All-on-Four Dental Implants: Fast, Fixed Teeth In Turkey

All-on-Four places four strategically positioned implants (two straight anterior, two tilted posterior) to support a full-arch bridge. By using available native bone and tilting posterior implants to avoid anatomical limits, treatment is often graft-sparing and less invasive—focused on getting you back to confident chewing and smiling.

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What Is All-on-Four?

All-on-Four is a way to replace all the teeth in one jaw with a single, fixed bridge that sits on four dental implants. Two implants go straight in the front of the jaw, and two are placed at an angle farther back. Angling the back implants lets the dentist use your existing bone and often avoid bone-grafting. In many cases, a temporary set of fixed teeth is attached the same day as surgery; after the jaw heals, a stronger final bridge is fitted.

Immediate function is planned once healing milestones are met. The duration of dental implant treatment may vary depending on the number of implants and any additional procedures (bone grafting, sinus lifting, etc.). In general, the procedure is completed in two visits, and it typically takes 3–6 months for the implants to integrate with the bone.

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Who Is a Good Candidate?

People who have lost most or all teeth, need multiple extractions, or are unhappy with removable dentures. Candidacy is confirmed after examination and 3D imaging (CBCT), reviewing medical history, bite, bone volume, and hygiene habits.

Your Treatment Journey

• Remote consult & 3D planning: share panoramic/CBCT; digital plan confirms implant positions and need for any grafting/sinus lift.
• Visit 1 (Surgery day): extractions if needed; placement of four implants (two straight anterior, two tilted posterior). A provisional solution is provided according to your plan and healing needs.
• Healing phase: osseointegration typically 3–6 months; soft diet and hygiene guidance; scheduled follow-ups.
• Comfort options: treatment is usually under local anaesthesia; sedation can be arranged for anxious patients. Expect mild swelling/soreness for a few days, manageable with standard medication.

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Results & Longevity (What Research Shows)

Long-term cohorts of the All-on-Four concept report very high survival: prosthesis survival around ~99% at up to 10 years and implant survival commonly in the mid-90% range, with mandibular data extending to 10–18 years. Maintenance and meticulous hygiene strongly influence success.
Plain-language take: with proper care, most people keep their All-on-Four bridges comfortably well beyond a decade.

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Materials for the Final Bridge

Monolithic / veneered zirconia
High strength and aesthetics; fewer late acrylic-tooth issues than metal-acrylic in many reports. Repairs are less frequent but can be more specialised.

Metal-acrylic hybrid (acrylic/PMMA on a titanium bar)
Cost-effective and straightforward to repair chairside. More delayed prosthetic events over the years (tooth wear/chipping) than zirconia. Hybrid mixes (e.g., zirconia occlusals on a metal-resin base) may reduce wear.

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Aftercare: First 72 Hours & Ongoing Hygiene

First 48–72 hours
Rest with head elevated; intermittent ice for swelling. Soft, cool foods; avoid vigorous rinsing, straws, smoking, and strenuous activity. Follow your prescribed medications.

Daily hygiene thereafter
Brush twice daily (soft/electric), clean under the bridge with interdental brushes/floss threaders, and use a water flosser to flush the intaglio (tissue) surface. Professional maintenance every 6–12 months with periodic radiographs.
If a provisional chips, it’s usually not an emergency—contact us to arrange a quick repair or adjustment.

Transparent Pricing & What’s Included

Your personalised plan depends on extractions, sedation, implant/abutment system, additional procedures (e.g., grafting/sinus lift), and final material. Request an itemised proposal covering diagnostics (CBCT, scans), surgery, provisional solution, final bridge (zirconia or metal-acrylic), post-op checks, and any logistics. Headline prices online vary widely—what matters is what’s included and who provides aftercare.

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All-on-Four vs All-on-Six vs Overdentures

All-on-Four: efficient, graft-sparing by tilting posterior implants; planned for early function after biological milestones.
All-on-Six: additional implants for selected anatomies/biomechanics to distribute loads; CBCT-based decision.
Implant-retained overdentures: removable, budget-conscious upgrade over conventional dentures—major boost in comfort, stability and chewing efficiency.

Alternatives to All-on-Four (When Might a Different Option Fit Better?)

1. Implant-Supported Fixed Bridges 
   Pros: May enhance load distribution in selected anatomies; strong short- to mid-term outcomes.
   Cons: More implants → higher surgical/time investment; case-by-case.

