All on 4 dental implants

At Harley Private Dental, All-on-4 treatment is approached with detailed assessment, precise planning, and a strong focus on long-term outcomes. We offer both fully guided and freehand surgical techniques and provide FP1, FP2, and FP3 restorative solutions, depending on clinical needs and patient goals.

What are All-on-4 dental implants?

All-on-4 dental implants involve placing four (or more, where appropriate) dental implants into the jaw to support a full-arch fixed prosthesis. The implants are positioned strategically to maximise stability and use available bone effectively.

The final restoration is fixed in place and designed to look and function like natural teeth, allowing patients to eat, speak, and smile with confidence.

When might All-on-4 be recommended?

All-on-4 treatment may be considered if you:

• Have multiple missing or failing teeth
• Are wearing loose or uncomfortable dentures
• Have been told you have limited bone volume
• Are seeking a fixed alternative to removable dentures
• Want to restore function and appearance in a structured, predictable way

A consultation is essential to assess suitability and explore whether All-on-4 or an alternative approach is appropriate.

Fully guided vs freehand implant placement

We offer both fully guided and freehand surgical techniques, selected based on clinical requirements rather than preference alone.

Fully guided surgery

Fully guided implant placement uses detailed digital planning, scans, and surgical guides to position implants with high precision. This approach can support accuracy, efficiency, and predictable outcomes in suitable cases.

Freehand surgery

Freehand implant placement relies on the clinician’s experience and real-time clinical judgement. This technique may be preferred in complex cases where anatomy, bone quality, or clinical variables require flexibility beyond a guided template.

Your clinician will explain which approach is recommended and why.

Understanding FP1, FP2, and FP3 restorations

The type of final restoration is an important part of All-on-4 treatment. FP classifications describe how the prosthesis replaces teeth and supporting structures.

FP1 – Tooth replacement only

• Replaces teeth only
• Relies on existing gum architecture
• Requires precise implant positioning
• Offers a highly natural appearance when suitable

FP2 – Teeth with partial gum replacement

• Replaces teeth and a small amount of gum tissue
• Used where some tissue loss is present
• Helps improve proportions and aesthetics

FP3 – Teeth and full gum replacement

• Replaces teeth and significant gum structure
• Often used in advanced tooth and bone loss
• Allows restoration of facial support and smile balance

The appropriate option is determined through assessment, planning, and discussion of aesthetic and functional goals.

What does the treatment involve?

All-on-4 treatment is typically carried out in stages:

1. Assessment and planning
   Comprehensive examination, scans, and planning to determine suitability and treatment approach.
2. Implant placement
   Implants are placed under local anaesthetic, using guided or freehand techniques as planned.
3. Provisional restoration
   In suitable cases, a temporary fixed restoration may be provided during healing.
4. Final restoration
   Once healing is complete, the final prosthesis is fitted and adjusted for function, comfort, and appearance.

Each stage is explained clearly before treatment begins.

What results can I expect?

All-on-4 dental implants are designed to:

• Restore stable chewing and speech
• Provide a fixed, non-removable solution
• Improve comfort compared to dentures
• Restore smile appearance and confidence

Results vary depending on bone quality, restorative design, and individual healing. Long-term success relies on careful planning, maintenance, and good oral hygiene.

Aftercare and long-term maintenance

Ongoing care is essential for implant longevity. This includes:

• Daily oral hygiene
• Regular hygiene and review appointments
• Professional maintenance of the prosthesis
• Monitoring of gums and implants over time

We provide clear guidance and ongoing support following treatment.

Is All-on-4 right for me?

All-on-4 is one of several full-arch tooth replacement options. A consultation allows us to assess your needs, explain available solutions, and recommend an approach that aligns with your oral health, anatomy, and goals.

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