Dental Implants · Technique

All-on-4

Also known as: All-on-4 dental implants · full-arch implants

All-on-4 replaces all the teeth in one jaw with a fixed set of teeth held by four implants. Two implants go in the front of the jaw and two are angled at the back, which can avoid the need for a bone graft. Most patients need two trips.

A dentist talks with an older patient in the dental chair

Implants per jaw

4

Temporary teeth

Can be fitted the same day

Final teeth

After the implants heal

How it compares

How All-on-4 Compares with a Removable Implant Denture

Both replace all the teeth in one jaw and are held by implants. They differ in whether you can take the teeth out.

All-on-4

This page
How it works
A fixed set of teeth attaches permanently to four implants.
Taking it out
It stays fixed to the implants.
Cleaning
Brushed in your mouth.

Removable implant denture

How it works
A denture snaps onto implants and comes off.
Taking it out
You take it out every day.
Cleaning
Take it out to clean it.

Your dentist recommends an option based on your bone, your health and the result you want.

Who it suits

Who Is All-on-4 Often Chosen For?

All-on-4 is a full-arch option: it replaces every tooth in one jaw, not a single tooth or a few.

All-on-4 Is Often Chosen For

  • Missing most or all teeth in one jaw

  • Bone loss at the back of the mouth

All-on-4 May Not Be a Good Choice If

  • You smoke or vape, because it can disrupt healing

Your dentist makes the final decision after examining you and your scans.

Step by step

How Is All-on-4 Done? Procedure Steps

Treatment happens in two stages: the implants and temporary teeth first, then the final teeth once the implants have healed.

  1. Exam and Scans

    Your dentist examines your mouth and checks your jawbone on X-rays or scans.

  2. Removing Teeth

    Any decayed or damaged teeth are removed first.

  3. Placing the Implants

    Two implants are placed straight in the front of the jaw, and two are angled at the back.

  4. Temporary Teeth

    A temporary set of teeth can be fitted the same day.

  5. Healing

    The implants fuse with your jawbone, which takes about 3 to 6 months. You follow a softer diet while you heal.

  6. Final Teeth

    Your final set of teeth is made from new impressions and fitted.

How Long Does All-on-4 Last?

The implants themselves can last a lifetime with proper care. How you look after them makes the difference. The risks are the same as for other dental implants.

Do

  • Brush your teeth with a soft-bristled toothbrush and a nonabrasive toothpaste
  • Floss and have regular cleanings and checkups

Don't

  • Smoke or vape while you heal

FAQ

All-on-4: Frequently Asked Questions

Will I have teeth on the day of surgery?

A temporary set of teeth can be fitted the same day. Your permanent teeth follow once the implants have healed.

Is All-on-4 the same as dentures?

All-on-4 is a fixed implant denture. The teeth attach permanently to the implants, while a removable implant denture snaps on and off.

References

Sources

  • Dental Implants FAQ

    American College of Prosthodontists · gotoapro.org

  • Dental Implants

    Cleveland Clinic, 2026 · my.clevelandclinic.org

  • Implant-Supported Dentures

    Cleveland Clinic, 2022 · my.clevelandclinic.org

  • Types of Implants and Techniques

    American Academy of Implant Dentistry · aaid-implant.org

  • All-on-4 Treatment Concept

    Foundation for Oral Rehabilitation · for.org

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