{"id":9326,"date":"2026-01-09T21:19:10","date_gmt":"2026-01-09T21:19:10","guid":{"rendered":"https:\/\/laclinicadental.org\/complex-cases-bone-loss-grafting-all-on-4-and-elderly-patients-what-to-expect\/"},"modified":"2026-01-12T02:09:36","modified_gmt":"2026-01-12T02:09:36","slug":"complex-cases-bone-loss-grafting-all-on-4-and-elderly-patients-what-to-expect","status":"publish","type":"post","link":"https:\/\/laclinicadental.org\/en\/complex-cases-bone-loss-grafting-all-on-4-and-elderly-patients-what-to-expect\/","title":{"rendered":"Complex cases: bone loss, grafting, All-on-4 and elderly patients (what to expect)."},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"9326\" class=\"elementor elementor-9326 elementor-9279\">\n\t\t\t\t<div class=\"elementor-element elementor-element-015609d articulo e-flex e-con-boxed e-con e-parent\" data-id=\"015609d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ee1d852 e-con-full e-flex e-con e-child\" data-id=\"ee1d852\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8472acc elementor-widget elementor-widget-text-editor\" data-id=\"8472acc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Complex cases in dentistry &#8211; such as significant bone loss, the need for grafting, All-on-4 treatments or elderly patients with multiple problems &#8211; require detailed evaluation, complementary studies and a phased plan. It is not just a matter of &#8220;putting in implants&#8221;, but of analyzing bone, gums, medical conditions and expectations, in order to achieve the <strong>most comfortable, stable and functional<\/strong> rehabilitation <strong>possible.<\/strong> <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-665d1f4 e-con-full e-flex e-con e-child\" data-id=\"665d1f4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0e3d31e e-grid e-con-full e-con e-child\" data-id=\"0e3d31e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f6b9472 elementor-widget elementor-widget-image\" data-id=\"f6b9472\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/casos-complejos-de-odontologia.webp\" class=\"attachment-large size-large wp-image-9334\" alt=\"complex dental cases\" srcset=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/casos-complejos-de-odontologia.webp 1024w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/casos-complejos-de-odontologia-800x800.webp 800w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/casos-complejos-de-odontologia-300x300.webp 300w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/casos-complejos-de-odontologia-768x768.webp 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33eef98 e-con-full e-flex e-con e-child\" data-id=\"33eef98\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cc3a17a elementor-widget elementor-widget-heading\" data-id=\"cc3a17a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is a \"complex case\" in dentistry?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b18cb86 elementor-widget elementor-widget-text-editor\" data-id=\"b18cb86\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"6177\" data-end=\"6252\">A case is considered complex when several of these elements are combined:<\/p><ul data-start=\"6254\" data-end=\"6555\"><li data-start=\"6254\" data-end=\"6308\"><p data-start=\"6256\" data-end=\"6308\">Multiple teeth missing (partially or completely).<\/p><\/li><li data-start=\"6309\" data-end=\"6379\"><p data-start=\"6311\" data-end=\"6379\">Significant bone loss due to periodontitis or time without teeth.<\/p><\/li><li data-start=\"6380\" data-end=\"6436\"><p data-start=\"6382\" data-end=\"6436\">History of failed or complicated treatments.<\/p><\/li><li data-start=\"6437\" data-end=\"6492\"><p data-start=\"6439\" data-end=\"6492\">Systemic diseases requiring precautions.<\/p><\/li><li data-start=\"6493\" data-end=\"6555\"><p data-start=\"6495\" data-end=\"6555\">Older patient, with severe wear or unstable prostheses.<\/p><\/li><\/ul><p data-start=\"6557\" data-end=\"6645\">Complex does not mean &#8220;impossible&#8221;, but rather that it is necessary to <strong data-start=\"6617\" data-end=\"6644\">plan more carefully<\/strong>.