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All-on-4® vs Traditional Dental Implants: What Most People Don’t Know

All on 4 clinic

If you’ve been exploring how to replace all your teeth, you’ve probably come across terms like traditional dental implants, All-on-4®, or even “teeth on four implants.”

But here’s something that surprises a lot of people — including some dentists:

Not all dental implants are created equal. And not every four-implant treatment is truly All-on-4® dental implants.

Understanding the difference is crucial. Because when things go wrong, it can lead to disappointment, implant failure, more surgeries — and lost time, money, and confidence.

In this article, I want to walk you through:

  • What traditional dental implants actually involve

  • What makes All-on-4® so different

  • Why bone grafting isn’t necessary

  • Why some people are told they have “no options” — when they actually do

  • And how to make sure you’re getting a true, properly planned All-on-4® treatment

Let’s start from the beginning.

What Are Traditional Dental Implants?

When people think of dental implants, they often picture a single screw placed into the jawbone to replace a missing tooth.

This method works well when replacing one or two teeth.

But for full mouth teeth replacement, placing one implant for every missing tooth becomes unviable. Instead, traditional surgeons will place one implant for every second or third tooth and join them together to form a bridge or a row of connected teeth. However, this still requires placing 8 to 10 implants per arch, often involving:

  • Bone grafting to grow the missing bone

  • Multiple surgeries to allow gradual healing

  • Long healing periods between stages

For many patients, this approach can become overwhelming. It’s more invasive, more expensive, and can stretch out over a year or more. This can be especially challenging for those who experience anxiety about dental visits, as the multiple surgeries and frequent appointments can feel daunting or emotionally exhausting.

That’s where All-on-4® offers a better path.

“Isn’t All-on-4® Just Four Implants?”

We get asked this all the time. And the answer is — absolutely not.

All-on-4® is not just placing four implants in the jaw. It’s a highly skilled technique designed for full arch restoration using just four strategically placed implants.

With All-on-4®:

  • We avoid bone grafting by angling implants into areas of stronger bone

  • We provide immediate stability

  • And most importantly — we can deliver fixed, functional teeth within 1–3 days

It’s a highly successful and predictable full-arch solution, not a shortcut.

Every All-on-4® case begins with advanced 3D diagnostics. We analyse your bone structure, density, and nerve positions to plan the precise angle and placement of each implant — long before surgery ever begins.

The result?
A stable, long-lasting smile, with minimal surgery, faster healing, and no removable teeth.

When It’s Not Done Properly: A Real Story

A woman came to see us recently, clutching a small container in her hands. Inside it were her teeth — an entire dental implant bridge that had come loose from her mouth. She had undergone full-mouth dental implant treatment elsewhere, spent tens of thousands of dollars, and trusted that she was finally on the path to getting her life back.

But what she got was far from that.

She hadn’t been told about All-on-4® dental implants. She didn’t even know it existed. There was no proper planning, no long-term follow-up, and no care for how the final result would impact her daily life. What she was left with were failed dental implants, infection, significant bone loss — and a shattered sense of trust.

It was heartbreaking. Not just because of the money she’d lost, but because of the emotional weight she carried. She had gone through all that pain and effort only to end up back at square one — this time with even fewer options and even more fear.

Sadly, her story isn’t unique. We see it far too often.

And this is why experience, honesty, and proper planning matter so much — especially for something as life-changing as full-mouth dental implant treatment.

Why We’re an All-on-4® Centre of Excellence

All-on-4® isn’t just something we offer, it’s what we do, every single day. Over the past 10+ years, we’ve treated thousands of dental implant cases and are proud to be recognised as an All-on-4® Centre of Excellence.

Here’s what that means for our patients:

  • We only use genuine Nobel Biocare implants, the pioneers of the All-on-4® technique, backed by decades of research and the world’s highest success rates.

  • We are a 100% graft-free clinic for full mouth dental implants.

  • We’re highly experienced in complex cases, including zygomatic implants — for patients who’ve been told they have “not enough bone.”

