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All-on-4
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What is an All-on-4 Treatment?
The All-On-4 concept is an reconstructive dental technique that provides a permanent solution to create function and aesthetics in cases of multiple missing teeth or badly broken down teeth. This treatment can replace an entire jaw of missing teeth, which can be 8-10 teeth, with four dental implants instead of having one implant for each missing tooth!
With All-on-4 treatment, ALL teeth are placed on 4 dental implants. In some cases where more stability is desired, 6 dental implants may be useful (And dental treatments will be called All-on-6).
The procedure involves strategically placing four dental implants in the jaw bone. A custom-made dental prostheses containing a full set of teeth for the jaw is then placed on top of the implants, providing you with a set of beautifully aligned and functional teeth.
Understanding the All-on-4 Treatment
Feature |
Traditional implants |
All-on-4 implants |
What it means if you choose
|
|
Number of implants needed |
Requires one implant for each missing tooth |
Requires 4 implants to replace multiple missing teeth with an entire jaw of teeth |
The overall cost of treatment is reduced |
|
Implant placement |
Implants have to be placed where the individual tooth is missing |
Implants are strategically placed in specific areas of the jawbone |
You will have stable implants and artificial teeth |
|
Implant angulation |
Implant has to be placed following the alignment of the other teeth which can be compromised, unless additional orthodontic treatment is done before implant placement. |
From an engineering perspective, in order to optimise load bearing forces, the two implants at the back are tilted 30-45 degrees to the biting plane while the two implants at the front are placed upright |
Stress from daily activities such as chewing and swallowing is distributed efficiently |
|
Need for bone grafting and other surgical procedures like sinus lift and nerve repositioning |
High probability, especially if sufficient bone is not present to support the implant, or vital structures like nerves and sinus membranes are in close proximity |
Less probability of requiring bone grafting or other surgical procedures |
The overall cost of treatment is reduced, less recovery time and less stress for the patient |
|
Treatment timeline |
Have to wait for a healing period of 3-6 months before the implant crown that replaces the teeth can be placed. |
You receive your fully functional temporary set of teeth immediately after placement of the implants. This allows time for any adjustments to the new bite and aesthetics. These are then changed for the permanent set. |
Patient receive their new teeth on the same day as surgery |
Feature
Number of implants needed
Implant placement
Implant angulation
Need for bone grafting and other surgical procedures like sinus lift and nerve repositioning
Treatment timeline
Traditional Implants
Requires one implant for each missing tooth
Implants have to be placed where the individual tooth is missing
Align with adjacent teeth and supporting bone
High probability, especially if sufficient bone is not present to support the implant, or vital structures like nerves and sinus membrane are in close proximity
Have to wait for a healing period of 3-6 months before artificial teeth can be placed
All-on-4 Implants
Requires 4 implants to replace an entire jaw of missing teeth
Implants are strategically placed in areas of jawbone with the highest bone density
Two implants at the back are placed at 30-45 degrees
Less probability of requiring adjunct surgical procedures
You receive your temporary artificial teeth immediately after placement of the implants
What It Means If You Choose All-on-4
Overall cost of treatment is reduced
Stable implants and artificial teeth
Stress from daily activities such as chewing and swallowing is distributed efficiently
Overall cost of treatment is reduced, less recovery time and less stress for patient
Patient receive their new teeth on the same day as surgery
Feature
Number of implants needed
Implant placement
Implant angulation
Need for bone grafting and other surgical procedures like sinus lift and nerve repositioning
Treatment timeline
Traditional Implants
Requires one implant for each missing tooth
Implants have to be placed where the individual tooth is missing
Align with adjacent teeth and supporting bone
High probability, especially if sufficient bone is not present to support the implant, or vital structures like nerves and sinus membrane are in close proximity
Have to wait for a healing period of 3-6 months before artificial teeth can be placed
All-on-4 Implants
Requires 4 implants to replace an entire jaw of missing teeth
Implants are strategically placed in areas of jawbone with the highest bone density
Two implants at the back are placed at 30-45 degrees
Less probability of requiring adjunct surgical procedures
You receive your temporary artificial teeth immediately after placement of the implants
What It Means If You Choose All-on-4
Overall cost of treatment is reduced
Stable implants and artificial teeth
Stress from daily activities such as chewing and swallowing is distributed efficiently
Overall cost of treatment is reduced, less recovery time and less stress for patient
Patient receive their new teeth on the same day as surgery
Benefits of All-on-4 Treatment
As fewer dental implants are required, this results in a shorter healing period, fewer appointments and reduced overall cost for patients.
