- All-on-4 replaces a full arch of missing teeth using only 4 strategically angled implants — even for patients with significant bone loss.
- Cost in Turkey: €3,500–€5,500 per jaw for All-on-4 vs. €12,000–€18,000 in the UK or €15,000–€25,000 in the USA.
- Most patients receive a fixed temporary bridge within 24–72 hours of implant placement — the “Teeth in a Day” protocol.
- The treatment requires 2 trips to Turkey: first for surgery + temporaries (5–7 days), second for the final zirconia bridge (3–6 months later, 5 days).
- Long-term success rates exceed 95% at 10 years when performed by experienced implantologists using premium brands like Straumann, Nobel Biocare, or Osstem.
What Is All-on-4? Fixed Full-Arch Implants Explained
All-on-4 is a revolutionary dental implant technique that restores an entire arch of teeth (upper or lower) using just four titanium implants as anchors for a fixed, non-removable bridge. Developed by Dr. Paulo Malo in 1998 and refined over 25 years of clinical use, All-on-4 has become the gold standard for patients who are fully edentulous (no teeth) or facing the loss of all remaining teeth due to advanced periodontal disease, failed root canals, or severe decay.
Unlike traditional implant protocols that require one implant per missing tooth (up to 14 implants per arch), All-on-4 strategically positions two implants vertically at the front and two at a 30–45° angle at the back. This angulation avoids critical anatomical structures — the maxillary sinus in the upper jaw and the mental nerve in the lower jaw — which means the majority of patients avoid bone grafting entirely.
The result: fewer surgical interventions, faster treatment times, lower total cost, and a fixed prosthesis that looks, feels, and functions like natural teeth. Patients walk out of the clinic with a working temporary bridge the same day, eating soft foods within 48 hours and returning to normal life immediately.
Implant Position Diagram — Full Arch Protocols
Ideal for moderate bone loss
Better bite distribution
Heavy bite forces / bruxism
All-on-4 vs All-on-6 vs All-on-8 vs Zygomatic — Decision Matrix
Not every patient is identical. Bone density, bite force, budget, and clinical findings determine which protocol is right for you. The comparison matrix below outlines the key differences so you understand what your dentist is recommending and why.
| Criterion | All-on-4 | All-on-6 | All-on-8 | Zygomatic |
|---|---|---|---|---|
| Number of implants | 4 | 6 | 8 | 2–4 (in cheekbone) |
| Bone required | Moderate | Moderate–Good | Good | Severe loss OK |
| Bone grafting needed? | Usually no | Sometimes | Often yes | Never |
| Ideal patient | Edentulous, moderate bone loss | Strong bite, better chewing | Bruxism, heavy forces | Severe upper jaw atrophy |
| Surgery duration | 2–3 hours | 3–4 hours | 4–5 hours | 4–6 hours |
| Immediate loading? | Yes (24–72h) | Yes (24–72h) | Usually yes | Yes (48h) |
| Cost Turkey (per jaw) | €3,500–€5,500 | €4,500–€6,500 | €6,000–€8,500 | €7,000–€11,000 |
| 10-year success rate | 95–98% | 96–98% | 97–99% | 92–96% |
Key insight: More implants is not automatically better. The optimal protocol balances your available bone, bite forces, budget, and biological healing capacity. For the majority of edentulous patients, All-on-4 delivers excellent long-term results without unnecessary cost.
The All-on-4 Procedure: Step-by-Step Timeline
The All-on-4 treatment plan is split across two trips to Antalya. Trip 1 covers surgery and the immediate temporary bridge. Trip 2 (3–6 months later) places the permanent zirconia bridge after osseointegration. Below is the full timeline, day by day.
Treatment Timeline — Trip 1 (Surgery Week)
CBCT scan,
planning
+ extractions
(2–3 hrs)
soft food,
healing check
temporary
fixed bridge
bite adjustment,
aftercare
fly home
with teeth
Trip 2 (3–6 months later, 5 days): Impression → lab fabrication → try-in → permanent zirconia bridge delivery.
Trip 1: Surgery Week (Days 1–7)
Day 1 — Consultation & 3D Planning: Your surgeon takes a CBCT (3D cone-beam) scan, intraoral scans, and photographs. Using guided implant planning software (coDiagnostiX or Simplant), implant positions are simulated virtually before any surgery. You review the plan and ask questions.