<\/p><div class=\"cta-container\"><a class=\"cta-btn call\" href=\"https:\/\/ff.healthatom.io\/qQQYK9\">Appointment with specialist<\/a><br><a class=\"cta-btn whatsapp\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5215529468885&amp;text=Hola+me+comunico+con+La+Cl%C3%ADnica+Dental\" target=\"_blank\" rel=\"noopener\">WhatsApp<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c7f7778 e-con-full e-flex e-con e-child\" data-id=\"c7f7778\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9f2b11c e-grid e-con-full e-con e-child\" data-id=\"9f2b11c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d0a3771 elementor-widget elementor-widget-image\" data-id=\"d0a3771\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/perdida-osea-dentista.webp\" class=\"attachment-large size-large wp-image-9339\" alt=\"perdida osea dentista\" srcset=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/perdida-osea-dentista.webp 1024w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/perdida-osea-dentista-800x800.webp 800w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/perdida-osea-dentista-300x300.webp 300w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/perdida-osea-dentista-768x768.webp 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c2ebaf1 e-con-full e-flex e-con e-child\" data-id=\"c2ebaf1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-25b8b06 elementor-widget elementor-widget-heading\" data-id=\"25b8b06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Bone loss: what does it mean and why does it matter?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-957c40e elementor-widget elementor-widget-text-editor\" data-id=\"957c40e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"6702\" data-end=\"6807\">When a tooth is lost and time passes, the <strong data-start=\"6750\" data-end=\"6768\">alveolar bone<\/strong> may be resorbed. This affects:<\/p><ul data-start=\"6809\" data-end=\"6960\"><li data-start=\"6809\" data-end=\"6853\"><p data-start=\"6811\" data-end=\"6853\"><strong data-start=\"6814\" data-end=\"6829\">Stability<\/strong> of future implants.<\/p><\/li><li data-start=\"6854\" data-end=\"6914\"><p data-start=\"6856\" data-end=\"6914\"><strong data-start=\"6859\" data-end=\"6871\">Aesthetics<\/strong> (lips and gums may look sunken).<\/p><\/li><li data-start=\"6915\" data-end=\"6960\"><p data-start=\"6917\" data-end=\"6960\">The <strong data-start=\"6920\" data-end=\"6947\">distribution of forces<\/strong> during chewing.<\/p><\/li><\/ul><p data-start=\"6962\" data-end=\"7006\">In these cases, it may be necessary to assess:<\/p><ul data-start=\"7008\" data-end=\"7136\"><li data-start=\"7008\" data-end=\"7054\"><p data-start=\"7010\" data-end=\"7054\"><strong data-start=\"7010\" data-end=\"7028\">Bone grafts<\/strong> (autologous or bank).<\/p><\/li><li data-start=\"7055\" data-end=\"7091\"><p data-start=\"7057\" data-end=\"7091\">Guided regeneration techniques.<\/p><\/li><li data-start=\"7092\" data-end=\"7136\"><p data-start=\"7094\" data-end=\"7136\">Adjustments of position and number of implants.<\/p><\/li><\/ul><div class=\"cta-container\"><a class=\"cta-btn call\" href=\"https:\/\/ff.healthatom.io\/qQQYK9\">Appointment with specialist<\/a><br><a class=\"cta-btn whatsapp\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5215529468885&amp;text=Hola+me+comunico+con+La+Cl%C3%ADnica+Dental\" target=\"_blank\" rel=\"noopener\">WhatsApp<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fc38f64 e-con-full e-flex e-con e-child\" data-id=\"fc38f64\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a7f8661 e-grid e-con-full e-con e-child\" data-id=\"a7f8661\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db02d90 elementor-widget elementor-widget-image\" data-id=\"db02d90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/tramientos-dentales-integrales-cdmx-3.png\" class=\"attachment-large size-large wp-image-9169\" alt=\"tramientos dentales integrales cdmx 3\" srcset=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/tramientos-dentales-integrales-cdmx-3.png 1024w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/tramientos-dentales-integrales-cdmx-3-800x800.png 800w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/tramientos-dentales-integrales-cdmx-3-300x300.png 300w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2026\/01\/tramientos-dentales-integrales-cdmx-3-768x768.png 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d99dab4 e-con-full e-flex e-con e-child\" data-id=\"d99dab4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3971c47 elementor-widget elementor-widget-heading\" data-id=\"3971c47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is a dental bone graft?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07f3ebc elementor-widget elementor-widget-text-editor\" data-id=\"07f3ebc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"7179\" data-end=\"7346\">A <strong data-start=\"7182\" data-end=\"7198\">bone graft<\/strong> is a procedure whose objective is to <strong data-start=\"7236\" data-end=\"7266\">recover bone volume<\/strong> to allow the proper placement of implants or to improve tissue support.<\/p><h3 data-start=\"7348\" data-end=\"7373\">When is it considered?