Articles by "Health" Doctor Online Telemedicine

BIoTb claims to be No. 1 Tele-medicine in India Online Doctors Platform Take appointment with doctor online at BIoTb, India’s top tele medicine doctors online portal for patients disease treatment. It is AI driven Telemedicine Software. You can Book Appointment with Doctors Online App BIoTb via Instant Connect Medical treatment appointment booking with doctors at the best online telemedicine app BIoTb India. Before consulting you may take preliminary consultancy with our AI Powered ChatDoc.

Loo of BIoTb telemedicine India

Why to choose BIoTb's Lifeline Outlet to Connect with Remote Doctors through Internet?

Doctors connect with patients and patients connect with doctors online at the best doctor online at BIoTb India. 

You may take appointment with Indian doctors at the easiest medical app BIoTb.

Is BIoTb a telemedicine company?

Per the WHO (World Health Organization) Telemedicine is “The delivery of healthcare services, where distance is a critical factor, by all healthcare professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation and for the continuing education of healthcare providers, all in the interests of advancing the health of individuals and their communities.” BIoTb complies this definition.

What is BIoTb ChatDoc?

BioTb ChatDoc is an AI based doctor chat bot.


What is BIoTB TCC (Telemedicine Consultation Centre )?

BioTB Telemedicine Consulting Centre is the site where patients are present. In a Telemedicine Consulting Centre, equipment for BP measuring, €Sugar level measurement, scanning / converting, transformation and communicating the patient's medical information can be available along with an expert guide.


What is Biotb Telehealth?

BIoTb Telehealth is the use of AI based electronic information and telecommunications technologies to support long distance clinical medicare, patient and medical professional health related education and training, remote patient monitoring, public health and health administration, health IoT, etc.

BIoTb AI and IoT


What is BIoTb Telemedicine Specialty Centre (TSC)

BIoTb Telemedicine Specialty Centre is a site, where the specialist is present. He can interact with the patient present in the remote site and view his reports and monitor his progress.


What is BIoTb Telemedicine System?

The BIoTb telemedicine system consists of an interface between hardware, software along with a communication channel to eventually bridge multiple geographical locations to exchange information and enable teleconsultancy between multiple locations.

The hardware used by BIoTb consists of a computer, printer, scanner, videoconferencing equipment , health devices, etc. The communication channel enables the connectivity whereby two locations can connect to each other. The software enables the acquisition of patient information (images, reports, films, records, etc.). 

  • BIoTb facilitates disease surveillance and program tracking
  • BIoTb provides easy access to remote areas
  • Using BIoTb telemedicine in peripheral health set-ups can significantly reduce the time and costs of patient transportation
  • BIoTb Improves communications between health providers separated by distance
  • BIoTb critical care monitoring where patient transfer is impossible
  • Continuing medical education and clinical research activities
  • BIoTb is a tool for public awareness regarding health
  • BIoTb is a tool for disaster management activities
  • Second opinion and complex interpretations
  • The greatest hope for use of BioTb technology is that it can bring the expertise to medical practices once telecommunication is been established.
  • Tele-mentored procedures or surgery using hand robots including nanotech
  • BIoTb monitoring home care and ambulatory monitoring
  • BIoTb provides an opportunity for standardization and equity in provision of healthcare, both within individual countries and across regions and continents.

BIoTb telecommunication and telemedicine are important technologies to improve and provide rehabilitation services in remote areas. 

BIoTb can be substitutes for physicians in rural areas especially in India and other developing countries where resources are scarce and public health problems are in plenty. It supplements the current Indian health scenario in a huge way in most countries.



What basic types of Technology BIoTb uses?

There are 2 different kinds of technology that make up major part of the BIoTb application.

1. Store and Forward: This is used to transfer digital images from one location to another. A digital image is taken using a digital camera, stored and then sent (‘forwarded’) by a computer to another location. This is typically used for nonemergency situations, when a diagnosis or consultation may be made in the next few hours and sent back. Teleradiology, telepathology and teledermatology are a few examples.

2. Two-way IATV: The widely used technology, the 2-way IATV(interactive television), is used when a live consultation is necessary. Videoconferencing equipment, or may be simply software at both locations allow a real-time consultation to take place.

Almost all specialties of medicine have been found to be conducive to this kind of consultation including psychiatry, pulmonary, internal medicine, rehabilitation, cardiology, pediatrics, sexology, obstetrics, neurology, gynecology, tele-dermatology, etc.

The patient and sometimes their provider or more commonly a practitioner nurse or telemedicine coordinator (or any combination of these 3), are at the originating site. The doctor is at the referral site, most often at an urban medical center.


Infrastructure at BioTb

BIoTb centers can be broadly classified into the following classes:

  • PTC (Primary Telemedicine Center)
  • STC (Secondary Telemedicine Center)
  • TTC (Tertiary Telemedicine Center)

BioTb PTCs would be based in Primary Health Centers, BIoTb STCs in Secondary Medical Centers and TTCs in Tertiary Medical Centers. The Hardware requirements and standards are referred in the context of the Telemedicine BIoTb Consulting and Specialist Centres TCC and TSC.


BIoTb Telecommunication Technologies

The first among the challenging questions arising when planning BIoTb telemedicine network is bandwidth. Bandwidth is proportional to the complexity of the data for a given level of system performance. Bandwidth is the capacity that defines how quickly bits may be sent down the channels in a telecommunication channel.

BIoTb banner



The Internet has a strong impact in delivering certain kinds of care to patients.  

Many BIoTb consumers are finding access to online patient appointment, medical education, review of lab work, and even App based and e-mail consultations.


What is the application of BioTb Telehealth in Public Health?

BIoTb's Epidemiological Surveillance

BIoTb applications for epidemiological surveillance are gradually reaching new heights with the development of technologies like the GISs (geographic information systems).

