All-on-4® is a streamlined implant solution designed to replace a full arch of missing teeth using just four strategically placed dental implants. Rather than restoring each tooth individually, this approach supports a fixed dental bridge that looks and functions much like natural teeth. It is particularly well suited for people who have lost most or all of their teeth, are facing extractions, or who want a more stable alternative to traditional removable dentures.
The hallmark of the method is speed and predictability: after the implants are placed, a provisional prosthesis can often be attached the same day so patients leave the office with a complete smile. This immediate restoration allows you to resume basic eating and speaking during the healing period, while your final prosthesis is customized for fit, strength, and aesthetics. The overall goal is to restore oral function and appearance with minimal interruption to daily life.
This treatment does require careful evaluation and planning, but for many candidates it delivers durable results with fewer implants and a shorter overall timeline compared with full-arch treatments that use more implants or staged grafting procedures. A thorough consultation will determine whether All-on-4® is the most appropriate option based on your oral health, bone volume, and personal goals.
All-on-4® relies on a simple principle: use fewer implants placed at optimal positions and angles to maximize support and stability. Two implants are typically positioned toward the front of the jaw where bone density is higher, and two are tilted toward the back to take advantage of available bone and avoid anatomical structures. This angulation often reduces the need for bone grafting and can make it possible to restore an arch even when posterior bone volume is limited.
The prosthetic design complements that implant strategy. A rigid, full-arch bridge is fabricated to distribute biting forces across the implants and provide a natural-looking tooth arrangement. Materials and fabrication techniques are selected to balance aesthetics, wear resistance, and the ability to adjust the restoration during follow-up visits. The result is a functional, stable prosthesis that delivers reliable performance over time when maintained properly.
Because the technique is both surgical and restorative, success depends on coordinated planning between the implant surgeon and the restorative dentist or lab. Digital imaging, three-dimensional planning software, and precise surgical guides are commonly used to translate the treatment plan into accurate implant placement and predictable prosthetic outcomes.
The treatment journey begins with a comprehensive evaluation that includes a clinical exam, dental imaging—often including CBCT scans—and discussion of medical history and treatment goals. These diagnostic steps identify any conditions that must be addressed in advance (such as periodontal disease or infection) and allow the team to design a customized plan. Patients receive a clear outline of the steps involved and realistic expectations for immediate and long-term results.
On the day of surgery, the team performs implant placement under appropriate anesthesia and comfort measures. For patients who require extractions, those are done in the same visit when feasible. Once the implants are secure, a provisional fixed bridge is attached to provide immediate teeth. The initial prosthesis is engineered for function and esthetics during the healing phase; it may be refined or replaced with a final restoration after osseointegration is complete.
Recovery typically involves a short period of rest and a graduated transition back to normal eating. Swelling and mild discomfort are common but manageable with prescribed or recommended medications and post-operative care instructions. Follow-up visits monitor healing, adjust the temporary prosthesis as needed, and plan for the definitive final restoration when the implants have fully integrated with the jawbone.
Beyond restoring the appearance of a full smile, All-on-4® provides meaningful functional improvements. A fixed full-arch restoration restores biting and chewing efficiency compared with removable dentures, allowing patients to eat a wider variety of foods with greater confidence. Because the prosthesis is anchored to implants, common issues like slipping or sore spots associated with conventional dentures are eliminated.
There are also important oral health advantages. Well-planned implant placement helps preserve jawbone by transmitting normal chewing forces to the underlying bone, which can slow bone resorption that commonly follows tooth loss. Restoring the arch with an implant-supported bridge can simplify hygiene routines compared with ill-fitting removable appliances, and regular maintenance visits make it possible to monitor both soft tissues and prosthetic components effectively.
Finally, many patients notice an improvement in comfort and day-to-day ease of living. Speech is often clearer with a well-fitted fixed bridge, and the absence of removable hardware reduces the need for adhesives and nightly removal routines. These practical gains translate into a more seamless experience of eating, speaking, and smiling.
All-on-4® combines surgical precision with prosthetic craftsmanship, so the clinician’s experience and the practice’s technology both play central roles in predictable outcomes. Modern digital tools—such as cone beam CT imaging, virtual treatment planning, and digitally guided surgery—allow clinicians to evaluate bone anatomy, avoid critical structures, and position implants for the best long-term support of the prosthesis. A skilled restorative team ensures the final teeth are comfortable, natural-looking, and durable.
