All-on-4 Dental Implants

At Essex Street Dental Medicine in Salem, MA, we treat All-on-4 as a transformation that deserves careful planning and an experience built around you. We use detailed 3D imaging to plan each implant position precisely, taking full advantage of your available bone so grafting is avoided whenever possible. We design your new teeth to complement your face and goals, not just fill the arch, and we coordinate every stage, from placement to the same-day temporary teeth to your final restoration, so the process feels smooth and predictable. Comfort options, including sedation, are available throughout.

Plan

We take 3D scans of your jaw and design the precise placement of all four implants, along with a preview of your new smile, before any treatment begins.

Place

Any failing teeth are removed and the four implants are placed in one planned procedure, with the back implants angled to maximize your existing bone.

Smile Same Day

In most cases, a fixed temporary set of teeth is attached to your implants the same day, so you never go without a complete smile.

Finalize

After the implants fuse with your bone over a few months, your custom final teeth are attached, delivering a permanent, natural-looking result.

All-on-4 is a full-arch tooth replacement method that uses four dental implants to support a complete set of fixed teeth. The two back implants are placed at an angle to make the most of your available bone, often avoiding the need for bone grafting. The result is a permanent, non-removable arch of teeth that looks and functions naturally.

Traditional implant treatment replaces individual teeth, with one implant supporting one crown or a few implants supporting a bridge. All-on-4 replaces an entire arch at once using only four implants, making it more efficient and often more affordable than placing many individual implants. It is designed specifically for patients missing most or all teeth in an arch.

Traditional dentures rest on the gums, can slip while eating or speaking, and are removed daily. All-on-4 teeth are fixed to implants and stay in your mouth permanently, functioning like natural teeth. They do not require adhesives, restore far more chewing power, and preserve the jawbone, which continues to shrink under conventional dentures.

The cost of All on 4 treatment depends on your anatomy and what the case requires. The technique restores a full arch on a small number of implants, typically four, by angling the rear implants to take advantage of denser bone, which is what allows fewer implants to support a complete set of teeth. Whether your bone volume and shape suit that approach is determined by imaging, and some patients need a different configuration or additional site preparation. The prosthesis is the other major factor, since these are made from different materials with different strength, appearance, and repair characteristics. We will confirm whether this approach is appropriate for you and provide a detailed personalized estimate after your consultation.

In most cases, yes. A fixed temporary set of teeth is attached to your implants on the day of surgery, so you leave with a complete, functional smile. These temporaries stay in place while your implants heal. Once the implants have fully fused with the bone, typically after a few months, they are replaced with your stronger, final custom teeth.

Most adults missing all or most teeth in an arch, or facing the loss of failing teeth, are candidates. Because the angled implant design maximizes existing bone, many patients who were told they lacked bone for implants can still qualify without grafting. We confirm candidacy with a 3D scan and health review during your consultation.

The procedure is performed with anesthesia, and sedation options are available so you are comfortable throughout. Most patients report that recovery is more manageable than expected, with swelling and soreness for a few days that is well controlled with medication. Many return to normal light activity within a few days.

The implants themselves can last a lifetime with good care, as they fuse permanently with your jawbone. The attached arch of teeth is highly durable and typically lasts 10 to 15 years or longer before normal wear may call for maintenance or replacement. Good hygiene and regular checkups are the keys to long-term success.

You care for All-on-4 teeth much like natural teeth: brush thoroughly and clean beneath the arch daily using tools we recommend, such as a water flosser or special brushes. Regular professional cleanings let us maintain the restoration and check the health of your implants and gums. Your hygiene routine is simple but important.

All-on-4 was designed for exactly this situation. By angling the back implants, the technique uses the denser bone available toward the front of the jaw, often eliminating the need for bone grafting or sinus lifts. Many patients previously told they were not implant candidates qualify for All-on-4. A 3D scan will show us what is possible for you.