All-on-4 Implants

Habits like smoking, which can affect implant integration and increase the risk of complications

Because of the angled implant placement that defines the All-on-4 approach, many patients who have been told they don’t have sufficient bone for traditional implants are still good candidates. We use Carestream CBCT imaging to map the jaw in three dimensions before planning begins, providing precise information on bone volume and structure.

Dr. Michael M. Bohn coordinates All-on-4 cases with an experienced local specialist. This collaborative approach means the surgical component of the procedure is performed by someone who specializes in implant placement, while our office handles the restorative side and maintains continuity of care throughout the process. Patients benefit from specialized expertise at each stage without having to navigate multiple practices on their own.

All-on-4 treatment unfolds over several months, though much of the visible change happens quickly.

Implant placement and attachment of a temporary arch, typically completed in a single surgical appointment

During the healing phase, you’ll follow a modified diet to avoid putting excessive force on the implants while they integrate. We provide clear post-operative instructions and are available to answer questions as you recover.

For the surgical appointment, we use Bufferpro and Onset buffered anesthetic to minimize injection discomfort and ensure you’re fully comfortable before anything begins.

One of the most common things patients say after completing All-on-4 treatment is that they forgot what it felt like to eat without restrictions. Foods that had become difficult or impossible with dentures, things like apples, steak, or crusty bread, become manageable again with a stable, implant-supported arch.

Caring for All-on-4 teeth is also more straightforward than many patients expect. You brush them as you would natural teeth, use a water flosser or floss threader to clean underneath the arch, and come in for regular checkups and professional cleanings. There’s no nightly removal, no adhesive, and no soaking.

How long do All-on-4 implants last?

With proper care and regular maintenance, the implants themselves can last decades. The prosthetic arch may eventually need to be replaced or adjusted, but the implants that support it are designed for long-term use.

Is the procedure painful?

The surgery is performed under local anesthetic, and we use buffered anesthetic to make the injection process as comfortable as possible. Post-operative soreness is normal and can be managed with prescribed or over-the-counter medication. Most patients find the recovery more manageable than they anticipated.

What if I’ve been told I don’t have enough bone for implants?

All-on-4 was specifically designed to work with reduced bone volume. The angled placement of the posterior implants allows us to use existing bone that standard vertical implant placement might not reach. CBCT imaging lets us assess exactly what’s available before making any determinations.

How soon can I eat normally after surgery?

A soft diet is recommended during the healing period to protect the implants while they integrate. Most patients transition back to a fuller diet once the permanent arch is placed and integration is confirmed.

What’s the difference between All-on-4 and traditional implants?

Traditional implants replace individual teeth, each with its own post and crown. All-on-4 uses four implants to support an entire arch, making it a more efficient and often more accessible solution for patients with extensive tooth loss.

All-on-4 implants in Fresno represent one of the most significant advances in tooth replacement available today. If you’ve been living with significant tooth loss or struggling with dentures that don’t stay in place, it’s worth finding out whether this treatment is an option for you. Call our office to schedule a consultation and get a clear, honest assessment of what’s possible for your specific situation.