All on 4 is a process or technique rather than a type of implant. This technique incorporates 4 dental implants in each arch to which a complete set of new teeth can be attached and it can happen in a single easy appointment, all in one day.

Traditional techniques using dental implants begin with the extraction of any remaining teeth and then a 4 month healing period. During that 4 months and until the case is finally completed at roughly a year and a half patients must wear full false teeth. After the extraction sites are healed the maxillary sinuses must be grafted. Sinus lift surgery is usually accomplished bilaterally. After is it completed 6 to 9 months are required before the dental implants are placed. Finally somewhere between 8 and 12 months after the initial extractions dental implants are placed. This usually requires 8 to 10 dental implants on the upper and 8 to 10 dental implants on the lower. Once the dental implants are placed another 6 months pass and they are uncovered and healing abutments are placed to develop the soft tissue around the dental implants. The dental implants that were until now completely beneath the gums now exit through the tissue much as a natural tooth does. Two more months are required and then impressions for the fixed bridges can be taken. After another 3 weeks the fixed bridges are ready for placement and if all has gone well the case is finished. All told cases treated in the traditional manner require roughly 18 months, 4 surgeries, and 16 to 20 dental implants. To make matters worse favorable results are not as predictable as they are with the All on 4 technique. Four of these dental implants will have been placed into grafted sinuses. The failure rate for implants placed into sinuses is approximately 12 % as compared to 2 % or less for those placed in the premaxilla which is the area used for the All on 4 technique. Thus one can easily see that complications occur at least 6 times more frequently with traditional techniques and that with the number of implants and surgeries the cost for the traditional approach is much higher. The only negative with the All on 4 technique is that it requires a master implantologist with a large body of experience and a highly trained team including an in house laboratory dedicated to All on 4 cases. Thus there are very few offices capable of offering this service.

The All-On-Four dental implants don’t require additional surgeries or bone grafting, which has become a norm for traditional implants. It also proves to be more secure, comfortable & cost effective than traditional implants and is thus the treatment of choice for those who have already lost or are facing the loose of all of their teeth.

FAQ 2: What is so special about Dr. Brueggen’s All-On-Four Dental Methods?

Dr. Brueggen was professionally trained by Dr. Paulo Malo, the architect of the All-On-Four dental procedure. He has been performing dental implants for more than thirty years and specializes in providing successful implant solutions to patients with complex health problems and rare bone conditions.

Moreover, the Brueggen Dental Implant Center uses state-of-the art technology, including advanced imaging equipment and provides a lab facility, to provide patients outstanding and convenient dental solutions.But the greatest advantage to Dr. Brueggen’s All on 4 process is his team and their experience. Dr. Brueggen and his team have made the All on 4 dental implant reconstruction the focus of their practice. They do it every day and they’ve been doing it every day for many years. Equally important Dr. Brueggen has extensive training in general and cosmetic dentistry so he not only provides the surgery, he provides the new teeth as well. This makes the process seamless and is far superior to a surgeon and restorative dentist trying to work together on a case.


FAQ 4: How was Dr. Brueggen inspired to perform All-On-Four dental implants?

Dr. Brueggen has been handling dental implant cases since 1976 and is considered an expert in the field. He realized that the time and cost required to complete a full mouth reconstruction using traditional dental implant procedures was far too great for it to be available to most of those who needed it. In 1994, he came to know about the unique All-On-Four dental implant procedure through papers published in dental journals. After reviewing the literature for over 10 years he was convinced that the results achieved with the All on 4 protocol were far superior to those achievable with traditional methods. Dr. Brueggen attended a lecture given by Dr. Malo and was further convinced. He asked Dr. Malo for his assistance in learning the technique. Dr. Malo agreed and arrangements were made for Dr. Brueggen to travel to Lisbon, Portugal to study with Dr. Malo. His studies included both the prosthetic and surgical aspects of All-On-Four protocol. These days the All on 4 technique allows Dr. Brueggen to offer a lasting and predictable solution to people from all over the world.


FAQ 4: What is the success rate with the All-On-Four Procedure?

Published data states that the success rate of All-On-Four dental implants in upper arches is approximately 97 to 98% and the success rate for lower arches is 98.2%. New data indicates perhaps even better numbers.

Dr. Brueggen is firm in his conviction that the All on 4 process is the finest solution that dentistry has ever had and probably will have for the remainder of his career, for those who have lost all of their teeth or who are facing the loss of all of their teeth. There are three primary obstacles for people who need this procedure.

