All-on-4 dental implants replace a full arch of teeth using four implants and a fixed bridge, and most patients leave with fixed temporary teeth on the day of surgery.
All-on-4 dental implants are intended for people who have lost most of their teeth in a jaw and do not have enough bone at the back for conventional implants. At Morsia Dental in Antalya, Dr. Dt. Aykut Önol plans every case from a CBCT scan, because the technique only works when the two angled implants are positioned against bone that can support them.
What Are All-on-4 Dental Implants?
All-on-4 is a full-arch technique in which four implants support a fixed bridge replacing every tooth in one jaw. Two implants go in at the front, where bone is usually preserved, and two are angled at the back to reach denser bone and avoid the sinus or nerve.
The bridge is screwed onto the implants rather than cemented, so it is fixed for you and removable for the dentist. That is the practical difference from a denture: nothing comes out at night, and nothing needs adhesive.
Why four implants are enough
Four implants can carry a full arch because the angled placement widens the support base, spreading load across a longer span than four upright posts would handle. It is the geometry that does the work, not the count alone.
This was the insight that made the technique possible. Tilting the back implants at up to 45 degrees puts more of each implant in contact with bone and moves the rear support point further back, which shortens the unsupported end of the bridge.
The angled posterior implants explained
The two back implants are deliberately tilted forward so their tips sit in the dense bone in front of the sinus in the upper jaw, or in front of the nerve canal in the lower. This is what allows treatment without grafting in jaws where vertical bone has been lost.
It also means placement accuracy matters more than in a standard implant case. A few degrees of deviation changes where the implant tip lands, which is why the angles are planned digitally on the CBCT before surgery rather than judged during it.
Who Is All-on-4 For?
All-on-4 suits patients who have lost most teeth in a jaw, or whose remaining teeth are failing, and who want a fixed solution without months of grafting. It is often the option that makes treatment possible where bone loss rules out conventional implants.
Full arch tooth loss and failing teeth
Teeth that are loose from advanced gum disease, broken down below the gum or repeatedly re-treated are candidates for removal as part of the plan. Extracting failing teeth and placing implants in the same session avoids a second surgical episode and a second healing period.
Living with a loose denture
A denture that shifts while eating or speaking is the most common reason patients come to us for full-arch treatment. Bone continues to resorb under a denture, which is why the fit worsens over the years regardless of how many relines it has had.
Who is NOT a candidate?
All-on-4 is not suitable for patients with active untreated gum infection, uncontrolled diabetes, recent radiotherapy to the jaws, or bone so limited that even angled implants find no purchase. Heavy smoking during the healing period is a functional exclusion — it measurably reduces implant survival.
Some of these are temporary. Gum infection is treated first; diabetes control is a matter of working with your physician. The scan-based exclusions are the permanent ones, and they are identified before you travel.
Six-point suitability check:
- Most teeth in the jaw are missing, loose or beyond restoration
- Gum infection treated, or no active infection present
- CBCT shows bone that will support two front and two angled implants
- Systemic conditions under control
- Not smoking throughout the osseointegration period
- Able to make two visits to Antalya several months apart
Do You Have Enough Bone? The Factor That Decides
Bone availability determines whether All-on-4 is possible, whether you need grafting, and whether six implants would serve you better. It is measured on a CBCT scan, and no photograph or panoramic X-ray substitutes for it.
What a CBCT scan shows
A CBCT provides height, width and density at every candidate implant site, plus the exact position of the sinus floor and the inferior alveolar nerve. Those two structures set the boundaries the angled implants are planned around.
It also shows what a panoramic X-ray flattens out — a jaw can look adequate in two dimensions and prove too narrow in three.
If bone is insufficient: graft, zygomatic or All-on-6
Where the scan shows too little bone, three routes exist: grafting to build volume, zygomatic implants anchored in the cheekbone for severe upper-jaw loss, or moving to a six-implant plan if bone is sufficient in more positions. Each changes the timeline differently.
Choosing between four and six implants is a genuine clinical decision rather than an upsell, and we outline the trade-offs case by case in our comparison of All-on-4 vs All-on-6.
The All-on-4 Procedure Step by Step
Treatment takes place across two visits to Antalya, with the surgical appointment taking most of a morning and the temporary bridge fitted the same day. Here is each stage and what it feels like.