  • It can play a pivotal role in anticipating epidemics
  • It can give new insight into geographical distribution and gradients in disease prevalence and incidence and valuable insight into public health based assessment.
  • It also provides crucial information of differential individuals at risk based on risk factor profiles.
  • It helps in differentiating and delineating the risk factors in the mass.
  • BIoTb helps in interventional planning, assessment of various interventional health strategies and their effectiveness.
  • BIoTb is an essential tool in real-time monitoring of diseases, locally and globally.
  • BIoTb GIS provides the basic architecture and analytical tools to perform spatial temporal modeling of climate, environment and disease transmission helpful in understanding the spread of vector borne diseases where remote sensing techniques can also used.
  • BIoTb facilitates a GIS-based method for acquiring, retrieving, analyzing and managing health related data which differs from traditional modes of disease surveillance and reporting. It facilitates aggregation and integration of disparate data with applicable AI from diverse sources so that it can guide the formulation of public health programs and policy decisions.


BIoTb's Interactive health communication and disease prevention

BIoTb’s  IT, AI and telemedicine can be used to inform, influence and motivate on health, health-related issues and adoption of healthy lifestyles. 

The various approaches and applications can advance and support primary, secondary and tertiary health promotion and disease prevention health agenda.

  • It can easily promote and maintain healthy behaviors among people.
  • It can relay health related information. It can provide an easy access to those living in remote areas.
  • It enables informed decision-making. It also simplifies the health decision-making process  or communication between the BIoTb elements healthcare providers and individuals regarding prevention, diagnosis or management of health condition and treatment. As a result, BIoTb users are exposed to a broader choice base.
  • BIoTb can also help in peer information exchange and emotional support under its tele-psychology.
  • BIoTb can be a very important tool for the evaluation and monitoring of healthcare services in India.
  • It promotes self-care and domiciliary care practices. Many living in the remote areas can be benefited by self management of medical problems which will supplement existing healthcare services.


BIoTb Telemedicine in India

In contrast to the bleak scenario in Indian healthcare, computer literacy is developing quickly in India. Healthcare experts are now looking at BIoTb as their newly found Avatar. It is far easier to set up an excellent telecommunication infrastructure in suburban and rural India than to place hundreds of medical specialists in these places. BIoTb realizes that the future of telecommunications lies in satellite-based technology and fiber optic cables.


What Current Telemedicine Efforts in India favour BIoTb?

In India, telehealth programs are actively supported by:

  • vvfit
  • Department of IT, GoI
  • State governments
  • Indian Space Research Organization
  • NEC Telemedicine program for North-Eastern states
  • Asia Heart Foundation
  • Telemedicine technology also supported by some other private organizations like BIoTb

DIT as a facilitator with the long-term objective of effective incorporation and utilization of IT in all major sectors, has taken the following leads in Tele-medicine:

  • Technology Development
  • Standardization
  • Framework for building IT Infrastructure in health
  • Initiation of pilot schemes-Selected Specialty, e.g., Oncology, Tropical Diseases and General tele-medicine system covering all specialties



What Telemedicine Challenges doe BIoTb overcomes?

BIoTb overcomes the following constraints in the online Indian healthcare:

  • Patient fear and unfamiliarity: There is lack of confidence in patients about the outcome of eOPD.
  • Perspective of medical practitioners: Doctors are not fully convinced and familiar with teledoctor app.
  • Financial unavailability: The technology and communication costs being too high, sometimes make Telemedicine financially unfeasible.
  • Lack of basic public amenities: In India, a major population lives below the poverty line. Basic amenities like primary health services, transportation, electricity, telecommunication, safe drinking water, sewage, etc. are missing. No technological advancement can change anything when humans have nothing to change.
  • Literacy rate and diversity in languages: About 66% of the Indian population is literate with only 2% being adept in English.
  • Quality aspect: In case of healthcare, there is no proper governing body to form guidelines in this respect and motivate the organizations to follow. In most aspects it is solely left to organizations on how they take it.
  • Technical constraints: Telemedicine supported by various types of software and hardware still needs to mature. For correct diagnosis and pacing of data, we require advanced biological sensors and more bandwidth support.
  • Governmental Support: Governments have limitations and so do private enterprises. Any technology in its primary stage needs care and support. Only governments have the resources and the power to help it survive and grow. There is little interest of the government to develop it.

Doctors Online


We can realize that BIoTb telemedicine will soon be just another way to see a health professional and healthcare expert interaction. Remote patient monitoring has the potential to make every minute count by gathering clinical data from many patients concurrently. BIoTb has a smart balance between total dependence on computer solutions and the use of human intelligence along with AI. Striking that balance may make all the difference in saving someone's life. The potential of BIoTb telemedicine, tele-health and e-health is still left to our imaginations or the destinies.





Virus Composition Structure Naming and Viral Reproduction

Viruses are a class of microorganisms that do not have cell structures and are intertwined with life features such as genetics and replication. They are non-cellular microbial groups. It has the characteristics of life in the host cell, only the characteristics of general chemical macromolecules outside the living cell, and obligate parasitization in the living cell. Individuals are tiny and can be seen under an electron microscope through a bacterial filter. The size is expressed in nanometers (nm). In 1892, the Russian scholar Ivanovsky first discovered that the pathogen of tobacco mosaic disease could pass unimpeded through the porcelain that bacteria could not pass through, so it was named filter virus or virus. Viruses are small and have no cell structure. Most of them can be observed with an electron microscope. Various viruses have different structures and morphologies, and have strict host specificity, that is, they can only proliferate in certain types of living cells. 

The basic chemical composition of viruses is nucleic acids and egg protein. Some viruses also contain lipids, polysaccharides and inorganic salts. A virus has only one type of nucleic acid (DNA or RNA) genetic material. Depending on the host, viruses can be divided into animal viruses, plant viruses and bacterial viruses (phages).

Table of Content

  1.    Virus Discovery

  2.    Chemical composition of the virus

  3.    Structure of the virus

  4.    Viral Reproduction

  5.    Classification and naming of viruses

How virus was discovered?

Although early on, people recognized the presence of the virus through disease caused by the virus. In the second and third centuries BC, India and China had records of smallpox. However, the discovery and identification of viruses was a matter of the late 19th century.

