Most people choose All-on-4 because they want to be done — done with loose dentures, done with patchwork repairs, and done hiding their smile. Cost matters, but in our free consultations the conversation almost always starts with exhaustion, not money. All-on-4 replaces a full arch of teeth with a fixed bridge on four implants, often in a single day.
| Comparison category | All-on-4 fixed bridge | Conventional dentures |
|---|---|---|
| Stays in place | Fixed to four implants; you don't take it out | Held by suction or adhesive; removed daily |
| Jawbone | Implants load the bone like tooth roots | Bone under the denture keeps shrinking |
| Eating | Chew most foods with a stable bite | Hard or sticky foods can dislodge them |
| Treatment time | Temporary teeth often placed the same day | Weeks of fittings and adjustments |
| Long-term evidence | Bridge survival 99.2% at up to 10 years (lower jaw) | Relines and replacements as the gums change |
Not sure which option fits your mouth? Nine questions, no obligation, and a personalized next step.
See if All-on-4 could fit youWho is choosing All-on-4?
The typical All-on-4 patient is over 50, and that matches what we see every day at Renew. But more patients between 35 and 50 are choosing All-on-4 earlier, tired of the revolving door of temporary fixes. What they share isn't income. It's a tipping point: a denture that won't stay in, a bridge that failed again, or a smile they've stopped showing.
Is it really not about the cost?
For most people, the deciding factor is quality of life, not the price. Ken M. put it simply after his procedure: the experience was life-changing — he could eat anything he wanted, had no more pain, and no longer worried about the look in people's eyes. Cost still matters, which is why we give one all-inclusive price at the free consultation and offer in-house payment plans.
What do patients actually get from All-on-4?
A fixed set of teeth that works like their own, from one treatment instead of many. Patients tell us they want three things: to eat normally again, to stop hiding their smile, and to stop paying for repairs that don't last. A full arch on implants addresses all three because the teeth are anchored to the jaw rather than resting on the gums.
Why All-on-4 instead of other implant options?
All-on-4 restores an entire arch on four implants, two straight at the front and two angled at the back. The angled implants reach denser bone, which often avoids bone grafting and shortens treatment. The approach was first published by Dr. Paulo Maló and colleagues in 2003, and it has long-term data behind it:
- of All-on-4 lower-jaw bridges still in function after up to 10 years
- 99.2%
- cumulative implant survival at 10 to 18 years of follow-up
- 93%
Why Renew for All-on-4?
At Renew, the surgeon who places your implants, the denturist who designs your teeth, and the lab that makes them all work under one roof in Orléans. That means one team, one plan, and teeth that can be finished the same day. We accept the Canadian Dental Care Plan (CDCP) and all major insurance, and your consultation is free.
How long those bridges were still in place in later follow-up is in how long All-on-4 implants last. The first weeks after surgery are a different question, covered in All-on-4 recovery in the first weeks. If the other option is a denture that clips on and off, read snap-on dentures versus All-on-4. The treatment hub is All-on-4 dental implants.
Sources
- Maló P, Rangert B, Nobre M. All-on-Four immediate-function concept for completely edentulous mandibles. Clin Implant Dent Relat Res. 2003 (the original All-on-4 publication)
- Maló P, et al. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc. 2011 (99.2% prosthesis survival)
- Maló P, et al. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: a longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res. 2019 (93% implant survival, 98.8% prosthesis survival)
Frequently asked questions
Who usually gets All-on-4 dental implants?
Most people who choose All-on-4 are over 50 and have lost most of their teeth in one or both jaws, or have failing teeth and dentures that no longer fit. More people in their late 30s and 40s are now choosing it earlier instead of cycling through temporary fixes.
How long do All-on-4 implants last?
In a long-term study of All-on-4 in the lower jaw, 99.2% of the fixed bridges were still in place after up to 10 years. A follow-up of 10 to 18 years reported 93% implant survival. Home care and regular check-ups matter as much as the surgery.
Do I need bone grafting for All-on-4?
Often not. The two back implants are angled to reach denser bone toward the front of the jaw, which is one reason many people who were told they needed grafting can still be treated. A 3D scan at your consultation confirms what applies to you.
Can I get teeth the same day with All-on-4?
In many cases, yes. When the implants are stable enough on surgery day, a temporary fixed bridge is attached before you go home. Your final bridge is made after the gums and bone heal.