Step 1: consultation, CBCT and digital planning
The scan is taken and implant positions and angles are planned on it before surgery. You see the plan, the implant count and the bridge design, and approve them, before anything begins.
Step 2: extractions and implant placement
Any remaining teeth are removed and four implants are placed under local anaesthetic, with sedation available. Patients consistently report pressure rather than discomfort during the procedure itself.
Step 3: same-day temporary fixed bridge
A fixed acrylic bridge is attached to the implants the same day or the next morning. It is genuinely fixed — you do not take it out — but it is temporary, made to protect the site and let you eat softly while bone integrates.
Step 4: healing and osseointegration (3–6 months)
Bone bonds to the implant surfaces over the following months, and this stage cannot be shortened. You return home, follow the diet stages, and come back when the implants are ready to support a permanent load.
Step 5: final prosthesis
On the second visit, impressions are taken, the permanent bridge is tried in, adjusted against your bite and screwed into place. This is the appointment where shape, shade and bite are finalised.
| Stage | What happens | Time | How it feels |
|---|---|---|---|
| Consultation & CBCT | 3D scan, digital planning, agreement | 1–2 hours | No discomfort |
| Extractions & surgery | Remaining teeth out, four implants placed | 2–3 hours | Numb; pressure, not pain |
| Temporary bridge | Fixed acrylic bridge attached | Same day or next morning | Bulky for a day or two |
| Healing at home | Osseointegration, staged return to normal diet | 3–6 months | Comfortable within 1–2 weeks |
| Final bridge | Impressions, try-in, permanent bridge fitted | 3–5 days, second visit | Bite settles over several days |
Same-Day Teeth: What “Teeth in a Day” Really Means
The teeth you receive on the day of surgery are a fixed temporary bridge, not the finished restoration. That distinction is absent from a lot of marketing, and it is the source of most misunderstandings about full-arch treatment.
The temporary is acrylic, slightly bulkier than the final bridge, and designed to be kind to healing bone rather than to withstand hard chewing. The permanent bridge — zirconia or a hybrid — is fitted months later once the implants have integrated. Both are fixed. Only one is final.
How Many Trips to Turkey, and How Long?
Budget for two visits: five to seven days for surgery and temporary teeth, then three to five days for the permanent bridge three to six months later. We do not combine this into one trip for full-arch cases.
We also ask patients not to fly on the day of surgery. One night in Antalya afterwards lets us check the surgical site before you travel, and it costs a great deal less than dealing with a problem at 35,000 feet.
| Visit | Length | What is done | Gap before next |
|---|---|---|---|
| First | 5–7 days | CBCT, extractions, four implants, fixed temporary bridge, post-op review | 3–6 months |
| Second | 3–5 days | Impressions, try-in, permanent bridge, bite adjustment | — |
All-on-4 Cost in Turkey Compared With the UK
Treatment in Turkey costs substantially less than equivalent UK private treatment, and the gap comes from clinic overheads, laboratory labour and local economics rather than from lower-cost components. The major implant systems and ceramics are the same ones used in London.
We do not publish a per-arch price. The figure depends on the implant brand, the final bridge material, whether grafting is needed and whether one or both jaws are treated — and quoting before the CBCT would be speculation.
What’s included in a package price?
Every element should be listed in writing before a deposit changes hands, and the items below are where quotes most often vary from one another. If something is absent from the list, treat it as an extra rather than an assumption.
- Number of implants and the implant system selected
- Whether the temporary bridge is fixed or removable
- Final bridge material and how it is secured
- CBCT scan, extractions and any grafting
- Number of nights, accommodation and transfers
- What the second visit includes
- Aftercare and adjustments once you are home
What changes the price: implant brand and prosthesis material
Implant brand and bridge material influence the figure more than any other variable. Premium implant systems carry longer published clinical records and wider component availability, which matters in fifteen years when a part needs replacing; zirconia bridges cost more than acrylic hybrids and last longer.
| Item | Effect on cost | Why it matters |
|---|---|---|
| Implant system | Significant | Component availability years later |
| Bridge material | Significant | Zirconia outlasts acrylic hybrid |
| Grafting / zygomatic | Moderate to high | Extra surgery, materials and healing time |
| One arch or both | Lower per arch when both | Shared surgical and laboratory work |
| Nights and transfers | Minor | Length of stay |
Morsia Dental provides a written itemised quote after reviewing your CBCT, specific to your jaw and listing what is included rather than what is implied.
