All-on-4 Dental Implants: Full Mouth Restoration Guide (2026)

What is All-on-4?

All-on-4 is a revolutionary implant treatment technique developed for patients who are edentulous or experiencing significant tooth loss. In this method, just 4 implants are placed in a single jaw to support a full-arch prosthesis (a fixed bridge of 10-12 teeth). Developed by Portuguese implantologist Prof. Dr. Paulo Malo, this technique requires fewer implants than traditional treatment and eliminates the need for bone grafting in most cases.

The most striking feature of the All-on-4 technique is that implant surgery and temporary prosthesis placement can be completed on the same day. This means a patient who arrives at the clinic without teeth in the morning can leave with fixed temporary teeth by evening. This instantly improves patients' social quality of life and significantly shortens the overall treatment timeline.

Who is a Candidate?

All-on-4 treatment is suitable for a wide range of patients. Those who have lost all teeth in one or both jaws, or are about to lose them, are the primary candidates. Patients dissatisfied with their current dentures, dealing with constantly slipping or uncomfortable removable prostheses, can also achieve fixed teeth with All-on-4.

Patients with moderate bone loss, unlike with traditional implant treatment, generally do not require bone grafting for All-on-4. The posterior implants are placed at angles of up to 45 degrees, making efficient use of the available bone. However, conditions such as uncontrolled diabetes, active cancer treatment, or severe immune system disorders may be contraindications for treatment.

Regarding age limits, anyone over 18 whose bone growth is complete can be a candidate. Numerous cases of patients aged 70-80 being successfully treated exist. For the most accurate assessment, we recommend booking a free consultation appointment.

The Procedure Timeline

Pre-Treatment (1-2 Weeks Before): You send your panoramic X-ray and 3D scan online. Your dentist analyzes these and prepares your preliminary treatment plan. Digital prosthesis design is initiated so the laboratory process can begin. This ensures everything is ready when you arrive in Fethiye.

Day 1 - Surgery: You arrive at the clinic early in the morning. After general anesthesia or intravenous sedation is administered, necessary tooth extractions are performed and 4 implants are placed at strategic positions. Two implants are positioned in the front region and two in the posterior region at a 45-degree angle. That same afternoon, your temporary fixed prosthesis is screwed onto the implants.

Days 2-5 - Recovery: During the first days, you eat a soft diet. Pain and swelling typically begin to subside from the third day onward. During this period, you can take gentle walks around Fethiye and enjoy the sea views. At your follow-up appointment, your dentist evaluates your healing progress.

3-6 Months Later - Permanent Prosthesis: Once osseointegration is complete, you return for a short second visit to receive your permanent prosthesis. This prosthesis is fabricated from highly durable zirconia or metal-supported acrylic material, providing the closest aesthetics and functionality to natural teeth.

All-on-4 vs Traditional Implants

Traditional full-arch implant treatment requires the placement of 6-8 implants per jaw, and bone grafting is mandatory in most cases. This extends the treatment timeline to 9-12 months and significantly increases costs. All-on-4 achieves the same result with just 4 implants while dramatically reducing the treatment timeline.

In terms of bone grafting requirements, All-on-4 offers a major advantage. The angled placement of posterior implants bypasses the sinus cavity and optimally utilizes available bone. This eliminates the need for grafting in more than 95% of patients. With the traditional approach, bone grafting adds an additional 4-6 months of healing time.

Same-day teeth placement is the most remarkable advantage of All-on-4. With the traditional method, patients must live for months without teeth or with removable dentures while the implants heal. With All-on-4, you can smile, eat, and speak with fixed temporary teeth just hours after surgery.

Cost Comparison

All-on-4 treatment costs vary by materials used and country. Here is a current price comparison per single jaw (arch):

• Turkey: €4,000 - €7,000 (up to €7,000 for zirconia superstructure)

• United Kingdom: £12,000 - £25,000 (approximately €14,000 - €29,000)

• Germany: €10,000 - €20,000

• Netherlands: €9,000 - €18,000

All-on-4 treatment in Turkey delivers savings of 65% to 80% compared to European prices. For patients seeking treatment on both upper and lower jaws, the difference becomes even more significant. Smile & Holiday offers a free assessment to provide you with a personalized quote.

Life After All-on-4

All-on-4 treatment is a life-changing procedure. The issues associated with removable dentures, including adhesive use, slipping, the foreign body sensation in the mouth, and speech difficulties, are completely eliminated. With your fixed prosthesis, you can comfortably eat foods you previously could not manage, such as fresh fruit, steak, and nuts.

In terms of maintenance, All-on-4 prostheses are cleaned like natural teeth through daily brushing and the use of a water flosser or interdental brush. Biannual professional cleaning and check-up appointments are recommended. With proper care, All-on-4 prostheses can last 20 years or more, while the implants themselves are designed to last a lifetime.

From a psychological perspective, the vast majority of our patients report a significant boost in confidence after treatment, the ability to smile freely in social settings, and freedom from anxiety about eating. All-on-4 is not just a dental treatment; it is a transformation that restores quality of life.

Why Smile & Holiday?

All-on-4 is an advanced implant technique that demands high surgical skill and experience. At Smile & Holiday, this treatment is performed by experienced implantologists who have completed hundreds of successful All-on-4 cases. Our clinic is equipped with advanced technologies including 3D surgical planning software, computer-guided implant placement, and digital prosthesis design.

We are with you at every stage of your treatment journey. From the initial online consultation to Dalaman Airport transfers, hotel arrangements to post-treatment remote follow-up, we organize every detail. We provide everything you need for a comfortable treatment and holiday experience amid the unique natural beauty of Fethiye.

Take the first step toward a new life with your new teeth. Fill out our free assessment form and send your panoramic X-ray. Our expert team will deliver your personalized treatment plan and quote within 24 hours.