Same-day All-on-4 Dental Implants Sydney CBD
Four implants. A complete arch of fixed teeth. A new beginning.
All Teeth on 4 is a full-arch tooth replacement technique that uses four strategically placed dental implants to support a complete set of fixed teeth in a single jaw. It is designed for patients who have lost all their teeth or whose remaining teeth are failing and need to be replaced entirely.
Here at Pitt Street Dental Centre in the Sydney CBD, Dr Michael Cai has placed over 3,000 dental implants personally across 18+ years of focused practice. At Pitt Street Dental Centre, the treatment uses Straumann dental implants and can include extractions, implant placement, a provisional fixed prosthesis and the final prosthesis within one comprehensive treatment fee. Where clinically appropriate, patients may receive their provisional fixed teeth on the day of surgery.
In suitable cases, patients leave with fixed functional teeth on the same day as their surgery.
When You're Ready to Feel Like Yourself Again
There comes a point where the patching, the repairing, and the managing stops making sense. When every appointment brings another crown, another extraction, another conversation about what to do next, and none of it ever seems to solve the underlying problem.
If you are at that point, or if you have already crossed it and you are living with a denture that does not feel like part of you, this page is for you.
All Teeth on 4 is not a repair. It is a reset. Four strategically positioned implants can support a complete set of fixed replacement teeth, restoring much of the comfort, function and confidence that patients may have lost. Here at Pitt Street Dental Centre, we have helped Sydney CBD patients make this transition, from years of dental frustration to helping patients move beyond years of dental frustration towards a more stable, functional and confident smile.
What Are All-on-4 Dental Implants?
All Teeth on 4 is a full-arch implant solution that replaces every tooth in one jaw using just four dental implants. Two implants are placed vertically in the front of the jaw, and two are placed at an angle in the back. The angled positioning of the posterior implants can make use of available bone in areas where bone grafting might otherwise be considered. This means that some patients with reduced bone volume may be suitable for All-on-4 treatment without conventional bone grafting. Suitability depends on the amount and distribution of available bone.
The four implants serve as anchor points for a complete fixed bridge, a single prosthesis that contains all your replacement teeth. Unlike a denture, this bridge is screwed onto the implants and does not come out. The bridge remains fixed in place and is not removed by the patient for daily cleaning. However, special attention is needed to clean beneath the prosthesis and around the implants, with regular professional maintenance essential for long-term health.
We use Straumann implants for every All Teeth on 4 case, a premium Swiss system chosen for its high primary stability, which is essential for same-day loading. In suitable cases, Dr Cai fits a fixed provisional prosthesis on the day of surgery, so you leave with teeth rather than a gap or a temporary denture.
The final prosthesis, typically crafted from high-strength zirconia, is fitted three to six months later once the implants have fully integrated with the bone. Both the provisional and the final prosthesis are included in our complete fee.
Who Is a Suitable Candidate for All-on-4 Dental Implants?
This procedure is designed for people who are dealing with one of these situations:
“Most or all of my teeth are failing and I am tired of treating them one at a time”
“I am wearing a denture that moves when I eat, and I want something fixed”
“My denture makes me self-conscious and I avoid social situations because of it”
“I have significant decay or gum disease across most of my teeth and I need a complete solution”
“I want to eat, speak, and smile without thinking about my teeth”
“I have been researching implants but the idea of one implant per tooth seems excessive and expensive”
All Teeth on 4 is not for patients who are missing one or two teeth. It is a full-arch solution for people who need everything in one jaw replaced. For patients who require full-arch rehabilitation, All-on-4 can provide an alternative to conventional dentures and a more extensive treatment approach involving individual implants for each missing tooth.
What Is the All-on-4 Treatment Process?
01
Consultation and Planning (60 to 90 minutes)
Your first visit is about understanding your situation completely. Dr Cai examines your mouth, takes a 3D CBCT scan in our Sydney CBD practice, and reviews your bone density, gum health, and the condition of any remaining teeth. You leave this appointment with a clear plan, a timeline, and a detailed written quote.
