The All-On-4 technique is a method developed for fully edentulous patients, particularly beneficial for those who prefer to avoid sinus lift surgeries in the upper jaw or nerve lateralization procedures in the lower jaw when insufficient bone exists over the mandibular nerve canal. It is ideal for patients who wish to avoid lengthy waiting periods or additional surgical interventions. This technique provides patients with a stable, fixed restoration, allowing for a confident smile and comfortable eating experience. The procedure is personalized, with treatment plans created based on measurements from computed tomography (CT) scans. The process consists of two main stages: surgical placement of implants and prosthetic restoration, both of which are completed in a single session. Initially, a temporary fixed prosthesis is placed, followed by the final permanent prosthesis after three months.
The All-On-4 technique is suitable for individuals of all age groups who are completely edentulous and have been deemed eligible based on clinical and radiological evaluations. It is particularly recommended for patients who are not ideal candidates for sinus lift surgery in the upper jaw, those who prefer to avoid extended treatment periods, or those with insufficient bone above the nerve canal in the lower jaw who wish to avoid additional surgical procedures.
The All-On-4 technique is not significantly different from a traditional implant procedure, except that two implants are placed straight, and the other two are positioned at an angle. Local anesthesia is used during the procedure, ensuring that no pain is felt. Post-procedure, discomforts like swelling or mild pain—similar to those experienced after tooth extraction—may occur but can be managed with prescribed medications. A major advantage of the All-On-4 technique is that the surgical procedure and prosthetic placement are completed in a single session on the same day. Additionally, this method eliminates the need for additional treatments such as sinus lifting, bone grafting, or nerve lateralization. After just one session, patients achieve a beautiful smile and regain comfortable chewing functionality.
