All-on-4 Dental Implants

The All-on-4 technique offers patients a more affordable solution to this problem, as a complete upper or lower arch of teeth can be supported by four optimally placed dental implants. It was originally developed in the 1990’s by the Portuguese dentist Paulo Malo who worked in conjunction with Nobel Biocare, one of the best known dental implant companies in the world.


Average Price: $13,430.00

Why All-on-4?

Many people dislike removable complete dentures due to struggles with slipping/shifting, demanding maintenance requirements and/or food restrictions. Lower dentures can be particularly challenging due to the changing shape of the jawbone (becoming flatter and less able to provide retention) after teeth are extracted.

Dental implants are a great solution to these difficulties and excellent alternatives but six or eight implants are typically required to restore a full arch of teeth which can be quite expensive($34,000+).

The All-on-4 technique offers patients a more affordable solution to this problem, as a complete upper or lower arch of teeth can be supported by four optimally placed dental implants. It was originally developed in the 1990’s by the Portuguese dentist Paulo Malo who worked in conjunction with Nobel Biocare, one of the best known dental implant companies in the world.

The technique involves placing two implants at the front of the arch, in the positions normally occupied by your incisors (front teeth) and two implants placed beside them – one on each side. These are placed at a 45 degree angle tilting away from the front implants. The angle helps to maximize the use of bone in this area as slightly longer implant posts can be used for the angled implants, providing greater support for the replacement teeth. These four implants can support an entire arch of twelve or fourteen teeth.

This procedure is not suitable for everyone, but is worthy of consideration by anyone who is missing a complete arch of teeth.




What are the Benefits Compared to Regular Dentures

The benefits of All-on-4 implants over regular dentures include:

  • Bone preservation. Dental implants help to preserve the bone in the jaw. In comparison, dentures can accelerate this bone loss due to the pressure of the denture sitting on the gums and the underlying jawbone.
  • Increased comfort. The restoration is supported by implants instead of gum tissue, so it does not rub or create sore patches.
  • Improved diet. Denture wearers need to avoid certain foods that are difficult or nearly impossible to eat because they are too hard or crunchy and could damage the denture. Implants are strong enough to withstand these forces, allowing you to eat a more healthy and varied diet and enjoy increased bite strength.
  • Improved self-confidence. Implant supported teeth do not move around when you eat or speak, so you can socialize without any fear of embarrassment resulting from your teeth moving or slipping out of position.
  • Improved appearance. Tooth and bone loss in the jaw affects facial dimensions and can make you look years older than you actually are. All-on-4 teeth are constructed to replace height lost in between your upper and lower jaws, and will support your cheeks and lips.
  • No need for messy adhesives. Teeth will be permanently fixed to the dental implants.


How does the procedure work?

Your dentist will evaluate your mouth by performing various diagnostic tests including a CT scan and dental x-rays to measure the amount of available bone in your jaw and its density. They may also use specialized software to plan the implant placement and create surgical guides that enable the dentist to insert the implants into exactly the right position.

A new, temporary denture is created prior to the implant surgery and will be modified to provide a personalized fit immediately after the posts are placed. Since there are only four posts to fit the restoration onto, the entire process is relatively quick and you will leave with your new teeth in position and ready to use.

It is important to note that your new set of teeth are temporary as your dental implants still need time to heal and integrate with your jawbone. Your gums and jawbone should be fully healed after three to six months. At this stage, your dentist will remove your temporary teeth and can take impressions for the permanent denture which will be stronger and fit more comfortably.


What are the Potential Problems and Risks?

All types of oral surgery carry some amount of risk, and although the success rate for dental implants is around 95%, a number of different problems including Infection, Loose Implant, Sinus Problems, Overloading and others are possible and a small percentage will fail.

It is vitally important for anyone with dental implants to make sure they are thoroughly cleaned frequently in order to keep them free from plaque and food debris. Regular check-ups and professional cleanings are also essential. With proper planning and care, the risks can be minimized. All-on-4 is a very specialized technique so it is important to make sure you choose the right surgeons who has the proper training and experience.


What can I save on the cost of the procedure abroad?

For many people, the cost of treatment is the primary factor during the decision-making process, so we’ve collected the data submitted by people who have undergone the procedure. An upper and lower arch of implant supported teeth using the All-on-4 system typically in the US costs between $30,000 and $48,000. In Cancun, Mexico and Guatemala City, Guatemala you can find top-rated providers for both arches for between $10,000 and 12,000.


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