All-on-4 Dental Implants

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What Is the All-on-4 Treatment?

All-on-4 is a full-arch rehabilitation method in which a complete fixed bridge is anchored on just four dental implants per jaw. Two implants are placed vertically in the front of the jaw and two are tilted up to 45 degrees in the back, which makes use of the strongest available bone and usually avoids bone grafting. Long-term clinical research reports an implant survival rate of approximately 95% at 10 years for this concept (Maló et al., 2019).

For patients who have lost most or all teeth in one jaw — or whose remaining teeth cannot be saved — All-on-4 replaces removable dentures with fixed, non-removable teeth that are cleaned and used much like natural teeth.

Who Is All-on-4 Suitable For?

The treatment is designed for patients with complete or near-complete tooth loss in one or both jaws, for long-term denture wearers who want fixed teeth again, and for patients with moderate bone loss: because the rear implants are tilted, All-on-4 can often be carried out even when the back jaw has too little bone for conventional implants. Suitability is always confirmed with a three-dimensional CBCT scan before any surgical decision is made.

How the Treatment Works at Stom Dental Centre

The treatment is completed over two visits to Antalya. During the first visit (2–4 days), the surgical team places the four implants under local anaesthesia — sedation is available for anxious patients — and in most cases a fixed temporary bridge is attached within 24–72 hours, so you leave the clinic with fixed teeth, not a removable denture. Over the following 3–6 months the implants fuse with the bone (osseointegration). During the second visit (5–7 days), the prosthodontic team led by DDS PhD Telman Iskender fits the final bridge — typically monolithic or multilayer zirconia on a titanium framework — with full control of bite, colour and facial aesthetics.

What Does All-on-4 Cost in 2026?

In Türkiye, All-on-4 treatment typically costs between €1,700 and €6,000 per jaw depending on the implant brand (Osstem, Megagen, Nobel Biocare, Straumann) and the final bridge material. Comparable treatment is usually quoted at £8,000–£14,000 in the United Kingdom and €12,000–€20,000 in Germany, which is why Antalya has become one of the most established destinations for full-arch implant work. At Stom Dental Centre the quote you receive is written, itemised and fixed — it includes the implants, the temporary and final bridge, all clinical fees, and a 10-year guarantee on the prosthetic work.

Honest Limitations You Should Know

All-on-4 is not a shortcut that fits everyone. Heavy smokers, patients with uncontrolled diabetes and patients with untreated gum disease have measurably higher failure risks. A fixed bridge on four implants also concentrates load on fewer anchors than an All-on-6 solution, which is why we sometimes recommend six implants when bone quality allows it. Finally, fixed teeth still require professional cleaning and check-ups — implants can develop peri-implantitis if hygiene is neglected.

Why Patients Choose Stom Dental Centre in Antalya

Stom Dental Centre plans every full-arch case digitally on CBCT data, uses original implant systems with documented serial numbers (implant passport), and finishes the work in an in-house digital workflow. Treatment is available in English, German, Russian and Turkish, and more than 200 verified patient reviews rate the clinic 5/5. You can see real full-arch patients speak about their experience in our video gallery on the homepage.

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Key Takeaways

  • Bone grafting: Usually avoided thanks to tilted rear implants
  • Treatment visits: 2 visits to Antalya: 2–4 days + 5–7 days
  • Final bridge: Zirconia on titanium framework, fitted after 3–6 months healing
  • Cost in Türkiye 2026: ≈€1,700–6,000 per jaw (brand- and material-dependent)

What is All-on-4 dental implant treatment?

All-on-4 is a full-arch implant technique in which an entire row of fixed teeth is supported by four implants per jaw — two straight anterior implants and two posterior implants tilted up to 45 degrees. The tilted placement uses the densest available bone, so most patients avoid bone grafting, and a fixed temporary bridge is usually attached within 24–72 hours of surgery. Clinical studies report around 95% implant survival at 10 years. At Stom Dental Centre in Antalya the surgery and the final zirconia bridge are completed across two visits, with the prosthetic phase led by DDS PhD Telman Iskender.

Treatment at a Glance
Implants per jaw4 (2 straight anterior, 2 tilted posterior)
Fixed temporary teethUsually within 24–72 hours of surgery
10-year implant survival≈95% (Maló et al., 2019, 10–18-year follow-up)
Bone graftingUsually avoided thanks to tilted rear implants
Treatment visits2 visits to Antalya: 2–4 days + 5–7 days
Final bridgeZirconia on titanium framework, fitted after 3–6 months healing
Cost in Türkiye 2026≈€1,700–6,000 per jaw (brand- and material-dependent)
Guarantee at Stom10 years on prosthetic work, written and itemised
Implants per jaw
4 (2 straight anterior, 2 tilted posterior)
Fixed temporary teeth
Usually within 24–72 hours of surgery
10-year implant survival
≈95% (Maló et al., 2019, 10–18-year follow-up)
Bone grafting
Usually avoided thanks to tilted rear implants
Treatment visits
2 visits to Antalya: 2–4 days + 5–7 days
Final bridge
Zirconia on titanium framework, fitted after 3–6 months healing
Cost in Türkiye 2026
≈€1,700–6,000 per jaw (brand- and material-dependent)
Guarantee at Stom
10 years on prosthetic work, written and itemised
Treatment Process: Step by Step
  1. 3D Diagnostics — A CBCT scan maps bone volume, nerve positions and sinus anatomy in three dimensions. The implant positions are planned digitally before surgery.
  2. Extractions if Needed — Non-restorable teeth are removed in the same session as implant placement, so no patient goes home without teeth.
  3. Implant Placement — Four implants are placed under local anaesthesia (sedation available). The two posterior implants are tilted to anchor in dense bone and avoid the sinus and nerve.
  4. Fixed Temporary Bridge — Within 24–72 hours a screw-retained temporary bridge is attached to the implants — fixed, functional and aesthetic from day one.
  5. Osseointegration — Over 3–6 months the implants biologically fuse with the jawbone while you wear the fixed temporary bridge at home.
  6. Final Bridge Fitting — On the second visit the definitive zirconia bridge is manufactured and fitted in 5–7 days, with bite, shade and facial support finalised by the prosthodontic team.
  7. Aftercare and Reviews — You receive written aftercare instructions, an implant passport with serial numbers, and a maintenance schedule; the team stays available on WhatsApp.
Who Is a Good Candidate?

