Reviewed By Dr. Robert Barron, DMD
Reading Time: 4 minutes
Living with missing teeth changes the way you speak, how you smile in photos, and how confident you feel in everyday conversations. All-on-4 dental implants give you a way to regain that confidence with a full arch of stable, fixed teeth supported by four precisely placed implants.
Table of Contents
The All-on-4 Treatment Process
All-on-4 dental implants replace a full arch of teeth using four strategically placed implants. Two implants are positioned at the front of the jaw, and two toward the back are angled to engage stronger bone and create a stable foundation.
This approach often removes the need for bone grafting and allows a full arch bridge to be secured to the implants. Many patients receive temporary fixed teeth on the same day, improving comfort and appearance right away.
All-on-4 Treatment Steps
When performed at Concord Oral Surgery, the treatment generally follows these steps.
Step 1: Consultation And Planning
Our team reviews your medical history, checks your gums and remaining teeth, and takes a CBCT scan to understand your bone structure. We also take digital impressions so we can design your prosthesis with accuracy.
The imaging shows exactly where the implants should be placed and whether any failing teeth need to be removed. During this appointment, we walk you through anesthesia options, treatment steps, risks, benefits, and timelines so you know what to expect moving forward.
Step 2: Preparation Before Surgery
Before surgery, you will receive clear instructions about medications, fasting, and transportation if sedation is planned. Any untreated decay, gum disease, or infections are addressed ahead of time to protect implant stability. If teeth need to be removed, we plan for that and evaluate whether the bone needs shaping so the full arch bridge fits smoothly.
Step 3: Surgery Day
On the day of surgery, any remaining teeth in the arch are removed, and the bone is reshaped to create an even foundation for the implants. Guided imaging helps our team place each implant with precision, following the plan created from your CBCT scan.
Step 4: Implant Placement And Temporary Teeth
Two implants are placed at the front of the jaw, and two are angled toward the back. Once the implants reach the required stability, we attach multiunit abutments. These abutments are used to connect the implants to the full arch bridge. If the implants’ initial stability is sufficient, we then secure a temporary full arch bridge so you leave with teeth attached to your jaw the same day.
Step 5: Healing And Osseointegration
Over the next several weeks to months, your bone gradually bonds to the implants. We may adjust your temporary bridge if needed to keep your bite comfortable. Around 8 to 10 weeks after surgery, we check the stability of the implants. Healing times vary based on bone quality and your overall health.
Step 6: Final Prosthesis
When the implants have fully integrated, your dentist will take detailed impressions for your final prosthesis. Options may include an acrylic hybrid bridge reinforced with titanium or a full zirconia bridge. The final bridge is secured with screws, and we fine-tune your bite, smile line, and speech. We review with you how to clean around the bridge. We also review the regular maintenance that is required to help keep your implants and gums healthy long-term.
Benefits Of All-on-4
All-on-4 offers several advantages that improve comfort, function, and long-term oral health.
- Fixed and stable teeth provide a secure alternative to removable dentures.
- You experience immediate improvement because a temporary bridge with a complete set of teeth is placed the same day.
- The angled implant approach often allows the procedure to be completed without bone grafting while avoiding vital anatomic structures.
- Chewing strength improves significantly once healing is complete.
- Implants help support facial structure by slowing bone loss.
- The final bridge is designed to look natural and balanced.
- Daily home care feels familiar because cleaning is similar to caring for natural teeth.
Together, these advantages give our patients a predictable way to restore comfort and confidence with a full arch of fixed teeth.
Schedule an All-on-4 Consultation in Vaughan, ON
A consultation helps determine whether All-on-4 is the right option for your needs. During this visit, we assess your oral health, review what the process involves, and provide recommendations that support your long-term comfort and function.
To book an appointment at our oral surgery office in Vaughan, ON, call (905) 669-2616 or visit us at 3300 Highway 7 West, Suite 805 Vaughan, ON.
FAQs
How painful is All-on-4 surgery?
Anesthesia keeps you comfortable throughout the procedure. Some soreness is expected afterward, especially in the first few days, but it typically improves with recommended pain medication, rest, and cold compresses.
How long does All-on-4 surgery take?
Most All-on-4 procedures take about two to four hours per arch, depending on whether extractions or bone shaping are needed.
Are All-on-4 implants permanent?
The implant posts are designed to be a long-term solution and can last for many years with consistent home care and regular checkups. The prosthetic teeth are strong, but like any dental restoration, they may eventually need to be replaced due to everyday wear.
How long until I can eat normally?
A soft-food diet is required for several months while the implants heal. You can return to a regular diet once your surgeon confirms the implants have become integrated into your jaw bone and then your final prosthesis is attached.
Who is not a candidate?
Certain medical conditions, active gum disease, or significant bone loss may require additional treatment or modifications to the implant supported bridge protocol may be required. A consultation helps determine the safest and most predictable approach for your situation.
Where can I get All-on-4 dental implants near me?
Concord Oral Surgery in Vaughan offers All-on-4 dental implants and full arch restoration. Dr. Robert Barron provides full arch implant treatment and has extensive experience in implant-based rehabilitation and full mouth restoration.
