Am I a Candidate for All-On-4 Dental Implants?

Smart Smile • March 24, 2025

According to the CDC, approximately 120 million Americans are missing at least one tooth, and over 36 million have lost all their teeth. Such tooth loss can significantly impact daily life by affecting speech, eating habits, and self-esteem.



All-on-4 dental implants offer a promising solution to fix missing teeth by providing a full-arch restoration using just four implants. Today, we're taking a closer look into the criteria that determine candidacy for this procedure, its benefits, and how it compares to other teeth replacement options.


What Are All-On-4 Dental Implants?

All-on-4 dental implants provide a full-arch teeth replacement option using only four implants. Traditional implants usually require one post per missing tooth, but this approach supports a full set of teeth with fewer implants.

There are three key aspects to how this system works:

  • Strategic implant placement
  • Immediate teeth placement
  • Long-term stability


Strategic Implant Placement

The four implants are positioned in a way that maximizes contact with available bone. Two are placed at an angle in the back of the jaw, while the front two are inserted vertically. This structure allows for strong support.


Immediate Teeth Placement

Many patients receive a set of temporary teeth on the same day as the surgery. These serve as placeholders while the implants heal and integrate with the jawbone.


Long-Term Stability

Once healing is complete, a custom permanent set of teeth is attached. These function like natural teeth and help prevent bone loss over time.


Who Can Get All-On-4?

All-on-4 dental implants can be a great option for many people, but not everyone is a candidate. There are three main conditions that affect whether someone can get all-on-4 implants:

  • Sufficient jawbone density
  • Healthy gums
  • Good overall health


Sufficient Jawbone Density

The implants need a stable foundation to stay in place. Many people with bone loss can still qualify, but in severe cases, a bone graft may be needed before the procedure.


Healthy Gums

Gum disease can weaken the tissue around implants, increasing the risk of failure. Anyone with untreated periodontal disease should get it managed before moving forward.


Good Overall Health

Certain medical conditions can affect healing after surgery. Uncontrolled diabetes, autoimmune disorders, and blood clotting issues may increase the risk of complications. A dentist will review medical history before recommending treatment.


Fix Missing Teeth with All-On-4: Dental Implant Benefits

All-on-4 dental implants can fix missing teeth without the hassle of traditional dentures. There are three main reasons why all-on-4 implants stand out from other teeth replacement options:

  • Immediate results
  • Fewer implants, stronger support
  • Preserves jawbone health


Immediate Results

Traditional implants often require months of healing before teeth can be placed. With all-on-4 implants, most patients receive a set of temporary teeth on the same day as surgery. It allows them to eat and speak normally while waiting for their permanent teeth.


Fewer Implants, Stronger Support

Instead of replacing each missing tooth with a single implant, this method only requires four implants to support an entire arch. The angled placement of the back implants increases stability and makes the best use of existing bone structure.


Preserves Jawbone Health

When teeth are missing, the jawbone can shrink over time. Since implants act like natural tooth roots, they stimulate the bone and help prevent this type of bone loss.


Who Might Not Be a Candidate?

All-on-4 dental implants work for many people, but some may not be able to get them right away. Certain health conditions and lifestyle habits can affect healing and increase the risk of implant failure. A dentist will need to evaluate each patient to determine if this procedure is a good option.

There are three main reasons why someone might not be a candidate for all-on-4 implants:

  • Severe bone loss without grafting
  • Untreated gum disease
  • Medical conditions that affect healing


Severe Bone Loss Without Grafting

The implants need a strong foundation, and in cases where the jawbone has deteriorated too much, additional procedures may be required. Some patients may need bone grafting before implants can be placed. If the bone loss is too extreme, all-on-4 may not be possible.


Untreated Gum Disease

Healthy gums play an important role in the success of dental implants. Advanced periodontal disease can weaken the tissue around the implants, making them more likely to fail. Anyone with gum disease should complete treatment before considering all-on-4 implants.


Medical Conditions That Affect Healing

Some health conditions, like uncontrolled diabetes or immune disorders, can slow healing and increase the risk of infection. Blood clotting disorders and osteoporosis can also create challenges. A dentist will consider your medical history before recommending treatment.


Comparing All-On-4 to Other Teeth Replacement Options

The main alternatives include traditional dentures, individual implants, and implant-supported dentures. Traditional dentures are removable and rest on the gums.


While they are a common choice, they require adhesives to stay securecan slip out of place. Over time, dentures can also contribute to bone loss in the jaw, leading to changes in facial structure. Many people find them uncomfortable, especially when eating certain foods. All-on-4 implants eliminate these issues by being permanently fixed in place.


Individual dental implants are another option, replacing each missing tooth with a separate implant. This approach offers a natural feel and strong bite force but requires multiple surgeries and a long healing process. For those missing an entire row of teeth, this method can be costly and time-consuming. All-on-4 implants achieve similar results with fewer procedures and a lower overall cost.


Implant-supported dentures combine features of both dentures and implants. They are more stable than regular dentures but still need to be removed for cleaning. All-on-4 implants offer a more permanent solution, providing a full set of teeth that function just like natural ones.


Teeth Replacement Options

All-on-4 dental implants offer a reliable way to fix missing teeth, providing stability and long-term benefits.

At Smart Smile in Orange, CA, we are dedicated to providing top-quality dental care in a welcoming environment. Our team uses the latest techniques to keep your smile healthy and beautiful. We focus on patient education to prevent issues before they arise and strive to make every visit as comfortable as possible.


Get in touch today to find out how we can help with your dental journey!


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