What Is All-on-Four Implants
All on Four implants is an affordable treatment using just four dental implants to support a complete arch of teeth. It is designed to be a graft-free treatment where eligible patients receive an entire arch of fixed teeth on the same day of surgery. This is a provisional bridge, meaning it is only temporary, as all dental implants need time to heal, allowing patients to eat and talk comfortably and confidently. It is replaced with a permanent bridge once healing is complete.
How Does All-on-4 Work?
A complete arch of implant teeth requires multiple dental implants spaced out evenly throughout the jaw. While this technique is very successful, it is expensive due to the number of implants needed. Often there is insufficient bone to support all the implants, and a bone graft is required, increasing the overall costs.
Once the implants are inserted into the jawbone, they must be covered and left to heal for up to 6 months, so treatment is lengthy to complete.
With All on Four Dental Implants, just four dental implants are placed towards the front of the jaw. The placement is important because the jawbone is naturally thicker and stronger in this area, thus minimizing the need for bone grafting.

Two implants are placed right at the front and are angled vertically. The remaining two are placed on either side but are tilted 45° towards the back of the arch. Because these implants are tilted backward, it’s possible to use longer implant posts and increase the stability of the dental implant procedure.
Placing a temporary restoration immediately or soon after surgery effectively “locks” the implants together, preventing any micro-movements that could affect healing.
Implant Dentures vs. Dentures
The prospect of receiving dental implants may seem overwhelming for many patients due to the surgical aspect. At South Nassau Dental Arts, our dentists recognize the challenges associated with medical anxiety. Consequently, we provide consultations with our restorative dentists to assist you in making the optimal decision for your situation.
An alternative solution for tooth replacement involves opting for conventional dentures without implants. Whether you choose full or partial dentures, you’ll need to secure them in place using adhesive and clean them separately from your regular dental hygiene routine. Removable dentures can be taken out at your convenience, offering the flexibility to wear them without the necessity of undergoing implant installation.
The Pros and Cons of Implant Dentures
Implant dentistry, particularly implant-supported dentures, offers various advantages over removable dentures that may cause discomfort and oral health issues.
Pros of Implant Dentures:
- All-on-4 Dental Implants allow patients to regain the ability to eat comfortably, addressing concerns related to conventional dentures that impact the enjoyment of eating.
- Implant-supported dentures eliminate the need for adhesive, providing stability and preventing dentures from moving around. Additionally, avoiding overusing denture adhesives is advisable due to potential health issues associated with zinc content, as highlighted by the FDA.
- Full implant dentures enhance aesthetics and contribute to higher self-confidence through secure attachment and improved appearance.
- The snug fit of implant dentures ensures proper speech and a natural smile.
- Implant-supported dentures promote bone health.
Cons of Implant Dentures:
- Implant dentures involve a recovery process. However, while it involves minor discomfort, the short recovery duration allows patients to resume normal activities quickly, including work and sports.
- Although complications are rare, as with any surgery, there is a minimal risk of infection. A thorough discussion of potential risks will be conducted during the consultation with your oral surgeon.
When deciding on a treatment option, your doctor will help you weigh these aspects so that you can make an informed decision that is consistent with your overall oral health and resolves any present oral health issues.
Who Should Consider All-on-4 Dental Implants in Rockville Centre?
Anyone who has suffered complete tooth loss or has failing teeth and doesn’t want to wear full traditional dentures should consider this treatment. All-on-Four is tried and tested, and most people will tolerate the procedure very well.
Treatment can sometimes help those who have previously investigated dental implants and have been informed they are unsuitable, such as people with:
- Diabetes
- Osteoporosis
It can also be helpful for people who would need a bone graft for traditional dental implants and don’t wish to have or are unsuitable for this procedure.
Patient Experience
Success Stories
Best choice
Amazing. I had an all-on-four dental implant by Dr Russo 2 years ago and have never had one problem. He is the absolute best choice for dental work.
What Are the Advantages of All on 4 Dental Implants in Rockville Centre, NY?
- All on Four is less invasive than traditional full arch treatments, and four dental implants are relatively quick to place.
- All on Four full arch restorations are carefully designed to look and feel natural teeth, restoring confidence and self-esteem.
- Treatment is helpful for people who lost teeth years ago and have since seen significant jawbone resorption or lost jawbone due to gum disease.
- All-on-4 teeth are strong and stable, providing a significantly increased biting strength compared with traditional dentures, making it easier to eat a comprehensive choice of foods.
- A greater biting strength makes it easier to chew food properly, aiding digestion and making it easier for the body to extract more nutrients from food.
- A more nutritious diet can benefit overall health.
- Dental implants are simple to care for, especially as they are right at the front of the mouth and within easy reach.
