All-on-Four implantatmetode
Treatment
A revolutionary technique that replaces an entire arch of teeth with just four strategically placed implants, often with same-day results.
About the treatment
All-on-Four is an advanced implant protocol developed by Professor Paulo Malo that allows a complete arch of fixed, non-removable teeth to be supported by just four dental implants. Two implants are placed vertically in the anterior jaw where bone is naturally thickest, while two posterior implants are angled at 30-45 degrees to maximise contact with available bone. This angulation is the breakthrough that eliminates the need for bone grafting in most patients. What makes All-on-Four transformative is the immediate loading capability. In the majority of cases, a full set of temporary fixed teeth is attached to the implants within hours of surgery, meaning you walk out of the clinic with a functional, aesthetic smile on the same day. This is a dramatic improvement over traditional implant protocols that required months of healing with no teeth. Hos BestDent, we perform All-on-Four procedures using Nobel Biocare's original All-on-4 system and Straumann Pro Arch, both backed by extensive clinical research. Digital workflow is central to our approach: 3D CBCT scans, digital smile design, and computer-guided surgical templates ensure each implant is placed with sub-millimetre precision. This digital planning also allows us to fabricate your temporary prosthesis in advance, reducing chair time on surgery day. The final prosthesis, typically delivered 3-6 months after surgery, is crafted from high-strength zirconia or acrylic-hybrid materials. Modern zirconia full-arch bridges are virtually indistinguishable from natural teeth, offering exceptional aesthetics alongside remarkable durability. Clinical studies report 95-98% implant survival rates at the 10-year mark for All-on-Four treatments. For internationale patienter who have been living with complete dentures or severely failing teeth, All-on-Four offers a life-changing solution in a condensed treatment timeline, making it particularly well-suited to dental travel.
We can make your smile look great
A revolutionary technique that replaces an entire arch of teeth with just four strategically placed implants, often with same-day results.
Keep your teeth healthy
Your treatment begins with a detailed clinical examination, full-mouth X-rays, and a 3D CBCT scan. Using advanced planning software, your surgeon maps bone density, nerve pathways, and optimal implant positions. A digital smile design preview shows you how your new teeth will look before treatment even begins.
The benefits of our dental treatments
- Complete arch of fixed teeth in a single day, restoring function and aesthetics immediately
- Only four implants required per jaw, reducing surgical complexity and healing time
- Eliminates the need for bone grafting in 90%+ of cases thanks to angled posterior implants
- Dramatically superior comfort and stability compared to removable dentures
- Restores full chewing power, allowing you to eat steak, apples, and all foods without restriction
- Prevents ongoing jawbone loss by providing continuous stimulation through implant-supported loading
- Natural-looking final prosthesis crafted from premium zirconia or hybrid materials
- Proven long-term results with 95-98% implant survival rates at 10 years in clinical studies
- Simplified oral hygiene compared to individual implants, with dedicated cleaning protocols
- Life-changing improvement in confidence, social comfort, and nutritional health
Hvem er det for?
- Patients with a fully edentulous (toothless) jaw seeking a permanent fixed solution
- Those wearing complete removable dentures who are frustrated with slipping, discomfort, or dietary restrictions
- Patients with severely failing teeth throughout an arch who need full extraction and replacement
- People with moderate to significant jawbone loss who want to avoid extensive bone grafting
- Patients who want fixed, non-removable teeth rather than another set of dentures
- Those seeking same-day results with immediate function and aesthetics
- Individuals who have postponed treatment due to fear of lengthy, multi-stage implant procedures
- International patients looking for a time-efficient full-arch solution achievable in one to two visits
- Patients whose quality of life, confidence, and nutrition have suffered from missing or failing teeth
- Those who want a clinically proven, long-term solution backed by over 20 years of published research
Behandlingsproces
Omfattende 3D vurdering and Digital Planlægning
Your treatment begins with a detailed clinical examination, full-mouth X-rays, and a 3D CBCT scan. Using advanced planning software, your surgeon maps bone density, nerve pathways, and optimal implant positions. A digital smile design preview shows you how your new teeth will look before treatment even begins.
Surgical Guide Fremstilling
Based on the digital plan, a patient-specific surgical guide is 3D-printed. This template fits precisely over your jaw and directs each drill to the exact planned position, angle, and depth. Guided surgery dramatically increases accuracy and reduces surgical time.
Extractions and Implant Placement
On surgery day, any remaining teeth are extracted, and the four implants are placed through the surgical guide under local anaesthesia or conscious sedation. The two anterior implants go in vertically, while the two posterior implants are angled at 30-45 degrees to engage maximum bone. The entire surgical procedure typically takes 2-3 hours per arch.
