Explore full-arch treatment supported by four implants, with CBCT-led assessment, coordinated surgical and prosthetic planning, clear provisional-versus-final bridge terms, and structured follow-up.
All-on-4 can be appropriate for selected adults who have lost—or have a carefully confirmed poor prognosis for—most or all teeth in one arch. It is not a universal four-implant solution, and it should not mean removing maintainable teeth without a documented reason.
Suitability, implant number and position, extractions, grafting, immediate loading, anaesthesia, bridge design, visit schedule, and aftercare are individual clinical decisions. Same-day fixed teeth cannot be promised before surgery.
All-on-4 describes a fixed full-arch dental prosthesis supported by four implants in the treated jaw. In the original concept, two implants are generally placed more vertically toward the front and two posterior implants are tilted. The final positions depend on the patient’s anatomy and restorative plan.
The four implants support one connected bridge; they do not replace only four teeth. Treatment of both upper and lower jaws usually means a separate plan and implant set for each arch.
All-on-4® is a Nobel Biocare trademarked treatment concept. Some providers use “all-on-four” more broadly. Ask which implant system and components are proposed, whether the branded protocol is intended, and what documentation you will receive.
A clear quotation names every layer of the reconstruction and distinguishes the temporary teeth from the definitive prosthesis.
Four implant fixtures are planned for one treated arch. Their position, dimensions, system, surface, and primary stability are clinical matters—not choices made from a price list alone.
Confirm: exact system, manufacturer, component availability, and implant record.
Multi-unit abutments, screws, cylinders, or other connectors link the bridge to the implants. Components must be compatible with the chosen system and accessible for maintenance.
Confirm: genuine or compatible parts, retention, and repair pathway.
“Teeth in a day” commonly refers to a fixed provisional bridge. It may be attached only if the implants reach the team’s loading criteria; it is usually not the final bridge and requires protected function during healing.
Confirm: the backup plan if immediate loading is unsafe.
The final prosthesis is planned after healing and reassessment. Framework, tooth and gum material, cleansability, lip support, speech, bite, repairability, and laboratory design all matter.
Confirm: material, warranty or remake terms, reviews, and maintenance.
Photographs and a panoramic X-ray can support an initial discussion, but final eligibility normally requires an in-person clinical examination and three-dimensional imaging when indicated.
X-ray review: cottonbro studio / PexelsThe team assesses existing teeth, decay, fractures, previous treatment, gum disease, infection, and whether teeth can reasonably be preserved. Extraction of maintainable teeth should not be assumed.
Ask for a tooth-prognosis review →
Implant kit: Beyza Kaplan / PexelsMedical history, allergies, medicines, smoking, diabetes control, immune or healing conditions, previous radiotherapy, and antiresorptive or anticoagulant medicines may change risk and timing. Do not stop prescribed medicine unless your own clinician directs you.
Share relevant history securely →
Implant components: Jonathan Borba / PexelsBone height, width and quality, jaw shape, maxillary sinus, nasal cavity, mandibular nerve, and planned prosthetic position are reviewed. All-on-4 may reduce grafting in selected cases, but it does not guarantee graft-free treatment.
Request imaging-led planning →
Prosthetic work: Ivan Babydov / PexelsJaw relationship, bite forces, grinding, smile line, lip support, speech, tooth display, hygiene access, and available prosthetic space shape the plan. Surgery should follow the intended tooth position.
Discuss the restorative plan →The final recommendation may be All-on-4, more implants, an overdenture, individual implants, conventional dentures, staged grafting, treatment of natural teeth, or no implant surgery. A responsible assessment preserves options.
Full-arch treatment is a team process involving clinical examination, imaging, implant surgery, restorative design, laboratory production, and long-term maintenance.
These photographs directly illustrate dental consultation, digital review, and full-arch laboratory assessment. They are editorial examples—not VIPmedi patients, partner facilities, All-on-4 cases, procedures, or results.
Medical and dental histories, examination, photographs, periodontal findings, panoramic imaging, CBCT when indicated, and the prognosis of each remaining tooth.
Planned tooth position, bridge volume, lip support, smile line, speech, bite, hygiene contours, material, and repair access guide implant placement.
The consent process should cover what happens if extractions, bone quality, infection, anatomy, or implant stability differ from the preliminary plan.
The best option depends on anatomy, remaining teeth, health, hygiene ability, functional needs, restorative space, long-term maintenance, and informed preference.
A fixed connected bridge on four implants. Tilted posterior implants may help use available bone, but grafting is not automatically avoided.
Ask: why four is appropriate for this arch and what happens if one implant is lost.
Six or eight planned implants may alter support distribution, options, surgery, hygiene, and cost. More implants are not automatically better or possible.
Ask: why the proposed number fits the bone and restorative design.
A removable prosthesis clips onto implants. It may improve stability and can be easier to clean, but attachments, fit, and maintenance require review.
Ask: retention system, daily removal, repairs, relines, and component access.
Treating maintainable teeth, individual implants, conventional bridges, or dentures may be appropriate. Some patients need staged grafting or should avoid implants.
Ask: benefits, risks, reversibility, maintenance, and no-treatment consequences.
The exact sequence and travel schedule depend on diagnosis, healing, surgical findings, the provisional plan, laboratory workflow, and review criteria.
The clinical team should confirm how many visits and nights are appropriate, what can change after examination or surgery, and how follow-up will work after you return home. Keep reasonable flexibility around treatment.