Day 2 — Surgery Day: Under local anaesthesia with optional sedation, any remaining hopeless teeth are extracted, implants are placed using a surgical guide, and multi-unit abutments are screwed onto the implants. The procedure takes 2–3 hours per arch. You leave with the surgical site sutured and protective bite splint.
Day 3 — Rest & Healing Check: Soft food, ice packs, antibiotics, and pain medication. A short check-up ensures no excessive swelling or bleeding. Most patients describe the discomfort as “less than a tooth extraction”.
Day 4 — Temporary Bridge Fitting: The laboratory delivers your immediate temporary fixed acrylic bridge. It is screwed onto the implants — not removable. You leave the clinic with a functioning, aesthetic set of teeth. This is the “Teeth in a Day” moment patients talk about for years.
Day 5–6 — Recovery & Adjustment: Bite checks, minor adjustments to the temporary bridge, written aftercare protocol. You are encouraged to explore Antalya’s old town (Kaleiçi) and the Mediterranean coast.
Day 7 — Departure: Final review with Dr. Telman, digital records sent to your home dentist if requested, fly home with your new smile.
Healing Phase (3–6 Months at Home)
The implants fuse with your jawbone in a biological process called osseointegration. During this time, you wear the temporary bridge, which is fully functional for normal eating (avoiding very hard foods like nuts or ice). You receive remote check-ins via WhatsApp from our team.
Trip 2: Permanent Bridge Week (Days 1–5)
Day 1: Digital impressions and bite registration for the permanent bridge.
Day 2–3: Laboratory fabricates the zirconia or titanium-hybrid bridge using CAD/CAM milling.
Day 4: Try-in, aesthetic evaluation, any final shade or shape adjustments.
Day 5: Final bridge screwed onto the implants — your permanent smile is complete.
All-on-4 Cost: Turkey vs UK vs Germany vs USA vs Switzerland
Pricing transparency matters. The table below shows realistic 2026 price ranges including implants, multi-unit abutments, surgical guides, temporary bridge, and final zirconia prosthesis. It does not include flights, hotels, or optional sedation.
| Procedure | Turkey | UK | Germany | Switzerland | USA |
|---|---|---|---|---|---|
| All-on-4 (one jaw) | €3,500–€5,500 | €12,000–€18,000 | €10,000–€15,000 | €15,000–€22,000 | €18,000–€28,000 |
| All-on-4 (both jaws) | €6,500–€9,500 | €22,000–€34,000 | €18,000–€28,000 | €28,000–€42,000 | €34,000–€52,000 |
| All-on-6 (one jaw) | €4,500–€6,500 | €15,000–€22,000 | €12,000–€18,000 | €18,000–€26,000 | €22,000–€32,000 |
| Zygomatic implants | €7,000–€11,000 | €22,000–€35,000 | €18,000–€28,000 | €28,000–€40,000 | €32,000–€55,000 |
| Zirconia final bridge (upgrade) | €1,200–€2,200 | €4,000–€7,000 | €3,500–€6,000 | €5,000–€8,000 | €6,000–€10,000 |
Are You a Candidate? Decision Matrix
All-on-4 is suitable for the majority of adults who have lost most or all of their teeth — but not everyone. The matrix below shows the common factors we evaluate during your free online consultation.
- Have lost most / all teeth in at least one jaw
- Wear loose, painful dentures
- Have moderate bone loss (All-on-4) or severe bone loss (Zygomatic)
- Are in generally good health
- Do not smoke heavily (under 10 cigarettes/day)
- Are 18+ (no upper age limit — patients in their 80s routinely treated)
- Can commit to 2 trips over 3–6 months
- Have uncontrolled diabetes (HbA1c over 7.5)
- Take bisphosphonates (osteoporosis drugs)
- Have had radiation therapy to the jaw
- Have active gum disease (treated first)
- Smoke heavily — cessation improves success rates
- Have severe bruxism (treatable with night guard)
- Are pregnant (postpone until after)
- Have untreated severe systemic illness
- Are undergoing active cancer treatment
- Are under 18 (jaw still growing)
- Cannot undergo minor surgery for medical reasons
Not sure which category you fall into? That is exactly what our free online consultation is for. Send us a panoramic X-ray (your local dentist can provide one) and a short description of your case — Dr. Telman personally reviews every request within 24 hours and sends you a written, no-obligation treatment plan.
