back to normal within just a few days. The only thing patients having upper or lower arch implants must adapt to is maintaining a soft diet for 3-4 months post surgery.
Is the Full Mouth Dental Implant
We are often asked how painful a full mouth implant treatment is and it is an understandable concern. Firstly, you will be anaesthetised during the procedure, so you shouldn’t feel any pain. If this is still something that worries you, then we can work through it together. This might be in the form of relaxation techniques, moral support or, in some instances, sleep dentistry.
In terms of pain after the treatment, you will likely experience some mild discomfort due to swelling and bruising. This should be easily treatable with pain relief medication and, as we’ve explained above, should subside within a couple of days.
Can Anything Go Wrong
With Full Mouth Implants?
It’s only normal to be concerned about complications with any surgery and, while the success rates are very high, some do fail. Three main factors can cause dental implant failure:
1. Patient health – the general health of the patient has a significant impact on the success of treatment. For example, those with uncontrolled diabetes, who smoke or have bad oral hygiene are more susceptible to peri-implantitis, an inflammatory response caused by a formation of bacteria in the mouth.
2. Post-procedure care – it’s vital that patients adhere to their post-procedure care, eating a soft diet while their bone has time to grow around the implant and set it in place.
3. Competence of the dentist – the skill and expertise of the dentist carrying out the procedure is fundamental. Highly skilled dentists will ensure impressions are taken correctly, implants accurately aligned and will reduce any risks of nerve damage.
How to Choose a
Full Mouth Implant Dentist
As we’ve touched on above, choosing the right dentist is critical to the success of your implant treatment. You want to ensure you have the best possible placement for your implants while also ensuring your smile looks just the way it should.
There are three primary considerations when choosing a dentist to perform your All on 4 treatment:
1. Type of dentist – it’s advisable to find a dentist that is experienced and knowledgeable in both surgical and cosmetic dentistry, so you don’t fall short in either aspect of your full arch implant treatment. A dentist who combines these skills will be able to ensure your implants are accurately positioned while also ensuring you get a beautiful result.
2. Dentist training – there is a choice for dentists to either take short courses or intensive postgraduate courses to become qualified to perform the All on 4 treatment. It is the postgraduate courses, aimed at dentists wishing to focus exclusively on dental implants, that delve further into the intricacies of treatment planning and make a great deal of difference to the quality of dentistry that results.
3. Materials – you need to ensure the materials used for your implants, framework and teeth comply with Australian safety and quality regulations. There are many different types of dental implants and procedural materials. Low-cost providers and overseas laboratories may use inferior materials, which can lead to discolouration and other complications.
Although finding the right dentist might seem like quite a task, an experienced dentist will be transparent about their skills and training, able to list the materials that will be used and should offer you some level of post-treatment guarantee.
At Bexley Dental we guarantee your implants for up to seven years, meaning that if something does go wrong, for whatever reason, we’ve got you covered.
Is it Worth Having
Dental Implants Abroad?
It can be a tempting prospect to head somewhere where your money goes a little further to undergo a medical procedure. Admittedly the cost of living in Australia isn’t the cheapest, and we can see the lure of bundling your treatment in with a holiday in the hope of saving some money.
If you like the idea of having your implants done on holiday, then there are indeed some quality clinics that are worth considering. However, even if you choose an implant expert, there are additional considerations to bear in mind when you’re away from home:
- Consultations and treatment planning – you will want to determine your eligibility for treatment ahead of time; how do they handle the process and will you have time for a thorough assessment as well as the procedure during your trip?
- Additional treatment – in some instances, even with All on Four, you will need treatments such as bone grafting before your procedure, which can take multiple visits. What will you do if this is decided as a result of your assessment?
- Follow up care – do you need to stay long enough for a follow-up visit or is it recommended to do this back at home? You will need to think of the continuity of care and cost implications.
- Complications – you need to consider what happens if there are complications once you get home. The cost savings you made will soon be eaten away at if you need to fly back and forth to have repair work done. Do they have a plan in place to work with a local dentist in this scenario?
As with any decision you make regarding your treatment, while going overseas isn’t intrinsically wrong, it certainly requires a lot of thought. Make sure you’ve covered all your options and reviewed all the scenarios before booking your flight.
What is The Cost
of Full Mouth Dental Implants?
If you’ve been researching full mouth implant dentistry and the dentists that can perform the procedure, then no doubt you’ve noticed the wide disparity on cost. Implant procedures can cost anywhere from $5,000 to $50,000, depending on the scope and type of treatment. For most people, that’s a massive investment in their mouths. Unfortunately, due to the many factors that impact upon cost, it’s not easy to compare prices like-for-like.
