Full Mouth Dental Implants

Full Mouth Dental Implants Explained

Also known as ‘full arch dental implants’, ‘All on 4’ or ‘All on 6’, full mouth dental implants are a full bridge of permanent replacement teeth.

A dental implant is a titanium “root” used to support a porcelain tooth replica or a group of teeth. A typical implant consists of a fixture made of commercially pure titanium, which after three months fuses to your jaw bone, much like a replacement hip or knee would. A porcelain tooth (or teeth) is then attached to the implant or denture, locking it into place.

This represents a permanent and fixed solution to replace your upper/lower teeth. A full arch fixed implant bridge is used to lock in a full set of teeth, via dental implants.

Thanks to this revolutionary technique, Dr Helen is able to safely and efficiently replace your upper or lower natural teeth overnight utilising dental implants made from grade 4 or grade 5 titanium. The implants are inserted into the jawbone, where they fuse with the human bone. These implants act as anchors for a dental bridge of replacement teeth. Unlike single dental implants that replace teeth one by one, this process provides the same benefits as multiple single dental implants, but with a shorter treatment process and reduced recovery times. In most cases, 4 to 6 implants are all that is required to support a complete row of top or bottom teeth.

The technique requires fixing a set of teeth on 4 – 6 implants (per jaw). The rear two implants are placed at a 45-degree angle, providing immediate stability to your new teeth. Also regarded as a more cost effective, less time consuming, and substantially more comfortable option for you. It is particularly suitable for denture wearers and if you’re close to losing your teeth.

BEFORE & AFTERS

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It is worth considering full mouth implants for full teeth replacement, if:

You’ve lost most or all of your original top or bottom teeth.
You have multiple damaged, rotten or missing teeth.
You’re experiencing bone and gum loss
You experience headaches, clicking, and pain resulting from your jaw.
You’re sick of wearing dentures, or experience difficulty in mouth mobility.
You have difficulty eating, in particular foods that require significant chewing.
Your teeth are not lining up and seem to be moving around
Your dentures can’t be adjusted to fit your mouth
Missing teeth are affecting how you sound when you talk.
Your facial appearance doesn’t seem the same as it once did.

Complete Dental implants provide many advantages over dentures

Dental implants are fixed into your jaw-bone. Unlike dentures, they do not move around or break
They look and feel like natural teeth, restoring a beautiful smile and your ability to chew.
They provide a long-lasting, permanent solution to missing teeth.
Dental implants help support adjacent natural teeth from moving, preventing alignment problems.
They also support and preserve bone in your mouth, unlike dentures, which can result in bone loss.

We understand the pain and frustration that you may be experiencing from having broken or missing teeth. Dr Helen is committed to repairing your natural teeth, but this is not always an option. So whether you’ve lost or damaged a tooth due to decay, injury, gum disease, or another factor, the best option for you may be a single implant or multiple dental implants.

Are you ready to see your beautiful smile once again? Dr Helen can help to restore your smile with complete teeth replacement.

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The Benefits of Full Mouth Dental Implants

The process of dental implantology has advanced greatly in recent years, so much so that the materials and process result in teeth that look almost identical to natural teeth.

You can eat anything you want with dental implants.

Implants are secured in the bone beneath the gum just like your natural teeth, which means they can withstand the force of chewing things that dentures can’t—nuts, crunchy fruits and vegetables, you name it! Chewing hard foods can be painful on dentures because they’re supported by your gum and not the bone, and it can lead to unnecessary wear and tear on remaining teeth that now have to take on all the chewing.

Dental Implants don’t cause ulcers or rubbing

Implant surgery is done under local or general anaesthesia, and once healed, feel like natural teeth. Dentures often rub and pinch, causing painful ulcers that can affect eating, speaking, and everyday life.

Full Dental Implants look natural

Thanks to great advancements in dental implant technology and processes, implants look so natural it is almost impossible to tell that they are not your own teeth.

Advantages of full mouth dental implants over conventional full arch implants include:

Usually only 4 – 6 implants are needed to support all upper or lower teeth
Less invasive with quicker recovery time, reduces need for bone grafting
High success rate, including for patients who may not have been suitable for regular implants
New teeth fixed in as little as 24 hours after surgery
High success rate and more cost-effective than traditional dental implants
Great alternative for long time denture wearers
Suitable for seniors
Improve your smile and facial appearance
Look almost identical to natural teeth
Better oral and gum health

Dental Implants improve your smile and facial appearance

Clearly patients are looking forward to smiling once again with a full set of beautiful and natural-looking teeth, filling in tooth or teeth gaps, or replacing dentures and damaged teeth.

Implants will also mean that Dr Helen will have had the opportunity to customise the size and shape of your new teeth, to align with and fit your jaw, resulting in improved oral hygiene, as well as improvements in jaw and gum health.

Many modern techniques require only four dental implants, each arranged in a 45 degree angle, avoiding the maxillary sinus. This makes the need for a bone grafting or a sinus lift less likely, as well as reducing treatment time and cost. In the past, traditional dental implant treatments could take up to two years.

What is the process?

For you to feel comfortable and confident in proceeding with full mouth dental implants, Dr Helen provides all the information you require and will elaborate on the following steps of the process.

Consultation

During your initial consultation, Dr Helen will examine your current condition and discuss your requirements and options. Together with planning, this is the most valuable part of the process in achieving the outcome you desire

Diagnosis & Planning

Photographs, study models, X-rays, and a CT scan will be used to assess your aesthetic requirements and bone availability. In a series of appointments we will take photographs, make impressions, determine the best implant placement, and prepare your implants for you.

Implant Placement – Day 1

The implants are strategically placed according to prior treatment planning and an impression record is taken for your temporary bridge. This treatment can be completed while you’re asleep. If you decide on sleep dentistry, a qualified anaesthetist will administer general anaesthesia.

Teeth Trial – Day 2

During this appointment Dr Helen will trial your new teeth to ensure their shade and shape are pleasing.

Your New Teeth – Day 3

For most people, new teeth are fastened to implants on the third day.

Final Fit – 5 months

The mouth heals surprisingly quickly, provided you follow our advice and take your medications. Dr Helen will see you for several follow-ups after the initial procedure, until the final bridge is made in 5 months’ time.

Consultation

Diagnosis & Planning

Implant Placement – Day 1

Teeth Trial – Day 2

During this appointment Dr Helen will trial your new teeth to ensure their shade and shape are pleasing.

Your New Teeth – Day 3

For most people, new teeth are fastened to implants on the third day.

Final Fit – 5 months

How Much Does it Cost?

One implant tooth replacement

$5000 - $5500 (EACH)

Two or more teeth replacement

$4500 - $5500 (EACH)

All on X (Upper or Lower)

$25000 - $30000

How long will it take to replace my teeth?

A common question we get asked by our patients trying to decide the best timeframe to plan their implant surgery is how long they can expect to be off work after implant surgery. It’s a great question, and most patients are surprised to hear that in some cases, they can expect to go back to work the very next day!

The recovery time varies depending on what type of implant surgery is being done and how extensive it is. For individual dental implants or bone grafting surgery, the surgery is minimally invasive and patients can return to work the next day with little to no discomfort.

For bigger procedures, such as complete teeth replacement or other implant procedures where we replace all teeth with implants and fixed bridges, we generally recommend that a patient takes about a week off of work. There can be bruising and swelling after the surgery, as well as some minor recovery expected after being under general anaesthesia if required.

The good news is that we prescribe medications before the surgery that help alleviate any pain, swelling and discomfort during the healing time, making the recovery time as easy as possible on our patients.