The four implants (two straight in the front and two tilted in the back region) are strategically placed and connected with a framework, ensuring your dental bridge is stable and comfortable.
The implants are not visible to others, as they are screwed into the jawbone. The dental bridge that rests on top gives a natural look and feel that resembles your original teeth.
The entire surgery and temporary artificial teeth replacement is completed in a single day, allowing for faster recovery and immediate use of the new prosthetic teeth. All-on-4 implants improve jaw bone health and prevent further bone loss.
Some patients might have a few remaining loose or severely damaged teeth in their mouth that need to be removed. All-on-4 implants can be placed immediately after the removal of these hopeless teeth, all in the same appointment.
Curious About Root Canal Treatment in Singapore?
Grab our free root canal treatment guidebook
Process of Getting All-on-4 Treatment at
Dental Designs in Singapore
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1. Dental Implant Consultation
Our dentist will discuss with you to understand your dental health needs and will carry out a detailed examination. We'll take 3D x-ray scans of your teeth to plan your All-on-4 treatment, considering every possibility.
It’s important to us that you feel informed and confident about your options. We will provide you with a comprehensive plan, including costs, for you to discuss with your partner or family before making any final decisions.
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2. Smile Design
Once you have decided, it is time to start planning! We start by taking a virtual scan of your teeth. This would create an accurate 3D model of your teeth.
With the help of your 3D x-ray scans, our dentist will assess your bone structure and identity the anatomical structures present. That way, we are able to be accurate with our procedure while minimising risks.
Additionally, you have the opportunity to select the colour and shape of how your new teeth will be, or you may trust our experts to choose a natural appearance for you. This preparation allows us to digitally design your smile before surgery, tailoring it to your preferences.
3. All-on-4 Surgery and Temporary Artificial Teeth
On the day of the surgery, local anaesthetic will be given to make the process comfortable and any remaining hopeless teeth, if present, will be removed. The dental implants will be placed accurately in the pre-planned positions using our implant surgical guide. The surgical site will then be covered and the gum tissue held together by sutures.
On top of the implants, the dentist will secure the temporary teeth, allowing you to leave our clinic with a functional set of teeth on the same day while the implants integrate with the jawbone during the healing phase.
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4. Review Check
Our dentist will see you in two weeks to check on the progress of your implants, possibly remove any stitches and make any necessary adjustments to your artificial teeth.
Complete healing may take anywhere from 3-6 months after the surgery and it is common to experience some discomfort during this healing phase.
To promote good healing, it is recommended to adhere to the instructions given to you and inform your dentist of any sores, ulcers, looseness or any unexpected uncovering of the dental implants. This healing phase is important, as the implants needs time to fuse to your jawbone and stabilise.
5. Permanent Artificial Teeth and Final Adjustments
After the healing process, a permanent bridge is prepared to replace the temporary bridge. Using CAD/CAM software, the shape of the new bridge is designed.
You have the option between two materials for your implant-supported permanent bridge: Acrylic or Ceramic. Each material has its own characteristics and benefits (read more about this below). Your dentist will discuss these options with you in detail to help you choose a suitable material for your needs.
After the permanent bridge is fabricated, your dentist will check the colour and fit of the bridge. With your approval, the bridge is attached in place, completing the final process.
Types of Implant-Supported Teeth at Dental Designs
Crafted from PMMA (acrylic) material to enhance fracture resistance, Ivotion milled overdentures are designed to fit over dental implants, improving retention. The PMMA used is a biocompatible material, thus reducing the risk of an allergic reaction. It is also stain and microflora resistant.
Ivotion milled overdentures undergo testing to meet EN ISO standards, ensuring both durability and a natural appearance. Comfortable to wear, they can withstand daily use while maintaining consistent quality. The overdentures are removable, hence you can easily take them out or put them on as needed.