<\/h3><ul data-start=\"7374\" data-end=\"7522\"><li data-start=\"7374\" data-end=\"7422\"><p data-start=\"7376\" data-end=\"7422\">When the bone is too thin or low.<\/p><\/li><li data-start=\"7423\" data-end=\"7476\"><p data-start=\"7425\" data-end=\"7476\">After old extractions with high resorption.<\/p><\/li><li data-start=\"7477\" data-end=\"7522\"><p data-start=\"7479\" data-end=\"7522\">In some cases of advanced periodontitis.<\/p><\/li><\/ul><h3 data-start=\"7524\" data-end=\"7552\">What to expect from grafting:<\/h3><ul data-start=\"7553\" data-end=\"7783\"><li data-start=\"7553\" data-end=\"7625\"><p data-start=\"7555\" data-end=\"7625\">Evaluation with imaging studies (X-rays, often 3D tomography).<\/p><\/li><li data-start=\"7626\" data-end=\"7694\"><p data-start=\"7628\" data-end=\"7694\">Surgical procedure with local anesthesia (sometimes sedation).<\/p><\/li><li data-start=\"7695\" data-end=\"7783\"><p data-start=\"7697\" data-end=\"7783\">Healing time before implant placement (weeks or months, depending on the case).<\/p><\/li><\/ul><p data-start=\"7785\" data-end=\"7856\">The goal is to create a more stable and secure base for rehabilitation.<\/p><div class=\"cta-container\"><a class=\"cta-btn call\" href=\"https:\/\/ff.healthatom.io\/qQQYK9\">Appointment with specialist<\/a><br><a class=\"cta-btn whatsapp\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5215529468885&amp;text=Hola+me+comunico+con+La+Cl%C3%ADnica+Dental\" target=\"_blank\" rel=\"noopener\">WhatsApp<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b2749fb e-con-full e-flex e-con e-child\" data-id=\"b2749fb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e4d6ad7 elementor-widget elementor-widget-heading\" data-id=\"e4d6ad7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">All-on-4: concept and reality<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-034f95f elementor-widget elementor-widget-text-editor\" data-id=\"034f95f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong data-start=\"7897\" data-end=\"7909\">All-on-4<\/strong> is a technique in which <strong data-start=\"7935\" data-end=\"7950\">4<\/strong> strategically placed <strong data-start=\"7935\" data-end=\"7950\">implants<\/strong> support a <strong data-start=\"7991\" data-end=\"8008\">fixed prosthesis<\/strong> (usually for an entire dental arch).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d530450 e-grid e-con-full e-con e-child\" data-id=\"d530450\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0ba2ac7 e-con-full e-flex e-con e-child\" data-id=\"0ba2ac7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-31109dd elementor-widget elementor-widget-text-editor\" data-id=\"31109dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"8051\" data-end=\"8076\">Potential advantages:<\/h3><ul data-start=\"8077\" data-end=\"8279\"><li data-start=\"8077\" data-end=\"8144\"><p data-start=\"8079\" data-end=\"8144\">Fewer implants to rehabilitate a complete arch.<\/p><\/li><li data-start=\"8145\" data-end=\"8202\"><p data-start=\"8147\" data-end=\"8202\">May reduce need for grafting in some cases.<\/p><\/li><li data-start=\"8203\" data-end=\"8279\"><p data-start=\"8205\" data-end=\"8279\">Possibility of placing a provisional fixed prosthesis relatively soon.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d56047d e-con-full e-flex e-con e-child\" data-id=\"d56047d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-49fe935 elementor-widget elementor-widget-text-editor\" data-id=\"49fe935\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"8281\" data-end=\"8301\">Not for everyone<\/h3><p data-start=\"8302\" data-end=\"8361\">To decide if someone is a candidate for All-on-4, they are evaluated:<\/p><ul data-start=\"8363\" data-end=\"8561\"><li data-start=\"8363\" data-end=\"8405\"><p data-start=\"8365\" data-end=\"8405\">Quantity and quality of remaining bone.<\/p><\/li><li data-start=\"8406\" data-end=\"8475\"><p data-start=\"8408\" data-end=\"8475\">General health status (diabetes, smoking, medication, etc.).<\/p><\/li><li data-start=\"8476\" data-end=\"8520\"><p data-start=\"8478\" data-end=\"8520\">Hygiene and maintenance expectations.<\/p><\/li><li data-start=\"8521\" data-end=\"8561\"><p data-start=\"8523\" data-end=\"8561\">Condition of gums and soft tissues.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf422ea elementor-widget elementor-widget-text-editor\" data-id=\"cf422ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In some patients, other configurations (All-on-6, individual implants, removable prostheses on implants, etc.) may be recommended.