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What is an All-on-4 denture?

All on four implant technique is an innovative surgical solution for those patients who have lost most, if not all of their teeth and suffer from their loose dentures.

How does the All on 4 work?

The All on four provides a surgical treatment option for replacing a full set of teeth in the upper or lower (or both) jaw with just four dental titanium implants placed precisely at strategic positions and at certain angle.

This will serves as a solid foundation to support a fixed full bridge (anchored by four implants to the jaw) that is natural looking, stable, durable and stays permanently fixed in place providing the functionality and bite quality that you would expect from natural teeth.

What are the benefits of the 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
  • who have severe gum and bone recession (periodontal disease) and have no other choice than to wear dentures
  • who are fed up with their constraints of chewing and cannot 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 a lesser number of implants (four implants in the lower and six in the upper jaw)
  • it can significantly reduce treatment time that could take up to 8-12 months since bone grafting is not necessary with All on four
  • lesser number of implants and shorter treatment ensures lower treatment costs for patients

What are the drawbacks of the All-on-4?

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

  • not everyone is a candidate for this surgery technique
  • All on 4 dentures are under engineered: only four implants are supporting a full denture unlike in case of conventional implant techniques where 8-10 implants are placed to support a full bridge
  • no implants are placed in the molar area of your mouth where bite force is the highest
  • shrinking of your jawbone can proceed in the posterior (back) part of the jawbone as implants are placed in the anterior (front) section of the jaw in case of All on four
  • although it’s small, there is still a certain risk for implant failure

Am I a good candidate for an All-on-4?

All on four treatment is only one option to edentulous and soon-to-be edentulous patients. Its success depends on many factors that must be properly diagnosed before it is recommended.

Though most patients are good candidates, there are some circumstances that have to be taken into consideration since not everyone is a good candidate for an All on 4 denture. In many cases it is advised to have 6 or 8 implants instead of all on four surgery.

Medical status

Before getting an All on four denture, you are advised to have checked your overall medical condition because there are some diseases that will affect the outcome of the treatment. For example losing your teeth can be caused by undiagnosed diabetes. An uncontrolled diabetic condition is a risk to the success of All on four.

Smoking and other habits

If you are a heavy smoker the risk of failure is higher. This is not a contraindication, but could be a reason for 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 do not have enough bone you still may be a candidate, however bone grafting may be necessary.

Can both upper and lower teeth be restored by the All-on-4 treatment?

Yes, both can be.

Will final restoration be natural-looking?

Yes, it will be natural-looking, indeed. Dentists at MDental Clinic personalize the treatments, therefore their high level of expertise and their cooperation with patients will result in a smile you have always dreamed of.

How much does an All-on-4 cost?

Cost in € Cost in £
Treatment Pcs. Price Fee Price Fee
Consultation 1 0 € 0 € 0 £ 0 £
CT scan 1 120 € 120 € 90 £ 90 £
Surgical implant guide 1 520 € 520 € 400 £ 400 £
AlphaBio Implant 4 478 € 1 912 € 362 £ 1448 £
AlphaBio Abutment 4 215 € 860 € 190 £ 760 £
Temporay denture 1 385 € 385 € 340 £ 340 £
All on 4 denture 1 2 370 € 2 370 € 1 736 £ 1 736 £
Total 6 167 € Total 4 774 £


This price example for one jaw can be applied to most patients who choose all on four treatment. However in some cases additional treatment (e.g. bone grafting in case of insufficient jaw bone amount) may be necessary.

Is it going to be painful?

All on four surgical procedure is painless due to local anesthetics given by the oral surgeon. However after the procedure minimal amount of swelling and pain may occur on the face.

How long does it take to recover after the procedure?

Altough All on four surgery is painless, after the operation when anesthetics is gone you will feel pain, swelling inside the mouth or even on the face. In case of strong pain it is indicated to take some regular painkillers (provided FREE of charge at MDental), because they might help you handle the first days after the surgery. In addition, it is prudential to foment the affected region with some ice jelly (provided FREE of charge at MDental) to make sure that swelling is on the wane 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 resolvable stitches, you do not have to come back for the removal of the stitches so you can spare an extra journey.

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