Please click on the FAQ links below to view.

If your question is not answered below you can contact Dr Helen directly with your question by filling out our enquiry form here.

How much time will I need off work?

Are all dental implants successful?

Implants have a very high chance of success in a healthy patient who takes care of their general and dental health. There are, however, some factors that can compromise the successful placing of an implant. These include medical disease, excessive smoking or alcohol consumption and poor diet or dental hygiene.

Will Implants Last a Lifetime?

With good care, there is a very high chance an implant will last a lifetime.

Is Age a Deterrent?

Health is the determining factor, not age. In fact implants are most often needed later in life after losing some teeth.

Is it Expensive?

Implant procedures vary in complexity and extent. Depending on the patient’s dental and medical circumstances, implant procedures can involve a significant financial outlay. I have a high success rate and many very satisfied patients.

Will My Health Fund Pay?

This will depend on the level of your cover. We are happy to make enquiries on your behalf with your individual health fund.

Will there be Discomfort?

As with any surgery, there can be some degree of pain or discomfort. However, modern anaesthetics virtually eliminate all pain during and after the procedure.

How much time will it take?

This depends on your individual circumstances and the extent of work involved. There will usually be a series of procedures and follow-up visits over a period of some months.

How long will I be off work?

Generally patients can resume work the day after the procedure. In some cases you may experience some swelling, discomfort, or minor bruising.

How do you select a dentist for your implant treatment?

In recent years, to meet market demands and reduce fees, many dentists have turned to lower quality, often overseas made implants. As a result, we are seeing higher failure rates, poorly fitting crowns and less aesthetically pleasing results.

When you shop around for best prices, you will find a dramatic variation in fees between dentists. Most people aren’t aware of how low prices are achieved. Several factors need to be considered in making your choice.

What is an implant?

A dental implant is a titanium “root” used to support a porcelain tooth replica or a group of teeth. A typical implant consists of a fixture made of commercially pure titanium, which after three months fuses to your jaw bone, much like a replacement hip or knee would. A porcelain tooth or teeth is then attached to the implant or denture, locking it into place.

Implant success and technical considerations

Generally a well-planned and expertly executed implant procedure has success rates in the order of 98% and most people could expect a dental implant to last for life. Implants rely on their support from adequate bone thickness and quality. However, a poorly placed or angulated implant or an implant squeezed into an area of insufficient bone, to save you money, has high risk of failure. Implants don’t fail quickly. They can take 10 years to deteriorate. Unfortunately as they fail slowly and painlessly they can cause bone dissolution at the same time. At the time of failure, there is usually insufficient bone to replace it and reparative procedures will cost you thousands, negating any savings you would’ve made in the first place. When people need a hip replacement or a kidney operation, they usually look for a good surgeon. It is important to understand that implants are not a commodity, but a delicate surgical procedure that needs to be performed by a highly qualified surgeon for long term success.

Despite popular belief, implant brand rarely determines the success of the procedure. Most modern, well respected brands manufacture high quality implants. Success is in the hands of the operator.

Implant supported crown

The tooth replica or the crown also needs to satisfy a number of requirements. It needs to be proportionate to the length and size of your implant as to not overload it and be made of high quality pure materials to prevent fractures and corrosion. It also must look like a natural tooth and fit snugly between adjacent teeth so there are no hard-to-reach areas where food can become trapped and cause infection. It must also satisfy comfort and functionality requirements.

All of this might sound quite straightforward, but in fact a crown is a well-crafted piece of dental engineering requiring great technical skill and talent on the part of both dentist and the dental technician. Great care, skill, time and honesty will determine whether you end up with a superior long-term result or a mediocre crown. The laboratory technician needs to be up-to-date with modern methods of manufacture, and comfortable working with the latest materials. These technicians are hard to come by even in Australia and their work is not cheap.

Practicality

When considering implant treatment, most patients are unaware that they will most likely be referred by their dentist to one or more specialists at different stages of their treatment. This can be time consuming, expensive and stressful. For long-term success, it’s important that the dentist you select to do your implants understands, and is qualified to handle all aspects of implant treatment.

Even more alarming is the trend of going overseas to have dental treatment done. We receive several phone calls a week from people with overseas-made disasters. Once again you will reap immediate savings but after numerous trips, airfares, the cost will often come close to what you’d expect to pay in Australia. There are many skilled surgeons around the world. However, if you have any complications such as infection, crown loosening or failure, there is often no one equipped to deal with these conditions in Australia as systems used overseas are often different. Also, financially it is entirely your responsibility.

Quality

Most people are unaware that some dentist send their work directly to China; cutting out the middle man. Others use local Australian laboratories that outsource work to China. This creates the impression that the work is Australian made when it’s not.

Metals and porcelain used for veneers and crowns vary greatly in quality. This information is not freely available to the public, but to somebody who is having the procedure done, this can mean the difference is between success and failure. In addition, lead contamination has been implicated in overseas made crowns. As with most things, quality will be reflected in price.

I always encourage people to do their own research. However, no matter how thorough your research is, results are entirely in the hands of the professionals you choose.

Summary

When selecting a dentist to do your implants, be cautious and don’t let the lowest price influence you. Please consider all variables when evaluating value for money, such as the integrity and skill of the practitioner and technician, in addition to the quality of materials. Long term success should always drive your decision.

For stringent quality control, our work is crafted by a leading Australian laboratory from superior materials to ensure that what goes into your mouth is of the highest standard.”

If you have any further questions or concerns, please call our office on 9510 5597. With extensive training and experience in implant procedures, we will assist you in making your decision.

Cost of complete teeth replacement implants

Cost is a big consideration and the most commonly asked question from people who are considering this treatment. Using traditional methods of using 5 to 8 implants, an upper or lower arch would cost $30,000 – $50,000.

With the advent of the All on 4 procedure, the cost of rehabilitating full arch of teeth has come down. This is because there is often no need for bone grafting and allows the dentist to use only 4 implants.

In Australia, All on 4 treatment can range anywhere from $18,000 to $30,000

The wide range of fees are due to the following reasons:

Type of implants used for the procedure
Need for bone grafts to regenerate lost bone
Quality and the quantity of bone available in your mouth
Diagnostic tests before the surgery
Quality of the final restoration (teeth)
Customisation required
Experience/skill of your dentist/surgeon
Having surgery performed under general or local anaesthetic

We are a small practice and therefore we are able to focus on your individual needs, providing utmost care. Our fees reflect the highest quality of outcome we deliver. Whilst still priced at the lower end, we offer value for your money by incorporating in our fees many options often offered as additions in other clinics. If you need both upper and lower arches done at the same time, it takes less time to than if they were done individually, offering savings for both arch treatment.

In some cases, you may be able to have some cost alleviated by your dental insurance. However, most insurance companies only offer small rebates.

Remember that nothing in life worth having comes free or cheap, so be careful with big discounts or cheap overseas “solutions”. Be certain that the dentist you choose is experienced, offers ongoing care after initial treatment completion and uses trusted implant providers so that if you require a part replacement years later, components are freely available.

Though by no means this is a cheap treatment, All on 4 is an investment that will positively influence your appearance and your overall health.

We are happy to answer any questions you have specific to your situation. Please feel free to give us a call on (03) 9510 5597.

What is the Success Rate of All-on-4?

You’ll often hear that All-on-4 dental implants have a 90–95% success rate over 10 years. That sounds impressive—and it’s not wrong—but let’s pause for a moment and ask: Success of what, exactly?

