All-on-4

All-on-4™… and More!

Drs. Levine and Fava have changed the lives of so many patients with the revolutionary All-on-4™ treatment option. Designed to last a lifetime, All-on-4™ is a cost-effective, fixed dental implant solution used to replace failing teeth, missing teeth or dentures. The examples presented in this photo gallery provide a glimpse of several of the complex cases that the Center has handled in recent years.

Case Study #1: Joyce

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Chief Concern: Joyce was very self-conscious and unhappy with her smile. She had difficulty chewing due to missing and broken down back teeth.

Treatment received: In one surgical visit, Joyce’s remaining upper teeth were removed and five immediate dental implants were placed using the All-on-4™ concept. A fixed temporary bridge was inserted within 24 hours by her general dentist. The case was completed in three months as a fixed screw-retained hybrid restoration with first molar occlusion.

Before Treatment

After Treatment

Case Study #2: Cathy

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Chief Concern: Cathy had chewing concerns due to her poorly fitting, lower removable partial denture attached to three remaining lower teeth. She was also very unhappy with her smile.

Treatment Received: In one surgical visit, Cathy’s remaining lower teeth were removed and four implants were placed using the All-on-4™ concept. A fixed transitional bridge was inserted the next day with completion of a new full upper denture and fixed hybrid restoration in the lower three months later. Cathy is now able to smile and eat everything she desires!

 

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Before Treatment

After Treatment

Case Study #3: Tom (Age 65)

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Chief Concern: Tom had not seen a dentist for a number of years and was concerned about loose teeth due to advanced periodontal disease as well as his inability to chew properly, due to the recent loss of two teeth.

Treatment Received: In one surgical visit, Tom’s remaining upper teeth were removed and four implants were placed using the All-on-4™ concept. His lower jaw periodontal disease was treated with laser-assisted new attachment procedure (LANAP). A fixed transitional provisional was placed the next day and the final prosthesis approximately five months later with a night guard appliance to protect Tom’s investment.

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Before Treatment

Provisional Phase

Case Study #4: All-on-4™: Joanne

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Chief Concern: Joanne was concerned by loose teeth and generalized advanced periodontitis, She’d recently lost three teeth and was interested in improving her smile and dental health.

Treatment Received: In one surgical visit, all of Joanne’s remaining upper teeth and lower right posterior teeth were removed with placement of five dental implants in her upper arch using the All-on-4™ concept. An immediate provisional was placed and the final prosthesis was completed as a fixed hybrid in the upper arch with a three-unit fixed crown and bridge in her lower right.

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Before Treatment

After Treatment

Case Study #5: All-on-4™: Kim (Age 65)

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Chief Concern: Kim hadn’t been to a dentist in many years and was unhappy with her smile, had loose teeth, and was unable to chew due to abscessed teeth stemming from generalized, severe periodontitis and generalized dental decay.

Treatment Received: In two surgical visits, starting with the upper arch using the All-on-4™ concept, five implants were placed in her upper arch followed by five implants in her lower arch. The case went to completion six months later.

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Before Treatment

After Treatment

Case Study #6: Tony

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Chief Concern: Tony came in with failed teeth under a lower partial denture due to severe dental decay. He was unable to enjoy eating or being in social situations. Tony desired a permanent dental solution for his problem. He’d been treated three years prior at the Pennsylvania Center for Dental Implants and Periodontics with a fixed dental implant bridge in his upper left arch which replaced a failed crown and bridge— also due to dental decay.

Treatment Received: In one surgical visit, Tony’s remaining lower teeth were removed and six dental implants were placed using the All-on-4™ concept. A fixed transitional prosthesis was placed in 24 hours and Tony’s mouth was completed with his final prosthesis three months later. He had no post-treatment discomfort. See Tony discuss his All-on-Four procedure here.

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Before Treatment

After Treatment

Case Study #7: David

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Chief Concern:  With very loose teeth and generalized, advanced periodontal disease, David was interested in permanent tooth replacement.

Treatment Received: In two surgical visits, beginning with his lower arch, all David’s teeth were removed. Immediate implants were placed using the All-on-4™ concept in his lower arch, with ridge preservation (bone grafting) in the upper arch. The upper implants were placed six months later using the All-on-4™ concept.  Fixed provisionals were placed within 24 hours and David’s final case was completed three months later with a night guard appliance to protect his new smile.

Before Treatment

After Treatment

Case Study #8: Pat

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Chief Concern: Sixty-two-year-old Pat was very unhappy with her smile and inability to chew properly. She had generalized severe periodontitis as well as generalized severe dental caries (cavities).
Treatment Received: In two surgical visits, all of Pat’s upper and lower jaw teeth were removed and four immediately loaded lower implants were placed for SameDay Smile® with bone grafting of the upper extraction sites for ridge preservation. A new full upper denture was placed immediately with a transitional, fixed screw-retained hybrid restoration in her lower jaw. After four months of healing, eight implants were then placed in her upper jaw with site-specific sinus lifts with bone grafting. Pat’s lower final restoration was a wrapped acrylic fixed hybrid with a titanium framework. The upper was restored as a zirconia-reinforced fixed hybrid. Now Pat uses a night guard to protect her beautiful new smile!

Before Treatment

After Treatment

Case Study #9: Svetlana

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Chief Concern: Svetlana was unhappy with her appearance and concerned by loose, worn, and missing teeth due to advanced periodontal disease.

Treatment Received: In one surgical visit, five dental implants were immediately placed using the All-on-4™ concept. Svetlana’s final fixed case was completed six months later with a night guard appliance to protect her smile.

Before Treatment

After Treatment

Case Study #10: All-on-4™ (Lower): Linda (Age 72)

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Chief Concern:  Linda was unable to chew properly and enjoy food due to her ill-fitting lower denture which was “never right” and very loose on her gums.
Treatment Received:  In one surgical visit, implants were placed using the All-on-4™ concept. An immediate fixed provisional was placed and the final prosthesis commenced three months later.

Before Treatment

After Treatment