Everything Smiles | Orthodontics, Implant Restorations and Veneers

All-on-4®

Restore a confident, complete smile in a single visit

For people facing extensive tooth loss or the prospect of full-arch extractions, the All-on-4® treatment offers a straightforward path back to a stable, attractive bite. Rather than replacing each tooth individually, this approach supports an entire arch of teeth on four precisely placed dental implants, allowing many patients to leave the office with a functioning provisional prosthesis the same day as surgery.

This option is designed for adults who want a durable alternative to removable dentures and a shorter overall treatment timeline. It preserves the natural contours of the face and restores the ability to eat and speak comfortably, while providing a predictable foundation for long-term restorative care.

Because the protocol emphasizes strategic implant placement and immediate loading, treatment is streamlined without sacrificing quality. Patients appreciate that the process focuses on both form and function, delivering a natural-looking smile that performs like permanent teeth.

How the All-on-4® approach delivers full-arch support

The hallmark of this method is its efficient use of implants and angulation. Two anterior implants are generally placed vertically while two posterior implants are tilted to maximize engagement with the available jawbone. This configuration often eliminates the need for extensive bone grafting and lets us achieve solid primary stability for immediate provisionalization.

Before any procedure, a thorough evaluation including three-dimensional imaging and digital treatment planning clarifies each patient’s anatomy and individual needs. These diagnostic steps allow the surgical and restorative teams to design a prosthesis that aligns with facial proportions, lip support, and chewing dynamics.

On the day of treatment, the surgical placement of implants is coordinated with the delivery of a temporary arch. This provisional prosthesis restores appearance and function while tissues heal. After an appropriate healing period, the temporary is replaced with a precision-crafted final prosthesis designed for comfort, durability, and ease of maintenance.

Functional and health benefits that extend beyond appearance

Replacing a full arch with implant-supported teeth does more than improve aesthetics. Implants stimulate the jawbone, helping to slow the bone loss that commonly follows tooth extraction. Maintaining bone volume supports facial structure and helps preserve the fit of future restorations over time.

Patients also regain more predictable chewing ability compared with traditional removable dentures. Because the prosthesis is anchored to implants, it resists movement while eating and speaking, which reduces dietary limitations and improves day-to-day comfort.

Additionally, an implant-supported arch simplifies oral hygiene relative to complex removable appliances. Properly designed prostheses allow patients to keep their gums and remaining teeth cleaner, which contributes to long-term oral health and reduces the need for frequent adjustments.

What to expect: timeline, comfort, and recovery

Preparation begins with a detailed consultation during which the clinician reviews medical history, oral health, and expectations. Diagnostic imaging and impressions form the basis of a personalized treatment plan. When indicated, sedation options are discussed to ensure patient comfort during surgery.

Surgery typically involves placing the implants into the jaw and securing a temporary prosthesis the same day. Initial discomfort is normal and can be managed with prescribed or over-the-counter medications and straightforward aftercare instructions. Most patients return to light daily activities within a few days and progress to a more regular routine over the following weeks.

During the healing phase, follow-up visits allow the team to monitor integration of the implants and refine the provisional prosthesis for fit and function. Once healing is complete, the temporary arch is exchanged for a final restoration crafted to match the patient’s aesthetic goals and functional requirements.

Choosing experienced, technology-driven care for lasting results

Successful full-arch rehabilitation depends on precise planning and skilled execution. A coordinated team that includes experienced surgeons and restorative clinicians is essential to achieving predictable outcomes. Clinicians who use modern imaging, guided surgery, and digital workflows can plan implant positions more accurately and communicate results more effectively across the treatment sequence.

At our practice, we combine decades of experience with contemporary dental technology to deliver full-arch solutions tailored to each patient. Careful attention to occlusion, esthetics, and hygiene access helps ensure prostheses that not only look natural but are also maintainable long term.

When considering All-on-4®, selecting a provider who prioritizes clear communication, realistic expectations, and thorough follow-up care makes a meaningful difference in patient satisfaction and oral health over time. Everything Smiles brings that comprehensive perspective to every restoration we perform.

