Your Guide for All On Four Dental Implants


Do you think that just four implants can replace all of the teeth on the top or the bottom of your mouth? Thanks to advances in dental implant technology, it is possible. The All-on-4 treatment concept is a practical, cost-efficient, graft less solution that provides patients with a fixed full-arch prosthesis on the day of surgery.

As we age, tooth loss is extremely ordinary, especially among adults. Rather than living with the aches and pains and hassles of dentures, many people are going for what is called 'Full Mouth Dental Implant Restoration'.

The All-on-4 Treatment idea is the best resolution for Full-Arch Treatment with Tilted Implants. All on four implants treatment comprises of a procedure that basically involves replacement of all missing teeth in one jaw by using solely four implants.

Many of the dental patients choose All On 4 Dental Implants India because of the rapid improvement in quality of life. A fixed full arch prosthesis on the day of surgery rapidly leads to better patient satisfaction – with concern to function, esthetics, sense, speech and self-esteem.

Another reason for this option being the most preferred choice is the shorter treatment times. Tilting of the posterior implants takes out the need for tedious bone grafting procedures, while immediate loading shortens time-to-teeth. Almost all of the patients would recommend the All-on-4 treatment concept due to the affordable lower costs. They're least costly when compared to the conventional implant treatment process of the edentulous and soon-to-be edentulous jaw.

animated picture of All on 4 dental implants
All On 4 Dental Implants

Full-arch fixed implant bridges—often cited as All-on-4, are taking the dental field by storm. These bridges are generally supported by four to six dental implants, which are made from materials such as acrylic fused to titanium, monolithic zirconia, and porcelain stacked to a cobalt-chromium frame. They are often presented with package pricing, which simplifies case presentation, and some practices promote All-on-4 as the best Dental Implants in Mumbai for their soon-to-be-edentulous patients.

You do not want an implant for every and each one of your missing teeth. All you require is four exactly placed implants on the top of your mouth, and 4 on lower mouth, to revive your full smile. That’s the beauty of the full arch. And because the implant is formed of titanium, it's the distinctive ability to fuse to living bone and performance as a part of it. So eventually, the implant becomes a part of the jawbone and is a powerful, long-lived foundation for your new teeth. The All-on-4 treatment idea could be an evidenced long term answer with up to ten years’ follow-up in the mandible and five years within the jaw.

All On 4 Dental Implants are recommended to the individuals taking the following points into consideration:

  • Proprioception

Periodontal Mechanoreceptors (PMRs), which exist in the periodontal ligament, make teeth responsive to low forces. A dental implant does not have a periodontal ligament, and it takes roughly ten times more force to lodge the same proprioception as a tooth. The proprioception related with a dental implant is alike to that of a tooth affected by local anesthesia. As a result, patients will have trouble recognizing premature or too much occlusal contacts. They may give rise to excessive biting forces due to the lack of feedback. Patients with dual-arch All-on-4 restorations are more expected to bite overly than patients with remaining teeth. This can consequence in fractures of the restoration or bone loss.

  • Problem familiarizing to bridge thickness

It can be very hard for patients to adjust psychologically to the different sense of an All-on-4 bridge. They are used to feeling the transformation from their soft tissue to their teeth. With the All-on-4 bridge, patients feel actual soft tissue and then fake soft tissue prior to transitioning to the teeth. This can be a big complication for some patients, and sadly they often figure out that it's a problem after surgery when the ridge has been decreased. At that time, nothing can be possibly done to induce them back thereto natural-feeling transition. Choosing the correct treatment plan becomes very crucial, but dental care is expensive and very time consuming in most developed nations. Hence, many patients resort to Dental Treatment India or other nations like Malaysia, Singapore or Thailand in Asia, and Costa Rica, Mexico or Hungary in the West and Europe.

Two dentists examining a patient's dental health for All On 4 Dental Implants


  • Speech issues

Speech issues are a great cause of concern for patients. What may seem to us to be a small speech flaw can become a huge concern for the All-on-4 patients. Implant-supported bridges need each vertical and horizontal bulk for toughness. Vertical needs change with different restorative substances, but almost all bridges require 15 mm or more of height. As a result, clinicians are enforced to replace more than just the size of the missing teeth in order to achieve these measurements. The result is that the part of the bridge neighboring to the soft tissue will be bigger than the real bone and soft-tissue volume that it replaced. Consequently, this can have an impact on speech sounds such as "D," "T," and "N," as the tongue contacts the hard palate lingual to the middle incisors to form the sound. All-on-4 patients need to be made well informed of this compromise. They can often train their tongues again with time and practice.

  • Parafunctional Habits

This might impact your treatment decision because natural teeth are able to detect forces much more quickly than implants. Bruxism, clenching, and irregular chewing cycles which are parafunctional habits can be detected if a few natural teeth are present. It may enable patients to sense the parafunction better, which would increase the chances of them altering the negative behavior. In the cases where it's necessary to replace all of the teeth when parafunction is present, you might want to think about a bar-supported overdenture. You can get a treatment plan like this if you think of choosing Dental Tourism India, or any other popular destination for dental treatment. This is still an All-on-4 procedure in a way, however it's going to be a modification from your patients' visions of fixed bridges. The use of bar overdentures for patients who brux vigorously is favored by many dental experts. The overdenture can be taken out at night and replaced with a flat-planed night guard that snaps onto the bar for retention. This protects the final prosthesis and decreases strain on the supporting implants and bone.


We are fortunate to have these implant technologies in our oral health industry as options to replace missing teeth. In the previous decades, patients seemed glad just to be able to chew again. They were so grateful. Expectations have grown. Patients seem less easy with of the uncomfortable feel of All-on-4 bridges and of the amount of time the procedure takes. As they become even more educated about their options, I believe this trend will continue.

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