Implant Brands and Prosthesis Materials
The two components that determine long-term results are the implant system in the bone and the material of the bridge on top. Ask which is being used and write it down — you will want that record a decade from now.
Implant systems differ in surface treatment, connection design and, most practically, in whether spare components will still be available in fifteen years. Bridge materials differ in strength, appearance and how they age.
| Material | Character | Best suited to |
|---|---|---|
| Zirconia bridge | Strongest, colour-stable, does not wear down | Most permanent cases, strong bite, bruxism |
| Acrylic hybrid | Lighter, easier to repair, wears faster | Budget-sensitive plans, transitional restorations |
| Titanium-reinforced acrylic | Metal frame with acrylic teeth | Long spans needing repairability |
| Fixed temporary (acrylic) | Provisional only, fitted surgery day | Protecting the site through healing |
Recovery Timeline: Week by Week
Swelling peaks around the second or third day and then recedes, with most patients comfortable on ordinary painkillers within the first week. The longer arc is bone integration, which continues quietly for months after you feel fine.
| Period | What to expect | Eating | Activity |
|---|---|---|---|
| 0–48 hours | Swelling builds; some oozing is normal | Cool liquids only | Rest; sleep slightly elevated |
| Week 1 | Swelling peaks day 2–3, then falls | Soft, lukewarm food | Light activity; no heavy lifting |
| Weeks 2–4 | Comfort largely restored; gums settle | Soft chewing, nothing hard | Normal routine; gentle exercise |
| Months 3–6 | Osseointegration completes | Wider range, still no hard crusts | Fully normal |
| After final bridge | Bite settles over days | Return to normal diet | Fully normal |
Eating: from liquids back to normal
Diet progresses through liquids, soft food and then normal eating once the permanent bridge is fitted — not before. The temporary bridge is not designed for steak or crusty bread, and treating it as if it were is the most common reason a patient needs an unscheduled repair.
Speech and adjustment period
Speech takes a few days to adapt because the bridge changes the shape your tongue works against, and the “s” sound is usually the last to settle. Reading aloud for ten minutes a day speeds it up more than waiting does.
How Long Do All-on-4 Implants Last?
Implants that integrate successfully routinely last well beyond a decade, while the bridge above them is the component more likely to need replacing first. Separating those two lifespans is the straightforward way to answer this question.
Success rates and what the numbers mean
Published survival rates for full-arch implant treatment are strong, but they describe groups of patients in study conditions, not you. Smoking status, bite force, diabetes control and hygiene shift an individual outcome away from the headline figure in both directions.
Treat any clinic giving a precise personal success rate before seeing your scan with caution. The scan comes first, the number follows.
Maintenance: cleaning under the bridge
The space between the bridge and the gum is where long-term problems start, and cleaning it daily is the most useful habit for implant survival. A water flosser plus interdental brushes threaded beneath the bridge does the work a standard toothbrush cannot reach.
Because the bridge is screw-retained, it can be unscrewed during review appointments for professional cleaning underneath and then refitted.
Risks and What Happens If Something Goes Wrong
Full-arch implant treatment is surgery, and surgery involves risks — infection, implant failure, nerve irritation in the lower jaw, sinus involvement in the upper. These are uncommon, and they are manageable when caught early.
Implant failure: how often and what then?
Early failure occurs within the first months, when an implant does not integrate, and is usually identified at review. The implant is removed, the site heals, and a replacement is placed — the bridge is adjusted in the interim rather than abandoned.
Aftercare once you’re home
Contact the clinic first if anything changes — a loose feeling, persistent discomfort, a chip in the bridge — because a local dentist may not stock the matching components for your implant system. We keep your system, component sizes and case notes on file and coordinate with a dentist near you where hands-on care is needed.
Individual outcomes vary and nothing on this page guarantees a specific result. What we commit to is a documented plan, a written specification of the components used, and a clear route back to us.
All-on-4 Before and After
Before-and-after images are useful only when the starting point is visible alongside the result, because bone volume, gum position, lip support and facial proportions all shape what is possible. Two patients requesting the same thing rarely start from the same place.
All images in our gallery are published with written patient consent. Results shown are individual and are not a promise of the same outcome in another case.