Same-Day Temporary Prosthesis
Within hours of implant placement, a pre-fabricated temporary fixed bridge is attached to the implants. You leave the clinic with a full set of functional, aesthetic teeth on the same day. This immediate prosthesis is carefully designed to allow proper healing while giving you the confidence to smile, speak, and eat soft foods right away.
Healing and Integration Period
Over the following 3-6 months, the implants undergo osseointegration, fusing securely with the jawbone. Regular follow-up appointments monitor healing progress. During this period, you follow a graduated diet plan, transitioning from soft foods to a normal diet as the implants strengthen.
Final Prosthesis Fremstilling and Delivery
Once osseointegration is confirmed, digital impressions are taken for your permanent prosthesis. A master dental technician crafts a full-arch bridge from high-strength zirconia or premium hybrid materials, custom-layered to mimic natural tooth colour, translucency, and gum tissue appearance. The final prosthesis is fitted, adjusted for perfect bite alignment, and secured to the implants.
Efterbehandling and Long-Term Vedligeholdelse
BestDent provides comprehensive aftercare instructions, including specialised cleaning techniques using water flossers and interdental brushes. Regular professional check-ups every six months keep the prosthesis and implants in optimal condition. International patients receive a detailed home-care kit and remote support access for any post-travel concerns.
Din Behandlingsrejse
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Can I really get fixed teeth in one day with All-on-Four?
Yes, in the vast majority of cases. A temporary fixed bridge is attached to the implants within hours of surgery, giving you functional teeth the same day. This temporary prosthesis is worn for 3-6 months while the implants heal, after which it is replaced with a permanent, custom-crafted final prosthesis.
How is All-on-Four different from traditional implants?
Traditional full-arch restoration might require 6-8 individual implants per jaw, often with bone grafting and 6-12 months of healing before teeth are attached. All-on-Four achieves the same result with just four implants, typically without bone grafts, and provides immediate teeth on the same day. It is faster, less invasive, and more accessible for patients with bone loss.
I have significant bone loss. Am I still a candidate?
All-on-Four was specifically designed for patients with bone loss. The angled posterior implants engage the denser bone areas of the jaw, bypassing regions of resorption. Over 90% of patients who would need bone grafting for conventional implants can receive All-on-Four without any grafting procedures. Your 3D scan hos BestDent will confirm your eligibility.
How long does an All-on-Four prosthesis last?
The implants themselves can last a lifetime with proper care. The final zirconia or hybrid prosthesis typically lasts 15-20 years or more before potential replacement. Clinical studies show 95-98% implant survival at the 10-year mark. Regular professional maintenance is key to maximising longevity.
Is the All-on-Four procedure painful?
The surgery is performed under local anaesthesia, and conscious sedation is available for added comfort. Most patients report that the procedure is far less uncomfortable than anticipated. Post-operative discomfort is manageable with prescribed medication, and swelling typically subsides within 5-7 days. Many patients return to normal activities within a week.
What can I eat after All-on-Four treatment?
For the first 2-3 months while implants integrate, you follow a soft-food diet to protect the healing process. Once the permanent prosthesis is placed, you can eat virtually anything, including steak, crusty bread, and raw vegetables. This is a dramatic improvement over removable dentures, which restrict many foods.
How do I clean All-on-Four teeth?
Daily care involves brushing with a soft-bristle brush, using a water flosser to clean beneath the bridge, and employing interdental brushes for hard-to-reach areas. Professional cleanings every six months are recommended. The maintenance routine is straightforward and becomes second nature within a few weeks.
What implant brands are used for All-on-Four at BestDent?
We use Nobel Biocare's original All-on-4 system and Straumann Pro Arch, both world-leading implant platforms with extensive clinical validation. These premium systems carry international warranties honoured at authorised clinics worldwide, giving you complete peace of mind regardless of where you live.
How many trips to Istanbul do I need for All-on-Four?
Most internationale patienter complete treatment in two visits. The first trip (5-7 days) covers assessment, surgery, and same-day temporary teeth. The second trip (3-4 days), scheduled 3-6 months later, is for fitting the permanent prosthesis. BestDent coordinates your entire treatment timeline to minimise travel requirements.
All-on-Four vs All-on-Six: which is better?
All-on-Four is sufficient for the vast majority of patients and is the most clinically researched protocol. All-on-Six uses two additional implants for extra support, which may be recommended in cases with very high bite forces or particular bone conditions. Your surgeon hos BestDent will recommend the optimal approach based on your individual anatomy and needs.
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