In 1886, Mayer, a German working in the Netherlands, was attracted by a pathological condition of tobacco. His symptoms were infection of dark, shallow green areas on the leaves. The leaves of the plant are crushed with water, and the juice is injected into the veins of healthy tobacco, which can cause mosaic disease, which proves that the disease is contagious. Through analysis of leaves and soil, Maier pointed out that tobacco mosaic is caused by bacteria.

Mayr's Experiment for Viruses

In 1892, Russian biologist Ivanovski repeated Mayr's experiments, confirming the phenomenon Mayr saw, and further found that the leaf juice of diseased tobacco plants passed through a bacterial filter It can also cause mosaic disease in healthy tobacco plants. This phenomenon can at least explain that the pathogenic cause is not bacteria, but Ivanovsky explained that it was caused by toxins produced by bacteria. Living in the heyday of Pasteur's theory of bacterial pathogenicity, Ivanovsky was unable to think further, thus missing a major discovery.

In 1898, the Dutch bacteriologist Beijerinck also confirmed Maier's observations, and, like Ivanovsky, found that the tobacco mosaic pathogen could pass through bacterial filters, but Bergerinck Think deeper. He placed the sap of the tobacco mosaic virus strain on the surface of the agar gel block and found that the substance infected with tobacco mosaic disease diffused at a moderate rate in the gel, while the bacteria remained on the surface of the agar.

Soluble live bacteria

 Since Bejlink's experiments did not show the particle morphology of the pathogen, he called it contagium vivum fluidum (soluble live bacteria), named the virus, and called it Virus in Latin. No doubt Bejlink became the discoverer of the virus. However, Bergerinck believed that the virus exists in liquid form, but this view was later overturned by American biochemist and virologist Stanley, who proved that the virus is granular. Virus size and morphology

Virus sizes vary widely by species. Small viruses are only 10 to 22 nanometers, such as foot-and-mouth disease virus, which is equivalent to the largest protein molecule (heme protein molecule); large viruses, such as pox virus, are 250-300 × 200-250 nanometers in size, which is approximately the smallest prokaryotic Mycoplasma microorganisms.

Most plant viruses range in length from 300 nanometers (such as tobacco mosaic virus) to 750 nanometers (such as potato Y virus) and are about 10-20 nanometers wide. The morphology of the virus varies by species. Animal viruses are generally spherical, oval. or brick-shaped. Plant viruses are mainly rod-shaped or filamentous, and many are spherical. Bacterial viruses are mostly tadpole-shaped and also micro-spherical and filamentous.

Chemical composition of virus

The chemical composition of most viruses is nucleic acids and proteins, and some also contain lipids and polysaccharides.

Viral nucleic acid A virus contains only one type of nucleic acid (RNA or DNA). Most plant viruses contain RNA and a few contain DNA; phages mostly contain DNA and a few contain RNA, such as E. coli phages M13 and M12; some animal viruses contain DNA, such as variola virus, and some contain RNA, such as influenza virus. In biological cells, DNA is double-stranded and RNA is single-stranded, but the situation is more complicated in viruses. Nucleic acid content varies greatly among different viruses, some are only 1%, such as influenza viruses, and some are as high as 50%, such as E. coli T-line even phage.

The protein of the virus mainly constitutes the shell of the virus particle and protects the virus nucleic acid from being destroyed by nucleases and other physical and chemical factors; determines the specificity of the virus infection and has specific affinity with the receptors present on the surface of susceptible cells; determines the antigenicity of the virus ; Stimulate the body to produce corresponding antibodies. Viral proteins also constitute enzymes in the virus.

Other ingredients The lipids and polysaccharides are contained in the coatings of more complex viruses (such as pox virus). Lipids account for 50 to 60% of the lipids and the rest is cholesterol. Polysaccharides often exist in the form of glycolipids and glycoproteins.

Structure of virus

The structure is intact and infectious individuals are called virions. The nucleocapsid is the basic structure of virions. Complex viruses have a capsule on the outer surface of the nucleocapsid, and there are spikes on it. Because the capsid particles are arranged and combined in different ways, the virus assumes different configurations and shapes.

Viral reproduction

Replication (replication) is a way for viruses to multiply. The entire process is called the replication cycle and includes five consecutive steps: adsorption, invasion, husking, biosynthesis, assembly and release. The virus lacks the enzyme system and energy necessary for metabolism and the raw materials, energy and biosynthetic site required for its proliferation are provided by the host cells. Under the control of viral nucleic acid, the virus's nucleic acid (RNA or DNA) and protein are synthesized, and then assembled into mature, infectious viral particles in the cytoplasm or nucleus of the host cell and then released to the cell in various ways External infection of other cells.

Classification and naming of viruses

Names of Viruses: According to the International Virus Classification Commission's principles for virus classification and naming, its classification basis includes the host of the virus, the disease it causes, the shape and size of the virus particle, the type, structure, and chain number of the nucleic acid, and the presence or absence of the capsule of the virus particle. Among them, virus nucleic acid is DNA or RNA, the virus genome is a single component or multiple groups of systems, and the presence or absence of capsular vesicles is the three important characteristics of the virus. The viruses currently understood are divided into seven categories, with 59 families (groups). Or groups), in practice, viruses are still divided into plant viruses, animal viruses (also divided into vertebrate viruses, insect viruses) and microbial viruses (also divided into phages and fungi) according to the host.

Viruses are not only the research objects of microbiology and virology, but also the important research objects of molecular biology and molecular genetics. As the pathogen of many diseases, the research on virus diseases and its prevention has important practical significance.

Viruses invade animals, plants and microorganisms, destroy animal husbandry and crops, and cause significant losses to the national economy. The virus is very harmful to human health, and many infectious diseases such as influenza, measles, Japanese encephalitis, pneumonia, and polio are all caused by the virus. Certain viruses can also cause tumors in animals. Bacterial virus pollution is a taboo in the fermentation industry, threatening the fermentation production of pesticides, antibiotics, enzyme preparations, organic solvents and dairy production. Some viruses can be used to control pests and pathogens. Viruses are also important experimental materials for molecular biology research.

