All-on-4 Treatment located in Murray Hill, New York, NY
The All-on-4 technique is an advanced dental procedure developed to provide a comprehensive and efficient solution for patients seeking full-arch teeth replacement. This innovative approach utilizes four strategically placed dental implants to support a fixed prosthesis, offering improved stability, function, and aesthetics compared to traditional removable dentures.
As a first step, prospective All-on-4 patients undergo a comprehensive medical and dental evaluation to assess overall health and bone quantity and analyze dento-facial esthetics and occlusion.
Advanced radiographic imaging (CBCT), intraoral scans of current dentition and photographs are collected to ensure optimal treatment planning.
In one surgical procedure, two implants are positioned vertically in the anterior region of the jaw, while two implants are tilted posteriorly to avoid anatomical structures and maximize implant-to-bone contact. In some cases, additional implants can be insetted to improve the stability of the fixed prostheses. Once the implants are placed, one of our highly trained dental technicians will digitally design and manufacture a customized set of temporary fixed teeth. These new teeth will be delivered immediately after the surgery or within 24 hours, allowing patients to enjoy restored oral function and esthetics.
Once the implants have being integrated in the jawbone (usually after 3-6 months), permanent teeth made with composite material or zirconia will be fabricated.
Our dental hygienists will work with patients to create a customize recall program based on individual risk factors and characteristics. This will allow patients to maintain the beauty of their smile and to prevent complications.
Patients are able to have a new set of fixed temporary teeth the same day of the surgery
With one short surgical procedure and no bone grafting, All-on-4 is a less invasive solution with an high success rate. Thanks to the IV sedation there is limited discomfort
All-on-4 does not require bone grafting, which reduces treatment time and biological and economic costs
It is easy to clean the prosthesis, allowing for effective oral hygiene
Join us as we take you through our modern and welcoming dental practice located in the heart of New York City. In this guided video tour, you’ll explore our state-of-the-art facilities designed to provide you with the utmost comfort and care during your dental visits
To help ensure that patients undergoing implant surgery enjoy excellent results, we use state-of-the-art technology at every step of treatment. Advanced tools include digitai x-rays, 3-D cone beam scans, and computer-guided implant surgery.
Our dentists strive to provide patients with gentle and comfortable dental care. We understand that patients may be nervous about visiting the dentist, so to help anxious patients relax during treatment, we offer oral conscious and IV sedation.
Every member of our team is dedicated to uncompromising excellence in dentistry. We are committed to your trust and respect by listening to your needs and answering any questions you may have so that you can make an educated decision towards your treatment.
Financing through CareCredit® helps patients manage out-ofpocket expenses. A credit card specifically for medical expenses, CareCredit provides you with a monthly payment plan that meets your individuai budget so that you can get the care you need.
Specialty in Prosthodontics
Eastman lnstitute for Ora I Health, University of Rochester, New York, USA,
Master of Science in Dental Sciences: Clinical and Translational Sciences
Eastman lnstitute for Ora I Health, University of Rochester, New York, USA,
Advanced Education in Generai Dentistry
Eastman lnstitute for Ora I Health, University of Rochester, New York, USA,
One-year Full-time Program for Advanced Study in Periodontics for lnternational Students
New York University College of Dentistry, New York, USA,
PhD in New Techniques in lmplant Dentistry and Prosthetic Rehabilitation
Università degli Studi di Milano, Center for Research in Oral lmplantology, Milano, ltaly,
Doctor of Dental Surgery (110/110 summa cum laude)
Università degli Studi di Milano, Milano, Italia,
This book first presents the science and clinical evidence behind the various protocols using tilted implants, then proceeds to discuss patient evaluation, diagnostics, and planning before diving into the methods themselves. Procedures are discussed separately for each arch, highlighted by dozens of clinical cases representing a diverse range of initial situations.
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How can All-on-4 help me?
All-on-4 is an ideal solution for patients who have lost all their teeth or have a failing dentition that cannot be used to hold conventional bridges or partial dentures. With one minimally invasive surgical procedure, it is possible to insert the All-on-4 implants and fixed prosthesis the same day, avoiding extensive bone grafting and the use of dentures. Bone grafting often increases treatment time, and can have a lower success rate in medically compromised patients or individuals taking specific medications. Dr. Davide Romeo has been treating patients with the All-on-4 protocol since 2004, conducting scientific studies and training clinicians on the surgical and restorative aspects of the procedure.
What are the steps of the All-on-4 treatment?
The first step to assess whether you may be a candidate for the All-on-4 protocol is to review your medical and dental history, followed by a comprehensive clinical examination that takes into consideration the esthetic parameters of your face and smile, the quantity of residual bone and gingiva, and the overall health of your temporomandibular joints. Implant position will be determined using a dedicated software that analyzes the amount of existing bone and the position of your final teeth. Surgery is performed under intravenous sedation and with the assistance of a qualified anesthesiologist. After the implants have been placed, temporary fixed teeth will be delivered immediately or within 24 hours, depending on the individual case. Once the biological integration of your implants has occurred, usually between four to six months, the restorative phase for the fabrication of your definitive teeth can begin.
What technology do you use for the All-on-4 treatment?
The All-on-4 procedure has been proven to be an effective treatment modality by many clinical studies if performed using the right protocol and high quality materials. At Milano Dental Studio we utilize the most advanced technologies, including 3D CBCT imaging, intra-oral scanner for digital impressions, implant planning softwares, 3D printing, milling machine and a revolutionary system to plan the precise position of your implants. Our technicians are extremely qualified and can assist us in providing the most natural esthetics for a long lasting smile.
How long will the All-on-4 treatment last?
The All-on-4 treatment can theoretically last a lifetime, as long as you take care of the implants and the prosthesis properly. This includes maintaining a daily dental hygiene routine, controlling risk factors (smoking and bruxism, in particular) and setting up periodic professional cleanings during which we will monitor the condition of your implants and teeth. Mechanical and biological complications can always occur, but prevention has been demonstrated to be the most effective method to achieving long term success.
Discover more about us and meet our friendly team of experienced dentists and staff who are dedicated to ensuring your dental experience is pleasant and stress-free in the middle of New York City.
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