All on Four Implant Treatment - Dr. Emre Kural I Dentist at Istanbul Turkey

All-on-Four implant treatment is a modern implant application that provides patients experiencing complete edentulism with an aesthetic and functional smile on the same day by placing a fixed prosthesis on only four implants. This system, developed for patients who have no teeth in the upper or lower jaw, provides quick results with minimal surgical intervention. The All-on-Four method, which is much less laborious compared to traditional implant treatments, is one of today’s most successful intraoral implant solutions with low cost, short healing time, same-day fixed tooth use, and high patient satisfaction.

In this system, since the two implants at the back are placed at an angle, fixed prosthesis can often be made without the need for bone graft (bone powder) procedure even in patients with advanced bone resorption. This feature makes the All-on-Four method a fast, reliable, and economical option. Thanks to Dr. Emre Kural’s aesthetic and function-oriented approach, All-on-Four treatment is one of the most ideal treatment solutions for patients aiming for both natural appearance and long-lasting use.

What Is All-on-Four Implant Treatment?

All-on-Four implant treatment is based on the principle of creating a fixed bridge prosthesis using only four implants in complete edentulism in the upper or lower jaw. The system is based on the following principle:

Two implants are placed vertically in the front region.
Two implants are placed at a 30–45 degree angle in the posterior region.

Thanks to this strategic placement, maximum support is obtained from the jawbone and the stability of implants is increased. After the implants are placed, a temporary fixed prosthesis is attached on the same day, so the patient leaves the clinic with new teeth on the treatment day.

The All-on-Four method reduces costs and speeds up the healing process because it can support a larger prosthesis area with fewer implants compared to traditional implant applications. This feature is a great advantage especially for patients experiencing complete edentulism and wanting fixed teeth.

In Which Situations Is All-on-Four Preferred?

All-on-Four treatment is a technique developed especially for patients experiencing complete edentulism and wanting quick results. It is an ideal solution in the following situations:

1.Complete Edentulism

Patients with no teeth in their mouth can prefer the All-on-Four method to be able to use fixed prosthesis.

2.Advanced Bone Resorption

In patients with bone resorption in the posterior region, bone powder procedure is often not needed since implants are placed at an angle.

3.Patients Not Satisfied with Removable Prosthesis

Mobility, eating difficulties, and speech problems caused by removable prostheses are completely eliminated with All-on-Four.

4.Those Who Want Fixed Teeth in a Short Time

Getting fixed temporary teeth on the day implants are placed is the biggest advantage of this method.

5.Situations Requiring Aesthetic Smile Design

All-on-Four is one of the most effective solutions for a natural appearance aesthetically in complete tooth deficiency.

6.Patients with Deteriorated Oral Health

In patients with constantly breaking, loose, or weakened root teeth, implant application can be done in a single session after extractions.

How Is All-on-Four Implant Treatment Performed?

All-on-Four treatment is an application that requires high planning, advanced technology, and precise surgery. The treatment process consists of the following steps:

1.Detailed Examination and 3D Imaging

Before treatment:

Panoramic X-ray
3D dental tomography
Digital oral scanning

are performed and the jawbone is analyzed in detail. Bone density, planning of implant angles, sinus area, and nerve lines are evaluated.

Dr. Emre Kural also considers the patient’s facial aesthetics at this stage and plans the design of the prosthesis to be used.

2.Surgical Preparation and Local Anesthesia

The procedure is performed completely painlessly under local anesthesia. If desired, sedation can be applied so that the patient can experience a comfortable process throughout the procedure.

3.Tooth Extraction and Implant Placement

If necessary, decayed or teeth that need to be extracted are extracted in the same session. Then:

2 implants are placed vertically in the front region.
2 implants are positioned at a special angle in the posterior region.

Thanks to this angled placement, implants can support a larger area and maximum stability is provided.

4.Same-Day Fixed Temporary Prosthesis Application

One of the biggest advantages of the All-on-Four method is that a fixed temporary prosthesis is attached to the patient on the same day after the implants are placed.

This way, the patient leaves the clinic:

With an aesthetic smile
With fixed teeth
With speech and chewing function regained

5.Healing Period (3–4 Months)

A temporary prosthesis remains in the mouth until the implants fuse with the jawbone. During this process:

Hard foods are avoided
Oral hygiene is maintained
Regular check-ups are performed

When fusion with bone is complete, permanent prosthesis is prepared.

6.Placement of Permanent Fixed Prosthesis

After healing is complete, one of the options such as:

Zirconium fixed prosthesis
Hybrid prosthesis
Porcelain fixed bridge

is applied to the patient. This prosthesis provides the most ideal result both aesthetically and functionally.

Advantages of All-on-Four Treatment

The All-on-Four method offers many advantages compared to classical implant treatments:

✔ Same-day fixed teeth

✔ Possibility of not requiring bone powder

✔ More economical solution

✔ Shorter treatment period

✔ High success rate

✔ Aesthetic smile design

✔ Quick recovery of speech and chewing function

These advantages make the All-on-Four method one of the most special and innovative solutions for complete edentulism patients.

Things to Consider After All-on-Four Implant

1.Eating soft foods

Soft nutrition is important so that implants are not strained during the healing process.

2.Avoiding smoking

Smoking can negatively affect implant fusion.

3.Regular oral hygiene

If the implant area is kept clean, it will be long-lasting.

4.Using night guard if there is teeth clenching

Bruxism can damage implants and prostheses.

5.Not missing check-ups

Regular check-ups during the healing process are of great importance.

All-on-Four with Dr. Emre Kural: Aesthetic, Reliable, and Comfortable Treatment Experience

Dr. Emre Kural, who is an expert in aesthetic dentistry in Istanbul, offers treatment with high success rates to his patients using the most modern surgical techniques and advanced technology imaging systems in All-on-Four treatment. Thanks to personalized aesthetic planning, precise implant placement, and professional prosthesis design, All-on-Four treatments applied by Dr. Emre Kural produce natural, strong, and long-lasting results.

If you are a patient who has lost all their teeth or does not want removable prosthesis, you can achieve a comfortable and aesthetic smile in a short time with Dr. Emre Kural’s expert approach.