All-on-4 vs All-on-6 vs Full Arch Alternatives
Beyond four and six implants, full-arch treatment includes implant-supported overdentures, which clip onto two to four implants and are removed for cleaning, and conventional dentures, which rest on the gum. The trade-off across all of them is cost versus stability.
All-on-4 sits where bone is limited; All-on-6 where bone allows broader support; an overdenture where budget or anatomy rules out a fixed bridge. Our detailed comparison of All-on-6 dental implants covers where six implants earn their place.
Why Morsia Dental in Antalya
Full-arch cases at our Antalya clinic are planned and placed by Dr. Dt. Aykut Önol, with the CBCT, surgical planning, temporary bridge and final prosthesis managed as a single case. Coordination with international patients is in English from the first message.
Antalya has direct flights from most UK and European airports and a brief airport transfer, which matters for treatment structured around two visits several months apart.
Frequently Asked Questions
How much do All-on-4 implants cost in Turkey?
Cost depends on the implant system, bridge material, whether grafting is needed and whether one or both jaws are treated, so we quote in writing after reviewing your CBCT rather than publishing a per-arch price.
Do I get fixed teeth on the same day?
Yes — a fixed temporary acrylic bridge is attached the same day or the following morning. The permanent bridge follows on your second visit, three to six months afterwards.
Is the surgery painful?
The procedure is done under local anaesthetic with sedation available, and patients report pressure rather than discomfort. Swelling peaks on day two or three and settles within the first week.
Will I need a bone graft?
Often not — angled back implants are specifically designed to avoid grafting where vertical bone has been lost. The CBCT confirms this before you travel.
How many days do I need to stay?
Five to seven days for the first visit and three to five for the second. We ask patients not to fly on the day of surgery.
How long do All-on-4 implants last?
Well-integrated implants routinely last beyond a decade; the bridge on top is more likely to need replacement first. Smoking, unmanaged grinding and missed maintenance shorten both.
Can I eat normally?
Not immediately. Liquids for the first two days, soft food for several weeks, and a normal diet once the permanent bridge is fitted.
What if an implant fails after I return home?
Contact us before any local treatment. The implant is removed, the site is allowed to heal and a replacement is placed; we coordinate with a dentist near you where immediate care is needed.
Is All-on-4 better than dentures?
It is fixed rather than removable, does not rest on the gum, and does not require adhesive. It is also surgery wi
References
The clinical information in this article was cross-checked against the peer-reviewed publications listed below.
- Chan MH et al. All-on-4 Concept Update. Dent Clin North Am, 2021. PMID: 33213711
- Chan MH et al. Contemporary "All-on-4" concept. Dent Clin North Am, 2015. PMID: 25835803
- Sclar AG et al. Diagnostically Driven Planning and Execution of an All-on-4 Treatment Concept. Compend Contin Educ Dent, 2015. PMID: 26053636
This content is for general information only and does not replace an in-person examination, diagnosis or treatment. Please consult a dentist about your own situation.
th a higher cost, so the comparison depends on what you want to solve.
Am I too old for All-on-4?
Age alone does not exclude anyone. Bone quality, gum health and control of any medical conditions determine suitability, and those are assessed individually.
Book a Consultation
Send a panoramic X-ray or CBCT if you have one, with a note on which teeth remain and how long you have worn a denture if you wear one. Dr. Dt. Aykut Önol reviews each case personally and responds with the implant count your bone supports, the recommended materials and an itemised written quote.
What Determines the Cost of All on 4 Dental Implants Turkey?
There is no single fixed figure for this treatment. The final plan — and therefore the cost — is shaped by the clinical findings recorded during examination. The factors below are the ones that make the biggest difference:
| Factor | Why it changes the cost |
|---|---|
| Implant system | Surface technology and the volume of long-term clinical data behind the brand |
| Number of implants | Whether a single tooth, a bridge or a full arch is being restored |
| Bone condition | Whether grafting or a sinus lift is required before placement |
| Crown or prosthesis material | Zirconia, E-max, acrylic or metal-supported restorations differ in laboratory work |
| Planning and imaging | 3D CBCT imaging, digital planning and whether a surgical guide is produced |
| Additional procedures | Extraction, gum treatment or a temporary prosthesis during healing |
| Follow-up and warranty terms | Number of review appointments and the manufacturer warranty conditions |
Your treatment plan is prepared individually after a clinical examination; the applicable figure is shared with you at that stage.
