All-on-4 replaces an entire arch of missing or failing teeth using just four strategically placed implants to support a full set of fixed teeth. Unlike dentures, these teeth are fixed in place — you don't remove them. You leave surgery day with temporary teeth and get your final permanent teeth after 4-6 months of healing.
At Smile Dental Kondapur and Vizag, All-on-4 treatment starts from ₹2,50,000 per arch. The procedure takes 3-4 hours on surgery day. Dr. Rajesh Kumar's fellowship training in implantology from Germany and 29 years of experience underpin every All-on-4 case we plan.
Get Your General Answers
All-on-4 is right for you if...
- You're missing most or all teeth in one or both arches
- Your remaining teeth are failing and beyond saving
- You're tired of loose dentures and want fixed teeth
- You want to eat, speak, and smile with confidence again
- You're looking for a permanent solution — not another removable prosthetic
- You have some bone loss (All-on-4's angled implant design often works without bone grafting)
This works best when...
- You're healthy enough for implant surgery (most adults are — we'll assess)
- Smoking is reduced or stopped (smoking increases implant failure risk significantly)
- You can commit to the full timeline: surgery → temporary teeth → 4-6 months healing → final teeth
- You understand this is a significant investment (but often less than replacing teeth individually)
- Gum disease is controlled before placement
If you have sufficient bone and are only missing a few teeth, individual implants may be more appropriate and less costly. We'll recommend what fits your actual situation.
Step 1: Consultation + Planning
- 3D imaging (CT scan) to assess bone volume and density
- Complete oral examination
- Discussion of expectations, timeline, and cost
- Digital planning of implant positions for optimal support
Step 2: Surgery Day (3-4 hours)
- Local anesthetic + sedation (most patients choose sedation for comfort)
- Any remaining failing teeth extracted
- 4 implants placed into the jawbone at strategic angles
- Temporary fixed teeth attached the same day — you leave with teeth
Step 3: Healing Period (4-6 months)
- Implants fuse with bone (osseointegration)
- You function with temporary teeth during this time
- Soft food diet for the first few weeks, gradually returning to normal
- Regular checkups to monitor healing
Step 4: Final Teeth (2-3 visits)
- Impressions or 3D scan for final prosthesis
- Final teeth fabricated and fitted
- Bite checked and adjusted
- You leave with your permanent, fixed teeth
Surgery day
If you choose sedation, you'll be in a twilight state — relaxed, minimal awareness of the procedure. You'll see temporary teeth in place when it's over. Someone needs to drive you home. Plan to rest for the remainder of the day.
First 48-72 hours
Swelling peaks around day 2-3 (ice packs help). Pain is managed with prescribed medication — most patients describe it as manageable, not severe. Soft foods only. Some bruising is normal.
First 2 weeks
Swelling subsides. Diet gradually expands from liquids to soft foods. Most patients return to work within 3-5 days of surgery. Follow all post-surgical instructions carefully — this period is when your implants are integrating with bone.
During healing (4-6 months)
Your temporary teeth function well but aren't as strong as the final ones. Avoid very hard or crunchy foods. Don't skip follow-up appointments — we monitor healing closely. If you smoke, this is the most important time to stop — smoking during healing dramatically increases failure risk.
After final teeth
Your fixed teeth function like natural teeth. Brush twice daily, use a water flosser to clean under the prosthesis, and keep regular 6-month checkups. With proper care, All-on-4 implants can last 15-25+ years. The prosthetic teeth may need replacement or repair after 10-15 years.
All-on-4: ₹2,50,000 - ₹4,00,000 per arch
The investment includes:
- 4 implants + surgery
- Temporary fixed teeth (same-day)
- Final permanent prosthesis (after healing)
- All follow-up appointments during healing
Cost varies based on:
- Bone grafting: Sometimes needed despite angled implant design — adds ₹10,000-30,000
- Prosthesis material: Acrylic vs zirconia final teeth (zirconia costs more but is stronger and more natural-looking)
- Sedation: IV sedation is additional
All-on-4 vs individual implants
Replacing 12 teeth individually: 12 implants × ₹25,000-45,000 = ₹3,00,000-5,40,000+. All-on-4 achieves a full arch on just 4 implants for ₹2,50,000-4,00,000. For patients missing most teeth, All-on-4 is usually more efficient and economical.
All-on-4 vs dentures
Conventional dentures: ₹15,000-40,000 (but loose, uncomfortable, need replacement every 5-8 years). All-on-4: ₹2,50,000+ (but fixed, stable, function like real teeth, last 15-25+ years). The long-term math often favors implants.
The life-changing difference between removable and fixed
Patients who switch from dentures to All-on-4 consistently say the same thing: "I can eat again." "I stopped worrying about my teeth shifting when I talk." "I forgot they're not my real teeth." The psychological impact of having fixed, stable teeth — teeth you don't take out at night — goes beyond the clinical. It changes how people eat, speak, laugh, and feel about themselves.
All-on-4 during your India visits
All-on-4 typically requires 2 India trips:
- Trip 1 (1-2 weeks): Consultation, planning, surgery, temporary teeth placed. You fly home with teeth.
- Trip 2 (1-2 weeks, 4-6 months later): Final permanent teeth fabricated and fitted.
WhatsApp us your CT scan or X-rays before Trip 1. We'll confirm if you're a candidate, provide a treatment plan and cost estimate, and help you plan your travel timeline realistically.
Cost comparison: All-on-4 per arch in India: ₹2,50,000-4,00,000. Same in US: ₹12,00,000-25,00,000. In UK: ₹8,00,000-18,00,000. In Australia: ₹10,00,000-20,00,000.
Can I get teeth the same day as surgery?
Yes. Temporary fixed teeth are attached to the implants on surgery day. You leave with a full set of teeth. Final permanent teeth replace the temporaries after 4-6 months of healing.
How long does All-on-4 last?
The implants themselves can last a lifetime with good care. The prosthetic teeth (the visible part) typically last 10-15 years before needing replacement or repair.
Is the surgery painful?
During: no — you're under sedation and local anesthetic. After: manageable with prescribed medication. Most patients say the first 48-72 hours are uncomfortable but not unbearable. It improves steadily from there.
What can I eat after?
Liquids and very soft foods for the first 2 weeks. Gradually expanding to soft solids over weeks 3-6. After final teeth are placed: nearly everything — including foods denture wearers can't manage.
Do I need All-on-4 for both arches?
Not necessarily. Some patients need only one arch. We assess your complete situation and recommend only what's needed.
What if I don't have enough bone?
All-on-4's angled design works in many cases where traditional implants can't. If additional bone support is needed, grafting is sometimes added. We'll know after your CT scan and tell you clearly.
