FULL ARCH DENTAL IMPLANTS

What exactly are All-on-4 dental implants?

All-on-4 dental implants are a full-arch tooth replacement solution that uses four strategically placed titanium implants to support a complete, fixed set of prosthetic teeth. The implants act as artificial tooth roots, anchoring your new smile securely to your jawbone. This approach allows many patients to replace an entire arch of missing or failing teeth with a stable, non-removable solution — often with teeth placed the same day as surgery.

How is Novi Smile® different from other All-on-4 treatments?

Novi Smile® is North Shore Smile Surgery’s specialized approach to the All-on-4 procedure. It combines advanced digital imaging, precise surgical planning, and proven implant techniques to deliver predictable, long-lasting results. The focus is on efficiency, comfort, and aesthetics, often reducing the need for bone grafting and minimizing overall treatment time while delivering a natural-looking, functional smile.

Who is a good candidate for All-on-4 implants?

Many patients who are missing most or all of their teeth — or who have failing, damaged, or severely worn teeth — may be good candidates for All-on-4. This solution is ideal for those seeking a fixed, permanent alternative to removable dentures. Even patients who have been told they have bone loss may still qualify, thanks to the angled placement of the implants.

What’s the difference between All-on-4 and All-on-6?

All-on-4 uses four implants to support a full arch of teeth, while All-on-6 uses six. All-on-4 is often preferred because it typically requires less bone, fewer implants, and shorter treatment time, which can reduce cost and recovery. All-on-6 may be recommended in certain cases based on anatomy or bite forces. Your surgeon will determine the best option for your specific needs.

Will I be comfortable during the procedure?

Yes. The All-on-4 procedure is performed using IV sedation and local anesthesia, ensuring you remain comfortable throughout surgery. Most patients have little to no memory of the procedure itself. After surgery, any discomfort is usually mild to moderate and well-managed with medication and post-operative care instructions.

Does the procedure hurt afterward?

Some swelling and soreness are normal after surgery, especially during the first few days. However, most patients report that discomfort is less than expected and improves quickly. Pain is typically manageable with prescribed or over-the-counter medications, cold compresses, and rest.

How long does the All-on-4 makeover take?

For a single arch, surgery generally takes about 4–5 hours. Treating both upper and lower arches may take 6–8 hours total. You’ll be monitored throughout the procedure and can expect to leave the office the same day with fixed temporary teeth.

Is the All-on-4 procedure really done in one appointment?

The surgical placement of the implants and attachment of your fixed temporary teeth is completed in one day. Prior to that, you’ll have a consultation and planning visit to take 3-D scans and finalize your treatment plan. After healing, you’ll return for placement of your final, permanent prosthesis.

Will my smile look natural?

Yes. Your new teeth are custom-designed to complement your facial structure, bite, and smile line. The shape, color, and size are carefully selected to create a natural-looking, confident smile that looks and feels like real teeth.

How does the All-on-4 makeover differ from traditional dentures?

Traditional dentures rest on the gums and are removable. They can slip, require adhesives, and may limit what you can eat. All-on-4 implants are fixed in place, do not move, and function much like natural teeth. They also help preserve jawbone and facial structure, which dentures cannot do.

Will I be able to eat normally again?

Yes. While there is a healing period with dietary restrictions, most patients return to a normal, enjoyable diet once healing is complete and the final prosthesis is placed. Many patients report being able to eat foods they avoided for years with dentures or missing teeth.

What can I eat following the procedure?

Immediately after surgery, you’ll start with liquids and very soft foods. As healing progresses, you’ll gradually introduce soft solids. You’ll follow a modified diet for several months to protect the implants while they integrate with the bone.

How long does it take to fully heal?

Healing occurs in stages. Initial swelling and soreness usually improve within the first week. Over the next 3–6 months, the implants integrate with your jawbone (osseointegration). Once healing is complete, your final permanent bridge is placed.

When can I return to work or normal activities?

Many patients return to light activities or work within a few days, depending on their comfort level and job demands. Strenuous activity should be avoided for a short period as recommended by your surgeon.

How long do All-on-4 implants last?

With proper care and regular dental visits, All-on-4 implants are designed to last many years — often decades or longer. While the implants themselves are highly durable, the prosthetic teeth may need maintenance or replacement over time due to normal wear.

How do I care for my implants long-term?

Caring for All-on-4 implants is similar to caring for natural teeth. Daily brushing, flossing, and routine professional cleanings are essential. Your dental team will show you the best tools and techniques to keep your implants healthy.

Are there any risks or complications?

As with any surgical procedure, risks can include infection, implant failure, nerve irritation, or sinus issues. These complications are uncommon, especially with proper planning, experienced care, and adherence to post-operative instructions.

Can All-on-4 implants fail? What happens if they do?

Implant failure is rare, but if it occurs, it’s often manageable. Depending on the situation, an implant may be replaced or adjusted without compromising the entire restoration. Regular follow-up visits help identify and address issues early.

Is financing available?

Yes. Financing options are available to help make All-on-4 treatment more accessible. Our team can review available plans and help you choose an option that fits your budget.

Does insurance cover All-on-4 implants?

Coverage varies by insurance plan. Some plans may cover portions of the procedure, such as extractions or imaging, while others may not cover implants themselves. Our team can help review your benefits and discuss financing options if needed.

Why does All-on-4 typically cost less than traditional implants?

All-on-4 replaces an entire arch using fewer implants and often avoids bone grafting. This reduces surgical time, materials, and overall treatment complexity, which can lower total cost compared to placing individual implants for each missing tooth.

What if I’ve been told I don’t have enough bone?

Many patients with bone loss are still candidates for All-on-4. The angled placement of the implants allows surgeons to use available bone more effectively, often eliminating the need for bone grafting.

Am I too old for All-on-4 implants?

Age alone is not a limiting factor. As long as you are in generally good health and able to undergo surgery, All-on-4 may be an excellent option — even for older adults seeking a more stable alternative to dentures.

What if I grind my teeth or have dental anxiety?

Teeth grinding and dental anxiety are common concerns and can usually be managed. Night guards, treatment planning adjustments, and sedation options help ensure both comfort and long-term implant success.