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All-on-4
All-on-4 is an innovative dental implant technique designed to replace a full arch of missing teeth using only four strategically placed implants. Unlike traditional dentures that often slip, cause discomfort, or affect speech, All-on-4 implants provide a permanent, fixed solution that restores both the function and aesthetics of natural teeth.
The system works by placing two implants vertically in the front of the jaw and two implants at an angle in the back. This design maximizes bone contact and stability, even for patients who have reduced bone density in certain areas of the jaw. The result is a strong, reliable foundation for a full set of prosthetic teeth that look, feel, and function like real ones.
All-on-4 has gained global popularity due to its efficiency, affordability, and ability to deliver life-changing results in a shorter time compared to conventional implant techniques.
How Is All-on-4 Performed?
The All-on-4 procedure is a well-structured process that begins with a thorough consultation. During this initial stage, dentists perform digital scans, panoramic X-rays, and sometimes 3D CT imaging to evaluate bone density and gum health. These assessments allow the dentist to design a personalized treatment plan tailored to the patient’s unique needs.
The surgery typically begins with the removal of any remaining unhealthy or damaged teeth, followed by cleaning and preparing the jawbone. Four titanium implants are then strategically placed: two in the front of the jaw at a vertical angle and two in the back at a 30–45° angle. This angled placement allows maximum use of available bone, reducing or eliminating the need for bone grafting.
Once the implants are secured, a temporary fixed prosthesis is usually attached the same day, giving patients immediate function and a natural-looking smile. Over the next three to six months, the implants undergo osseointegration, where they fuse with the bone to form a stable foundation. After this healing period, the temporary prosthesis is replaced with a custom-made permanent one, designed for long-term durability and aesthetics.
What Procedures Does All-on-4 Include?
All-on-4 is not limited to implant placement alone—it often involves multiple complementary procedures.
Patients may require tooth extractions if damaged teeth remain, minor bone reshaping, or gum treatments before implant placement. Digital planning and CAD/CAM technology are frequently used to design both the implants and the prosthetic teeth with precision.
The final prosthesis is typically crafted from durable, high-quality materials such as zirconia or acrylic reinforced with titanium. This ensures strength, comfort, and a natural appearance.
Together, these procedures create a comprehensive solution that restores oral health, improves functionality, and enhances aesthetics in one treatment package.
Does All-on-4 Damage Teeth?
Many patients wonder if All-on-4 implants harm natural teeth or oral structures. In reality, the procedure is one of the safest and most conservative solutions available for full-arch restoration.
Since implants replace missing teeth directly in the jawbone, they prevent bone loss and help maintain facial structure. Unlike traditional bridges, which require grinding down adjacent healthy teeth, All-on-4 does not compromise the integrity of surrounding natural teeth. Instead, it supports overall oral health by stabilizing the bite and preserving the jawbone.
Titanium implants used in All-on-4 are biocompatible, meaning they integrate safely with the body without causing allergic reactions or rejection. Rather than damaging teeth, the procedure protects oral health and restores long-term stability.
Things to Consider Before and After All-on-4
Before undergoing All-on-4 treatment, patients should be aware of certain factors. A full dental evaluation is necessary to rule out active infections, untreated gum disease, or medical conditions that may interfere with healing. Patients with uncontrolled diabetes, heavy smoking habits, or severe osteoporosis may need additional treatment planning.
After the procedure, proper aftercare is crucial. During the initial healing phase, patients are advised to consume a soft diet to avoid unnecessary stress on the implants. Good oral hygiene, including regular brushing, flossing, and professional cleanings, is essential to protect both the implants and the prosthesis.
Routine follow-up visits with the dentist are also important to ensure that the implants are healing correctly and that the bite is properly adjusted. With the right care, All-on-4 implants can last decades, making them a long-term investment in oral health and quality of life.
Advantages of All-on-4
The All-on-4 system offers numerous advantages compared to traditional dentures and implant solutions.
First, it provides immediate function. Patients often leave the clinic with a fixed temporary prosthesis on the same day, eliminating the discomfort of living without teeth during the healing process.
Second, it is bone-efficient. The angled placement of implants maximizes the use of available bone, often avoiding the need for bone grafting. This reduces both cost and treatment time.
Third, All-on-4 is stable and comfortable. Unlike removable dentures that can slip or irritate the gums, the fixed prosthesis feels natural and secure. Patients regain the ability to chew, speak, and smile with confidence.
Lastly, the treatment is cost-effective compared to placing individual implants for each missing tooth. With only four implants per arch, patients receive a full-mouth restoration at a fraction of the time and cost.
Who Is Eligible for All-on-4 Treatment?
The All-on-4 technique is suitable for a wide range of patients, particularly those who have lost most or all of their teeth. It is an excellent option for individuals who want a permanent alternative to removable dentures and desire immediate results.
Ideal candidates include patients with significant tooth loss due to decay, trauma, or gum disease. Even those with limited bone density may qualify, thanks to the angled implant design that provides stability without extensive grafting.
However, candidacy must be evaluated on a case-by-case basis. Patients with certain systemic health conditions, untreated oral infections, or heavy smoking habits may need tailored treatment plans to ensure long-term success.
FAQs About All-on-4
At MDO Health Tourism, we provide All-on-4 treatments with skilled cosmetic dentists and internationally accredited dental clinics in Türkiye. Our mission is to combine high-quality, durable dental aesthetics with personalized travel services, offering patients a safe, comfortable, and confidence-enhancing experience.