Is it the success of the implants integrating with the bone?
Is it the success of the implants still being in place years later?
Is it the success of the acrylic teeth not chipping or breaking?

Or is it the success of you still loving the look and feel of your smile ten years down the track?

The truth is, success means different things to different people. And those tidy statistics don’t always capture the whole picture.

In real life, success is multi-layered. Yes, most implants integrate well and last, especially when they’re placed properly and well cared for. But let’s be realistic: implants don’t succeed 100% of the time. Sometimes the body doesn’t take to them. Sometimes things shift. Sometimes lifestyle factors, general health, or even plain old bad luck get in the way.

If you want a simple answer: All-on-4 can be highly successful, but only when all the right pieces come together—good planning, surgical skill, healthy bone and gums, good hygiene, regular maintenance, and your commitment to looking after them.

And one more thing: Your natural teeth still have the best success rate of all. Implants are a brilliant solution when teeth can’t be saved, but they’re not a perfect swap. They’re prosthetics—sophisticated, life-changing, but still prosthetics.

The truth is: implants are predictable, durable, and often life-enhancing… but they’re not foolproof. If we work together—me doing the planning and the surgery, and you doing the maintenance—we give them the best chance to last.

What Is the Cost of Full Mouth Dental Implants?

Let’s not beat around the bush—full mouth dental implants are expensive. In Australia, the average price for full arch dental implants is between $25,000 and $30,000 per arch. It’s not a small number, and the temptation to seek cheaper options—locally or overseas—is common.

And sure, cheap can be good. A discounted apple at the supermarket might still be perfectly edible with a bruise cut off. A box of tissues on special? No worries. But teeth are not the place to cut corners.

Dental implants aren’t just about appearance—they restore function, health, and quality of life. But they also come with one shot at getting it right. Implants that fail due to poor planning, substandard materials, or rushed treatment can lead to serious long-term damage. Bone loss, poorly positioned implants, broken prosthetics—all of these are much harder (and far more expensive) to fix the second time around. In some cases, a second chance may not even be possible.

That’s why “cheap implants” can be far more costly in the long run.

Why Is It So Expensive?

High-quality full arch implants include more than just the surgery. The cost typically covers:

Premium, TGA-approved implant systems
Digital scanning and treatment planning
Bone grafting or preparatory procedures, if needed
Temporary and final teeth
Post-op care and maintenance

This process is complex and usually staged over several months to ensure long-term stability and success.

Can You Find Cheaper Options?

Yes—but with cheaper options come compromises. Often, it’s the materials, the planning process, or the level of care that’s reduced. In some overseas clinics, treatment is rushed to fit a holiday schedule, with little thought given to long-term outcomes or aftercare once the patient returns home. If problems arise, support may be limited or non-existent.

Teeth are not like supermarket items—they’re essential tools for everyday life. Full mouth dental implants are a once-in-a-lifetime procedure for many patients, and getting it right matters. When done properly, they can restore comfort, confidence, and function for years to come.

Good dental advice is always worth seeking. And while implants are never cheap, they should always be done safely, thoughtfully, and with your future in mind.

What is the Warranty on All-on-4?

It’s a common question. All-on-4 dental implants are a big investment, both financially and emotionally. And because they’re not cheap, it’s only natural to ask: Are they guaranteed?

We’ve been conditioned to think that if something costs a lot, it should last forever. And in many ways, dental implants are an incredible leap forward in medical technology. Every time I place them, I’m still amazed that we have the ability to give people fixed teeth that feel and function almost like their own. We haven’t quite mastered bionic arms and legs yet—but teeth? We are close.

Now, about that guarantee.

Here’s the honest truth: No one can guarantee dental implants in the same way that no one can guarantee the outcome of any medical procedure. We often tell my patients, “We can guarantee that we will plan your treatment with care, perform it with precision, and do everything to help it succeed. But you have to guarantee that you’ll care for them like they are your own.”

The success of All-on-4 depends on more than just surgical skill or fancy materials. It relies on:

The right treatment plan
The health of the person receiving it
Good maintenance at home
Regular check-ups
And yes, a little bit of luck too

If you’re after a number or policy, yes—we do offer a limited warranty, provided you attend your review appointments and follow our care instructions. But more importantly, we work closely with you to make sure you understand what’s involved—so we build something that not only lasts, but also works beautifully for your lifestyle.

Here’s a quote worth saving as your wallpaper:
“Success is determined by correct treatment planning, skill of the surgeon, health of the candidate, good home maintenance, and chance.”
If we can tick most of those boxes, we’re in a very good place.

Is It Worth Upgrading to a Zirconia Bridge?

All-on-4 dental zirconia bridge can offer significant benefits in terms of strength, aesthetics, and long-term value.

Unmatched Strength & Durability
Zirconia is one of the strongest materials used in dentistry, making it highly resistant to chipping, cracking, and wear—far superior to traditional acrylic or composite bridges.
Superior Aesthetics & Natural Appearance
Zirconia bridges provide a more lifelike, natural-looking smile, mimicking real teeth better than acrylic options. The material also offers improved translucency and shading, making it an ideal choice.
Stain & Odour Resistance
Unlike acrylic, zirconia is stain and odour-resistant, meaning your All-on-4 dental implants will stay whiter for longer.
Long-Term Investment
While zirconia All-on-4 bridges may have a higher initial cost, they require less maintenance and are longer-lasting, making them a cost-effective choice in the long run.

Who Should Consider Upgrading to a Zirconia All-on-4 Bridge?

Patients currently wearing an acrylic All-on-4 bridgeare experiencing chipping
Those looking for a more natural and aesthetically pleasing smile.
Individuals who want a long-lasting, durable solutionfor their All-on-4 dental implants.

What are the disadvantages?

– A zirconia bridge is a more costly upgrade. It will set you back approximately $1500 – $3000 per arch

– It is not repairable if it breaks, and the zirconia part of the bridge needs to be replaced completely, which costs more than acrylic repairs

– Zirconia bridges make a louder sound when you eat

What Will My Teeth Look Like with All-on-4?

With All-on-4 dental implants, you have control over your final smile. These teeth are custom-made to suit your preferences, so bringing photos of smiles you like can help guide the process.

Temporary Teeth After All-on-4 Surgery

Immediately after your All-on-4 implant surgery, you will receive temporary teeth, which you’ll wear for three to five months while your implants heal. These temporary teeth serve an important function, but may not look exactly as you envisioned. This is because there is some guesswork involved in their design.

However, they act as a trial run for your final teeth, allowing you to work with your dentist to refine the shape, colour, and fit before your permanent set is made.

Your Final All-on-4 Teeth

Your permanent teeth will be more natural-looking in both shape and colour, designed to closely match your ideal smile. Before they are manufactured, you will go through one or multiple trials to ensure they meet your expectations.

Be sure to provide clear feedback during this phase—your dentist will guide you on what’s possible to achieve your best smile with All-on-4 implants.

What is a 3D Mockup for All-on-4?

A 3D mockup is a digital preview of your future All-on-4 smile, created using advanced imaging technology. This allows you to visualise your results before they are made and provide feedback to ensure they align with your expectations.

However, it’s important to remember that a digital mockup is a guide. The way it appears on-screen may look different once translated into your mouth, as real-life factors like lighting, facial structure, and proportions can affect the final outcome.

Can All-on-4 Bridges Break?

Yes, All-on-4 bridges, particularly the temporary acrylic prosthesis, can sometimes break. However, this is a known and manageable complication.

