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All-on-4® is a treatment concept designed to restore an entire upper or lower arch using just four dental implants to support a fixed prosthesis. Rather than relying on removable dentures, this approach provides a secured bridge that’s anchored directly to implants placed at strategic angles and positions. The process is planned so patients can leave the procedure with a functional provisional bridge the same day, avoiding the prolonged period without teeth that traditional methods often require.
This option is intended for people who have lost most or all of their teeth, are facing extractions, or who struggle with unstable dentures. Because the provisional prosthesis is attached immediately, patients regain the ability to speak, smile, and begin eating with confidence right away. The immediate restoration is designed to protect soft tissues and maintain facial support as the implants integrate with the jawbone.
Although it can sound like a dramatic change in a short span of time, All-on-4 relies on meticulous planning and coordination between the surgical and restorative phases. Preoperative imaging, precise implant placement, and a carefully designed interim prosthesis all work together to deliver predictable, efficient care that restores function and appearance without prolonged treatment timelines.
Successful All-on-4 care begins with a thorough diagnostic process. Modern practices use three-dimensional imaging and digital planning software to map the patient’s jaw anatomy, identify optimal implant sites, and design the prosthesis before any surgery takes place. This virtual planning reduces surprises during the procedure and allows the treatment team to anticipate anatomical challenges such as limited bone volume in the posterior jaw.
One of the distinguishing features of the All-on-4 concept is the strategic angulation of the posterior implants, which often allows clinicians to avoid bone grafting even when bone height is reduced. By tilting the back implants and placing the front implants more vertically, the prosthesis gains broad support from just four fixtures—streamlining care while maintaining long-term stability for the final restoration.
The restorative workflow is coordinated so that the interim prosthesis is ready for attachment on the day of surgery. Lab-fabricated provisionals or digitally milled temporary bridges are prepared using the surgical plan, minimizing chair time and enabling a smooth transition from extraction or implant placement to immediate function. This integrated approach reduces complexity for patients and helps ensure a consistent outcome.
After implant placement and provisionalization, the first few weeks focus on soft tissue healing and osseointegration—the process by which bone bonds to the implant surface. Patients receive specific post-operative instructions covering oral hygiene, dietary progression, and activity restrictions to support predictable healing. Typically, the provisional bridge allows for a softened diet at first, advancing as comfort and healing permit.
Follow-up visits are an important part of the process. Scheduled examinations and radiographs allow the clinician to monitor integration, adjust the provisional prosthesis if needed, and confirm that occlusion and function are appropriate. Once healing is complete and the implants demonstrate stable integration, a definitive, lab-fabricated prosthesis is delivered to replace the interim bridge.
Long-term success depends on regular professional care and consistent home hygiene. Cleaning around an implant-supported bridge requires techniques to remove plaque at the gumline and under the prosthesis. Periodic maintenance appointments include professional cleanings, evaluation of soft tissue health, and assessment of the prosthesis to catch issues early and preserve function for years to come.
All-on-4 provides more than an improved smile—restoring stable, implant-supported teeth helps reestablish bite strength and chewing efficiency, which supports better nutrition and digestion. Because the prosthesis is fixed, it eliminates common denture problems such as slippage and sore spots, allowing patients to speak and eat without the anxiety that removable appliances sometimes create.
On a biological level, implants transmit chewing forces to the jawbone in a way that can help preserve bone volume compared with the bone loss that typically follows tooth loss and prolonged denture wear. Maintaining bone structure supports facial proportions and helps prevent the sunken appearance that can accompany long-term tooth loss.
Finally, the prosthetic materials and design options available for final bridges are engineered for durability, esthetics, and ease of care. Properly designed and maintained implant-supported prostheses deliver reliable function and a natural appearance while allowing access for routine hygiene and professional maintenance.
Delivering predictable All-on-4 care requires clinical experience, technology, and a coordinated team approach. Procedures begin with a comprehensive evaluation that includes medical and dental history, diagnostic imaging, and restorative planning to align surgical steps with the final prosthetic goals. Clear communication across the team—from surgical specialists to the dental laboratory—helps ensure that each phase proceeds smoothly.
At Black Mountain Family Dentistry, clinicians pair modern imaging and treatment planning with attention to patient comfort and recovery. The practice’s focus on whole-health dentistry supports decisions that consider long-term oral health, function, and esthetics. Patients benefit from a coordinated care plan that maps the path from initial consultation through provisionalization to delivery of the final restoration.
Choosing an experienced team helps reduce uncertainty during complex restorative cases like full-arch implant therapy. Clinicians who are familiar with the nuances of All-on-4 placement and prosthetic design can tailor solutions to individual anatomy and functional needs, helping patients achieve stable, natural-looking results.
In summary, All-on-4® offers a streamlined pathway to replace a full arch with a fixed, implant-supported prosthesis that restores function, supports bone preservation, and improves overall comfort. The concept emphasizes careful planning, immediate provisionalization, and coordinated restorative care to help patients resume everyday activities quickly. For more information about whether All-on-4 is right for you, please contact us to discuss your situation and available options.
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.
Schedule your appointment online or give us a call to get started today.
