All-on-4
Restore your smile and chewing function with a full arch of teeth supported by just four dental implants.
What Are All-on-4 Dental Implants?
All-on-4 is a dental implant technique that replaces a full arch of missing teeth using four strategically placed implants to support a fixed bridge. Terms like “pro-arch,” “teeth in a day,” or “full mouth implants” often refer to the same treatment approach.
In this procedure, two implants are typically positioned vertically at the front of the jaw and two at an angle toward the back. This angulated placement maximises the use of available bone, often eliminating the need for bone grafting. As a result, All-on-4 is suitable for individuals who have experienced bone loss in the jaw or those who wish to avoid more invasive procedures.
The implants act as secure anchors for a custom-made bridge that replaces all missing teeth in an arch. The bridge is designed to look, feel, and function like natural teeth, restoring the ability to bite, chew, and speak.
In many cases, replacement teeth can be fitted on the same day as the implant placement, allowing patients to leave the clinic with a full set of functional teeth while their gums and jawbone continue to heal beneath the surface. Over time, the implants integrate naturally with the bone, providing support for the prosthesis.
What to Expect From All-on-4 Dental Implants
- Reliable Outcomes Over Time: Studies report implant survival rates above 90% and prosthesis success exceeding 95% over long-term follow-up, suggesting consistent results across both upper and lower arches.
- Same-Day Restoration: When adequate stability is achieved during surgery, a temporary fixed bridge can often be attached immediately, reducing downtime and allowing for faster functional recovery.
- Streamlined Treatment Process: The All-on-4 approach typically involves fewer implants, shorter treatment durations, and reduced surgical steps compared to conventional full-mouth rehabilitation, which may make it a more practical and cost-efficient solution.
- Enhanced comfort and confidence: Many patients experience better oral function and ease in daily activities such as eating and speaking after completing treatment.
How Are All-on-4 Dental Implants Done at Elite Dental Group?
1st Visit: Consultation
Your All-on-4 journey begins with a detailed consultation with our implant dentist. During this visit, we will review your medical and dental history, discuss your goals and concerns, and conduct a full examination of your mouth.
Digital X-rays, photographs, and 3D cone beam CT scans may be taken to assess your jawbone density, nerve positions, and overall oral health. These details help us determine if you are a suitable candidate for the procedure and allow us to plan your treatment accurately.
Treatment Planning
After the consultation, our implant dentist and dental technicians will use your scan data to create a computer-guided treatment plan. This plan specifies the location, angle, and depth for each implant based on your jaw structure and desired tooth alignment.
A custom surgical guide will then be designed to guide implant placement during surgery. This careful planning process helps enhance the predictability of your treatment results.
2nd Visit: Treatment Plan Discussion
Once your treatment plan is ready, we will arrange a follow-up visit to go through the details with you. Your implant dentist will explain each stage of the procedure, what to expect before and after surgery, and answer any questions you may have. We will also discuss the treatment cost, available payment options, and pre-surgery preparations.
This session ensures you have a clear understanding of the process and can make an informed decision about your care.
3rd Visit: Dental Implant Surgery
On the day of your surgery, our team will help you feel comfortable and relaxed. Sedation options may also be offered.
The dentist will first position the custom surgical guide, which serves as a template for implant placement. Using this guide, small openings will be made in the gums to insert the implants at the planned locations, angles, and depths. This will help minimise tissue trauma and guide placement.
After the implants are secured, the area will be closed with sutures if needed, and you will receive clear aftercare instructions for a smooth recovery.
4th Visit: Implant Review
After your surgery, we will schedule review appointments to track your healing progress and ensure the implants are bonding well with your jawbone. Once healing is complete, we will take impressions and begin creating your final restorations, such as crowns or bridges.
Our team will continue to guide and support you throughout this final stage, ensuring your new teeth look and function naturally.
All-on-4 Dental Implants Treatment Duration
The All-on-4 dental implant process takes place over several stages. The total duration varies depending on your oral condition, healing rate, and whether any preparatory procedures are required.
Total Treatment Duration
On average, the entire process takes about 3 to 6 months from surgery to final restoration. This period allows sufficient time for the implants to fuse with the jawbone (osseointegration) and provide a stable foundation for the permanent bridge.
