What Happens at Your All-on-4 Maintenance Appointment?
by Dr. Davide Romeo, Prosthodontist at Milano Dental Studio | Manhattan, NY
At Milano Dental Studio, we’ve designed our maintenance sessions to be thorough, comfortable, and customized for every patient.
Here’s what’s included in a typical visit:
1. Clinical Evaluation
We begin with a comprehensive assessment of your implants, prosthesis, and soft tissue health.
This includes:
Digital photos or X-rays may be taken if needed to monitor bone levels or prosthetic wear.
2. Deep Cleaning Under the Prosthesis
Even with excellent home care, food particles and plaque can accumulate underneath your bridge. Our hygienist or doctor will use specialized ultrasonic and hand instruments to:
If the prosthesis is screw-retained and removable, it may be gently unscrewed during the appointment for a more thorough cleaning.
3. Implant Screw Tightness Check
Over time, chewing forces can cause micromovements in your bridge or even loosening of the screws. During the session, we check for:
If needed, the screws are retightened or replaced, and the prosthesis is reseated.
4. Occlusion (Bite) Adjustment
Small shifts in your bite can lead to overloading, jaw discomfort, or wear on the material. Dr. Romeo will evaluate and adjust your bite as needed to ensure:
5. Polishing & Final Rinse
Your prosthesis is polished with implant-safe pastes and brushes to restore shine and smoothness, reducing the chance of plaque accumulation.
We’ll also apply:
6. Home Care Review & Recommendations
We’ll walk you through any updates to your at-home care routine, including:
You’ll leave with a customized care plan and product list tailored to your prosthesis material and lifestyle.
How Often Should I Have Professional Maintenance?
Most All-on-4 patients benefit from professional maintenance every 6 months. However, if you have risk factors—such as diabetes, smoking, or a history of periodontal disease—you may need to be seen every 3–4 months.
The Bottom Line
The All-on-4 procedure is a powerful, long-lasting solution—but its success depends on long-term care. Professional maintenance visits are essential to:
Ready for Your Maintenance Appointment?
At Milano Dental Studio in Manhattan, Dr. Davide Romeo and our dedicated team provide advanced maintenance protocols with European precision and American innovation.
Meet Your Expert in Smile Restoration: Dr. Davide Romeo
Dr. Davide Romeo is more than a provider—he’s a pioneer in full-arch implant rehabilitation. A specialist in prosthodontics, he has taught, researched, and published internationally on the All-on-4 concept. His reputation for precision, artistry, and compassionate care has made Milano Dental Studio a trusted destination for patients across New York and beyond.
With Dr. Romeo, you’re not just getting a set of teeth—you’re getting a partner in your journey back to health, confidence, and joy.
