Is it true that after two years or so after the gums keep shrinking the all-on-4 procedure separates from the gum line?
Doctor Answers 5
Space beneath dentures
It is possible that the gums continue to shrink.Usually this is not a huge problem and the prosthesis(teeth) can be corrected for that.Requires a visit with your dentists with the dental technician being there.
All the best, Dr J
We allow 6 months of healing time from the time that your temporary teeth are placed the day of your surgery, to the time of placing the final teeth. This we have found is sufficient time for bone and gum remodeling. The way we prepare/preserve the bone ridge at the time of surgery, may have something to do with us seeing minimal to no space formation underneath the final prosthesis.
All on 4
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All on 4 and Gums shrinking
Ask about adding more pink material to the existing denture
Bone & gums
If you get the typical all-on-4 bulky plastic teeth over metal, you can always have more pink plastic added beneath. I find that many of my patients have irritated/inflamed gums with the plastic temporaries, so I rarely do those since I charge the same fee. If you get a porcelain or zirconium bridge, it may happen after many many years, like a natural tooth bridge. The bridge is cemented so you don't have screw holes or bulky unnecessary material on your palate.
You can also snap your teeth in & out, and those can also be refitted with pink plastic. They are an economical alternative.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.