Surgery Day
The surgical procedure typically takes 2 to 3 hours per arch. In many cases, temporary teeth can be attached immediately after surgery, allowing you to leave the clinic with a functional set of teeth on the same day.
Healing Phases
During the initial 3 to 4 months, the implants gradually integrate with the jawbone while you wear temporary teeth. This stage is crucial for ensuring stability and comfort before the final prosthesis is placed.
Factors That May Extend the Timeline
- Additional procedures such as bone grafting or sinus lifting
- Individual differences in healing speed
- Preparatory dental treatments that may add 1 to 2 months to the process
How Much Do All-on-4 Dental Implants Cost in Singapore?
The average cost of professional All-on-4 dental implants in Singapore is $12,000–$35,000 per arch. Here’s a general breakdown:
| Per Arch | Upper and Lower Arch | |
| Cost of All-on-4 Dental Implants | $18,000–$25,000 | $36,000–$50,000 |
Financing Options
Major Banks
We accept interest-free instalment payments from all major banks.
Buy Now Pay Later (BNPL)
We have existing collaborations with BNPL platforms, like Atome and PayLater, to help reduce the upfront expenditure of your dental treatments.
Dental and Corporate Insurance
We are on multiple dental and corporate insurance panels to provide more accessible dental care to you.
Our Approach to All-on-4 Dental Implants
Elite Dental Group is a dental implant-focused clinic that uses modern technology and follows established safety standards at every stage of the treatment process.
Frequently
Asked
Questions
Got questions? We’ve got answers! Check out our FAQ section for common inquiries and helpful information to guide you.
Am I suitable for All-on-4 dental implants?
You may be a suitable candidate for All-on-4 dental implants if you have lost most or all of your teeth in one or both jaws and have enough bone to support four implants per arch. This approach can also be an option if you have some bone loss that makes conventional implants more complex.
Your dentist will assess several factors before recommending treatment, including your overall health, bone quality, gum condition, and lifestyle habits such as smoking and oral hygiene. A detailed examination and 3D imaging are usually performed to confirm suitability and create a treatment plan tailored to your needs.
What Is the Difference Between All-on-4, All-on-6, Overdentures, and Traditional Dental Implants?
While all these options are designed to replace missing teeth, they differ in how they are supported, attached, and maintained. The choice depends on factors such as bone volume, oral health, lifestyle preferences, and budget.
- All-on-4 Dental Implants: Replaces a full arch of missing teeth using four strategically placed implants. The angled placement maximises existing bone, often avoiding the need for bone grafting. It offers a fixed, natural-feeling set of teeth that stays securely in place during eating and speaking.
- All-on-6 Dental Implants: Uses six implants to support a full arch of replacement teeth, providing greater stability and load distribution than All-on-4. It is ideal for patients with sufficient bone density who want added reinforcement and long-term durability in their restoration.
- Traditional Dental Implants: Replace teeth individually or with multiple implants supporting bridges. They restore function and appearance very closely to natural teeth but may require more bone volume and longer treatment time compared to full-arch implant systems.
- Dentures: Removable prosthetic teeth that rest on the gums. They are a non-surgical and more affordable option for replacing multiple missing teeth. However, they may require adhesives for stability and can become loose over time as the jawbone changes shape.
In summary, All-on-4 offers a fixed, stable, and natural-feeling solution, while All-on-6 provides extra reinforcement for suitable candidates. Overdentures and dentures remain valid alternatives for patients who prefer removable or more affordable options.
Is the All-on-4 Dental Implant Procedure Painful?
The All-on-4 procedure is usually carried out under local anaesthesia or sedation, so you should not feel pain during the surgery. After the procedure, it is normal to experience some mild swelling, bruising, or soreness as part of the healing process.
Discomfort levels vary from person to person but are generally manageable with prescribed pain medication and rest. Many patients describe the experience as more comfortable than expected, often similar to having a tooth extracted.
Your dentist will provide detailed aftercare instructions and guide you through pain management to help you recover as smoothly as possible.
Are All-on-4 Dental Implants Permanent?
All-on-4 dental implants are designed to be a long-term, fixed solution for missing teeth. The titanium implants integrate with the jawbone through a process called osseointegration, forming a secure and stable foundation. The attached prosthetic teeth are not removable by the patient and function much like natural teeth. With good oral hygiene and regular dental reviews, the implants themselves can last for many years.
