Full Mouth Restorations

All-on-4, full arch implants, a full mouth implant bridge, over dentures or implant retained full dentures. These options are all for one purpose, the restoration and repair of the entire dental arch.

What ever the reason, often things in the mouth have deteriorated where there are very few teeth which are salvageable and there is no longer any reason to try and keep the remaining teeth, or there are situations where there are no longer any teeth remaining. At Balmoral Dental Centre you will be treated, and not judged, we are here to help restore function and aesthetics at the right budget that is suitable for you.

At Balmoral Dental Centre our team will ensure that we have someone right for the job at every point of your dental journey.


Dental Planning

Starting with the correct treatment plan is key.

An assessment is first made with respect to your existing dentition, to verify that indeed they are beyond help and that having them removed (if you still have teeth remaining).

A 3D scan of the mouth is completed to check for both infections and bone volumes. we will then discuss with you the desired result and outcomes.

Hygiene Phase

Hygiene Phase

Before any major work is commenced, assuming that only one jaw requires rehabilitation, the other arch will require maintenance. Dennis, our oral health therapist (adult scope) will look after you to ensure that there is absolutely no presence of gum disease or active decay.

Planning the bite and aesthetics

Planning the bite and aesthetics

Before your dental surgery, Dr. Paul Abbot (Dental Prosthetist) will be seeing you to find out how wide your jaw should be, the way your teeth will look, and where the bite should fit.

A set of temporary dentures are made, these will be used to find out the ideal position of the end result and of where we would like the teeth to be. These dentures will also be used for function and aesthetics whilst we are waiting for your implants to heal during the healing phases.

Surgery phase

Surgery phase

Dr. Sae Mi Bok, is your surgeon who will look after you to ensure the best possible outcomes.

If there are requirements to prepare the jaw to accept the implant with either bone grafting or sinus lifts, these need to be completed first. There is often a waiting period whilst the bone grafts or sinus lifts are healing.

Surgery is then completed to place dental implants into the bone. Depending on your individual needs, anywhere between 2 - 6 implants are placed into the jaw in order to accept a prosthesis later on which will be used to restore function.

The video below shows an animated surgery of how the implants are placed into the bone.

Restorative Phase

Depending on your treatment plan, impressions are taken to prepare the final stages where we fit you with your customized teeth.

There will be quite a few fitting appointments to ensure that everything feels and looks perfect and to make sure that the end result is something you are happy with.

If you have chosen to have overdentures as your final prosthesis, Paul will be looking after you to fit you with dentures.

Maintenance Phase

Implants are not maintenance free, even the best BMW's and Mercedes require regular upkeep, and your dental implants are the same. The restorations need to be cleaned daily and we will instruct you on how to floss and clean them. It is also expected that you keep up with your 6 monthly check ups if you still have natural teeth remaining.

It is also highly recommended for a periapical x-ray (close up x-ray) of each individual implant to be taken yearly to monitor bone levels. We also would like to see you during these yearly examinations to check the hygiene around your prosthesis, as well as screen your oral mucosa for oral cancer and other diseases. Keeping these appointments up will ensure we catch any complications early and take the appropriate steps so your implants will last you for life.

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Over Dentures retained by Implants

Over dentures are the most economical prosthesis choice. These are horseshoe shaped dentures that are secured by small "clips" (called locator abutments) onto dental implants.

On the lower jaw, 2 implants are sufficient to restore the lower arch on a tight budget, and can make a world of difference on how stable they feel compared to free fitting dentures. However for optimal results, if budgets and bone volumes allow, we recommend 4 implants on the lower jaw for even better stability.

On the upper jaw, 4 implants are required to give sufficient stability to the denture as we are working against gravity to hold the denture into place.

The dentures are not screwed into the implants, which allow them to be clicked out. This is one of the biggest advantages of having removable over-dentures as they are very easy to maintain and keep clean.

