All-on-4®1 is a treatment concept designed to replace an entire upper or lower arch using a fixed prosthesis supported by four strategically placed implants. Rather than wearing removable dentures, many patients leave treatment with a provisional, fully functioning set of teeth on the same day as implant placement. This approach focuses on immediate function and esthetics, letting you speak, eat, and smile with confidence while your mouth begins the healing process.
The idea behind same-day restoration is to provide stability and comfort from the very start. After a careful treatment plan, temporary teeth are attached to the implants so you don’t need to go without a complete smile during the months of healing. These provisional prostheses are crafted to be comfortable and natural-looking while your implants integrate with your jawbone, setting the stage for a strong, long-term result.
This section introduces what many patients find most appealing about the procedure: a predictable path to a fixed, full-arch prosthesis that restores the function and appearance of natural teeth without the day-to-day concerns of traditional removable dentures. For those seeking a reliable and efficient full-arch solution, All-on-4® combines surgical strategy with prosthetic design to deliver meaningful, immediate improvements in quality of life.
The All-on-4® concept places two implants near the front of the jaw and two toward the back, often at a deliberate angle to maximize the use of available bone. This angulation allows for secure anchorage without the need for extensive bone grafting in many cases. The result is a stable foundation for a single arch prosthesis that distributes biting forces across multiple implants, improving comfort and function compared with traditional removable options.
Surgical planning relies on detailed imaging and precision. Digital radiographs and 3D cone beam scans help your dental team visualize bone anatomy and critical structures so implant positions can be optimized for strength and longevity. Prosthetic considerations are integrated from the start: temporary restorations are designed to work with implant positions, providing immediate esthetic and functional results while the definitive prosthesis is being fabricated.
The materials and connection systems used in the final restorations are chosen to balance durability with a natural appearance. Modern implant prostheses use strong frameworks layered with tooth-colored materials that mimic natural translucency and texture. The objective is a completed arch that not only functions like teeth but also complements your facial appearance and oral health goals.
Because the concept focuses on strategic implant placement rather than a high implant count, many people experience a streamlined treatment path. That said, every case is unique: the exact surgical approach and prosthetic plan are customized to fit your anatomy, bite, and esthetic aims so the finished result is both reliable and tailored to your needs.
All-on-4® is often recommended for patients who are missing most or all teeth in an arch or who are facing extractions that will leave them without teeth. Ideal candidates are those who want a fixed solution and are committed to the treatment and follow-up care that implants require. A thorough evaluation helps determine whether the concept is appropriate for your situation and whether any additional procedures are needed before proceeding.
During the evaluation, clinicians review your overall health, oral history, and lifestyle factors that affect healing. Advanced imaging—such as cone beam CT scans—provides a three-dimensional view of the jaw that is essential for precise implant planning. Digital impressions and bite records are often captured to guide the design of temporary and final prostheses, ensuring a predictable fit and balanced function.
If you have existing teeth that require removal, extractions can sometimes be coordinated with implant placement so provisional teeth are attached in the same appointment. Sedation options and pain-management strategies are discussed in advance to make the experience comfortable. The planning phase is the most important step in achieving a smooth surgical day and a successful rehabilitation overall.
After implant placement and delivery of a provisional arch, most patients follow a staged recovery plan that supports healing and implant integration. Early instructions typically include a soft-food diet and careful oral hygiene around the implants and prosthesis to reduce stress on the newly placed fixtures. Regular follow-up visits allow your clinician to monitor healing, adjust the provisional prosthesis if needed, and prepare for the fabrication of the final restoration.
Long-term success relies on routine maintenance and good home care. The final All-on-4® prosthesis is designed for longevity, but it still benefits from regular professional cleanings and examinations. Specialized cleaning tools and techniques may be recommended to maintain healthy tissues around implants and to prevent complications such as inflammation or excess wear on the prosthetic teeth.
Preserving bone and supporting tissues is a central advantage of implant-based restorations. By transmitting functional loads into the jaw, implants help maintain bone density in ways that removable dentures cannot. With attentive care and regular dental visits, many patients enjoy years of reliable performance from their full-arch restorations.
Adjustments and repairs to the prosthesis are also part of routine care. Because a well-designed maintenance plan anticipates wear and functional changes over time, your dental team can make timely repairs or refinements to keep the prosthesis comfortable and fully functional for years to come.
The office of Addison Dental Studio combines contemporary technology with a patient-centered approach to full-arch care. Treatment begins with a comprehensive diagnostic workup that may include digital radiography, cone beam imaging, and digital impressions to create a treatment plan tailored to each patient’s anatomy and goals. This level of planning helps minimize surprises and supports predictable surgical and prosthetic outcomes.
