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All-on-4® offers a predictable path to a full-arch restoration that can often be completed in one appointment. Designed for people who have lost most or all of their teeth — or who are facing extractions — this approach replaces a full row of teeth on just four strategically placed implants. The result is a fixed prosthesis that restores chewing ability, improves speech, and gives you a natural-looking smile without the daily hassles of removable dentures.
This treatment centers on immediate function: after implant placement, a provisional bridge is attached so patients leave the office with a complete set of teeth. That provisional prosthesis protects healing tissues, establishes proper bite relationships, and provides the cosmetic benefits of a restored smile while bone integration continues. Because patients have teeth during the healing phase, daily routines and social activities are less disrupted than with traditional removable options.
All-on-4® is suitable for many adults who want a stable, long-term solution and who may not be ideal candidates for larger numbers of implants due to bone loss or other factors. Each treatment starts with a careful evaluation to determine whether the technique is the best choice for your oral health, functional needs, and aesthetic goals.
The engineering behind All-on-4® emphasizes implant positioning and angulation to maximize the bone available in the jaw. Posterior implants are often tilted to take advantage of denser bone and to avoid anatomical structures, allowing for a longer implant footprint and stronger support without bone grafting in many cases. This strategic placement is what enables a full arch to be supported by four implants instead of a larger number.
During the planning phase, digital imaging and three-dimensional scans map jaw anatomy with precision. This planning guides implant placement to achieve optimal force distribution, which is critical for the long-term stability of the prosthesis. The provisional prosthesis installed immediately after surgery is engineered to protect those implants during the early healing period while permitting function and esthetics.
Once osseointegration — the process by which implants fuse with bone — is complete, a custom, definitive prosthesis replaces the temporary bridge. This final restoration is designed for strength, appearance, and hygiene access, often incorporating materials that emulate natural tooth color and translucency while resisting wear and staining.
Switching from ill-fitting dentures or missing teeth to an All-on-4® restoration brings tangible improvements to nutrition, speech, and comfort. With secure support from implants, patients typically find it easier to bite and chew a wider variety of foods, which supports better overall health. Speech is often clearer because the prosthesis remains fixed and stable during conversation, eliminating the slipping or clicking associated with some removable solutions.
Comfort and confidence are major advantages: a fixed arch feels less intrusive than a plate-like denture and avoids sore spots caused by movement. The prosthesis sits close to the gumline for a natural appearance, and modern materials can recreate the shape and color of natural teeth and gums. Many people report greater ease in social and professional interactions simply because they no longer worry about denture fit or visible gaps.
Maintenance is straightforward: regular hygiene routines that include brushing, flossing, and periodic professional checkups help preserve both the implants and the prosthesis. With consistent care and routine monitoring, All-on-4® restorations can provide years of dependable function while helping maintain oral health and facial support.
The process begins with a comprehensive consultation that reviews your dental and medical history, takes digital X-rays or CBCT scans, and evaluates the overall condition of your jaws and soft tissues. This step lets the clinician determine candidacy for All-on-4® and discuss realistic outcomes, treatment steps, and any preparatory care that may be necessary, such as extractions or treatment of periodontal disease.
Surgical day involves placing the implants and attaching the provisional prosthesis. Local anesthesia and sedation options are available to maintain comfort throughout the procedure. Because the provisional teeth are secured the same day, patients can immediately enjoy improved function and a restored appearance while the implants begin integrating with the jawbone.
Recovery typically includes a period of soft-diet precautions, short-term medications as needed for comfort, and follow-up appointments to monitor healing. After several months, once the implants are firmly integrated, impressions are taken for the final prosthesis. That final restoration is carefully adjusted to ensure a balanced bite, comfortable fit, and an esthetic result that complements your facial features.
Long-term care focuses on daily hygiene and routine professional maintenance. Regular checkups allow your dental team to evaluate implant health, prosthesis condition, and surrounding tissues, making timely adjustments or interventions if needed. With attentive home care and clinical oversight, All-on-4® restorations can function reliably for many years.
Patients select our practice because we blend advanced technology with a patient-centered approach. Digital planning tools and precise imaging are combined with clinical experience to create individualized treatment plans that prioritize predictable outcomes. Our team explains each step in clear terms and works with you to set realistic expectations for function and aesthetics.
We treat each case with attention to comfort and safety, offering anesthesia and sedation options when appropriate and coordinating care to address any related dental needs before implants are placed. The process is collaborative — your goals and lifestyle guide decisions about prosthesis design and cosmetic appearance so the final smile not only functions well but also looks natural and balanced.
Procedures are performed with respect for each patient's time and well-being, and follow-up care focuses on maintaining results over the long term. If you would like to discuss whether All-on-4® is a good match for your needs, our Staten Island and Manhattan offices can provide an evaluation and detailed treatment roadmap with clear next steps. Joanna Tricorache, DDS, and the clinical team are committed to delivering restorative solutions that prioritize health, comfort, and confidence.
1All-on-4 is a registered trademark of Nobel Biocare
In summary, All-on-4® provides a streamlined, reliable option for replacing a full arch when fixed support and immediate function matter. If you want to learn more about how this treatment could fit your needs, contact us for more information.
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.
Ready to schedule your next dental appointment or have questions about our services?
Contacting Joanna Tricorache, DDS 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.
