ALL-ON-4 Concept: (12 TEETH SUPPORTED BY 4 TO 6 IMPLANTS)

IMPLANT DIRECT's "All-Over-4" treatment concept utilizes 4 Implants to support a fixed screw-retained implant appliance. All-Over-4 and Teeth-in-1 Day are registered trademarks of Implant Direct Sybron International. A similar treatment option is NOBEL BIOCARE's "All-On-4" and "Teeth-in-A-Day" which are registered trademarks of Nobel Biocare. Another similar concept, "All-in-one" (a full Zirconium Implant Arch), is a registered trademark of Quadrant Dental. SEE BELOW. Another example is the "PRETTEAU Dental Implant Bridge" (full contour Zirconia) from Tischler Dental Laboratory. As you can see, there are many options for screw-retained implant appliances in the marketplace.
These appliances are used for the total rehabilitation of the edentulous patient.  We are now pleased to offer this innovative treatment option to our patients who request it. All trademarks are the property of their respective companies.

FEES:

Maxillary (Upper Appliance) a Fixed / Removable "HYBRID" Appliance.
In all of these appliances we use Nobel Procera Services (Nobel Biocare) MILLED TITANIUM FRAMEWORKS exclusively.
1.  MAXILLARY FEES (Upper Appliance)   $16,800. (4 Implants) to $20,000. (6 Implants)
2.  MANDIBULAR FEES (Lower Appliance)   $16,800. (4 Implants) or 
                                $18,400. (5 Implants)  or  $20,000 (6 Implants)
The lower fee of the two fees above are for cases where 4 implants are used at the patient's request. The higher fee above is for cases where 6 implants are utilized.  Above Fees include the Implant Placement Surgery and All the Implants and Abutments, including the final restoration.
3.  *** Immediate Function (Teeth-in-1-Day) ...    ADD  $2,000. (To the above Fees)
     *** If the patient requires Immediate Fixed Temporary Teeth.

     THE DENTAL IMPLANT CONSULTATION IS INCLUDED IN THE FEE

PROF. PAULO MALO of the Malo Clinic, Spain (and other locations throughout the world)
Prof. Malo pioneered the idea of total rehabilitation of the edentulous patient developed in the early 1990’s at the Malo Clinic in Spain, which allows for immediate function, full-arch Implant-Supported appliances. This treatment option can avoid the necessity for sinus grafting by utilizing angled implant placement in the posterior maxilla (upper jaw).This Implant Therapy option is now promoted by many Implant manufacturers.

"The placement of dental implants for single tooth restoration started with edentulous sites and has evolved to immediate extraction and placement of an implant in a single day. Immediate "loading" of single implants is a misnomer as single implants cannot truly be loaded without a high risk of failure. However, with full arch replacement there is now true multiple placement and immediate loading in a single day! This technique is gaining worldwide popularity as it is a true immediate (temporary) fixed prosthetic alternative to removable solutions. It is a predictable, esthetic and (cost-effective) solution, versus up to a dozen implants and grafts needed for a past traditional fixed solution to the edentulous arch."  BioHorizons Canada.                                   

DENTURES ON IMPLANTS: (Please see the "Terminology" Page)
If you’re tired of your current dentures moving around in your mouth, and think denture adhesive is bothersome, our denture replacement solution may be right for you. A fixed denture replacement solution consists of a dental implant bridge that is supported by four or more dental implants. By using dental implants to secure the dentures, the need for denture adhesive is not necessary. Because the dental implants function like the natural roots, the dentures will feel somewhat like your natural teeth. Ask our dentists if you may be a candidate for a fixed (screw-retained) dental implant appliance to replace your conventional denture.

Implant Appliance Utilizing 5 Implants: Digital Panorex X-Ray

           The Acrylic teeth are just barely visible, of course, since it is an X-Ray.

Titanium Framework Planning Design: Utilizing 6 implants

   
   Panorex of 6 Implant Lower Arch "Hybrid" Screw-retained Appliance.

ZIRCONIA ARCHES:

Picture courtesy of Glidewell Dental Laboratory.

