How long it take to get all-on-4 dental implants?
All-on-4 dental implant treatment, often referred to as "teeth in one day" or "same-day full mouth teeth" because patients can have a fixed temporary prosthesis immediately after surgery, can take between 3 and 6 months to complete. This offers the advantage of a shorter total treatment time and lower costs compared to conventional implant treatments, although in some cases (if additional procedures such as bone grafting are required) this time may be extended. The procedure works as follows:

Pre-procedure examination and planning phase (1 week):
Initial Consultation:
- Before the procedure, the dentist evaluates the remaining teeth, gums, and bone density and plans factors such as the size and length of implants, prosthetic teeth, and lip/facial structure support
- The patient's medical history (factors such as diabetes, osteoporosis, and smoking) is reviewed.
Imaging and 3D planning:
- Panoramic X-ray and dental tomography (CBCT) are taken, and the bone structure is examined in detail.
- The most appropriate positions of the implants are determined by computerized implant planning.
- A surgical template is prepared, and precise implant placement is ensured.
Additional preparation procedures (1-6 months if necessary):
- Tooth extraction: Decayed or loose teeth are removed.
- Bone grafting (if necessary): If bone is insufficient, grafting is performed and wait 3-6 months.
- Gum treatment: If there are periodontal problems, they are treated first.
Surgical pProcedure and temporary denture placement (1 Day):
Implant Placement (2-4 Hours):
- The procedure is performed under local anaesthesia or sedation.
- 4 implants are placed in the jaw with special angles.
- Posterior implants are placed at a 45° inclination to increase bone support.
Temporary fixed denture (Same day):
- After the implants are placed, a temporary acrylic denture is immediately placed.
- The patient returns home with fixed teeth on the same day.
Postoperative recovery (First 2 weeks critical):
- Swelling, pain and bruising may occur (lasts 3-5 days).
- Soft diet (soup, puree, yoghurt) is recommended.
- Antibiotics and painkillers are prescribed.
Osseointegration (Bone fusion) period (3-6 months):
First controls (1st and 3rd week):
- Sutures are removed, and healing is checked.
- Adjustments can be made to the temporary denture.
Bone-Implant Fusion (3-6 Months waiting):
- Lower jaw: Usually 3 months is sufficient (bone is denser).
- Upper jaw: 4-6 months may be required (bone is softer).
Use of temporary denture:
During this period, the patient can eat normally with the temporary prosthesis but should avoid hard and sticky foods.
Preparation and placement of the permanent denture (1 week):
Taking impressions and colour selection (Week 1):
- After the implants are fused with the bone, digital scanning or traditional impressions are taken.
- Tooth color and form are determined with the patient.
Production of the permanent denture (1 week):
Zirconium or acrylic complete denture is prepared in the laboratory.
Fitting the final denture (Last appointment):
- The temporary denture is removed, the permanent fixed bridge is screwed in.
- Bite and comfort are checked.
Maintenance and long-term follow-up:
- 6-monthly and annual checks are recommended.
- Special implant brushes and interface cleaners should be used.
- The life of the prosthesis is between 10 and 20 years; it can be used for a lifetime with proper care.
All-on-4 treatment duration:
- Preliminary examination and planning: 1-2 weeks
- Surgical procedure and temporary teeth 1 day
- Osseointegration (bone fusion): 3-6 months
- Permanent denture preparation: 1 week
- Total treatment time: 3-6 months
Factors affecting All-on-4 duration:
Factor | Factors that shorten the duration | Factors that prolong the duration |
---|---|---|
Bone Quality | Dense bone | Bone resorption, graft requirement |
Smoking/Alcohol | Non-use | Excessive use |
Need for Extraction | Immediate implant | Waiting after extraction |
Jaw Structure | Lower jaw | Upper jaw |
Patient Age | Younger patients | Older age |
Systemic Diseases | None | Diabetes, osteoporosis |
Denture Material | Fast temporary denture | Zirconium waiting time |