Overview
Not every patient begins treatment from the same starting point. Some people are living with missing or failing teeth, while others may already wear removable dentures or have a history of gum disease.
Your current smile can affect how treatment is assessed and planned. Factors such as bone loss, gum health, bite function, medical history and existing dentures may all be considered during the clinical assessment process.
Some health and lifestyle factors may also influence treatment planning.
Smoking status, diabetes management and medication history can form part of the discussion before implant surgery is considered.
Understanding your options is the first step toward restoring your dental function. In this video, Dr Wesley explores the fundamental differences between traditional removable dentures and the All-On-4 Plus® protocol. By comparing the mechanics of gum-supported plates versus implant-anchored bridges, this presentation provides clinical clarity on how each solution impacts bite force, bone preservation, and long-term oral health.
Missing or failing teeth can affect eating, speaking and confidence in everyday life. Causes may include decay, gum disease, failed dental work, injury or long-term denture use. If left untreated, missing teeth may contribute to bone loss, shifting teeth, bite changes, difficulty chewing, facial changes and loss of confidence.
Treatment options may include dentures, traditional dental implants or fixed implant-supported treatment options such as All-On-4 Plus®, depending on the individual clinical situation.
Gum disease is caused by plaque accumulation on the root surfaces of the teeth, leading to inflammation and infection in the gums. It may be hereditary but is usually caused by insufficient cleaning. Over time, gum disease can result in loss of supporting jawbone and loose teeth. Good hygiene and regular gum treatment are generally effective in controlling the disease, although the damage already caused may be difficult or impossible to reverse.
Smoking is a recognised risk factor for dental implant treatment because nicotine can reduce blood flow, slow bone healing and increase the risk of implant failure. Smoking is also associated with a higher risk of peri-implantitis, greater marginal bone loss and prosthetic complications.
Smoking status forms part of the clinical assessment and treatment planning process and reducing or stopping smoking may be discussed before treatment.
Properly managed blood sugar levels play an important role in osseointegration, the process by which an implant bonds with the jawbone. Diabetes can influence the body’s healing response following dental implant surgery, so diabetes management is considered during the clinical assessment and treatment planning process.
Certain medications should be disclosed to your surgeon before considering All-On-4 Plus® treatment. This is particularly important for bisphosphonates, which may be used for osteoporosis.
Medication history forms part of the clinical assessment and treatment planning process before implant surgery. Your clinician may ask about prescription medications, over-the-counter medicines and relevant treatments as part of the clinical assessment and treatment planning process.