2026 年 01 月 24 日 
隨著口腔重建需求增加，全口植牙技術中的 All-on-4全口固定植牙架構已成為部分缺牙患者關注的選項之一。該項技術透過在單一牙弓上安裝至少四顆植體，再以此支持整排固定假牙，形成一種完整的重建方式，目前在台灣各地牙科診所陸續引進並提供相關服務。 更多了解：
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圖一：隨口腔重建需求增加，全口植牙技術中的 All-on-4全口固定植牙架構已成為部分缺牙患者關注選項之一。（京鼎牙醫提供）
在臨床應用上，All-on-4 通常會被納入以下族群的評估考量，包括：長期缺牙或全口缺牙者、原有活動假牙配戴狀況不理想者，以及因牙周狀況或其他因素需進行大範圍牙齒重建者。實際是否適合進行此類治療，仍需經由牙醫師進行完整檢查與專業評估後決定。
一般來說，All-on-4 的診療流程可分為多個階段。第一階段為術前諮詢與數位化資料採集，包含 X 光片、全口掃描與口內口外照片等檢查項目，以便醫師評估患者口腔條件並規劃後續治療。第二階段是專科團隊會診與治療計畫擬定，目的是釐清治療細節及可能的程序安排。第三階段則涉及術前健康評估，包括血液檢查等基本生理指標檢驗，用以掌握患者整體健康狀況是否適合進入手術流程。
一般在手術當天，醫療團隊會依據治療計畫執行植體植入程序，配合導航植牙系統進行定位與角度控制。植體植入後，同一日可以進行臨時假牙的安裝，讓患者在手術後即可配戴臨時假牙返家，並於術後一段時間後更換正式假牙。術後正式假牙的製作與裝戴通常需數月的骨整合期視情況而定。
與 All-on-4 相關的成本構成主要包括植體本體、假牙材料、手術設備與專業人力等。市場上 All-on-4 的費用差異較大，在台灣部分牙科診所中單顎全口重建的費用約在數十萬元到百萬元新台幣不等，具體價格會受植體品牌選擇、假牙材質、是否使用導航設備及醫師專業背景等因素影響。
假牙部分通常分為臨時與正式階段。臨時假牙主要用於手術後過渡期，較不建議長期使用；正式假牙則有多種材質選擇，包括全鋯冠或複合材等，材質的不同也會影響整體費用。植體品牌選擇上，一些診所會採用具國際認證的產品，其成本可能相對較高。
All-on-4 治療涉及手術性過程，因此衛生與安全評估是術前規劃中的重要一環。術後清潔與維護方面，由於整排假牙與牙肉之間的結構與清潔方式不同於自然牙，患者需在醫療團隊指導下學習適合的清潔方法，包含特定牙刷、牙線或沖牙機的使用。
由於 All-on-4 屬於較複雜的重建流程，其成功與否並非單一因素所能決定。醫療機構與醫師的專業經驗、設備的精密程度，以及術前評估與術後追蹤等，均為整體流程中的關鍵考量。因此在決定進入治療前，專業諮詢與詳細評估被建議作為首要步驟。
總結來看，All-on-4 的流程主要包括術前資料採集、會診與治療計畫、健康評估、手術與假牙裝戴等階段；費用上則會因材料、設備與服務不同而有所差異。對於考慮相關重建方案的人士而言，理解各階段所涉及的安排與可能的成本範圍，有助於在與專業醫療團隊討論時做出充分資訊下的決策。
圖二：All-on-4 屬於較複雜的重建流程，成功與否並非單一因素所能決定。依賴醫療機構與醫師的專業經驗、設備的精密程度，以及術前評估與術後追蹤。（京鼎牙醫提供）
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