E 授 by Oral & Maxillofacial Surgeon Dr Ali Direnç Ulaşan – Bursa, Turkey

Mój cás go de ghnáth díomá nó fiacla an-luath agus tá tú ag taighdeáil implants go leor gaoil, gheobhaidh tú téarmaí cosúil le:

All-on-4

All-on-6

Full arch on implants

Angled implants nó tilted implants

Is gnách a mhothúchánais dhúshlán agus ceist a chur ar:

“Cad é fíor-mhín le All-on-4?”

“Cad iad na implants atá lucasach dom - an bhfuil siad sábháilte?”

“Cathain atá All-on-4 go leor, agus cathain ba chóir dom a bheith níos mó implants?”

Mar othar béal & maxillaire ag Milim Dental in Bursa, Tuirc,

Dr Ali Direnç Ulaşan plans and performs both All-on-4 and “more than four” (All-on-6 / All-on-X) treatments for local and international patients.

This article will explain in clear language:

What All-on-4 is and how angled implants work

Why tilting implants is often an advantage, not a problem

When All-on-4 is a good choice for a full arch

When we recommend more than 4 implants instead

How we decide which concept is most suitable for you

1. cad é All-on-4?

All-on-4 is a full-arch implant concept where:

4 dentaI implants are placed in one jaw (upper or lower)

A fixed bridge with usually 10–12 teeth is attached to these implants

Two implants are placed near the front (usually straight)

Two implants are placed further back and tilted (angled) to use available bone

The goal is to:

Give you fixed teeth (not removable like classic dentures)

Use a limited number of implants

Avoid big bone grafts in many cases

Often allow immediate loading (a fixed temporary bridge soon after surgery, in selected cases)

It is a smart way to rehabilitate patients who have:

Many missing teeth

Poor remaining teeth that must be extracted

Bone loss in the back of the jaws

A strong wish for fixed teeth as quickly as safely possible

2. What Are Angled (Tilted) Implants in All-on-4?

The phrase “angled implants” can sound worrying at first. Many patients think:

“A straight implant must be stronger… if it is tilted, won’t it be weaker?”

In reality, tilted implants are part of the design, not a mistake.

Why Do We Tilt Implants in All-on-4?

Sa theach suas, naiméidí ar ais go minic gar do maxillary-sinus.

Sa naimhéad suas, naiméidí ar ais gar do inferior-alveolar-nerve.

Mura ndéanfaimis iarracht implantá fada, díreach a chur i seilbh na limistéar seo:

B'fhéidir go dteagmhóidí sé an sinus nó an nerve (nár ghlacfaidh)

NÓ go mbeimis á mholadh nascraígear ard-sáraíodh i cnámh tanaí

In áit sin, sa choincheap All-on-4, déanaimid:

Chuirimid na implantí cúl ar ghaisce ar aicearra, de ghnáth idir 30–45 céim

Baga iad i mbonn ar cnámh níos fearr cáilíochta díreach os comhair nó taobh thiar

Coinnigh i bhfad sábháilte ó sinus agus nerve

Tacaigh le droichead fada trí níos lú implantí

Samhlaigh ag cur cosa tábla beagán ar a taobh amuigh –

is féidir an tábla a bheith an-stable má tá na huillinní deartha go séan.

An bhfuil Implants Angled lag ná sábháilte?

Nuair a bhíonn pleanáilte i gceart ag foireann insteallta agus a chur i bhfeidhm ag gnáth-iontadair maxillofacial & oral cosúil le Dr Ali Direnç Ulaşan, ní lag ná sábháilte implants angled ná

ní lag ná sábháilte ná straight implants

Féadann siad méadú an fad idir tacaíocht tosaigh agus dhíreach (feabhas ar scaipeadh na gcásanna brístí)

Cabhrú le haileadh mórthimpeall agus ardú na sinise i gcásanna go leor

Is é an príomhdhúil:

Pleanáil 3D cheart (stáisiúin CBCT, bogearraí digiteacha)

Fadaíocht níochán ceart, trastomhas agus uillinn na n-imsí

Dearadh ceart den fráma miotalach nó slabhra zirconia a dhéanann nascáil leis na h-imsí

Tá infillí uillinn-ailp bhiteáis mar uirlis i dteicneolaíocht implantáil feadh na huaire – ní claontacht.

3. Cathain atá All-on-4 ina Rogha Maith?

Ní fheidhmíonn All-on-4 mar “réiteach draíochta do chách”, ach is rogha den scoth é i gcásanna il.

