All-on-4 Implants

All-on-Four® can be considered the third way for placing dental implants. All-on-Four represents a compromise solution. This is especially true for patients missing all or most of their teeth in either the mandible (lower jaw) or maxilla (upper jaw).

Implants are essentially titanium rods drilled into a patient’s jawbone, fitted with artificial teeth visible above the gum line. Thanks to titanium’s unique ability to fuse with natural bone, the resulting fusion establishes an extremely stable artificial tooth root – on par with natural roots.

For standard implants, each implant is intended for one individual tooth. While this approach ensures the maximum stability and functionality it’s important to remember the old adage: “don’t let the perfect be the enemy of the good.” Or in this case, the enemy of the great!

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What is All-on-Four?

All-on-Four works a little differently. Instead of placing a single implant per missing tooth, only four implants are used, aligned like fence posts for each arch. Then, using a bridge, (a set of artificial teeth similar to a partial denture) the edentulous span is filled. The procedure involves the placement of temporary restorations during the healing process and complete restorations several months later. The result is a natural-looking smile complete with the necessary implants that prevent further bone loss – a common problem with missing teeth and can result in further

In addition to reduced chairside time, the biggest benefit comes down to cost. While cost specifics are best left to a conversation with your doctor, for many patients who have long suffered the physical difficulty of having to chew or talk with missing teeth, or the emotional embarrassment of smiling in fear, All-on-Four makes the most sense. It’s a procedure whose benefits can be nothing short of life changing.

What All-on-Four is NOT:
Implants vs. Dentures

It’s true. Dentists like to use a lot of terms. But at the Centers for Dental Implants we try to keep it simple. One of the most common misconceptions is the difference between implants and dentures. And what this all has to do with All-on-Four.

Believe it or not it’s simpler than you think.

Dentures are a set of artificial teeth that are worn either fixed in place or are removable. They can be fixed or removed from screws and hinges as well as with adhesives. (Think of the common image of an elderly person taking out their teeth before bed and leaving them in a cleaning solution over night.) A fixed denture (or overdenture) is supported from natural existing teeth.

Implants, however, are all about the enhanced stability and functionally of a fully integrated piece of metal drilled into the human jawbone. In an All on Four case you’re getting a best of both worlds scenario. Some of your new teeth will be stabilized with a titanium rod while others will not. After decades of research dentists and have concluded that four implants (sometimes six) are all that is needed to get most of the way there in terms of aesthetics, function, form, and longevity.

What to Expect:
Recovery and Healing

Even though fewer implants will be placed, patients will still require adequate recovery time. Generally speaking, the first 72 hours after surgery is most critical. This is when if there is significant swelling it will be most apparent. During this window patients are advised to relax at home and take it easy.

  • If you had IV sedation or general anesthesia you might experience light-headedness or dizziness and drowsiness. In these scenarios it’s best that for the first 12 hours you’re observed by a responsible adult in case any complications arise.
  • There is a tendency for patients to pull on their lips and cheeks and to physically touch or inspect the surgical sites. Please refrain from this behavior as it could risk infection or delay the healing process. Remember to take any prescribed medication and complete the treatment cycle.
  • Swelling is your body’s natural defense following trauma. In order to minimize inflammation apply an ice pack to both sides of your face at 15-minute intervals. Moist heat like a warm, wet cloth, is best for swelling after the first 72 hours. (Read more tips here)
  • When it comes to diet, for up to three months following surgery it’s best to stick to soft foods. The goal is to give your gums time to heal and for your implants to fuse to your natural bone. Well-cooked soft vegetables, cooked fruits, apple sauce, broiled fish, stewed chicken, soups, tofu, soft bread, muffins, pancakes, and waffles, and pudding, ice cream and scrambled eggs all are acceptable.
  • When it comes to hygiene, during the first week, you will be provided a monoject syringe to gently clean underneath your prosthesis. After two weeks you may begin to use a water pick and floss regularly.
  • Regular exercise should be delayed about one week, to give your body time to heal. Physical exertion can raise blood pressure and increase the risk of bleeding so be mindful of how hard you are working out – especially in the first few weeks.

Take Your First Step to Your Dream Smile Today

Once the implant process is completed, you’ll enjoy a beautiful, natural-looking smile for many years to come, along with renewed self-confidence and no more mouth discomfort! For more information about restoring your smile with dental implants, or to schedule a free consultation with Dr. Garg and his team, contact the Center for Dental Implants at one ouf our locations around Miami today!

dr arun garg

Pembroke Pines

700 N Hiatus Rd #102
Pembroke Pines, FL 33026

Hallandale Beach

1920 E Hallandale Beach Blvd #800
Hallandale Beach, FL 33009


2999 NE 191st St #210
Aventura, Florida 33180


801 NW 37th Avenue, Suite 204
Miami, FL 33125

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