All-on-4® is a restorative concept that replaces an entire upper or lower arch using a limited number of dental implants and a fixed prosthesis. Rather than relying on removable dentures that can shift or require adhesives, this approach secures a full-arch bridge to implants anchored in the jaw. The result is a stable, natural-feeling restoration designed for everyday function — speaking, smiling, and eating — without the daily hassles associated with traditional removable dentures.
What sets this method apart is its focus on efficiency and function. By placing implants at strategic angles and using longer implants where appropriate, clinicians can often avoid the need for extensive bone grafting. That makes treatment possible for many patients who otherwise might be told they are not candidates for implant-supported teeth. In many cases, patients leave the clinic the same day with a provisional prosthesis that restores appearance and chewing ability while the jaw heals.
Because the All-on-4® concept blends surgical planning with prosthetic design, successful outcomes depend on careful preparation. Imaging, digital planning, and coordinated surgical-restorative workflows combine to create an individualized solution for each patient. This approach is intended to deliver predictable function and esthetics in a single comprehensive treatment plan.
Treatment begins with a thorough diagnostic phase. A clinical exam, digital radiographs, and often a 3D cone beam CT scan allow the care team to map bone volume, nerve pathways, and sinus anatomy. These images are used to plan implant positions that maximize available bone while achieving the right orientation for the prosthesis. Digital planning tools improve precision and reduce surprises during surgery.
On the day of surgery, four implants are typically placed in each arch at locations that provide optimal support. Two posterior implants may be angled slightly to avoid anatomical limits and increase contact with denser bone. Immediately after implant placement, a provisional bridge is secured to the implants so patients leave with a fixed set of teeth. This provisional restoration protects the surgical site and sets the foundation for the final prosthesis.
Once healing is well underway and the implants have integrated with the jawbone, the provisional teeth are replaced with a final prosthesis tailored for comfort and long-term function. The final restoration can be crafted from a range of durable materials and is designed to balance strength, hygiene access, and esthetic considerations so it performs well for years to come under normal maintenance.
All-on-4® is often recommended for people who are missing most or all of the teeth in an arch, who have unstable or uncomfortable dentures, or whose remaining teeth are not salvageable. It can also be an option for patients who are steadily losing teeth and want to avoid progressive denture problems. That said, candidacy is determined on a case-by-case basis — medical history, bone quality, and oral health all factor into planning.
Certain medical conditions and habits require careful evaluation. Smoking, uncontrolled diabetes, or heavy bruxism (teeth grinding) can affect healing and implant success, so the care team will review these factors and propose strategies to mitigate risks. When bone volume is insufficient, alternatives such as bone grafting or different implant configurations may be discussed, but the All-on-4 approach is specifically designed to reduce the need for such procedures in many situations.
During your consultation, expect a clear explanation of the diagnostic findings, a review of the proposed implant positions and prosthetic design, and a timeline for provisional and final restorations. The goal is to create a personalized plan that aligns with your health profile, functional needs, and esthetic expectations while minimizing unnecessary complexity.
Recovery after full-arch implant placement is staged. In the first few days, patients commonly experience mild discomfort, swelling, and sensitivity that are managed with prescribed or over-the-counter medications and simple self-care measures. Because a provisional prosthesis is in place immediately, many patients appreciate being able to function and socialize without interruption, though dietary modifications are recommended initially to protect healing tissues.
Diet typically progresses from soft foods to a more normal diet over several weeks as healing proceeds and the implants integrate. Oral hygiene is essential: gentle cleaning around the abutments and prosthesis helps prevent inflammation and supports long-term success. The final prosthesis is designed to allow access for cleaning and professional maintenance visits, and your dental team will demonstrate specific home-care techniques tailored to your restoration.
Long-term maintenance includes regular clinical exams and hygiene appointments to monitor tissue health, prosthesis fit, and implant stability. With ongoing care — including professional cleanings and prompt attention to any changes — implant-supported full-arch restorations can provide reliable function for years. The restorative team will also review signs to watch for and establish a recall schedule that fits your individual needs.
Delivering successful full-arch restorations requires coordinated surgical and restorative expertise, along with modern diagnostic tools. Our practice combines advanced imaging, digital planning, and restorative experience to create predictable, patient-centered treatment plans. We emphasize clear communication so each person understands the sequence of care and what to expect at every stage.
As a Bergenfield, New Jersey practice led by experienced clinicians, we prioritize conservative, evidence-informed approaches that minimize unnecessary procedures while aiming for durable, natural-looking results. The team focuses on tailoring each prosthesis to fit facial esthetics and functional requirements so that the restoration supports comfortable chewing, clear speech, and a confident smile.
When you meet with us, the conversation centers on your goals and clinical findings rather than one-size-fits-all solutions. If All-on-4® is appropriate, we explain the rationale, surgical plan, provisional timeline, and continued maintenance so you can make an informed decision with realistic expectations. If another approach better matches your needs, we’ll propose the alternative and walk you through the reasons why.
