Severe jawbone loss
All-Teeth-On-4 Sydney
From $384.62 arch per fortnight*
Full-Arch Restoration
Full-Arch Restoration
All-Teeth-On-4 is a dental implant solution in which four dental implants support a bridge used to replace an entire row of teeth. This treatment is an alternative to traditional bridges and dentures and may be suitable for patients with teeth that are severely damaged, decayed or already missing.
All-Teeth-On-4 may be worth considering for patients who find dentures difficult to manage, as implant-supported teeth are fixed in place and designed to function similarly to natural teeth. Our experienced team at Pitt Street Dental Centre in Sydney CBD can discuss whether All-Teeth-On-4 may be an appropriate option for your situation.
What are Dental Implants?
If you have a missing tooth or need a tooth extracted, both the tooth and the root are removed. While extractions are sometimes necessary, removing the tooth root can lead to concerns such as jawbone deterioration and shifting or loss of surrounding teeth over time. Dental implants are designed to replace teeth along with their roots, which may help address some of these concerns.
Dental implants are small titanium posts secured into the jawbone to replace the tooth root. The post is surgically placed into the jawbone and given time to heal.
During the healing period, which typically takes 3 to 6 months, the body begins to form bone and gum tissue around the post through a natural process called osseointegration. This helps secure the post over time, though healing experiences vary between patients.
Once the implant has sufficiently healed, an abutment is secured onto it and a dental crown placed on top. The abutment connects the implant to the crown, which is designed to look and function similarly to a natural tooth.
All-Teeth-On-4 in Sydney
All-Teeth-On-4 is a system in which four titanium posts, or implants, are used to support an entire arch of teeth. The arch is custom made for the patient and replaces an entire row of teeth. This approach uses fewer implants than placing one implant per tooth and may be more stable than traditional dentures, depending on the patient’s situation.
Types of Dental Implants
Single implant
Can replace one missing tooth without the need to alter surrounding teeth, which is typically required to support a traditional bridge.
Multiple implants
Can replace multiple missing teeth without altering surrounding teeth, including situations where missing teeth are not adjacent to each other.
All-Teeth-On-4 dental
Uses four implants to support an entire row of teeth, rather than one implant per missing tooth. This may be a more cost-effective approach for patients requiring full arch replacement, while still providing the functional benefits associated with implants.
Potential Benefits of Dental Implants
Missing teeth can contribute to a range of oral health concerns. When teeth are absent, chewing can become more difficult and jawbone deterioration may occur over time, which can affect surrounding teeth and overall dental structure.
Dental implants may help address some of these concerns. Potential benefits include:
May help keep surrounding teeth in their position
May help maintain jawbone integrity
May help maintain facial bone structure
May support improved speech
Designed to look and function similarly to natural teeth
No need to alter adjacent teeth to support a bridge
Durable and long lasting with appropriate care
Fixed in place, unlike traditional dentures which can shift
Suitability and outcomes vary between patients; a thorough assessment is required
The All-Teeth-On-4 Procedure
Dental implant treatment is a multi-stage process. We carry out a thorough assessment at each stage and allow appropriate healing time between steps to support the best possible outcome and reduce the risk of complications. As with any surgical procedure, risks exist and will be discussed with you in detail before treatment begins. The following is a typical treatment pathway:
An initial dental examination and assessment to determine whether All-Teeth-On-4 may be suitable and to identify any existing dental concerns
Any dental issues identified will be discussed and addressed as appropriate
If suitable, further data such as 3D x-rays or scans will be collected to plan your implants and bridge
The implant posts will be surgically placed and healing time allowed
Once sufficient healing has occurred, you will return to have the bridge secured onto the implants
Each patient’s situation is different and your treatment pathway may vary. We will keep you informed at every stage of the process.
Am I Suitable for All-Teeth-On-4?
All-Teeth-On-4 may be an option for patients looking to replace dentures, who are missing most or all of their teeth on the upper or lower arch, or who need to have most of their teeth removed due to gum disease, severe decay or damage.