Virus Structure Names Viral Reproduction. Viruses

Special Note: The content of this article is for preliminary reference only. It is inevitable that there are omissions, errors, etc. Please check it before quoting. For medical professional content such as medication, diagnosis and treatment, we recommend that you consult your doctor directly to avoid wrong medication or delay in your illness. The content on this site does not constitute any advice or guidance for you. This site does not sell any medicines or equipment, nor does it provide any publicity services for any medicine or equipment manufacturers. Drug information is research information and is for reference only by professionals. Please do not use medicine on your own based on the information on this site.

All-On-4 or All-On-6, All-On-8 Dental Implants Delhi

Full dental implants or All-On-4 or All-On-6, All-On-8 Dental Implants surgery is the best solution for patients with adequate mandibular structure. It creates a permanent restoration using four, six or eight dental implants. It acts as an anchor for a bridge or denture. It is very much popular in Delhi region of India and including Indians people form world over come from all over the globe for full dental implant treatment in Delhi
All-on-6 and all-on-8 are variations of the All-on-4 technique based on the same concept, but uses six implants instead of four, which are placed in areas of the mouth with the most bone mass. 
Intended for patients with sufficient bone structure, this treatment is an alternative to traditional dental implants as it increases bone potential.

Why All-On-4 or All-On-6 or Al-On-8 is the perfect solution for edentulous maxilla and mandible?

All-on-4 or All-on-6 or All-on-8 is a technologically advanced dental implant procedure, which basically gives the patient a new set of teeth in the upper jaw or both jaws in one day. Yes, dentists can replace your teeth on the same day.

All on 4, All on 6 and All on 8 Implant Procedure Features

The procedure offers the widest selection of implants for the treatment of edentulous and soon-to-be edentulous patients without implants.

The study showed that both oblique and axial implants were stable at the marginal bone level and in healthy soft tissue. Choice of implant

Transplant-free surgery reduces treatment time and cost compared to traditional full circle treatments.
Supports bone and soft tissue health

Give your patients temporary teeth in one day 1,2

Immediate performance of patients meeting criteria for immediate implant loading. operation

Full arch rehabilitation with only four implants

Two straight anterior implants and two posterior implants bend to 45° and avoid anatomy.

What significant All-On-Four dental implants are available there in Delhi?

All-On-Four dental implants (Nobel Biocare) and Straumann® Pro Arch ar available in Delhi and NCR.

How can I make the best dental clinic or dentist selection for All-On-4 or All-On-6 Dental Implant Delhi?

You can I make the best dental clinic or dentist selection for All-On-4 or All-On-6 Dental Implant Delhi by making the best choice on visiting the Delhi Dentists and Dental Clinics database

Dentist doing All-On-4 or All-On-6 Dental Implant Delhi

What is the one point contact information for All-On-4 or All-On-6 Dental Implant Delhi?

The one point contact information for All-On-4 or All-On-6 Dental Implant Delhi:


Contact Info for All-on-4™, All-on-6™ Dental Implant in Delhi-NCR

Phone & WhatsApp No.

91-84487 56216




What are the advantages of Full dental implant surgery or All-On-4 or All-On-6, All-On-8 Dental Implants?

The advantages of Full dental implant surgery or All-On-4 or All-On-6, All-On-8 Dental Implants are:

  • Fast
  • Pearl white smile
  • Enjoy eating and speaking again
  • Improves oral health
  • Fully restored smile
  • No need for removable dentures
  • Instantly age reversal
  • Can bite and chew foods, just like natural teeth
  • Dental implants are usually a permanent life long solution to missing teeth
  • Bone grafting rarely required
  • Easy home maintenance & cleaning
  • Delivery of long-term results


Can I get All-On-4 or All-On-6 Dental Implant in Delhi without GST in bill?

Yes. You may get All-On-4 or All-On-6 Dental Implant in Delhi without GST in bill. Just ckeck with the dentist or the dental clinic. 

This can be done for which you may take the reference of this case:

The facts of case

The applicant operates a dental practice and has submitted a preliminary application to determine the tax liability for the services it provides, including the provision of artificial teeth, crowns and bridges. 

It proposes to classify the healthcare services it provides as SAC 999312 and exempt from GST. AAR took place

The earlier ruling authority said that SAC 999312 covers medical and dental services and that dental services provided by registered clinics, hospitals, doctors etc. will be covered under service code 999312. In that case, the applicant will run a dental clinic, where all dental procedures, including installation of artificial ceramic teeth, crowns, bridges, tooth restoration, etc., will be performed by qualified dentists who are permanent employees of the clinic. 

Since dentistry is an important part of medical practice, health services in the form of dental services such as the installation of artificial ceramic teeth, crowns, bridges and dental restorations will be exempt. 

However, teeth whitening and smile design veneer services provided by the applicant's dental practice to its patients will fall within the scope of SAC 999722 and will be subject to 18% GST.

What is Full Mouth All-on-4 Implant Cost in Delhi?

Full Mouth All-on-4 Implant Cost in Delhi:

The cost of full mouth implants in Delhi varies widely depending on the number of implants, the brand of implant used, the type of teeth recommended and the use of surgical brackets.

 Below is an overview of All-on-4 Full Mouth Implant Concept with 4 Implants and Immediate Brackets Treatment Cost in India.

Costs for bone grafting and other materials, tooth extractions and other pre-implantation procedures may be additional if necessary.

Implant System

Guided Placement

Immediate Hybrid Acrylic Teeth

Cost in Rs.

Nobel Biocare



INR 3,55,000

Nobel Biocare



INR 3,30,000




INR 2,80,000

All-on-4 is special because it gives patients a whole new set of teeth with only four implants per dental arch. Published studies show a 98% success rate with All ON 4 implants. 

The implant placement process for each arch takes approximately 2 hours. The prosthesis is firmly held in place at an angle that provides greater contact support with your natural bone, so bone grafting is not required most of the time. 

All-On-4 are more cost effective due to shorter treatment time and less discomfort. The All-on-4 dental implant treatment was designed to maximize the available maxillary bone and achieve Instant Function™ with angled posterior implants. 