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b61ead5 elementor-widget elementor-widget-text-editor\" data-id=\"b61ead5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"cta-container\"><a class=\"cta-btn call\" href=\"https:\/\/ff.healthatom.io\/qQQYK9\">Appointment with specialist<\/a><a class=\"cta-btn whatsapp\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5215529468885&amp;text=Hola+me+comunico+con+La+Cl%C3%ADnica+Dental\" target=\"_blank\" rel=\"noopener\">WhatsApp<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fc773c5 e-con-full e-flex e-con e-child\" data-id=\"fc773c5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-267279c elementor-widget elementor-widget-heading\" data-id=\"267279c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Elderly patients: particularities and care<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c2d56a6 e-grid e-con-full e-con e-child\" data-id=\"c2d56a6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-efef53f e-con-full e-flex e-con e-child\" data-id=\"efef53f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-07cc505 elementor-widget elementor-widget-text-editor\" data-id=\"07cc505\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p data-start=\"8763\" data-end=\"8802\">Older patients usually present:<\/p><ul data-start=\"8804\" data-end=\"9008\"><li data-start=\"8804\" data-end=\"8841\"><p data-start=\"8806\" data-end=\"8841\">Loss of several or all parts.<\/p><\/li><li data-start=\"8842\" data-end=\"8884\"><p data-start=\"8844\" data-end=\"8884\">Old prostheses with poor adaptation.<\/p><\/li><li data-start=\"8885\" data-end=\"8946\"><p data-start=\"8887\" data-end=\"8946\">Bone resorbed by years of use of removable prostheses.<\/p><\/li><li data-start=\"8947\" data-end=\"9008\"><p data-start=\"8949\" data-end=\"9008\">Chronic diseases (hypertension, diabetes, medication).<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16182df e-con-full e-flex e-con e-child\" data-id=\"16182df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3931845 elementor-widget elementor-widget-text-editor\" data-id=\"3931845\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"9010\" data-end=\"9046\">Keys for a good treatment:<\/h3><ul data-start=\"9047\" data-end=\"9399\"><li data-start=\"9047\" data-end=\"9140\"><p data-start=\"9049\" data-end=\"9140\"><strong data-start=\"9049\" data-end=\"9078\">Complete medical history<\/strong> and communication with the treating physician when necessary.<\/p><\/li><li data-start=\"9141\" data-end=\"9233\"><p data-start=\"9143\" data-end=\"9233\">Prioritization of <strong data-start=\"9159\" data-end=\"9182\">function and comfort<\/strong> (chewing, speaking, cleaning) as well as esthetics.<\/p><\/li><li data-start=\"9234\" data-end=\"9343\"><p data-start=\"9236\" data-end=\"9343\">Realistic options: implants when they are feasible, improved prostheses or other solutions when they are not.<\/p><\/li><li data-start=\"9344\" data-end=\"9399\"><p data-start=\"9346\" data-end=\"9399\">Clear and easy to follow maintenance plans.<\/p><\/li><\/ul><div class=\"cta-container\"><a class=\"cta-btn call\" href=\"https:\/\/ff.healthatom.io\/qQQYK9\">Appointment with specialist<\/a><a class=\"cta-btn whatsapp\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5215529468885&amp;text=Hola+me+comunico+con+La+Cl%C3%ADnica+Dental\" target=\"_blank\" rel=\"noopener\">WhatsApp<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f85265c e-con-full e-flex e-con e-child\" data-id=\"f85265c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f3c11cd elementor-widget elementor-widget-heading\" data-id=\"f3c11cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Typical process in a complex case<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8649f08 e-grid e-con-full e-con e-child\" data-id=\"8649f08\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-46bb0e1 e-con-full e-flex e-con e-child\" data-id=\"46bb0e1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0987699 elementor-widget elementor-widget-text-editor\" data-id=\"0987699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"9445\" data-end=\"9471\">1) Advanced valuation<\/h3><ul data-start=\"9472\" data-end=\"9592\"><li data-start=\"9472\" data-end=\"9503\"><p data-start=\"9474\" data-end=\"9503\">Detailed medical history.<\/p><\/li><li data-start=\"9504\" data-end=\"9549\"><p data-start=\"9506\" data-end=\"9549\">Examination of teeth, gums and bite.<\/p><\/li><li data-start=\"9550\" data-end=\"9592\"><p data-start=\"9552\" data-end=\"9592\">Revision of prosthesis or previous work.<\/p><\/li><\/ul><h3 data-start=\"9594\" data-end=\"9619\">2) Imaging studies<\/h3><ul data-start=\"9620\" data-end=\"9700\"><li data-start=\"9620\" data-end=\"9637\"><p data-start=\"9622\" data-end=\"9637\">X-rays.