Ag Milim Dental Bursa, molaimid go minic All-on-4 (nó coincheap 4-imsí an-déagóire) nuair atá:

3.1 Tá An Gleann Teoranta i mbothán Cúil

Tá tú caillte cnámh i bpáirt dheiscean na gcolúr(na molars)

Tá sinéis (an gcnámh os cionn) nó neuróin (an gcnámh íochtar) gar go mbeadh

Deisiú cnámh nó ardú na sinise bheadh indéanta ach tá tú ag iarraidh cosc a chur ar mhór-nimhe

Le cur na h-imsí siar, is féidir linn:

Úsáid na cnámha tosaigh agus taobh

Cosc ar ghríosáil sa chásanna i bhfad

Fanaimid le bríce lán-lengtha uainn ó thosach go molar

3.2 Tá Tú ag Teastaíonn Fiacla Dlíthe le Implants níos lú

Tá roinnt othar:

Leamh den chuid istigh den stoc sin

Want fixed teeth but also want to limit cost and surgical complexity

All-on-4:

Uses 4 implants instead of 6–8

Can be more cost-effective

Can be completed in fewer surgical steps in suitable cases

3.3 You Are Edentulous or “Hopeless Dentition”

All-on-4 is ideal for:

Patients who already have no teeth in an arch

Patients whose remaining teeth are so damaged (decay, gum disease, fractures) that they must all be removed

In these cases, we can often:

Extract the remaining teeth

Place 4 implants

Fix a temporary bridge onto those implants (immediate loading), when stability and conditions allow

Later, after healing, this temporary bridge is replaced with a definitive zirconia or hybrid bridge.

3.4 You Need a Predictable, Efficient Treatment

All-on-4 has been studied for many years and, when done correctly, shows:

High success rates

Good long-term stability

Efficient use of available bone

For many full-arch cases, it is a well-balanced compromise between:

Biology (bone, gum health)

Mechanics (force distribution)

Cost and complexity

4. when-is-it-better-to-use-more-than-4-implants-all-on-6-or-all-on-x

Now the other side of your question:

“When is all-on-4 enough, and when do we prefer more implants?”

At Milim-dental-bursa, we move towards all-on-6-or-more in several situations.

4.1-young-patients-with-strong-chewing-forces

If you are relatively youthful

You have strong bone and a very powerful bite

Or you have a history of bruxism (teeth grinding / clenching)

then spreading the load over more implants can:

Reduce stress on each implant

Decrease the risk of mechanical complications (screw loosening, fractures)

Provide greater redundancy if one implant has a problem in the future

In these cases, all-on-6 or even more implants may be recommended, especially in the upper jaw.

4.2-good-bone-volume-and-quality

If CBCT shows that:

You have enough height-and-width of bone in several regions

Tá spás ann chun níos mó implántachtaí a chur go sábháilte gan graftáil chasta

ansin is féidir le hiompálacha implant a thabhairt:

Níos mó seasmhachta don chibéire

Tacaíocht níos fearr do fhíor fhithisí móra

seo freisinis nó roinnte den phrostéisis don atteacht éasca

Níl riail ann a deir “4 is fearr i gcónaí”.

Anois, i roinnt jawanna, cuireann 5, 6 nó níos mó implant níos mó ná séanadh áiletachta compordach.

4.3 Fadtearmacha an-dáiríre agus Fonsa Mór Iomlán

Nuair a bhaineann muid pleanáil:

Athchóiriú ar fad ar chithfholcadh le faoi moltaí múcas lár

Chun arccáir le fad mór leis an bhfad ó dheis go láimh

le níos mó ná 4 implant a chur le nochtadh mhaith:

Dáileadh na fórsaí

Tacaíocht faoi na fiacla cúl

Oibríocht fhada ama, go háirithe d'fhíocháin níos troime nó dóibh siúd atá ag ithe bianna an-dáiríre

4.4 Comhcheangal le Zygomatic nó Pterygoid Implants

I gcoinníoll an-tarraingtheach ar do chinn go ginearálta, uaireanta cuirimid implant coitianta le:

Zygomatic implants (coinnithe i mbothar na smig)

Nó pterygoid implants (i dtreo ar chúl an maxilla)

Tá na teicnící sin ardleibhéil go nádúrtha ag iarraidh níos mó ná 4 pointe seasta, cé go bhfuil an fáthsfhealsúnacht fós ‘All-on-X’ – ar chorpán cruaí iomlán ar líon teoranta implant ceannródaíoch beartaithe.

this-level-of-treatment-absolutely-requires-an-experienced oral-maxillofacial-surgeon-like dr-ali-direnc-ulasqan-and-a-clinic-equipped-with-full-3d-planning-and-surgical-infrastructure.<\/span>

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5. All-on-4-vs-More-Implants-How-Do-We-Decide-for You?

there-is no-universal-rule-like-\"all-on-4-is-always-enough\"-or-\"all-on-6-is-always-better\".<\/span>

at milim-dental-in-bursa, we-make-this-decision individually-using-a-structured-approach.<\/span>