This combines Ivotion material (acrylic) with a titanium bar in an All-On-4 configuration, offering good aesthetics, strength and durability. This will be fixed in your mouth and thus will deliver a secure and comfortable fit, allowing you to confidently enjoy a wide variety of foods without worrying about denture movement or discomfort.
This is an ideal option for individuals seeking a permanent solution for missing teeth that not only restores optimal oral function but also enhances their overall appearance and self-confidence.
This option combines the strength and durability of a titanium bar with the aesthetic appeal of ceramic material. It is the least prone to breakage and is the strongest among all options, providing long-lasting durability.
The ceramic material (Zirconia) is stain-resistant, maintaining its aesthetic appeal over time and gives the appearance of a complete set of natural teeth.
This is an ideal fixed option for individuals seeking a permanent and aesthetically pleasing solution for an entire jaw of missing teeth.
Types of Implant-Supported Teeth at Dental Designs
Crafted from PMMA (acrylic) material to enhance fracture resistance, Ivotion milled overdentures are designed to fit over dental implants, improving retention. The PMMA used is a biocompatible material, thus reducing the risk of an allergic reaction. It is also stain and microflora resistant.
Ivotion milled overdentures undergo testing to meet EN ISO standards, ensuring both durability and a natural appearance. Comfortable to wear, they can withstand daily use while maintaining consistent quality. The overdentures are removable, hence you can easily take them out or put them on as needed.
This combines Ivotion material (acrylic) with a titanium bar in an All-On-4 configuration, offering good aesthetics, strength and durability. This will be fixed in your mouth and thus will deliver a secure and comfortable fit, allowing you to confidently enjoy a wide variety of foods without worrying about denture movement or discomfort.
This is an ideal option for individuals seeking a permanent solution for missing teeth that not only restores optimal oral function but also enhances their overall appearance and self-confidence.
This option combines the strength and durability of a titanium bar with the aesthetic appeal of ceramic material. It is the least prone to breakage and is the strongest among all options, providing long-lasting durability.
The ceramic material (Zirconia) is stain-resistant, maintaining its aesthetic appeal over time and gives the appearance of a complete set of natural teeth.
This is an ideal fixed option for individuals seeking a permanent and aesthetically pleasing solution for an entire jaw of missing teeth.
How is All-on-4 Different At Dental Designs?
We perform computer-guided implant surgery which allows us to visualise and plan each step of your implant treatment, right from the imaging and diagnosis to implant insertion. This digital technology helps us determine the location and angulation for inserting the implant.
3D X-Ray (CBCT)
We use 3D imaging technology to visualise a 3-dimensional image of your jaw bone where the implant needs to be inserted. This technology also helps us in choosing the right size, shape and type of dental implant for replacing your teeth and to minimise dental implant risk for failure or infection. In addition, the 3D x-ray helps to visualise and protect any important dental structures or nerves that may get damaged during implant insertion.
Digital Impressions
There are high chances of error when traditional impression methods are used as they can undergo dimensional changes with time. Keeping this in view, we use intra-oral scanners to make digital impressions of your teeth. These digital impressions are not only accurate, but we also feed these images into special software which helps us in making a detailed plan for implant insertion and in preparation of your artificial teeth.
3D Printing Technology
Our 3D printers allow us to utilise the digital impression of your teeth in preparing the artificial teeth to replace your missing teeth. The 3D printing technology eliminates the errors that can arise during the laboratory preparation of your implant-supported bridges.
Surgical Guide For Implant Surgery
We create an individually customised surgical implant guide for each patient. This guide is 3D printed from HSA and FDA approved medical-grade resin material. The guide allows us to place our implant accurately according to what we have already planned, which allows for a shorter implant surgery procedure time.
Alternatives to All-on-4 Treatment
- Conventional Complete Removable Dentures: The conventional complete dentures rest completely on your gums. They are less stable and less comfortable than implant-supported dentures and All-On-4, which can affect the way you talk and eat. Additionally, while they are affordable, they do not look as natural or function as well. They also need to be removed daily for cleaning and maintenance.
- Traditional Implant-Supported Dentures/Overdentures: This approach is similar to the All-on-4 concept, but it involves placing two to eight vertically positioned implants in each jaw instead of four. Adding more implants can extend the treatment duration which contributes to higher overall costs and more visits to the dental clinic for the patient. Additionally, the artificial teeth can be either fixed permanently inside the mouth or designed to be removed by the patient for cleaning and maintenance.