How Much Do All-on-4 Dental Implants Cost in Rockville Centre, NY?
Without insurance, the average cost for All-on-4 in New York City is approximately $20,000. However, at South Nassau Dental Arts, we strive to make this treatment more affordable, offering diverse payment options and payment plans. It’s important not to confuse All-on-4 with Snap-on dentures, which are removable and cost between $13,000 and $15,000 in New York City.
Should your insurance be accepted at our practice, the overall expense for denture implants is contingent upon the coverage provided by your dental insurance.
Why Choose South Nassau Dental Arts?
- Our experienced dentists are highly trained in the all-on-4 procedure.
- We use the latest technology to ensure the best possible results for our patients.
- We offer affordable financing options to make all-on-4 implants more affordable for our patients.
- We are committed to providing our patients with the highest quality of care.
If you are considering all-on-4 implants, contact South Nassau Dental Arts today to schedule a consultation. We would be happy to discuss your needs and help you determine if all-on-4 implants are the right solution for you.
Are There Any Disadvantages to Treatment?
In our experience, all on 4 dental implant problems are rare as we screen patients very carefully before recommending this solution. Our oral surgeon is highly trained and experienced in planning and placing implants for immediate All-on-4 dental implants in Long Island (Rockville Centre, NY).
One minor issue worth mentioning is the vertical height of the implant bridge, as it’s often necessary to replace teeth and a significant portion of bone and soft tissue with a gum-colored material. Initially, some people may find the bulkiness of the bridge a little tricky to cope with, and it can take time to retrain the tongue to make certain sounds.
What Is the Procedure for All-on-Four?
The procedure for All on 4 implants treatment is the same as for any dental implant treatment, requiring an initial dental check-up and diagnostic tests to determine your suitability for treatment.
The implant procedure is planned using your diagnostic tests and computerized technology. Once the treatment plan is complete, a surgical stent is created for use during the implant placement. It fits over your gums, guiding our experienced oral surgeon and ensuring each implant is placed in the right position and at the precise depth and angulation required for treatment success.
We fabricate a temporary implant bridge before your surgery, and this is fitted soon afterward. It remains in place for the duration of healing, at which point you return to our practice so we can fabricate your permanent bridge.
Tips for Successful All-on-Four Dental Implant Surgery
You must follow a few simple guidelines in the days, weeks and months following your implant surgery to ensure successful implant integration, including:
- Rest and avoid strenuous activity for a few days after the procedure.
- Use gauze in your mouth and ice packs on your cheeks and jaw as needed, but some minor swelling and bleeding are to be expected.
- You may experience minor nausea and slight bruising in the days after your surgery. They resolve quickly.
- Stock up on soft foods for the first few days after surgery. Avoid hard foods.
- Stop smoking or using any tobacco products.
- Brush with a soft toothbrush and rinse with salt water.
- Call your dentist immediately if you have persistent bleeding or any other unusual physical responses.
What to Expect Immediately after All-on-Four?
After your implant surgery is complete, we will give you precise instructions on caring for your mouth while it heals.
You may feel some minor discomfort and swelling as the anesthesia wears off, and this is normally controlled with:
- Over-the-counter painkillers
- Prescription medications
During the initial healing period, it can be useful to stick to softer foods, and we will provide you with a list beforehand so you can stock up. As the implants heal, you can gradually introduce more foods.
There is no need to feel concerned as most people experience a trouble-free and smooth healing process, and our friendly and experienced dental team is always here to help you if you have any questions or concerns.
How to Care for All-on-4 Implants
Similar to natural teeth, it is essential to maintain a daily cleaning routine for both implants and implant dentures. Regular adult check-ups are still necessary to monitor the well-being of your jaw bone and gums.
Here are some recommended practices for caring for your implants:
- Regularly brush your dentures with a soft-bristled toothbrush, ensuring at least two daily sessions.
- Use dental floss to clean between any gaps, remove food particles, or opt for a water flosser to facilitate the flossing process.
- If you observe any changes in your gumline, promptly inform your doctor. Some alterations may be typical during the initial two weeks after installing your appliance.
Dr. Adam Shoukry, DDS, is a cosmetic dentist who strives to provide each of his patients with personalized care and educate them on the state of their dental health so that they can make informed decisions. Dr. Shoukry really enjoys his work and is committed to continued education, having attended several accredited courses in every aspect of dentistry.
Dr. Shoukry graduated from NYU College of Dentistry with a Doctor of Dental Surgery degree and then completed his general practice residency at Nassau University Medical Center. Being a member of the American Dental Association, the Academy of General Dentistry, and the American Academy of Cosmetic Dentistry, Dr. Shoukry strives to provide comprehensive dental examinations, a full range of cosmetic treatments, and the best restorative oral health care available.