Equally important is coordinated care: the implant placement, provisionalization, and fabrication of the definitive restoration should be handled by a team that communicates well and follows a standardized workflow. This reduces surprises and helps ensure that provisional teeth placed at surgery function properly during healing and that the final restoration meets the patient’s expectations for form and function.
Our office takes a conservative, evidence-based approach to full-arch replacement, combining advanced imaging and surgical planning with high-quality prosthetic materials. If you are considering a reliable long-term solution for severe tooth loss or unstable dentures, discussing All-on-4® with an experienced dental team is an important first step toward a comfortable, functional, and attractive smile.
Summary: All-on-4® is a proven full-arch implant option that can restore function and aesthetics with fewer implants and a streamlined treatment timeline. Careful evaluation, precise surgical technique, and coordinated restorative work are essential for predictable, lasting results. To learn whether this treatment may be right for you, please contact Liberty Dental Care PC by Park One Dental for more information and to schedule a consultation.
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.
All-on-4® is a full-arch tooth replacement method that uses four dental implants to support a fixed prosthesis for either the upper or lower jaw. The technique places two anterior implants and two posterior implants, sometimes tilted, to maximize use of available jawbone. Patients often receive a provisional prosthesis on the same day as surgery so they leave the office with functional teeth. This approach emphasizes immediate function while the implants integrate with the bone.
Developed by Dr. Paulo Malo in 1998, All-on-4® has become a widely adopted solution for patients who need full-arch restoration. The procedure relies on careful planning with three-dimensional imaging and precise surgical placement of implants. The goal is to restore chewing, speech, and esthetics with a streamlined treatment timeline.
Good candidates for All-on-4® are adults who are missing most or all of their teeth in one arch or have teeth that are not salvageable. Patients should be in generally good health and able to undergo a minor oral surgery procedure. Adequate jawbone is helpful, but the All-on-4® concept often allows implant placement without extensive bone grafting by using tilted implants and strategic positioning. A thorough evaluation, including medical history and CBCT imaging, determines if the treatment is appropriate.
Certain conditions such as uncontrolled diabetes, heavy smoking, or untreated periodontal disease can affect healing and may require special management before treatment begins. Your dentist will review your overall health and discuss any necessary precautions or preparatory care. Advanced diagnostics help the team personalize the plan to each patient's needs.
The All-on-4® process begins with a comprehensive consultation and imaging, typically including CBCT scans to assess bone volume and anatomy. On the day of surgery, the clinician places four implants and attaches a custom provisional prosthesis so you leave with teeth that look and function. Sedation and local anesthesia options are available to ensure patient comfort during the procedure. Immediate post-operative instructions focus on pain control, oral hygiene, and diet modifications.
Initial recovery usually involves mild to moderate swelling and some discomfort for a few days, which can be managed with prescribed or over-the-counter medications and cold compresses. Most patients are advised to eat a soft diet and avoid heavy chewing on the treated arch during early healing. Follow-up visits monitor implant stability, soft tissue healing, and progress toward the final restoration.
The temporary prosthesis placed at the time of surgery is designed to provide immediate function and esthetics while implants heal and integrate with the jawbone. That provisional restoration typically remains in place for a healing period that commonly ranges from three to six months, depending on individual healing and clinical judgment. During this phase the team evaluates osseointegration to determine the optimal timing for the definitive prosthesis. Careful monitoring helps ensure the final restoration is fitted to a stable and healthy implant foundation.
The permanent prosthesis is fabricated once the implants demonstrate reliable integration and the soft tissues have matured. Patients may notice gradual improvements in comfort and function as the final prosthesis is customized for bite and esthetics. Regular appointments during this phase allow adjustments to ensure long-term success.
Compared with removable dentures, All-on-4® provides a fixed prosthesis that is stable and secured to dental implants, reducing movement and improving chewing efficiency. The implant-supported arch helps preserve jawbone by transmitting functional forces to the bone, which can slow the bone loss commonly seen with conventional dentures. Many patients find that a fixed solution improves comfort and the ability to eat a wider variety of foods. The design also eliminates the need for denture adhesives and reduces the risk of slippage during speaking or laughing.