Age alone does not decide candidacy. The team must assess whether implant surgery and a full-arch prosthesis are reasonable for the person’s health, anatomy, dental condition, hygiene ability, and expectations.
Adults missing all teeth in an arch, or with extensive tooth failure after a tooth-by-tooth prognosis review, may be considered for fixed full-arch rehabilitation.
Smoking, uncontrolled diabetes, medicines, immune or healing disorders, previous radiotherapy, and other health factors may increase risk or require medical coordination.
The person must be able and willing to clean around the implants and under the bridge, attend reviews, follow early dietary instructions, and arrange local continuity of care.
VIPmedi can coordinate an enquiry with participating dental services across established hospital networks in Turkey, subject to the branch, clinical team, equipment, and appointment availability appropriate to your case.
Acıbadem
Memorial
Medical Park
Medipol
MedicanaThe named hospital or clinic, branch, affiliated sub-brand, implant surgeon, restorative dentist, laboratory, implant system, prosthesis plan, and availability are confirmed case by case. Not every branch provides every implant or full-arch service.
Full-arch estimates are usually built per treated arch—not per tooth. A responsible quotation separates diagnostics, surgery, the provisional bridge, and the definitive prosthesis.
All-on-4 requires daily cleaning and professional maintenance. Fixed does not mean maintenance-free, and neither implants nor prosthetic components have a guaranteed lifetime.
Use prescribed medicines exactly as directed, follow the clinician’s diet and hygiene plan, and avoid smoking. Do not start or stop medication without appropriate clinical advice.
A provisional bridge is more vulnerable during osseointegration. Follow food-texture and loading instructions and report movement, breakage, bite changes, or worsening symptoms.
Use the toothbrush and bridge-cleaning aids recommended for your design. The team may suggest floss threaders, interdental brushes, or an oral irrigator as an adjunct.
Plan professional checks of tissues, bone, implants, screws, bridge, bite, hygiene access, wear, and any grinding—both in Turkey and with a suitable local dentist.
Use the Contact Us page to describe missing or failing teeth, dental and medical history, medicines, smoking, previous implants or dentures, and preferred travel period. Ask how requested photographs, X-rays, or records should be shared securely.
It means one fixed full-arch prosthesis supported by four implants in the treated jaw. In the original concept, two anterior implants are generally straighter and two posterior implants are tilted. Final placement depends on anatomy and prosthetic planning.
Four implants support one treated arch. If both upper and lower jaws are treated, each normally needs its own assessment, implant plan, and prosthesis. Ask whether a quotation is for one arch or both.
No. The four implants act as supports for one connected full-arch bridge. This differs from replacing selected teeth with individual implant crowns.
Not automatically. Every remaining tooth should receive a documented prognosis. The dentist should explain which teeth are maintainable, which are not, why extraction is proposed, and what tooth-preserving alternatives exist.
Sometimes a provisional fixed bridge can be attached soon after surgery, but only if implant stability and other clinical criteria are met. The decision may change during surgery. Ask for the planned alternative if immediate loading is unsafe.
Usually it is a provisional prosthesis intended for the healing period, not the definitive bridge. Confirm its material, diet and care restrictions, repair terms, and when and how the final prosthesis will be made.
No. Tilted implants may help use available bone in selected anatomy, but CBCT findings, defects, sinus position, infection, implant stability, and the restorative plan may still indicate grafting, another procedure, more or fewer implants, or a different treatment.
No implant number is automatically best. The choice depends on bone, anatomy, restorative space, implant distribution, health, hygiene, prosthesis design, maintenance, risk planning, and the surgeon-restorative team’s clinical reasoning.
Suitability may be affected by uncontrolled dental infection, untreated gum disease, poor healing capacity, inadequately controlled medical conditions, smoking, certain medicines or previous treatments, unsuitable anatomy, inability to clean the bridge, or lack of follow-up. An individual team must assess these factors.
Implant surgery is commonly performed with local anaesthesia; sedation or general anaesthesia may be considered in selected settings. Postoperative pain, swelling and bruising vary. The treating team should discuss anaesthesia, anticipated recovery, prescribed medicines, and individual risks.
The clinical team determines the schedule after reviewing extractions, surgical complexity, immediate or delayed loading, provisional work, healing, laboratory stages, and required reviews. Full-arch treatment may involve separate surgical and definitive-prosthesis visits. Keep travel flexible.
Osseointegration takes time and varies with the jaw, bone, surgery, implant stability, health, smoking, and healing. The final bridge should be timed according to clinical reassessment rather than a universal calendar promise.
Brush as directed and clean the space under the bridge with aids recommended for its design, such as a floss threader, suitable interdental brush, or oral irrigator as an adjunct. Professional maintenance remains necessary.
Confirm each arch, teeth to preserve or extract, clinician and branch, imaging, implant system and components, grafting, anaesthesia, provisional backup, definitive bridge material and laboratory, visits, maintenance, travel services, exclusions, and complication or remake policy. Contact VIPmedi for an individual enquiry.
Tell us about your teeth or dentures, relevant medical and dental history, previous imaging, and when you hope to travel. VIPmedi can help coordinate the next appropriate enquiry with a participating partner facility.
Use the contact page for your initial enquiry. Avoid sending identity documents or full medical records in the first message; ask how requested information should be shared securely.
