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All-on-4 Implants In Singapore: Everything You Need To Know

What Are All-on-4 Dental Implants?

Dental implants are used to replace missing teeth due to tooth decay, gum disease, and dental injuries amongst others. All-on-4 dental implants are a complete set of implants meant to replace your entire row of teeth. This may apply to the upper or lower jaw, or both.

All-on-4 dental implants serve as a permanent solution to missing teeth and have a more natural appearance as compared to dentures. This will be carried out by the surgical insertion of four titanium posts into your jawbone to anchor the implants.

All-on-4 vs Dentures

The main difference between all-on-4 dental implants and dentures is that the all-on-4 implants feel much more comfortable than wearing dentures. This is because dentures are designed to rest on the surface of the gums, which can cause discomfort and lead to painful mouth sores. All-on-4 implants, on the other hand, are held securely in the jawbone and should not cause discomfort.

All-on-4 vs Traditional implants

All-on-4 dental implant treatment is different from traditional dental implant treatment in a number of ways. For one, the all-on-4 procedure only utilises 4 implants while traditional dental implants may require up to 8 implants.

Secondly, the all-on-4 implants are inserted at an angle towards the back of the jaw, thus minimising contact between the bone and the implant. This allows you to avoid any need for bone grafting unlike traditional dental implants. Moreover, it provides increased support by using your natural bone.

Lastly, all-on-4 implants are only used to replace multiple missing teeth. Traditional dental implants offer more versatility in replacing individual teeth with a combination of dental crowns and dental bridges.

Who Is the Ideal Candidate for All-on-4?

The all-on-4 dental implantation procedure is recommended for patients who have a full arch of missing teeth, or patients who will be extracting their remaining teeth to be replaced with implants. The all-on-4 treatment can provide you with a stable, long-term, and natural-looking solution to your missing teeth.

If you have lost all or most of your teeth, a dental examination will be required to determine if all-on-4 will be right for you. Your dentist will take into consideration your dental and medical history, and have you undergo an x-ray scan to obtain an image of your jawbones.

Given that every individual’s medical history is different, it is imperative that you seek a medical evaluation in order to know if all-on-4 dental implant treatment is the right choice for you. In some cases, other teeth replacement options might be suitable. For example, if you are diabetic, you may not be an ideal candidate for the all-on-4 procedure.

Pros and Cons of Getting All-on-4

Many patients enjoy the renewed confidence and a boost in self-esteem after receiving all-on-4 dental implants. Apart from the improved appearance, the benefits of all-on-4 implant surgery include:

  • Replacing all your missing teeth in a single surgical procedure
  • Having implants that are fastened securely to your jaw that won’t shift around in your mouth unlike dentures
  • Only requiring the use of 4 implants unlike traditional dental implant surgery
  • Less expensive than replacing each tooth individually
  • No need for bone grafting

At the same time, there are some potential drawbacks to the all-on-4 treatment that you should also be aware of. These include:

  • Inability to test out how the implants look or feel before the procedure
  • The implants cannot be inserted into the mouth’s molar region, which has the strongest bite force
  • The need for a high level of bone density in your jaw so that the implants can be held in place

How Is the Procedure Performed?

The all-on-4 treatment process can be broken down into three stages.

Preparing for the Procedure

During the initial consultation, you will undergo a medical examination as your dentist assesses the condition of your teeth and jawbone. Your dentist will also brief you on the surgical procedure, the duration of treatment, the materials used, and the relevant costs.

After your full dental assessment, dental impressions of your upper and lower jaws will then be taken to be made into models. These models will be sent to a digital laboratory for the development of your new dental bridge.

During the Treatment

During the surgery, you will be placed under local anaesthesia. Some patients opt for general anaesthesia, as they prefer to be asleep during the procedure. If you need to have teeth extracted before your implants are inserted, this can usually be done beforehand on the same day.

Your dentist will then drill into your jawbone to insert the all-on-4 implants before stitching up the incisions made. Your dentist may use dissolvable stitches, which disappear on their own after a week or two.

After-care

You may experience some bruising, inflammation, discomfort, and even pain in the days after surgery. This can be managed with pain medication and antibiotics provided to you by your dentist.

It is important to follow your dentist’s advice on the types of food you can and cannot eat, as you don’t want to interfere with the healing process. Good dental hygiene still applies as you should clean your implants just as you would for your normal teeth.

What Complications May Occur?

Before you decide to undergo all-on-4 dental implant treatment, it is important to understand the possible complications that may arise. Some of these issues include:

  • Infection

Contamination during the implant surgery.

  • Implant failure

Implant fails to fuse with the bone; occurs in 5% of patients.