<\/p><\/li><li data-start=\"9638\" data-end=\"9700\"><p data-start=\"9640\" data-end=\"9700\">3D tomography when planning implants or grafts.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f0bd357 e-con-full e-flex e-con e-child\" data-id=\"f0bd357\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-139157d elementor-widget elementor-widget-text-editor\" data-id=\"139157d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3 data-start=\"9702\" data-end=\"9738\">3) Phased treatment plan<\/h3><ul data-start=\"9739\" data-end=\"10023\"><li data-start=\"9739\" data-end=\"9775\"><p data-start=\"9741\" data-end=\"9775\">Infection and gum control.<\/p><\/li><li data-start=\"9776\" data-end=\"9837\"><p data-start=\"9778\" data-end=\"9837\">Necessary extractions and cleaning of infection sources.<\/p><\/li><li data-start=\"9838\" data-end=\"9915\"><p data-start=\"9840\" data-end=\"9915\">Grafts, sinus lifts or complementary surgeries if required.<\/p><\/li><li data-start=\"9916\" data-end=\"9944\"><p data-start=\"9918\" data-end=\"9944\">Implant placement.<\/p><\/li><li data-start=\"9945\" data-end=\"10023\"><p data-start=\"9947\" data-end=\"10023\">Prosthetic phase (fixed or removable prosthesis on implants, crowns, etc.).<\/p><\/li><\/ul><h3 data-start=\"10025\" data-end=\"10059\">4) Long-term maintenance<\/h3><ul data-start=\"10060\" data-end=\"10200\"><li data-start=\"10060\" data-end=\"10086\"><p data-start=\"10062\" data-end=\"10086\">Periodic reviews.<\/p><\/li><li data-start=\"10087\" data-end=\"10112\"><p data-start=\"10089\" data-end=\"10112\">Professional cleaning.<\/p><\/li><li data-start=\"10113\" data-end=\"10161\"><p data-start=\"10115\" data-end=\"10161\">Evaluation of gums around implants.<\/p><\/li><li data-start=\"10162\" data-end=\"10200\"><p data-start=\"10164\" data-end=\"10200\">Prosthesis adjustments if necessary.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ca6545 elementor-widget elementor-widget-text-editor\" data-id=\"7ca6545\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"cta-container\"><a class=\"cta-btn call\" href=\"https:\/\/ff.healthatom.io\/qQQYK9\">Appointment with specialist<\/a><a class=\"cta-btn whatsapp\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5215529468885&amp;text=Hola+me+comunico+con+La+Cl%C3%ADnica+Dental\" target=\"_blank\" rel=\"noopener\">WhatsApp<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-89c8e79 e-con-full e-flex e-con e-child\" data-id=\"89c8e79\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-182f425 e-grid e-con-full e-con e-child\" data-id=\"182f425\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-06f7f72 elementor-widget elementor-widget-image\" data-id=\"06f7f72\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"760\" height=\"840\" src=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2025\/07\/gal-new-4.webp\" class=\"attachment-large size-large wp-image-592\" alt=\"\" srcset=\"https:\/\/laclinicadental.org\/wp-content\/uploads\/2025\/07\/gal-new-4.webp 760w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2025\/07\/gal-new-4-724x800.webp 724w, https:\/\/laclinicadental.org\/wp-content\/uploads\/2025\/07\/gal-new-4-271x300.webp 271w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2b56746 e-con-full e-flex e-con e-child\" data-id=\"2b56746\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70a2a8b elementor-widget elementor-widget-heading\" data-id=\"70a2a8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What to expect as a patient<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-08285aa elementor-widget elementor-widget-text-editor\" data-id=\"08285aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul><li data-start=\"10243\" data-end=\"10315\"><p data-start=\"10245\" data-end=\"10315\"><strong data-start=\"10245\" data-end=\"10275\">Clear explanation of the plan<\/strong>: what will be done, in what order and why.<\/p><\/li><li data-start=\"10316\" data-end=\"10384\"><p data-start=\"10318\" data-end=\"10384\"><strong data-start=\"10318\" data-end=\"10341\">Approximate times<\/strong> for each phase (and what can modify them).<\/p><\/li><li data-start=\"10385\" data-end=\"10468\"><p data-start=\"10387\" data-end=\"10468\">Honest information about <strong data-start=\"10413\" data-end=\"10444\">treatment alternatives<\/strong> (not just one option).<\/p><\/li><li data-start=\"10469\" data-end=\"10507\"><p data-start=\"10471\" data-end=\"10507\">Budget broken down by stages.<\/p><\/li><li data-start=\"10508\" data-end=\"10573\"><p data-start=\"10510\" data-end=\"10573\">Close accompaniment and follow-up, especially after surgeries.