Getting All-on-Four Dentures: A Step-by-Step Guide

Learn about all-on-four dentures and what to expect from this procedure with this step by step guide.

Getting All-on-Four Dentures: A Step-by-Step Guide

If you're looking for a permanent solution to replace missing teeth, all-on-four dentures may be the right choice for you. This procedure consists of inserting up to four implants in each of the dental arches to serve as a base for the dentures. It takes 4 to 5 months to complete the process, from the first appointment to the final placement of the permanent dentures. It depends on your situation, but a titanium alloy will most likely be used for your implants.

All in four consists of four titanium screws strategically implanted at different points in the jaw. These screws serve as a support base on which the dental restoration itself will be mounted. Unlike individual implants, this procedure is completed with a full arc of teeth in one solid piece secured to the four screws. “All-in-four” dental implants are a modular and simpler form of dental implants that replace several missing teeth or inferior solutions, such as removable dentures. If you're considering getting all-on-four dentures, here's a step-by-step guide to help you understand what to expect:

Step 1: Consultation

The first step is to schedule a consultation with your dentist.

During this appointment, your dentist will assess your oral health and determine if you're a good candidate for all-on-four dentures. They'll also discuss any potential risks or complications associated with the procedure.

Step 2: X-Rays and Impressions

Once it's determined that you're a good candidate for all-on-four dentures, your dentist will take X-rays and impressions of your mouth. These will be used to create a custom treatment plan and determine where the implants should be placed.

Step 3: Placement of Implants

The next step is the placement of the implants. This is done under local anesthesia and typically takes about an hour.

Once the implants are placed, they'll need time to heal and integrate with your jawbone.

Step 4: Attaching Abutments

Once the implants have healed, abutments will be attached to them. Abutments are small metal posts that will serve as anchors for your dentures. This step usually takes about an hour.

Step 5: Final Fitting

The final step is the fitting of your permanent dentures. Your dentist will take impressions of your mouth and use them to create custom dentures that fit perfectly over your abutments.

Once they're ready, they'll be attached to the abutments and you'll have a full set of permanent dentures.


All-on-four dentures are an effective way to replace missing teeth and restore your smile. The process takes 4 to 5 months from start to finish, but it's worth it for the long-term results. If you're considering getting all-on-four dentures, talk to your dentist about whether it's right for you.

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