The two rear implants are tilted up to 45° to catch cortical bone ahead of the sinus, which is why most cases avoid a sinus graft. This page covers the all-on-4 dental implants appointment itself — what is prepared beforehand, what happens in the chair, and what the first hours afterwards feel like. Plan for 2 surgical visits and 7-10 days, then 3-6 months before the final arch.
Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary. Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex. The two rear implants are tilted up to 45° to catch cortical bone ahead of the sinus, which is why most cases avoid a sinus graft.
Your scan or photographs are reviewed in person against the remote plan. The two rear implants are tilted up to 45° to catch cortical bone ahead of the sinus, which is why most cases avoid a sinus graft.
The gum is reflected and the osteotomy is drilled in graduated steps under saline irrigation to keep the bone below 47°C — overheating is the classic cause of early failure.
Each implant is driven to a recorded insertion torque. That number decides whether a temporary can be loaded immediately or whether the site is left to integrate submerged.
Sutures go in, and a healing abutment or an immediate temporary is fitted depending on the torque reading and where the implant sits in the smile line.
Four strategically angled implants support a full fixed arch — no bone graft needed in most cases.
You leave with written aftercare and the follow-up schedule fixed — for this option that means 7-10 days, then 3-6 months before the final arch, with 2 surgical visits in total.
Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex.
Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.
An oral surgeon or an implantologist places the fixtures; the prosthetic stage — abutment, scan, crown or arch — is usually handled by a prosthodontist working with the same in-house laboratory.
Expect gauze pressure for 30-45 minutes, a numb lip for two to four hours and a small amount of oozing on the first evening. You walk out unaided, but you should not fly the same day if a graft or sinus lift was involved.
Cost and alternatives for All-on-4 Dental Implants.
Compare vs alternatives → See full cost breakdown →Usually yes — angling the rear implants uses bone that a straight implant would miss, which is the whole point of the technique. A CBCT scan decides it, not a photo.
You leave with a fixed temporary arch fitted the same week. The definitive arch is made after integration, typically 3-6 months later.
Ask for the figure in Ncm. Above roughly 35 Ncm supports an immediate temporary; below that, the fixture is normally left to integrate before anything is loaded on it.
Get the brand and reference in writing. A globally distributed system can be serviced by any dentist at home; an unbranded fixture often cannot.
Only the CBCT answers this. If a graft is likely, ask whether it is quoted separately and how many extra months it adds before the final restoration.
2 surgical visits — and 7-10 days, then 3-6 months before the final arch. Any quote that compresses that materially is worth a second read, because laboratory and healing time set the schedule, not the clinic diary.
All-on-6 adds two implants for wider load spread; it costs more and needs more bone, but suits heavy chewers and longer arches.
When most teeth in one jaw are gone or unsalvageable, arch-level planning beats replacing them one at a time.
Movement is the classic trigger for patients switching from removable to a fixed implant arch.
Angled implants sometimes remove that need — worth a second read of your CBCT before agreeing to grafting.
The two rear implants are tilted up to 45° to catch cortical bone ahead of the sinus, which is why most cases avoid a sinus graft.
| Sessions | 2 surgical visits |
|---|---|
| Time in Turkey | 7-10 days, then 3-6 months before the final arch |
| Recovery | Soft food for 6-8 weeks while the implants integrate |
| Expected lifespan | Implants 15-25 years; the arch itself usually rebased or replaced around year 10 |
All-on-6 adds two implants for wider load spread; it costs more and needs more bone, but suits heavy chewers and longer arches.
Timeline, aftercare and what to watch for, day by day.
The two rear implants are tilted up to 45° to catch cortical bone ahead of the sinus, which is why most cases avoid a sinus graft. Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.
The two rear implants are tilted up to 45° to catch cortical bone ahead of the sinus, which is why most cases avoid a sinus graft. Implant placement is done under local anaesthetic infiltrated around the ridge; you stay awake, feel pressure and drilling vibration but no pain. IV sedation is offered for longer arch cases and for patients with a strong gag reflex. Chair time runs roughly 20-30 minutes per fixture once the flap is open, so a single implant is a short appointment while a full arch typically occupies two to three hours including the temporary.
An oral surgeon or an implantologist places the fixtures; the prosthetic stage — abutment, scan, crown or arch — is usually handled by a prosthodontist working with the same in-house laboratory. Expect gauze pressure for 30-45 minutes, a numb lip for two to four hours and a small amount of oozing on the first evening. You walk out unaided, but you should not fly the same day if a graft or sinus lift was involved.
2 surgical visits and 7-10 days, then 3-6 months before the final arch are what the plan is built around. All-on-6 adds two implants for wider load spread; it costs more and needs more bone, but suits heavy chewers and longer arches.