Why Do Temporary All-on-4 Bridges Break?

Temporary acrylic prostheses are made from softer materials than permanent options like zirconia or porcelain-fused-to-metal. Breakage is more likely due to:

Bruxism (teeth grinding or clenching) can lead to fractures and even implant failure.
High occlusal (bite) forces, as a misaligned bite, can put uneven pressure on the prosthesis.
Inadequate lab work can result in structural weaknesses.
Dietary habits, since hard or chewy foods, can increase the risk of damage.

How to Prevent All-on-4 Bridge Breakage

Follow a soft food diet during the healing phase to protect the temporary prosthesis.
Wear an occlusal splint (night guard) if your dentist tells you that you grind or clench your teeth at night

Do Permanent All-on-4 Bridges Break?

While zirconia or porcelain-fused-to-metal bridges are much more durable than acrylic, excessive biting forces, accidents, or misalignment can still cause fractures.

If you experience any issues with your All-on-4 bridge, consult your dentist, as early breakage can be a warning sign of excessive bite force that may need correction.

Can All-on-4 Still Be Maintained if I Move Overseas?

Yes, All-on-4 implants can still be maintained if you move overseas. While different countries may have variations in implant brands and availability, skilled implant dentists can generally provide ongoing care and support.

Compatibility and Availability of Parts

Many implant systems, even those from international manufacturers, share standard sizes and connections. This means that a qualified implant dentist in your new country may be able to find compatible components if needed. However, if your implants are from a specific brand that is not widely available in your new location, it’s a good idea to check with the manufacturer or distributor before moving. If necessary, purchasing extra components, such as screws, from your local supplier can help prevent future issues.

Emergency Repairs

If you experience a problem, such as a broken acrylic bridge, many implant specialists and prosthodontists can still assist with repairs, regardless of the implant brand. Acrylic bridges can typically be repaired or replaced without needing the original implant components.

Ongoing Maintenance and Follow-Up Care

Routine check-ups, cleanings, and minor adjustments can be performed by most implant specialists. To ensure continuity of care, consider bringing a copy of your treatment records, including details about the implant brand, model, and any specific instructions from your current dentist. This information will help your new provider maintain your All-on-4 implants effectively.

Finding an Implant Specialist in Your New Country

Once you’ve relocated, finding an experienced implant dentist or prosthodontist is key. Sharing all relevant details about your All-on-4 treatment will help them provide the best possible care.

While having original parts on hand can be helpful, a skilled implant dentist should still be able to maintain and support your All-on-4 implants, ensuring their long-term success even after you move.

Are Zirconia Bridges Too Heavy for All-on-4 Implants?

A zirconia bridge is generally not too heavy for four upper implants, but several factors determine whether it is the right choice for you.

Key Factors to Consider:

Implant positioning – The implants must be placed correctly to evenly distribute the bite force.
Implant quality and strength – High-quality implants are designed to handle the load of a zirconia bridge.
Bone density and volume – Strong and sufficient bone support is crucial for long-term stability.
Bridge design – The size, length, and overall design of the bridge can influence the pressure on the implants.

Zirconia is heavier than acrylic or titanium-based alternatives, but it is also highly durable and resistant to wear. When implants are properly placed and the bone is healthy, a zirconia bridge should not be too heavy for an All-on-4 restoration.

Zirconia implant bridges are increasingly being used for full-arch restorations, especially in the upper jaw. While they are heavier than acrylic bridges with titanium frameworks, their strength and longevity make them a popular choice.

Can You Switch to a Removable Denture After Having Temporary All-on-4 Bridges?

In the All-on-4 implant system, the protruding parts known as multiunit abutments extend from the gums, which prevent the use of removable dentures. These abutments make it impractical to transition to a removable denture after having temporary All-on-4 bridges. Therefore, it is generally more logical and beneficial to keep the fixed temporary prosthesis in place rather than opting for a removable denture.

That being said, it is technically possible to switch to regular dentures after All-on-4 implants, but this may not provide the same level of comfort and stability you had with the All-on-4 system. Multiunit abutments can be removed, and in some instances, the implants can be buried under the gums. Then, a denture can be worn. In other cases, multiunit abutments can be replaced with abutments suitable for removable implant-retained dentures. This option can be just as comfortable as a fixed prosthesis, but there will be greater costs associated with this change.

Do All-on-4 Implants Clack When Speaking or Eating?

The clacking sound that some patients experience with All-on-4 implants is often due to both arches being made from zirconia. When the zirconia arches meet, they can create a distinct noise.

One solution is to make one arch from zirconia and the other from a different material, such as acrylic, which can help reduce clacking. Another option is where a metal frame is used with projections where each tooth sits, and individual crowns are made for each tooth. This design can help dissipate the noise and offers the added benefit of being repairable in the future if a tooth chips or breaks. However, these alternatives generally involve remaking one or both arches and can be very expensive.

Is Acrylic or Zirconia Best for All-on-4?

The choice between acrylic and zirconia for All-on-4 implants depends on several factors, including your specific needs and lifestyle. Both materials have their pros and cons:

Acrylic:

Cost-Effective: Acrylic is generally more affordable than zirconia.
Gentle on Opposing Teeth: If you have natural teeth, acrylic may be kinder to them, especially if you grind your teeth.
Wear and Tear: Acrylic wears down over time, and while it may look good initially, it may need to be replaced or upgraded in the future. Acrylic alone is not strong enough for long-term use, so it typically needs a titanium frame for added durability.
Breakage: Acrylic can break or wear down more easily, particularly for those who grind their teeth. It may need repairs or replacements more frequently.
Repair: Acrylic can be repaired cost-effectively if it breaks

Zirconia:

Durability: Zirconia is a stronger, more durable material that resists wear and tear better than acrylic. It is highly resistant to fractures and is considered more long- lasting.
Aesthetic: Zirconia offers superior aesthetics and is more tooth-like in appearance. It is highly polished, which helps reduce plaque build-up.
Heavier: Zirconia is heavier than acrylic, and some patients may notice the difference in weight, though most don’t find it bothersome.
Cost: Zirconia is more expensive than acrylic, so budget is a consideration.
Repair: Zirconia part of the bridge needs to be completely replaced if it breaks, as zirconia cannot be repaired like acrylic

Ultimately, zirconia is often the better choice for strength and aesthetics, but it may not always be the best option for everyone. For example, if you grind your teeth, zirconia is more suitable, especially for upper arches. However, if you have natural teeth or dentures opposing your All-on-4 implants, acrylic may be a more appropriate choice.

Patient-Specific Factors to Consider:

Opposing Teeth: Are your opposing teeth natural, dentures, or crowns? This can affect your choice of material.
Teeth Grinding: If you are a teeth grinder, zirconia is typically the better option.
Budget: Zirconia is more expensive, so your budget may influence the decision.
Age and Bone Health: These factors may also affect the best material for your case.
Implant Placement: The placement and spread of implants are important considerations.

There is no one-size-fits-all solution. Your dentist will help you determine which material is best for you based on your individual needs and circumstances.

Will I still have enough bone for All-on-4 implants if my teeth have been missing for years?

The short answer is: in many cases, yes! Even if your teeth have been missing for years, you might still be a good candidate for All-on-4 dental implants.

To be more specific to your individual situation, a 3D CBCT scan will help us see the full picture: the height, width, and density of your jawbone.

Now, if there’s not quite enough bone or the bone isn’t ideal, don’t stress. There are options! Sometimes, an extra implant can be added for better support, or we can perform targeted bone grafting if needed.

