All-on-4® treatment concept

The first, the original, and still the most proven full-arch treatment concept on just 4 implants.

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25 years of life-changing transformations

Stand out as a leading practitioner by offering your patients the only fixed full-arch treatment with 25 years of documented clinical success and over 250,000 patients9 successfully treated.4

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 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

    Smiling patients

    Patient case from Ana S. Ferro DDS

    Portugal

    “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.“

    View case

    Resources

    Science First Journal volume 6

    Transforming lives with 
    the All-on-4® treatment concept

    Download PDF
    All-on-4® treatment concept science first cover

    Nobel Biocare is proud to recognize our All-on-4® Centers of Excellence

    This program will help patients find highly experienced doctors in their area who are utilizing the All-on-4® treatment concept.

    Locate a Center of Excellence now
    All-on-4® center of excellence logo and patient

    Clinical cases

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    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

    Find a course in full-arch rehabilitation

    Learn how to provide solutions for treating edentulous and soon-to-be edentulous patients with efficient, graftless options for the maxilla and mandible.

    Course finder

    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.

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    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. 

    1. 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

    2. 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

    3. 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

    4. 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

    5. 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

    6. 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

    7. 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

    8. 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

    9. Nobel Biocare. Data on File.