Experienced clinicians and skilled support staff coordinate each phase of care—from preoperative planning to provisionalization and final restoration—so the process feels organized and respectful of your time. Collaboration with trusted dental laboratories ensures the prostheses are crafted to precise specifications, balancing durability with a natural appearance that suits your smile and facial features.
If you are considering a fixed, full-arch solution, we encourage you to schedule a consultation to explore whether All-on-4® is the right path for you. Our team will review diagnostic findings, discuss expected timelines, and outline the steps involved so you have clear, accurate information to make an informed decision about your smile.
In summary, All-on-4® offers a streamlined, well-established approach to rebuilding a missing arch with a fixed, natural-looking prosthesis. If you’d like to learn more about how this treatment might fit your needs, please contact us for more information.
1All-on-4 is a registered trademark of Nobel Biocare
The All-on-4 treatment concept offers an implant-based solution to patients who have lost all of their upper and/or lower teeth. This remarkable method of care helps patients quickly rebuild complete and beautiful smiles. With All-on-4, your new, and complete set of implant-supported replacement teeth feel secure, stable, and much like your very own.
If you currently wear complete upper and/or lower dentures or are slated to have your remaining teeth extracted, you may be a candidate for All-on-4. First Performed by Dr. Paulo Malo in 1998, the All-on-4 treatment concept has helped hundreds of thousands of patients quickly reestablish attractive smiles that look, feel, and function just like a set of natural teeth!
The All-on-4 treatment concept offers a fixed and permanent alternative to removable dentures. Unlike dentures, All-on-4 does not rely on messy dental adhesives or natural suction to hold your new set of teeth in place. With All-on-4, your replacement teeth are permanently secured by dental implants, giving you a smile that looks not only great but also feels secure and stable. You'll feel comfortable and confident as you speak, smile, and chew with ease.
While traditional full arch implants also achieve outstanding results of care, the All-On-4 treatment concept does not involve bone grafting and requires fewer implants to support a full set of teeth. With just four strategically placed dental implants needed to support an entire set of upper or lower teeth, the All-on-4 treatment concept offers a cost-effective and satisfying solution for rebuilding a complete smile. Thanks to this remarkable method of care, patients can experience the satisfaction of having teeth placed the same day as surgery. This key feature allows patients to smile and function with confidence until healing is complete and the permanent restorations installed.
Once it's been determined that you're a candidate for treatment with All-on-4, the process of treatment planning and designing your new smile begins. 3D diagnostic records provide the detailed information required to determine the exact positions of the four supporting dental implants. Then, on the day of surgery, we'll remove any remaining teeth, place the 4 implants, and insert a set of attractive, sturdy, and functional set of temporary teeth. With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow once the implants become fully integrated with the surrounding bone.
With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow within just a few months after the implants become fully integrated with the surrounding bone.
Thanks to All-on-4, patients enjoy permanent teeth that look, feel, and function just like real teeth. And with a patient satisfaction rate that exceeds 95%, the All-on-4 treatment concept restores your smile, your confidence, and allows you to enjoy once again the foods you love!
Maintaining your All-on-4 smile requires the same care as a natural smile. By cleaning your teeth twice daily, after meals as possible, and scheduling appointments for routine checkups as well as care, you can keep your new smile strong and healthy for years to come. Our office will demonstrate the most effective methods of oral hygiene and answer all your questions as to how to care for your new smile.
All-on-4® is a treatment concept that replaces a full upper or lower dental arch using a fixed prosthesis anchored by four strategically placed implants. The approach is designed to provide immediate stability and function so many patients receive provisional teeth on the same day as implant placement. This method focuses on restoring chewing ability, speech, and esthetics while the implants integrate with the jawbone.
The provisional prosthesis is secured to the implants and provides a natural appearance and basic function during the healing phase. Prosthetic design and implant positioning are planned to support the eventual definitive restoration that will replace the provisional appliance. The goal is a predictable path from surgery to a long-term full-arch prosthesis.
Unlike removable dentures, an All-on-4® prosthesis is fixed to dental implants and does not rely on adhesives or clasps for retention. Because the arch is supported by implants, patients typically experience improved bite force, stability, and comfort compared with conventional removable options. The fixed design reduces slippage and eliminates many of the day-to-day maintenance tasks associated with dentures.
All-on-4® also emphasizes strategic implant placement, often angling the posterior implants to maximize available bone and avoid extensive grafting. This surgical strategy streamlines treatment for many patients while preserving function and facial support. Prosthetic materials are selected to balance durability with a natural appearance that complements facial features.
Good candidates for All-on-4® are adults who are missing most or all teeth in an arch or who face extractions that will leave them without adequate dentition. Patients should be committed to proper oral hygiene and regular dental follow-up so implants can integrate and the prosthesis remains healthy. Medical conditions and lifestyle factors that affect healing are evaluated during the consultation to determine suitability.
