All on 4

Procedure Details

What Is All-on-4?

All-on-4 is a full-arch restoration technique where four dental implants are placed into the jawbone at specific angles to maximize support. These implants act as anchors for a fixed prosthesis, restoring both function and aesthetics. 

This approach eliminates the need for placing a separate implant for each missing tooth, making it a more efficient and cost-effective solution.

How Is All-on-4 Performed?

The process begins with a detailed clinical and radiological evaluation, often using 3D imaging such as computed tomography. Based on the patient’s jaw structure, a personalized treatment plan is created.

If necessary, any remaining teeth are extracted under local anesthesia. Four implants are then placed, two in the front of the jaw where bone density is higher, and two in the back at angled positions to maximize stability.

A temporary fixed prosthesis is typically attached on the same day. After a healing period, a permanent prosthesis is placed.

What Are the Stages of All-on-4 Treatment?

The All-on-4 procedure follows a structured, step-by-step approach to ensure optimal results:

1. Comprehensive examination and digital imaging of the jaw

2. Treatment planning based on bone structure and patient needs

3. Administration of local anesthesia (or sedation if required)

4. Extraction of remaining teeth, if necessary

5. Placement of four implants at strategic angles

6. Attachment of a temporary fixed prosthesis

7. Healing period (approximately 3 months) for implant integration

8. Placement of a custom-designed permanent prosthesis

Risks / Benefits

Benefits of All-on-4 Treatment

The main benefits of All-on-4 treatment include:

• Fixed teeth in a shorter time

• Fewer implants compared to traditional methods

• More cost-effective solution

• Fewer surgical procedures required

• Immediate improvement in chewing and appearance

• Natural-looking results tailored to the face

• Faster return to daily and social life

Potential Risks of All-on-4 Treatment

Although All-on-4 is generally safe, some temporary side effects or complications may occur, especially during the healing period.

• Swelling or mild pain

• Risk of infection

• Rare implant failure

• Temporary discomfort during healing

Proper planning, experienced professionals, and good aftercare significantly reduce these risks.

Recovery and Outlook

While recovery after All-on-4 treatment can vary from patient to patient, the general healing timeline typically looks like:

• Same day: A temporary prosthesis is often placed, allowing immediate function

• First few days: Mild swelling, discomfort, or sensitivity may occur

• 1 week: Most patients return to normal daily routines

• 2–4 weeks: Soft tissue healing progresses, discomfort significantly reduces

• 3 months: Implants fully integrate with the jawbone (osseointegration)

• After healing: Permanent prosthesis is placed for long-term use

Patients are usually advised to follow a soft or liquid diet during the early healing phase, maintain good oral hygiene, and attend regular dental check-ups. Following post-procedure instructions carefully helps ensure proper healing and long-lasting results.

When to Call the Doctor

Patients should contact their dentists if they experience:

• Persistent pain

• Excessive swelling

• Bleeding

• Any signs of infections, such as fever or unusual discharge

Prompt evaluation helps prevent complications and ensures proper healing.

Additional Common Questions

Who Is Suitable for All-on-4 Treatment?

All-on-4 is suitable for patients who have lost all their teeth, those who are unhappy with removable dentures, or individuals with severely damaged or loose teeth requiring extraction.

How Long Does All-on-4 Treatment Take?

The procedure is often completed within the same day for implant placement and temporary teeth. The full treatment process, including permanent prosthesis placement, typically spans a few months.

What is the average cost of an All-on-4 treatment in Turkey?

In general, All-on-4 in Turkey costs between $2,500-$4,000.