All-on-4 Dental Implants: A Full Set of Fixed Teeth, Explained

All-on-4 gives you a full upper or lower set of fixed teeth on four implants, usually with temporary fixed teeth on the day of surgery. At Smile Dental in Kondapur and Vizag it costs ₹2,50,000 to ₹4,00,000 per arch, and the final teeth follow after 4 to 6 months of healing.

What All-on-4 actually means

All-on-4 is a way to replace a full set of upper or lower teeth using four implants and one fixed bridge. The four titanium posts go into the parts of the jaw where bone is usually strongest. A single bridge of teeth is fixed onto those posts. It does not come out at night. You brush it like natural teeth.

The name is literal. All of the teeth in one jaw, carried on four implants. If someone has lost most of their teeth in the upper jaw, the lower jaw, or both, this gives them back a fixed set they can bite and chew with.

Who it usually suits

All-on-4 suits people who have lost most or all of the teeth in one jaw and want fixed teeth instead of a denture. We see three situations most often at Smile Dental. People who have worn a full denture for years and are tired of it moving. People who have several loose or failing teeth left in one jaw and want one clear plan instead of fixing them one by one. And people who lost teeth long ago and were told the bone had shrunk too much for regular implants.

That last group matters. All-on-4 is designed to work with the bone you still have. The back implants are angled to catch solid bone, which often means you can avoid separate bone grafting. Dr. Rajesh confirms this with a 3D scan before anything is planned.

If only a few teeth are missing, All-on-4 is not the right first step. Single dental implants or a bridge keep your healthy teeth and cost far less.

How the treatment works

The full path takes 4 to 6 months and about 4 to 6 visits, with most of that time spent letting bone heal around the implants. Here is what each stage looks like.

Stage 1: Assessment and 3D scan

Dr. Rajesh examines your jaw, gums, and bite, and takes a 3D scan to map bone volume and the position of nerves and sinuses. The first visit is a ₹500 consultation with an iTero 3D scan, and you leave with a written plan and the full cost before any treatment is booked.

Stage 2: Implant placement and a fixed temporary bridge

On the day of surgery, any teeth that cannot be saved are removed, four implants are placed under local anaesthesia, and a fixed temporary bridge is attached the same day in most cases. You go home with teeth, not a gap. If an implant is not firm enough on the day to carry teeth, we tell you and the bridge goes on a little later.

Stage 3: Healing

Over the next 4 to 6 months the bone fuses with the implants. You eat softer food during this window and keep the area clean. Reviews are scheduled to check that healing is on track.

Stage 4: The final bridge

Once the implants are stable, we take a digital scan, you try the new teeth in to approve the shape and colour, and we fit your permanent bridge. This is stronger and made to match the look you want. From here you care for it with brushing and regular cleanings.

All-on-4, All-on-6, or an implant-retained denture

All three replace a full arch on implants; which one fits depends on your bone, how you chew and your budget.

An implant-retained denture uses two to four implants to hold a denture that snaps on firmly but still comes out for cleaning. It costs less and suits people who want more grip than a normal denture without a full fixed bridge. All-on-4 uses four implants to hold a fixed bridge. All-on-6 uses six, which spreads the load and is often chosen for people who chew very hard food or grind heavily.

None of these is automatically the right one. Dr. Rajesh talks through your scan and your daily habits, and your written plan shows each option that applies to you with its exact price, so you decide together.

What All-on-4 costs in Kondapur and Vizag (2026)

All-on-4 costs ₹2,50,000 to ₹4,00,000 per arch at Smile Dental, and the range is the same at both branches.

What the All-on-4 price includes

• The four implants and the surgery
• The fixed temporary bridge
• The final bridge after healing
• Review visits during healing

What moves the price

The range comes from the implant brand and the material of the final bridge. Acrylic teeth on a metal frame cost less; zirconia is stronger, resists stains and looks more natural, and costs more. Sedation is extra if you choose it, and each jaw is priced as its own arch. If any extra work is needed, it is quoted during the consultation, not added later.