While licensed dentists appear to have all the necessary qualifications to offer you the service you’re looking for, you need to consider the results and longevity of your implants. The following three factors will impact both the cost of all on 4 and the outcome of your procedure:
1. The dentist’s level of education – ensuring they can maximise your comfort and the longevity of your implants.
2. The materials used – these need to be high-quality to ensure you have a durable and natural-looking implant.
3. The dentist’s experience – a dentist who focuses on dental implants and has a broad range of real-world experience, will be more able to give you the treatment you need.
It really is a case of getting what you pay for. While you don’t want to pay above the odds, it’s vital that you undergo the treatment with a highly qualified, experienced dentist, using only the best-quality materials. After all, it is worth the investment up front to avoid expensive and potentially painful problems down the road.
Full Mouth Dental Implants
Payment Plans and Finance Options
We understand that dental implants are a significant investment in your future and that many of us don’t have the means to pay a lump sum up front. The following finance option can relieve the burden a little, making sure the cost doesn’t impact upon that new smile of yours:
- Denticare interest-free payment plan – pay a 20% deposit for your treatment and then spread the rest of the cost over the following 12 to 24 months.
Accessing Your Superannuation
to Pay Your Treatment
As well as considering finance options and payment plans, it may be worth looking at whether you can fund the treatment through your superannuation. It is sometimes possible to use a percentage of your super on compassionate grounds to fund medical treatment. You’ll need to make an application to the ATO, and, if your condition is causing acute or chronic pain, you may well be eligible. At Bexley Dental, we recommend a company who can help prepare the application and ensure that all the details are filled out correctly to maximise your chances of receiving the funding you need. This service costs $699.
The Next Step in Getting Full Mouth Implants in Sydney
Our implant assessment includes:
A thorough 30-minute consultation with Dr Spyrakis
A 3D panoramic scan of your teeth and jaw
A personalised treatment plan
For a limited time, we are offering a discount of $500 for single implant treatments.
Book an implant assessment today and receive your discount voucher.
Take the first step in transforming your life and your smile, call us today to
book your implant assessment on (02) 9567 4151
Frequently Asked Questions:
There is a considerable variation in the cost of full mouth implants. While the price can range from $15,000 to $30,000 per arch, it depends on each case and the type of treatment required. Needless to say, whichever end of the scale the cost is, all on four implants are a significant investment. Prices can’t be compared easily as there are so many factors that influence them. To get the best results you will want to instruct a highly-qualified, experienced implant dentist who will use the best quality materials and this doesn’t come cheap.
The vital aspect, when considering all on four implants cost, is to understand what you will be getting for your money. You will want to ensure the comfort and durability of your implants, be satisfied that it will be as natural looking as possible and be confident that your dentist can offer you the best possible care. While this might result in more investment up front, it should avoid future problems. If the implants aren’t of the best quality, they can result in additional cost down the line.
No. full mouth Dental Implants can be placed using either a local anaesthetic or “sleep dentistry.”
Sleep dentistry” uses IV Sedation to manage the fear, anxiety and discomfort that so often accompanies a visit to the dentist, instead of local epinephrine-based anaesthetics, which makes it safer than any general anaesthetic.
Sleep dentistry does not require hospitalisation, meaning that your procedure can be completed right here at Bexley.
When you undergo sleep dentistry, your sedation is managed by a medical doctor who monitors your condition throughout the procedure to ensure your safety and comfort.
Traditional dental implants can support one or two teeth with the use of dental bridges. The largest would be a four tooth bridge, supported by two dental implants. Using the conventional implant procedure, eight or more implants would be needed to support a full arch. In addition to the number of implants required, traditional implants have many limitations. The implants need to be screwed into areas of reduced bone density. When the bone quality isn’t good enough to support the implants, bone grafting is necessary before the implants are placed.
Conversely, the All on 4 implant technique enables the whole set of upper or lower teeth to be replaced with just four implants. The reason the All on 4 technique works is that the implants are angled at 45 degrees to avoid areas of bone deficiency. The All on 4 procedure is much less invasive, which, in turn, reduces the healing and rehabilitation process. It is also a much quicker procedure, as a full arch of teeth can be supported with just four implants.
Traditional dentures are less expensive upfront than all on four dentures. Conventional dentures cost around $4,000 for a full set, whereas all on four dentures can cost anywhere from $15,000 to $30,000. However, there are many other aspects to consider when weighing up the cost. Regular dentures accelerate bone loss and get loose over time. While the initial price is considerably lower, there will be ongoing costs and replacements required over time. There is also the cost of cleaning solutions and adhesives to consider.
