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All-on-4 Treatment: What to Expect Before, During, and After

All on 4 Treatment: What to Expect Before, During, and After

Dr. Nestor and Dr. Diego with an All on 4 patient

Embarking on the All on 4 dental treatment journey is a life-changing decision for individuals who have endured the loss of most or all of their teeth. The revolutionary All on 4 treatment is not merely a dental procedure; it’s a gateway to renewed confidence and comfort.

The technique places a full arch of permanent prosthetic teeth using just four dental implants. Knowing the ins and sects of each stage of the All on 4 treatment can alleviate concerns, provide peace of mind, and ensure a smooth experience throughout the process. Dr. Alejandra from SOTA Dental usually says thet despite the higher initial cost, implants are considered cost-effective over time due to their durability and minimal need for replacement or repair.

Before the Treatment

The pre-treatment stage is pivotal for laying down a solid foundation for a successful dental transformation. It involves a thorough evaluation process and personalized preparation, ensuring that every patient’s unique dental needs and health conditions are carefully addressed.

Consultation and Evaluation

Your first encounter with All on 4 treatment will be a comprehensive consultation with a qualified dental practitioner who specializes in this area. The initial visit includes several step-by-step evaluations as outlined below:

  1. Medical and Dental History Review:
    A detailed overview of your medical and dental history will be conducted. This information is crucial as it helps your dental specialist understand your health status and confirm your candidacy for the procedure. Among other things, the dentist will need to know about any existing conditions, allergies, and medications you may be taking.
  2. Imaging and Impressures:
    State-of-the-art imaging methods such as panoramic X-rays or 3D CT scans play a paramount role in enabling a complete examination of your jawbone density and the current state of your oral structure. These imaging results are not only essential for successful implant placement but also contribute to meticulous planning of your new smile. Additionally, dental impressions may be taken as part of creating a treatment plan personalized just for you.
  3. Treatment Discussion:
    Clarity is key in any healthcare procedure, and the All on 4 is no exception. Your dentist will walk you through the fine details of what the treatment entails, spelling out the number of appointments, the expected timeline, breakdown of costs, and the results you can look forward to. This step is vital for setting realistic expectations and allowing you to make an informed decision about proceeding with the All on 4 treatment.
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Pre-Treatment Preparations

Once the decision to move forward with the procedure is made, certain preparations need to be undertaken to pave the way for a smooth treatment experience:

  1. Oral Hygiene:
    The importance of maintaining excellent oral hygiene cannot be stressed enough. In the lead-up to your surgery, it might be necessary to heighten your routine. This may mean more frequent brushing or using special mouthwashes as recommended by your dentist to reduce the risk of infection.
  2. Medications:
    To promote a healthy procedure, your dental team may prescribe specific medications such as antibiotics to take leading up to your surgery. Antibiotics help stave off infections, ensuring that you are in the best shape possible for the day of the procedure.
  3. Dietary Adjustments: Preparing for any surgery typically involves dietary adjustments. In the case of All on 4 treatments, you might be asked to fast for a certain period before the anesthesia or to adjust your intake of specific food types. These guidelines are designed to optimize your body’s readiness for the procedure and to minimize any potential complications.

During the Treatment

Doctors with an All on 4 patient.

The day of the All on 4 procedure is a pivotal moment in your dental restoration journey. While emotions and anticipation are running high, knowing what the day entails can help in staying calm and prepared for the transformation ahead.

Surgical Procedure

The intricate process of placing All on 4 implants efficiently brings together precision, advanced dental techniques, and years of specialist training. The surgical sequence unfolds as follows:

  1. Anesthesia:
    Patient comfort is a top priority. This is why the procedure typically starts with the administration of local anesthesia or conscious sedation, making the entire process pain-free. Your dentist will discuss sedation options with you beforehand, opting for the one that ensures maximum comfort based on your health and any anxiety levels.
  2. Extraction of Remaining Teeth:
    Before placing the implants, it is crucial to remove any remaining teeth that are irreparable. This step clears the stage for the placement of the implants and the new prosthetic teeth.
  3. Placement of Implants:
    With precision and dexterity, your dentist will place four titanium implants into your jawbone. These implants act as the new roots for your prosthetic teeth. Their strategic angled placement is integral to providing comprehensive support to the dental arch and ensuring long-term stability and strength of your new teeth.
  4. Immediate Temporaries: One of the most appreciated aspects of the All on 4 treatment is the immediate gratification it offers. Though your final prosthetic teeth will be fitted after the implants have fully integrated with your jawbone, temporary teeth are attached right after implant placement. You can walk out of the clinic with a smile you are proud to wear, soon after surgery.

After the Treatment

The journey does not end with the surgery; the post-treatment period is vital for recovery and the long-term health of your All on 4 implants. Dr. Nestor says implants provide a natural appearance and feel, closely mimicking natural teeth in both function and aesthetics.

Initial Recovery Period

Healing is a journey, and the first few days and weeks following the surgery are crucial for a successful outcome:

  1. Post-Operative Instructions:
    Adhering to the post-op care instructions issued by your dental team is non-negotiable. These typically touch on managing discomfort, engaging in proper oral care, shouldering dietary constraints, and limiting physical activities that may hinder the healing process. Adherence to these directives helps ensure a smooth and speedy recovery.
  2. Swelling and Discomfort:
    It is perfectly normal to experience some degree of swelling, bruising, and discomfort following an All on 4 procedure. Your dentist may recommend ice packs to manage inflammation and prescribe medications to control pain and promote healing.
  3. Oral Hygiene: Keeping the surgical sites clean is essential to avoid infections and complications. You will be advised on how to maintain oral hygiene appropriately during this time, which often includes using special mouth rinses and gentle brushing.

Long-Term Care

Caring for your new smile extends far beyond the initial recovery period. It incorporates regular check-ups and a robust oral hygiene regimen:

  1. Follow-Up Visits:
    Regular appointments with your dentist will be necessary to monitor the healing process and make any adjustments to temporary prostheses. This step is critical to the eventual fitting of your final prosthetic teeth.
  2. Final Prosthetic Teeth:
    The final prosthesis usually comes after a healing period of about three to six months, giving the implants time to fuse with your jawbone in a process known as osseointegration. These final prosthetic teeth are designed to be durable, comfortable, and indistinguishable from natural teeth.
  3. Routine Maintenance: To preserve your new smile and ensure the longevity of your implants, consistent oral hygiene practices are indispensable. Additionally, your dentist will recommend regular check-ups to keep tabs on your implants and address any issues promptly. Dr. Miller from SOTA Dental always repeats “with proper care, dental implants can last a lifetime”

Hear it directly from our doctors! In the next video, Dr. Nestor from the Los Algodones office explains Dental Implants and All on 4 treatments.


The All on 4 treatment process is a comprehensive, transformative journey with each phase playing a crucial role in achieving a bright, durable smile that enhances your overall quality of life. With the right preparation, awareness, and aftercare, your path to a restored smile can be smooth and deeply gratifying. Your qualified dental professional can provide personalized advice and a level of care tailored specifically to your unique dental needs, ensuring the best possible outcome.

You can contact us anytime to talk to our doctors and understand what is best for you.

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