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Assessment and planning for people considering a fixed full-arch replacement for multiple failing or missing teeth.
All-on-X is a commonly used term for a fixed full-arch dental prosthesis supported by multiple implants. Treatment is not suitable for everyone, and the number, position and timing of implants depend on your jawbone, gum health, remaining teeth, medical history and prosthetic plan.
A $50 deposit may be required when booking. Suitability, implant number, treatment stages, risks, recovery, costs and outcomes vary between patients.
The first decision is not how many implants to place. It is whether the remaining teeth can reasonably be retained, whether a full-arch prosthesis is appropriate, and which alternative pathways should be considered before irreversible treatment.
The first step is deciding whether a full-arch implant pathway is appropriate at all.
Review the condition and prognosis of remaining teeth before planning extraction.
Jawbone, gums, bite and health factors influence candidacy.
Other implant, bridge, denture or restorative options may be reasonable.
Remaining teeth should be assessed for prognosis and restorability. A full-arch implant plan should not assume that every tooth needs removal.
Jawbone, gum health, infection, oral hygiene, bite, smoking, medications and relevant medical conditions can affect treatment planning and healing.
Depending on the diagnosis, alternatives may include retaining teeth, individual implants, bridges, removable dentures, staged rehabilitation or specialist referral.
Jawbone, remaining teeth, gum health, medical history and prosthetic goals all influence suitability.
Understand the prognosis and alternatives before agreeing to irreversible extraction.
Active gum disease, infection or other problems may need management first.
Cleaning access and ongoing professional maintenance form part of candidacy.
A full-arch plan brings together surgical, restorative and maintenance considerations. The prosthesis needs a stable biological foundation and a design that the patient can maintain.
The condition of existing teeth, active infection and periodontal health influence whether teeth are retained, treated or considered for removal.
CBCT imaging may be required to assess available bone and the relationship to structures such as sinuses and nerve canals.
Medical history, medications, smoking, diabetes control, healing risk and ability to maintain oral hygiene can affect recommendations.
The design must consider bite, speech, lip support, cleaning access, available restorative space and the consequences of future complications.
The consultation should establish the diagnosis first, then work backwards from the prosthesis that needs to function, look natural and remain cleanable. Implant positions are planned to support that restorative goal.
Review teeth, gums, bone, bite, health history and treatment priorities.
Plan tooth position, bite, cleaning access and the restorative space required.
Determine implant number, position, timing, healing and referral needs.
Review dental history, medical factors, remaining teeth, gum health, bite, jawbone and what you want treatment to achieve.
Photos, digital scans, X-rays and CBCT imaging may be recommended where clinically required for diagnosis and implant planning.
Tooth position, bite, speech, lip support, restorative space and hygiene access are considered before finalising implant positions.
Review which teeth are retained or removed, implant stages, provisional options, healing, risks, alternatives, referral and estimated costs.
Some patients can receive implants and a provisional fixed prosthesis during the same treatment stage when clinical conditions allow. Others require staged extraction, healing, grafting or a removable provisional solution. Immediate fixed teeth should never be assumed before assessment.
Manage active disease and complete any required preliminary treatment.
The surgical and provisional plan depends on bone and implant stability.
Review healing, bite and prosthetic fit before the definitive restoration.
Active disease may need treatment first. The plan may also include extractions, temporary restorations or referral depending on complexity.
The number and distribution of implants are selected according to anatomy, prosthetic design and the consequences if an implant later develops complications.
A fixed provisional prosthesis may be possible in selected cases when sufficient implant stability and other clinical requirements are met. It is not guaranteed.
After healing and review, the definitive prosthesis is planned with attention to fit, bite, speech, appearance and cleaning access.
A provisional prosthesis, where clinically suitable, is part of a staged process. Healing, implant integration, bite changes and prosthetic refinement may continue before the definitive restoration is fitted.
The decision depends on implant stability, bone quality, implant distribution, bite control and the overall surgical and prosthetic plan.
Diet, chewing forces and care instructions may be modified during healing, and the provisional restoration can require adjustment or repair.
The final prosthesis is planned after appropriate healing and review, with timing based on the individual clinical pathway.
Design, fit, bite, hygiene and long-term maintenance all need ongoing review.
