All-on-4 dental implants in Tenbury Wells
What is All-on-4?
All-on-4 replaces a full arch of missing or failing teeth with a fixed bridge held by four implants. The implants are placed at angles that make the most of the bone you have, which often avoids grafting. You leave surgery with a provisional bridge fitted, and the final bridge is made once everything has healed.
It is the treatment we suggest when a full denture no longer does the job, or when a set of teeth is failing and you want one plan rather than years of patching. Where the bone allows, we can also place six implants, often called All-on-6.
Treatment is planned on a 3D CBCT scan and carried out at Tenbury Dental Centre by Vishal Patel, with conscious sedation available.
From £16,700 per archWhat "teeth in a day" actually means
The phrase is true, but only half the story, and we would rather you heard the whole of it before you decide.
- On the day of surgery you are fitted with a provisional bridge. It is fixed, it looks like teeth, and you never go home with a gap. You will eat softer foods while the implants heal.
- The final bridge comes four to six months later. Once the implants have bonded to the bone, your definitive bridge is made and fitted. That is the one built to last the years.
- The bone must bond before the final teeth go on. Rushing that stage is how implants fail, so nobody honest will promise you the finished result in a day.
If anyone tells you otherwise, they are selling rather than explaining.
All-on-4 may be right for you if
Your full upper or lower denture no longer fits and moves when you eat or speak
You do not want to wear a removable denture at all
You have advanced gum disease with several loose or missing teeth
Your teeth are failing through decay, infection or breakdown of the gum and bone
Your teeth are severely worn from acid erosion or grinding
You want one plan for the whole arch rather than treating teeth one at a time
Suitability is confirmed at your consultation once we have examined you and seen your CBCT scan.
What All-on-4 gives you
Often no bone grafting
Angling the back implants uses the bone that is already there, so many patients avoid grafting and the months of healing that go with it.
Fixed, not removable
The bridge is screwed to the implants. You do not take it out at night and there is nothing to slip.
Teeth from day one
A provisional bridge is fitted after surgery, so you are never without teeth while you heal.
Supports your face
Implants keep the jawbone in use, much as roots do, which helps support the shape of your lips and cheeks.
Cleaned like your own teeth
Brush and clean around it at home, with a hygienist clean every four to six months. Three hygienist visits are included in your first year.
One team, here
Planning, surgery and the final bridge all happen at Tenbury Dental Centre with the same dentist.
All-on-4 in four stages
Consultation
We sit down with you, listen to what you want from your teeth, and talk through every option, including the ones that are not All-on-4. You leave knowing what to expect before and after.
Scan and plan
A 3D CBCT scan shows the quantity and quality of your bone. We plan the implant positions in software and give you a written plan with the cost. If grafting is needed, we say so now.
Surgery day
Under local anaesthetic, with sedation available, any remaining teeth are removed, the four implants are placed and the gum is stitched. Your provisional bridge is fitted the same day.
Healing and your final bridge
Over four to six months the implants bond to the bone. We then take impressions and make your final bridge, and show you how to look after it.
Healing times vary from person to person and are confirmed in your plan.
All-on-4, implant retained denture or conventional denture?
| All-on-4 | Implant retained denture | Conventional full denture | |
|---|---|---|---|
| Fixed or removable | Fixed. Only your dentist removes it | Removable. Clicks on and off implants | Removable. Held by suction or adhesive |
| Implants needed | Four per arch (sometimes six) | Usually two to four | None |
| Roof of the mouth | Uncovered | Usually uncovered | Covered by the denture plate |
| Eating | Close to natural teeth once healed | Much more secure than a conventional denture | Softer foods; can move when chewing |
| Bone | Kept in use by the implants | Kept in use by the implants | Shrinks over time, so the fit changes |
| Time | Surgery day plus four to six months | Implants plus healing, then the denture | Three or four visits |
| Cost | From £16,700 per arch | Priced after your scan | From £899 per arch |
Patients on a full arch
Real reviews from Tenbury Dental Centre patients, quoted as they wrote them.
★★★★★
With Vish and his great team, I have quite recently completed an ‘All on 4s’ dental implant. This is a complex undertaking and I cannot give them enough praise. Vish was clear and concise with information, thoughtful and empathic with care and the whole team showed their extraordinarily high level of technical skills which ‘All on 4s’ requires. Many many thanks to you all.
Lisa AndersonGoogle review★★★★★
Vish is absolutely amazing. I’m an extremely anxious patient who has had bad experiences with the dentist before. He is so kind, knowledgable and patient that it really helped put me at ease. He made time and space for me, fitting me in to make sure I had everything I needed.
Laura FreestoneGoogle review★★★★★
I have just had some dental implants and teeth whitening done by Dr Vish. After a consultation with Vish all the options were discussed and procedures explained. I am delighted with the results. I can smile again with confidence. I can highly recommend Vish and the team at Tenbury Dental Centre. Thank you so much.
PhilGoogle review
Dental implants
| Dental implants | Fees |
|---|---|
|
Dental implant with crown
Includes a three year guarantee. |
Fees: From £2,850 |
|
All-on-4
A full arch supported by four implants. |
Fees: From £16,700 |
| Bone grafting | Fees: From £495 |
| Sinus lift | Fees: From £475 |
What does "teeth in a day" actually mean?
It means you leave surgery with a fixed provisional bridge, so you are never without teeth. It does not mean the treatment is finished in a day. The implants need four to six months to bond to the bone before your final bridge is made and fitted. Both stages are part of the plan.
Am I suitable for All-on-4?
Most people with a failing arch or a loose full denture can be considered, and because the implants are angled to use existing bone, many avoid grafting. Suitability depends on your gums, your general health and what the CBCT scan shows, all of which we check at your consultation.
Is All-on-4 painful?
Surgery is done under local anaesthetic, so you are numb throughout, and conscious sedation is available if you are anxious. Because there is usually no grafting and the provisional bridge goes on straight away, most people find recovery easier than they feared. Expect soreness and swelling for a few days.
Why four implants and not one per tooth?
A full arch does not need an implant under every tooth. Four implants, two upright at the front and two angled at the back, spread the load along a single bridge. Where the bone allows, six implants give extra support, which is why you may hear All-on-6 mentioned.
What happens to my remaining teeth?
Any teeth left in the arch are removed on the day of surgery, before the implants are placed. If you still have healthy teeth worth keeping, we will tell you, because All-on-4 is for arches where the teeth are failing, not a reason to lose teeth that could be saved.
How do I clean All-on-4 teeth?
At home you brush the bridge and clean underneath it with the brushes and floss we show you. Every four to six months a hygienist cleans around the implants professionally. Three of those visits are included free in your first year, and keeping them up is a condition of the guarantee.
How much does All-on-4 cost and can I spread it?
All-on-4 is from £16,700 per arch, including the implants and the bridge, with a 3 year guarantee on the fixtures. We may take a 50 per cent deposit with the balance after completion, and we offer an interest-free option over 12 months on treatment over £500, subject to status. See our finance options.
Find out whether All-on-4 is right for you
A consultation and a 3D scan tell us what your bone allows. You get a written plan, the cost and an honest opinion, with no obligation to go ahead.
From £16,700 per arch. Treatment is subject to a consultation and clinical assessment. Every mouth is different, so what is right for you is something we work out together at your consultation. Individual results vary. Or get in touch here.
A denture that clicks onto two or more implants, so it stays put when you eat and talk. Uncovers the roof of your mouth and keeps the jawbone in use.
One missing tooth replaced from the root up, £2,850 including the crown and a 3 year guarantee on the fixture. The teeth either side are left untouched.