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swelling and soft diet last longer."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Early implant loss or major complications needing intervention within one year, per arch, in uncomplicated adults; definitions vary."},"contraindications":["Uncontrolled systemic disease such as diabetes","Active oral infection or untreated periodontal disease (until treated)","Inadequate bone that cannot be reliably planned on 3D imaging","IV bisphosphonates or head and neck radiotherapy (relative; specialist review)","Heavy smoking or severe bruxism (relative)","Pregnancy (elective surgery usually deferred)","Allergy to local anesthetic components","Inability to tolerate dental surgery"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"One-arch placement with same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Walking and light activity from the next day; 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Some protocols extend to 12 months."},"fly_home_after_days":{"min":4,"max":7,"unit":"days","qualifier":"Counted from surgery in an uncomplicated course, after surgeon clearance of bleeding, swelling and prosthesis check; longer if complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":4,"max":7,"unit":"days","qualifier":"From surgery; soft tissue, bite and provisional prosthesis check before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; osseointegration assessment before definitive prosthesis."}}],"indications":["Edentulous jaw or hopeless dentition needing fixed full-arch restoration","Failing teeth from advanced periodontal disease","Atrophic jaw where tilted posterior implants avoid grafting"],"main_risks":["Swelling, bruising and bleeding","Infection or peri-implant inflammation","Implant failure or failed osseointegration","Implant misplacement with nerve injury or sinus perforation","Need to convert to flap surgery or change plan intraoperatively","Prosthesis fracture or screw loosening","Long-term peri-implantitis and marginal bone loss","Speech or hygiene difficulties"],"pain":"No pain during surgery under anesthesia; mild to moderate soreness and swelling for several days, usually controlled with standard analgesics.","preparation":["CBCT imaging and digital planning, often with surgical guide","Dental and periodontal assessment; treatment of active infection","Medical, medication and allergy review","Smoking cessation","Soft foods arranged for after surgery","Provisional prosthesis prepared before surgery"],"recovery_timeline":[{"phase":"First 72 hours","description":"Swelling, minor bleeding and tenderness; provisional prosthesis in place; walking and light daily activity allowed.","restrictions":["Cold compresses","Soft or liquid diet","No strenuous activity"]},{"phase":"Weeks 1-2","description":"Swelling subsides; review and hygiene instruction.","restrictions":["Soft diet","Avoid hard foods","Careful cleaning around prosthesis"]},{"phase":"Months 3-6","description":"Osseointegration with provisional prosthesis in function; definitive prosthesis fitted after assessment.","restrictions":["Avoid very hard foods until definitive prosthesis"]},{"phase":"At any time","description":"Seek prompt dental assessment for persistent bleeding, fever, spreading swelling, pus, worsening pain, numbness, or a loose prosthesis.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to comfortable soft-diet eating after one-arch surgery."},"result_longevity":"Implants often function 10+ years in reported series; provisional and definitive prostheses may need repair or replacement sooner. Depends on hygiene, maintenance, smoking and bruxism.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Implant removal or replacement within the first 5 years, one arch, uncomplicated adults."},"scars":"No incision-related scars; only small punctate gingival healing sites.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Surgery with provisional prosthesis, then definitive prosthesis; follow-up checks excluded."},"stages":[{"code":"surgery_provisional","label":"Flapless placement of four implants with provisional prosthesis","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"definitive_prosthesis","label":"Definitive fixed prosthesis fitting","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; some protocols up to 12 months."}}],"qualifier":"One jaw arch."},"success":{"metric":"Implant survival","value":95,"unit":"percent of implants","horizon":"5 years","population":"Adults with one-arch All-on-4 and adequate bone","evidence_status":"limited"},"techniques":[{"name":"Computer-guided flapless All-on-4 (two axial anterior, two tilted posterior implants)","suits_whom":"Adequate bone width and height confirmed on CBCT.","recovery":"Minimal swelling; provisional fixed prosthesis same day."},{"name":"Freehand flapless placement","suits_whom":"Selected cases with clear anatomy and an experienced surgeon.","recovery":"Similar, with higher misplacement risk without guidance."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"One arch: four implants and provisional prosthesis connection; excludes planning and definitive prosthesis."},"initial_assessment_documents":["Panoramic dental X-ray","CBCT scan of the jaw","Front and side photos of face and smile","Photos of upper and lower teeth","List of blood thinners and bisphosphonates","Recent blood test results"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Surgery with same-day provisional teeth; return after 3-6 months for final prosthesis. Stays: 4-7 days, then 3-5 days."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=belu-orizonti/procedure=implantaciya-all-on-4-bez-razrezov-i-shvov/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}