Request Your Personalised All-on-4 Treatment Plan
Tell us about your case and receive a written plan with implant protocol, timeline, and a fixed price quote from Dr. Telman Iskender — reviewed personally, not a chatbot.
Implant Brands Used at Stom Dental Centre
We never compromise on implant quality. The implants we place are the exact same brands used in Harley Street (London) or Beverly Hills (LA) — just at Turkish pricing. You receive a passport (implant certificate) with serial numbers, batch codes, and lifetime warranty registration.
| Brand | Origin | Warranty | Best For |
|---|---|---|---|
| Straumann (SLActive) | 🇨🇭 Switzerland | Lifetime | Premium, faster healing |
| Nobel Biocare (TiUltra) | 🇺🇸 USA / 🇸🇪 Sweden | Lifetime | All-on-4 inventor brand |
| Osstem TSIII | 🇰🇷 South Korea | Lifetime | Excellent value, proven |
| Medentika (Straumann Group) | 🇩🇪 Germany | Lifetime | German engineering, mid-tier |
Long-Term Success: What the Research Says
All-on-4 is one of the most-studied implant protocols in modern dentistry. Dr. Malo’s original 10-year retrospective study (2014) reported a cumulative implant survival rate of 94.8%. Subsequent independent meta-analyses have confirmed even higher rates when placed by experienced clinicians using digital planning.
Implant Survival Rates — Published Data
Sources: Malo et al. (2014), Soto-Penaloza et al. (2017), Chrcanovic et al. (2018)
Patient Story: From Hiding His Smile to Enjoying Every Meal
Gerald, 62, from Manchester, had worn upper dentures for 14 years. They never stopped clicking during speech, fell out when he laughed, and made him avoid restaurant meals with his grandchildren. In March 2025 he flew to Antalya for an All-on-4 consultation. A CBCT scan confirmed moderate bone loss but no need for grafting.
“The surgery day was honestly easier than I expected — I had been terrified. I was given a mild sedation and woke up with everything done. The next afternoon I already had a test-fit of my temporary teeth. On day 4, when I saw myself in the mirror with a full row of teeth that were fixed in, not something I had to glue every morning… I cried. My wife cried. Six months later I went back for the zirconia bridge. Eating steak again, after 14 years. Total cost for both jaws: about €9,000. In the UK I was quoted £32,000. I had a week in Antalya included.” — Gerald M., Manchester
Aftercare: How to Make Your All-on-4 Last a Lifetime
An All-on-4 is a long-term investment. With proper maintenance, the implants themselves can last 25+ years, and often the patient’s lifetime. The bridge on top may need professional maintenance every 5–10 years. Follow these aftercare rules:
- Daily hygiene: Brush the bridge morning and night with a soft toothbrush. Use a water flosser (Waterpik) to clean under the bridge — this is non-negotiable for long-term success.
- Super-floss or interdental brushes: Clean between implants where plaque hides. Your hygienist will demonstrate on Day 6 of Trip 1.
- Professional cleaning every 6 months: We remove the bridge every 12 months to clean underneath and inspect the implants. This is routine and painless.
- Night guard for bruxism: If you grind your teeth, a custom guard protects the bridge from fracture.
- Stop smoking or reduce significantly: Smoking triples the risk of implant failure and peri-implantitis (gum inflammation around implants).
- Avoid extremely hard foods on the temporary bridge: No ice, nuts, or raw carrots until your permanent zirconia is in place. After that, normal eating resumes.
- Annual X-ray check: A panoramic X-ray once per year — you can do this at your local dentist and send us the file via email.
“All-on-4 is life-changing, but only when executed with the right protocol and honest indication. I never place 4 implants when a patient clinically needs 6 — and I never recommend 8 when 4 will deliver the same result. The best implantologists are the ones who know when not to add more hardware. At Stom we treat every case individually, starting with a CBCT scan and a 1-hour conversation about goals, budget, and biology.”
Most of our patients tell us the hardest step was the first message. Once you reach out, everything becomes clear: what you need, what it will cost, how long it takes. No pressure, no upselling — just honest answers from people who do this every day. Send us a WhatsApp message, use the form above, or simply ask a question below.
Frequently Asked Questions
How long does All-on-4 treatment take in Turkey?
