ALL-ON-4 PROBLEMS

All-on-4 Treatment located in Murray Hill, New York, NY

Understanding All-on-4 Complications: Ensuring Long-Term Success

At Milano Dental Studio, we believe that informed patients make the best decisions about their care. While the All-on-4 dental implant solution offers a transformative option for full-arch restoration, it’s important to understand potential complications and how to prevent them. Under the expert care of Dr. Davide Romeo, our patients benefit from advanced planning, premium materials, and long-term follow-up to ensure the best possible outcomes.

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Common Complications with All-on-4 Implants

1. Mechanical Complications

Mechanical issues can affect both the immediate temporary prosthesis and the final zirconia restoration. These include:

Fracture or chipping of the temporary acrylic bridge
Cracks or wear in the final prosthesis due to bite stress or poor design
Screw loosening or mechanical component failure
Material fatigue over time in low-quality restorations

These complications are typically linked to insufficient planning or the use of substandard materials. At Milano Dental Studio, we work closely with highly skilled dental technicians to ensure every prosthesis is designed and manufactured to the highest standards.

2. Biological Complications

Biological issues can arise when proper hygiene or clinical protocols are not followed. These include:

Gum inflammation (peri-implant mucositis)
Bone loss around implants (peri-implantitis)
Poor soft tissue integration, making hygiene difficult and increasing the risk of infection

These issues can threaten the long-term success of the implants if not detected and managed early.

Keys to Long-Term Success with All-on-4

At Milano Dental Studio, our approach is centered on predictability, durability, and patient comfort. Here’s how we ensure success for our All-on-4 patients:

Comprehensive Treatment Planning

Dr. Davide Romeo performs meticulous digital diagnostics and bite analysis to guide implant placement, avoid mechanical stress, and ensure optimal prosthetic design.

High-Quality Implants and Zirconia Materials

We use only premium-grade implants and high quality zirconia for final restorations. Zirconia is known for its superior strength, biocompatibility, and long-term durability, significantly reducing the risk of prosthetic fractures or biological complications.

Expert Dental Technicians

The success of the final prosthesis depends on the expertise of the dental lab. That’s why Dr. Romeo collaborates exclusively with master-level dental technicians in New York and Italyto design and fabricate restorations that are both functional and aesthetic.

Regular Professional Hygiene Maintenance

Even the most advanced implant system can fail without proper maintenance. Routine in-office cleanings and check-ups are vital to:

Prevent plaque and tartar buildup around implants
Detect early signs of inflammation or bone loss
Ensure the prosthesis remains in optimal condition
Extend the life of your All-on-4 restoration

Dr. Romeo recommends maintenance visits every 3 to 6 months, tailored to your individual risk factors and oral health needs.

Superficial inflammation of the gingival tissue (mucositis) due to plaque accumulation around the abutments
Deep inflammation of the tissue with advanced bone loss (peri-implantitis) on the posterior left implant
Multiple fractures of the immediate acrylic prosthesis
Fracture of the definitive zirconia prosthesis

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Is Your Implant Prosthesis Causing Issues? Here’s What to Know

We understand how discouraging it can be to experience issues with your All-on-4 prosthesis—especially when it feels like no one is offering the help you need. While All-on-4 is a highly advanced and reliable treatment, complications can occasionally arise.

If you’re dealing with persistent pain, chipped or broken teeth, bleeding around your implants, or you’re simply not satisfied with the appearance of your smile, we invite you to schedule a consultation at Milano Dental Studio with Doctor Davide Romeo. We’re here to help you restore comfort, function and confidence in your smile.

Specialist in Prosthodontics – Milano Dental Studio

Whether you need a small adjustment or a complete upgrade, Dott. Romeo brings years of advanced prosthodontic expertise to every case. You’ll receive personalized care with cutting-edge materials and techniques, all in a warm, welcoming environment in the heart of Manhattan.

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Why are the teeth on my All-on-4 denture chipping or breaking?

Chipped or broken teeth can happen if you bite down too hard, grind your teeth (especially at night), or accidentally bite something hard like ice or nuts. Sometimes, the type of material used can also make a difference. At Milano Dental Studio we provide a nightguard to every patient treated with All-on-4 prosthesis and we costumize the material used for each patient to prevent future problems.

My All-on-4 teeth look bulky and yellow—can this be fixed?

Yes! If your teeth look too bulky or have turned yellow, at Milano Dental Studio we can adjust or remake the prosthesis to look more natural and feel better. For a long-lasting, stain-resistant, and more natural-looking result, you might consider switching to zirconia. It’s a strong, durable material that also looks very lifelike.

Why does my All-on-4 denture feel loose or wobbly?

If your denture feels like it’s moving, it could be because a screw has come loose, or there might be some bone loss around the implants. It’s important to have it checked right away. Schedule your consultation at Milano Dental Studio. We may need to tighten the screws, or treat the gums and bone around the implants.

I feel pain when I chew—what could be wrong?

Pain while chewing might mean your bite is off, the denture doesn’t fit well, or one of the implants is under too much pressure. It could also be a sign of infection or damage. It’s best to get it checked so we can adjust the fit and make sure everything is healthy.

I keep getting infections around my implants—why?

Infections can happen if it’s hard to clean around the implants or if bacteria get trapped under the denture. It’s very important to keep the area clean and schedule regular check-ups and cleanings. At Milano Dental Studio we establish a customize recall protocol for every patient based on individual risk factors and compliance.

My speech has changed and my jaw hurts—is this from the denture?

Yes, sometimes a fixed implant prosthesis can affect how you speak or put stress on your jaw joint (TMJ). This might happen if the prosthesis is bulky, the teeth aren’t in the right position, or your bite has changed.

Unlike some of our more traditional cosmetic dentistry services in Manhattan, NY, four dental implants replace full arch teeth in the mouth using four strategically placed dental implants. These implants support a fixed prosthesis for a permanent solution to damaged or missing teeth. Traditional implants in your mouth require several visits and multiple surgeries, while the all-on-4 method helps restore your smile in less time. Visit Milano Dental Studio in midtown Manhattan.

All-on-4 implants support a full denture with four implants per arch (upper or lower). In most cases, there is no need to perform bone grafting all-on-4 implants like with traditional dental implants because the strategic placement of these implants gives you sufficient support, even if you have bone loss.

These popular midtown oral surgery services in Manhattan. NY is known as “teeth in a day” because you’ll receive a full arch of teeth on the same day of your first visit at our dentistry practice. For all-on-4 implants they are strategically placed dental implants that support a full arch of teeth, known as a bridge or overdenture. You’ll be able to use your mouth to talk, chew, and smile immediately after the surgery, so there’s little to no downtime.