Treatment of All-On-4 implants is performed in 1 step:

  1.  Tooth extraction (if necessary)
  2.  Site after implantation
  3.  Manufacturing and installation of prostheses on implants


With the all-on-4 dental implant technique, teeth are extracted and implant posts are placed during the same surgical visit. 

Fixed acrylic bridges are fabricated and put in place 1 to 2 days after surgery. Therefore, the schedule for all-on-4 dental implants is completed in one trip. 

Patients have the option of later converting an acrylic bridge to a porcelain bridge. Why choose All-on-4 dental implant treatment?


 All-on-4 dental implant treatment reduces treatment time

 Mild replacement of teeth with a poor prognosis with new functional teeth

 Immediate function

 All-on-4 dental implant treatment for all bone volumes, except for very severe cases of resorption


All-On-4 Implant Treatment:


 Procedure 1: Diagnosis and planning to determine suitability for All-on-4 implants

 Procedure 2: Create a surgical template prior to implantation surgery

Procedure 3: Tooth extraction (if necessary) and post-implantation

 Procedure 4: Installation of the final hybrid bridge restoration on the dental implant post, including adjustment and retesting

What Factors to consider when choosing All-On-4 implants? 

Factors to consider when choosing All-On-4 implants:

  1.  Ability to achieve primary implant stability
  2. No serious side effects

 All four dental implants for completely edentulous maxilla with a minimum bone width of 5 mm and a minimum bone height of 10 mm from dog to dog

 The All-on-4 implant is suitable for completely edentulous mandibles with a minimum bone width between mental foramina of 5 mm and a minimum bone height of 8 mm



Why do All-On-4s with replacement teeth take 10 to 15 days, while porcelain or titanium Marlow bridges take 6 months to complete?

Acrylic teeth are easier on the implant during the healing phase of the implant and can be placed within 10 to 15 days. Porcelain (ceramic) is a very hard material, and adding a porcelain restoration to a newly placed implant can put too much pressure on the implant, causing the implant to fail. 

The implant needs to heal on the jawbone for 4 to 6 months before a porcelain bridge can be placed.


When is All-on-4 the best option? 

There are guidelines, not rules, for dental implant treatment. This is one of the reasons why I love dental implants so much. Every case is different. Dentists must have a broad understanding of each patient's unique factors and then develop the best treatment plan for the individual. 

Even the most common implant cases are affected by factors such as dysfunction, occlusion, periodontal disease, the size of the restoration site, and the patient's budget. It is important for doctors to assess these factors and listen to the patient's needs before proposing a treatment plan. 

Although these factors should also be considered in patients with completely edentulous jaws, in this article I will only discuss patients who have most of their teeth and are considering their extraction for implant treatment. 

Full-arch implant bridges which are often referred to as All-on-4 are taking the dental field by storm. These bridges are usually supported by 4 to 6 dental implants made of materials such as acrylic fused to titanium, monolithic zirconia, and porcelain stacked on a cobalt-chromium framework. They often see package pricing that simplifies case presentation, and some practices promote All-on-4 as the best treatment option for their children.

Thanks to aggressive marketing by companies like ClearChoice and the wealth of information available on the Internet, patients are more aware of the benefits of the All-on-4 bridge than ever before. Five to ten years ago, most patients were unaware of the existence of All-on-4 bridges. Today, patients specifically request this treatment, but is it always in their best interest? 

As wonderful as All-on-4 bridges are, when do they hurt?

It would take a long article, or more likely a book, to cover everything we should consider when recommending All-on-4 treatment, but here are five factors that I frequently encounter in my dental implant practice:


Let's take a closer look at these aspects and see how each affects treatment considerations. 

Speech problems

Speech problems are the biggest concern of patients. In our opinion, minor speech impediments can be a huge problem for patients with All-on-4. 

Implant-supported bridges require vertical and horizontal volumes for strength. 

Vertical needs vary with different restorative materials, but most bridges require 15mm or more of height. As a result, doctors are forced to replace more than just the amount of missing teeth to achieve these measurements. 

Dentists often need to change the amount of bone and soft tissue, even if it is healthy. As a result, the portion of the bridge adjacent to the soft tissue will be larger than the original bone and soft tissue it replaces. So it affects speech like "D" and "T" and "N" because the tongue touches the hard palate to the central incisors to make the sound.

 Similarly, the horizontal volume at the back affects the "S" sound, where the lateral borders of the tongue are opened during the production of the sound. This can cause slurred speech.


Patients taking all four should be informed of this trade-off. They can usually retrain their tongue with time and practice, but it can cause them great anxiety. 

If speech is a major problem, doctors should be prepared to offer alternative treatments, such as plans to preserve healthier teeth and replace missing teeth with short bridges or individual dental implants. 

If the tooth is terminal, only the missing tooth structure can be replaced with a bridge. However, it often requires more implants, more bone grafts and more expensive prostheses, so patients should be prepared for additional treatment time and costs.

Difficulty adjusting to connecting bodies

In addition to transition parties that affect speech, there may be another downside. It can be difficult for patients to psychologically adapt to the different sensations of the All-on-4 bridge. They are used to feeling the transition from soft tissue to teeth. 

With the All-on-4 bridge, the patient feels the real soft tissue before moving to the tooth and then the false soft tissue (the tissue portion of the bridge). This can be a big problem for some patients, who unfortunately often have problems with spinal reduction after surgery. At that point, nothing can bring them back to their natural emotional transition.

I recommend discussing this trade-off they will experience in detail before finalizing the treatment plan to avoid any surprises. I'm showing you mine

Patients first use the All-on-4 model and then the traditional bridge model (even the teeth, they will understand). 

If volume is the problem, they should consider replacing only the volume of the teeth. Because these restorations are reduced in size both vertically and horizontally, more implants may be needed to support the bridge to reduce the span of the bridge and the risk of fracture. It may be necessary to shorten the distal cantilever and place the implant more posteriorly, resulting in the need for grafting. 