1. Cost- A typical upper and lower case will cost around $50.000.00. About the cost of a high end new car. Not a daunting investment but certainly difficult for some. Our office has two treatment counselors available to assist patients in finding financing options. They can also help you explore other treatment options. For example, in some cases a lower denture can be secured with implants, also in just one day, for as little as $8,000.00. The treatment counselors responsibility is to treat you as an individual and make sure that a solution is found for you that makes you happy and provides you with the finest possible care.

2. Fear-The second greatest obstacle for patients to overcome is fear. All most every patient who has lost all of their teeth or is in danger of doing so is a dental phobic. We solve that daily using safe oral conscious sedation.

3. Inadequate Bone- The All on 4 procedure was specifically designed to allow a full arch of reconstruction without the need for sinus lifts or other forms of bone regeneration. That is possible on the lower virtually 100% of the time. The upper is not quite as predictable but it is still possible in over 70% of the cases presented to my office. When bone grafting is required we employee state of the art procedures to cut down on time, discomfort and cost.

Without a doubt the All on 4 method of dental implant placement and tooth replacement is the most remarkable dental advancement in the last 30 years. If you or anyone you know or love is suffering with false teeth or the prospect of having to wear false teeth there is no reason to put off help any longer.

This article explains why the ‘All-on-4’ procedure is considered the most comprehensive and effective solution to tooth loss and edentulism. It explains the causes of tooth loss and exactly how the ‘All-on-4’ procedure works.

There are 38 million Americans living without any original teeth left and if the statistics of tooth loss are to be believed (and they are), tooth loss is a certainty that a considerable proportion of the population faces as they enter into their late adulthood. Thankfully, there is a light at the end of the tunnel in the form of the revolutionary “All-On-4” technique; a dental implant protocol that provides patients with a fantastic answer to a mouth full of missing or failing teeth.

During the 1990’s, world renown implantologist Dr. Paulo Malo developed the “All-on-4” in collaboration with one of the world’s largest dental implant manufacturers, Nobel Biocare. This dental implant protocol would go on to become the most important breakthrough in the field of dentistry since the innovation of implants themselves. Since its development, the “All-on-4” has improved the quality of life of countless people in countries all over the world.

”All-On-4” Protocol: The Details

The leading cause of edentulism (toothlessness), near-edentulism and a failing dentition in the United States is periodontitis or gum disease. Missing teeth can start causing bone loss in the jaw and without the support of the bone; the roots of your teeth will become unstable and fall out or need to be removed.

According to the Dentist in Silver Spring, the “All-on-4” procedure differs from traditional dental implant methods in that it almost never requires bone grafting, which saves patients the pain, incredible cost and time-consuming healing process typically required by this additional surgery. It is the incredible design behind the “All-on-4” that enables your dental rehabilitation team to give you a full set of stunning, new and non-removable teeth. But if that wasn’t impressive enough, this can be accomplished in as little as a single dental appointment!

The “All-On-4”: How Does It Work?

The “All-On-4” dental implant technique is made up of a custom-tailored prosthetic dental bridge (a firm construction of a full set of aesthetic and functional replacement teeth) attached to the abutments of four dental implants. Using advanced imaging software and 3D Cone Beam CT, a qualified Silver Spring dentist can insert the dental implants with hardly any incisions, making the “All-On-4” far less invasive in nature. This reduces post-operative pain and the length of the recovery period.

Once your dental implants have been successfully inserted, your prosthodontist, or dentist, can take over and place your new teeth on the very same day! Speak to a Silver Spring dentist about why the “All-On-4” is the best possible solution to tooth loss and edentulism, not only aesthetically but functionally as well. Since the “All-on-4” bridge is secured tightly to your jaw using dental implants, you will feel far freer to smile, eat and talk openly with friends, family and colleagues.

A Final Note on the “All-on-4”

Although your smile is worth a million bucks, it shouldn’t have to cost you as much! Thankfully, the “All-on-4” costs tens of thousands of dollars less than traditional dental implant protocols and this comes down to the lesser number of implants used, the fewer surgeries it takes and the fact that it rarely requires bone grafting!

This three-part article series provides 10 fascinating dental facts that might just help you improve your daily oral health and hygiene habits.

Welcome back to this three-part article series in which Norwalk dental implants specialists walk us through some very interesting and, at times, surprising facts about oral health and hygiene. In our previous article post, the second installment of the series, the following were discussed:

Fact # 1: As much as 75% of the American population suffers from some stage of periodontitis or gum disease.

Fact # 2: 90% of systemic diseases, such as diabetes, have ramifications for one’s oral health.

Fact # 3: Good oral hygiene can lower your risk of developing a suite of potentially life-threatening illnesses, including heart attack.

We have four dental facts to go, so without further ado…

Fact # 7: If you drink more than three cans/bottles or glasses of soda a day, your teeth are at a 62% greater risk of decay than those who don’t.