2. Implant-Retained Overdentures (2–4 implants, removable)
   Pros: Lower cost than fixed bridges; big improvement over conventional dentures.
   Cons: Not fixed; attachments need maintenance; maxillary results can be less predictable than mandibular.

3. Conventional Complete Dentures (no implants)
   Pros: Most economical; digital/CAD-CAM workflows can improve fit and experience.
   Cons: Least stable—especially in the lower jaw; reduced chewing efficiency.

4. Segmental / Single-Tooth Implants & Short-Span Bridges
   Pros: Tooth-by-tooth feel, preserves healthy sites, phased treatment.
   Cons: Multiple surgeries/visits if many teeth are missing.

5. Mini Dental Implants (MDIs) for Overdentures
   Pros: Can stabilise a lower overdenture with less-invasive surgery.
   Cons: Lower survival reported in the upper jaw; more attachment wear—careful selection needed.

6. Removable Partial Dentures (for partial tooth loss)
   Pros: No surgery; quick and economical.
   Cons: Do not prevent ridge resorption; stability/chewing limited vs implant options.
    

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Why Choose Sohodent

Experienced full-arch team, digital planning, and modern equipment.

English-speaking coordination and smooth logistics from first consult to follow-ups.

Independent review footprints you can check (plus Patient Stories below).

Reviews & Patient Stories (real journeys, clear outcomes)

Independent reviews:

1) “Same-day fixed teeth changed my confidence”

Plan: Full-arch All-on-4 with extractions and immediate provisional.

Day 1: Surgery in the morning → fixed bridge fitted the same day; swelling minimal, pain controlled.

Follow-up: Bite checks on day 2–3, remote check-ins during healing; final zirconia delivered after integration.

Outcome: “I could eat soft foods straightaway and felt presentable at work within a week.”

Read independent comments: Trustpilot • Clinic reviews hub. (Trustpilot)

2) “Severe bone loss—but no grafts needed”

Background: Long-term denture wearer, told elsewhere they needed sinus lifts/bone grafts.

Approach: Tilted posterior implants used native bone; no grafting required. Same-day fixed provisional placed.

Care: Hygiene coaching (interdental brushes + water flosser); scheduled recalls.

Outcome: “Speech and chewing are stable; hygiene routine is easy once you learn the angles.” (whatclinic.com)

3) “From metal-acrylic temporary to monolithic zirconia final”

Phase 1: Provisional metal-acrylic bridge (light, quick to repair). One minor chip polished at review.

Phase 2: Monolithic zirconia definitive bridge chosen for durability and esthetics.

Outcome: “Final feels slimmer and solid; nightguard became part of my routine.”

Browse patient remarks: Trustindex review feed • Clinic testimonials page. (Trustindex)

4) “Travel made simple—clear pricing and fast coordination”

Logistics: Remote consult, X-ray review, airport transfer + hotel options arranged on request.

Experience: “Team answered everything in plain English; timeline and costs matched the plan.”

Outcome: “Back home with a provisional the same week; returned for finals exactly as scheduled.”

Check external profiles: Trustpilot • PlacidWay profile. (Trustpilot)

More to explore: Independent Trustpilot page • Clinic reviews hub (long-form quotes, videos). (Trustpilot)

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FAQs

What is the downside of All-on-Four?
It is surgery—risks include infection, bruising/swelling and, rarely, nerve/sinus issues. A small proportion of implants may fail. The bridge can feel bulkier than natural teeth and demands meticulous daily cleaning. Metal-acrylic bridges tend to need more maintenance over time than zirconia.

How long does All-on-Four last?
Long-term research shows high survival—around mid-90% for implants and ~99% for bridges at ~10 years, with mandibular cohorts reported up to 18 years. Maintenance and hygiene are decisive.

How many teeth are on an All-on-Four bridge?
Most full-arch bridges replace ~12–14 teeth, tailored to your arch size and bite.

Will I get my final teeth immediately?
No. In general, treatment completes in two visits: surgery and, after 3–6 months of osseointegration, delivery of the definitive bridge. Interim solutions are planned individually during healing.

Can I have All-on-Four if I have bone loss?
Often yes—tilted posterior implants use available bone and can reduce grafting; your CBCT plan confirms suitability.

Share your panoramic/CBCT to receive a personalised All-on-Four plan and quote. Browse independent reviews and read more Patient Stories from people who completed their full-arch treatment with Sohodent.