All-on-4 is a full-arch implant technique that replaces all the teeth in the upper or lower jaw with a fixed bridge supported by just four implants. Two implants are placed vertically at the front of the jaw and two are angled at the back, which makes use of the strongest available bone and usually avoids bone grafting. The result is a set of fixed teeth that you clean like natural teeth, that do not move when you eat or speak, and that can be fitted in provisional form within days of surgery. At DentReal in Konya, All-on-4 is planned by our surgical dentist and our specialist prosthodontist together, on a 3D tomography scan, so that the implant positions and the final bridge are designed as one unit.
Who is All-on-4 for?
All-on-4 was developed for patients who have lost all of their teeth in one or both jaws, or whose remaining teeth are failing and cannot be saved. It is most often chosen by:
- Denture wearers who are tired of a loose lower denture, sore spots, adhesive and the limits on what they can eat.
- Patients with advanced gum disease or decay whose teeth are loose, broken or repeatedly infected, and who want a definitive solution instead of years of patch repairs.
- Patients with moderate bone loss, because the angled rear implants engage bone in front of the sinus and the nerve canal, where conventional implants would need grafting.
- People who want fixed teeth quickly, since a provisional bridge is normally screwed onto the implants within one to three days of surgery.
Patients with very soft bone, heavy bruxism or severe bone loss may be better served by All-on-6, which spreads the load over six implants. We recommend one or the other based on your CBCT scan, not on a fixed formula.
How All-on-4 treatment works at DentReal
- Online assessmentSend a panoramic X-ray and photos on WhatsApp. If you have a recent CBCT scan, even better. Our dentists confirm whether All-on-4 is realistic and give you an estimated cost and timeline.
- Examination, 3D scan and digital planningOn day one in Konya we take a CBCT scan, photographs and digital impressions. The implant positions, the angle of the rear implants and the design of the bridge are planned on screen. You approve the plan and the written quote.
- SurgeryAny remaining teeth are removed and the four implants are placed in the same session under local anaesthesia, with sedation if you wish. The procedure takes around two hours per jaw.
- Provisional fixed teethWithin one to three days a screw-retained provisional bridge is fitted. You leave Konya with fixed teeth, on a soft diet for the first weeks while the implants integrate.
- Final bridgeAfter three to four months of healing you return for the final bridge. We take new impressions, check the bite, speech and aesthetics with a try-in, and fit the definitive restoration.
Final bridge options
The provisional bridge is acrylic reinforced with a titanium bar. For the definitive bridge we offer two proven options and explain the difference honestly:
| Bridge type | Advantages | Considerations |
|---|---|---|
| Monolithic zirconia on a titanium base | Highest strength, stain-resistant, excellent aesthetics, no acrylic to wear | Higher cost; the most durable long-term option |
| Acrylic teeth on a titanium framework | Lower cost, lighter, easier to repair | Acrylic wears and may need refurbishment after several years |
Both are screw-retained, which means your dentist can remove the bridge for cleaning or repair without damaging it. Our prosthodontist, Dr. Ayşe Yavuz, designs the tooth shape, length and shade with you during the try-in stage, so the final smile suits your face rather than a catalogue.
Visits and timeline for international patients
All-on-4 at DentReal requires two visits to Konya. The first lasts five to seven days: consultation, scan, surgery, provisional bridge and a check before you fly. The second, after three to four months, lasts five to seven days for the final bridge. During the healing period you keep in contact with our team on WhatsApp; we ask for a photo at two and six weeks, and a dentist replies to any question the same day.
Both jaws at once? Yes. Upper and lower All-on-4 can be carried out in the same visit, which saves a second round of travel. The surgery is longer and we usually recommend sedation, but many patients prefer to complete everything in one trip.
Living with All-on-4: aftercare and longevity
A well-planned All-on-4 bridge is a long-term solution. Long-term clinical studies of the technique report implant survival rates above 95 percent at ten years. The bridge itself may need maintenance: acrylic teeth can wear and are refurbished, and even zirconia bridges should be removed, checked and professionally cleaned every one to two years.
Daily care is straightforward. You brush the bridge as you would natural teeth and clean underneath it with a water flosser or special floss; we show you how before you leave. Smoking, untreated diabetes and neglecting hygiene are the main risks to the implants, so we are frank about them at the planning stage.
Because the bridge is screw-retained, any dentist can remove it for maintenance using the documentation we give you: implant brand and sizes, abutment types and screw torque values.
Cost of All-on-4 in Konya
All-on-4 is a substantial investment anywhere in the world, but in Konya it costs a fraction of the price in the UK, Ireland, Germany or the Netherlands, without compromising on implant brand or laboratory quality. The final figure depends on whether one or both jaws are treated, the implant system, whether extractions or minor grafting are needed and the type of definitive bridge.
Every patient receives a fixed, itemised written quote after the examination covering surgery, provisional teeth, the final bridge and all appointments. To get an estimate before you travel, send your X-ray on WhatsApp.
Frequently Asked Questions
Will I really leave Konya with fixed teeth after the first visit?
In the great majority of cases, yes. A provisional bridge is fitted one to three days after surgery. The only exception is when the implants do not achieve enough initial stability, which we can measure during surgery; in that rare situation a temporary denture is provided instead and the fixed bridge follows after healing.
How is All-on-4 different from All-on-6?
All-on-4 uses four implants with the rear two angled; All-on-6 uses six implants placed more upright. All-on-6 distributes chewing forces over more implants and is preferred for softer bone, larger jaws, heavy clenchers and patients who want the extra margin of safety. Your CBCT scan tells us which is appropriate for you.
Can I eat normally with All-on-4?
With the provisional bridge you keep to a soft diet for six to eight weeks while the implants integrate. Once the final bridge is fitted you can eat almost anything, including foods that were impossible with a denture, such as apples, steak and crusty bread.
How long will the bridge last?
The implants are intended to last for life with good hygiene. A zirconia bridge typically lasts 15 years or more; an acrylic bridge on a titanium frame is usually refurbished after five to ten years. Regular professional cleaning, which any dentist can do, is the most important factor.
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