To learn whether full-arch implant restoration is the right path for you, contact the office of Suss Dental Group for more information or to schedule an initial consultation. Our team is available to explain the process, review diagnostic options, and help you determine the best way to restore comfort, function, and confidence in your smile.
1All-on-4® is a registered trademark of Nobel Biocare.
The All-on-4 treatment concept offers an implant-based solution to patients who have lost all of their upper and/or lower teeth. This remarkable method of care helps patients quickly rebuild complete and beautiful smiles. With All-on-4, your new, and complete set of implant-supported replacement teeth feel secure, stable, and much like your very own.
If you currently wear complete upper and/or lower dentures or are slated to have your remaining teeth extracted, you may be a candidate for All-on-4. First Performed by Dr. Paulo Malo in 1998, the All-on-4 treatment concept has helped hundreds of thousands of patients quickly reestablish attractive smiles that look, feel, and function just like a set of natural teeth!
The All-on-4 treatment concept offers a fixed and permanent alternative to removable dentures. Unlike dentures, All-on-4 does not rely on messy dental adhesives or natural suction to hold your new set of teeth in place. With All-on-4, your replacement teeth are permanently secured by dental implants, giving you a smile that looks not only great but also feels secure and stable. You'll feel comfortable and confident as you speak, smile, and chew with ease.
While traditional full arch implants also achieve outstanding results of care, the All-On-4 treatment concept does not involve bone grafting and requires fewer implants to support a full set of teeth. With just four strategically placed dental implants needed to support an entire set of upper or lower teeth, the All-on-4 treatment concept offers a cost-effective and satisfying solution for rebuilding a complete smile. Thanks to this remarkable method of care, patients can experience the satisfaction of having teeth placed the same day as surgery. This key feature allows patients to smile and function with confidence until healing is complete and the permanent restorations installed.
Once it's been determined that you're a candidate for treatment with All-on-4, the process of treatment planning and designing your new smile begins. 3D diagnostic records provide the detailed information required to determine the exact positions of the four supporting dental implants. Then, on the day of surgery, we'll remove any remaining teeth, place the 4 implants, and insert a set of attractive, sturdy, and functional set of temporary teeth. With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow once the implants become fully integrated with the surrounding bone.
With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow within just a few months after the implants become fully integrated with the surrounding bone.
Thanks to All-on-4, patients enjoy permanent teeth that look, feel, and function just like real teeth. And with a patient satisfaction rate that exceeds 95%, the All-on-4 treatment concept restores your smile, your confidence, and allows you to enjoy once again the foods you love!
Maintaining your All-on-4 smile requires the same care as a natural smile. By cleaning your teeth twice daily, after meals as possible, and scheduling appointments for routine checkups as well as care, you can keep your new smile strong and healthy for years to come. Our office will demonstrate the most effective methods of oral hygiene and answer all your questions as to how to care for your new smile.
All-on-4® is a restorative approach that replaces a full upper or lower dental arch using a limited number of implants and a fixed prosthesis. Instead of relying on removable dentures that can shift or need adhesives, the prosthesis is permanently secured to implants anchored in the jaw. This provides a more stable, natural-feeling result for speaking, smiling, and eating.
The technique emphasizes efficient implant placement by using longer implants and posterior angulation to maximize available bone. In many cases this reduces or eliminates the need for extensive bone grafting and allows clinicians to provide a provisional restoration on the same day as surgery. Because the surgical and prosthetic phases are planned together, outcomes focus on predictable function and esthetics.
All-on-4® is commonly recommended for patients who are missing most or all teeth in an arch, who have unstable dentures, or whose remaining teeth cannot be saved. Candidacy is determined individually based on medical history, bone quantity and quality, and the condition of the surrounding oral tissues. A comprehensive evaluation helps the team determine whether All-on-4® is the best option or if an alternative approach is more appropriate.
Certain habits and systemic conditions — such as smoking, uncontrolled diabetes, or severe bruxism — can affect healing and implant success, so these factors are reviewed during planning. When bone volume is marginal, digital planning may still allow implant placement without grafting, but grafting or alternative implant configurations are discussed when needed. The final recommendation balances surgical feasibility, long-term function, and patient goals.
Treatment begins with a diagnostic phase that typically includes a clinical exam, digital radiographs, and a 3D cone beam CT scan to map bone anatomy and vital structures. These images are used with digital planning tools to determine optimal implant positions and prosthetic design before surgery. Coordinated communication between the surgical and restorative teams helps reduce surprises and improves predictability.
On the day of surgery, four implants are usually placed and a provisional fixed bridge is attached so patients can leave with functioning teeth. After a period of healing and osseointegration, the provisional bridge is replaced with a final prosthesis that is customized for strength, hygiene access, and esthetics. The entire sequence is planned to balance immediate function with long-term implant stability.
