For adults who have lost most or all of their teeth—or for those facing full-arch extractions—the All-on-4® treatment concept offers a streamlined path back to a functional, attractive smile. Rather than removable dentures, this approach uses a small number of dental implants to secure a full-arch prosthesis that looks and behaves much like natural teeth. The result is immediate restoration of chewing ability, clearer speech, and renewed comfort without the daily hassles of conventional removable appliances.
This solution is designed for efficiency: with careful planning and precise implant placement, many patients receive a stable provisional prosthesis the same day as surgery. That temporary arch allows you to leave the office with a complete smile while the bone and soft tissues heal. Because the initial prosthesis is designed for function and appearance, it supports social confidence and daily activity from the start of treatment.
All-on-4® is not a one-size-fits-all shortcut; it is a well-established full-arch protocol that combines surgical technique and prosthetic design. A thorough clinical evaluation ensures suitability, and the treatment plan is tailored to each patient's anatomy, health status, and aesthetic goals. When performed by an experienced team, it restores both form and function in a predictable, patient-centered way.
One of the defining advantages of the All-on-4® approach is the strategic placement of implants to maximize available bone. Posterior implants are typically angled to engage denser bone in the front and back of the jaw, which often reduces or eliminates the need for bone grafting. This approach can shorten the overall treatment timeline and avoid additional surgical procedures that might otherwise be required for conventional implant plans.
By relying on four well-positioned implants to support an entire arch, clinicians can create a strong foundation that distributes biting forces evenly across the jaw. That biomechanical stability supports long-term health of the surrounding bone and soft tissues, and it helps prevent the progressive bone loss that commonly accompanies long-term tooth loss. The result is a more resilient, natural-feeling foundation for your prosthetic teeth.
Although the surgical approach is efficient, careful imaging and planning are essential. Cone beam CT scans and digital planning tools allow the care team to visualize bone volume, nerve locations, and sinus anatomy so implant placements are precise and safe. This planning phase is crucial to achieving a predictable outcome while minimizing surgical surprises.
The process begins with a comprehensive consultation: we review your medical and dental history, perform a clinical exam, and often take CBCT scans to assess bone and soft tissue conditions. During this visit the team will discuss candidacy, treatment goals, and any medical considerations that could affect healing. We also review sedation options and overall expectations so every patient feels informed and comfortable before moving forward.
On the day of surgery, existing failing teeth may be removed and the implants placed according to the pre-planned positions. A custom provisional prosthesis is then attached to those implants, allowing immediate function and a natural appearance while tissues heal. Post-operative instructions focus on comfort, nutrition, and wound care, with scheduled follow-ups to monitor healing and adjust the provisional restoration as needed.
After a period of healing—typically several months—the team assesses implant integration and soft-tissue contours to design the final prosthesis. That definitive restoration is fabricated to match your aesthetic preferences and functional needs, and it is secured once the implants have fully integrated. Throughout the process, the team coordinates clinical, surgical, and laboratory steps to maintain consistency and quality from start to finish.
An All-on-4® prosthesis restores many day-to-day activities that removable dentures can limit. Most patients find they can enjoy a wider variety of foods and speak with greater clarity and confidence. Because the prosthesis is fixed in place, you won’t need denture adhesives, and the stability reduces sore spots and slippage that can interfere with eating and social interaction.
Maintenance of an implant-supported arch focuses on daily hygiene, professional checkups, and periodic adjustments as needed. Cleaning beneath and around the prosthesis requires specific tools and techniques—such as flossing threaders or water irrigation—to control plaque and preserve peri-implant health. Regular recalls allow the clinical team to check implant stability, evaluate soft tissue health, and address wear or mechanical issues before they become problems.
Long-term success depends on both biological and mechanical factors. With appropriate home care, routine maintenance, and healthy habits, an implant-supported arch can provide many years of reliable function. Your care team will outline a personalized maintenance schedule and show you how to protect your investment in oral health for the long term.
Full-arch rehabilitation requires coordination among clinicians, technicians, and digital tools. A skilled surgical team ensures implants are placed in positions that support durable prosthetics, while an experienced restorative team designs a prosthesis that balances strength, comfort, and aesthetics. When those elements work together, patients benefit from predictable healing and superior long-term outcomes.
Advances such as CBCT imaging, digital impressions, and computer-guided surgical planning have made All-on-4® treatments more precise and reproducible. These technologies help the clinical team evaluate anatomy in three dimensions, simulate implant positions, and fabricate provisional and final prostheses that align with each patient’s unique facial and oral characteristics. Precision at every step reduces surprises and supports smoother clinical experiences.
At , our focus is on delivering thoughtful full-arch care that combines technical expertise with patient-centered communication. We prioritize clear explanations, realistic expectations, and a compassionate approach to help patients feel supported at every stage of treatment. If a fixed full-arch solution is the right choice for you, our team is prepared to guide you through each step with attention to comfort and detail.
In summary, the All-on-4® treatment concept offers a proven, efficient option for restoring a complete arch with immediate function and long-term stability. If you or a loved one are exploring full-arch tooth replacement, contact us to learn more about how this approach could fit your goals and lifestyle. Our team is available to answer questions and schedule a consultation so you can make a confident, informed decision about your care.
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.
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