Ideal Candidates

  • Patients who have lost all or most teeth in one or both jaws
  • Long-term denture wearers who want fixed, non-removable teeth
  • Patients with moderate bone loss in the back jaw who want to avoid grafting
  • Patients whose remaining teeth are failing due to advanced decay or gum disease
  • International patients who need treatment compressed into two planned visits

May Need Alternative Options

  • Heavy smokers unwilling to reduce or pause smoking around surgery (significantly higher failure risk)
  • Patients with uncontrolled diabetes or untreated periodontal infection
  • Patients with extreme bone atrophy where zygomatic implants are the safer solution
  • Patients unable to attend the second visit for the definitive bridge
Benefits and Considerations

Benefits

  • Fixed teeth on the day of surgery instead of a removable denture
  • Around 95% implant survival at 10 years in long-term studies
  • Bone grafting avoided in most cases thanks to tilted posterior implants
  • Chewing force and speech close to natural teeth
  • Easier hygiene than individual implants for every missing tooth
  • Costs in Antalya are typically 60–75% below UK/German quotes for the same systems

Considerations

  • 3–6 months of healing with the temporary bridge before the final zirconia bridge
  • Four implants carry the full arch — regular check-ups and hygiene are not optional
  • Smokers and diabetic patients need honest risk assessment before surgery
  • A second trip to Antalya is required for the definitive bridge
  • All-on-6 may be recommended instead when bone quality allows more anchors
Frequently Asked Questions
How much do All-on-4 dental implants cost in Antalya?
In 2026, All-on-4 treatment in Türkiye typically costs €1,700–6,000 per jaw depending on the implant brand (Osstem, Megagen, Nobel Biocare, Straumann) and final bridge material. The same treatment is commonly quoted at £8,000–14,000 in the UK and €12,000–20,000 in Germany. At Stom Dental Centre the written quote is fixed and includes implants, temporary and final bridge, and a 10-year guarantee on prosthetic work.
Is All-on-4 painful?
The surgery is performed under local anaesthesia and most patients describe pressure rather than pain. IV sedation is available for anxious patients. Typical recovery involves swelling and mild discomfort for 3–7 days, managed with standard painkillers.
How long do All-on-4 implants last?
Long-term studies report approximately 95% implant survival at 10 years, with many cases documented beyond 15–18 years (Maló et al., 2019). The zirconia bridge itself is highly durable; Stom Dental Centre backs its prosthetic work with a 10-year guarantee.
Can I get All-on-4 with severe bone loss?
Often yes — the tilted rear implants specifically use the denser front jawbone, avoiding grafts in most cases. In cases of extreme upper-jaw atrophy, zygomatic implants anchored in the cheekbone are the alternative; a CBCT scan gives a definitive answer.
How many trips to Antalya do I need?
Two. The first visit (2–4 days) covers surgery and the fixed temporary bridge; the second visit (5–7 days), after 3–6 months of healing, is for manufacturing and fitting the definitive zirconia bridge.
What is the difference between All-on-4 and All-on-6?
All-on-6 uses six implants per jaw instead of four, spreading chewing load over more anchors. When bone volume allows it, six implants add redundancy and can extend the bridge further back. All-on-4 is preferred when posterior bone is limited. The CBCT scan and prosthetic planning determine which concept fits your anatomy.
Do I leave the clinic without teeth at any point?
No. If extractions are needed they are combined with implant placement, and a fixed temporary bridge is attached within 24–72 hours — you fly home with fixed teeth.
What implant brands does Stom Dental Centre use?
Original systems with documented serial numbers: Osstem and Megagen as proven value options, Nobel Biocare and Straumann as premium systems. Every patient receives an implant passport with brand, batch and serial numbers plus manufacturer warranty registration.
Can smokers have All-on-4?
Smoking measurably increases implant failure and peri-implantitis risk. Smokers are asked honestly to pause smoking around surgery and during early healing; heavy smokers unwilling to do so are advised against full-arch implants rather than sold a risky treatment.
What happens if something fails after I fly home?
The prosthetic work carries a written 10-year guarantee. The team remains reachable on WhatsApp, cooperates with your local dentist for minor issues, and guarantee conditions are provided in writing before treatment — ask for them during your consultation.
A full-arch case is won in the planning, not in the operating chair. We plan every All-on-4 on three-dimensional CBCT data and design the final bridge before the first implant is placed — that is what makes fixed teeth in 72 hours predictable rather than optimistic.
Dr. Telman IskenderDDS, Oral Surgery Specialist, 20+ Years Experience — Stom Dental Centre, Antalya

Scientific References

  1. Maló P, de Araújo Nobre M, Lopes A, 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. Clinical Implant Dentistry and Related Research. 2019;21(4):565-577.
  2. 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;9(3):e474-e488.
  3. Patzelt SBM, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clinical Implant Dentistry and Related Research. 2014;16(6):836-855.

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Last reviewed: July 2026

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