When done right, All-on-4® dental implants are a transformative solution. And we’ve built our reputation around doing it right.

Dr. Wilfred Koon All-on-4® award

Why All-on-4® Requires Real Skill and Planning

True All-on-4® isn’t a “one size fits all” or plug-and-play procedure. It’s a highly specialised treatment that demands precise planning from the very beginning. Each case starts with a 3D CBCT scan, a detailed look at your bone, nerve positioning, and jaw structure. From there, we assess:

  • Bone volume and density

  • The ideal angle and depth for each implant

  • The specific implant size and length that suits your anatomy best

Even a 1mm difference in placement can affect the long-term success of your implants.

Placing the implant at the wrong depth or with insufficient spread can result in a final set of teeth that is weaker and less aesthetic.

Incorrect management of soft bone will result in the need to use removable dentures for up to 12 months.

That’s why we plan everything down to the finest detail because this isn’t just about placing implants. It’s about building a foundation for a smile that’s meant to last.

Just like not every builder can build a skyscraper, not every surgeon has the skills to truly transform your smile.

What About the Teeth Themselves?

We understand how eager you might be to walk out of surgery with a brand-new smile. But at our clinic, we don’t recommend inserting your new teeth on the day of surgery — or even the next day. And here’s why.

Your comfort and aesthetics are our top priorities.

Rushing the process often means using materials that are fast to make, but weaker and less predictable in how they look or feel. The result? A smile that may not meet your expectations.

Instead, we take a more thoughtful and precise approach.

Day 2 – The Trial Smile

The day after surgery, we bring you in for a “test run.” This is your opportunity to try on your first set of teeth before they’re fixed in. We’ll check the fit, make sure they’re comfortable, and most importantly, that you feel confident with how they look when you smile.

Day 3 – Your First Set of Fixed Teeth

On Day 3, we’ll insert your first set of fixed teeth. These are not removable — you won’t need to take them out at night. You’ll eat, talk, and brush with them like they’re your own. These provisional teeth are designed to last through your healing period, which typically takes around 6 months.

Even though these are temporary, we invest a lot of time and effort to make sure they:

  • Look natural

  • Feel comfortable

  • Give you immediate confidence

We don’t believe in giving you a cheap set of temporary teeth just to “get you by.” This is your new smile — and we want it to feel right from the start.

Why This Matters

What many people don’t realise is that placing the implants is just one part of the journey. The design of the teeth — how they look, feel, and function — is just as important. That’s where true expertise and craftsmanship come in.

Creating a full new smile isn’t like placing a single implant. It’s not a quick renovation. It’s more like building a brand-new home from the ground up. And just like in construction, while tools are important, it’s the team behind the work that makes all the difference.

We Take Every Step Seriously

Every member of our team is highly skilled and handpicked for what they bring to this process. At our clinic, your surgeon and prosthetic dentist work closely with our in-house dental technicians to ensure your new teeth:

  • Have a balanced, natural bite that’s comfortable long-term

  • Are designed to suit your face, personality, and lifestyle

  • Provide the strength and function you can rely on for years to come

Healing Time Is Valuable

The 6 month healing period is not just about waiting — it’s an opportunity. During this time, we can fine-tune anything that needs adjustment: bite, shape, or comfort. More importantly, you get to live with your new smile and ensure everything feels natural before we craft your final, custom-designed teeth.

By taking things step by step, we ensure that your final smile is not just functional — but beautiful, comfortable, and built to last.

The Bottom Line

If you’ve been told you’re not suitable for implants…
If someone has suggested you’ll need bone grafting first…
If you’ve been left confused by terms like “snap-on,” “firm fit,” “All-on-X,” or “teeth in a day”…

You deserve clarity.

Not all implants are the same. Not every dentist offering implants is doing All-on-4®. And definitely not all All-on-4® treatments are the same.

All-on-4® is a complex, life-changing procedure, and success doesn’t happen by chance. It takes detailed planning, surgical skill, and years of experience to get it right.

You deserve to understand all the possibilities before making any decision about your smile.