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depends on whether extractions or bone work were needed and on swelling."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any biological or prosthetic complication within 1-5 years, mostly minor such as chipping, screw loosening, mucositis."},"contraindications":["Uncontrolled diabetes or other uncontrolled systemic disease","Recent or ongoing head and neck radiotherapy to the jaws","IV bisphosphonate or antiresorptive therapy with osteonecrosis risk","Active untreated oral infection or periodontal disease","Severely insufficient bone preventing All-on-4 placement without grafting","Heavy smoking (relative precaution)","Severe bruxism (relative precaution)","Pregnancy","Known allergy to implant materials"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Implant placement for one arch is done as a same-day procedure with no overnight stay."},"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 resumes in a few days; 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Longer with sinus or bone grafting."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"From surgery day."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery day; review of osseointegration and fitting of the definitive prosthesis."}}],"indications":["Edentulous jaw or hopeless remaining teeth in one arch","Limited posterior bone where tilted posterior implants avoid grafting"],"main_risks":["Postoperative swelling, bruising and bleeding","Infection or peri-implantitis","Failure of osseointegration of an implant","Fracture or chipping of the prosthesis","Nerve irritation or sinus involvement (rare)","Prosthesis wear or loosening of screws","Need for adjustment of bite"],"pain":"Procedure is painless under anesthesia; mild to moderate discomfort and swelling for 2-5 days, controlled with standard analgesics.","preparation":["Clinical exam, panoramic X-ray and CBCT of the jaws","Treatment planning and digital design of the prosthesis","Treatment of active dental or gum infection","Review of medical history and current medications with the surgeon","Avoid smoking and alcohol around surgery"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling, mild bleeding and discomfort; the immediate provisional prosthesis is usually fitted.","restrictions":["Soft or cold foods","No vigorous rinsing","Avoid smoking"]},{"phase":"Weeks 1-2","description":"Swelling subsides and soft tissues heal; wound check.","restrictions":["Soft diet","Avoid strenuous exercise","Careful hygiene around implants"]},{"phase":"Months 1-3","description":"Osseointegration under the provisional prosthesis.","restrictions":["Avoid hard or sticky foods","Avoid heavy biting forces"]},{"phase":"Months 3-6","description":"Definitive zirconia prosthesis is fitted after impressions and trial; regular hygiene and maintenance visits follow.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Return to light daily activities; swelling and discomfort settle on a soft diet with the fixed provisional prosthesis."},"result_longevity":"Implants often last many years with good hygiene and regular maintenance; the prosthesis may need repair or replacement sooner depending on wear, bite forces and care.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Patients needing implant replacement or prosthesis remake within 5 years."},"scars":"No visible external scars; small intraoral gum incisions heal without noticeable marks.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"One arch: surgery with provisional prosthesis, then definitive fitting; an extra impression or try-in visit is common."},"stages":[{"code":"surgery_provisional","label":"Implant placement with immediate provisional prosthesis","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"definitive_prosthesis","label":"Fitting of the definitive zirconia prosthesis","after":{"min":90,"max":180,"unit":"days","qualifier":"After osseointegration."}}],"qualifier":"Typical single-arch protocol."},"success":{"metric":"Implant survival per implant","value":95,"unit":"percent","horizon":"5 years","population":"Adults with edentulous or failing dentition receiving four-implant immediate-load full-arch prosthesis","evidence_status":"limited"},"techniques":[{"name":"Immediate-load All-on-4 with screw-retained zirconia prosthesis","suits_whom":"Patients with sufficient bone in the anterior jaw who want a fixed arch quickly.","recovery":"Provisional teeth the same day; definitive zirconia after about 3-6 months."},{"name":"Delayed-load protocol","suits_whom":"Patients with low primary implant stability or needing grafting.","recovery":"Longer healing with a removable provisional before the definitive prosthesis."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Surgery for one arch (four implants) including any extractions and provisional fitting; this is an arch-level, not single-implant, duration."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw (if available)","Front photos of smile and face","Photos of current teeth or denture","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Two trips: surgery with provisional teeth (stay 5-7 days); definitive prosthesis after 3-6 months (stay 3-5 days)."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=jarabacoa/procedure=cirkonievye-zubnye-implanty-all-on-4/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}