Over time, the prosthetic teeth may need adjustments or replacement after about 10 to 15 years due to normal wear. Regular maintenance visits allow your dentist to monitor the condition of both the implants and the restoration to help maintain long-term comfort and function.
Do I Need to Remove All My Teeth for All-on-4 Dental Implants?
Not all teeth need to be removed for All-on-4 dental implants. Only teeth that are severely decayed, loose due to gum disease, or no longer suitable to keep will be extracted before implant placement.
This procedure can be performed for patients who already have no teeth, as well as for those who still have some remaining teeth that require removal. In many cases, implants can be placed and temporary teeth fitted on the same day.
Your dentist will conduct a detailed assessment of your oral health, bone structure, and treatment goals before recommending whether any extractions are needed and which approach best suits your situation.
Why is a Gum or Bone Graft Sometimes Needed before All-On-4 Dental Implants?
A gum or bone graft may be recommended before All-on-4 dental implant treatment if there is insufficient bone density or weakened gum tissue to support the implants securely.
Adequate bone volume is essential for implant stability and successful integration with the jawbone. If you have experienced bone loss due to long-term tooth loss, gum disease, or previous infections, grafting helps rebuild the foundation needed for implant placement.
Similarly, healthy gum tissue supports proper healing and helps protect the implants after surgery. In some cases, grafting can enhance the results of the procedure, the durability of the implants, and the overall appearance of your smile.
Are All-on-4 Dental Implants Safe?
When performed by a qualified professional, the procedure is generally considered safe. However, as with any surgical procedure, there are some risks. These include:
- Infection
- Implant failure
- Nerve irritation
- Sinus complications (for upper-jaw implants
- Temporary post-operative discomfort
Through detailed treatment planning, digital imaging, and adherence to strict sterilisation and surgical protocols, these risks can be minimised. Additionally, factors such as smoking, poor oral hygiene, or underlying health conditions (e.g., diabetes or osteoporosis) can influence healing and overall outcomes.
Who Is a Good Candidate for All-on-4 Dental Implants?
You may be a suitable candidate for All-on-4 dental implants if you:
- Have lost most or all of your teeth in one or both jaws.
- Prefer a fixed alternative to removable dentures.
- Have sufficient bone support to hold the implants, even if some bone loss has occurred.
- Are in generally good health, with no uncontrolled conditions, such as diabetes or immune disorders, that may affect healing.
- Are a non-smoker, or are willing to stop smoking before and after surgery.
- Practise good oral hygiene and are committed to regular dental reviews.
- Understand the procedure and are motivated to maintain your long-term oral health.
Your dentist will perform a detailed assessment of your oral condition, bone structure, and medical history to determine if this treatment is appropriate for you.
Why Are All-on-4 Dental Implants So Expensive?
The cost of All-on-4 dental implants depends on several factors that contribute to the overall treatment process, including:
- Implant materials: High-grade titanium implants and a custom-made prosthesis designed to ensure a better fit.
- Use of technology: Digital scans, 3D imaging, and surgical guides are used for treatment planning and to guide placement
- Complex procedure: The surgery may involve additional steps such as tooth extractions, gum or bone grafting, and immediate temporary teeth.
- Laboratory work: Fabrication of the final restoration, which is designed to match the appearance and function of natural teeth.
- Professional time and care: Surgical expertise, post-operative follow-ups, and adjustments during recovery.
While the initial cost is higher than removable dentures, it reflects the planning, materials, and coordination required for a fixed, full-arch restoration.
Are All-on-4 Dental Implants Worth It?
Whether All-on-4 dental implants are suitable or worthwhile depends on your oral health needs, budget, and treatment goals.
They provide a fixed option for patients who prefer not to use removable dentures and can help restore comfort in eating, speaking, and daily function. The implants also support the underlying jawbone, helping to maintain facial structure.
However, the procedure involves surgery and a significant financial investment. Discussing your options with a trained dentist can help you understand the benefits, limitations, and long-term maintenance required before deciding if this treatment meets your expectations.
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HELP?
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Should you require further information about our costs of treatment, or are looking for recommendations for your needs, we invite you to a consultation with our dentists at a time of your convenience.