All-on-4™ (Locking Dentures)

Who is a Candidate for All-on-4™?

Ideal candidates for All-on-4™ are typically those who need to replace one or both arches of teeth. This technique is often incorporated into full mouth reconstruction plans for comprehensive smile rejuvenation. In many cases, switching to implant-supported dentures can help those who currently have traditional dentures enjoy greater comfort and smile aesthetics. For patients with one or more of their natural teeth still remaining, one of our dentists can determine if extraction or another restorative technique will best suit you. 

One thing that is important to note is that patients interested in All-on-4™ must have sufficient jawbone density to support the dental implants used to anchor the denture prosthetic. During your consultation process, one of our dentists can assess the state of your mouth and jaw to determine whether you are a good candidate. That said, one of the major benefits of the All-on-4™ system is that it usually requires only 4-6 implants per arch, so many people who have been told they were not good candidates for implant restorations in the past may still be eligible for this treatment.

All-on-4™ vs. Traditional Dentures

Traditional, removable dentures have been around for hundreds of years, and they continue to be an option for patients seeking full arch restoration. However, they can also be problematic in many ways:

• They can slip, move, and feel unstable.
• Food gets trapped underneath, causing discomfort and possible infections.
• They often require glue to stay in, which is unpleasant to most people.
• Often look fake or “bulky.”
• For an upper denture, the roof of the mouth is covered with plastic/acrylic, which is cumbersome and affects taste perception, speech, and comfort.
• For a lower denture, retention is extremely poor, as the tongue invariably moves it around. In addition, the bulky plastic/acrylic is quite uncomfortable for most people.

For patients currently in need of full arch replacement—and those who currently have removable dentures—All-on-4™ can provide an excellent alternative. By anchoring the denture prosthesis securely to a set of dental implants, many of the most common complaints associated with removable dentures can be minimized or outright eliminated.

If you are interested in switching from traditional dentures to All-on-4™, we encourage you to schedule a consultation with one of our experienced dentists. They can evaluate your jawbone and determine whether or not implant dentures are a good fit for your needs and goals.

How Long Do All-on-4™ Results Last?

With proper care, All-on-4™ locking dentures can last for decades or even a lifetime. The dental implants used to anchor your locking dentures are designed to become a permanent part of your mouth, fusing fully with the jawbone and gum tissue. That said, the denture prosthetic itself may need to be replaced at some point. This is because the biting and chewing surface sustains natural wear and tear over time.

In order to promote the longevity of your denture appliance, our dentists recommend brushing and flossing regularly and attending your twice-yearly dental visits. This allows a professional to assess your appliance and notice any potential issues—such as teeth grinding—in advance. We also advise patients to avoid biting into excessively hard or pitted foods—such as cherries or ice cubes—that can subject your dentures to excess wear.

Additional Frequently Asked Questions About All-on-4™

Is All-on-4™ Painful?

The All-on-4™ dental implant procedure is generally well-tolerated, and many patients report only minimal discomfort. During the procedure, you’ll be under local anesthesia or sedation, so you won’t feel pain. Afterward, some patients experience mild soreness or swelling, which can be managed with prescribed pain relievers and cold compresses. Within a few days, most discomfort subsides as you start to heal.

Do All-on-4™ Teeth in a Day Look Natural?

Yes, All-on-4™ implants are designed to look and feel natural. Our skilled Buxton dentists customize your prosthetic teeth to match the shape, color, and contours of natural teeth. The implants are securely anchored in the jaw, creating a stable base for a realistic smile. This “Teeth in a Day” approach gives you a new smile that closely resembles natural teeth both aesthetically and functionally.

What Can I Eat With All-on-4™?

After initial healing, All-on-4™ implants provide almost the same biting and chewing capabilities as natural teeth, allowing you to enjoy a wide range of foods. During the initial recovery phase, it’s recommended to stick to soft foods, but once healed, you can enjoy firmer foods like fruits, vegetables, meats, and more. All-on-4™ offers a secure bite, meaning you can eat your favorite meals without fear of slippage or discomfort.

Does Insurance Cover All-on-4™ Dental Implants?

Insurance coverage for All-on-4™ dental implants varies by provider and policy. Many dental insurance plans offer limited coverage for implant procedures. You may also find that some medical insurance plans contribute toward the cost if the procedure is medically necessary. It’s best to consult with your insurance provider to understand your coverage. Our team can help you explore payment plans or financing options as well.

How Do I Care For My All-on-4™ Implant Dentures?

Caring for All-on-4™ implant dentures is similar to caring for natural teeth. Brush your implants twice a day with a soft-bristle toothbrush and non-abrasive toothpaste. Floss or use water flossers to clean around the implants, and visit your dentist regularly for check-ups and professional cleanings. Practicing good oral hygiene helps maintain your implants and prolongs their lifespan, keeping your smile looking and feeling great.

For more information about All-on-4™, or to schedule a consultation, please contact our office today.

Medical References

WebMD: Guide to Dental Implants
Nobel Biocare: All-on-4™ Treatment Concept