Long gone are the days when products such as Coca Cola were considered to be good for your health. Nowadays, we understand just how pumped full of sugar the various brands of soda are and sugar encourages bacterial growth in the mouth. This makes your teeth become substantially more susceptible to tooth decay, especially if it’s a regular indulgence. To make matters worse, these beverages are also very acidic, which softens your dental enamel and makes it more vulnerable to erosion.

“Soda, fruit juice and energy drinks should never take the place of water in your diet,” say Norwalk dental implants specialists. “If you’re thirsty, just drink good old water. Instead, view these sugar-rich beverages as a treat to be enjoyed occasionally. You’ll find yourself appreciating them so much more.”

Fact # 8: Just emerged from a bout of flu? Throw your toothbrush away!

“Your toothbrush can harbor the germs that made you sick in the first place, especially if a virus caused your illness,” say All On 4 Implant specialists. “If you’ve just recovered from a viral infection, throw your toothbrush away and get yourself a new one to avoid re-infecting yourself and whoever may share the toothbrush holder with you!”

Fact # 9: If you ever accidentally knock out a tooth, put it in a glass of milk.

Here’s a handy bit of advice, especially for moms and dads of young, reckless teenagers. If you or your child ever accidentally gets a tooth knocked out, pour a glass of milk and store the tooth in it immediately! Outside of the safe environment of your mouth, a tooth will start to die in as little as 15 minutes. It can survive longer in milk or in a decent volume of saliva. Milk is typically easier (and more pleasant) to procure in a short amount of time.

“Call the dentist and book an emergency appointment right away,” stress Norwalk dental implant specialists. “If you want to avoid teeth replacement, time is of the essence!”

Fact # 10: Babies don’t have the bacteria that cause tooth decay.

A newborn baby’s mouth is so pristine and healthy they don’t actually have the species of bacteria that cause tooth decay. This, surprisingly enough, is passed onto them by their moms and dads via kisses and via blowing on hot food to cool it down. It is inevitable though… so don’t feel too bad about it if you’re a parent! You still have plenty of time to help them live a healthy dental life in order to avoid the need for Norwalk dental implants down the road.

This article explains how the “All-On-4” dental implant protocol makes it possible for patients to go from being edentulous (toothless) to having new teeth in just one day!

There are currently tens of millions of people in the United States who are living without most or all of their original teeth. Countless more are facing an immediate future of a state referred to as “edentulism” – not having a single natural tooth left in your mouth. The most common cause of tooth loss is tooth decay and periodontitis: an advanced bacterial infection of the gums, also known as gum disease.

Removable dentures have been the preferred method of teeth replacement for millions of Americans because, for many years, the alternative approach using dental implants would take as many as 12 or even 18 months in and out of surgery. The associated costs of repeat procedures would also work out to be exorbitantly high. This was until the innovation of a new dental implant protocol designed to give patients new teeth in a day.

Where’s the catch? There isn’t one!

How the “All-On-4” Works

The picture above illustrates, in concept, how the “All-On-4” dental implant technique works. Through the precise and strategic placement of four dental implants, qualified dental healthcare specialists can provide patients with new teeth in the form of a prosthetic dental bridge. Instead of replacing tooth by tooth in a series of dental implant surgeries, which need to be spread out over the course of a year to a year-and-a-half, this entire procedure can be done in just one day, in a single appointment.

That’s right; the “All-On-4” can give candidates new teeth in a day.

How the protocol manages this is:

1. Through the use of only four dental implants in order to give patients new teeth. This can easily be achieved in just one procedure.

2. Through the use of 3-D Cone Beam CT scans and sophisticated computer software to visualize the patient’s unique case and meticulously plan treatment ahead of surgery.

3. The avoidance of bone grafting surgery through the strategic choice of implant sites in regions of the jaw that are naturally more resistant to atrophy and so contain sufficient bone volume to support implants. Bone grafting would otherwise require several months in recovery before a patient can even receive new teeth.

These key factors, coupled with the incredible advancements that have been made in the field of fixed oral rehabilitation and dental implant surgery, and the skill and experience of the oral surgeons and prosthodontists who make it happen, explain how it’s possible for patients to get new teeth in a day. Even better, owing to the fewer number of implants and surgeries and the fact that the “All-On-4” seldom requires bone grafting beforehand, the cost of new teeth is also greatly reduced!

A Final Note on the “All-On-4”

The “All-On-4” protocol is regarded as a “breakthrough” in the field of dental implantology for many reasons, but perhaps most especially because it can give patients new teeth in just one day. With only one surgery needed and as little as a few days spent in recovery, this amazing procedure is helping to rehabilitate America’s millions of edentulous and near-edentulous citizens. And at a cost that is very affordable!