Complete Guide to All-On-4 Dental Implants: A Game-Changing Solution for Full-Arch Tooth Replacement

Discover all the essential details about All-On-4 dental implant surgery in India.

What are All-On-4 Implants?

All-On-4 implants refer to permanent full-arch fixed implant bridges. Developed by Nobel Biocare, a renowned provider of innovative dental solutions and now catered by nearly all mature brands, the All-On-4 system revolutionised tooth replacement options. This approach involves supporting all teeth on four implants per arch, although sometimes additional implants may be necessary for the upper jaw due to lower bone density. The technique strategically places two angled implants at the front of the mouth to ensure maximum support for artificial teeth.

All-On-4 Implants – A Game-Changing Solution

Unlike traditional implant methods that require more implants and are costlier, All-On-4 implants offer a remarkable advantage. This procedure enables the replacement of all teeth and restoration of a beautiful smile in a single day. It has gained popularity as a superior alternative to conventional implants, dentures, and bridges.

Benefits of All-On-4 Implants

If you are considering All-On-4 implants, you might wonder about the advantages they offer. Here are some benefits to expect:

  • Natural Look and Functionality: All-On-4 implants resemble and function like natural teeth, providing an attractive smile and allowing you to eat without any embarrassment.
  • Permanent Solution: The implant bridges are fixed in place, eliminating the need to remove dentures or deal with messy adhesives.
  • Facial Appearance Maintenance: All-On-4 implants promote bone growth by acting as artificial tooth roots. This prevents jaw bone deterioration, which can affect your smile and give your face an ageing, sagging appearance. Traditional bridges and dentures cannot address this issue.
  • Reduced Need for Bone Grafts: The All-On-4 procedure takes advantage of the stronger bone at the front of the jaw, reducing the requirement for invasive, time-consuming, and costly bone grafting procedures.

Understanding the All-On-4 Implant Procedure

The All-On-4 procedure involves the surgical placement of four to six dental implants in either the upper or lower jaw to support a full dental bridge comprising 10 to 12 replacement teeth. The entire process generally takes around 2.5 hours per arch. Here are the key steps

  • Initial Consultation and Dental Impressions: Your dentist will examine your mouth and jaw, utilising X-rays or digital scans to assess bone density and determine the optimal implant placement. Dental impressions will be taken to design a bridge that fits and looks natural.
  • All-On-4 Surgery: After thorough cleaning of the mouth and removal of harmful bacteria and damaged tissue, the dentist will drill holes at the front and rear of the jaw for implant placement. The tilting posterior implants are inserted at an angle to provide maximum support. Once the implants are in place, the mouth is cleaned, incisions are stitched, and the new teeth are fitted. A temporary bridge is usually
    provided on the same day, while the permanent bridge is delivered a few days or weeks later.
  • Anaesthetic Options: Most All-On-4 patients receive a local anaesthetic to numb the treatment area. Sedatives may be offered to alleviate anxiety. General anaesthesia is also an option, which can be discussed with the dentist during the initial consultation.
  • Recovery After All-On-4 Implants: After the surgery, some mild discomfort may be experienced, including soreness, bleeding, stiff jaw, and a sore throat. These symptoms typically subside within the first week and can be managed with over-the-counter pain medication. Careful brushing, rest, and adherence to a liquid diet for a couple of weeks are advised.
  • All-On-4 Follow-Up Visits: To ensure the long-term success of your All-On-4 Dental Implants, regular follow-up visits to your dental clinic are essential. These appointments allow your dentist to monitor your recovery, provide ongoing aftercare advice, and make any necessary adjustments.
  • Cost of All-On-4 Implants: Compared to traditional implant procedures that require more implants (up to 10) and may necessitate costly bone grafts, All-On-4 implants provide a more affordable option for replacing a full set of missing teeth in the upper and/or lower arch. Additionally, as a permanent solution, All-On-4 implants eliminate the recurring expense of denture replacements.

Is All-On-4 Implant Treatment Right for You?

If you are eligible for routine tooth extraction, you are a potential candidate for dental implants, including All-On-4. Consider the following factors when deciding if All-On-4 implants are suitable for your needs:

  • Multiple Missing Teeth: All-On-4 implants are an excellent choice when replacing multiple missing teeth with fewer implants or when repair is not possible for damaged teeth.
  • Extensive Dental Problems: Individuals who have lost most or all of their teeth, require multiple extractions, or have experienced jaw bone loss are typically ideal candidates.
  • Healthy Teeth: If you have six or more healthy teeth in one arch, individual implants might be a better solution than All-On-4 treatment.