What is a Dental Implant?
Typically, replacing a single missing tooth requires one dental implant. If two to four consecutive teeth are missing, dental implants can be placed at each end of the gap to support a fixed bridge. But what if all teeth are missing from an entire jaw? It would be surgically and financially impractical to fix individual implants for every single missing tooth. This is where the All-On-4 treatment concept comes in. With All-on-4 dental implants, enjoy the benefits of a permanent and natural-looking smile with fewer implants and a shorter healing period.
Dental Designs Clinic In-House Laboratory
Modern advances in dental technology have allowed us to be able to make artificial teeth for dental implants in the clinic. We make all our bridges and surgical guides in-house to ensure full quality control. Our dentists keep themselves up-to-date with international techniques that are effective and comfortable for you. For a fully digital workflow, we make use of a 3D scanner (CEREC) which means no dental moulds. All our bridges and surgical guides made in-house are 100% metal-free and do not contain mercury or other toxins. Each artificial tooth is designed individually, hand stained, polished, finished and inspected to ensure quality before giving it to our patients.
Dental Implant Warranty
- The 10-year warranty applies if, the entire procedure was done at our clinic, including the bone grafting, implant placement and crown.
- This 10-year warranty starts from the day of cementation.
- Replacement with a similar or better material is covered.
Limited Dental Warranty: Terms and Conditions
- Does not cover the cost of travel, accommodation nor any consequential losses incurred by the patient.
- The warranty does not include any cost associated with routine maintenance required over the course of its working life.
Cost of All-On-4 Treatment in Singapore
The cost can vary significantly and is based on the treatment plan developed by the dentist for each patient. Factors such as the materials used, the number of implants required, any additional procedures needed, the condition of the surrounding teeth and gums and the overall complexity of the case all play a role in determining the final cost.
For a single-arch All-On-4 procedure, which includes surgery, four dental implants and the final dental bridge, the total cost may typically range from $25,000 to $35,000. During your consultation, your dentist will assess your specific needs and provide you with a detailed breakdown of the costs involved, enabling you to make an informed decision about your treatment and budget accordingly.
STARTS FROM
$9,800*
| Implant-Supported Overdenture | From $9,800 |
| All-on-4 (Acrylic) | From $25,000 |
| All-on-4 (Ceramic) | From $35,000 |
*Price are inclusive of 9% GST
Customer testimonials
The service and doctor is the best in town! The customer service and receptionists are very friendly! Dr Phillip Miller and Dr Noah Teo is very nice and very professional on their skill! They also very patient to explain to me about the treatment!
Will come back again!
Thank you very much!
李岳侨
J. Kho
This dental clinic has very good staff who are well trained and friendly. The dentists are also very good and will explain the treatment in detail before starting treatment. The equipment is very high tech and I believe they are able to do high quality work as I did my crown here and it looks much better than my colleague who also recently did his at another place. The waiting room is also very comfortable. good job!
C. Zheng De
This clinic is one of the best I have ever seen. I saw dr Justin for my implant which I did many years ago, the tooth was loose, and other drs told me to remove it as they could not find out what brand it was but dr Justin was able to take 3d xrays and locate the brand and specially ordered the part in. he saved me from having to do a surgery to remove and put a new implant which would have cost me a bomb. the tooth looks even better than the original thanks to the experieced dental technician Katsuya from Japan.
Very happy and will keep coming back for my regular dental.
G. Hock An
my workplace is close by and I had a problem with my tooth for a few days, so I made an appointment to come down. The receptionist who booked my appointment was very helpful and friendly to explain the way to the clinic from my office. I saw Dr Nicholas who was able to do a root canal treatment on the same visit so that I didn't need to come back. I felt safe and comfortable to do my dental treatment here as the dental picks are all wrapped up and sterilized and only opened before each treatment when im inside.
P. Wendy
Creating Smiles, Changing Lives
Over 28 reviews
The service and doctor is the best in town! The customer service and receptionists are very friendly! Dr Phillip Miller and Dr Noah Teo is very nice and very professional on their skill! They also very patient to explain to me about the treatment!
Will come back again!
