All-on-4™

All-on-4™ is a revolutionary concept providing patients with functioning teeth on dental implants in one single procedure. This technology was developed by Nobel Biocare and allows for collaboration between both the restorative doctor and the surgeon. The fabrication of temporary replacement teeth is completed prior to the surgery. In most cases the teeth can be retained on the implants the same day the implants are placed. This benefits the patient in that there is often less postoperative discomfort, less swelling and less bruising.  After a healing period, your dentist will place the final teeth.

All-on-4 offers you many advantages.

  • A cost effective solution. Your new replacement teeth often require only 4 implants for each jaw. With fewer implants required, the cost is lowered.
  • Reduced need for bone grafting. The special tilting of two of the implants ensures a secure and stable anchorage for the replaced arch, typically making bone grafting unnecessary.
  • Faster treatment and healing time.  Temporary teeth can often be attached to your implants immediately after insertion.

Scientifically proven and documented, All-on-4 treatment is supported by good clinical outcomes from studies over a decade with favorable results.

all on 4 illustration
Video Transcription

Comparing an All-on-4 dental implant treatment to a conventional denture, there are some significant differences. Conventional dentures are false teeth that are supported only by the gum tissue and the bone. And there is a tendency, especially with a bottom denture, for the denture not to hold still well. So often when people speak or chew, they'll feel the denture unseat. An All-on-4 dental implant treatment incorporates the placement of several different spots. Oftentimes, 4 implants are used in a single jaw, and those 4 implants can be used to anchor down the teeth so that the teeth don't move. And you can support a full arch of teeth on just 4 implants. It's pretty remarkable. One of the really neat things about All-on-4 surgery is there are ways to correct problems, not only with the teeth, but deficiencies in the gum tissue. And so you can take someone that looks fairly disfigured from loss of teeth and shrinking of bone. And utilizing this All-on-4 treatment, you can rebuild gums and teeth and have a very natural looking smile when in the past you've had a very disfigured appearance. So a typical All-on-4 procedure involves consultation with us, the surgeon with our office, the surgery office and then a consultation also with the restorative office or the people that are going to be building the new teeth. Once you've had a consultation, the restorative dentist and us the surgeon will get together to finalize the planning, and then we'll typically do one surgery where the remaining bad teeth are removed and the dental implants are inserted in the same day. In many cases, the restorative dentist can actually connect the temporary teeth onto the implants that same day so that the patient has a very natural looking set of temporary teeth that they're able to wear in the time frame that the dental implants are actually healing. There is going to be a period of time where the bone is growing into the implants, and so we can't put final teeth on immediately. But after a period of months, we do some tests to make sure that the implants are ready to support final teeth, and then you transition into taking off the temporary teeth and inserting final teeth. So one of the incredible things about doing All-on-4 surgery is there's typically just one surgical procedure.