<\/p><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8a8a410 e-con-full e-flex e-con e-child\" data-id=\"8a8a410\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1991c2b elementor-widget elementor-widget-heading\" data-id=\"1991c2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently asked questions about complex cases<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a998ba1 elementor-widget elementor-widget-n-accordion\" data-id=\"a998ba1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:800,&quot;sizes&quot;:[]},&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1770\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-1770\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> What is considered a complex dental case? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1770\" class=\"elementor-element elementor-element-c0cf239 e-con-full e-flex e-con e-child\" data-id=\"c0cf239\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1770\" class=\"elementor-element elementor-element-526bbd1 e-flex e-con-boxed e-con e-child\" data-id=\"526bbd1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-46abc85 elementor-widget elementor-widget-text-editor\" data-id=\"46abc85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A complex case is one in which several problems are combined: significant bone loss, many missing teeth, unstable prostheses, advanced periodontal disease, history of failed treatments or medical conditions that require special precautions.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1771\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1771\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> What is All-on-4 and in which cases is it used? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1771\" class=\"elementor-element elementor-element-763a628 e-con-full e-flex e-con e-child\" data-id=\"763a628\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1771\" class=\"elementor-element elementor-element-45f7496 e-flex e-con-boxed e-con e-child\" data-id=\"45f7496\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f596738 elementor-widget elementor-widget-text-editor\" data-id=\"f596738\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>All-on-4 is a rehabilitation technique in which four strategically placed implants support a full-arch fixed prosthesis. It is usually indicated in patients with many missing teeth or unstable removable prostheses, provided that studies show that they are candidates. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1772\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1772\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> What kind of maintenance do implants and prostheses require in complex patients? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1772\" class=\"elementor-element elementor-element-8064cf3 e-con-full e-flex e-con e-child\" data-id=\"8064cf3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1772\" class=\"elementor-element elementor-element-d9475df e-flex e-con-boxed e-con e-child\" data-id=\"d9475df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d1ece51 elementor-widget elementor-widget-text-editor\" data-id=\"d1ece51\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>They require periodic check-ups, professional cleanings, gum control around the implants and, if necessary, adjustments of the prosthesis. Maintenance is key to the long-term duration of treatment. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1773\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1773\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> What studies are needed to plan a complex case? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1773\" class=\"elementor-element elementor-element-b1baa72 e-con-full e-flex e-con e-child\" data-id=\"b1baa72\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1773\" class=\"elementor-element elementor-element-ce0af21 e-flex e-con-boxed e-con e-child\" data-id=\"ce0af21\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8b5e91e elementor-widget elementor-widget-text-editor\" data-id=\"8b5e91e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In addition to the clinical examination, X-rays and, in many cases, a 3D tomography are usually necessary. These studies make it possible to measure the available bone, plan the position of implants and assess the need for grafts. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1774\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1774\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Is a treatment with grafts and implants very painful? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1774\" class=\"elementor-element elementor-element-786b8c7 e-con-full e-flex e-con e-child\" data-id=\"786b8c7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1774\" class=\"elementor-element elementor-element-fbc6e74 e-flex e-con-boxed e-con e-child\" data-id=\"fbc6e74\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5afc0bb elementor-widget elementor-widget-text-editor\" data-id=\"5afc0bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The goal is that it is not. Procedures are performed under local anesthesia and, when indicated, with additional comfort control techniques. After surgery there may be swelling or discomfort, but this is managed with medication and follow-up.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1775\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1775\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Can older patients receive dental implants or All-on-4? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1775\" class=\"elementor-element elementor-element-bd50968 e-con-full e-flex e-con e-child\" data-id=\"bd50968\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1775\" class=\"elementor-element elementor-element-61f9e2b e-flex e-con-boxed e-con e-child\" data-id=\"61f9e2b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9a92da8 elementor-widget elementor-widget-text-editor\" data-id=\"9a92da8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In many cases yes. Age alone is not a contraindication; what is important is to evaluate the general state of health, medication, available bone and the ability to maintain good hygiene and attend check-ups. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1776\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1776\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Do I always need bone grafting if I have a small amount of bone? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1776\" class=\"elementor-element elementor-element-63796f0 e-con-full e-flex e-con e-child\" data-id=\"63796f0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1776\" class=\"elementor-element elementor-element-5090a0f e-flex e-con-boxed e-con e-child\" data-id=\"5090a0f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-159b6a4 elementor-widget elementor-widget-text-editor\" data-id=\"159b6a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Not always. It depends on how much bone there is, its quality and the implant technique chosen. In some cases grafts are recommended; in others, the plan can be adapted (e.g., with All-on-4 configurations) without extensive grafting.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1777\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"8\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1777\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> How long can a treatment with grafts and implants in complex cases last? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1777\" class=\"elementor-element elementor-element-5adb271 e-con-full e-flex e-con e-child\" data-id=\"5adb271\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1777\" class=\"elementor-element elementor-element-d352f96 e-flex e-con-boxed e-con e-child\" data-id=\"d352f96\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-20a9375 elementor-widget elementor-widget-text-editor\" data-id=\"20a9375\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The time varies according to the number of procedures and the need for healing. It can range from several months to more than a year, considering grafting phases, implant integration and placement of definitive prosthesis. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is considered a complex dental case?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A complex case is one in which several problems are combined: significant bone loss, many missing teeth, unstable prostheses, advanced periodontal disease, history of failed treatments or medical conditions that require special precautions.\"}},{\"@type\":\"Question\",\"name\":\"What is All-on-4 and in which cases is it used?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"All-on-4 is a rehabilitation technique in which four strategically placed implants support a full-arch fixed prosthesis. It is usually indicated in patients with many missing teeth or unstable removable prostheses, provided that studies show that they are candidates.\"}},{\"@type\":\"Question\",\"name\":\"What kind of maintenance do implants and prostheses require in complex patients?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"They require periodic check-ups, professional cleanings, gum control around the implants and, if necessary, adjustments of the prosthesis. Maintenance is key to the long-term duration of treatment.