Of course, your overall health matters too. Things like smoking, uncontrolled diabetes, or certain medications can affect healing and implant success, so a full medical history is part of the planning process.

Even if it’s been years since you’ve had teeth, don’t rule yourself out. With the right planning, you might still be a good candidate for implants.

What type of bridge is best for All-on-4 dental implants?

When it comes to the final teeth on your All-on-4 dental implants, there’s no one-size-fits-all answer.

Most All-on-4 bridges fall into two main categories: PMMA (a type of durable acrylic) and zirconia. Each has its own pros and cons, and the right one for you depends on a few factors like bone structure, implant position, bite force, and aesthetic goals.

PMMA (with a metal frame)
This is often used as the first long-term bridge after your surgery. It’s lightweight, more affordable, and provides good aesthetics. When reinforced with a titanium bar, it offers solid strength and is gentle on the implants. The catch? It can break and wear over time, so you may need to repair or replace or refresh it after a few years.

Zirconia
This is the tough stuff. Zirconia bridges are extremely strong, look beautiful, and last longer than acrylic. They’re also more resistant to chips or stains. However, they can feel a bit “hard” when biting—some people describe a “clink” when upper and lower zirconia arches meet. Because of that, it’s common to have zirconia on top and a softer PMMA bridge on the bottom to balance things out.

Now here’s the thing: All-on-4 is a treatment protocol, originally designed with acrylic hybrid bridges,not full zirconia. That’s because zirconia, while strong, is heavier and can put more pressure on the implants over time. So while it can be used, it needs to be done carefully and with the right planning.

At the end of the day, the best bridge for you depends on your individual anatomy, implant placement, bite, and budget.

Do you need a gap between the bridge and the gums for cleaning?

A small gap between your All-on-4 bridge and your gums is actually a good thing. It’s not just about comfort—it’s all about keeping your implants clean and healthy.

When your final All-on-4 bridge is designed, it should have a convex or flat surface that gently sits against the gums. This design mimics the natural contours of your mouth and makes it easier to keep clean. While the bridge usually fits snugly, there’s often a tiny gap underneath—just enough to allow cleaning with floss.

Just like natural teeth, dental implants need daily plaque removal to stay healthy. If bacteria are left to build up around the implants, they can cause inflammation in the gums and bone—a condition called peri-implantitis, which can lead to implant failure if left untreated.

Can a gummy smile be corrected with All-on-4 surgery?

Yes. A big part of the All-on-4 procedure involves designing a smile that looks natural. One step we often take during surgery is removing a few millimetres of bone from the front of the jaw. This isn’t just for implant placement—it also helps hide what’s called the “transition line” (where the bridge meets your gums). By adjusting this line higher up, we can dramatically reduce how much gum shows when you smile, creating a more balanced and aesthetic result.

Now, if your natural teeth are still in good shape and don’t need to be removed, there are less invasive options to fix a gummy smile, like gingivectomy (shaving the gum line). But if you’re already heading toward full-mouth implants, All-on-4 can absolutely help improve your gum-to-teeth ratio as part of the overall treatment plan.

Does All-on-4 require sinus lifts?

In most cases, no, All-on-4 dental implants do not require sinus lifts.

One of the big advantages of the All-on-4 method is that it was specifically designed to avoid extra surgeries like bone grafts and sinus lifts. This is possible thanks to the angled placement of the back implants to avoid the sinus area altogether.

That said, everyone’s anatomy is different. If there has been severe bone loss in the upper jaw or the sinuses have expanded significantly (which happens naturally over time when teeth are missing), a sinus lift might still be needed.

In very advanced cases, zygomatic implants (which anchor into the cheekbone) can be used instead of sinus lifts. These are longer implants that bypass the upper jaw entirely and are a great option for people with extreme bone loss.

Bottom line: All-on-4 is often a “graftless” solution—that’s part of what makes it so appealing. But to know for sure what’s right for you, your dentist will need to make an assessment with a 3D CBCT scan.

Will Medicare pay for All-on-4 dental implants?

Unfortunately, Medicare does not cover All-on-4 dental implants—or any kind of dental implant treatment, for that matter.

This is because dental implants, including the All-on-4 procedure, are generally considered elective surgery by Medicare. So if you’re planning for this type of full-mouth restoration, it’s best to assume you’ll be paying out-of-pocket or exploring other financing options..

If you’re looking into ways to manage the cost, many dental practices (like ours) offer payment plans, early release of superannuation options, or work with third-party financing to help make treatment more accessible.

If my implants are rejected the first time, will they be successful the second time?

In most cases, yes—implants can still be successful the second time around.

While no treatment is ever 100% guaranteed, redoing dental implants, especially after an initial failure, often has a higher chance of success, particularly when done under the right conditions. Here’s why:

When implants are placed during the initial All-on-4 surgery, it’s often done right after teeth are extracted, which means the bone may still be healing and vulnerable to bacteria. If an implant fails and needs to be replaced later, that area is usually fully healed, making it easier to control infection and providing stronger, more stable bone to work with.

Factors like autoimmune conditions, certain medications, or rushed timelines (e.g., immediate loading) can increase the risk of failure. That’s why it’s important to work with a team that can carefully assess your health and create a personalised treatment plan—sometimes with extra healing time or a greater number of implants for added support.

What’s the difference between “All-on-4” and “3-on-6” dental implants—and which is better?

The choice between All-on-4 and 3-on-6 dental implants depends on your individual needs, anatomy, and long-term goals. Neither option is universally “better”—it’s about what’s most appropriate for your situation.

Here’s how they differ:

All-on-4 involves placing four dental implants per arch, supporting a single full-arch bridge. It replaces both teeth and gum tissue, making it ideal for patients with significant bone and gum loss. This design also provides cross-arch stabilisation, meaning the implants work together to balance biting forces across your mouth. This is why All-on-4 often allows for immediate loading—attaching the teeth on the same day as implant placement.
3-on-6, by contrast, uses six implants to support three separate bridges. It replaces only the teeth, not the gums, so it works best if you’ve maintained enough healthy bone and soft tissue. However, 3-on-6 lacks the stabilising effect of a full-arch bridge and may require additional bone grafting procedures to support the extra implants.

Key things to consider:

Aesthetics – If you’ve lost significant gum tissue, All-on-4 can provide a more natural look by replacing both teeth and gums.
Bone structure – 3-on-6 requires good bone volume and may not be suitable if you’ve had bone loss.
Hygiene & maintenance – Each design has unique cleaning needs. Ask your dental specialist what kind of follow-up care will work best for you.
Budget & procedure time – All-on-4 is typically more cost-effective and predictable, especially for full-arch restoration.

What’s the difference between acrylic and ceramic (zirconia) All-on-4 implants?

When we talk about acrylic vs ceramic All-on-4, we’re referring to the prosthetic teeth. It’s important to note that the actual dental implants (the titanium screws placed in the jaw) are the same in both options. The difference lies in the material used for the visible teeth (the bridge).

Acrylic All-on-4 restorations

Typically made from acrylic teeth over a metal (usually titanium) framework
Lower cost option and often used for temporary restorations
Can be used permanently, but they are more prone to wear, breakage, and discolouration over time
May need to be replaced or repaired every 5–7 years
Easier and quicker to repair
More forgiving on the opposing teeth (less wear)

Ceramic/Zirconia All-on-4 restorations

Made from solid zirconia or zirconia fused to a titanium or metal base
Stronger, more durable, and far more resistant to chipping or discolouration
Can last 10+ years with proper care and maintenance
Offers the best aesthetic results—looks more natural and retains shine
Higher upfront cost, but less long-term maintenance

What happens if my All-on-4 prosthesis breaks?