02
Digital Treatment Design
Before surgery, Dr Cai uses the 3D data to plan every implant position and angle. Where immediate loading is clinically appropriate, the provisional prosthesis is planned and designed in advance so it can be fitted following implant placement. This pre-planning is what makes same-day teeth possible.
03
Surgery Day
Any remaining teeth are extracted and four Straumann implants are placed at the planned positions and angles. The procedure takes approximately two to four hours per arch. You can choose local anaesthetic with twilight sedation in our practice, or general anaesthesia at Westmead Private Hospital or Strathfield Private Hospital. In suitable cases, your fixed provisional prosthesis is attached before you leave.
04
Living with Your Provisional Teeth (3 to 6 months)
Your provisional teeth are fully functional. You can speak and smile with your provisional teeth, although your bite and eating habits will need some adjustment during the initial healing period. We see you for regular follow-ups to check healing and make any adjustments.
05
Your Final Teeth
Once integration is confirmed, we take digital impressions and design your permanent zirconia prosthesis. This final set of teeth is stronger, more detailed, and designed to last for years. It is custom-matched to your facial proportions and gum line for the most natural result.
All-on-4 vs Conventional Dentures vs Implant-Retained Dentures
All Teeth on 4
Full Denture
Implant-Supported Denture
Fixed or removable
Fixed or removableFixed (does not come out)
Fixed or removableRemovable
Fixed or removableRemovable (snaps onto implants)
Number of implants
Number of implants4 to 6 per arch
Number of implantsNone
Number of implants2 to 4 per arch
Eating ability
Eating abilityVirtually unrestricted once healed
Eating abilitySignificantly limited
Eating abilityImproved over standard denture
Speech
SpeechNatural
SpeechCan affect speech
SpeechImproved over standard denture
Bone preservation
Bone preservationYes
Bone preservationNo (bone resorbs over time)
Bone preservationPartial
Daily maintenance
Daily maintenanceBrush and floss in place
Daily maintenanceRemove, soak, and clean
Daily maintenanceRemove and clean
Adhesive needed
Adhesive neededNo
Adhesive neededOften yes
Adhesive neededNo
Best for
Best forPatients wanting permanent, fixed teeth
Best forBudget option, not wanting surgery
Best forPatients wanting improved denture stability
Dr Cai will help you understand which option is right for your clinical situation and lifestyle.
What Are the Risks and Recovery Considerations with All-on-4?
All-on-4 is an established full-arch implant treatment supported by clinical research. Like all surgical procedures, it carries potential risks and complications. Careful assessment, treatment planning and ongoing maintenance are important parts of achieving a successful outcome. Here is what to expect.
Possible risks:
- Post-surgical infection, which may require additional treatment
- Temporary numbness or tingling in the lip, chin, or tongue area (lower jaw procedures)
- Sinus involvement for upper jaw cases where implants are placed near the sinus cavity
- Implant failure to achieve adequate initial stability, which may require a staged approach rather than same-day loading
- Prosthesis adjustment needs during the provisional phase
- Bone loss around individual implants over time, minimised with good oral hygiene and regular maintenance
Recovery considerations:
- Plan for five to seven days off work
- Swelling and bruising peak on days two to three
- Prescribed pain medication and anti-inflammatory support
- Soft diet for four to six weeks during the integration period
- Your provisional teeth are functional from day one, though avoid biting into very hard foods
- Avoid strenuous exercise for one week
- Speech may feel slightly different for the first one to two weeks as you adjust
- Regular follow-up appointments to monitor healing
Call us on +61 2 8000 1832 with any concerns during recovery.
Transparent pricing, no surprises
Our All Teeth on 4 pricing includes everything. Download our price list to see the full breakdown.
Frequently Asked Questions About All-on-4 Dental Implants
How much does All Teeth on 4 cost in Sydney?
