All-on-4® replaces an entire arch of teeth using only four strategically placed implants. Most patients walk out the same day with a fixed set of teeth—no plates, no adhesives. Here is what that day, and the months that follow, actually look like.
The week before surgery
- 3D cone beam scan to plan implant positions
- Bite records and shade matching for your provisional teeth
- Pre-operative antibiotics and a full medical review
- Arrange a driver and stock up on soft, nutritious foods
Surgery day: 6 a.m. to 6 p.m.
- 6:30 a.m. — Light breakfast (or NPO if IV sedation), arrive with comfortable clothing
- 7:00 a.m. — IV sedation, monitoring, and local anesthesia
- 7:30 a.m. — Any failing teeth are gently removed
- 8:30 a.m. — Four implants are placed at angles that maximize bone contact
- 11:00 a.m. — Provisional bridge is attached to the implants
- 12:30 p.m. — Wake-up, recovery, and your first look in the mirror
- Afternoon — Rest at home with prescribed pain medication and ice
Week 1: Healing without slowing down
Most patients are off prescription pain medication within 48 hours and back to desk work within 3–5 days. Diet stays soft (smoothies, eggs, fish, pasta) and we see you for a check at day 7 to make sure tissue is healing well.
Months 1–4: Osseointegration
Behind the scenes, your jawbone is fusing with the titanium implants—a process called osseointegration. You wear the provisional bridge the whole time and can eat almost anything. We see you every 4–6 weeks for short check-ups.
Month 4–6: Your final teeth
Once integration is complete, we replace the provisional bridge with your final restoration—a custom set of teeth designed for strength, beauty, and easy hygiene. Most patients say this is the moment "everything feels real."
Long-term care
Brush twice a day, floss with a special threader or water flosser, and see us every six months. Implants do not get cavities, but the gum tissue around them needs the same attention as natural teeth.
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