The All-on-4 Procedure Explained: The Road to Getting Your Oral Health Back

If you are thinking about dental implants or are just curious to learn more about the All-on-4 procedure, this post will provide an overview of all the essential information you need to know.

DaVinci Smiles Dental Implants in Perth

Tooth loss can significantly affect a person’s oral health and overall well-being. Missing teeth can cause many issues, from difficulty eating or speaking to facial structure changes. There is also the ever-present possibility of gum disease and tooth decay. Therefore, replacing missing teeth as soon as possible is important to maintain optimum dental health.

The All-on-4 dental implant procedure has revolutionised modern dentistry and tooth replacement in recent years. It is efficient and minimally invasive. With just four implants, this technique allows for the complete replacement of a full arch of teeth. It is a viable option for people who are missing multiple teeth.

In this blog post, we’ll provide an in-depth explanation of the All-on-4 procedure. We’ll discuss what happens during the process, who it’s suitable for, and the risk and benefits of All-on-4 dental implants over other tooth replacement options.

If you are thinking about dental implants or are just curious to learn more about the All-on-4 procedure, this post will provide an overview of all the essential information you need to know. Read on to learn more!

  • The All-on-4 dental procedure uses four strategically placed implants to support a fixed set of teeth, avoiding the need for bone grafting.

  • The procedure is a comfortable and convenient way of replacing all teeth in the upper or lower arch, providing improved stability and support for the denture.

  • The step-by-step process includes a thorough consultation, examination, planning, surgical procedure, and follow-up care and maintenance.

  • The process involves customised treatment planning, 3D models of your mouth, anaesthesia, implant placement, temporary prosthesis attachment, post-operative instructions, and follow-up appointments.

  • The All-on-4 procedure can restore dental function, improve aesthetics, increase confidence and improve quality of life.

  • Good oral hygiene practices are crucial after the All-on-4 procedure to prevent infection and other dental problems.

  • According to studies, the All-on-4 procedure has a high success rate over the long term.

What is the All-on-4 Dental Procedure?

The All-on-4 dental procedure is an advanced way of replacing all teeth in the upper or lower arch using only four implants. Using a strategically targeted technique, four dental implants are positioned in key areas of the jaw bone. These form a stable support for the denture that will replace all teeth within your upper or lower jaw.

The science behind the All-on-4 procedure lies in the strategic placement of dental implants. Placing the implants at specific angles and depths eliminates the need for bone grafting, which can be an expensive and lengthy process.

This dental implant technique also provides more stability and support for the denture. This allows patients to eat and speak with confidence.

Overall, the All-on-4 technique has revolutionised teeth replacement, providing improved comfort, stability, and convenience for patients needing full mouth rehabilitation.

The All-on-4 Procedure Step-by-Step

Here is a step-by-step guide to the All-on-4 dental implant process:

Consultation and Examination Phase

During the initial consultation, the dentist will:

  • Examine your mouth thoroughly
  • Discuss your dental and medical history
  • Assess your overall health

They will also take x-rays, 3D scans or impressions of your teeth and gums. This information will determine if you are a good candidate for the All-on-4 procedure.

Planning Phase

If you are eligible for the All-on-4 procedure, your dentist will create a customised treatment plan. They will use the information gathered from the examination phase to make a 3D model of your teeth and jaw structure. The digital model will be used to plan the placement of the implants and design the prosthesis.

Surgical Procedure

On the day of surgery, you will be given anaesthesia so you’ll remain comfortable throughout the process. The dentist will then insert four dental implants into your jawbone, which will serve as the foundation for the prosthesis. These implants are strategically placed to maximise support and stability.

Afer implant placement, the dentist will attach a temporary prosthesis to the implants. This temporary prosthesis will allow you to have functioning teeth while your gums and bone heal and integrate with the implants. It will usually take 3-6 months for the implants to fully integrate with the bone.

Once the implants have fused with the jawbone, the next step in the process is abutment placement. The abutments are small metal posts that are attached to the dental implants and protrude above the gum line. They serve as the connector between the dental implant and the final prosthesis. An impression of the abutments will be taken, and this will be used to fabricate the prosthesis. The final prosthesis will be attached to the abutment once they’ve been fabricated.

Follow-up care and Maintenance

After the procedure, following the dentist’s post-operative instructions is important for a successful recovery. You must maintain good oral hygiene by brushing and flossing daily and attending regular follow-up appointments with your dentist. They will monitor the healing process and adjust the prosthesis as necessary.

Who is The Best Candidate for an All-on-4 Dental Procedure?

The ideal candidate for the All-on-4 implant procedure should meet the following criteria:

  • Good oral health:
    The procedure requires a healthy mouth to optimise the chances of success. This means being free from active gum disease or tooth decay.

  • Sufficient bone density:
    Having adequate bone density in the jaw is needed to support dental implants. If there is insufficient bone due to severe bone loss, bone grafting may be necessary to build up the area.

