All-on-4 dental implants — full smile in one day, complete guide
Replace an entire arch of missing or failing teeth with just 4 implants. Same-day teeth. $20,000-30,000 per arch. Free 3D consultation. NYU-trained Dr. Natalia.
- ★★★★★ 4.8 from 90+ Google reviews
- NYU DDS
- 5 languages
- Mon-Fri 9am-7pm
What All-on-4 is
All-on-4 is a full-arch dental implant treatment that replaces an entire upper or lower set of teeth using just four strategically-placed implants. The fixed bridge of teeth screws onto the implants and is generally never removed (unlike traditional dentures). Most patients leave the procedure with functional same-day teeth.
It’s for patients who are missing most or all teeth in an arch, or whose remaining teeth are failing (severe gum disease, multiple failing root canals, advanced decay). Instead of dealing with 14 separate problems, All-on-4 solves the whole arch with one procedure.
How the procedure works
Same-day procedure timeline
- Pre-surgery consultation — 3D CBCT scan, treatment planning, impressions for temporary bridge (1-2 weeks before surgery)
- Surgery day morning — extractions of any remaining teeth, placement of 4 implants per arch (2 vertical front + 2 angled back), 2-3 hours per arch under sedation
- Surgery day afternoon — temporary acrylic bridge fitted to implants. You leave with teeth.
- Healing 3-4 months — implants integrate with bone. Eat soft foods.
- Final bridge placement — replace temporary with permanent zirconia or PMMA bridge. Fit, color, and bite optimized.
Cost breakdown
All-on-4 cost in Brooklyn typically ranges $20,000-30,000 per arch. What’s included:
- 4 dental implants per arch ($1,500-2,000 each = $6,000-8,000)
- Extractions of any remaining teeth ($1,000-3,000)
- Temporary same-day bridge ($1,500-3,000)
- Permanent final bridge ($8,000-15,000 depending on material)
- All consultations, 3D imaging, surgery, follow-ups
Both arches: $35,000-55,000 typical.
Compared to alternatives:
- Traditional dentures: $1,500-3,000 per arch BUT need replacement every 5-7 years, plus relines, plus food limitations, plus bone loss
- Individual implants (8-10 per arch): $20,000-35,000 per arch — same cost as All-on-4 but more surgical sites
- Implant-supported overdenture (snap-on): $8,000-15,000 per arch — removable, lower cost, but less stable than All-on-4
Who is a good candidate
Good candidates for All-on-4:
- Multiple missing teeth across the arch (typically 6+)
- Remaining teeth severely compromised (advanced gum disease, recurrent decay, multiple failed root canals)
- Currently wearing dentures and unhappy with them
- Want fixed teeth (not removable)
- Adequate jawbone in front (back can use angled implants in less bone)
- Generally healthy adult (uncontrolled diabetes and active smokers have higher failure rates)
Not great candidates: heavy smokers (we ask you to quit 3+ months before), patients with uncontrolled diabetes (HbA1c >7), recent head/neck radiation, severe bruxism without willingness to wear night guard.
What All-on-4 actually feels like
Patient experiences we hear most often:
- “I can eat steak again” — biting force returns to about 80% of natural teeth (vs 20-25% for traditional dentures)
- “I don’t have to think about my teeth anymore” — no removal, no soaking, no adhesive
- “Healing was easier than I expected” — first 3-5 days are uncomfortable (managed with ibuprofen), then quickly improves
- “My face looks fuller” — bone preservation maintains face shape
- “I lost weight from soft-food healing diet” — common 5-10 lb temporary loss during 3-4 month healing
Frequently asked questions
Why only 4 implants instead of one per tooth?
Four strategically-placed implants distribute force across the entire arch. The two back implants are angled (tilted 30-45°) to engage more bone and avoid sinus/nerve structures. This eliminates the need for bone grafting in most cases.
Will the implants set off airport metal detectors?
No. The titanium amounts are too small to trigger standard security scanners.
How long does the final bridge last?
The implants themselves: typically lifetime with proper care. The bridge on top: 10-20 years depending on material (zirconia lasts longer than acrylic).
Can I get All-on-4 financing?
Yes. CareCredit and similar healthcare financing extend payments over 24-60 months. For both arches, monthly payments typically $700-1,500.
What’s recovery like?
Day 1: soreness managed with ibuprofen + cold compresses. Days 2-5: gradually improving discomfort. Days 6-14: minor swelling resolves, comfortable soft diet. Months 1-4: implants integrating, transition gradually to firmer foods.
Schedule your consultation
Free consultation. Russian, Polish, Ukrainian spoken. Medicaid + 18 insurance plans accepted.
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