Replace missing teeth
All-on-4 replaces a whole arch of teeth with a fixed bridge supported by four implants placed at carefully chosen angles. It suits people who have lost most of their teeth or are tired of loose dentures. The teeth stay in day and night and you brush them like natural teeth.
Led by Dr Ruchi Goel
Dr Ruchi GoelIs this for you?
How it works
Four implants are placed in the front and angled back portion of the jaw, where bone is usually strongest, so many people avoid a bone graft. A full-arch bridge is then fixed onto them. In suitable cases a fixed temporary set of teeth is fitted soon after surgery, and the final bridge follows once the implants have healed.
Your options
Step by step
Before anything starts
After the examination you get a written plan: your options, what each step involves and how many visits it takes — itemised part by part. You decide before anything begins, and there's no pressure to start that day.
Results
Full-mouth
Worn and broken teeth rebuilt as part of a full-mouth rehabilitation.
BeforeAfterShared with patient consent. Individual results vary. All results
“Six years after my implant… it is no different from my other teeth, colour-wise or size-wise. Even my wife could not notice it.”Subhash · Implant with bone graft · verified on Practo
Aftercare and who treats you
Expect some swelling and tenderness for the first few days. Stay on soft food while the implants heal, keep the bridge very clean with a water flosser or special floss as shown, and attend every review. Not smoking improves healing and long-term success.
Full-arch rehabilitation needs a prosthodontist who plans the surgery and the final teeth together. Dr Ruchi Goel (MDS Prosthodontics, AIIMS New Delhi) designs the bite, the smile line and the implant positions as one plan.
FAQs
All-on-4 is a way of supporting a full arch of fixed teeth on four implants. It suits people who have lost most of their teeth, or whose remaining teeth are failing, and who want fixed teeth instead of dentures.
Many patients prefer it because the teeth are fixed, don't slip and let them chew more confidently. Dentures are still a good option for some people, and we explain both before you decide.
With careful cleaning and regular reviews, the implants can last many years, often decades. The visible teeth of the bridge can wear and may need repair or replacement over time.
In suitable cases a fixed temporary bridge can be fitted soon after surgery. Whether this is safe for you depends on bone quality and the stability of the implants, which we check on your scan.
Often yes. The angled implants are designed to use the denser bone available, which can avoid a graft. A 3D scan shows whether your bone is enough or whether another plan is safer.
You brush them twice a day and clean underneath daily with a water flosser or special floss. We show you the technique, and professional cleaning every six months keeps the gums healthy.
Questions about all-on-4 dental implants?