5.1-Detailed-Diagnosis<\/span><\/h3>

we-start-with:<\/span>

full-medical-and-dental-history<\/span>

examination-of-existing-teeth,-gums,-bite,-jaw-joints<\/span>

panoramic-x-ray<\/strong> and CBCT-(3d-scan)<\/strong>

we-evaluate:<\/span>

bone-volume-(height,-width,-density)-in-each-region<\/span>

sinus-and-nerve-positions<\/span>

smile-line-and-aesthetic-demands<\/span>

space-for-prosthetic-materials-(zirconia,-hybrid,-etc.)<\/span>

5.2-Risk-Factors<\/span><\/h3>

we-consider:<\/span>

age<\/span>

smoking<\/span>

diabetes-and-other-systemic-conditions<\/span>

history-of-gum-disease<\/span>

bruxism-(night-grinding)<\/span>

More risk factors may push us to increase the number of implants and to design the prosthesis in a way that is easier to clean and maintain.

5.3 Your Expectations and Budget

We also listen to you:

Do you strongly prefer fixed teeth only, no removable options?

Are you okay with a semi-fixed overdenture if it is very stable?

What is your budget range?

Sometimes:

For one patient, the perfect compromise is a fixed All-on-4.

For another, it is safer and smarter to plan All-on-6.

For a third, health or finances indicate implant overdentures instead.

The important point is that the choice is not random; it is based on:

Anatomy

Biology

Mechanics

And your personal situation

6. Are More Implants Always Safer?

It might sound logical that:

“If 4 implants are good, 6 or 8 must always be better.”

But this is not always true. There is a balance.

Too many implants placed too close together in limited bone can:

Compromise blood supply between implants

Increase the risk of hygiene problems (too many small gaps to clean)

Make surgery and prosthetics more complex than necessary

All-on-4 is successful because:

The implants are placed in strategic positions

The distal implants are angled to maximise support

The prosthetic framework is designed to bridge these supports efficiently

The goal is not to place “as many implants as possible”, but to place the right number in the right positions, and then design a bridge that works harmoniously with your bone, muscles, joints and lifestyle.

7. Key Takeaways – All-on-4 and Angled Implants vs More Implants

Let’s summarise your original questions:

“What are angled implants in All-on-4?”

They are intentionally tilted implants at the back of the jaw.

They avoid sinuses and nerves by anchoring in better anterior or lateral bone.

When planned properly, they are strong and safe, not a compromise.

“When is All-on-4 enough?”

All-on-4 is often ideal when:

You have significant bone loss at the back of the jaws

You want fixed teeth with fewer implants and often fewer surgeries

Tá tú gan fiacla nó tá fiacla gan ionchas ann in aon ailtire

Tá tú ag lorg réiteach éifeachtach, cruthaithe go bâist ar fad gan graftáil mhór

“Cén fáth go dtosnóimid níos mó infheistíochtaí (All-on-6 / All-on-X)?”

Molaimid níos mó infheistíochtaí nuair:

Tá tú óg le fórsaí gréine máinliachta láidre nó bruxism

Tá go leor cnámh agat a dtabharfaidh leat infheistíochtaí breise go sábháilte

Tá an ailtireacht leathan agus táimid ag iarraidh tacaíocht níos mó faoi dhroim na fiacla siar

Táimid ag comhcheangal infheistíochtaí caighdeánacha le zygomatic nó pterygoid infheistíochtaí i gcásanna caillteanais fiacla uathúla

8. Cad é an rud ba cheart duit a dhéanamh má Tá tú ag smaoineamh ar All-on-4 i bursa nó sa Tuirc?

Má tá tú ag smaoineamh ar:

All-on-4, All-on-6 nó eile coincheap infheistiíochtaí ailtire iomlán

Fiacla seasta in ionad de chaife giofaí inamharaithe

Ag fáil cóireála in Bursa, An Tuirc

an chéad chéim is mó ná measúnacht líofa, macánta .

Ag Milim Dental, máistir fiaclóireachta & maxillofacial Dr Ali Direnç Ulaşan agus an fhoireann a bheidh:

Anailís ar do chnámh agus do shahra in 3D

Míniú ar All-on-4 i gcoinne níos mó infheistíochtaí i \"do chás shonrach\"

Léirigh duit cad é a bheidh indéanta maidir le \"rithíocht agus cuma

Cuideoidh sé leat plean a roghnú atá \"sabhalta, réadúil agus fada buan\"

Mar shampla i déanamh ceapaigh ar bhonn aonair “An bhfuil All-on-4 a cheadúnas dom, nó an bhfuil túoist le implants mór?”, lig do fhoireann speisialtóir do shúile, do shláinte agus do chuid mianta – agus tír tascleabhair chóireachta a chréatáil go beacht duit.