The All-on-4® treatment concept is a surgical restorative technique designed to provide a fixed, full-arch teeth replacement for patients with missing or failing teeth. This approach prioritises a collaborative planning process to develop a treatment path tailored to your unique clinical needs.
Utilising advanced surgical protocols, the All-on-4® concept aims to provide fixed provisional teeth within 24 to 48 hours of the surgical procedure, where clinically appropriate, with final restorations placed following a healing period.
Important Information: All dental procedures carry risks. A consultation is required to determine suitability for any treatment. All-on-4® is a registered trademark of Nobel Biocare. Results vary between individuals and depend on clinical factors and patient compliance. This is a surgical procedure and carries additional risks; before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
The following images show results from real patient cases treated at Bond St. Every smile and treatment plan is unique; these examples are intended to illustrate the range of outcomes possible for different dental concerns and do not represent a guaranteed or typical result for any individual.
Important Information: Individual results vary. All invasive procedures carry risks. A consultation is required to determine suitability for any treatment.
At Bond St, our All-on-4® treatment is provided by our dedicated clinical team. We prioritise patient care and professional support throughout every stage of your restorative journey. To discuss your suitability for the All-on-4® treatment concept, contact our South Yarra clinic to arrange a consultation.
Your experience at Bond St begins with an individualised clinical consultation...
Your experience at Bond St begins with an individualised clinical consultation. During this initial visit, our practitioners perform a comprehensive examination of your oral health. We discuss your clinical requirements and evaluate the condition of your teeth and surrounding bone quality to assess your suitability for the All-on-4® dental implants. Diagnostic tools, including digital imaging and X-rays, support a thorough assessment of your dental anatomy as part of this planning process.
Following your initial consultation, our laboratory team works closely with you and your clinician...
Following your initial consultation, our laboratory team works closely with you and your clinician to plan your provisional restoration. Together, they determine the appropriate shade and shape to suit your oral anatomy and functional needs.
This stage typically includes clinical photography to document and plan your smile design, digital or physical impressions to accurately map your oral structure, and a consultation to discuss your preferences for tooth shade and shape within clinical parameters.
The surgical phase involves the removal of compromised teeth and the clinical...
The surgical phase involves removing compromised teeth and preparing the site for implant placement, under local or general anaesthetic. Where clinically appropriate, a provisional bridge is fitted within 24 to 48 hours of surgery, typically worn for 3–6 months while the implants integrate with the bone (osseointegration). This allows your clinical team to refine speech, function, and aesthetics ahead of your final bridge.
Following surgery, you will attend a series of scheduled review appointments...
Following surgery, you'll attend scheduled review appointments, typically at 2 weeks, 1, 2, and 3 months, adjusted to your individual healing progress, so your clinical team can monitor osseointegration and refine your provisional restoration. Once soft tissues have stabilised and the implants have integrated, master impressions are taken, followed by a final bridge try-in to assess fit, bite, and appearance before final insertion.
During this final stage, your bridge is clinically fitted and secured...
During this final stage, your bridge is clinically fitted and secured. This restoration is designed to support long-term durability, function, speech, and a natural appearance.
The permanent bridge fitting replaces your provisional restoration with the final, reinforced bridge. Your clinical team then carries out a functional assessment to verify your bite (occlusion) and speech, before establishing a long-term maintenance plan with a professional hygiene schedule to support the health of your implants.
To support the longevity of your restoration, we recommend professional...
We recommend professional maintenance every 6 months to support the longevity of your restoration. Our hygiene team, experienced in supporting All-on-4® patients, provides clinical cleaning of your implants and bridge, x-rays when clinically indicated to monitor bone levels and implant stability, and clear guidance on maintaining your oral hygiene at home.
Bond St offers consultations to assess your individual restorative requirements. This clinical assessment is the first step in determining your suitability for treatment.
Clinical Examination: A comprehensive review of your oral health and diagnosis.
Diagnostic Imaging: Including a CBCT radiograph, performed only where clinically indicated.
Treatment Planning: A transparent discussion regarding clinical stages and financial considerations.
Terms and Conditions: Complimentary consultations are subject to clinician availability. Diagnostic imaging (CBCT) is only provided if the practitioner deems it clinically necessary for diagnosis. A comprehensive consultation is required before any treatment.
Our laboratory team collaborates with you and your clinician to determine the appropriate shade and morphology of your provisional restoration. This ensures the design complements your oral anatomy and functional requirements.
Clinical Photography: To document and plan your facial aesthetics.
Digital or Physical Impressions: To create an accurate map of your oral structure.
Aesthetic & Functional Consultation: To discuss your preferences for tooth shade and shape within clinical parameters.
The surgical phase involves the removal of compromised teeth and the clinical preparation of the site for implant placement. Following the procedure, you will be fitted with a provisional set of teeth. These functional restorations are worn for approximately 3–6 months while the implants integrate with the bone (osseointegration), allowing us to refine speech, function, and aesthetics for your final bridge.
