Teeth in a Day | All-on-4

Teeth in a Day / All-on-4

All On 4 ImplantsMore than 35 million Americans are missing all of the teeth in either the upper, lower, or both jaws, and over 3 million people in the United States have some form of dental implant[1]. Missing teeth can have a devastating effect on one’s self-confidence, negatively impacting them both personally and professionally. Though time is certainly of the essence in these situations, patients often need to go between 6 – 12 months with missing teeth depending on the procedure, especially if it requires bone grafting.

At Texas Oral Surgery Group, we understand the sensitive nature of our work and the far-reaching impact it has on patients. That’s why we’re committed to providing the best care possible via the latest technology and innovative procedures. One such procedure known as “teeth in a day” replaces a complete arch of teeth at once, restoring our patients’ smiles and confidence in a single procedure.

Teeth In A Day / All-on-4®

Teeth in a day or All-on-4®, has been around for over 35 years.  It replaces an entire arch of teeth by inserting four or more dental implants into the top, bottom, or both jaws. These four implants provide support which allows a prosthesis to be fixed into place.  The prosthesis does not have flanges or palate coverage (the most undesirable characteristics of a traditional denture).  Oral surgeons using this method can tilt some of the implants to provide the required support for the total rehabilitation of a dental arch. Positioning the implants in this manner overcomes bone deficiencies often found in these regions and generally eliminates the need for bone grafting (thus eliminating the need for graft healing time), which is why it is also referred to as “teeth in a day.”

Does the entire process really only take one day?

Almost. Patients who undergo the All-on-4 procedure are never without teeth due to the preparation involved in the days leading up to and following surgery. Prior to surgery, appointments are required for pre-surgical evaluation of the existing teeth and bone structure and fabrication of the initial design of the prosthesis that will be placed on the day of the procedure. Patients will also need to be seen for follow-up care and adjustments post-surgery. Additional appointments will also be needed to fabricate a final prosthesis. From beginning to end, the entire process can take nine months or more to complete the whole treatment. However, unlike other restorative procedures the All-on-4 method includes placement of a full arch prosthesis, which is fixed to the dental implants, on the day of surgery. This means patients leave with a full set of teeth (i.e. “teeth in a day”). The temporary prosthesis is later replaced with a permanent one after the implants have integrated with the bone (usually around 6 months after the initial procedure).

Are there any disadvantages?

Surgery of any type comes with inherent risks and should not be considered lightly. One of the greatest benefits of this procedure is the minimal disruption to a patient’s lifestyle, giving them fully functioning teeth with just one surgery. However, it is not without drawbacks. When considering All-on-4, it’s important to note these potential risks:

  • Patients are not able to test teeth for appearance, comfort, or bite prior to surgery because they are all placed at the same time.  However, patients get a real “test drive” of the teeth while wearing the provisional prosthesis for the first 6 months, and any changes in teeth size/shape/color can be incorporated into the final prosthesis.
  • In the unlikely case that one implant comes loose, a full replacement of the prosthesis would be necessary due to the specificity of the mold.
  • This method requires a sufficient level of bone density for implant placement, which can limit some patients’ eligibility or require more advanced surgical techniques.

There are a number of customizable dental implant options available today. If you or a loved one are in the process of considering which treatment is best, we encourage you to contact any of our four office locations to schedule a consultation.


[1] American Academy of Implant Dentistry. “Dental Implants Facts and Figures.” AAID,

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