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Minor events excluded."},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes)","Recent or ongoing head and neck radiotherapy to the jaw","IV bisphosphonate or antiresorptive therapy with osteonecrosis risk","Active uncontrolled periodontal disease or oral infection (until treated)","Heavy smoking or severe bruxism (relative)","Insufficient bone where grafting or zygomatic options unfeasible (relative)","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Single-arch placement is done as an outpatient procedure 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":"Light activity first; strenuous exercise once swelling and bleeding risk have settled."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Typical time to final prosthesis after osseointegration; immediate-load provisional bridge is usually fitted at surgery."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"From one-arch surgery. 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Routine 7-14-day visit is separate."}},{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After surgery; bite and bridge check, plus suture removal if non-dissolving sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"After surgery; bite, hygiene and provisional bridge review."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":150,"unit":"days","qualifier":"After surgery; osseointegration and soft tissue check before final impression."}},{"purpose":"result_review","requirement":"routine","after":{"min":105,"max":180,"unit":"days","qualifier":"After surgery, at final prosthesis delivery; bite and fit check."}}],"indications":["Edentulous jaw (upper or lower arch)","Failing dentition needing full-arch extraction (periodontitis, decay)","Poor fit or dissatisfaction with conventional dentures","Reduced posterior bone volume"],"main_risks":["Swelling, bruising and bleeding","Infection","Implant failure or failed osseointegration","Peri-implantitis over time","Prosthesis fracture or screw loosening","Nerve irritation or numbness","Sinus perforation (upper jaw)","Speech or bite adaptation difficulties"],"pain":"Procedure is done under anesthesia with little pain; moderate soreness and swelling for 3-5 days, usually managed with standard analgesics.","preparation":["Clinical exam, panoramic X-ray and CBCT scan","Medical and oral health review; treat infection or gum disease","Treatment planning and digital or model-based prosthesis design","Arrange soft food diet and aftercare supplies","Stop smoking before and after surgery","Fast only if sedation is planned"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, mild oozing and soreness; provisional fixed bridge in place. Light walking fine from day 1.","restrictions":["Cold compresses","Liquid or very soft diet","No strenuous exercise","Do not remove the provisional bridge"]},{"phase":"Days 4-14","description":"Swelling and bruising subside; sutures dissolve or are removed. Light exercise from weeks 1-2.","restrictions":["Soft diet","Gentle oral hygiene per instructions","Avoid smoking"]},{"phase":"Weeks 2-12","description":"Gradual return to softer solid foods while implants integrate. Light exercise resumes weeks 1-2; contact sport only when cleared.","restrictions":["Avoid hard or sticky foods","Avoid heavy biting forces","No contact sport until cleared"]},{"phase":"Months 3-6","description":"Final prosthesis replaces the provisional bridge after impression and lab fabrication, usually months 3.5-6 after surgery.","restrictions":["Gradually resume normal diet after final bridge"]},{"phase":"At any time","description":"Seek urgent care for a loose or broken bridge, persistent bleeding, spreading swelling, fever, pus, severe pain, numbness, or breathing or swallowing difficulty.","restrictions":["Do not wait for the next scheduled visit"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"From surgery: return to light daily activities as early soreness and swelling settle. Soft diet and oral care continue."},"result_longevity":"Implants can last many years with good hygiene and maintenance; the prosthesis may need repair or replacement sooner than the implants.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Per patient over 1-5 years: unplanned surgery for implant removal/replacement or prosthesis remake. Excludes routine repairs and planned final exchange."},"scars":"No visible external scars; small intraoral gum incisions heal without noticeable marks.","sessions_or_stages":{"sessions":{"min":2,"max":4,"unit":"visits","qualifier":"One arch, immediate load: surgery, impression visit, optional try-in, final delivery. Healing reviews listed separately."},"stages":[{"code":"surgery_provisional","label":"Extractions if needed, four implants and immediate provisional bridge","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery; reference event for later timing."}},{"code":"final_impression","label":"Final impression after soft tissue and implant healing, if the lab requires it","after":{"min":90,"max":150,"unit":"days","qualifier":"After surgery; depends on healing and lab protocol."}},{"code":"final_bridge","label":"Final prosthesis delivery","after":{"min":105,"max":180,"unit":"days","qualifier":"After surgery; typically 2-4 weeks after impression for lab fabrication."}}],"qualifier":"One arch, adequate stability. Delayed loading, grafting and two arches excluded. Final delivery may fall after 6 months if delayed."},"success":{"metric":"Implant survival","value":97,"unit":"percent of implants","horizon":"About 5 years","population":"Edentulous adults, one arch, four implants, immediate provisional bridge; per implant, not per patient","evidence_status":"limited"},"techniques":[{"name":"One-arch immediate-load All-on-4 with provisional fixed bridge","suits_whom":"Patients with adequate bone for primary implant stability","recovery":"Soft diet continues while implants integrate; provisional bridge worn until final prosthesis."},{"name":"Delayed loading","suits_whom":"Patients with low primary stability or needing grafting","recovery":"Removable temporary denture during healing; longer wait for fixed teeth."},{"name":"Computer-guided immediate-load placement","suits_whom":"Cases planned digitally for precise placement","recovery":"Often less swelling; similar healing timeline."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"One arch surgery including implant placement and immediate provisional bridge; extractions may extend duration."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw (if available)","Front and side photos of face and smile","Photos of current teeth or denture","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Typical stay 3-7 days; final bridge needs a return trip after 3-6 months."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=costa-rica/city=santa-teresa/procedure=implantaciya-zubov-po-tehnologii-all-on-4--vse-na-chetureh/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":4},"manualSeo":[],"updatedAt":"2026-11-05T16:00:11.234Z","activeCountries":["CR","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}