Can All-On-4 Plus® Implants Replace Full Upper and Lower Dentures in Sunbury?
Case Note ID: Dec-2024-AO4
Location: Sunbury Dental House (serving Sunbury, Gisborne, Diggers Rest, Bulla, Riddells Creek, Wildwood)
Primary Treatments: All-On-4 Plus® Dental Implants, Full Arch Rehabilitation
Supporting Technology: 3D Surgical Planning, Dental Implant Systems, Fixed Prosthetic Fabrication
Presenting Clinical Problem
A patient presented with complete tooth loss in both arches currently using removable dentures. Treatment planning involved All-On-4 Plus® full arch implant rehabilitation to provide fixed tooth replacement solution.
Treatment Plan & Clinical Process
Phase 1: Comprehensive Assessment and Surgical Planning
- Complete dental and medical evaluation for implant suitability
- 3D cone beam CT imaging for bone assessment and implant planning
- Evaluation of existing denture stability and retention
- All-On-4 Plus® treatment planning using digital surgical guides
- Discussion of treatment timeline, healing periods and prosthetic options
Phase 2: Implant Placement and Initial Prosthesis
- Surgical placement of four implants per arch using angled positioning
- Immediate or delayed loading protocol depending on bone quality
- Temporary fixed prosthesis attachment if immediate loading indicated
- Healing period allowing osseointegration typically 3-6 months
- Provisional prosthesis adjustments during healing phase
Phase 3: Final Prosthesis Fabrication and Delivery
- Assessment of implant integration and healing completion
- Impression procedures for definitive prosthesis fabrication
- Bite registration and aesthetic try-in appointments
- Fabrication of final fixed implant-supported prostheses
- Final prosthesis delivery, attachment verification and maintenance instructions
Clinical Outcome
Treatment was completed over several months including surgical and prosthetic phases. Four implants were placed in each arch using All-On-4 Plus® protocol, with fixed full arch prostheses fabricated and attached following healing. The implant-supported prostheses replaced removable dentures.
Individual results vary. All-On-4 Plus® requires adequate bone and careful surgical planning. Individual implants can fail requiring replacement. Prostheses require regular maintenance. No guarantees can be made about outcomes.
Frequently Asked Questions for Sunbury Patients
What is All-On-4 Plus® treatment?
All-On-4 Plus® uses four dental implants per arch positioned at strategic angles to support full arch of replacement teeth. Angled posterior implants maximise bone contact whilst avoiding anatomical structures. This approach often allows treatment without bone grafting and can provide immediate fixed teeth in some cases.
How is this different from regular dentures?
All-On-4 Plus® prostheses attach to dental implants surgically placed in jaw bone, providing fixed stable retention. Regular removable dentures rest on gum tissue without implant support and can move during eating or speaking. Implant-supported options provide superior stability and comfort but require surgical implant placement.
Can I have teeth the same day as implant surgery?
In selected cases with adequate bone quality, temporary fixed prosthesis can be attached to implants on surgery day (immediate loading). This provides functional teeth during healing period before final prosthesis fabrication. Not all cases are suitable for immediate loading. Assessment determines whether immediate or delayed loading protocol is appropriate.
Give us a call at 1800 GENTLE (1800 436 853) or contact us by submitting the enquiry form below. We will be happy to help.













