Home/Restorative Dental Care/All-on-4®

All-on-4®

Whether you are feeling self-conscious about missing teeth, dental damage throughout your mouth, or a set of uncomfortable removable dentures, the All-on-4® technique may be the right solution for restoring your smile. At Eastern Virginia Family and Cosmetic Dentistry, our dentists offer All-on-4® implant supported dentures, which are designed to provide comfortable, secure full-arch replacements that are functional, natural-looking, and long-lasting.

What Is All-on-4®?

All-on-4® is a system of implant supported dentures that can effectively replace a full row of missing teeth. Unlike traditional dentures that rely on adhesives or suction to hold the restoration in place, All-on-4® utilizes dental implant technology to securely fasten the denture to the gums. Our patients often choose All-on-4® as a first-time solution for missing teeth or as an upgrade from traditional dentures. This state-of-the-art technique allows patients with missing teeth to once again eat, speak, and smile with ease and confidence.

What Are the Benefits of All-on-4® Dental Implants?

Patients with traditional dentures frequently experience several common inconveniences, including food limitations, messy pastes or adhesives, uncomfortable denture “slippage”, gum irritation, or embarrassing incidents related to denture movement or improper fit. With All-on-4®, these worries can be eliminated, allowing patients to better enjoy their everyday lives and smile with confidence. Four strategically positioned dental implants fused with the jawbone provide stable anchors the denture can “lock” onto securely. Additional benefits of All-on-4® can include:

  • Improved chewing and speech
  • A comfortable, secure fit
  • Simplified dental hygiene
  • A natural-looking smile
  • Increased self-esteem and confidence
  • Fewer restricted foods

Since All-on-4® implant supported dentures do not require as much jawbone volume as full-mouth restoration with single dental implants, they are often a great alternative for patients who are not good candidates for a full set of dental implants. Most patients who are well-suited for All-on-4® do not require bone grafting prior to their procedure. In addition, All-on-4® anchored dentures are often more cost-effective than single implant restorations, while providing many similar functional and cosmetic benefits.

Who Is a Candidate for All-on-4®?

A candidate for All-on-4® dental implants is typically someone who is missing most or all of their teeth in the upper or lower arch and wants a stable, long-lasting alternative to traditional dentures. This treatment can be ideal for patients who are frustrated with loose or uncomfortable dentures or who have failing teeth that require extraction. Even individuals with some bone loss may qualify, as the All-on-4® technique strategically places implants to maximize existing bone and often avoids the need for bone grafting. Good candidates should be in good overall health, free from uncontrolled medical conditions that could affect healing, and committed to maintaining proper oral hygiene. Non-smokers, or those willing to quit, tend to have the best outcomes. A comprehensive evaluation with our dentists is the best way to determine candidacy.

What Should I Expect During the All-on-4® Procedure?

The All-on-4® method is designed to replace an entire row of missing teeth. Patients who have one or more natural teeth remaining will require tooth extractions prior to beginning the All-on-4® procedure. There are several ways in which All-on-4® can be used to restore lost functionality:

  • Upper arch replacement replaces the top row of teeth
  • Lower arch replacement replaces the bottom row of teeth
  • Full mouth restoration replaces both rows of teeth simultaneously

Every All-on-4® implant supported denture is custom-made for a comfortable fit and a natural appearance. To achieve exceptional stability the All-on-4® technique requires dental implants to be strategically placed within the jawbone. By positioning two titanium posts in the front portion  of the mouth and placing two more implants at an angle posteriorly, each All-on-4® denture can be securely fastened into place. In some cases, patients may require two more additional dental implants in order to create a more optimal degree of stability. This modified technique is commonly called “All-on-6” to account for the total number of implants used. 

How Is the Recovery Process Following All-on-4®

Recovery following All-on-4® dental implant surgery is typically smoother and faster than many patients expect. Mild swelling, bruising, and discomfort are common during the first few days, but these symptoms can usually be managed with prescribed or over-the-counter medications. Most patients return to normal daily activities within a few days and a soft-food diet is generally recommended to protect the implants as they heal. Additionally, good oral hygiene and attending follow-up appointments are essential for proper healing. 

How Long Do All-on-4® Results Last? 

All-on-4® dental implant results are designed to be long-lasting and, in many cases, can last decades. The titanium implants placed in the jawbone are intended to be permanent and can last a lifetime with proper care and maintenance. The attached prosthetic teeth are also highly durable, though they may need repair or replacement after 10 to 15 years due to normal wear. 
Longevity often depends on several factors, including oral hygiene, overall health, lifestyle habits, and regular dental visits. Brushing, flossing (or using recommended implant-cleaning tools), and routine professional cleanings can help protect both the implants and restoration. Avoiding smoking and managing conditions such as diabetes can also support long-term success. 

How Much Do All-on-4® Dental Implants Cost?

Each All-on-4® procedure is tailored to suit the needs of each individual patient. Consequently, there is no one set price for the procedure. Factors that can affect the cost of All-on-4® may include any tooth extractions or dental care required before the procedure can begin, the total number of dental implants included in the treatment plan, and the laboratory costs for manufacturing the custom restoration(s). Your dentist’s degree of expertise and the geographic location of the practice may also impact the final price. For our patients at Eastern Virginia Family and Cosmetic Dentistry who could benefit from an affordable dental financing plan, we have several options available.

If you are considering All-on-4® and want to learn more about the procedure, we encourage you to contact our office to schedule a consultation with one of our skilled dentists.