What Are All-on-4 Implants?

The All-On-4 procedure, also referred to as "Teeth in a Day," allows patients to have their remaining teeth extracted, implants inserted, and a fully functional smile all in just one day! This procedure not only improves the look of patients' smiles but also revitalizes their perspective on life. Many people face challenges with severe tooth decay, deteriorating dental work, and broken teeth. For these individuals, the All-On-4, "Teeth in a Day" procedure is the perfect solution to obtain a new smile and address ongoing dental problems.

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Natural-Looking, Permanent Dental Implants for Enhanced Functionality

Dental implants that are the most natural-looking and aesthetically pleasing, resembling natural teeth in appearance and texture.
Permanent solution that stays in the mouth without the need for removal like dentures.
No long healing times required before you can start using your dental implants.
Does not cover the roof of the mouth.
Offers the best chewing ability compared to other options for replacing a full arch or full mouth of teeth.
Ideal for individuals with limited bone, perfect for those with insufficient bone for traditional implants.
Enhances your food tasting experience.

How it Works

This process includes removing any remaining teeth, placing 4-6 implants per arch, and attaching a low-profile bridge to those implants. The implants are strategically positioned to avoid the sinuses, eliminating the need for expensive bone grafts and long healing times.

Our dentist has improved the traditional All-On-4 procedure by personalizing it based on their expertise, leading to better outcomes for patients. At Indiana Dentures and Implants, we carefully assess each case and customize our treatment to fit the patient's unique anatomy. Your dentist will place between four and six implants per arch and temporary fixed bridges will be put in place while your implants fuse with your jawbones and your mouth heals. Once the healing process is complete, the dentist and lab technician will create your final teeth using zirconia, a material that is stronger and more natural-looking than acrylic denture teeth. Zirconia is also more hygienic and resistant to staining, resulting in teeth that last longer and look better than traditional acrylic/titanium bridges.

Am I a Candidate?

Most patients, even those told they don't have enough bone for dental implants, can still have the procedure. By using a mix of straight and angled implants to avoid the sinuses and utilize the strongest bone, your doctor can often avoid the need for expensive and time-consuming sinus augmentation bone grafts. Your doctor will assess your suitability for All-On-4, or "Teeth in a Day," during a free consultation.

All-On-4 Procedure Timeline

Mouth Impressions: The lab utilizes these tools to create your temporary implant bridge(s). In cases where you are missing all or most of the teeth in the treated arch, the doctor may recommend a wax try-in. This involves a mock-up of your temporary implant bridge to assess bite alignment, aesthetics, and other factors.
Procedure: The procedure involves extracting teeth if necessary, inserting implants, and placing interim implant bridges. Typically, this process takes 4-7 hours to complete.
Post Op #1: Please monitor the healing progress after the procedure and do not hesitate to ask any questions you may have.
Post Op #2: At the appointment 3 weeks after the procedure, the sutures will be removed and the healing will be checked. Typically, patients are cleared to start using a water flosser/WaterPik at this time.
Impressions for Final Teeth: It has been 4 months since the procedure.
Try In: Within 5-10 days of impressions, we will create a mock-up of your final teeth. In some cases, multiple wax try-ins may be necessary. It is important that you are fully satisfied with your wax try-ins before we proceed with processing them. Once the try-ins are processed, changes cannot be made. If you decide to make changes to your bridge(s) after approval and fabrication, a full-cost remake charge will apply.
Seat Final Teeth: After you approve the wax try-in(s), it typically takes 4-6 weeks for your bridge or bridges to be prepared for seating.

Frequently Asked Questions

All-On-4 is a full-arch tooth replacement procedure, sometimes called "Teeth in a Day" that uses just four strategically placed dental implants per arch to support a complete, fixed set of teeth. Unlike traditional dentures, which rest on the gums and can slip or require adhesives, All-On-4 implants are permanently anchored in the jawbone and function like natural teeth. The procedure can address severe tooth decay, deteriorating dental work, and broken or failing teeth, giving patients a fully functional smile in a single day.

Traditional dentures sit on top of the gum tissue and rely on suction or adhesive to stay in place, leading to slipping, difficulty eating certain foods, and gradual bone loss in the jaw. All-On-4 implants are fixed, they don't come out, don't move, and don't cover the roof of the mouth. They also stimulate the jawbone the way natural tooth roots do, helping to preserve bone density over time. The result is a permanent solution that looks, feels, and functions far more like a natural set of teeth than removable dentures can.

Most patients who don't have enough bone for traditional implants can still qualify for All-On-4. The procedure uses a combination of straight and angled implants positioned to take advantage of the available bone and avoid the sinuses, which eliminates the need for costly and time-consuming bone grafting in many cases. Patients with severe tooth decay, failing dental work, broken teeth, or those currently wearing dentures are often excellent candidates.

All-On-4 offers superior chewing ability compared to traditional dentures or other tooth replacement options — one of its most significant advantages. During the healing phase, you'll follow a modified diet while wearing your temporary bridge to protect the implants as they integrate. Once your final zirconia teeth are in place, most patients can enjoy a full, varied diet with confidence. Many patients describe regaining the ability to eat foods they hadn't been able to enjoy in years.

The procedure is performed under anesthesia, so you won't feel pain during the surgery itself. Afterward, some soreness, swelling, and mild discomfort are normal in the first few days as the tissue heals. Most patients find this manageable with prescribed or over-the-counter pain medication. The long-term outcome — stable, permanent teeth without the daily frustrations of dentures is what patients consistently say made the temporary recovery period well worth it.