  • Fully grown jaw:
    Dental implants are usually not recommended for children and adolescents. This is because their jaws are still developing. A good candidate should have a fully grown jaw.

  • Non-smoker:
    Smoking can impair the healing process. This significantly increases the risk of implant failure. Therefore, smokers may not be good candidates for the procedure.

  • Commitment to oral health:
    The candidate should be committed to good oral hygiene. They should be willing to follow the recommended oral care routine to maintain their dental implants.

Every patient is unique. A comprehensive dental evaluation is necessary to determine a patient’s suitability for dental implants. Only a qualified dentist can determine whether the All-on-4 dental procedure is the right treatment option for a patient’s needs.

Alternatives to the All-on-4 Dental Procedure

There are several alternatives to the All-on-4 dental procedure that can help people restore their oral function and appearance. Here are some of them:

  • Traditional Dental Implants
    This involves placing titanium implants into the jawbone to support replacement teeth. Unlike All-on-4 implants, traditional implants are not placed at an angle and may require 6-8 implants to replace a full arch of teeth.

  • Removable Dentures
    Removable dentures are an effective, economical way to replace missing teeth. They are made from acrylic, and they are designed to fit snugly against the gums and provide a secure fit.


    Removable dentures are a more affordable option compared to traditional and All-on-4 dental implants. However, they can be initially uncomfortable and may take a couple of weeks to adjust to. Daily oral hygiene practices, like removing and thoroughly cleaning the denture every night, are also necessary. Regular visits with a dentist or prosthodontist will be needed to ensure an optimal fit.

  • Mini Dental Implants
    These are similar to conventional implants, but the implants are smaller and require less bone density. Mini dental implants can be a good alternative for patients who do not have enough bone for traditional implants.

  • Implant-Supported Bridges
    Implant-supported bridges are a longer-lasting option than traditional bridges. This option involves placing dental implants on either side of a gap and attaching a dental bridge to the implants. The bridge is a fixed restoration that can replace three or more, but not all, teeth.

Discuss these options with your dentist to determine which option is right for your needs and circumstances. Factors such as oral health, bone density, and overall health can impact your treatment options.

How All-on-4 Differs from Other Tooth Replacement Options

Here is a comparison table highlighting the differences between the All-on-4 dental procedure and other tooth replacement options:

FeatureAll-on-4 ProcessTraditional ImplantsDenturesBridges
AppearanceLike natural teethLike natural teethLooks less naturalLike natural teeth
Placement4 implants6-8 implantsNo implantsMultiple implants
EligibilitySuitable for patients with bone lossMay require a bone graftSuitable for most patientsMay require a bone graft
Longevity10-15 years10-15 yearsMay need to be replaced every 5 years10-15 years
Bone lossImplants stimulate and maintain boneImplants stimulate and maintain bonePossible bone lossImplants stimulate and maintain bone
CleaningCleaned like natural teethCleaned like natural teethNeeds removal for cleaningCleaned like natural teeth
Cost per jaw$23,000-$27,000 per fixed arch$5,000-$7,000 per implantUp to $2,200 per arch$5,000-$7,000 per implant
Number of implants4 implants for a full arch6-8 implants for a full archNo implants, sits on gum tissueDepends on the number of missing teeth, 2 implants can support 4-5 teeth
Bone QualityLess bone density requiredMore bone density requiredAdequate bone height is required for retentionMore bone density required
Surgery TimeGenerally quickerLonger dental implant surgery timeNon-invasive procedure. No surgery requiredLonger dental implant surgery time
Healing timeShorter healing timeLonger healing timeNo healing time requiredLonger healing time
Success rate95-98%90-95%75% after 5 years90-95%

Advantages of the All-on-4 Process Over Other Tooth Replacement Options

There are several advantages of the All-on-4 dental procedure over other tooth replacement options. These include the following:

  • Fewer implants required:
    The All-on-4 procedure uses only four implants to support a full arch of replacement teeth. There is no need to replace every single tooth individually. Other implant procedures may require 6-8 implants to replace a full arch of teeth or a single implant for each missing tooth.

  • Immediate placement of temporary teeth:
    Patients who undergo the All-on-4 procedure can receive immediate placement of temporary teeth. They can resume normal activities sooner and maintain their appearance.

  • Less bone density required:
    All-on-4 implants are surgically embedded at an angle to maximise the implant-bone contact for better integration of the implant to the bone. This makes All-on-4 implants a good alternative for patients with less bone density.

  • Quicker healing time:
    The All-on-4 procedure has a shorter healing time. It allows patients to receive their replacement teeth sooner.

  • Stable and long-lasting:
    The All-on-4 procedure provides a more stable and long-lasting tooth replacement option than dentures, which can be unstable and shift in the mouth.

Overall, the All-on-4 dental procedure offers several advantages over other tooth replacement options. These advantages make it a popular and effective treatment option for patients with missing or failing teeth.