Traditional All-on-4 bridges can be chosen after patient consultation due to lower costs and shorter treatment time. Regardless, patients are more likely to accept any trade-offs if they can choose and understand any limitations prior to treatment. proprioception


This is a huge problem and its value is often overlooked when recommending double arch treatment. Periodontal mechanoreceptors (PMRs) are found in the periodontal ligament and sensitize teeth to low forces (<1 to 4 N). 3-4 implants have no periodontal ligaments and require about 10 times the force to register with the same proprioception as teeth. 

Proprioception associated with dental implants is similar to teeth under local anesthesia. As a result, it will be difficult for the patient to detect premature or excessive occlusal contact. 

Due to lack of feedback, they may develop excessive bite force. 

Patients with double arch All-on-4 restorations were more likely to overbite than patients with remaining teeth. This can lead to fracture of the restoration or bone loss.

For teeth, feedback from the PMR facilitates fine motor movements that improve chewing efficiency. For double-arch implants, less fine movement results in less efficient mastication and greater stress on the restoration and implant due to tipping forces.


My double arch All-on-4 patient had more implant loss, temporary fractures, and tooth displacement during the healing process. If both arches are treated, always consider restorative options that save at least a few teeth. If this is not possible, consider a step-by-step treatment, where you treat the upper arch first, while fighting against the natural teeth for the first few months. 

You may need to reshape your teeth to keep the occlusal plane level. Lower teeth proprioception will help patients avoid excessive occlusal force and learn to recognize differences in occlusion. After a few months, you can treat the lower arch. This will allow the patient to develop mechanoreceptors in orofacial tissues such as muscles, joints, and periosteum to help receive feedback. 8 maxillary implants will also benefit from additional healing time to increase osseointegration.

Resist the traumatic forces of the opposing implant abutment bridge.


Page function

Additional habits such as bruxism, clenching, and irregular chewing cycles may influence your treatment decisions. As mentioned in the previous section, it is easier to determine force on teeth than on implants. 

By including more preserved natural teeth in their treatment plan, patients can better perceive lateral function, which will increase their chances of replacing teeth as negative behavior.


If dysfunction requires replacement of all teeth, consider recommending bar-supported prosthodontics

It's still technically an All-on-4 procedure, but it can change the patient's perception of a fixed bridge. I use overdenture prostheses for patients who grind their teeth violently. The prostheses can be removed at night and replaced with a flat night screen that attaches to the bar for fixation. This protects the final prosthesis and reduces the load on the supporting implant and bone. high caries index


This is a very common situation: patients have complete dentures – maybe even upper All-on-4s and decayed and missing lower teeth. The patient wanted a lower All-on-4 fixation bridge. He has a square chin and loves steak, and you suspect he's a tough guy. tooth number Fracture of the gingival margin 18, 19 and 30 with previous root canals and crowns. 

Tooth 31 has dual engagement and is mobile. Teeth 23 to 26 are calculus covered and have 7 mm sockets, while tooth 26 20 to 22 and 27 to 29 had the least bone loss and mobility.


Full mouth implants replace all teeth in both jaws. There are many leading full mouth implant dentists and dental clinics in Delhi, India. 

While a higher number of implants (such as 6 or 8) is ideal for replacing all teeth in one jaw, fixed teeth with full mouth implants can also be done with at least 4 implants in one jaw. This concept of replacing all teeth with full mouth implants is called the Allon4 concept. 

It is a durable treatment solution that provides permanent, fixed artificial teeth, especially for patients who are uncomfortable wearing removable dentures. 

It also allows immediate fixation of teeth on full-mouth implants, and there is usually no need to wait for complete healing. 

All on 4 Concept - change all your teeth in 15 days! The All on 4 full mouth implant concept replaces all missing teeth in the human jaw using four dental implants (two straight and two angled) that act as anchors and provide a solid foundation for artificial teeth. This is a permanent treatment that can be performed on the tooth immediately after the implant is placed, without waiting for a long healing period. 

These straight teeth with full mouth implants are usually mixed acrylic and can last up to 2-5 years depending on dietary habits. 

The teeth can then be individually replaced with ceramic teeth without disturbing the implant. Advantages of All-On-4 dental implants:


Immediate function that improves quality of life feels and looks like natural teeth firm and permanent reduced overall treatment and recovery time can be performed even with less free bone in the back of the mouth. This is especially important in the posterior region of the maxilla, where the location of the maxillary sinus can sometimes prevent straight placement of implants


All on 4 Treatment plan:

The key to success with full mouth dental implants is a treatment plan. Correct placement of the implant will determine the success and durability of the artificial tooth during use. 

Dental implants are placed in a full mouth in such a way that the chewing load is distributed over all the implants. This concept therefore uses two longer angled implants with two straight implants. Using a surgical scaffold to guide implant placement allows for optimal implant placement. 

Maxillary cone beam CT is required for digital planning and fabrication of surgical stents. Although this is the best way to place a full mouth implant, the procedure can also be performed without a surgical stent by simply digitally planning the placement of a full mouth implant. 

A full mouth dental x-ray alone is not enough to plan full mouth implants. 

Each patient is unique and requires careful planning. After correlating the clinical examination with the CBCT results, the implantologist will make a final recommendation on the best choice and tooth type for full mouth implants under full mouth implant surgery.


full mouth implant surgery

What is the All-on-4 Implant location?

 Implant placement is a single visit procedure. If there are any remaining teeth, the extraction is done before the implant is inserted. 

If the patient wishes, the procedure can be performed under IV sedation (sleep dentistry) Guided placement ensures optimal placement of full mouth implants


All on 4 Permanent teeth:

 Permanent teeth can be given within 15 days. The entire process from implant placement to tooth fixation requires 5-7 appointments in between. 

If a same-day implant is required, tooth preparation must be completed prior to implantation so that the tooth is fixed on the same day as the full-mouth implant. 

All-in-4 concept for full mouth implants with teeth made of mixed acrylic. It is a semi-permanent tooth that can be replaced with a ceramic tooth any time after 6 months depending on use and wear and varies from patient to patient.



Do you want to save your teeth? What are the risks and benefits?

 Here are some thoughts: If the mitral valve and canine movement are mostly intact (might need a crown and filling) then I would consider keeping them. 

