All-on-8 dental implants, also known as Basal Complex implants, are a one-stage implantation technique with immediate loading. They are particularly suitable for individuals with total tooth loss (total adentia). Each dental arch typically requires 8 to 12-14 dental implants.

The distinctive feature of this implantation protocol is its avoidance of bone grafting. In 90% of cases, implants can be placed without the need for prior correction of jawbone density. Additionally, the prostheses are installed immediately, enabling patients to resume a fulfilling life within a few days after the procedure.

A fixed denture is placed within the first 2-3 days following implant installation. This is crucial for restoring aesthetics and functionality similar to natural teeth, which significantly boosts the patient’s self-confidence. Moreover, the prosthesis plays a vital role in maintaining the health of the bone tissue and providing load-bearing support to the implants.

Indications for All-on-8 dental implants in Turkey include:

• Total or near-total tooth loss in the upper or lower jaw.
• Presence of painful, mobile, or decayed teeth requiring extraction.
• Significant reduction in jawbone density.
• Infeasibility of bone grafting.
• Rejection of removable dentures.
• Various periodontal diseases or inflammation.
• Restoration of teeth in heavy smokers.
• Inflammation of the bone tissue.
• Elderly patients.
• Desire to minimize treatment duration.

Key features and advantages of All-on-8 implantation are as follows:

• The protocol utilizes 8-14 dental implants per row of teeth.
• Prompt installation of the prosthesis, typically within a few days after implant placement.
• A single-piece all-on-8 system with angled multi-unit abutments.
• Inclined placement of lateral implants.
• Prosthesis fixation using cement-retained or screw-retained techniques.
• The procedure does not necessitate bone grafting.
• Simultaneous implantation can be performed with tooth extraction.
• 3D modeling is employed to ensure an optimal treatment outcome.

Stages of all-on-8 implantation:

• First visit: During this initial visit, the oral cavity is examined, and the condition of the teeth and gums is evaluated. Computer tomography is performed to assist in the planning process. The treatment plan is coordinated, and the appropriate implantation protocol, installation method, implant model, and quantity are selected. The final cost is calculated, and the treatment duration is finalized. A date is set for the procedure.

• Second visit: The second visit involves the actual procedure, which typically takes between 40 minutes and 3 hours. Wax impressions are taken during this stage to facilitate the fabrication and customization of permanent dentures. The patient is also provided with instructions regarding medication, dietary guidelines, and oral care.

• Third visit: During the third visit, a control examination is conducted to assess the state of the oral cavity tissues. The quality of implant installation and fixation in the jawbone is checked using dental panoramic X-rays or computer tomography. Permanent dentures are installed, and recommendations are given regarding nutrition, lifestyle, and maintaining good oral hygiene and dental health.

Are there any alternatives to all-on-8 in Turkey?

All-on-8 is typically recommended for cases involving total or near-total tooth loss, jawbone atrophy, and inflammation of periodontal or skeletal tissues. Traditional implantation methods are not suitable in such situations because they require bone tissue augmentation before implant placement. This can be challenging to achieve in cases of complete adentia due to the extensive amount of work required and the need for long-term rehabilitation. Therefore, similar implantation methods with immediate loading present viable alternatives to all-on-8. These alternatives can also be used in difficult clinical situations.

Differences between all-on-8 and other implant protocols:

• all-on-4: This implantation method is designed to address complete or nearly complete tooth loss. It involves supporting a removable denture with only four dental implants. In cases of jawbone atrophy, longer implants can be used, anchored in the cheekbone to bypass problematic areas of the bone tissue and sinus region. A permanent denture can be placed within 1-3 days.

• all-on-6: Unlike all-on-4, the all-on-6 protocol has a broader range of indications. It is used in cases of more severe atrophy and inflammation of the periodontal tissues. With six implants, the increased number ensures a more even distribution of the chewing load and better prosthesis fixation.

• 3-on-6: This is a recent method of dental implantation that involves using six bridges (three on the upper arch and three on the lower arch). These bridges are attached to the patient’s gum and closely resemble natural teeth in terms of aesthetics. This system is suitable for patients with a healthy jawbone and without bone breakdown, reduced bone density, or diminished bone height/width. It provides an affordable alternative for patients who currently lack or will soon lose all their teeth.

How long do all-on-8 implants last?

Manufacturers of all the implant protocols typically offer a lifetime warranty for their products. On average, dental implants are expected to last at least 20 years. The longevity of the implants often depends on the manufacturer, price, and the specific implant protocol chosen.