Benefits of the All-on-4 Dental Implant

The benefits of an All-on-4 dental implant treatment include the following:

  • Improved oral functionality:
    The All-on-4 procedure provides a stable and long-lasting tooth restoration, allowing patients to chew and speak with ease.

  • Improved aesthetics:
    The procedure can restore the smile’s appearance and facial structure, improving the overall aesthetics and increasing self-confidence.

  • Increased self-confidence:
    With improved oral functionality and aesthetics, patients can experience a boost in self-confidence. Plus, they also improve the quality of life of patients.

  • Cost savings compared to traditional implant options:
    The All-on-4 procedure is generally less expensive than traditional implant, making it a more affordable option for many patients.

  • Shorter recovery time: The All-on-4 procedure has a shorter recovery time than traditional implant options, allowing patients to resume normal activities sooner.

Potential Risks and Complications of the All-on-4 Procedure

As with any surgical procedure, patients should be aware of potential All-on-4 risks and complications before undergoing treatment.

Possible complications that could arise during the All-on-4 procedure include the following:

  1. Allergic reaction:
    In rare cases, patients may have an allergic reaction to the materials used in the implants or other components of the All-on-4 procedure.

  2. Implant failure:
    While uncommon, an implant can fail to integrate with the jawbone. This can result in the need for additional surgery to remove or replace the implant.

  3. Infection:
    Any surgical procedure carries a risk of infection, and the All-on-4 procedure is no exception. Infection can lead to implant failure and other complications.

  4. Nerve damage:
    The All-on-4 procedure involves placing implants into the jawbone, which can potentially damage nerves in the area. This can result in numbness or tingling in the face or mouth.

Tips for avoiding and managing potential All-n-4 risks include:

  • Choose an experienced and qualified dentist to perform the procedure.

  • Inform your dentist of allergies or any medical conditions you may have.

  • Follow all pre-operative instructions. This may include avoiding certain medications or foods before the procedure.

  • Attend all follow-up appointments with your dentist. Report any unusual symptoms or complications immediately.

Recovery Time and Aftercare for an All-on-4 Dental Procedure

The recovery process for this procedure can vary depending on individual factors, but generally, it involves the following stages:

  • Immediately after the procedure:
    You will be given pain medication to manage discomfort or swelling. You may experience some bleeding, but this is normal and should stop within a few hours. You’ll also be instructed to have a soft food diet and avoid hot and cold drinks for the first few days.

  • The first week:
    During the first week, you must be careful when cleaning your teeth and gums. You’ll also need to avoid strenuous physical activity and stick to a soft food diet to allow the implants to heal properly.

  • The first month:
    By the end of the first month, your implants should start integrating with your jawbone. At this point, you can gradually start introducing more solid foods into your diet. You’ll also be able to resume light physical activity.

  • Follow-up visits:
    You’ll need to schedule follow-up appointments with your dentist to monitor your healing progress and make any necessary adjustments to your dental prosthetics.

Aftercare and maintenance are also important in preventing complications after the All-on-4 procedure. Patients should follow all post-operative instructions, including:

  1. Keeping the mouth clean. Brush and floss gently but thoroughly.

  2. Avoiding hard or crunchy foods for several weeks after the procedure.

  3. Attending all scheduled follow-up appointments to monitor the healing process.

  4. Reporting any unusual symptoms to your dentist. This includes severe pain, swelling, or bleeding.

Patients can minimise the risk of complications by following these tips and adhering to a strict aftercare and maintenance routine. They also get to enjoy the many benefits of the All-on-4 treatment.

Final Thoughts

In conclusion, the All-on-4 dental procedure is a viable dental restoration option for those seeking to replace a full arch of missing teeth. It provides a fixed set of teeth supported by just four dental implants. This results in improved dental function, aesthetics, and better quality of life.

The recovery period is generally shorter compared to traditional implants. However, following your dentist’s instructions for proper healing and long-term success is important. Maintaining good oral hygiene practices is also essential to prevent infection and other complications.

If you’re considering the All-on-4 dental procedure, consult a qualified dentist to determine if you’re a good candidate. Your dentist can evaluate your oral health, discuss your dental treatment options, and provide you with personalised recommendations.

At DaVinci Smiles, we offer personalised services tailored to each patient’s particular needs and goals. Our team of dental professionals is here to help guide you every step of the way, so don’t hesitate to reach out today. Book an appointment through our website or call us now!

Dr. Tony Strangio

Author

Dr. Tony Strangio

Dr. Tony graduated from the University of Western Australia in 1993 with a Bachelor of Dental Science. He has dedicated his professional life to providing quality dental treatments for his patients. His initial involvement in implant dentistry begins at the Branemark Centre in Western Australia. Then, he completed his master’s in Oral Implantology in 2013.

Get To Know Dr. Tony

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