Advanced imaging and clinical exams help identify whether implant placement can proceed without significant additional procedures or whether alternative approaches are more appropriate. Patients with uncontrolled systemic conditions, tobacco use, or untreated periodontal disease may require stabilization before implant therapy. A personalized assessment is the best way to establish candidacy and a safe treatment plan.
A comprehensive evaluation for All-on-4® includes a medical history review, intraoral examination, and three-dimensional imaging such as cone beam CT to assess bone volume and anatomy. Digital impressions and bite records are usually captured to guide prosthetic design and ensure the temporary and final restorations fit predictably. These diagnostic steps allow clinicians to plan implant positions that optimize long-term function and esthetics.
At Addison Dental Studio we integrate surgical and prosthetic planning from the start so provisional restorations are coordinated with implant placement and healing protocols. Sedation options and postoperative instructions are discussed in advance to make the surgical day as comfortable and efficient as possible. Clear communication about timelines and follow-up helps patients know what to expect at each stage of care.
On the day of surgery, teeth that cannot be preserved may be extracted and four implants are placed in the predetermined positions. Temporary prosthetic teeth are often attached to the implants during the same appointment so patients leave with a functional arch. Sedation and local anesthesia are used as appropriate to manage comfort and reduce anxiety.
The provisional prosthesis is designed to protect the implants and support esthetics while osseointegration occurs. Patients receive instructions for a soft or modified diet and specific hygiene measures to minimize stress on the new implants during the initial healing phase. Follow-up visits are scheduled to monitor healing and to make any necessary adjustments to the provisional restoration.
Initial recovery from an All-on-4® procedure typically involves mild to moderate discomfort, swelling, and temporary changes in diet and activity for a few days to weeks. Pain-management strategies and short-term medications may be prescribed to support healing when clinically indicated. Close monitoring during the early postoperative period helps identify and address any concerns promptly.
Oral hygiene around the implants and prosthesis is vital during recovery and for long-term success; patients are instructed on cleaning techniques tailored to fixed full-arch restorations. Regular professional maintenance visits allow the dental team to assess tissue health, remove deposits, and check prosthetic components. Adherence to follow-up care reduces the risk of complications and helps preserve the implant-supported arch.
All-on-4® restorations are designed for long-term function, but they require routine care to remain reliable and comfortable. Professional cleanings, clinical examinations, and periodic prosthesis checks enable timely maintenance and repair when wear or component loosening occurs. Maintaining good oral hygiene and attending scheduled appointments are key contributors to durable outcomes.
Specialized tools such as interdental brushes, water flossers, or floss threaders are often recommended to effectively clean beneath and around the prosthesis. Your dental team may provide tailored instructions regarding home care and the frequency of professional visits based on tissue response and prosthetic materials. Proactive maintenance preserves function, esthetics, and the health of the supporting implants.
One advantage of the All-on-4® concept is that angulated posterior implants can often use existing bone to avoid extensive grafting procedures. However, some patients with severe bone loss or particular anatomic limitations may still require bone augmentation to achieve a stable foundation for implants. CBCT imaging during the evaluation phase helps determine whether grafting is necessary.
When bone grafting is indicated, the timing and technique are tailored to the individual case and may be staged or combined with implant placement depending on clinical judgment. Modern grafting materials and guided surgical protocols improve predictability and integration when augmentation is performed. A clear diagnostic workup ensures patients understand the recommended approach and how it affects the overall treatment timeline.
Like any surgical procedure, All-on-4® carries possible risks such as infection, implant failure, or complications related to healing and bone integration. Prosthetic issues—such as wear, chipping, or screw loosening—can also occur over time and are managed with planned maintenance or repairs. Thorough planning and strict adherence to postoperative care reduce many of these risks.
Certain systemic factors, smoking, or inadequate oral hygiene can increase the likelihood of complications, so these elements are considered during candidacy assessment and aftercare planning. Prompt attention to unusual pain, persistent swelling, or changes in prosthesis fit is important to address potential problems early. Your dental team will outline signs to watch for and the steps to take if concerns arise.
Addison Dental Studio combines advanced imaging, digital planning, and prosthetic expertise to coordinate the surgical and restorative phases of full-arch care. A team-based approach ensures clinicians and technicians collaborate on implant positioning, provisionalization, and final prosthesis design for predictable results. Patients are supported with clear preoperative instructions and structured follow-up to monitor healing and refine the final restoration.
The practice emphasizes individualized treatment planning that accounts for anatomy, bite, esthetic goals, and long-term maintenance needs while prioritizing patient comfort throughout the process. From diagnostic CBCT scans to partnerships with experienced dental laboratories, the workflow is designed to deliver a functional, natural-looking full-arch solution. If you are considering All-on-4®, a consultation provides a personalized evaluation and a clear plan for moving forward.
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