From examination to provisional prosthesis and long-term follow-up: the steps of All-on-4, a fixed full-arch approach on four implants for an edentulous jaw.
Who is All-on-4 considered for?
All-on-4 is a fixed full-arch approach that supports an entire jaw on four implants, for people who have lost all their teeth or whose remaining teeth cannot be preserved. It can be considered an option for those using a removable full denture who seek a more stable solution.
Whether this approach is suitable is determined by evaluating bone quantity and quality, gum health, general medical condition and personal expectations together. It is not automatically suitable for every edentulous jaw.
The treatment flow, step by step
The process begins with a detailed examination and three-dimensional tomography. With this data, implant positions are planned digitally. In suitable cases four implants are placed and a pre-prepared provisional fixed prosthesis can be fitted the same day, aiming for a transition in which the patient is not left without teeth.
During healing, the implants are allowed to integrate with the bone. Once this period is complete, impressions are taken and a custom final prosthesis is made. Throughout the process, regular check-ups are important for the health of both the implants and the gum tissues.
Healing and daily care
In the first days, a soft diet and the oral-care routine recommended by the clinician are advised. In the long term, the lifespan of the prosthesis and implants is closely related to regular check-ups, good oral hygiene and managing risk factors such as smoking.
Frequently Asked Questions
Are fixed teeth really fitted the same day?
In suitable cases a provisional fixed prosthesis can be fitted the same day. This depends on factors such as bone quality and implant stability and is not guaranteed for every patient; it is assessed at examination.
When is the final prosthesis made?
It is usually made after the implants have healed. As this period varies by case, a precise timeline can only be shared in individual planning.
This content is for general information only and does not replace medical advice. As with any surgical or interventional procedure, results may vary from person to person. A clinical examination is required for an individual assessment.