All on four dentures are undoubtedly a significant investment. However, they offer a much more permanent solution. It is hard to compare the cost for all on four like-for-like. The price will vary according to individual requirements and whether both upper and lower arches will need to be replaced. The important aspect when considering the cost of treatment is quality. It is vital to ensure your dentist has the right level of experience and training and that the materials used will be of the highest quality. This will ensure that you get the best value for money and the longest lasting results.
Dental implants offer an excellent way of replacing missing or damaged teeth, and there is a lot of information surrounding their virtues. In their defence, dental implants help prevent bone loss, support other teeth in the mouth and can be cost-effective over time. However, as with any procedure, there are also disadvantages of dental implants:
- They require a surgical procedure – any surgical procedure requires a certain amount of care. You will need to eat soft and nutritious foods and exercise good oral hygiene. In the case of the All on 4 method, the surgical procedure is relatively simple. However, for traditional implants, bone grafting may result in much more invasive surgery.
- The upfront cost is higher – dental implants can seem like a costly option, especially the All on 4 treatment. However, while this will probably be the case in the short term, the cost can be quite reasonable throughout a patient’s lifetime.
- Dental implants can fail – the success rate of dental implants is over 90%, but, as with any procedure, some components can fail.
- Dental implant crowns can fracture – there is a slightly higher chance of a crown fracturing when placed over a dental implant. Natural teeth offer cushioning in the form of the periodontal ligament, as this is missing with dental implants the shock of biting is transferred directly to the crown
The complete full mouth dental implants procedure usually takes between 3 and 4 hours.
As with any surgery, having dental implants poses some health risks. However, the risks are rare, relatively minor and easily treated. During the surgery, minor risks include an unexpected reaction to the anaesthetic, bleeding or infection. After surgery, the negative effects of having dental implants include:
- The implant site becoming infected
- Damage to teeth, blood vessels or other structures that surround the implant
- Pain, numbness or tingling caused by nerve damage
- Protrusion of an implant into a sinus cavity
- Loose implants if they don’t fuse properly with the jawbone
While there are no certainties, there are ways to mitigate the majority of the negative effects of dental implants. Choosing an experienced dentist will ensure that the planning stage evaluates your medical history and oral health. With a tailored treatment plan, any additional risk factors will be taken into account before surgery.
Another adverse effect of any medical procedure is pain control. Your dentist will be able to talk about your options for anaesthesia, ensuring you are as comfortable as possible. Otherwise, making sure you look after your health and your implants will help to reduce any negative effects after surgery.
Both dentures and dental implants are popular ways of replacing missing or damaged teeth. Dentures are removable and can either replace a partial or full set of teeth. Dental implants can replace either a single tooth or a complete set as well. The difference is that dental implants are permanently positioned into the jawbone with a screw and capped with a crown.
So, what is better dentures or dental implants? In answer, both have their advantages and disadvantages. Dentures are less expensive than dental implants. However, as they aren’t fixed in place, they can slip, become loose and cause soreness on the gums. Dental implants, on the other hand, can’t move as they are set in place. Also, in contrast to dentures, dental implants maintain the health of surrounding teeth and gums.
While dental implants aren’t suitable for everyone, they have gained a lot of popularity in recent years. Dentures can slip and can lead to embarrassment while eating and speaking. Partial dentures can also lead to infection if not fitted properly. Having a more permanent solution, albeit with a higher price tag, offers a lot of benefits.
Although dental implants are incredibly successful, there is a chance of failure. They can fail for many reasons. In the short term, the principal cause of implants failing is due to the bone not healing properly. The process, known as osseointegration, is required for the implant to fuse with the bone. In incidents when the patient has poor health, due to diabetes, smoking or bad oral hygiene, the risk is higher. Patients with these conditions are more likely to experience inflammatory responses caused by bacteria in the mouth.
Symptoms of a failed implant can include pain, mobility of the implant, bone loss and bleeding. It is often possible to resolve any problems by removing the implant and repairing the site. However, under these circumstances, it is necessary to undergo bone grafting. This is a much more invasive surgical procedure, and more time will be required for the site to heal. The best way to reduce the chance of implants failing, along with practising good oral hygiene, is to use an experienced dental professional. Highly-trained dentists will ensure all the necessary steps are taken to reduce the chance of implant failure.
It would be hard to find a more experienced dental implant dentist than Dr Sprakis. For the past 20 years, he has focused his continuing education solely on the field of full mouth implant dentistry, and puts that education to use every day, installing over 550 implant cases for our patients every year.
That experience translates into:
Less discomfort and quicker recoveries
Minimal risk of implant failure
Reduced complication risks
Implants and materials that can last a lifetime
And frankly, avoiding those issues typically means a smaller investment over the life of your implants (which should last for your lifetime)