We provide fully transparent pricing. Download our complete price list from this page for the full breakdown. Our fee covers surgery, all extractions in the arch, four to six Straumann implants, the same-day provisional prosthesis, and the final zirconia prosthesis. After your consultation, you will receive a detailed written quote. Payment plans are available.
What is the difference between All Teeth on 4 and a denture?
A denture sits on top of your gums and is removed daily for cleaning. Over time, the bone beneath it resorbs, causing the denture to fit less and less well. All Teeth on 4 uses four implants to anchor a fixed set of teeth that never come out. The implants stimulate the jawbone, helping to preserve it over time. The functional difference is significant: patients with All Teeth on 4 can eat, speak, and smile with confidence that their teeth will not move.
Can I have All Teeth on 4 if I still have some teeth left?
Yes. If your remaining teeth are failing and no longer worth saving, Dr Cai can extract them and place the implants on the same day. Many of our All Teeth on 4 patients transition directly from a mouth of failing teeth to a full set of fixed implant teeth in one procedure.
Will I be without teeth at any point?
In most cases, no. If you are a candidate for same-day loading, Dr Cai fits a fixed provisional prosthesis on the day of surgery. You leave with teeth. In rare cases where bone quality does not support immediate loading, a temporary solution is provided while the implants integrate.
How long do All Teeth on 4 implants last?
All-on-4 dental implants are designed as a long-term tooth replacement solution. Their longevity depends on several factors, including bone health, oral hygiene, general health, smoking habits and regular professional maintenance. The prosthesis itself may require repairs or replacement over time due to normal wear and mechanical complications.
Payment Plans
Why Choose Pitt Street Dental Centre for All Teeth on 4 in the Sydney CBD?
3,000+ implants. 18+ years. One dentist.
With more than 3,000 dental implants personally placed over 18+ years of focused practice, Dr Michael Cai brings extensive surgical experience to the planning and delivery of implant treatment. All Teeth on 4 demands precision in implant placement, prosthetic design, and surgical execution, and that precision comes from experience.
Everything included in one fee
We do not separate the cost of surgery, implants, provisional teeth, and the final prosthesis into different quotes that add up to more than you expected. You receive one complete price that covers everything from the first extraction to the final zirconia bridge.
Straumann implants, every case
We use the same premium Swiss implant system for every patient. We use Straumann dental implants across our All-on-4 treatments. Straumann is an established Swiss implant manufacturer with a long history of clinical research and development.
Designed for your comfort
We know this is one of the biggest dental decisions you will ever make. Our Sydney CBD practice is made to put you at ease: dimmed lighting, aromatherapy, Netflix on the ceiling, noise-cancelling headsets, and a complimentary beverage menu. For surgery, twilight sedation and hospital-based general anaesthesia are both available.
Solutions for severe bone loss
If standard All Teeth on 4 placement is not possible due to severe bone loss, we offer zygomatic and pterygoid implants as a graftless alternative. For patients with severe upper jaw bone loss who may not be suitable for conventional implant placement, we can assess alternative approaches including zygomatic and pterygoid implants. These advanced techniques may provide additional options for patients with more complex bone deficiencies.
INSIGHTS & INSPIRATION
When Can I Start Eating Normally Again After Getting All-Teeth-On-4 Dental Implants
How Do I Find a Qualified Dentist or Oral Surgeon to Perform the All-Teeth-on-4 Procedure
Are there any potential complications or risks associated with All-Teeth-on-4 implants
What Is the Recovery Time After Getting All-Teeth-on-4 Implants
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Author Attribution:
Medically reviewed by Dr Michael Cai, BDSc (Hons) WA MRACDS (GDP) – July 2026
Medical Disclaimer:
The information on this page is intended for general educational purposes only and should not be considered a substitute for professional dental advice. Treatment outcomes vary between individuals. All surgical procedures carry risks. Please consult Dr Michael Cai or one of our qualified dentists at Pitt Street Dental Centre for personalised advice about your dental health.
