Premium quality All-on-4

All-on-4 has many advantages for those who:

• Suffer from failing removable dentures that may slip off, or feel wobbly on the gums
• Have severe gum, and bone recession (periodontal disease), and have no other choice than to wear dentures
• Are fed up with their limited chewing ability, and are not able to eat what they like

Besides, the All-on-4 denture has further benefits compared to conventional implant techniques:

• This surgical solution provides nearly the same structural support while requiring smaller number of implants (four implants in the lower and six in the upper jaw line)
• It can significantly reduce treatment time, that could take up to 8-12 months since bone grafting is not necessary with All-on-4
• Smaller number of implants and shorter treatment ensures lower treatment costs for patients

While providing many benefits, there are disadvantages of All-on-4 dentures as well, that should be taken into consideration:

• This technique isn't suitable for everyone
• All-on-4 dentures provide less support: only four implants support a full denture, unlike in the case of conventional implant techniques, where 8-10 implants support a full bridge
• No implants are placed in the molar area of your mouth where bite force is the highest
• Your jawbone may proceed shrinking in the posterior area, as implants are placed in the anterior section of the jaw
• Although it is small, there is still a certain risk for implant failure

All-on-4 treatment is one option for edentulous and soon-to-be edentulous patients. Its success depends on many factors, and patients must be properly examined before it is recommended.

Although most patients are suitable for this treatment, there are some circumstances that have to be taken into consideration before it is recommended. In many cases it is advised to have 6 or 8 implants instead of All-on-4 surgery.

Medical status

Before getting an All-on-4 denture, you are advised to go through a medical check-up, because there are some health conditions that may affect the outcome of the treatment. For example, losing your teeth may be caused by undiagnosed diabetes. An unattended diabetic condition is a risk to the success of All-on-4.

Smoking and other  unhealthy habits

If you are a heavy smoker the risk of failure may be higher. Smoking is not a contraindication, but could be a reason to consider getting more than four implants to support your final prosthesis.

Amount of jawbone remaining

Remaining jawbone is evaluated with a CBCT scan during your first consultation. If you don't have enough bone to support the implants, you still may be sutiable for the procedure, however bone grafting may be necessary.

Yes, both can be.

This price example for one jaw may be applied to most patients who choose the All-on-4 treatment, however in some cases additional procedures (e.g. bone grafting in case of insufficient jaw bone amount) may be necessary.

All-on-4 procedure is painless, due to the local anesthetics given to the patients, however after the procedure minimal amount of swelling and pain may occur.

Although All-on-4 surgery is painless, after the operation when anesthetics lose their effect you will feel pain,  experience swelling inside the mouth, or on the face. In case of strong pain, it is advised to take regular painkillers (provided FREE of charge at MDental) as they might help you handle the first days after the surgery. In addition, it is essential to cool the affected area with ice jelly (provided FREE of charge at MDental) to make sure that swelling shrinks faster, along with taking prescribed antibiotics (provided FREE of charge at MDental).

Most of our patients can return to work within 2-3 days, but there are many who start working the next day after surgery.

Since our surgeons use dissolvable stitches, you can spare an extra journey, as there is no need to come back for the removal of the stitches.

The dental implants placed in your jawbone need four months of healing before the All-on-4 fixed denture can be placed in your mouth.