All-on-4® Implants in [city], [st]: A practical guide
All-on-4 implants provide a fixed, full-arch tooth replacement using four strategically placed dental implants. This page from [practice_name] in [city], [st] explains how the treatment works, who it helps, and what to expect before, during, and after care.
All-on-4 treatment explained
All-on-4 is a full-arch solution designed for patients who are missing most or all teeth on the upper or lower jaw. Four implants are placed in areas of strong bone. The two back implants are angled to increase contact with available bone, often avoiding sinus or nerve areas. A custom bridge attaches to the implants to replace an entire arch of teeth.
In many cases, a temporary set of teeth can be attached the same day as surgery, allowing patients to leave with a fixed smile while the implants heal. After healing, a final bridge made from durable materials is secured for long-term function and aesthetics.
Why consider All-on-4?
- Fixed, not removable: The bridge is attached to implants, so it does not shift like a denture.
- Fewer implants: Only four implants per arch are typically needed, which can simplify care.
- Often no bone grafting: Angled posterior implants can reduce the need for grafts in select cases.
- Same-day teeth in many cases: A provisional bridge is commonly placed the day of surgery.
- Improved chewing efficiency: Implant support helps restore bite strength and stability.
- Preserves jawbone: Implants stimulate bone, helping slow bone loss over time.
- Streamlined maintenance: Daily brushing and flossing with routine professional visits keep the bridge clean.
How the All-on-4 process works
Consultation and planning
The first visit includes a comprehensive exam, digital scans, and 3D imaging to evaluate bone quality and map implant positions. Medical history, medications, and lifestyle factors such as smoking are reviewed to ensure safe, predictable care. This stage answers common questions such as “What is All-on-4?” and “How does All-on-4 work?”
Surgical appointment
On the day of treatment, any non-restorable teeth are removed as needed, and four implants are placed with precise angulation. A provisional fixed bridge is attached in many cases so patients leave with a full smile.
Healing phase
Implants integrate with the jawbone over several months. During this period, patients follow a soft-food diet and practice careful hygiene around the bridge. Follow-up visits monitor healing and comfort.
Final bridge
After integration, a final bridge is fabricated for an accurate bite, natural contours, and a polished appearance. Materials may include zirconia or hybrid options designed for strength and lifelike translucency.
Your All-on-4 experience
Before treatment
- Expect a thorough assessment to confirm candidacy and discuss alternatives such as traditional implants or dentures.
- Review pre-operative instructions, including any medication adjustments.
- Discuss sedation options to support a comfortable visit.
After surgery
- Mild swelling, tenderness, and minor bruising are common for several days.
- A soft diet helps protect implants while they heal.
- Daily cleaning includes brushing the bridge and using floss threaders or water flossers under the prosthesis.
- Follow-up visits are scheduled to check healing and adjust the provisional bridge if needed.
Long-term care
- Professional cleanings and exams are recommended every three to six months.
- A nightguard may be advised if there is clenching or grinding.
- With good care, the bridge and implants can offer long-lasting function and a stable smile.
Who is a candidate?
Good candidates are adults missing most or all teeth or those with non-restorable teeth who want a fixed alternative to dentures. Adequate bone, good oral hygiene, and stable health increase predictability. Smoking, uncontrolled diabetes, or certain medications may affect healing. An in-person evaluation in [city], [st] determines whether All-on-4 or another option is the best fit.