The DentalBrace
Clinic & Implant Centre
Treatment Snapshot
The All-on-4 treatment replaces a full arch of missing teeth using just four strategically angled titanium implants to support a permanent, fixed bridge.
Why Patients Choose This
- • All-on-4 provides a complete set of fixed, non-removable teeth in a single surgical phase.
- • All-on-4 often eliminates the need for complex and expensive bone grafting.
- • All-on-4 restores full chewing capability and preserves facial bone structure.
When To Consider Alternatives
All-on-4 is not suitable for patients unwilling to commit to strict daily hygiene protocols using a water flosser under the fixed bridge.
Post-Treatment Maintenance
All-on-4 bridges require daily cleaning with a water flosser (Waterpik) and super-floss to remove plaque trapped beneath the prosthesis.
What is All-on-4® Full Mouth Dental Implants?
The All-on-4® treatment concept is a revolutionary surgical technique designed for patients missing all their teeth in an arch, or those with severely failing dentition. Instead of needing an implant for every single missing tooth, this technique uses just four strategically placed titanium implants to support an entire fixed bridge of permanent teeth. The two posterior (back) implants are tilted at a 45-degree angle. This brilliant engineering maximizes the use of available bone, completely bypassing the need for expensive and time-consuming bone grafting or sinus lifts in most cases. The result is a non-removable, incredibly stable set of teeth that allows you to bite into an apple with confidence. Unlike traditional dentures, an All-on-4 bridge does not cover the roof of your mouth, meaning you retain your full sense of taste and temperature. For many patients, we can extract failing teeth, place the four implants, and attach a temporary fixed bridge all in a single surgical appointment—a process known as "Teeth in a Day."
Signs You Need This Treatment
- ✓ Total loss of teeth in the upper or lower jaw
- ✓ Severe periodontal (gum) disease leading to failing teeth
- ✓ Inability to chew solid foods
- ✓ Painful, loose, or ill-fitting traditional dentures
- ✓ Severe bone loss preventing standard implants
Possible Limitations
- Significant surgical undertaking requiring a soft diet for months
- Higher initial investment compared to traditional dentures
- Requires meticulous daily cleaning underneath the bridge
Ideal Candidate
Patients who want a fixed, permanent full-arch replacement but lack the bone volume required for 6 to 8 traditional straight implants.
Not Recommended For
Patients with severely compromised immune systems, uncontrolled bleeding disorders, or those who are unwilling to commit to strict oral hygiene protocols using a water flosser.
Key Benefits
- Provides a full set of fixed, non-removable teeth
- Often avoids the need for complex bone grafting
- Restores up to 90% of natural chewing force
- Preserves jawbone and prevents facial aging
- Does not cover the palate, preserving taste
Step-by-Step Process
3D Diagnostics & Planning
CBCT scans map your bone volume. We design a surgical guide to place the implants at the exact optimal angles.
Surgical Day
Any remaining failing teeth are extracted, the bone is leveled, and the four implants are placed.
Provisional Bridge Delivery
In most cases, a temporary fixed acrylic bridge is screwed onto the implants on the same day or the next day.
Healing Phase
You wear the provisional bridge for 4-6 months on a soft diet while the implants permanently fuse to the bone.
Final Prosthesis
Once healed, a new digital impression is taken and your final, ultra-durable Zirconia or Titanium-acrylic bridge is attached.
Recovery & Expectations
Timeline: Expect moderate swelling and bruising for 3-7 days. You must adhere to a strict soft-food diet for 3-4 months to ensure the implants fuse to the bone without being disturbed by heavy chewing forces.
Success Factors: Strict adherence to the soft-food diet during osseointegration, Daily use of a water flosser to clean beneath the bridge, Regular professional maintenance every 6 months
When to Consult: Schedule an evaluation if you are frustrated with traditional dentures, or if your dentist has informed you that your remaining teeth are compromised and must be extracted.
Appointments: Extensive planning phase (2-3 visits), Surgical day, Healing phase checkups, Final prosthetic delivery (3-4 visits).
All-on-4 is truly life-changing. I have seen patients who haven't smiled in decades walk out of the clinic with renewed confidence. The key to long-term success is treating your new teeth with the same rigorous hygiene as natural teeth.
Cost & Financing
*Final cost depends on clinical complexity determined during consultation.
- Medical Loans
- Multi-Phase Payments
Clinical Outlook & Risks
- • Prosthesis fracture under extreme bite force
- • Implant non-integration
- • Speech adaptation required
All medical procedures carry inherent risks. We utilize digital planning to minimize these, but patient compliance is mandatory for success.
Frequently Asked Questions
How is All-on-4 different from dentures?
Traditional dentures rest on the gums and are removable, offering only 20% of natural chewing power. All-on-4 teeth are permanently screwed into the jawbone, never come out, and restore almost full chewing capacity.
Will I be without teeth during the healing phase?
No. In the vast majority of cases, we attach a fixed temporary bridge on the same day as surgery. You will never leave the clinic without a smile.
Why do you use 4 implants instead of 6 or 8?
By tilting the back implants, we gain maximum stability using denser anterior bone, avoiding the sinus cavities and nerves. 4 implants are biologically sufficient to support a full arch bridge.
How do I clean my All-on-4 teeth?
Because the bridge is fixed, you brush them like natural teeth. However, you must use a water flosser (Waterpik) and super-floss to clean the small space between the gums and the bridge.
Appointment & Treatment Logistics
Comprehensive same-day 3D imaging and full arch planning.
Intensive planning phase (2 visits), followed by surgery and immediate provisional delivery.
Soft diet protocol monitoring and final prosthesis delivery after 4-6 months.
Explore Related Care
Conditions Treated
Common Problems We Solve
- • All my teeth are failing
- • Traditional dentures cause sores and slip
- • Want permanent teeth but lack bone density
Related Treatments
Treating Specialist
Prosthodontist & Implantologist
Clinical Technology
- CBCT 3D Scanning
- Computer-Guided Surgical Stents
- Angulated Multi-Unit Abutments
- Titanium Frameworks
- Zirconia Hybrid Prosthetics