All-on-4®

A same-day path to a complete, confident smile

For people facing the loss of most or all teeth, the All-on-4® treatment concept offers a predictable pathway to restore a full arch in a single treatment sequence. Rather than replacing each tooth individually, this approach uses a small number of strategically placed dental implants to support a permanent prosthesis. The result is a stable, natural-looking set of teeth that can often be delivered on the day of surgery.

This option is designed to streamline care without sacrificing long-term function. Patients who previously relied on removable dentures or who are approaching full-arch extractions may find All-on-4® reduces the time they spend without a functioning smile. The emphasis is on restoring chewing ability, facial support, and speech while delivering an attractive aesthetic outcome.

While the immediate change can be dramatic, All-on-4® is fundamentally a restorative solution built on careful planning. Every case begins with a thorough clinical evaluation and imaging so that the surgical and prosthetic phases are coordinated to achieve predictable, lasting results.

How the All-on-4® approach is planned and executed

Successful full-arch implant treatment starts with comprehensive diagnostics. Modern imaging — such as cone beam CT scans — gives clinicians a three-dimensional view of bone volume and anatomic landmarks. This information guides implant placement and helps the team create a prosthetic plan that balances stability, comfort, and esthetics.

Rather than placing a large number of implants, the All-on-4® concept typically uses four implants per arch, with two posterior implants tilted to maximize support from available bone. This angled placement can avoid the need for extensive bone grafting in many cases and enables a rigid foundation for a full-arch prosthesis.

On the day of surgery, implants are placed and a provisional prosthesis is attached to provide immediate function and appearance. Over the following months, the jawbone integrates with the implants (osseointegration), after which a final fixed restoration is fabricated and delivered. Each stage is planned to ensure the prosthesis meets functional needs and matches the patient’s facial proportions and smile goals.

What to expect before, during, and after treatment

Preparation begins with a focused consultation. The team will review medical and dental history, perform a clinical exam, and obtain imaging to assess bone and soft tissue. Treatment planning includes deciding whether extractions are needed, designing the provisional prosthesis, and coordinating surgical logistics. Clear communication about timeline and postoperative care helps set realistic expectations.

On treatment day, the procedure is performed under the appropriate level of sedation or local anesthesia for the patient’s comfort. After implant placement, a temporary fixed prosthesis is secured so patients leave with a functional, presentable smile. Immediate post-op instructions address pain control, diet progression, and oral hygiene to support healing.

Healing typically involves a series of follow-up visits to monitor integration and tissue response. Once implants have fully integrated, the provisional prosthesis is replaced with a definitive restoration tailored for long-term function and ease of maintenance. Regular professional care and daily hygiene remain essential for preserving implant health and prosthetic longevity.

Functional and aesthetic benefits compared with traditional options

All-on-4® restores a full arch with a fixed restoration, offering a level of stability and confidence beyond what removable dentures typically provide. Fixed prostheses reduce the risk of slipping, improve speech clarity, and allow a much broader range of foods to be comfortably eaten — factors that contribute directly to quality of life.

From a facial perspective, full-arch implant restorations can better preserve facial contours by supporting the lips and cheeks, helping to avoid the sunken look that can accompany long-term tooth loss. The prosthetic teeth are designed to harmonize with each patient’s facial features, skin tone, and smile line for a natural appearance.

When compared with replacing every missing tooth with individual implants, the All-on-4® approach can reduce surgical complexity in many cases by limiting the number of implants and, in appropriate cases, avoiding bone grafts. This does not mean it is right for every situation, but it is a well-established option for many full-arch restorations.

Why patients choose our Longwood team for full-arch implant care

True Vine Dental Care approaches full-arch restoration with an emphasis on compassionate, evidence-based dentistry. Our team combines restorative expertise with modern imaging and digital planning tools to design prostheses that meet both functional and aesthetic goals. Care is personalized: treatment recommendations reflect the patient’s oral health, medical history, and lifestyle priorities.

Coordination between surgical and restorative phases is essential for predictable outcomes. Our clinicians work closely with skilled dental laboratories and follow protocols that prioritize implant positioning, occlusal balance, and prosthetic access for hygiene. The practice environment is set up to support patients through each stage, from consultation to final restoration.

We recognize that choosing full-arch implant treatment is a significant decision. Our role is to provide clear, factual information about the procedure, alternatives where applicable, and what to expect during recovery and maintenance so patients can make an informed choice that aligns with their oral-health goals.

All-on-4® can transform lives by restoring the form and function of a complete arch with a streamlined treatment pathway. If you would like to learn more about whether this approach is right for you, please contact us for more information. Our team in Longwood, FL is available to discuss the treatment process and schedule an evaluation.

1All-on-4 is a registered trademark of Nobel Biocare.

Frequently Asked Questions

What is All-on-4?

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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.

Is All-on-4 right for me?

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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!

What is the difference between All-on-4 and dentures?

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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.

How is All-on-4 different from other types of dental implants?

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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.

What's the procedure for All-on-4 treatment?

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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.

Will I have teeth right away with All-on-4 treatment?

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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.

Will All-on-4 give me a natural-looking smile?

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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!

How do I take care of my new All-on-4 smile?

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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.