One advantage of the All-on-4® concept is that angled implant placement and the use of longer fixtures often reduce the need for bone grafting. By engaging denser anterior bone and avoiding sinus cavities or nerve pathways, clinicians can frequently place implants without extensive augmentation. Nevertheless, bone grafting remains an option when anatomy or clinical goals make it necessary.
When grafting is required, the team will explain the recommended procedures, expected healing times, and how grafts integrate into the overall treatment plan. Alternatives such as additional implants, different implant designs, or referral for specialized grafting are considered when appropriate. Decisions are individualized to achieve a stable, functional foundation for the final prosthesis.
Immediately after full-arch implant placement, patients can expect some swelling, bruising, and mild discomfort that are typically managed with prescribed or over-the-counter medications and simple home care. Because a provisional prosthesis is often in place, many patients are able to speak and socialize while following post-operative dietary recommendations. Soft foods and gentle chewing are advised during the initial healing phase to protect surgical sites and implants.
Follow-up visits are scheduled to monitor healing, evaluate tissue response, and adjust the provisional restoration as needed. Oral hygiene around the abutments and prosthesis is important from the start to prevent inflammation and support osseointegration. Patients are given specific cleaning instructions and a timeline for returning to a normal diet and transitioning to the final prosthesis.
Daily home care for an All-on-4® restoration includes gentle brushing of the prosthesis, cleaning around implant access points, and using adjuncts such as interdental brushes or a water flosser to remove food debris. Good soft-tissue care prevents mucositis and supports long-term implant health. Consistency with home hygiene practices significantly influences the longevity of the restoration.
Regular professional maintenance visits allow clinicians to assess tissue health, prosthesis fit, and implant stability and to perform necessary cleanings or adjustments. Depending on prosthesis design, components may require periodic tightening or repair, and the team will provide a tailored recall schedule. Protective strategies such as a night guard may be recommended for patients with bruxism to reduce mechanical stress on the implants.
Final prostheses for full-arch restorations can be fabricated from a range of materials, including acrylic layered over a titanium or milled framework, or monolithic zirconia for greater rigidity and wear resistance. Each material presents tradeoffs between strength, esthetics, reparability, and hygiene access. Material choice is guided by the patient’s functional demands, esthetic goals, and the restorative team's experience.
Hybrid designs that combine a strong substructure with an esthetic overlay can offer a balance of durability and appearance while allowing for easier repair when needed. The restorative team will review material options and expected maintenance to help patients select the best prosthesis for their needs. Long-term performance depends on both material properties and proper maintenance.
When planned and executed with appropriate diagnostics and patient selection, All-on-4® restorations have high rates of implant survival and provide durable function for many years. Osseointegration, prosthetic design, and patient adherence to hygiene protocols are key determinants of success. No restoration is maintenance-free, so ongoing care is essential to maintain performance.
Mechanical complications such as veneer wear, screw loosening, or prosthesis fracture can occur and are managed with timely professional intervention. Monitoring for early signs of wear or tissue changes helps address issues before they compromise implants. A preventive maintenance program improves the likelihood of a long-lasting outcome.
Certain medical conditions and medications can influence implant healing; examples include poorly controlled diabetes, immunosuppression, and long-term bisphosphonate therapy for osteoporosis. Lifestyle factors such as smoking and heavy alcohol use also increase the risk of complications. These issues are evaluated during the consultation so the team can recommend strategies to mitigate risk or consider alternative treatments.
Optimization may involve coordinating care with the patient’s physician, establishing smoking cessation support, or stabilizing systemic conditions before surgery. For patients with parafunctional habits, occlusal adjustments and protective appliances can reduce strain on the restoration. A personalized approach helps maximize the probability of successful integration and long-term function.
A consultation for All-on-4® usually includes a comprehensive exam, review of medical and dental history, and diagnostic imaging such as digital radiographs or a cone beam CT scan to evaluate bone and anatomical landmarks. The team will discuss treatment options, explain the proposed surgical and restorative sequence, and answer questions about risks and expected recovery. Digital planning tools and 3D visualization are often used to show proposed implant positions and provisional outcomes.
To schedule an initial consultation, contact the office of Suss Dental Group in Bergenfield, New Jersey to arrange an appointment and learn about available diagnostic options. Bring a list of current medications, recent dental records when available, and any questions you want to address during the visit. The goal of the appointment is to create a clear, individualized plan that aligns with your functional needs and esthetic objectives.
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Contacting Suss Dental Group is easy! Our friendly staff is available to assist you with scheduling appointments, answering inquiries about treatment options, and addressing any concerns you may have. Whether you prefer to give us a call, send us an email, or fill out our convenient online contact form, we're here to help. Don't wait to take the first step towards achieving the smile of your dreams – reach out to us today and discover the difference personalized dental care can make.