FULL IMPLANT-SUPPORTED ZIRCONIA APPLIANCES: Zirconia is an EXTREMELY HARD, and DENSE material.

We offer “ALL-IN-ONE” Full Arch Rehabilitation for edentulous patients (utilizing 4 to 6 Implants per arch).
FEES:
1.  MAXILLARY ARCH (Upper Arch)            $24,000. (6 Implants)
2.  MANDIBULAR ARCH (Lower Arch)        $20,400. (5 Implants) to $24,000 (6 Implants)

The lower fee of the two fees above are for cases where 5 implants are used at the patient's request. The higher fee above is for cases where 6 implants are utilized.  Above Fees include the Implant Placement Surgery and All the Implants and Abutments, including the final restoration. These prices include a CAD/CAM Computer designed and Milled temporary Verification Bridge. We are now able to offer our patients a low cost option for Full Arch Rehabilitation.

"Although ceramics are brittle materials, the phase transformation of zirconia under stress makes this ceramic highly resistant to fracture. Zirconia may be used to fabricate highly esthetic restorations anywhere in the mouth. ... In dental ceramics, zirconia can inhibit crack growth and prevent catastrophic failure."  Russell Giordano, DMD, CAGS, DMSc; and Carlos Eduardo Sabrosa, CD, MSD, DScD, Zirconia: Material Background and Clinical Application, Compendium, November/December 2010, Volume 31, Issue 9, Published by AEGIS Communications.

"Structural properties: The transformation toughened Zirconia has unique properties such as high fracture toughness and strength. Extensive laboratory studies confirmed the strength, superiority of zirconium-based restorations. Excellent material physical properties, biocompatibility, and superior aesthetics make ZIRCONIA a popular material among the contemporary all-ceramic material. Extensive in vitro and in vivo studies have confirmed high fracture resistance and its use in stress bearing areas. The five-year clinical follow-up studies that are in progress have shown a positive result at the end of first year." Pilathadka S., Vahalová D., Vosáhlo T., The Zirconia: a New Dental Ceramic Material. An Overview,  Department of Stomatology, Faculty of Medicine Hradec Králové, Charles University in Prague, Czech Republic, Prague Medical Report / Vol. 108 (2007) No. 1, p. 5–12

"Zirconia is one of the most promising restorative biomaterial, because it has very favorable mechanical and chemical properties suitable for medical application. Zirconia ceramics (ZrO 2) are becoming a prevalent biomaterial in dentistry and dental implantology. Zirconia stabilized with Y 2 O 3 has the best properties for these applications. Zirconia biocompatibility had been studied in vivo as well as in vitro; no adverse response was reported following the insertion of ZrO 2 samples to bone or muscle. In vitro experimentation showed absence of mutations and good viability of cells cultured on this material. Zirconia cores for fixed partial dentures (FPD) on anterior and posterior teeth and on implants are now available. Mechanical properties of zirconium oxide FPDs have proved superior to those of other metal-free restorations. Clinical evaluations, which have been ongoing, indicate a good success rate for zirconia FPDs. Zirconia implant abutments can also be used to improve the aesthetic outcome of implant-supported rehabilitations. Newly proposed zirconia implants seem to have good biological and mechanical properties. Ramesh T.R., Gangaiah M., Harish P.V., Krishnakumar U., Nandakishore B., Zirconia Ceramics as a Dental Material - An Overview, Trends in Biomaterials and Artificial Organs, 01/2012; 26: 154-160

ADVANTAGES: (click on the hyperlinks below for manufacturer's information)
    - This one-piece Fixed Full Zirconia Arch is Screw-Retained.
    - Its monolithic (one solid screw-retained restoration) structure makes it very strong.
    - The “ALL-IN-ONE” Implant Bridge allows for easy cleaning by the patient and removability by the clinician.

For more information on Zirconia Appliances please visit: www.quadrantdentallab.com or www.glidewelldental.com


Picture courtesy of Quadrant Dental Laboratory.

SURGICAL GUIDES: