Quick Facts About All-on-4®
- Key Benefit:
- All-on-4® can restore a full arch of teeth with just four implants, delivering long-lasting, natural-looking results.
- Potential Candidates:
- Adults facing significant or complete tooth loss are often excellent candidates, provided they have sufficient jawbone density.
- Procedure Details:
- Four titanium implants are strategically placed in the jaw and a custom-fabricated prosthetic arch is attached to replace missing or failing teeth.
- Result Longevity:
- With proper care and routine dental visits, All-on-4® results can last 20 years or more, and in many cases a lifetime.
If you are missing most or all of your teeth, you don’t have to live with the discomfort and self-consciousness that comes with gaps, dentures, or declining oral health. At our practice, cosmetic dentist Sasha Rozenberg, DMD offers All-on-4® dental implants as a transformative solution for patients seeking a complete and durable smile restoration. This innovative treatment is designed to replace an entire arch of teeth with a fixed prosthetic supported by just four implants, so you can eat, speak, and smile with more confidence.
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What Is All-on-4®?
All-on-4® is a full-arch dental implant technique in which four titanium implant posts are surgically placed into the jawbone to support a complete set of fixed prosthetic teeth. Unlike traditional dental implants that require one post per tooth, All-on-4® uses a precise angled placement strategy to maximize contact with available bone. Related approaches include All-on-6, which uses six implants for additional stability, and All-on-X, a broader term referring to any full-arch restoration that uses a customized number of implants based on a patient’s unique anatomy and needs. Together, these options give our team the flexibility to tailor treatment to each individual patient.
Did You Know…
After the All-on-4® procedure, you’ll likely be asked to follow a modified diet while your gum tissues heal and the dental implants fuse with your jawbone.
What Are the Benefits of All-on-4®?
A More Comfortable Alternative to Dentures
All-on-4® offers a host of advantages over traditional dentures and other tooth replacement options. Since the prosthetic arch is securely anchored to implants, there is no slipping, no adhesive, and no removal for cleaning, meaning patients typically care for their new teeth much like natural ones.
Protection for Your Jawbone
The implants can also stimulate the jawbone, helping to prevent the bone loss that commonly follows tooth extraction. This helps preserve your facial structure and supports long-term oral health in a way that traditional dentures cannot.
A Better Quality of Life
Additional benefits include improved speech, e
Who Is a Candidate for All-on-4®?
All-on-4® is designed for adults dealing with significant tooth loss or those facing full-arch extractions. You may be a strong candidate for this restorative dentistry option if you:
- Are missing most or all of your teeth on the upper or lower arch
- Are currently wearing or considering full dentures
- Have experienced bone loss but still have adequate bone for implant placement
- Are a non-smoker or willing to quit prior to treatment
- Are in good general health without uncontrolled systemic conditions
- Are looking for a long-term, low-maintenance tooth replacement solution
Patients who do not have sufficient bone volume may be candidates for bone grafting prior to treatment, or may qualify for All-on-6 or All-on-X alternatives like zygomatic implants.
During a consultation, Dr. Sasha will evaluate your oral health, bone density, and overall medical history to determine if All-on-4® is right for you.
How Is the All-on-4® Procedure Performed?
Planning Your Treatment
The All-on-4® procedure begins with a comprehensive consultation and imaging to precisely plan implant placement. Dr. Rozenberg works closely with local oral surgeons who place the implants, ensuring a coordinated and carefully managed experience from start to finish.
The Day of Surgery
On the day of surgery, patients typically receive anesthesia or sedation for comfort, and any remaining teeth requiring extraction are removed. The oral surgeon then carefully places four titanium implants into the jawbone — two in the front at a vertical angle and two in the rear at a tilted angle to engage more bone and avoid the sinus cavities. A temporary prosthetic arch is then secured to the implants, so patients leave with a functional smile.
Healing and Your Final Restoration
After a healing period of several months, the implants fuse to the bone through a process called osseointegration. Once complete, the temporary arch is replaced with a final, custom-crafted ceramic zirconia prosthetic — the last step in your journey to a complete, lasting smile.
How Long Do All-on-4® Results Last?
All-on-4® is generally considered a permanent tooth replacement solution. The titanium implant posts are designed to integrate with and become part of the jawbone, making them highly stable and long-lasting. With good oral hygiene habits, including brushing, flossing, and attending regular dental cleanings, patients can expect their All-on-4® results to last 20 years or longer. Many patients enjoy their restorations for a lifetime without the need for replacement. The prosthetic arch itself may require occasional maintenance or replacement over the decades due to normal wear, but the implant posts themselves are built to last. Avoiding smoking, maintaining a healthy diet, and keeping up with routine checkups are some of the most important factors in protecting your long-term results.
Ready to explore whether All-on-4® is right for you? Contact our office today to schedule a consultation with Dr. Sasha and take the first step toward a more complete and confident smile.
