Is All-on-4 Worth It?

A Balanced Look at the All-on-4 Solution

First, What Is All-on-4?

All-on-4 is a full-mouth dental implant technique that uses just four strategically placed titanium implants in the upper or lower jaw to support a full, permanent arch of new teeth. By angling the posterior implants, this technique often maximizes the use of existing jawbone, reducing or eliminating the need for bone grafts.

The Pros: Why Patients Say "It's Worth It"

1. A Complete, Permanent Smile in as Little as One Day. This is the most dramatic benefit. In many cases, patients can have their failing teeth removed, the four implants placed, and a beautiful, fixed temporary bridge attached all in a single appointment. You walk out with a fully functional smile.

2. An End to Denture Problems. All-on-4 eliminates the frustrations of removable dentures. There is:

• No slipping or clicking.

• No messy adhesives.

• No embarrassing moments.

• No bulky plastic covering the roof of your mouth, which allows you to taste food properly again.

3. Restored Chewing Power and Diet. Because the bridge is anchored to your bone, you can regain up to 90% of your natural chewing ability. This means you can enjoy all the foods you've been missing, from steak to apples, improving your nutrition and overall health.

4. Prevents Further Bone Loss. This is a critical, often overlooked benefit. The implants stimulate your jawbone, just like natural tooth roots. This prevents the bone deterioration that inevitably occurs with missing teeth and dentures, helping you maintain your facial structure and a more youthful appearance.

5. Often More Cost-Effective Than Other Full Arch Options. Replacing every missing tooth with an individual implant would require 8-10 implants per arch, along with potential bone grafting. By using only four implants, the All-on-4 technique significantly reduces the overall cost and complexity of the surgery.

The Cons: Important Considerations

1. It Is a Significant Financial Investment. This is the primary consideration for most patients. All-on-4 is a complex surgical procedure requiring a team of specialists. While it's a long-term investment, the upfront cost is substantial. (We will discuss financing options during your consultation.)

2. It Is a Surgical Procedure. Like any surgery, it involves a healing period. You will need to follow a soft diet for a period of time to allow the implants to integrate with your jawbone fully.

3. It Requires Meticulous Oral Hygiene. While your new teeth can't get cavities, you must keep the gums and implants clean to prevent infection (peri-implantitis). This requires diligent daily cleaning, often with special tools like a water flosser.