All-on-4® treatment concept

Life-changing treatment – a new smile in a day.*^,1,2

The patient-friendly, scientifically proven, full-arch rehabilitation.³

Join the experts

Stand out as a leading practitioner by offering your patients the only fixed full-arch treatment with 18 years of documented clinical success and over 250,000 patients⁹ successfully treated.⁴

The original graftless full-arch solution on four implants

The All-on-4® treatment concept is a cost-efficient, graftless solution that provides patients with a fixed full-arch prosthesis on the day of surgery.*^,1,2
Nobel Biocare offers an extensive implant range for graftless treatment – from standard to challenging cases.

Full-arch rehabilitation with only four implants

Two straight anterior implants and two posterior implants tilting up to 45° and avoiding the anatomical structures.

**Provide your patients with provisional teeth in a day*^,1,2**

Immediate Function for patients meeting criteria for immediate loading of implants.

One surgery

Graftless procedure for shorter treatment time and reduced costs, compared to conventional full arch treatments.⁵

Supporting bone and soft tissue health

Studies show stable marginal bone levels and healthy soft tissue both for tilted and axial implants.^6,7

Implant choices

Nobel Biocare offers the widest range of implants available for graftless treatment of edentulous and soon-to-be edentulous patients.

95% of patients are satisfied with their new teeth⁸

Over 250,000 patients treated⁹

Excellent mean implant survival of 98% with a mean follow-up to 7.5 years⁹

“The high implant and prosthetic survival rates of the All-on-4® treatment concept make it a safe and predictable surgical protocol from both the clinician's and the patient's point of view. Clinicians should adopt this treatment concept in their daily practice to avoid demanding and time-consuming additional surgeries.“

Learn from the experts

Watch this online course "The All-on-4® treatment concept" at your convenience. Created to help you implement this concept in your practice, this introductory course is designed for surgeons, restorative dentists, general practitioners and their teams.

Access the course now

Get started with the All-on-4® treatment concept

Is the All-on-4® treatment concept right for your practice? This e-book is intended to assist experienced clinicians make an assessment, with real life cases and expert tips.

Download your free e-book today

Questions about the All-on-4® treatment concept?

If you would like additional information, more details, or have specific questions about the All-on-4® treatment concept, click the link.

EDUCATION

Find a course in full-arch rehabilitation

Course finder

Resources

Clinical case

Rehabilitation of a young patient with a severely degraded dentition by Dr. Ana Ferro, Portugal
Science first

All-on-4® treatment concept leaflet
Clinical case

All-on-4® treatment concept featuring Xeal™ and TiUltra™ surfaces by Dr. Enrico Agliardi
Brochure

All-on-4® treatment concept
Product overview

All-on-4® treatment concept with NobelActive® and NobelParallel™ CC

NobelPro Line™

Master the extreme with our most comprehensive treatment range for challenging edentulous cases

Learn more

FROM OUR BLOG

“Some edentulous patients thought teeth-in-a-day couldn’t be possible. When they visited my practice I could tell them – it is.”

May 12, 2021

“You must know your mission and your vision. Only then can you be sure this concept is right for your future.” Dr. Bankauskas on starting the All-on-4® treatment concept

May 7, 2021

Should you pursue the All-on-4® treatment concept? Dr. Paul O’Reilly explains how, and why

April 8, 2021

References

See Instructions For Use for full prescribing information, including indications, contraindications, warnings and precautions.

*If patient criteria are met and adequate stability achieved – all our implants can be loaded with a fixed provisional restoration on the day of surgery.

Weinstein R, Agliardi E, Fabbro MD, et al. Immediate rehabilitation of the extremely atrophic mandible with fixed full-prosthesis supported by four implants. Clin Implant Dent Relat Res 2012;14(3):434-441.
Read on PubMed
Agliardi E, Clericò M, Ciancio P, Massironi D. Immediate loading of full-arch fixed prostheses supported by axial and tilted implants for the treatment of edentulous atrophic mandibles. Quintessence Int 2010;41(4):285-293.
Read on PubMed
Babbush CA. Posttreatment quantification of patient experiences with full-arch implant treatment using a modification of the OHIP-14 questionnaire. J Oral Implantol 2012;38(3):251-260.
Read on PubMed
Maló P, de Araújo Nobre M, Lopes A, et al. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res 2019; doi: 10.1111/cid.127692019
Read on PubMed
Patzelt SB, Bahat O, Reynolds MA, Strub JR. The All-on-Four treatment concept: a systematic review. Clin Implant Dent Relat Res 2014;16(6):836-855.
Read on PubMed
Agliardi EL, Pozzi A, Stappert CF, et al. Immediate fixed rehabilitation of the edentulous maxilla: a prospective clinical and radiological study after 3 years of loading. Clin Implant Dent Relat Res 2014;16(2):292-302.
Read on PubMed
Balshi TJ, Wolfinger GJ, Slauch RW, Balshi SF. A retrospective analysis of 800 Brånemark System implants following the All-on-Four™ protocol. J Prosthodont 2014;23(2):83-88.
Read on PubMed
Babbush CA, Kanawati A, Kotsakis GA, Hinrichs JE. Patient-related and financial outcomes analysis of conventional full-arch rehabilitation versus the All-on-4 concept: a cohort study. Implant Dent 2014;23(2):218-224.
Read on PubMed
Nobel Biocare. Data on File.