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Prosthetic visits need no flight restriction."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After implant placement; includes suture check or removal if non-resorbable sutures are used."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Healing and osseointegration check before prosthetic phase."}},{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":300,"unit":"days","qualifier":"From final overdenture delivery; check of fit, occlusion and bar hygiene; maintenance continues."}}],"indications":["Edentulous arch with a loose conventional complete denture","Moderate to severe ridge resorption needing splinted bar support","Need for rigid splinted implants for retention and stability"],"main_risks":["Surgical pain, swelling, bruising and bleeding","Infection or delayed healing","Implant failure to osseointegrate","Nerve injury or altered sensation (especially in the mandible)","Sinus involvement for maxillary implants","Peri-implant mucositis or peri-implantitis","Loose bar or screws, framework or denture fracture, attachment wear","Soft-tissue hyperplasia under the bar and hygiene difficulty","Speech or comfort adaptation problems"],"pain":"Procedure is done under local anesthesia without pain; moderate soreness and swelling for several days after surgery, usually controlled with standard analgesics. Prosthetic visits are generally painless.","preparation":["Exam, panoramic X-ray and CBCT to plan implants","Treatment of active dental, gum or oral infections beforehand","Impressions and planning of denture and bar design","Medical history review; control of diabetes and similar conditions","Smoking cessation advised","Surgical guide may be prepared for implant placement"],"recovery_timeline":[{"phase":"Days 1-7 after surgery","description":"Swelling, mild pain and minor bleeding; soft diet and careful hygiene. Existing denture is adjusted or a temporary prosthesis is used.","restrictions":["Soft diet","Avoid pressure on surgical sites from the denture unless adjusted","No strenuous exercise"]},{"phase":"Weeks 2-4","description":"Soft tissue healing, return to normal daily routine; wound check.","restrictions":["Avoid hard or sticky foods","Avoid heavy loading of implants in the delayed protocol"]},{"phase":"Months 3-8","description":"Osseointegration, then impressions, CAD/CAM titanium bar fabrication, try-in and delivery of bar and overdenture.","restrictions":["Follow the clinician's loading instructions"]},{"phase":"After delivery","description":"Adaptation to the overdenture, adjustments, and regular hygiene and maintenance visits.","restrictions":["Remove and clean denture and bar daily"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Functional recovery after one-arch implant surgery, back to soft diet; adapting to the final overdenture takes more weeks."},"result_longevity":"Implants and the titanium bar can last many years with good hygiene and regular maintenance, but the overdenture's attachments and denture teeth typically need periodic servicing or replacement; longevity varies by patient.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Implant loss or bar/framework remake requiring surgical or major prosthetic revision within 5 years."},"scars":"No visible external scars; small intraoral incisions heal without visible marks.","sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"Treatment visits for one arch, delayed loading: surgery, impressions, try-in, delivery; routine follow-up checks counted separately."},"stages":[{"code":"implant_placement","label":"Placement of four implants","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of first treatment session."}},{"code":"impressions_bar_design","label":"Impressions and CAD/CAM bar design after osseointegration","after":{"min":90,"max":150,"unit":"days","qualifier":"From implant placement."}},{"code":"bar_tryin","label":"Bar and denture try-in","after":{"min":110,"max":190,"unit":"days","qualifier":"From implant placement."}},{"code":"final_delivery","label":"Delivery of final bar and overdenture","after":{"min":130,"max":240,"unit":"days","qualifier":"From implant placement."}}],"qualifier":"Delayed-loading protocol for one arch; immediate-loading variants differ."},"success":{"metric":"Implant survival in bar-retained mandibular overdenture","value":95,"unit":"percent","horizon":"5 years","population":"Healthy edentulous adults with four implants and a splinted bar overdenture","evidence_status":"proven"},"techniques":[{"name":"Delayed-loading four-implant CAD/CAM milled titanium bar overdenture","suits_whom":"Edentulous adults with sufficient bone for four implants who want a stable removable prosthesis.","recovery":"Osseointegration of about 3 months before bar fabrication; final delivery roughly 4-8 months after surgery."},{"name":"Immediate or early-loading variant with a provisional prosthesis","suits_whom":"Selected patients with good primary implant stability.","recovery":"Provisional prosthesis used during healing; final bar later, following a different schedule than the delayed protocol."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Implant placement surgery of four implants in one arch only; prosthetic visits are shorter and not included."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw (if available)","Photos of the mouth and current dentures","Front and side photos of the face","List of bisphosphonates and blood thinners"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Osseointegration takes about 3 months. Trip 1: surgery, 5-7 days. Prosthetic trip: 5-10 days, or split in two."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=tenerife/procedure=balochnyy-protez-na-4-implantah/"}],"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":"2026-10-31T22:15:06.000Z","activeCountries":["ES","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}