\"}},{\"@type\":\"Question\",\"name\":\"What studies are needed to plan a complex case?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"In addition to the clinical examination, X-rays and, in many cases, a 3D tomography are usually necessary. These studies make it possible to measure the available bone, plan the position of implants and assess the need for grafts.\"}},{\"@type\":\"Question\",\"name\":\"Is a treatment with grafts and implants very painful?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The goal is that it is not. Procedures are performed under local anesthesia and, when indicated, with additional comfort control techniques. After surgery there may be swelling or discomfort, but this is managed with medication and follow-up.\"}},{\"@type\":\"Question\",\"name\":\"Can older patients receive dental implants or All-on-4?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"In many cases yes. Age alone is not a contraindication; what is important is to evaluate the general state of health, medication, available bone and the ability to maintain good hygiene and attend check-ups.\"}},{\"@type\":\"Question\",\"name\":\"Do I always need bone grafting if I have a small amount of bone?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Not always. It depends on how much bone there is, its quality and the implant technique chosen. In some cases grafts are recommended; in others, the plan can be adapted (e.g., with All-on-4 configurations) without extensive grafting.\"}},{\"@type\":\"Question\",\"name\":\"How long can a treatment with grafts and implants in complex cases last?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The time varies according to the number of procedures and the need for healing. It can range from several months to more than a year, considering grafting phases, implant integration and placement of definitive prosthesis.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6080590 e-con-full e-flex e-con e-child\" data-id=\"6080590\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8aedcb1 elementor-widget elementor-widget-heading\" data-id=\"8aedcb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Schedule your assessment (CDMX) and receive a clear step-by-step plan.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9785764 elementor-widget elementor-widget-text-editor\" data-id=\"9785764\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Whether you are looking for a complete rehabilitation, comprehensive dental treatment or a total smile makeover in CDMX, the first step is a professional assessment to define priorities and build a phased plan with realistic expectations.<\/p><p><em><a href=\"https:\/\/laclinicadental.org\/en\/\">The Dental Clinic<\/a>, <a href=\"https:\/\/laclinicadental.org\/en\/tratamientos-dentales\/\">See treatments.<\/a><\/em><\/p><p> <\/p><div class=\"cta-container\"><a class=\"cta-btn call\" href=\"https:\/\/ff.healthatom.io\/qQQYK9\">Appointment with specialist<\/a><br><a class=\"cta-btn whatsapp\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5215529468885&amp;text=Hola+me+comunico+con+La+Cl%C3%ADnica+Dental\" target=\"_blank\" rel=\"noopener\">WhatsApp<\/a><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Complex cases in dentistry &#8211; such as significant bone loss, the need for grafting, All-on-4 treatments or elderly patients with multiple problems &#8211; require detailed evaluation, complementary studies and a phased plan. It is not just a matter of &#8220;putting in implants&#8221;, but of analyzing bone, gums, medical conditions and expectations, in order to achieve [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9344,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_theme","format":"standard","meta":{"_acf_changed":false,"_yoast_wpseo_title":"Complex dental cases: bone loss, grafts and All-on-4 %%sep%% %%sitename%%% %%sitename%%%.","_yoast_wpseo_metadesc":"Guide for complex dental cases: bone loss, grafts, All-on-4 and elderly patients. We explain studies, treatment phases, timing and what to expect.","_metasync_otto_title":"","_metasync_otto_description":"","_metasync_otto_keywords":"dental implants, bone grafting, All-on-4 procedure, complex dental cases, elderly dental care, dental treatment options, patient comfort, tailored treatment plans","_metasync_otto_og_title":"Complex Dental Cases: Expert Bone Loss & All-on-4 Solutions","_metasync_otto_og_description":"Expert dental care for complex cases: bone loss & All-on-4.","_metasync_otto_twitter_title":"Dental Complex Cases: Grafts, All-on-4 & Bone Loss Solutions","_metasync_otto_twitter_description":"Tackle complex dental cases: bone loss, grafts & All-on-4. 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