The risk of further development of periodontal disease or damage due to caries may be less than the risk of fracture of the restoration or failure of the implant/bone complex due to excessive mastication or dysfunction. 

Tooth decay is not a problem, you can fix it, but what do you think about your future prognosis? 

I'm an optimist, but in this case my optimism is causing me problems. It's hard to change a habit. In this case, we asked patients to improve care at home, visit the dentist more often and significantly reduce sugar consumption. There are so many questions to ask. The risk of losing these teeth in the near future may be greater than the risk of denture fracture or bone loss. 

A 4-bar prosthesis may be the best treatment for this patient. In addition to relieving stress, this treatment can also simplify oral hygiene. You should spend a lot of time with this patient before making a final treatment decision. 

What are All-on-4, All-on-6 and All-on-8 dental implants? 

The common dental implants are:

  • All-on-4 dental implants
  • All-on-6 dental implants
  • All-on-8 dental implants

If most or all of your teeth are missing, these are implants that can replace the missing teeth. In addition to using a bridge between two remaining natural teeth as an anchor, dental implants are your permanent solution to missing teeth. 

Implants act as anchors for bridges, and you can connect them together to create one or more rows of dentures that work much like normal teeth. There is no wrong answer or decision about which one to choose. It depends on you and how many implants you can afford. It also depends on the topography of your mouth, such as how many natural teeth are left, etc. 

All-on-8 is best used when you have no teeth left, giving the dentist more leeway when placing implants. However, it helps to have some teeth left for extra leverage or base.

Difference and Function

In short, a full range of dental implant solutions are dental treatments you can use to help restore missing teeth from one or both jaws. 

Unlike traditional dentures, they make your dentures permanent and non-removable, so your set of teeth, smile and bite are fixed at the same time. In any case, with dentists, you can use All-on-4, All-on-5 and All-on-6 dental implant solutions instead of the implant technology of Korea, BioHorizons, Nobel Biocare and ITI Straumann. I

t is a more economical and practical way to restore all the missing teeth without the more expensive and painful way of giving each empty socket its own implant and individual crown. In other words:


What are the Key Differences between All-on-4, All-on-6 and All-on-8 implants?

The key differences between All-on-4, All-on-6 and All-on-8 implants can be found in the numbers on their names. These refer to the number of implants that will be strategically placed in the upper and/or lower jawbone. Of course, another big difference between full dental implants and natural teeth is that you have to floss differently than your real teeth. In particular, the gaps between the suspended dentures just above the missing gums differ. 

By inserting more implants, the pressure is distributed more evenly between the implants and the jawbone. It's like a table is more stable if it has more legs spread evenly across the body. 

The more implants you have, the more stable your permanent dentures will be. The more the better: All-on4 implants use 4 implants, 2 in the upper or upper jaw and 2 in the lower or lower jaw to join together 4 rows of bridges. 

All-on-6 implants have 2 additional implants for tighter and stronger bridge anchorage. At the same time, All-on-8 dental implants can provide the largest number of implants needed to restore the mouth and fill all missing teeth.

The task of the implant is to simulate the pressure that the teeth exert on them. One or two implants with crowns or bridges on top will act and feel more like natural permanent teeth than dentures. The name "all-on" comes from the way a complete bridge covering the entire row of teeth is connected to 4-8 implants, depending on the procedure chosen. Be careful though – the more implants you have, the more expensive it will be.

What Expectations can I have from All-On Dental Solutions?

The biggest benefit you can get from a full range of dental solutions is multiple dental implant procedures. Some dental clinics, actually offer same-day implants and crowns using state-of-the-art technology, so you don't have to wait two weeks or even a week to get a full set of new bridges and crowns. In other words, you can expect the following things to happen when you have dental restorations:


Fixed jaw integration

First, the implant is integrated into the jaw. This involves cutting away the gum in the area of ​​the missing tooth and then drilling the implant into the socket. The gums are then stitched together and allowed to heal. 

The abutment is then placed over the visible part of the implant to make the bridge easier and more rigid in an emergency. While you can't restore lost permanent teeth, this is the next best option to accurately replacing them. It can be used with natural teeth: you can have less than 4, if you still have natural teeth, you can shave them off and become a bridge abutment so you can save money on permanent dentures. 

 As for the benefits, this dental treatment doesn't just make you look like you still have a set of natural teeth. Compared to conventional dentures, these porcelain crowns and bridges work much like your natural teeth. 

No removable restorations required: Dental implants do not require the use of removable or temporary restorations, as long-term restorations can in many cases be repaired within a few days. Plus, with all-on, you can get strong teeth that not only look natural, but also feel and act like real teeth with a solid bite. In many ways, they are even better than natural teeth, because as soon as a crown or bridge breaks, a new tooth needs to be replaced quickly. 

Why bother with extensive treatment? 

Full open surgery and its variants are recommended by dentists because they provide an effective solution for people who are missing a large number of teeth in the upper or lower jaw. It is also the best way to deal with complete edentulism and dentures. 

When most of the teeth have already fallen out, comprehensive treatment is the best option for stable dentures that are the closest to natural teeth compared to traditional dentures. 

Why no more than 8 implants? 

With a fully open procedure, it's like inserting 4-8 roots into the jaw while the rest of the teeth hang over the gums. Therefore, when you floss, you need to use a special floss to clean the unusual gaps between the dentures that hang over the gums. 

There is no need to spend money on dental implants for each tooth. Any remaining teeth can be used as abutments to reduce the number of implants needed for a full row of teeth. 

Previously, implants required multiple implants

In the past, dental implants required multiple implants to replace an entire row of teeth or an entire tooth. It may also involve grafting the jawbone and requires 6 to 9 months of healing time before the implant can have dental prostheses such as crowns or bridges placed on top of it. It is characterized by the painfulness of the procedure, the duration of healing and the impact on your finances. 

Temporary prostheses can also be installed until the final prostheses are made in the dental laboratory within a week or up to 3 months. 

One procedure for all your dental needs: Instead of repeated implant procedures, the universal solution allows dentists to restore all of your upper and lower jaw teeth in one oral procedure instead of several. 

