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All on 4 4.8 average rating from 25193 reviews

The Ultimate Guide to All on 4

Replace a whole arch of teeth with innovative All-on-4 dental implants. If you’ve lost your teeth or want to replace ill-fitting dentures for comfortable, stable and natural-looking teeth then this revolutionary technique may be just what you’re looking for.

The technique – also known as same day teeth and same day smiles – can be carried out in a single visit on patients who have previously lost their teeth and are currently wearing dentures. For patients who are having extractions it will require two visits, around 6 months’ apart, for the procedure to be completed, allowing time for the bone and soft tissue to heal after the extractions.

What are All-on-4s?

All-on-4s are dental implants and the term refers to ‘four’ dental implants supporting ‘all’ the teeth in either the upper or lower arch.

A dental implant is a metal ‘screw’ that is placed into the jawbone. Over time, the implant fuses with the bone (osseointegration), acting like a tooth root, and providing a solid and stable support for a crown ‘false tooth’ to be attached.

In All-on-4s, the four dental implants are placed in the jaw at an angle, rather than straight, like a normal dental implant. A bridge is fixed to the dental implants, locking them together. The two rear implants tend to be longer for All-on-4s, which is important for patients who would normally require bone-grafting. This technique is a suitable solution for many patients who previously could not have implants due to bone loss. 

Are All-on-4s a suitable treatment for Dental Tourism?

All-on-4s are a good treatment to have as a dental tourist. The primary reason for many patients to travel overseas for their treatment is the cost – and with All-on-4s costing around US $25,000 (CAN $33,000; UK £20,000; EUR €23,000; AUS $32,000; NZ $35,500) savings of 50-70% are not to be sniffed at.

Obviously, for some people who have already been wearing full dentures and do not have to have any teeth removed, the All-on-4s can be fitted in one day. There is very little downtime for these patients and they can get on with the task of just enjoying their holiday with their new, natural-looking teeth.

Even for patients who are having extractions, there may be a little bit of discomfort for a day or two, but temporary dentures will help with the healing process.

What is the procedure for All-on-4 treatments?

The treatment requires 1 – 3 visits to the dentist.

1:            The first visit

The dentist will perform a thorough examination and evaluation of our mouth jaw. X-rays and 3D scans may be taken to assess the extent of any bone loss. If you are considered to be a suitable candidate for the All-on-4 procedure, impressions will be taken of your jaws and sent to the lab technicians so they can make your new non-removable teeth.

2:            Treatment Day

Your mouth will be prepared to receive the dental implants. Any remaining teeth will be removed and the jaw and gum tissue thoroughly cleaned. Two implants will be placed at the front of the jaw and two near the back, at a 45 degree angle.

A temporary bridge (non-removable teeth) will be attached to the implants and you are ready to.

4:            Attachment of Permanent Bridge

You will be given instructions of how to care for your teeth post-operatively until such a time (typically a few weeks or months later) when the implants will have fused fully with your jaw bone. At this point your jaw will be strong enough to hold the permanent bridge and you can return to your dentist to have it fitted.

Do All-on-4s need any special care?

When your implants have first been placed and you have a temporary bridge, you will be advised to eat soft food for a while –and certainly not anything chewy or hard that could interfere with the osseointegration process.

Apart from maintaining a fastidious oral hygiene regime – with careful brushing, flossing and regular check-ups at the dentist you shouldn’t have to do anything different. Provided you look after your new teeth, they should give you years of good service and will feel, look and act just like your own teeth.

What are the costs of All-on-4s around the world?

In the United States, All-on-4s cost, on average, $25,000  (CAN $33,000; UK £20,000; EUR €23,000; AUS $32,000; NZ $35,500)

At a Mexico dentist, they cost US $10,000 (CAN $13,600; UK £7,600; EUR €8,900; AUS $13,400; NZ $13,400)

At a Thailand dentist, they cost US $11,000  (CAN $15,000; UK £8,400; EUR €9,800; AUS $14,800; NZ $15,800)

At a Bali dentist, they cost US $4,200  (CAN $5,700; UK £3,200; EUR €3,700; AUS $5,600; NZ $6,000)

What about the quality of dental care abroad? Is it reliable?

There are excellent-quality dental clinics abroad in many countries, but you should always approach finding a suitable dentist with care. Unfortunately, this is not as straightforward as looking in the ‘Good dentists in Mexico’ handbook, which obviously doesn’t exist! Instead, you will have to look at a number of different factors, which taken together can give you an overall view.

This includes the obvious, such as dentist qualifications – how long they have been qualified as a dentist? Have they had specialist training? Are they members of any overseas professional organizations, for example, the International Congress of Oral Implantologists? If they aren’t it doesn’t mean they are not a good dentist, but the more positive information you have the easier it is for you to make a choice you are happy with. You should also check out the clinic. Are there photos? Do the premises look cared for? Is the clinic signed up to any international protocols, like the International Organization for Standardization?

One way of ensuring you are going to a quality-checked clinic is by booking with Dental Departures. We do our own background checks on dentist qualifications; professional memberships and clinic affiliations. We also do onsite visits and collect real patient reviews, which are published on our website. With clinic photos, prices, maps and other useful information that is free to access you can search for a dentist, compare prices and book an appointment in confidence from the comfort of your own home.

If you’re ready to book an appointment for All-on-4s see below for ways to arrange this. Otherwise, if you’d like to discuss this further, please get in touch with our friendly and knowledgeable Customer Care Team who are always ready to help.

How do I book?

This article is meant for information purposes only and is not intended to be dental advice or instructions for dental diagnosis or treatment. Please consult with your dentist or a qualified dental professional before starting or changing dental treatment.

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