All-On-4 Implants as an Alternative to Dentures

For individuals who are dissatisfied with their existing dentures, All-On-4 implants provide a reliable alternative. Denture wearers often face challenges with slippage during talking or eating, especially if they have lost one arch of teeth while retaining most of their natural teeth. Combining dentures with natural teeth can be uncomfortable and potentially damage the denture due to varying bite pressures. 

By opting for All-On-4 implants, you can enjoy a secure and stable solution, resembling the look and functionality of natural teeth.

Remember to consult with your dentist to determine the best course of action and whether All-On-4 implants are the right choice for you.


Unleash the power of your smile and embark on a life-changing journey today! Embrace a transformational experience that will redefine your confidence and elevate your smile to new heights. Take the first step towards a radiant future and unlock the extraordinary potential within you. Let your smile become the symbol of your transformation and embrace the incredible possibilities that Await.


To maintain your All-On-4 dental implants and prevent complications such as peri-implantitis, follow these oral hygiene practices:

  • Brushing: Brush your teeth at least twice a day using a soft-bristled toothbrush. Make sure to clean all surfaces of your teeth and implants thoroughly. Use gentle, circular motions and avoid applying excessive pressure to prevent damage to the implant and surrounding gums.
  • Toothpaste: Choose a low-abrasive toothpaste that is suitable for use with dental implants. Avoid toothpaste with harsh abrasive particles that can scratch the implant surface.
  • Flossing: Floss daily to clean areas that your toothbrush cannot reach. Use a floss threader or specialised floss designed for dental implants to ensure effective cleaning around the implant posts. Be gentle to avoid damaging the gum tissue.
  • Interdental Brushes: Consider using interdental brushes, also known as proxy brushes or interproximal brushes. These small brushes can help clean the spaces between the implants and natural teeth, removing plaque and food debris.
  • Antimicrobial Mouthwash: Rinse your mouth with an antimicrobial mouthwash recommended by your dentist. This can help reduce bacterial growth and maintain a healthy oral environment.
  • Regular Dental Check-ups: Schedule regular dental check-ups and professional cleanings with your dentist or periodontist. They will examine your implants, monitor the health of your gums, and clean the areas around the implants more thoroughly using specialised tools.
  • Avoid Harmful Habits: Avoid habits that can negatively impact your oral health and implant longevity, such as smoking or using tobacco products. These habits increase the risk of complications and implant failure.
  • Balanced Diet: Maintain a balanced diet rich in nutrients to support overall oral health. Limit sugary and acidic foods and beverages that can contribute to tooth decay and gum disease.

Remember to consult your dentist or periodontist for specific instructions and personalised advice on caring for your All-On-4 dental implants. They can provide you with tailored recommendations based on your unique oral health needs.

All-On-4 dental implants are designed to be a long-lasting solution for missing teeth. However, it’s important to consider the lifespan of the different components involved:

  • Implants: The dental implants themselves, which are surgically placed into the jawbone, are made of durable materials like titanium. With proper care and maintenance, these implants can last a lifetime. Regular dental check-ups and maintaining good oral hygiene are crucial for their longevity.
  • Bridge: The bridge component of the All-On-4 implants, which includes the prosthetic teeth, is subject to wear and tear over time. While the bridge is designed to be durable, it may require replacement after a certain period. On average, the bridge  attached to All-On-4 implants can last between 10 to 15 years with proper care.

Factors that can affect the lifespan of the bridge include:

  • Oral hygiene: Maintaining good oral hygiene practices, such as regular brushing, flossing, and professional cleanings, can help prolong the life of the bridge.
  • Chewing habits: Excessive force or habits like teeth grinding can accelerate the wear on the bridge. Using a nightguard if you have bruxism (teeth grinding) can help protect the bridge.
  • Material quality: The quality of the materials used in the construction of the bridge can impact its longevity. High-quality materials and craftsmanship can contribute to a longer-lasting restoration.
  • Individual factors: Each person’s oral health, hygiene habits, and lifestyle can affect the lifespan of the bridge. Regular dental check-ups can help detect any issues early on and ensure timely repairs or replacements if needed.

It’s important to have regular follow-up visits with your dentist to monitor the condition of your All-On-4 implants and the associated bridge. They can provide guidance on maintaining optimal oral health and address any concerns or issues that may arise.

Free Consultation Request

Our representative will get in touch with you soon