For patients who have lost all or most of their teeth, or who are facing complete tooth loss, All-on-4 is one of the most effective and efficient full-arch restoration options available. Using just four strategically placed dental implants to support a complete arch of teeth, All-on-4 can often be completed in a single day, restoring both function and appearance without the need for multiple surgeries or extended treatment timelines.

At Ora Dentistry, Dr. Devan Dalla and our restorative team offer All-on-4 treatment to patients throughout Elk Grove, Sacramento, Galt, and surrounding communities as part of our comprehensive restorative dentistry services.

How All-on-4 Works

Traditional implant-supported restorations often require six or more implants placed vertically throughout the arch. All-on-4 uses a different approach. Two implants are placed vertically at the front of the arch, while two additional implants are placed at an angle toward the back. This angled placement takes advantage of areas of denser bone that are typically available even in patients who have experienced significant bone loss.

The result is a full arch of teeth supported by four implants, secured permanently in place without adhesives, and stable enough to restore normal chewing function. Because the angled posterior implants maximize contact with available bone, many patients who have been told they require bone grafting before receiving implants are candidates for All-on-4 without that additional procedure.

What Makes All-on-4 Different from Other Implant Options

Conventional implant-supported dentures and individual implant restorations are excellent solutions for many patients, but they may require more implants, more surgeries, or more time before a final restoration can be placed. All-on-4 is specifically designed to streamline the full-arch restoration process by reducing the number of implants required, minimizing surgical complexity, and in many cases delivering a functional provisional restoration on the same day as surgery.

For patients who have been living with failing teeth, ill-fitting dentures, or significant tooth loss, the ability to leave the office with a complete, stable smile in a single day represents a meaningful improvement in quality of life.

Are You a Candidate for All-on-4?

Most adults with complete or near-complete tooth loss are potential candidates for All-on-4 treatment. During your consultation, Dr. Dalla will evaluate your bone volume using 3D CBCT imaging, review your medical history, and assess your overall oral health to determine whether All-on-4 is the most appropriate solution for your situation.

Patients who have been told elsewhere that they are not candidates for dental implants due to bone loss are encouraged to schedule a consultation. The angled implant design of All-on-4 often makes it possible to proceed without bone grafting in cases where conventional implant placement would not be feasible.

If you are considering dentures, implant-supported dentures, or full-arch reconstruction, All-on-4 may be the right solution. Contact Ora Dentistry today to schedule your consultation at our Elk Grove office.

Frequently Asked Questions About All-on-4 Dental Implants

How is All-on-4 different from traditional dentures?
Traditional dentures rest on the gum tissue and rely on suction or adhesives for stability. They can shift during eating or speaking and do not stimulate the jawbone, meaning bone loss continues over time. All-on-4 implants are surgically anchored into the bone, providing a fixed, stable restoration that functions more like natural teeth and helps preserve the remaining bone structure.

Can I really get a new smile in one day?
In many cases, yes. All-on-4 is designed to allow placement of a functional provisional restoration on the same day as implant surgery. The final definitive restoration is typically placed after the implants have fully integrated with the bone, which takes several months. However most patients leave their surgery appointment with a complete, stable set of teeth.

Do I need bone grafting before All-on-4?
Many patients do not. The angled placement of the posterior implants in All-on-4 takes advantage of denser bone areas that are typically available even in patients with significant bone loss. This is one of the primary advantages of All-on-4 over conventional implant protocols. Dr. Dalla will evaluate your bone volume using 3D imaging during your consultation and give you an honest assessment of what your treatment will require.

How long do All-on-4 implants last?
With proper care and routine follow-up visits, All-on-4 implants are designed to be a long-term solution. The implants themselves can last decades. The prosthetic arch may require maintenance or replacement over time depending on wear and individual factors. Dr. Dalla will discuss realistic long-term expectations during your consultation.

Is the All-on-4 procedure painful?
The procedure is performed under local anesthesia with sedation options available. Most patients report that discomfort following surgery is manageable with prescribed pain relief and resolves within the first several days. Our team will provide detailed aftercare instructions and monitor your recovery closely.

How much does All-on-4 cost?
The cost of All-on-4 treatment varies depending on the complexity of the case and the specific components used. We accept most PPO dental insurance plans and offer financing options to help make treatment accessible. A detailed cost estimate will be provided following your consultation and treatment planning appointment.

What if I have been told I am not a candidate for implants?
We encourage you to schedule a consultation at Ora Dentistry before ruling out implant treatment. Dr. Dalla is frequently consulted for second opinions on complex implant cases and has the training and imaging technology to evaluate options that may not have been considered during a previous assessment.