If your All-on-4 prosthesis breaks, don’t panic—but do act quickly. While implant-supported bridges are designed to be strong and long-lasting, wear and tear or sudden impact can cause damage over time. The break may be limited to the prosthesis (the teeth and bridge), or it may involve the underlying implants, which is more serious.

Contact your dentist as soon as possible. Ignoring a broken prosthesis could lead to more complications, including damage to the implants themselves. A prompt assessment can prevent further issues.

What are the possible causes?

Material fatigue or wear over time (common with acrylic bridges)
Heavy biting or grinding habits
Poor bite alignment or occlusion issues
Trauma or chewing on something too hard

Understanding why the prosthesis broke is just as important as fixing it. If you’re not already using a night guard, your dentist may recommend one to protect the new set.

What’s the solution?

If the implants are still intact, only the bridge (prosthesis) will need to be replaced—this is the most common scenario.
If there’s any sign of implant damage, additional treatment might be required

Will it cost the same as the original treatment?

Not likely. Since the implants are already in place, replacing just the prosthesis is usually less expensive than your initial All-on-4 procedure. However, pricing depends on the material you choose and the complexity of the repair

Will All-on-4 Change Your Facial Structure?

While All-on-4 dental implants can lead to some facial changes, they are generally subtle rather than dramatic. This can be both good and bad—if you’re hoping for a major transformation in your facial appearance, you may be disappointed. However, the treatment can still provide meaningful improvements by restoring lost support to the facial muscles and lips.

When natural teeth are removed, bone loss and changes in facial muscle support naturally occur over time. All-on-4 implants help counteract these effects by providing a stable foundation for a full-arch prosthesis (teeth). Once your implant-supported teeth are in place, they can correct a collapsed bite, increase vertical dimension, and help restore a more youthful facial profile.

The position of your new teeth—especially the front teeth—also affects the fullness and position of your lips. This is why it’s important to spend time with your dentist designing the prosthesis. A few millimetres of adjustment forward or backward can make a noticeable difference in lip support and overall facial harmony. If further enhancement is desired, small aesthetic refinements—such as dermal fillers—can be used to complement the results.

In summary, while All-on-4 implants won’t dramatically change your face, they can improve facial support, enhance lip position, and help you achieve a healthy, rejuvenated appearance.

Should you consider a periodontist or maxillofacial surgeon to do your All on 4?

When considering All-on-4 dental implants, choosing the right provider is one of the most important decisions you’ll make. While periodontists and maxillofacial surgeons have specialist training in gum and jaw surgery, experience with the All-on-4 technique is often more important than a specific title. In many cases, an experienced dentist who specialises in placing and restoring dental implants may be the best choice.

Dentists with extensive experience with dental implants focus not only on the surgical placement of implants but also on designing and fitting your prosthetic teeth, ensuring the final result is both functional and aesthetically natural. Their blend of surgical skill and artistic precision can have a significant impact on your overall outcome.

When choosing your provider, it’s important to look beyond titles and focus on experience, patient results, and long-term success. Ask for before-and-after photos, patient testimonials, and examples of cases that have been in function for several years. A consultation is also key—it’s your opportunity to ask questions, share your concerns, and make sure you feel confident and supported throughout your journey.

In short, no matter what practitioner you choose, the best provider is one who has the experience, skill, and artistic eye to deliver a smile that looks and feels like your own.

What's the best material available now for All-on-4s? Is there continuing research and development into newer materials?

There’s no one-size-fits-all answer to this question—the best material for All-on-4 dental implants depends entirely on your individual needs, anatomy, and lifestyle. Each material option has its own pros and cons, and the right choice is best made in consultation with a trusted implant dentist who can evaluate your specific case.

Implant Materials: Titanium vs Ceramic

When it comes to the implants themselves (the part placed into the jawbone), the two main materials are titanium and ceramic (zirconia):

Titanium implants have been used successfully for over 40 years and are the gold standard due to their high success rate, strength, and biocompatibility. Most patients, including many dentists themselves, have titanium implants with no issues.
Ceramic implants are newer, less commonly used, and often chosen for aesthetic reasons or by patients with metal allergies. However, they are more likely to fracture, have more limited clinical applications and are typically more expensive.

Restoration Materials: PMMA, Zirconia, Hybrids & More

Once the implants are placed, the restoration (your new set of teeth) can be made from a variety of materials:

PMMA (Acrylic) – Often used for temporary teeth or “Teeth-in-a-Day.” Lightweight and cost-effective, but not long-lasting.
Solid Zirconia – Extremely strong and durable, resistant to stains and wear. However, it’s heavy, brittle if impacted, and impossible to repair if damaged.
Titanium-Acrylic Hybrid – Combines a titanium bar with acrylic teeth. Easier and cheaper to repair, with a softer bite feel, but the acrylic wears down faster.

Research is Ongoing

Dental technology is evolving rapidly. New materials and techniques are constantly being developed to improve strength, aesthetics, reparability, and patient comfort. However, many of the newer options may not yet have long-term data to support their durability, so it’s crucial to balance innovation with proven reliability.

How to Decide?

Rather than focus solely on the material, focus on choosing an experienced implant dentist and a skilled dental lab. The right professional will guide you through the pros and cons of each material, based on:

Your bone structure and bite
Whether you grind your teeth
The amount of space available in your mouth
Your aesthetic goals
Your budget

Often, you’ll begin with a temporary prosthesis while the implants heal, so you’ll have time to finalise the best long-term material later.

In short: There’s no “best” material for everyone, but there is a best material for you. Trust your dentist to help you make an informed choice that balances durability, comfort, aesthetics, and cost.

Can you go from implants to dentures to fixed All-on-4?

Yes, it is possible to transition from implant-retained dentures (such as overdentures) to a fixed All-on-4 dental implant solution, but there are some important factors to consider.

Most overdentures are supported by implants placed near the front of the jaw, which is ideal for removable dentures but not always suitable for a permanent All-on-4 bridge. The All-on-4 technique typically requires strategic placement of four implants, including two positioned further back in the mouth and angled to maximise bone support and stability. This often means that additional implants may need to be placed, especially if you only have two implants currently supporting a lower denture.

Another critical factor is the transition line—the point where the prosthetic meets your natural gum tissue. In All-on-4 treatment, this line must be carefully designed and ideally hidden under your upper lip for a natural appearance. Overdentures use a flange to conceal this, but fixed bridges do not. If your existing implants weren’t placed with this consideration in mind (or if they’re too shallow or in the wrong position), they may not be suitable for a permanent bridge. In some cases, existing implants may need to be removed and replaced.

To determine if you’re a candidate for conversion, your implant dentist will typically recommend a 3D CT scan to assess bone density, implant position, and whether additional surgical planning is needed.

How to stop food from getting under your prosthetic teeth?

How do I stop food from getting under my prosthetic teeth?

It’s a common concern among patients with All-on-4 or other implant-supported teeth: food getting trapped under the prosthesis. While a small amount of food debris can be normal, excessive food collection is often a sign of an issue with the fit or contour of the prosthesis—and there are ways to address it.

Why Does This Happen?

When teeth are first removed and implants placed, a temporary prototype (often made of acrylic) is fitted immediately. During this initial healing phase, your gum tissue is still adjusting and shrinking. If the final prosthesis is made before the gums have fully healed and reshaped, a gap can form between the prosthetic teeth and the soft tissues, leaving room for food and liquids to get underneath.