  • Parafunction

Teeth grinding, clenching, and irregularity in chewing movement may develop.

  • Speech issues

Some patients have trouble adapting to the new dental prosthesis in their mouth, resulting in speech issues.

How to Take Care of All-on-4?

After your all-on-4 procedure has successfully taken place, you should maintain good dental hygiene habits and treat your dental implants like regular teeth. This means you should brush and floss your teeth daily.

Your dentist will also recommend you to have regular check-ups at least twice a year, to ensure that your dental implants are healthy and have maintained their correct placement in your mouth. During these check-up sessions, your dentist will also clean your implants to remove plaque build-up and tartar deposits.

All-on-4 Implants In Singapore FAQs

What Is the Success Rate?

According to medical research studies, all-on-4 dental implants have a 98% success rate.

Is the Procedure Painful?

During the surgery, you will not feel any pain due to local anaesthesia. However, you may experience some pain in the aftermath of the surgery. Your dentist will prescribe you with painkillers and anti-inflammatory medication to bring down the swelling.

Will All-on-4 look natural?

The all-on-4 dental implants are designed to look exactly like natural teeth so you don’t have to worry about them looking artificial.

How long do All-on-4 implants last?

With proper maintenance and oral care, dental implants can last for 15 years or so before needing to be replaced.

In Summary

The all-on-4 dental implant treatment procedure can effectively replace all of your missing teeth, and rebuild your self-confidence in your appearance. Not only does it require fewer implants compared to traditional dental implant surgery, it also costs less to restore a dazzling smile.

If you are considering getting all-on-4 dental implants, get in touch with us to find out more about the procedure and whether you are suitable for it.

Dental Implants Singapore: A Dentist’s Complete Guide

What Are Dental Implants?

Dental implants are artificial replacement tooth roots for a missing natural tooth.

The implant is made up of different components which include a screw, a connector, and the implant tooth. The screw is inserted into the jawbone and placed beneath the gums to support a dental prosthesis. This may either be a crown or denture.

Implant Screw

The implant screw is also known as a fixture, which forms the body of the artificial tooth root that will be placed into your jawbone. This titanium screw will help strongly fixate the implant to your bone, keeping the artificial tooth securely held in place.

 

Implant Connector

The implant connector is the suprastructure that is often hexagonal or octagonal in shape. It serves as a support to the implant crown and connects the crown to the screw that is integrated into the bone.

 

Implant Crown

The implant crown is designed to replicate the likeness of a natural tooth and is the only part you will see in the mouth. Typically made of ceramic or metal, the crown covers the connector and feels similar to natural teeth.

Types of Dental Implants

Depending on your needs, there are several different types of dental implants available. Your dentist will assess your condition according to the number of missing teeth, the health of your jaw bone, and any budgetary concerns that you may have.

The types of dental implants include:

  • Single Dental Implant
  • Implant Bridge
  • Implant Dentures

While a single implant is used to replace a single tooth, an implant bridge may be needed when 3 to 4 teeth in a row need replacement. Endosteal implants are most commonly used and are placed in the bone. However, subperiosteal implants that are placed underneath the gums but above the jawbone are sometimes used. This may be required when there is not enough bone to hold the implant.

If you are missing all your teeth, denture implants may be recommended instead. There are two options: all-on-4 dental implants or all-on-6 dental implants. The main difference between the two is the number of implants placed in the mouth. While some dentists find that the all-on-6 dental procedure provides stronger support for the dentures, other dentists find no significant difference in strength.

What Are the Advantages of Dental Implants?

There are a number of advantages to dental implants, which include:

Restoring your ability to eat

Dental implants that are anchored into the jawbone allow you to bite your food with the same amount of force you normally would using natural teeth. Other tooth replacements, such as bridges, will not restore your bite force entirely as it only sits on top of your gums and is not connected to your jawbone.

 

Restoring your natural speech ability

Missing teeth can alter your speech patterns but dental implants are designed to feel, look, and function just like regular teeth. Unlike bridges, implants allow you to speak without any worry that the teeth will slip.

 

Improving your appearance

Having missing teeth can affect your facial appearance and may result in lower self-confidence. Dental implants are made to look just like your natural teeth so you don’t have to worry about them looking artificial. Dental implants will help you find your smile again.

 

Improving your oral health

Dental implants are very easy to care for and do not require special dental hygiene products for maintenance. Moreover, the implants are removable and provide convenient access for cleaning between teeth if needed.

 

Preventing any change in the shape of your face

Missing teeth can cause your face to slowly lose its facial structure over time as teeth help to provide support. While this may not have a drastic difference in your physical appearance, it can cause the shape of your face to change, resulting in facial asymmetry. In some cases, it can also cause you to appear older. Dental implants will prevent this from happening.

