All On 4 Dental Implants are a revolutionary solution for those who have lost most or all of their teeth due to gum disease, decay, or trauma. Unlike traditional dental implants where an implant is placed for each missing tooth, the All On 4 Dental Implant procedure uses just 4 strategically placed implants to support a full arch of prosthetic teeth.  This procedure offers many benefits over traditional implants, including reduced cost and treatment time and a more natural appearance.

In Houston Texas, All On 4 Dental Implants have become increasingly popular because the city has some of the best prosthodontist and surgical facilities.



All On 4 Dental Implants are a type of full arch prosthesis that is supported by four strategically placed dental implants. The implants are placed in the jaw in areas of the highest density and support the prosthesis just a table is supported by it’s four legs.  The final prosthesis can be made of ceramic designed to match the shape and shade of natural teeth.



The first step in the All On Four Dental Implant procedure is a comprehensive evaluation of your medical and dental health.  This includes a review of your medical history and a thorough dental exam including a digital scan of your jaw as well as impressions of each arch.

Once the evaluation is complete, a detailed treatment plan that includes the placement of implants and the design of the prosthesis.  A computer guided surgical plan is also prepared in advance of the surgery

On the day of the procedure, conscious sedation will be administered to you to insure your complete comfort.  An incision is made in your gums to access the jawbone and the four implants will be placed.  Following closure of the incision, prosthetic temporary teeth will be attached to the four implants to provide immediate chewing ability as well as a nice smile.

These temporary teeth will be worn until the implants have completely healed which is usually 4 to 5 months.



Following the All On Four Dental Implant surgical procedure one can expect some discomfort and swelling for the first few days.  You will be provided with instructions for use of an antibiotic rinse as well as medication for pain management.  You will also be provided with oral hygiene instructions regarding your temporary prosthesis.

You should restrict your diet to softer foods for the first few weeks and avoid hard, crunchy foods to avoid damage to the healing implants. Careful and diligent oral hygiene is particularly important to avoid infection and ensure the long term success of the implants.


The cost of All on 4 Dental Implants can vary depending on the expected complexity of the procedure as well as the materials used to fabricate the final prosthesis.  However, All On 4 Dental Implants are generally less expensive than traditional dental implants as they require fewer implants and less time in the dental chair.  Payment options and financing, as a matter of course, are discussed prior to treatment.  Excellent, well planned treatment from an experienced specialist at Houston Prosthodontics can provide the least expensive option for your care simply because you are unlikely to need to frequently redo or remake your expensive dental work.



Maintaining the long-term success of All On 4 Dental Implants requires good oral hygiene, periodic dental check-ups, and meticulous adherence to home care instructions.  Use of the Water-Pic appliance daily as well as avoidance of using any tobacco products including vaping will provide the best long term prognosis.


Compared to traditional implant procedures, All On 4 Dental Implants offer a number of advantages.  It usually required less bone grafting, is less costly, and can support temporary teeth the day the implants are placed.

All On 4 Dental Implants offer numerous advantages over other restorative options such as denture and traditional dental implants.  Dentures can be difficult to wear because they are inherently unstable.  They require frequent adjustments and replacements which is a result of a loss of bone volume over time. Traditional dental implants can be more expensive in the long term since they require more implants.  Conventional bridgework is another option for missing teeth but it requires removal of health tooth structure and may not be suitable for replacement of multiple missing teeth.



In Houston, there are many dentist who provide All On 4 Dental Implants.  It is essential to choose a Board Certified Specialist who can provide excellent care throughout the entire process, from the initial exam to the placement of the final prosthesis.


All On 4 Dental Implants is a stable, long term option for those who have lost most or all of their teeth.  With the ability to replace an entire arch of teeth with just four strategically placed implants, this treatment option can provide a cost effective solution over traditional dental implants and other restorative options.  With proper home care and regular check-ups, All On 4 Dental Implants can provide a lifetime of smiles and confidence.


Most frequent questions and answers

As with any surgical procedure, All On 4 Dental Implants patients may experience some discomfort or pain during and after the procedure.  However, conscious sedation is recommended to provide a safe and effective pain free surgical experience.  

Generally, post operative pain is considered mild and can be managed by oral medications.

Keep in mind that every patient’s pain tolerance is different and some may experience more discomfort that others. If you have concerns regarding pain or discomfort associated with the All On 4 Dental Implants procedure your Board Certified Prosthodontist will have the answers.

The reported success rates of the All On 4 Dental Implant procedure in some studies is as high as 98% over 10 years.This high rate of success is due to the inherently stable design of the supporting implants and full arch prosthesis.

The All On 4 Dental Implants system is designed to support a full arch of teeth with two implants in the front and two in the back of your jaw.  This arrangement is stable like the four legs of a table.  Chewing forces are evenly distributed across the implants which can reduce the risk of implant failure.

It is important to recognize the the long term success of All On 4 Dental Implants depends on one’s overall health, quality and quantity of supporting jawbone and a daily habit of effective oral hygiene.  Patient’s who smoke are at greater risk of implant failure 

If you are considering All On 4 Dental Implants please discuss with your Board Certified Prosthodontist if this procedure is right for you.

All On 4 Dental Implants may be a good option for patients who have lost all or most of their teeth and are looking for a long term solution to return their smile and eating ability.

Good candidates for All On 4 Dental Implants have:

  1. Reasonably good health: Patients who have certain medical conditions such as uncontrolled diabetes or any condition which would lower your immunity, may not be good candidates for All On 4 Dental Implants.
  2. Tobacco usage:  Patients who use tobacco are at greater risk of implant failure than non smokers.
  3. Adequate volume and density of bone:  Some patients who experience significant bone loss may not be good candidates for All On 4 Dental Implants.  For those patients there are other procedures that may be more suitable.
  4. Good oral hygiene:  The best candidates for All On 4 Dental Implants are those who will follow a strict oral hygiene regimen daily to ensure the best long term prognosis for their implants.

If you are considering All On 4 Dental Implants, discuss your options with a Board Certified Prosthodontist to determine if this is the right procedure for you.

All On 4 Dental Implants can  be used for both upper and lower jaws.  The bone on the upper jaw is not quite as dense and hard as it is on the lower and sometimes it is recommended to have 5 implants instead of 4 for added support.

All On 4 Dental Implants can be removed or replaced if necessary but this is generally a rare occurrence.

Infection and/or implant failure would necessitate the removal and replacement of the existing implant and bone grafting would typically be recommended to rebuild the structural support for a new implant.  

Keep in mind that All On 4 Dental Implants are meant to be a permanent solution and are removed once per year by your prosthodontist to clean and access your oral hygiene.  This means it is very important that you use your Water Pic daily to flush food debris from under your prosthesis to prevent gum infection.

If you are considering All On 4 Dental Implants or have existing complications, it is important to discuss these issues with a Board Certified Prosthodontist so you can make an informed decision regarding your treatment.