ART Dentistry Cosmetic Dentistry And All On 4 Dental Implants | Page 7

WHEN SHOULD YOU GET ALL
ON-4 DENTAL IMPLANTS
 Speech
 During the all on-4 implants, the bone and soft tissue of the mouth has to be adjusted
in order to fit in the dental implants the way they should be. This can have an impact
on how the patient pronounces the alphabets D T N and S . The patients will
need to be told of this change that would occur later on and be needed to give
consent that they are alright with this issue. Later, they might even have to retrain
their tongue to work around their new teeth.
 Adapting to the bridge bulk
 Another problem of the bridge bulk that the all on-4 dental implants produce is that
the patients might find it a little difficult to adapt to the fake soft tissue located after
the original soft tissue. The patient will need time and effort to adjust to this sudden
change in their mouth which many of them may find impossible to do. The patient will
have to be told of this problem and they will need to think on this and then agree
because one the procedure is done it cannot be reversed.
 Proprioception
 The value of the impact of this change is often overlooked in a lot of treatment
discussions. The periodontal mechanoreceptors are present in the periodontal
ligaments that make the teeth extremely vulnerable to the low forces. The all on-4
dental implants do not have the periodontal ligaments and the patient will have to
apply 10 times more of a force to accept to the same proprioception in the form of the
tooth. This sort of proprioception is linked to the feeling of local anaesthesia. Due to
this and lack of feedback, the patients will produce unrestrained biting tendencies.