Procedure and After-Care

Assessment and Preparation

Your dentist will first assess the condition of your teeth to determine if you are suitable for dental implants. During a consultation session, your dentist will look at the size of missing tooth gaps, health of gums and bone, presence of nerves in the gum area, and other health risk factors.

An x-ray or CT scan may also be conducted to obtain an image that provides detail on the thickness and density of your jawbone. This also allows your dentist to pinpoint the location of where the dental implant will be inserted.

If the situation requires, additional extraction may be done several months beforehand in preparation for the dental implant procedure. This allows the bone time to heal.

 

Implant Placement Surgery

During the surgery, an incision will be made into your gums to allow access to the jawbone. A hole will then be drilled before an implant rod is screwed into place. Your gums will be sutured back over the implant site to facilitate recovery. You may be given a temporary crown to wear while your gums are healing.

You will either be placed under local or general anaesthesia for the surgery. The entire procedure for a single implant can be as short as 20 minutes.

 

Sinus Lifting and Bone Grafting

Some patients may require additional surgery treatment such as a bone graft when there is inadequate bone mass for the dental implant to be successful. Other patients may even need a sinus lift to augment their upper jaw by raising the sinus membrane to make space for a bone graft.

Loss of bone quality can occur for a number of reasons such as chronic periodontitis, osteoporosis, bone resorption due to missing teeth, crooked teeth, tumours and cysts. A bone graft and sinus lift surgery will have to be carried out six months before the dental implant procedure. This allows for full recovery of the soft tissue and bone.

 

Healing Time

After your dental implant surgery, you should expect to feel swelling and soreness in your mouth for the next 3-5 days. Your dentist may prescribe you with painkillers as well as antibiotics to prevent bacterial infections. Even though your gums may be healed on the surface, it will take another 3-6 months for total bone and gum recovery around the dental implant.

During this period, the jaw bone will fuse with the implant, creating a strong anchoring base for the new artificial tooth.

 

Crown, Bridge or Denture Placement

Finally, your dentist will provide a custom-made tooth from a mould or 3D intraoral scan that will be secured to the implant screw. This dental prosthesis will serve as a permanent solution to your missing tooth, blending in with the rest of your natural teeth.

If you have lost more than one tooth, a bridge will be placed over the implant screws. If you are missing all of your teeth, a denture placement will be affixed to the various implant screws.

What Are the Risks?

As with any dental surgery, there are some potential risks that you should be aware of. However, problems are rare and complications that arise are very easily treated. The risks include:

  • Infection of the dental implant site
  • Damage to surrounding teeth or blood vessels
  • Nerve damage that results in pain, numbness, tingling, or loss of sensitivity
  • Protrusion into sinus cavities, causing sinus problems

 

What Are the Dental Implant Costs in Singapore?

The cost of dental implants can range from $3,000 to $6,000 in Singapore. This depends on a number of factors such as your condition, the location of the dental implant in your jaw, the number of implants used, and the type of implant used. The cost will also increase if your case is more complex.

This fee is not inclusive of the consultation fee, x-ray or CT scan, medication and post-operation review.

Does Medisave or Insurance Cover for Dental Implants?

The good thing is that dental implant surgery fees are Medisave-claimable up to a limit of $1,250 per implant. This is subject to a maximum of $7,500 for eight implants.

If you are a Singaporean Citizen or Permanent Resident, be sure to bring along your identity card to the clinic. The administrative staff will fill in the necessary paperwork and submit the claim request on your behalf.

What to Expect After the Procedure?

After the dental implant surgery has been completed, you may expect to experience some pain, swelling, and discomfort for the next 3 – 5 days. Most patients report minimal discomfort with a pain score of 1 – 2 out of 10. Do not be alarmed if there is minor bleeding at the implant site, as the wound will need time to heal.

Your dental surgeon will prescribe you with pain medication as well as antibiotics to prevent the onset of infection. During this period, you may need to eat soft foods or only chew on one side of the mouth while the surgical site heals. If your surgeon has used dissolvable stitches, you will not need to return to the clinic to remove them.

You will need to come in for regular dental check-ups every 6 months or so. This is for your dentist to assess the integrity of your dental implant and ensure that it has properly fused with your jawbone. By doing so, this helps to prevent any related oral health issues that may potentially arise.

Answering Commonly Asked Questions

Is getting dental implants painful?

The surgery itself is not painful because of the administration of local anaesthesia which numbs your gums. You will only feel pressure being exerted onto your jaw, but you should not feel any pain during the incision and drilling. If you are placed under general anaesthesia, you will not be conscious during the dental procedure.

Once the numbness wears off after surgery, you may experience mild pain.

 

What is the success rate of dental implants?

Dental implant surgery has a 90% – 95% success rate with a low occurrence of complications. Moreover, complications that do arise are very easily treated.

There is a small possibility that the jawbone tissue may fail to fuse sufficiently to the dental implant screw. In such cases, the implant will have to be removed and the bone matter must be cleaned up before the procedure can be re-attempted in 3 – 6 months time.

 

How long do dental implants last?

With regular brushing, flossing, and proper oral hygiene, the implant screw itself can last a lifetime. This is because dental implants are designed to be a permanent tooth replacement option. The crown, however, usually needs to be replaced every 15 years due to wear and tear.

In Summary

Dental implant surgery can provide a lasting solution to your missing teeth. It is definitely worth the effort if it can restore your ability to chew normally again, as well as improve your self-confidence. Dental implants can ultimately be beneficial for the overall beauty aspect of your teeth.

How Much Dental Bridge Cost?

One or more missing teeth can adversely affect the appearance and functionality of your smile. Missing teeth can cause a change in occlusion (bite), shifting of the teeth, temporomandibular joint disorder (TMJ), speech impediments, an increased risk for periodontal disease and a greater chance of tooth decay. Dental bridges, like implants and partial dentures, are used to replace missing teeth. Achieving a natural looking and realistic smile after tooth loss is possible with dental bridges. Dental bridges are one method used by dentists to fill a gap created by a missing tooth (or teeth). The negative effects of tooth loss, including an increased risk of periodontal disease and tooth decay, the shifting of teeth, and a change in the bite, can be avoided by the timely placing of dental bridges.

A dental bridge is a type of dental prosthesis which literally bridges the gap between two teeth. If you have lost one or two teeth to decay or because of an accident, a bridge can make your smile complete again.

The main types of Dental Bridge are The Maryland/Resin Bonded Bridge, The cantilever Bridge, The Traditional Bridge and The Implant Supported Bridge. And these bridges depends on the location of the tooth, the condition of the adjacent teeth and your overall oral health.

Cost Of Dental Bridge

  1. Maryland/Resin-Bonded Bridge ranges from $1000 to $2300
  2. Traditional/Cantilever Bridge ranges from $2250 to $4500
  3. Implant Supported Bridge Ranges from $4000 to $16000

Costs are listed on a ‘per unit’ basis, with each abutment (anchor) tooth and each pontic (replacement tooth) counted as a separate unit. For example, a traditional three unit bridge would consist of two abutment teeth on either side of a gap, plus a single pontic in between. The cost of Maryland bridges are based on the number of wings and number of pontics.

*For a Maryland/resin-bonded bridge the price is between $250 and $600 for each wing while each pontic will cost $500 to $1,100.

*For a traditional or cantilever bridge, the average cost is between $750 and $1500 per unit. A typical three-unit bridge would be from $2250 to $4500.

* For an implant supported bridge, the cost depends on the size of the bridge, the materials used and the number of implants required. A typical three or four-unit implant supported bridge can cost from $4,000 to $16,000 (average of $8500).

Factors Affecting The Cost Of Dental Bridges

  1. The potential need for additional procedures (such as fillings or root canals) in one or two of the adjoining teeth.
  2. The artistic technique of the dentist and lab technician.
  3. The location of the dentist.
  4. The coverage provided by your dental insurance.
  5. The type of material used in the bridge.
  6. The preparation of teeth involved in the procedure.
  7. The complexity of the placement: Lengthy or more advanced procedures will incur higher costs.
  8. Additional treatments: Sometimes dentists will perform other treatments at the same time that he or she places a bridge.
  9. Number of units.
  10. Dental insurance coverage.

However , the best way to determine the cost of a dental bridge is to consult with a qualified and experienced dentist.

Different Types Of Tooth Replacements Available

In the past, it may not have mattered if people lost their teeth, especially those in the front. Never the less, attempts were made in the past to replace missing teeth, and archeological evidence suggests that indeed people in antiquity did wear “artificial” teeth, and even before dentistry became a profession in the real sense of it, many acted on their behalf, even going as far as replacing missing teeth. In today’s’ world where aesthetics matters, a slight fracture of a tooth is a huge flaw in the mouth.

There are numerous reasons why a tooth could be lost or removed either by the dentist or as a case of an accident. Once a tooth has been deemed fit to go by a dentist, or taken off following trauma or the likes, it becomes a necessity to people to ensure that they get it replaced, if not for any other reason, aesthetics most importantly.

The methods for tooth replacement varies, but these methods can be grouped into the Removable and the Fixed (Non-Removable) Replacements. The removable alternatives are the dentures that are quite popular, and even if you also do not wear one, you will know someone who is wearing one. For Fixed (Non-Removable) Replacements there are two main types: the Dental Bridge and the Dental Implants.

Options for Tooth Replacement

 

1. Dental Implant: Dental implants have become modern dentistry’s best option for replacing fallen teeth. With dental implants, you have a highly successful, long-lasting, and natural-looking alternative that becomes part of the jawbone and helps maintain its health. The principal reason is that the titanium of which dental implants are made has the unique ability to fuse or “Osseo-integrate” with living bone. There are now more than 40 different types of dental implants, and millions of people worldwide have a better quality of life because of them. Dental implant surgery is usually carried out using local anesthesia, and this operation is a relatively comfortable procedure.

Dental Implants possess numerous advantages over other options of tooth replacement; because a dental implant feels and looks like a regular tooth, it can do wonders for a patient’s self-esteem. Beyond the aesthetics, a dental implant also makes it easier to eat and speak. Also, an implant doesn’t come loose like a denture.

 

2. Tooth-supported fixed bridge: A common tooth replacement option, the process of adding this type of bridge intentionally damages healthy teeth. Specifically, the procedure involves grinding away healthy, adjacent teeth, then adding a bridge across those teeth to support the crown.

 

3. Removable partial dentures: Like the full dentures described below, removable partial dentures can also have stability and comfort issues. Sometimes, they affect your speech and eating. Just like other non-implant options, the bone underneath a removable partial denture may deteriorate over time, changing the appearance of one’s smile and face.

 

4. Complete denture: Often viewed as the low-cost alternative. Perhaps, Complete dentures can be awkward (for instance, they can click in the mouth when one speaks, eats, laughs or coughs), be uncomfortable, and also limit the ability of the individual to taste food fully.

What are Dental Implants? Am I A Suitable Candidate?

Despite improvements in dental care, millions of people still suffer tooth loss either due to tooth decay, periodontal disease, or injury/accidents. For many years, the only treatment options available for people with missing teeth were dental bridges and dentures. But, today, dental implants are available.

A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants may be an option for people who have lost their teeth due to periodontal disease, an injury, or some other reason. Dental Implants are made of special biomaterials that are surgically placed in the jawbone under your gum line. After a few months the implant becomes anchored to the surrounding bone.

This dental implant can be used to stabilize dentures and bridges, and to replace just one tooth, or to rebuild an entire jaw of missing teeth. The best part is that they look and feel just like natural teeth. Dental implants are the next best thing for a healthy, natural, strong and stable teeth. A dental implant restores a lost tooth so that it looks, feels, fits and functions like a natural tooth when implanted by an experienced implant dentist.

Types of Dental Implants

 

 

  • Endosteal (in the bone): This is the most commonly used type of implant. The various types include screws, cylinders or blades surgically placed into the jawbone. Each implant holds one or more prosthetic teeth. This type of implant is generally used as an alternative for patients with bridges or removable dentures.
  • Subperiosteal (on the bone): These are placed on top of the jaw with the metal framework’s posts protruding through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures and who have minimal bone height.

 

Advantages of Dental Implants

Long Term & Cost Effective

Dental implants are built to last. That makes them the best long-term, cost-effective solution. Traditional, tooth-supported dental bridges only last five to seven years, and with proper care often more than 10 years, but at some point they may need to be replaced.

Keep Your Teeth in Your Mouth

Dental implants keeps the teeth in the mouth unlike dentures. It allows one to keep the teeth where they belong (in the mouth)

Zero Cavities

Cavities cannot occur in an implant-restored tooth or replacement tooth; however, one will to care for the implants by visiting the dentist as scheduled, cleaning and caring for the implants, the gums and the mouth every day.

Perfectly Predictable

Dental implants are more predictable than other teeth Replacement methods. According to proven implant dentists, it has a track record of reliable, long-term successful outcomes and is often considered “more predictable” than other teeth Replacement method

Zero Worry. Enjoy Life.

Dental implants allows to enjoy life without worrying about the teeth. There is no need to stay at home or feel uncomfortable in public and be embarrassed because smiles looks different.

Retain Natural Face Shape

Dental implants retains natural face shape and smile. A face without teeth can sag and appear sunken and sad but Dental implants helps to maintain the natural shape of the face and smile.

Protect Your Bones

Dental implants protect the healthy bone; Leaving empty spaces in the mouth after losing one or more teeth can lead to additional health issues, therefore these implants help seal the gate for bacteria and infection causing organisms.