Additionally, the design and contour of the underside of the prosthesis plays a major role. If the base is concave or poorly adapted to your gums, it may trap more debris. A cleanable and well-adapted shape—ideally slightly convex—is key to reducing food accumulation.

How to Minimise Food Getting Under Your Denture

Wait for complete healing: Ideally, your permanent prosthesis should be made only after your gum tissues have fully settled, to ensure the best fit and minimal gaps.
Proper prosthesis design: Your dentist should work with the lab to ensure a tight seal with soft tissues and smooth, hygienic contours.
Adjustments or remakes: If your prosthesis is acrylic, minor adjustments can often be made to improve the fit. For zirconia or porcelain-fused restorations, a new prosthesis may be needed.
Use the right cleaning tools:
- A Waterpik with the correct tip (such as a perio or implant tip) helps flush out trapped debris.
- Textured dental floss or floss threaders can help clean along the gum line more effectively than smooth floss.
Regular dental reviews: Having your prosthesis checked periodically allows your dentist to catch and correct fit issues early.

When to Seek Help

If you notice increasing discomfort, persistent food accumulation, or difficulty keeping the area clean, it’s best to book an appointment. A small adjustment or professional clean may be all that’s needed—or, in some cases, a remake of the prosthesis may be required for long-term comfort and hygiene.

All on 4 dental implants are loose - what can be causing this?

If your All-on-4 dental implants feel loose, it’s important to address the issue promptly, but first, it’s crucial to understand what exactly is loose. In an implant-supported restoration, there are three main components:

The implant fixture – the part surgically placed into the bone
The abutment – a connector piece between the implant and the bridge
The prosthesis (bridge) – the visible teeth that attach to the abutments

Looseness can come from any one of these parts, and misdiagnosing the source may lead to ongoing problems or even damage.

Common Causes of Looseness

Loose abutment screw: Even if the bridge screws feel tight, the abutment itself may be loose, causing micro-movement and instability.
Worn or damaged screws: Prosthetic screws can wear out over time or during lab processes. Simply retightening may not help; in many cases, these screws need to be replaced.
Non-passive fit of the prosthesis: If the bridge doesn’t fit passively on the implants, stress is applied during function. This can cause movement, loosening, or long-term damage. A new, more accurately fitting prosthesis may be required.
Biological complications: If the implant fixture itself is loose or failing, due to infection, insufficient bone support, or poor healing (osseointegration)—it may require more significant treatment or replacement.
Other contributing factors: Smoking, poor oral hygiene, unsterile surgical conditions, or systemic medical conditions (like uncontrolled diabetes) can compromise implant stability over time.

What Should You Do?

If you’re noticing movement, clicking, discomfort, or changes in how your bite feels:

Do not ignore it. Continuing to chew on a loose All-on-4 can cause damage to the implants or the surrounding bone.
Book a review ASAP. A clinical examination and possibly an X-ray will help your implant dentist determine the source of the problem.

Prevention Tips

Attend regular check-ups to monitor implant health and screw stability.
Follow a consistent hygiene routine and avoid habits like grinding or smoking.
If your prosthesis ever feels “off,” don’t wait—early intervention is key.

Should you replace your teeth or restore and save them?

Deciding between restoring your natural teeth or replacing them with treatments like All-on-4 dental implants is a major decision—and one that should be made carefully, based on clinical evidence, long-term outcomes, and your personal situation.

When Should You Restore Your Natural Teeth?

If your teeth are not yet hopeless, preserving them is generally the better—and more conservative—option. Advances in dentistry today allow us to restore even heavily damaged teeth using:

Fillings or bonding
Root canal treatments
Crowns or veneers
Orthodontics to improve spacing and bite
Gum treatments to manage periodontal disease

Saving natural teeth, when possible, supports the jawbone, maintains natural sensation and bite force, and helps you avoid the irreversible steps involved in full-arch replacements.

When Is Tooth Replacement (All-on-4) the Right Choice?

The All-on-4 dental implant procedure is typically recommended when:

Most or all teeth in an arch are non-restorable or failing
There is an advanced periodontal diseaseor bone loss
You’ve had multiple failed dental treatments or extractions
A traditional denture is no longer working well for function or comfort

All-on-4 is not suitable for people with many healthy or salvageable teeth. The procedure involves removing teeth and reshaping bone, which is irreversible. Think of it as a “last resort” treatment for cases where no other options offer a predictable, long-term solution.

Why a Conservative Approach Is Often Best

Jumping straight into All-on-4 when other treatments are viable is like “dropping a nuclear bomb to resolve a small dispute.” It may work—but at a cost. Most experienced dental professionals will prioritise preserving your natural dentition and recommend full-arch implants only when absolutely necessary..

If All-on-4 Fails Completely, Can You Go Back to Full Dentures?

Yes, it is technically possible to return to removable full dentures if an All-on-4 restoration fails completely. However, the bone reduction (alveoloplasty) typically done during the All-on-4 procedure can impact how well those dentures will fit and stay in place. During the All-on-4 process, a small amount of bone is removed to create a level surface for the prosthesis and ensure the gumline transition is hidden for a more aesthetic result. While this is standard and necessary for the procedure, it may reduce the bone ridges that dentures typically rely on for support and suction.

As a result:

Lower denture stability may be compromised
Upper dentures may require adhesive for added retention
Comfort and chewing function may not be as good as with implants

What If Only One or Two Implants Fail?

In reality, complete failure of all implants is rare. If one or two implants fail, they can often be replaced with a new implant or repositioned, and the restoration adjusted accordingly. Modern techniques and high implant success rates (often 95–98%) make total failure extremely uncommon when the procedure is done by a skilled professional.

What Are the Options If All-on-4 Fails?

If an implant-supported restoration needs to be removed entirely:

Denture reline or custom-fit full dentures may still be possible
Implant replacement may be considered, depending on the remaining bone
Bone grafting could help rebuild lost bone for future implant use

If you don't have enough bone for all-on-4, what are your other options?

If you’ve been told you don’t have enough bone for an All-on-4 procedure, don’t worry—there are still several effective options for restoring your smile.

1. Bone Grafting with Delayed Implants

If you’re set on a fixed full-arch solution like All-on-4, bone grafting can rebuild the missing bone first. This may involve sinus lifts (for the upper jaw) or block grafts, and does require more healing time, but it opens the door to traditional implant options once bone volume is restored.

2. Zygomatic Implants

If bone loss is severe in the upper jaw, zygomatic implants may be a solution. These longer implants are anchored into the cheekbone (zygoma), which typically has sufficient bone even when the jaw does not. This option avoids bone grafting and can still support a fixed bridge.

3. All-on-6 or Strategic Implant Placement

In some cases, adding more implants (like an All-on-6) in strategic positions or using ultra-short or angled implants may allow for fixed teeth without traditional bone grafting.

4. Removable Implant-Supported Dentures (Overdenture)

If fixed teeth aren’t suitable, a removable implant denture may still be an option. These are held in place with 2–4 implants and snap on and off, offering better stability than traditional dentures while requiring less bone than All-on-4.

5. Conventional Dentures

If none of the implant options are feasible due to health, budget, or anatomical limitations, well-made conventional dentures can still restore function and appearance, although they won’t offer the same stability or chewing power as implants.

Who is the best candidate for All-on4?

