Understanding the Differences: All-on-4® vs “All-on-4 Plus®”
At The Point Dental, we’ve had many patients come to us feeling confused after hearing different terms like “All-on-4®” or “All-on-4 Plus®” from various clinics — all sounding similar but involving very different treatment timelines, procedures, and costs.
That’s why we created this blog: to help you understand the core differences and ensure you are well informed before making any decision about your smile.
We understand that every clinic has its own approach, technologies, and even treatment names. Each provider makes decisions based on their experience and what they believe is best for their patients. Our goal is simply to ensure you — the patient — have all the clear, factual information to make the right decision for your smile and your health.
This guide is simply here to empower you with the questions to ask, the key differences to understand, and the information you need to feel confident in your treatment journey — all grounded in long-term proven studies and clinical evidence.
What Patients Need to Know: All-on-4® Dental Implants vs Other “Full Mouth Dental Implants” Solutions
Even when different clinics use similar-sounding names, the actual procedure can differ significantly depending on:
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Whether bone grafting is required
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The number of surgeries involved
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How long you must wait for your new teeth
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The type and brand of implants used
This is why understanding the actual protocol is more important than just the name.
However, critical decisions should be based on available evidence and long-term proven studies — not just branding or assumptions.
What to Ask During Your Consultation
To help patients avoid confusion or surprises later on, here are some important questions to ask during your consultation:
Will I need bone grafting or sinus lifts?
→ True All-on-4® is designed to avoid bone grafting altogether — which means no bone grafting and no sinus lift — which reduces cost, healing time, and complications.
When will I get my new teeth?
→ At The Point Dental, our patients walk away with fixed, non-removable teeth within 1–3 days of surgery.
What brand of implants do you use?
→ We use Nobel Biocare implants — the original developers of the All-on-4® concept. In fact, Professor Per-Ingvar Brånemark, the founder of Nobel Biocare discovered that titanium could fuse with bone (a process known as osteointegration) and went on to invent the first modern dental implant. Nobel Biocare’s All-on-4® protocol is backed by the longest-running clinical studies in the field, proving its reliability and success.
Are there any other options besides doing the sinus graft/ bone grafting?
–> Yes, the original Nobel Biocare All-on-4® concept is designed with angled implant placement to avoid bone grafting. For advanced bone loss situation, we also offer alternative graftless implant solutions such as zygomatic, pterygoid, or piriform implants that eliminate the need for bone grafting completely, allowing for a faster and less invasive treatment.
Is your clinic an All-on-4® Centre of Excellence?
→ Our clinic has been recognised as the All-on-4® Centre of Excellence in Australia for a few consecutive years.
Click to read more about why we are a Centre of Excellence
Do you offer general anaesthesia (sleep dentistry)?
→ We offer surgery under general anaesthesia with an experienced anaesthetic team — making your experience stress-free and comfortable.
What Is The Original All-on-4® Protocol? | No Bone Grafting, Fixed Teeth in Days.
True All-on-4®, as originally developed by Nobel Biocare, is a graftless technique — specifically designed to avoid bone grafting by placing implants at precise angles to maximise your existing bone. It also allows for immediate loading, meaning a fixed bridge of teeth is placed within 1–3 days in most cases.
Here’s what that means for you:
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No bone grafting needed
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Teeth are placed within 1–3 days
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Minimally invasive, using angled implants to maximise available bone
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Digital planning and surgical precision to ensure predictable outcomes
We’re also proud to be recognised as an official All-on-4® Centre of Excellence in Australia.
What is All-on-4 Plus®? | All-on-4® + Sinus Bone Graft
All-on-4 Plus® is a modified version of the All-on-4® concept that involves sinus bone grafting. While the original All-on-4® technique is specifically designed to avoid bone grafting—with a highly proven 98% success rate—All-on-4 Plus® includes an additional procedure to rebuild bone in the sinus area during the surgery. This involves a more extensive surgery where the sinus cavity is carefully opened to place the bone graft.
Why Graftless Implant Solutions Are Often the Smarter Choice
There’s a reason modern implantology is moving toward graftless techniques. Not only are they faster and less invasive, but the results are often more predictable and longer lasting.
So why don’t we do bone grafting?
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Grafted bone isn’t the same as your natural bone. It tends to be less dense and less solid, which can affect the long-term stability of the implant.
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Longer healing time and more procedures — patients often wait months before implants can be placed.
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More surgical risk, especially for patients with chronic sinus issues or a history of failed grafts.
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With graftless technique achieving 95%-98% success rate, bone graft is no longer needed.
In fact, with today’s techniques, bone grafting is no longer an option — even in patients with severe bone loss. At The Point Dental, we use advanced alternatives like zygomatic, pterygoid, and piriform implants, which allow us to anchor into strong existing bone without the need for grafting.
That’s the foundation of our approach at The Point Dental: we perform advanced graftless surgery to help patients get their new smile safely and quickly — usually within just a few days.
We believe in keeping it simple because simplicity is the key to long-term success.
Remember: the original is always the best—especially when it comes to your bone and your implants.
Patients Deserve Full Transparency
At The Point Dental, we’ve helped thousands of patients who first consulted elsewhere, only to be surprised by unexpected procedures, delays, or changes in cost.
Our promise is simple:
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We provide honest, expert advice about what’s truly needed
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We offer sleep dentistry and full digital planning
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We deliver fixed, natural-looking teeth in 1–3 days, wherever clinically possible
Most importantly, we want every patient to feel informed and confident. After all, it’s your smile, your health, and your decision.
Why Choose The Point Dental?
We are proud to be an award-winning implant centre that puts patients first. Our approach is about more than teeth — it’s about restoring confidence and quality of life.
Click here to learn more about our awards and why patients trust The Point Dental
If you’re considering full mouth dental implants and feeling unsure about different terms or treatment plans, book a consultation with us. We’ll give you the clarity you deserve.
Let’s take the guesswork out of your smile transformation.
