All-on-4 dentures — same-day fixed teeth, complete guide
Replace an entire arch with just 4 implants and same-day fixed teeth. $20,000-30,000 per arch. NYU-trained Dr. Natalia. Free 3D consultation.
- ★★★★★ 4.8 from 90+ Google reviews
- NYU DDS
- 5 languages
- Mon-Fri 9am-7pm
What All-on-4 actually 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 surgery with same-day fixed teeth that look and function similar to natural teeth. The “denture” terminology is misleading — these don’t come out, slip, or feel like dentures.
How the procedure works
Treatment timeline
- Pre-surgery consultation (1-2 weeks before): 3D CBCT scan, treatment planning, custom temporary bridge fabricated
- Surgery day morning: Extractions of any remaining teeth + placement of 4 implants per arch under sedation. 2-3 hours.
- Surgery day afternoon: Temporary acrylic bridge attached to implants. You leave with teeth.
- Healing period (3-4 months): Soft food diet, follow-up at 2 weeks, 1 month, 3 months.
- Final bridge placement: Permanent zirconia or premium PMMA bridge replaces temporary. Best fit, color, and bite optimization.
Why "All-on-4" (and not All-on-8)
Four strategically-placed implants distribute biting force across the entire arch:
- Two vertical implants in front (where there’s the most bone)
- Two angled implants in back (tilted 30-45° to engage maximum bone and avoid sinus/nerve structures)
This design eliminates the need for bone grafting in most cases — a major time and cost savings. More implants (All-on-6 or All-on-8) sometimes provide additional support but add complexity and cost without proportional benefit for most patients.
Cost breakdown
All-on-4 cost in Brooklyn: $20,000-30,000 per arch. Both arches: $35,000-55,000.
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)
- 3D CBCT imaging
- Surgery + sedation
- All consultations + follow-ups
Financing: CareCredit 0% APR for 24-60 months. $25,000 case = $416/month for 60 months at 0%.
Who is a good candidate
Good candidates for All-on-4:
- Missing 6+ teeth across the arch, or facing massive tooth loss
- Currently wearing traditional dentures and unhappy with slipping/bone loss
- Want fixed teeth (not removable)
- Generally healthy (uncontrolled diabetes and heavy smokers have higher failure rates)
- Adequate bone in the front jaw (the back angled implants can work in less bone)
- Willing to commit to 4-6 month healing period
Not great candidates:
- Heavy smokers (must quit 3+ months before)
- Uncontrolled diabetes (HbA1c >7)
- Recent head/neck radiation therapy
- Severe untreated periodontal disease (treat first)
- Severe bruxism without willingness to wear protective night guard
What patients actually experience
Common patient experiences:
- “I can eat real food again” — bite force returns to ~80% of natural teeth
- “I don’t think about my teeth” — no removal, soaking, adhesive
- “My face shape came back” — bone preservation supports natural facial structure
- “Healing was easier than I expected” — first 3-5 days uncomfortable (ibuprofen managed), quickly improves
- “Best money I’ve spent” — common after 1-2 years of normal eating
Frequently asked questions
How long does All-on-4 last?
Implants: typically lifetime with proper care. Bridge on top: 10-20 years (zirconia lasts longer than acrylic). Annual professional cleaning + good home hygiene maximize longevity.
Will it look natural?
Yes. The final bridge is custom-designed to match your face shape, age, and natural tooth color. Most patients report friends/family don’t realize the teeth aren’t natural.
Can I do All-on-4 if I have no remaining teeth?
Yes — All-on-4 is exactly designed for fully or nearly-edentulous patients.
What’s recovery actually like?
Day 1: numb, mild soreness manageable with ibuprofen + cold compresses. Days 2-5: gradually improving. Days 6-14: minor swelling resolves, comfortable soft food eating. Month 1-4: progressive return to normal diet.
Are there alternatives if I can’t afford All-on-4?
Snap-on implant overdentures ($8,000-15,000) provide most benefits at lower cost. Traditional dentures ($1,500-3,000) is the cheap option but with all the drawbacks.
Schedule your consultation
Free consultation. Russian, Polish, Ukrainian spoken. Medicaid + 18 insurance plans accepted.
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