The best candidate for All-on-4 dental implants is someone who:

Has many failing or missing teeth: All-on-4 is ideal for people with severe tooth decay, gum disease, or teeth that can no longer be restored.
Wears dentures or is about to lose all their teeth: It’s a great alternative to removable dentures, offering a fixed, more comfortable solution.
Has moderate bone loss: Unlike traditional implants that may require bone grafting, All-on-4 implants are strategically angled to maximise the use of existing bone, even when some loss has occurred.
Is in good general health: Conditions like uncontrolled diabetes or smoking can affect healing and implant success, so candidates should be reasonably healthy and committed to post-surgical care.
Wants a fixed, long-term solution: If you’re looking for teeth that look, feel, and function like natural teeth—and you’re ready for the upfront investment—All-on-4 can be life-changing.

However, it’s not the right fit for everyone. Sometimes, saving natural teeth or combining different treatments could be a better, more conservative approach.

Will dental insurance pay for All-on-4?

In most cases, insurance does not pay much for All-on-4 dental implants. Some private health funds may contribute a portion toward parts of the treatment—such as extractions, surgery, or prosthetics—depending on your level of extras cover.

Here’s what you should know:

Medicare won’t cover itunless the dental issue is directly related to a serious medical condition treated in a hospital setting.
Private dental insurancemay offer limited rebates for individual steps in the process (like consultations, x-rays, or certain components of the prosthesis), but not for the entire All-on-4 procedure.
Annual limits and waiting periods often apply, so it’s worth checking your policy in detail.

What are the components in "All-on-4"

The All-on-4 dental implant system has four main components:

1. Dental Implants

These are four titanium screws surgically placed into the jawbone.

Two are placed vertically at the front.
Two are placed at an angle at the back to maximise support and avoid bone grafting.
They act as artificial tooth roots.

2. Multiunit Abutments

These are connectors that join the dental implants to the prosthetic teeth.

Customised for each patient
Ensure a secure and stable fit between the implants and the bridge

3. Prosthetic Bridge

This is the full arch of artificial teeth (either upper or lower) that attaches to the implants.

Can be made from acrylic, zirconia, PMMA, or a hybrid of materials
Designed to look and function like natural teeth
Can be temporary (used during healing) or permanent (final set)

Is it Better to Do Dental Implants in Melbourne or Overseas?

If you’re thinking about getting dental implants done overseas, here’s the short answer: you can—but it’s at your own risk.

There are good surgeons all over the world, and you might even get lucky. But the real question is: what happens if something goes wrong once you’re back in Australia? Complications don’t always happen straight away. What if you’re sitting on a long-haul flight home and you develop an issue? Who’s going to help you at 30,000 feet—or even once you land?

And let’s talk about implant parts. There are over 500 implant brands globally, many of which are not approved by the TGA (Therapeutic Goods Administration) here in Australia. If you ever need repairs or replacement parts, a local dentist may not be able to help. Yes, custom parts can sometimes be made, but it comes at a significant cost and time.

“After” can be Too Late

We’ve tried many times to help patients who’ve had implants placed overseas. We reach out to the overseas clinics asking for implant specifications or records… and more often than not, we hear nothing back. No files, no x-rays, no idea what materials were used. You’re left in the dark—and so are we.

Dental implant surgery is not as simple as placing a screw in a wall. There are so many variables—bone volume and density, your general health, genetic predisposition to gum disease, jaw function, grinding, and the aesthetics of your smile. In Australia, we often take a staged approach over several months to give you the best possible long-term result. That might include bone grafting, healing periods, and carefully timed surgeries.

So, what do you think an overseas dentist will say when you tell them you’re only there for a 3-week holiday? They’ll likely find a way to “make it work” within your schedule. But here’s the issue: good dentistry works to your biology, not your itinerary.

Even in countries with excellent healthcare systems like Germany, Japan, Sweden, or Israel, unless you’re planning to stay for 6+ months, it’s just not realistic to expect the same quality of long-term care as you would at home. And just so you know, the cost in those countries is often similar to Australia’s anyway.

Australia Has Some of the Highest Standards in the World

Here in Australia, we’re held to strict standards by AHPRA (the Australian Health Practitioner Regulation Agency). That’s not the case in many parts of the world, where dental training may be less consistent, and oversight is limited or non-existent. Our dentists are trained, regulated, and monitored to ensure patient safety and professional accountability.

We’ve seen both sides. Yes, some people come back from overseas with successful results—but we’ve also seen the other end: failed implants, broken prosthetics, poor placement, and short-term fixes that don’t hold up. Maybe my view is skewed because the people who come to me are the ones with complications. When things go wrong here in Australia, the person who did the work is usually still here to help.

So… Is it Really Cheaper?

Before you make your decision, take a moment to do the full maths. Flights, accommodation, living expenses, time off work, and—importantly—the cost of fixing things if they don’t go to plan. Then factor in the emotional toll if you find yourself in a tricky spot with no support.

At the end of the day, it comes down to how much risk you’re prepared to take—and at what cost.

What Implants Are Commonly Used for All-on-4 in Melbourne?

In Melbourne, several well-known and widely used dental implant systems are trusted for All-on-4 treatments. These include:

Nobel Biocare– Known for developing the original All-on-4 protocol, this brand is commonly used and supported by years of clinical research and global recognition.
Straumann– Another highly respected brand often used in full-arch cases. Known for precision engineering and strong research backing.
Neodent– A more cost-effective alternative (part of the Straumann group), gaining popularity in Australia for full-arch implant work due to its accessibility and quality.

Other systems like Astra Tech, MIS, and Zimmer Biomet are also used by some clinicians depending on their experience and patient needs.

Is the Brand of Implant Important?

Not necessarily. The name itself isn’t what matters most. It’s the design of the implant, the versatility of its components, and the company’s aftercare support that truly count. A reliable implant company should stand by its product, especially if something goes wrong down the track.

These days, many implant manufacturers produce high-quality implants, so patients don’t need to get caught up in marketing slogans or claims that one brand is “the best” or “the original.” If a clinic insists its system is superior purely because of branding, it’s worth approaching with healthy scepticism.

What matters more is:

The planning and skillbehind your treatment
Whether the implant system is TGA-approved
The availability of replacement partsin Australia
Long-term clinical supportfor the system used

The success of All-on-4 isn’t just about the implant—it’s about how it’s used, how it’s maintained, and how well it’s planned from the start. A quality implant system, placed correctly and supported long-term, is far more valuable than a brand name alone.

How to Prepare for Full Mouth Dental Implant Surgery

Preparing for full mouth implant surgery isn’t complicated, but a few simple steps can make a big difference to your comfort and recovery.

If your procedure is being done under general anaesthesia, there are some important things to know:

Fasting is essential.You’ll need to stop eating and drinking seven hours before surgery—this includes water, coffee, or even chewing gum.
Dress comfortably.Loose, soft clothing is best. You’ll want to feel relaxed before and after surgery.
Arrange a lift home.You won’t be in any shape to drive yourself. Make sure a trusted friend or family member can take you home and ideally stay with you for a few hours.
Plan for downtime.Most patients need about a week off work to rest and recover at home. Swelling, bruising, and general fatigue are completely normal in the first few days.

If you’re having your surgery under local anaesthetic with or without sedation, the fasting and recovery requirements may vary slightly—your dental team will give you clear instructions tailored to your procedure.

A Few Extra Tips:

Stock your fridge with soft foods like soups and smoothies
Avoid alcohol, smoking, and strenuous activity during the healing period.
Set up a comfy recovery space at home with pillows, entertainment, and any medications you’ve been prescribed.

Have you lost all hope in your teeth? Tired of Dentures? Sick of the pain?