All-on-4® typically requires fewer implants than full-arch traditional implant approaches, making it a less invasive option for many candidates. The streamlined workflow and same-day provisional prosthesis shorten the period without fixed teeth. Clinical planning ensures the prosthesis is balanced for function and esthetics.
The implants in an All-on-4® restoration act as secure anchors for a full-arch prosthesis, distributing biting forces across points in the jaw rather than relying on soft tissue support. This distribution improves the mechanics of chewing and reduces the stress on any single implant or the underlying bone. A well-designed prosthesis also restores correct tooth positioning and contours that are important for speech articulation.
Because the prosthesis is fixed, patients often experience clearer speech compared with poorly fitting removable dentures that can shift during speaking. Proper prosthetic design, including occlusion and tooth placement, is tailored to restore function while minimizing wear on the implants. Ongoing maintenance and adjustments help sustain speech and chewing performance over time.
Provisional prostheses placed at the time of surgery are commonly made from acrylic or composite materials supported by a titanium framework, providing a lightweight yet functional temporary solution. These materials are chosen for ease of adjustment, repairability, and acceptable esthetics during the healing phase. When implants are fully integrated, the final prosthesis can be fabricated from stronger and more durable materials such as zirconia or a hybrid design that combines a metal framework with porcelain or composite teeth. Material choice depends on functional requirements, esthetic goals, and the clinician's assessment.
Zirconia offers high strength and excellent esthetics and is increasingly used for full-arch definitive bridges. Hybrid prostheses combine the strength of a metal substructure with the esthetic versatility of layered ceramics or composites. Your dentist will discuss the pros and cons of different materials as part of the treatment planning process.
Daily hygiene is essential to preserve the health of implants and the longevity of an All-on-4® restoration; this includes brushing twice a day with a soft-bristled brush and cleaning around implants with interdental brushes or floss designed for implant prostheses. Rinsing with an antimicrobial mouthwash may be recommended in certain cases to control plaque and promote soft tissue health. Avoiding very hard or sticky foods during the initial healing period reduces stress on the provisional prosthesis. Maintaining consistent oral hygiene habits reduces the risk of peri-implant inflammation.
Professional maintenance visits are an important component of long-term care and typically include clinical exams, professional cleaning of the prosthesis and implant surfaces, and periodic radiographs to monitor bone levels. Your dental team will recommend an appropriate recall schedule based on your individual needs, often every three to six months initially. Prompt attention to any soreness, looseness, or changes around the implant should be reported to the office.
All surgical procedures carry potential risks, and All-on-4® is no exception; common short-term issues include swelling, bruising, and transient discomfort that resolve with standard post-operative care. Less common but more significant complications can include infection, implant failure, nerve irritation, or sinus involvement in the upper jaw when anatomy is close to the surgical site. Careful preoperative planning with 3-D imaging and adherence to surgical protocols minimize these risks. The team will review potential complications and signs to watch for during the consent and planning process.
Long-term complications can arise from poor oral hygiene, uncontrolled systemic conditions, or traumatic overload of the prosthesis, which is why patient selection and maintenance are critical. If a problem develops, timely intervention can often preserve the implants and surrounding tissues. Your dentist will outline risk-reduction strategies tailored to your health profile.
To begin, schedule a consultation so the dental team can evaluate your oral health, review your medical history, and perform necessary imaging such as a CBCT scan to assess bone structure. During this visit the clinician will discuss whether All-on-4® is an appropriate solution for your needs and outline the diagnostic steps and treatment timeline. Treatment planning includes selection of anesthesia or sedation options and coordination of any preparatory care that may be required. The consultation provides an opportunity to ask detailed questions about the clinical process and expected outcomes.
If you would like to schedule an evaluation at Liberty Dental Care PC by Park One Dental, our Richmond Hill location is at 112-10 Liberty Avenue, Richmond Hill, NY 11419 and our phone number is (718) 322-1415. Our team will guide you through the next steps and arrange imaging and follow-up appointments as needed. We look forward to helping you explore whether All-on-4® is the right path to restore your smile.
Liberty Dental Care PC by Park One Dental
112-10 Liberty Avenue, Richmond Hill, NY 11419Park One Dental
1601 Jericho Turnpike, New Hyde Park, NY 11040 (516) 354-0033