If you have been told you need multiple extractions or you are struggling with loose dentures, you may have seen All-on-4 mentioned as a way to replace a full arch of teeth using just a few dental implants. It can be an excellent option for the right person, but it is not one-size-fits-all. This guide explains 10 things to know before you book a consultation.
1) What does “All-on-4” actually mean?
All-on-4 is a treatment concept where a full arch of replacement teeth is supported by four dental implants. The back implants are often angled to help use available bone and avoid anatomical structures. Some patients may be better suited to All-on-6 (six implants) or another design, depending on your bite forces, bone quality and goals.
2) Is it the same as “teeth in a day”?
Sometimes. In certain cases, it is possible to place implants and provide a fixed temporary bridge soon afterwards. However, this depends on stability at placement, infection risk, bone quality, your medical history and how complex your case is. A thorough assessment is needed before promising a same-day or next-day fixed bridge.
3) Who is a good candidate?
People with heavily broken-down teeth, multiple failing restorations, or unstable dentures.
Patients with sufficient bone volume in key areas, or where angled implants can achieve stability.
Patients who can commit to excellent oral hygiene and regular maintenance visits.
Smoking, uncontrolled diabetes, active gum disease, or certain medications can increase risks. That does not always rule treatment out, but it changes the conversation and the planning.
4) What tests do you need before starting?
Expect a full clinical exam, gum assessment, and imaging. A CBCT scan (3D scan) is commonly used to assess bone volume and plan implant positions safely. Photographs and digital scans are often used to plan the smile and bite.
5) How long does the whole process take?
Even if a temporary bridge is provided quickly, you should still expect a healing phase while implants integrate with the bone. Many final bridges are made after several months, once tissues are stable. Your timeline can be shorter or longer depending on extractions, grafting needs and how your mouth heals.
6) What does it feel like during and after treatment?
Treatment is typically carried out with local anaesthetic, and sedation may be available for nervous patients. Afterwards, it is normal to have swelling and soreness for a few days. Most patients manage this with a combination of rest, soft foods and appropriate pain relief.
7) What are the main risks and downsides?
Implant failure (rare, but possible) especially if risk factors are present.
Infection or peri-implantitis if hygiene and maintenance are not kept up.
Chipping or wear of the bridge over time, which may need repairs.
Speech and bite adaptation period, particularly with a new full-arch bridge.
A good plan includes how issues will be prevented, detected early, and managed if they occur.
8) What does “fixed bridge” maintenance involve?
Full-arch bridges need ongoing maintenance. That includes cleaning routines at home, and professional reviews to check gum health, bite, and the condition of the bridge. Some bridges are designed to be removed by the dentist periodically for deep cleaning and inspection.
9) How much do All-on-4 dental implants cost in Nottingham?
Costs vary widely depending on complexity, materials, whether teeth need removing, and whether you need grafting or additional procedures. The most reliable way to understand cost is a consultation with a written treatment plan that explains exactly what is included, what is optional, and what aftercare looks like.
10) What should you ask at your consultation?
Am I suitable for All-on-4 or would All-on-6 (or another option) be safer for my bite?
Will I have fixed teeth quickly, and what are the conditions for that?
What material is the final bridge made from and why?
What is the maintenance plan and what happens if something chips or comes loose?
What are the main risks in my case and how are they reduced?
If you would like an All-on-4 consultation in Nottingham, you can book online or call 0115 931 2935. We will talk you through suitability, options, timelines and costs so you can decide with confidence.
FAQ
Q: Will I be asleep for All-on-4 treatment? A: Many patients have local anaesthetic; sedation may be available depending on suitability. The right option depends on your medical history and preferences.
Q: Can All-on-4 fail? A: Any implant treatment carries risk. Careful planning, good hygiene, and addressing risk factors (like smoking or gum disease) significantly improves outcomes.