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All-on-5 is a recently popular full dental implant restoration. This treatment involves attaching permanent teeth to each jaw using 5 implants. These teeth can be made of metal-backed porcelain or zirconium. When the bone structure is not sufficient for All-on-6 treatment and All-on-4 is not an option due to bone deficiency, All-on-5 is a preferred treatment option for full dental restoration. This method is used effectively in Turkey.
The All-on-5 is intended for people who are edentulous, have multiple missing teeth or are at risk of losing them. Periodontal disease or poor oral hygiene can cause permanent damage to all teeth in these patients. In the All-on-5 treatment, all teeth are extracted and a total of 10 implants (5 per jaw) are placed. The All-on-5 is ideal for patients with moderate bone resorption. Implants are often placed without reaching the sinuses, although in some cases, a sinus lift or bone graft may be necessary if the sinuses are too close to the jawbone.
Both options are popular and recognized methods for complete jaw rehabilitation. The choice of the best option depends on the patient’s age, chronic diseases, and the condition of the jaw bone. Dentists often prefer to use a larger number of implants for better pressure distribution in complete restorations. All-on-5 is generally preferred in younger, healthy patients who have sufficient bone. For patients with greater bone and tissue loss, All-on-4 may be considered as a more economical alternative.
Another difference lies in the denture materials used. The All-on-5 often uses zirconium or metal-supported dentures, while the All-on-4 frequently uses porcelain-ceramic or metal-supported dentures. Zirconium, because of its inflexibility, can break or be damaged in a 4-implant system. The best way to determine the most suitable method is the surgeon’s assessment using X-rays or 3D tomography.
The All-on-5 treatment begins with a surgical procedure where all the teeth present are extracted. Then, 5 implants are placed in the upper jaw and 5 in the lower jaw. If a sinus lift or bone graft is required, these procedures are performed at this stage. After the surgery, impressions are taken for temporary dentures that are immediately placed in the patient. This process takes about 3 days. The healing period lasts between 3 and 6 months. On the second visit, the patient’s permanent teeth are fabricated, a process that usually takes 7 days. The patient has to visit Turkey twice for All-on-5 treatment, and treatment can be completed in 3 to 6 months.
All-on-5 treatment is an economical option for full-face restorations. In Turkey, the costs for All-on-5 per jaw range from €3,500 to €4,300, depending on the patient’s needs.
All-on-5 treatment is an intense surgical procedure, which lasts about 4-5 hours. During the operation, local anesthesia is used, so patients do not feel any pain. After the operation, swelling, muscle fatigue and some discomfort may occur, as the mouth remains open for a long time. The first month of healing can be difficult for some patients, although pain is usually not a major problem. To better endure this phase, it is recommended to get enough rest and take good care of your mouth.
All-on-5 dentures have a lifespan of approximately 7 to 15 years, while the implants themselves can last 20 to 25 years or more. If necessary, the dentures can be replaced, while the implants remain in place. Good oral hygiene is a key factor in ensuring the longevity of the implants.