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Medically reviewed by Dr Jerry Jesin — By Andrea Galick

All on 4 Dental Implants: Step-by-Step Procedure

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Dental implants have revolutionized the field of dentistry, offering a permanent solution for individuals with missing teeth.

However, among the plethora of various modern-day implant techniques available, the All-on-4 dental implant method stands out as a reliable and efficient approach to restoring a full set of teeth.

Overview of the All-on-4 Dental Implant Method

Before diving into the specifics, let's start with a brief overview of the All-on-4 dental implant procedure step by step.

What is all on 4 dental implants? This approach is designed for individuals who have lost most or all of their teeth in one or both jaws. Unlike traditional dental implants that may require numerous implants for a full set of teeth, the All-on-4 method uses just four strategically placed implants to support an entire arch of teeth.

This not only reduces the number of implants needed, but also minimizes the need for extensive bone grafting procedures.

Patient Evaluation

The journey towards All-on-4 dental implants begins with a thorough patient evaluation.

This is a collaborative process involving the patient, dentist, and restorative dentist. During this phase, the following steps are crucial:

  • Digital Imaging: Advanced digital X-rays and imaging techniques are used to assess the patient's oral health. This allows the dental team to identify any underlying issues and plan the implant placement with precision.
  • 3D Scans: High-resolution 3D scans provide a detailed view of the patient's jawbone and oral structures. This aids in determining the optimal implant locations and ensures a successful outcome.

Overview All-on-4 Dental Implant

Implant Placement

With the patient evaluation completed, it's time to move on to the implant placement stage. This is a critical part of the procedure, and it consists of two main steps:

  1. First Set of Implants: The dentist strategically places the first set of two implants at the front of the jaw. These implants serve as anchors for the initial prosthesis.
  2. Second Set of Implants: Moving towards the back of the jaw, the dentist implants another set of two fixtures. These are positioned at specific angles to maximize support and stability for the prosthesis.

During these implant placement procedures, surgical techniques and precision are of utmost importance to ensure that the implants integrate seamlessly with your natural bone structure.

Immediate Loading

One of the unique features of the All-on-4 method is the concept of immediate loading.

Immediate loading refers to the idea that prosthetic teeth are attached immediately after implant placement, allowing patients to leave the dental office with a functional set of teeth on the same day.

Provisional Restoration

A provisional or temporary prosthesis is then secured onto the newly placed implants. This temporary restoration not only aids in the healing process, but also provides aesthetic and functional benefits, allowing patients to regain their confidence and chewing ability.

During this phase, the restorative dentist ensures that the provisional prosthesis is customized to fit your mouth comfortably and provide a natural appearance.

What is all on 4 dental implants

Healing Period

After the implantation and provisional restoration, a healing period follows. During this phase, patients need to be aware of the following:


The body needs time to heal and for the implants to osseointegrate with the jawbone. This process can take several months, during which patients are advised to follow specific post-operative care instructions.

Post-Operative Care

Next, patients are provided with detailed instructions on how to care for their implants during the healing period. This includes maintaining proper oral hygiene, eating soft foods, and avoiding certain behaviours that could jeopardize the healing process.

Final Prosthesis Placement

Once the healing period is complete, the final step of the All-on-4 dental implant procedure involves the placement of the permanent prosthesis.

The final prosthesis is custom-made to match the patient's unique oral anatomy and preferences. This ensures a comfortable fit and a natural-looking smile. The collaborative effort between the restorative dentist is crucial at this stage in order to ensure that the final prosthesis is securely attached to your implants, and functions effectively.

Ongoing Follow-Up

The journey doesn't end with the placement of the final prosthesis: ongoing follow-up appointments are essential to monitor the health of the implants and make any necessary adjustments. Here's why they matter:

  • Routine Appointments: Patients are advised to regularly arrange follow-up meetings with their dental professionals. These appointments serve the purpose of evaluating the stability of the implants, assessing the condition of the prosthesis, and monitoring overall oral well-being.
  • Necessary Adaptations: Over time, it may become essential to make adaptations or refinements to the prosthesis to ensure ongoing comfort and functionality. These visits are a fundamental component of safeguarding the enduring success of All-on-4 dental implants.

As a whole, the All-on-4 dental implant method provides a streamlined and efficient solution for individuals dealing with extensive tooth loss. This step by step implant procedure marks the commencement of a journey toward restoring confidence in your smile and enhancing your overall oral health.

However, when it comes to the question of how are dental implants done, it’s important to keep in mind that each patient's circumstances are unique, emphasizing the importance of personalized care to attain the finest outcomes in the implant procedure steps.

Ready to take the next step towards a healthier and more confident smile? Contact us at North York Smile Centre, where we stand as your trusted partner in All-on-4 dental implant steps.

Our experienced team is here to guide you through the process and provide the highest quality care. Schedule your consultation today, and discover the life-changing benefits of dental implants steps and All on 4 prosthesis steps. Don't wait any longer: your new smile awaits!

Andrea Galick

Andrea Galick is an accomplished Dental Hygienist (RDH) with a passion for helping patients achieve optimal oral health. Andrea has built a reputation as a caring and skilled practitioner who puts her patients at ease and provides individualized care that meets their unique needs.


North York Smile Centre
5 Park Home Ave #130,
North York,
ON M2N 6L4