If bone augmentation is not required, 4-8 implants and a fixation bridge are involved. In addition, depth, angle and distance are determined when the implant is placed in the jawbone. 

What extensive treatment do you need? 

Should you buy the cheapest package or the most expensive package? 

Do you even need 8 implants or is 2 enough depending on the condition of your mouth and remaining teeth? 

Ask your doctor which one is best for your particular mouth and which one is affordable. There is no one answer for all patients. It depends on your situation and sometimes the best option is to get removable dentures because you are too old for this type of surgery. 

The Preferred Affordable Dental Solution for dent implants

The All-on-4 option is the preferred option for many implant candidates who are missing most, if not all, of their teeth. This is because it is the most affordable and, like most tables, four posts or legs are enough to create a stable structure. 

After extensive experimentation, dentists in the past have found that at least 4 implants (or less if you have a pair of natural teeth available for shaving) are needed to achieve the same level of stability and durability as natural permanent teeth. 

If you have money to burn use All-on-5 and All-on-6  or even All-on-8 as an extra safety measure for structural stability of multiple bridges. 

Some bridges can even be supported by just one tooth or implant (cantilever bridges, named after the concrete bridge of the same name). But if you can afford all 5 to 8 implants, you can be sure that you will get more bone strength and structural integrity by default. 

How does therapy work with All-On technology?

You must first have a CT scan, dental x-ray or digital scan before full treatment. You can also purchase dental molds to help bridge designers create the most suitable shape or bridge for your particular mouth and remaining teeth. 

The advantage of digital scanning is that it allows dental laboratories to accurately design a 3D representation of the final bridge using a computer or CAD (computer aided design), which can then be 3D printed and quickly placed in the mouth. Implants.

After a personal consultation, you will be given an appointment for oral surgery. This is the day of implant installation. At dental clinics, you will receive general anesthesia so that the procedure is painless. 

After 4 days: After 4 days, the completed temporary bridge is attached to the implant.

Infection after full mouth implant reconstruction surgery

The development of peri-implant bacteremia is one of the reasons why total tooth replacement surgery failed. Some dental implant failures can be caused by bacterial contamination during placement of the implant post. 

Infections around biological materials such as abutments are difficult to treat. In most cases, infected implants must be replaced. 

The most common bacteria that cause complete failure of dental implants are:

  •  Streptococci
  • Anaerobic gram-negative bacilli
  •  Anaerobic gram-positive trees


If the risk of infection is high (usually after sinus augmentation surgery, sinus lift, or bone grafting), the dentist may order a dose of antibiotics the day before surgery and 5 days of beta-lactamase antibiotics. In addition, it is recommended to rinse twice a day with 0.12% chlorhexidine. 

What is the recovery time after surgery?

Most patients can go to work the day after surgery. Your dentist may recommend over-the-counter medications for pain relief. The average recovery time for full mouth dental implants is four to six months. Treatment is a complex process that varies from person to person. 

How to clean full mouth dental implants?

If you want to ensure the longevity of your implants, the new teeth must be clean and free of bacteria and plaque. Implant failure is often caused by bacteria and plaque, which can lead to tissue infection. 

It is important to maintain proper oral hygiene.

Here is a list of effective hygiene tips:

  •  Brush with a soft toothbrush at least twice a day
  •  floss daily with unwaxed tape or implant-specific floss
  •  Use a nylon-coated brush to clean hard-to-reach areas
  •  Do not use very abrasive toothpaste

What are the Disadvantages of full mouth implants?

Full-mouth dental implants require sufficient recovery time, which can take several months to replace the implant with permanent teeth. During this time, all 6 dental implants must not be subjected to pressure that could affect their connection with the surrounding bone.

Any movement of the implant column during healing can increase the risk of implant failure. Anyone who has lost a tooth a long time ago is likely to need a bone graft, which increases the time and cost of this treatment.

A full set of dental implants has a moderate to high risk of infection. Therefore, with this full mouth reconstruction surgery, dentists recommend a dose of antibiotics before and after surgery. 

What is the success rate of full mouth implants? 

The success rate of this treatment is very high and a full mouth implant should last for many years. With proper care and maintenance, the success rate of dental implants can be greater than 90% after 15 years, but it is important to understand the factors that can affect the long-term success of this treatment. 

Although implant complications can occur in a full mouth, they are rare, especially when the procedure is performed by a trained and experienced implant dentist.

Risk factors for full dental implants:

  •  Implant failure due to poor oral hygiene
  •  Failure due to uncontrolled diabetes
  •  Bruxism or any type of occlusal trauma can affect the lifespan of artificial teeth

All-on-6 Regular dental visits after dental implant surgery

Visit dentist regularly, specially in the first three months and then two to three times a year. To prevent any complications or infections, it's important to contact your dentist immediately if something doesn't seem right. 

Once the implants are stabilized, ongoing care combined with good oral hygiene will result in a flawless smile and excellent oral health. 

Correct diagnosis and accurate implant planning are crucial for successful implant rehabilitation. Accurate impressions and careful attention to detail are the prerequisites for a successful implant restoration. 

A comprehensive understanding of the range of prosthetic components is essential and often acquired only through clinical experience. If the patient is missing teeth, a depression develops in the face, which makes the person look much older than he actually is; the perfect position of the teeth can directly change the age. 

With dental implants that instantly transform and restore a balanced, natural and radiant smile. This process alone can make a person look at least 18 years younger!


We are fortunate to be able to use these implant technologies in our medical devices as an option to replace missing teeth. In the past, patients seemed happy to be able to chew again. They are very grateful. I once said that I like to treat my arms full because I'm addicted to hugs. I still get hugs today, but not as often. Expectations have risen. The patient seemed unable to handle the embarrassment of the All-on-4 bridge and the time required for the procedure. As they become more aware of their options, I suspect this trend will continue. 

Advisory: Offer a full range of arch restoration options in your practice, but take the time to evaluate the best individual options for your patients. Be sure to tell them about the obstacles they have to overcome, not just the benefits of the treatment. time spent. You get better results and more satisfied patients. 


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