For our older patients without good finger mobility, over dentures are what we would recommend as flossing around a fixed prosthesis can be quite challenging if you have arthritis or other dexterity limitations. 

If you have been wearing full dentures for a long period of time, very often the gums and bone have already sunken in due to the recession of jawbone over time. In order to give support to the lips and their structures, dentures are much better at providing that natural support for the lips.

However, because they are not screwed into the implants, the flip-side is that they are not as secure as the fixed solutions.

Pros Cons
Very affordable - complete solutions starting from around $6,500 Not as stable as fixed options
Easy to clean - removable teeth Although dentures look fantastic, porcelain bridges give a much more superior esthetic result.
Provide excellent tissue support - if years of wearing dentures have caused jaw to atrophy  

2 Implant Overdenture

2 Implant Overdenture

This animation is what a typical over denture supported by 2 implants would look

4 Implant Overdenture

4 Implant Overdenture

This animation shows what a 4 implant over denture would look like

Fixed Dentures on a Titanium Bar

Fixed dentures are often used when we try to load the implants immediately. The original dentures used in the healing phase made by Dr. Paul Abbot (Prosthetist) is fused and secured with a titanium bar to give it structural rigidity. This prosthesis is then screwed into abutments which attaches to your dental implants.

The term "all-on-4" describes a treatment modality where essentially a denture fused with titanium bar is immediately loaded onto the implants after surgery. This is a trademark to the Nobel Biocare implant system. Although at Balmoral Dental Centre we can provide exactly the same service, as the term is a trademark, we can't call it that.

This solution gives you dentures which feel very solid, however sometimes can be difficult to keep clean. They are great for providing a restoration fast and economically, whilst still feeling solid and firm due to it being fixed to the implants.

Very often, after the implants have properly osseointegrated (fused to the bone), the titanium bar and dentures are swapped out for a full porcelain bridge.


Overdenture on Ti-Bar

Overdenture on Titanium bar

Full arch restorations with a fixed porcelain bridge

There are two reasons why we go the extra mile and use a premium implant system such as the Astra Tech dental implant. The first reason is that we value their amazing surfaces. Being prepared in a way which maximizes bone growth, the osseointegration of bone to implant is what will ultimately give you long term success. The second reason, is the amazing array of abutments and access to the Atlantis superstructures.

Whilst there are many "Full arch ceramic bridge" options available, we believe that the technology has not matured enough to the point of life-long reliability. Whilst having a zirconia base is extremely economical to manufacture and produce, we believe that the material is too brittle to withstand a life long journey of bumps and bangs from our every day biting and chewing.

Partnering with Dentsply Astra, we are able to take an impression of your implants and mouth, taking the denture and teeth set up with Paul, Dentsply is able to produce a titanium base for your final bridge. Take a look at how 3D printing titanium works in the video below.

After the titanium base of your full arch bridge has been 3D printed, we have very experienced ceramists which we have worked with for years to layer a beautiful ceramic coating with teeth and gum coloured porcelain if necessary to provide you with an amazing result.

This video from start to finish details how the procedure is completed from start to finish, and is the essence of why we use the Astra Tech Implant System

Pros Cons

Excellent Aesthetics, best looking outcome with no compromises

Cost - of the components required for the bridge, of the titanium superstructure, and the ceramic layering required by a skilled technician.

Strong, titanium core means the bridge is on a solid backing, the porcelain can chip over time, so you still need to be sensible about it.

Time - The production of this final bridge takes an additional 1-2 months after the implants have fully healed, this is due to the complexities involved with getting everything perfect.
Secure, being fixed to the dental implants, these teeth are going nowhere  
Easy to clean, whilst they are not as easy to clean as removable dentures, due to the porcelain covering which is too small for bacteria to grow onto easily, they are much easier to maintain than fixed dentures  
Stain resistant, just like crowns and veneers, being made of porcelain means the bridge would look great many years down the track.  

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