Anaesthesia & Facilities: Procedures are conducted under local anaesthetic or general anaesthesia in a clinical environment.
Surgical Site Preparation: Removal of indicated teeth and necessary bone contouring.
Provisional Restoration: Indexing and insertion of the initial fixed bridge, typically within 24 hours of surgery.
Following surgery, you will attend a series of scheduled review appointments. These consultations allow our clinical team to monitor the healing process (osseointegration) and evaluate the function and aesthetics of your provisional restoration. Your feedback during this phase is used to refine the design of your final bridge.
Clinical Healing Reviews: Scheduled at 2 weeks, 1 month, 2 months, and 3 months.
Master Impressions: Taken once the soft tissues have stabilised and the implants have integrated.
Final Bridge Try-in: A clinical assessment of the permanent restoration to ensure optimal fit, bite, and appearance before final insertion.
During this final stage, your bridge is clinically fitted and secured. This restoration is designed to provide long-term durability, supporting optimal dental function, speech, and a natural appearance that complements your individual features.
Permanent Bridge Fitting: Replacement of the provisional restoration with the final, reinforced bridge.
Functional Assessment: Final verification of your bite (occlusion) and speech.
Long-term Maintenance Plan: Establishing a professional hygiene schedule to support the health of your implants.
To support the longevity of your restoration, we recommend professional maintenance every 6 months. Our hygiene team at Bond St is specifically trained in All-on-4® maintenance to ensure your implants and prosthesis are professionally cleaned and monitored.
Professional Maintenance: Clinical cleaning of your implants and fixed bridge.
Diagnostic Monitoring: Radiographs (x-rays) are performed only when clinically indicated to monitor bone levels and implant stability.
Home Care Guidance: Our team will provide comprehensive instructions on the specific techniques and tools required to maintain your oral hygiene at home.
Maintaining your fixed bridge is an important part of protecting your long-term oral health. This short video walks through the techniques and tools recommended by our clinical team to help you care for your restoration and implants at home, between your scheduled professional maintenance visits.
The All-on-4® treatment concept is a surgical restorative solution for patients who currently use removable dentures or are facing the loss of their natural teeth. By utilising four Nobel Biocare titanium implants to support a fixed full-arch bridge, this technique provides a stable alternative to traditional removable prostheses.
This treatment is designed to deliver a natural-looking result that aims to support dental function and speech. Because the bridge is fixed, it avoids the movement associated with traditional dentures, allowing patients to eat a wider variety of foods once the healing process is complete.
One of the primary benefits of the All-on-4® concept is the streamlined surgical protocol, which in many cases allows for the attachment of a provisional bridge within 1–2 days of surgery. By tilting the posterior implants, the procedure often utilises existing bone volume, which may reduce the necessity for extensive bone grafting in eligible patients.
When natural teeth are missing or severely compromised, it can impact essential functions such as chewing and speech. If left unaddressed, tooth loss can lead to further clinical complications, including bone resorption and changes to the oral structure.
Historically, full-arch replacement involved removable dentures or multiple individual implants which, in some cases, required supplementary procedures like bone grafting.
The All-on-4® treatment concept offers a streamlined surgical alternative. This protocol utilises four titanium implants to support a fixed bridge, often utilising existing bone volume to minimise the need for grafting in eligible patients. In many cases, a provisional restorative bridge can be fitted within 24–48 hours of the surgical procedure, allowing for an earlier return to dental function during the healing phase.
At Bond St, our clinical team provides the All-on-4® treatment concept using modern dental technology and established surgical protocols.
From your initial consultation through to the fitting of your final restoration, you will be supported by a dedicated team that understands the clinical complexity of full-arch rehabilitation. We prioritise patient education and informed consent, helping you understand every stage of your treatment.
Our South Yarra clinic is equipped with diagnostic and surgical facilities to support your treatment with a focus on clinical precision and long-term oral health.
Traditional dental implant techniques often require sufficient bone volume, which may necessitate supplementary procedures such as bone grafting if significant bone loss has occurred.
The All-on-4® treatment concept utilises a specific surgical protocol, tilting the posterior implants, to maximise the use of available bone. This often reduces the requirement for bone grafting, making it a suitable option for many patients who have experienced bone resorption.
For patients with more advanced bone loss, our clinical team can assess suitability for alternative implant techniques designed to utilise different areas of the jawbone. To determine if this approach is appropriate for your clinical needs, we recommend a comprehensive assessment with our dental practitioners.
Educational information sessions are available to help patients understand the clinical aspects of the All-on-4® protocol, alongside a thorough clinical consultation to develop a tailored treatment plan.
At Bond St, we help you in identifying the dental solutions that best meet your clinical needs. Starting with a comprehensive assessment and consultation, we provide personalised care throughout every stage of your treatment. Contact our South Yarra clinic to arrange a consultation and discuss your suitability for treatment.