A thorough assessment is required to determine suitability. There are some situations where dental implants may not be appropriate, including:
If you have been advised previously that you are not suitable for dental implants due to bone loss, a bone grafting procedure may be worth discussing. Similarly, if gum disease is present, this can often be treated to help prepare the mouth for implant treatment.
The most useful first step is to book an assessment so we can evaluate your situation and discuss which options may be appropriate for you.
Risks & Recovery
Full-arch implant treatments can restore function and stability, but as with any surgical procedure, there are risks and recovery considerations.
Possible risks may include:
- Swelling, bruising or discomfort in the days following surgery
- Minor bleeding during the initial healing period
- Infection or delayed healing in rare cases
- Risk of implant failure if proper healing does not occur
- Nerve irritation or sinus involvement, depending on implant placement
- Higher risk of failure if you smoke or vape
Recovery considerations:
- Initial healing usually takes one to two weeks
- Temporary teeth are often provided within days of surgery, with final teeth placed after full healing
- Full osseointegration of implants typically requires several months
- Patients are advised to follow a soft diet during early healing and attend all follow-up visits
Download Our Price List
Download Our Price List
We take great pride in providing a tailored treatment experience. Everyone’s dental needs are different, which is why we discuss options that are relevant to your specific situation and goals.
Frequently Asked Questions
What is the recovery time after implant surgery?
Most patients return to light activities within a few days. Swelling, bruising and tenderness are common following the procedure and typically improve over time, though individual recovery experiences vary. Full healing, including osseointegration, can take several months. Your dentist will discuss what to expect for your specific situation.
How is All-on-4 different from a denture?
A full-arch implant restoration is fixed in place and does not rely on suction or adhesives. It does not move when eating or speaking, and the implants help preserve the underlying jaw bone, which typically resorbs over time when teeth are missing.
Am I a candidate for All-on-4?
Most patients with failing or missing teeth across a full arch are suitable candidates. A 3D CBCT scan at consultation allows Dr Cai to assess bone volume, gum health, and overall clinical suitability. For patients with severe upper-jaw bone loss, alternative options such as zygomatic and pterygoid implants may be considered.
How do I care for my implant-supported teeth?
Daily cleaning with a soft-bristled toothbrush, low-abrasive toothpaste, and interdental brushes or floss is recommended. Water flossers can also be useful for cleaning beneath the prosthesis. Regular professional check-ups allow your dentist to monitor the implants and address any concerns early.
How long do All-on-4 restorations last?
The implant fixtures are designed as a permanent long-term solution, with published data supporting high survival rates in appropriately selected cases. The prosthesis may require adjustment or replacement over time depending on wear and individual factors. Individual results vary.
Will I leave with teeth on the day of surgery?
In suitable cases, yes. Where implant stability is sufficient, a fixed temporary prosthesis is attached on the same day as surgery. Bone density and clinical findings at the time of surgery influence whether same-day loading is appropriate, and your dentist will confirm this at consultation.
What can I eat after All-on-4 surgery?
A soft food diet is recommended for the first several weeks to allow the implants to integrate without excess load. Suitable options include soup, yoghurt, soft cooked vegetables, and fish. Dietary restrictions are gradually lifted as healing progresses in line with your dentist’s guidance.
What is the difference between the temporary and final prosthesis?
The temporary prosthesis fitted on surgery day allows you to function while the implants integrate. The final prosthesis, typically zirconia or a hybrid material, is fitted once integration is confirmed and offers greater long-term durability. The transition between the two is a planned step discussed at your consultation.
Ready to Discuss Your Options?
If you are considering All-Teeth-On-4 dental implants or would like to explore other options for replacing missing teeth, contact us to arrange a consultation. Our experienced team will assess your situation and discuss the options that may be suitable for you.
DISCLAIMER: The material posted is for informational purposes only and is not intended to substitute for professional medical advice, diagnosis or treatment. Results vary with each patient. Any dental procedure carries risks and benefits. If you have any specific questions about any dental and/or medical matter, you should consult your dentist, physician or other professional healthcare providers.
* Based on 24 months repayments, subject to credit check and finance approval, excludes fees and charges
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