The full treatment requires two trips: the first for surgery and immediate temporary bridge (5–7 days in Antalya), then a 3–6 month healing period at home, followed by a second trip for the permanent zirconia bridge (5 days). You leave Turkey with functional teeth after the first trip — never without teeth.
Is the All-on-4 procedure painful?
The surgery itself is performed under local anaesthesia with optional IV sedation. Most patients report the post-operative discomfort is less than they expected — typically managed with standard painkillers (paracetamol or ibuprofen) for 2–3 days. Swelling peaks at 48 hours and subsides within a week.
Can I fly home immediately after surgery?
We recommend staying 5–7 days after surgery to ensure proper initial healing, fit your temporary bridge, and complete bite adjustments. Flying too early can increase swelling and is unnecessarily risky. Your flight home on Day 7 is safe and comfortable.
What is the difference between All-on-4 and traditional dentures?
Traditional dentures are removable, sit on the gum, and rely on suction or adhesive. They move during eating and speaking, and patient satisfaction is only around 47%. All-on-4 is a fixed bridge screwed onto 4 implants — it does not move, restores 90%+ of natural bite force, does not cover the palate, and has 95%+ patient satisfaction in long-term studies.
Will my All-on-4 bridge look natural?
Yes. Modern zirconia bridges are custom-designed with Digital Smile Design software. You preview the aesthetic result before the surgery and again at try-in. The shade, tooth shape, gum colour, and lip support are all matched to your face. Most observers cannot distinguish a well-made All-on-4 from natural teeth.
How much does All-on-4 cost in Turkey for both jaws?
All-on-4 for both upper and lower jaws at Stom Dental Centre costs €6,500–€9,500 total, depending on implant brand (Straumann, Nobel Biocare, or Osstem) and final bridge material (acrylic-titanium hybrid or full zirconia). This includes the surgery, temporary bridges, final bridges, multi-unit abutments, and all check-ups during both trips. Compared to €22,000–€34,000 in the UK, this represents savings of over 60% for the same quality materials.
What happens if an implant fails?
Implant failure within the first year is rare (under 3%) but possible. At Stom Dental Centre, implants are covered by a lifetime warranty from the manufacturer plus our own 10-year clinical warranty. If an implant fails, we replace it at no charge to the patient — you only cover your travel costs.
Can I get All-on-4 if I have no bone left in my upper jaw?
Yes, via zygomatic implants. These are longer implants (30–55mm) anchored in the cheekbone (zygoma) rather than the jaw bone. They are used when there is severe upper jaw bone loss and allow patients to avoid bone grafting entirely. Zygomatic cases are a specialist procedure performed by Dr. Telman with over 15 years of implant surgery experience.
References & Verifiable Sources
All clinical data, success rates, and statements in this article are based on peer-reviewed research and publicly verifiable sources. We encourage you to verify any claim before making a treatment decision:
- Maló P, de Araújo Nobre M, Lopes A, Ferro A, Gravito I. “All-on-4 Treatment Concept for the Rehabilitation of the Completely Edentulous Mandible: A 7-Year Clinical and 5-Year Radiographic Retrospective Case Series with Risk Assessment for Implant Failure and Marginal Bone Level.” Clinical Implant Dentistry and Related Research, 2015 — wiley.com
- Soto-Peñaloza D, Zaragozí-Alonso R, Peñarrocha-Diago M, Peñarrocha-Diago M. “The all-on-four treatment concept: Systematic review.” Journal of Clinical and Experimental Dentistry, 2017 — PubMed
- Chrcanovic BR, Albrektsson T, Wennerberg A. “Tilted versus axially placed dental implants: A meta-analysis.” Journal of Dentistry, 2018 — PubMed
- Turkish Ministry of Health — International Health Tourism Statistics 2024 — shgmturizmdb.saglik.gov.tr
- Straumann Group — Product guarantee and clinical documentation — straumann.com
- Nobel Biocare — All-on-4 treatment concept (original developer) — nobelbiocare.com
- FDI World Dental Federation — Standards of care for implant dentistry — fdiworlddental.org
Medical disclaimer: This article is for educational purposes and does not replace a clinical consultation. Treatment outcomes vary between patients. Stom Dental Centre is a licensed private dental clinic registered with the Turkish Ministry of Health (Muratpaşa/Antalya). All clinicians hold valid Turkish dental licenses.