Summary — If you are exploring a reliable, efficient option to replace a full arch of teeth, the All-on-4® concept offers immediate function, improved oral health outcomes, and a return to confident living. For more information about whether this solution is right for you, please contact us to schedule a consultation and learn about your treatment options.

1All-on-4® is a registered trademark of Nobel Biocare.

Frequently Asked Questions

What is All-on-4?

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The All-on-4 treatment concept offers an implant-based solution to patients who have lost all of their upper and/or lower teeth. This remarkable method of care helps patients quickly rebuild complete and beautiful smiles. With All-on-4, your new, and complete set of implant-supported replacement teeth feel secure, stable, and much like your very own.

Is All-on-4 right for me?

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If you currently wear complete upper and/or lower dentures or are slated to have your remaining teeth extracted, you may be a candidate for All-on-4. First Performed by Dr. Paulo Malo in 1998, the All-on-4 treatment concept has helped hundreds of thousands of patients quickly reestablish attractive smiles that look, feel, and function just like a set of natural teeth!

What is the difference between All-on-4 and dentures?

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The All-on-4 treatment concept offers a fixed and permanent alternative to removable dentures. Unlike dentures, All-on-4 does not rely on messy dental adhesives or natural suction to hold your new set of teeth in place. With All-on-4, your replacement teeth are permanently secured by dental implants, giving you a smile that looks not only great but also feels secure and stable. You'll feel comfortable and confident as you speak, smile, and chew with ease.

How is All-on-4 different from other types of dental implants?

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While traditional full arch implants also achieve outstanding results of care, the All-On-4 treatment concept does not involve bone grafting and requires fewer implants to support a full set of teeth. With just four strategically placed dental implants needed to support an entire set of upper or lower teeth, the All-on-4 treatment concept offers a cost-effective and satisfying solution for rebuilding a complete smile. Thanks to this remarkable method of care, patients can experience the satisfaction of having teeth placed the same day as surgery. This key feature allows patients to smile and function with confidence until healing is complete and the permanent restorations installed.

What's the procedure for All-on-4 treatment?

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Once it's been determined that you're a candidate for treatment with All-on-4, the process of treatment planning and designing your new smile begins. 3D diagnostic records provide the detailed information required to determine the exact positions of the four supporting dental implants. Then, on the day of surgery, we'll remove any remaining teeth, place the 4 implants, and insert a set of attractive, sturdy, and functional set of temporary teeth. With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow once the implants become fully integrated with the surrounding bone.

Will I have teeth right away with All-on-4 treatment?

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With All-on-4, temporary teeth can be placed right away with a customized, permanent set to follow within just a few months after the implants become fully integrated with the surrounding bone.

Will All-on-4 give me a natural-looking smile?

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Thanks to All-on-4, patients enjoy permanent teeth that look, feel, and function just like real teeth. And with a patient satisfaction rate that exceeds 95%, the All-on-4 treatment concept restores your smile, your confidence, and allows you to enjoy once again the foods you love!

How do I take care of my new All-on-4 smile?

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Maintaining your All-on-4 smile requires the same care as a natural smile. By cleaning your teeth twice daily, after meals as possible, and scheduling appointments for routine checkups as well as care, you can keep your new smile strong and healthy for years to come. Our office will demonstrate the most effective methods of oral hygiene and answer all your questions as to how to care for your new smile.

Everything Smiles | Veneers, Laser Dentistry and Dental Cleanings

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400 West 65th Street
Hialeah, FL 33012
Existing Patients: (305) 827-0434
New Patients: (305) 602-4524

Hours

Monday
9:00 am - 5:00 pm
Tuesday
11:00 am - 7:00 pm
Wednesday
9:00 am - 5:00 pm
Thursday
11:00 am - 7:00 pm
Friday
9:00 am - 5:00 pm
Saturday
9:00 am - 2:00 pm
Sunday
Closed