What Are All-on-4 Dental Implants?
All-on-4 (also called Teeth-on-4) is a groundbreaking implant technique developed by Dr. Paulo Malo that allows an entire arch of teeth to be permanently supported by just four titanium implants. The two front implants are placed vertically, while the two back implants are angled at 45 degrees to maximize bone contact and provide immediate stability.
This innovative approach is particularly beneficial for patients who have been told they don't have enough bone for traditional implants, as the angled placement often eliminates the need for bone grafting procedures.
Advantages of All-on-4 Over Traditional Dentures
- Permanent, non-removable teeth that never slip or shift
- Restores 90%+ of natural biting and chewing force
- Preserves jawbone and prevents facial structure collapse
- No messy adhesives or overnight soaking required
- Looks completely natural — no one will know they are implants
- Same-day results: walk in with failing teeth, walk out smiling
- Often no bone grafting needed
- More affordable than individual implants for full arch replacement
The All-on-4 Procedure at Our Philadelphia Practice
Your All-on-4 journey begins with a comprehensive free consultation including 3D CBCT imaging. Our specialists digitally plan every aspect of your treatment for optimal results. On surgery day, any remaining failing teeth are extracted, the four implants are placed, and a temporary set of beautiful teeth is attached — all in one visit.
After a healing period of approximately 3-6 months, your permanent zirconia or acrylic prosthesis is fabricated and placed, giving you a stunning, durable smile that can last a lifetime with proper care.
All-on-4 vs. Traditional Implants: Which Is Right for You?
For patients missing most or all teeth in an arch, All-on-4 is typically more cost-effective and faster than placing 6-8 individual implants. However, for patients missing only a few teeth, individual implants may be the better option. Our specialists will recommend the ideal solution during your free consultation.
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