When you compare quotes, ask which implant brand is used, what the final bridge is made of, and whether the temporary bridge is included. A low quote sometimes leaves out the final bridge.

For context, the same work costs about ₹12,00,000 to ₹25,00,000 per arch in the US and about ₹8,00,000 to ₹18,00,000 in the UK, which is why many families abroad plan it for an India visit. Full details are on our All-on-4 dental implants in Kondapur and Vizag page.

How long All-on-4 lasts

Well-kept implants can last 20 years or more. The teeth on the bridge wear with use and may need repair or replacement after 10 to 15 years. Cleaning under the bridge every day and a professional clean and check every 6 months matter most.

When you can eat normally again

You eat soft food during the 4 to 6 months of healing and normal meals once the final bridge is fitted. The temporary bridge handles soft everyday meals well, but it is not as strong as the final one, so very hard or crunchy food waits. Swelling usually peaks on day 2 or 3, and most people are back at work within 3 to 5 days.

The timeline, and how NRI patients plan it

From the first visit to the final bridge is usually 4 to 6 months, because bone healing sets the pace and cannot be safely rushed. For NRI patients, we split it across two India trips of 1 to 2 weeks each. Trip one covers the assessment, the implant placement, and the fixed temporary bridge, so in most cases you fly home with teeth already in place. Trip two, 4 to 6 months later, is for the permanent bridge.

The step that saves the most trouble is the pre-arrival plan. WhatsApp your recent X-ray or scan before you book flights. Dr. Rajesh reviews it and sends back a realistic timeline and cost, so your trip is planned around what can actually be finished.

Why patients choose Smile Dental for full-arch work

Every All-on-4 case is planned and placed by Dr. Rajesh Kumar Y. He holds an MDS in Orthodontics, is a Facial Orthopedist and a Fellow of Implantology (Germany), so he also plans how the new teeth support the lips and face. Smile Dental has treated families since 1997 in Kondapur and Vizag.

The full cost is shown in writing before treatment starts, including the final bridge, so there is no surprise bill halfway through. And the plan is explained with your own scan in front of you, so the decision stays yours.

Frequently asked questions

Answers to the common questions are in the section below.

How much does All-on-4 cost in Hyderabad and Vizag?

At Smile Dental in Kondapur and Vizag, All-on-4 costs ₹2,50,000 to ₹4,00,000 per arch. That includes the four implants, the surgery, the temporary bridge and the final bridge. Bone grafting, if needed, adds ₹10,000 to ₹50,000. The exact price is in your written plan after the ₹500 consultation.

Is All-on-4 the same as dentures?

No. A denture rests on the gums and can be taken out. An All-on-4 bridge is fixed onto four implants and stays in place. You brush it in your mouth like natural teeth and it does not move when you eat.

Will I leave the first surgery without teeth?

In most cases no. A fixed temporary bridge is attached the same day as the implants, so you go home with a full set. If an implant is not firm enough on the day, the bridge goes on a little later. The permanent bridge is fitted after 4 to 6 months of healing.

Is the surgery painful?

The placement is done under local anaesthesia, so you feel pressure but not pain. Sedation is available if you are anxious. Swelling usually peaks on day 2 or 3 and is controlled with cold packs and the medicines we prescribe. Most people are back at work in 3 to 5 days.

I was told I do not have enough bone for implants. Can I still get All-on-4?

Often yes. The back implants are angled to use the bone you still have, which is one reason All-on-4 suits people who lost teeth years ago. A 3D scan during consultation confirms whether it works for you.

How long does All-on-4 last?

Well-kept implants can last 20 years or more. The teeth on the bridge wear with use and may need repair or replacement after 10 to 15 years. Daily cleaning under the bridge and a check every 6 months matter most.

How long does the full treatment take?

Usually 4 to 6 months and about 4 to 6 visits from the first consultation to the final bridge, most of it waiting for bone to heal. For NRI patients we split this across two India trips.

How do I care for an All-on-4 bridge?

Brush it twice a day, clean underneath it with a water flosser or the small brushes we show you, and come in for a professional clean every 6 months.