Use the cleaning tools recommended for the design and your dexterity.
Reviews help identify inflammation, wear, loosening or prosthetic problems.
Components can wear, loosen, chip or need repair or replacement over time.
Full-arch treatment can involve biological and technical complications. A maintainable prosthesis design, effective home cleaning and an individual professional review schedule are important parts of the long-term plan.
The tissues around implants can develop inflammation and bone loss. Cleaning access beneath the prosthesis needs to be considered from the design stage.
Reviews may assess plaque, gum inflammation, probing findings, prosthetic fit, bite and radiographs where clinically indicated.
Screws, restorative materials and prosthetic components can loosen, wear, fracture or require adjustment and repair over time.
The prosthesis may eventually require relining, refurbishment, repair or replacement, and future implant complications can change the available options.
Your options depend on what teeth remain, their prognosis, the health of the supporting tissues, your priorities and the level of surgery, maintenance and cost you are comfortable accepting.
Selected teeth may be treatable as part of a staged rehabilitation plan.
Individual implants, bridges or dentures may suit different situations.
Complex surgical or prosthetic needs may require coordinated specialist care.
Where teeth have a reasonable prognosis, staged restorative treatment may preserve natural teeth rather than replace the entire arch.
Selected missing teeth may be replaced with individual implants or implant-supported bridges rather than a complete full-arch prosthesis.
A conventional or implant-assisted removable denture may be a reasonable alternative depending on anatomy, goals, maintenance and budget.
Complex surgical, periodontal, restorative or prosthodontic needs may require referral or coordinated care between clinicians.
Costs vary with diagnostic records, extractions, number and type of implants, surgical complexity, provisional restorations, laboratory work, the definitive prosthesis, additional procedures and referral needs.
A written treatment estimate can be provided after assessment. Health fund rebates vary by policy and item numbers, and implant-related treatment is generally quoted separately from routine dental offers.
Address: Shop F, On Q Plaza, 1 Queens Rd, Everton Hills QLD 4053
Phone: 07 3354 1448
Full-arch implant fees vary with diagnostic records, surgery, implants, provisional treatment, laboratory work and the definitive prosthesis. A written estimate is provided after assessment.
Shop F, On Q Plaza, 1 Queens Rd, Everton Hills QLD 4053.
Mon 8am–7pm · Tue 8am–5pm · Wed 9am–7pm · Thu–Fri 8am–4pm · Weekend closed.
All-on-X is a commonly used term for a fixed full-arch dental prosthesis supported by multiple implants. The number and position of implants are determined by anatomy, prosthetic design and the individual treatment plan rather than by a single formula for every patient.
The number varies. A one-piece full-arch fixed prosthesis requires appropriately distributed implant support, and the final number is selected according to anatomy, restorative design, risk and the consequences of any future implant complication.
In selected cases, implants and a provisional fixed prosthesis may be placed during the same treatment stage when implant stability and other clinical criteria are met. This is not suitable or possible for every patient, and the definitive prosthesis is generally planned after healing and review.
Suitability depends on the condition of remaining teeth, jawbone, gum health, oral hygiene, bite, medical history, medications, smoking and other healing or maintenance factors. A full assessment is required before treatment can be recommended.
Risks may include infection, delayed healing, implant loss, nerve or sinus complications depending on location, peri-implant disease and prosthetic problems such as wear, chipping, screw loosening or fracture. Your dentist will discuss risks relevant to your plan.
Cleaning normally requires daily plaque removal around and beneath the prosthesis using tools selected for the design and your needs. Professional maintenance and monitoring of the implants, gums, bite and prosthetic components are also required.
Timeframes vary with extractions, bone condition, implant stability, healing, provisional treatment, laboratory stages and whether additional procedures or referral are required. Your dentist will outline the expected sequence after assessment.
This information is general and does not replace professional dental advice. All-on-X and full-arch implant suitability, implant number, surgical approach, prosthetic design, risks, benefits, alternatives, costs, maintenance, treatment time and outcomes vary between patients. Natural teeth should be individually assessed before irreversible extraction is recommended. No implant treatment or provisional fixed restoration can be guaranteed before clinical assessment.
Book online or call Everton Hills Dental to assess your remaining teeth, jawbone, implant options, alternatives and long-term maintenance requirements.