Thank you very much!
李岳侨
J. Kho
This dental clinic has very good staff who are well trained and friendly. The dentists are also very good and will explain the treatment in detail before starting treatment. The equipment is very high tech and I believe they are able to do high quality work as I did my crown here and it looks much better than my colleague who also recently did his at another place. The waiting room is also very comfortable. good job!
C. Zheng De
This clinic is one of the best I have ever seen. I saw dr Justin for my implant which I did many years ago, the tooth was loose, and other drs told me to remove it as they could not find out what brand it was but dr Justin was able to take 3d xrays and locate the brand and specially ordered the part in. he saved me from having to do a surgery to remove and put a new implant which would have cost me a bomb. the tooth looks even better than the original thanks to the experieced dental technician Katsuya from Japan.
Very happy and will keep coming back for my regular dental.
G. Hock An
my workplace is close by and I had a problem with my tooth for a few days, so I made an appointment to come down. The receptionist who booked my appointment was very helpful and friendly to explain the way to the clinic from my office. I saw Dr Nicholas who was able to do a root canal treatment on the same visit so that I didn't need to come back. I felt safe and comfortable to do my dental treatment here as the dental picks are all wrapped up and sterilized and only opened before each treatment when im inside.
P. Wendy
Google Rating
Based on 1000+ Google reviews
Frequently Asked Questions about All-On-4 Treatments in Singapore
During the surgical appointment, the following procedures will be performed:
- Removal of any remaining hopeless (loose or severely damaged) teeth
- Insertion of dental implants and securing them with sutures
- Placement of a full set of temporary bridge
After the All-on-4 dental implant procedure, it is essential to maintain proper oral hygiene practices. This includes regular dental check-ups, professional cleanings, and daily oral care with a soft bristle toothbrush and proper oral hygiene products.
Bone grafts are usually unnecessary for All-on-4 implants because the two dental implants at the back are positioned at angles of 30 to 45 degrees from the biting plane. This placement improves the anchorage or grip of the dental implants on the available bone, reducing the need for additional grafting procedures. This approach simplifies the treatment process, and enhances the stability and long-term success of the dental implants and the final bridge.
Whether All-on-4 dental implants are suitable for you depends on your specific dental situation and preferences. A thorough evaluation of your dental health, as well as consideration of your general health and medical history, is necessary. However, you may consider the All-on-4 treatment concept if:
- You have lost most or all of your teeth, and your remaining natural teeth are in hopeless condition (failing, loose, or severely damaged).
- You have lost all of your teeth, and you notice that your jawbone has been reducing in height and volume at an accelerated rate.
- You are wearing complete dentures but are unsatisfied with your current denture and want something stable and comfortable.
Dental implants are designed to be a long-term solution for tooth replacement, often lasting a lifetime with proper care. Regular dental check-ups and cleanings, as well as meticulous at-home oral hygiene maintenance including brushing and flossing around the implants, are essential to prevent complications such as infection or gum disease. Additionally, proper care of the artificial teeth, such as avoiding hard or sticky foods that can damage them, can help ensure the longevity of the implants.
Absolutely! If you've lost all your teeth in one arch but still have good remaining teeth in the other arch, you can still opt for All-on-4 dental implants for just that one arch. Our dentist will carefully design the bridge to align with your natural bite against your remaining teeth. They will also ensure the colour and characteristics of the bridge match those of your natural teeth in the opposite arch.
Maintenance of good dental health is also dependent on you, the patient. In cases of dental neglect, disease is unavoidable. The warranty is only valid if you abide by the following conditions:
- Regular Checkup and Cleaning: Bacteria build up on your teeth naturally, which cannot completely be removed by just brushing. This causes tooth decay and gum disease. Remember to go for your 6-monthly checkups and professional cleaning at the dentist to keep your teeth healthy.
- Following the Dentist’s Instructions: Follow all the instructions regarding a soft diet, gum and teeth management, and careful use of the bridges.
- Good Oral Hygiene: Maintain good oral hygiene by brushing and flossing your teeth twice a day and following any special instructions your dentist or hygienist has given you to keep your teeth and gums clean and healthy.
- Please notify us and come in for a check immediately once you encounter any problems after the treatment. Any delay may result in more damage to the condition.