Implant dentistry
All-on-4 in Turkey
A full arch of fixed teeth supported by four implants, placed so the available bone is used as well as possible.
Suitability depends on an individual clinical assessment — nothing is decided before you are examined.
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About the treatment
One fixed arch, carried by implants
All-on-4 is a way of replacing a whole upper or lower arch of teeth with a fixed bridge supported by four implants. The two back implants are usually placed at an angle, which can make better use of the bone that is there. Whether it suits you depends on your bone, your gums, your bite and your general health, assessed at an examination.
Whether a temporary arch can be fitted soon after surgery depends on how stable the implants are on the day; it is never promised in advance.
All-on-4 replaces every tooth in one arch with a single fixed bridge, carried by four implants rather than one implant per tooth. Two implants are placed towards the front of the jaw and two further back. The back implants are usually tilted, so that they can be longer and anchor in bone that is there, while avoiding areas where bone is thin, such as below the sinuses in the upper jaw or near the nerve in the lower jaw.
Where the bone and the stability of the implants allow it, a temporary fixed arch may be attached soon after surgery. That is a decision made on the day from how firmly the implants sit, not something that can be promised in advance. The implants then heal into the bone over several months, and only after that is the final arch made and fitted.
Four implants carry the forces of a whole arch, so planning is careful: 3D imaging of the bone, the position of each implant, your bite and the design of the bridge are worked out together. In some cases the assessment shows that more implants, such as All-on-6, or a different approach would be more appropriate. That is discussed openly at your examination.
Who may consider it
Who may consider All-on-4
A full-arch restoration on implants is one of several ways to replace a whole arch of teeth. These are situations in which people often ask about it; only an examination can show whether it is appropriate.
Treatment suitability depends on an individual clinical assessment. Your dentist will discuss the options, risks and expected outcomes with you.
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01
Most or all teeth missing in one arch
Particularly where the remaining teeth are failing and replacing them one by one is not practical.
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02
A removable denture you struggle with
Some people look for a fixed alternative to a full denture that moves, rubs or limits what they eat.
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03
Teeth that cannot be kept
Where the remaining teeth in an arch need to be removed, extraction and implant placement can be planned together.
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04
Limited bone at the back of the jaw
Angled implants may allow a fixed arch without some of the bone procedures that would otherwise be considered; the imaging shows whether this applies.
Benefits and considerations
What it can offer, and what to weigh up
Balanced information, because the right decision depends on both.
What it can offer
- A fixed arch, not a removable oneThe bridge is fastened to the implants and is only removed by the dentist, for example for check-ups or maintenance.
- Four implants for a whole archFewer implants than one per tooth, with the back two angled to make use of the available bone.
- Possibly fewer bone proceduresTilting the back implants can sometimes avoid bone grafting in areas where bone is thin.
- Planned as one restorationExtractions, implant positions and the bridge are designed together around your face, smile and bite.
What to consider
- Major surgery and healingSeveral implants are placed in one procedure, often with extractions, and the bone needs months to heal before the final arch is made.
- Not suitable for everyoneBone volume, gum health, bite forces and general health all decide whether a full-arch restoration on implants is appropriate.
- Cleaning takes careThe gum and bone around the implants can become inflamed if cleaning under the arch and regular check-ups are neglected.
- Parts wear over timeLike any restoration, the arch and its components may need repair, adjustment or replacement in the years ahead.
Step by step
How All-on-4 treatment is staged
The stages below describe the usual sequence. Your own plan may differ, and it is explained to you before anything begins.
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Step 01
Examination and 3D imaging
Your teeth, gums, bite and the bone in the whole arch are assessed, with 3D imaging to measure where implants can be placed.
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Step 02
Medical history and discussion
Your general health, medicines and smoking are reviewed, together with the alternatives, including All-on-6 and removable options.
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Step 03
Treatment plan
Implant positions, any extractions, the temporary and final arch and the staging are set out, including how travel fits around them.
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Step 04
Surgery
Any remaining teeth that cannot be kept are removed and the four implants are placed, normally under local anaesthetic, with sedation discussed if appropriate.
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Step 05
Temporary arch
Where the implants are stable enough, a temporary fixed arch is attached; otherwise another temporary solution is agreed.
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Step 06
Healing and integration
The bone heals around the implants over several months while you wear the temporary arch and follow the aftercare plan.
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Step 07
Final arch and review
Once the implants are judged stable, the final bridge is made and fitted, and regular check-ups monitor the gums, bone and bridge.
Aftercare
After full-arch implant surgery
You will be given written instructions for your own case. The general points below give an idea of what aftercare involves.
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01
Swelling and discomfort
Both are common after full-arch surgery and usually settle over the following days. Your dentist will advise on pain relief that is appropriate for you.
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02
A soft diet at first
While the implants heal, the bite on the temporary arch is protected. Follow the instructions you are given on what and how to eat.
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03
Cleaning under the bridge
Food collects under a fixed arch. You are shown how to clean beneath it and around each implant from the first days.
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04
Avoid smoking
Smoking can interfere with healing and with integration of the implants, so avoiding it is strongly advised.
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05
Know when to get in touch
Contact the clinic if bleeding, swelling or pain increases rather than settles, if the temporary arch feels loose, or if you feel unwell.
Treatment and Alanya
A full arch in two visits, planned around time on the coast
The surgery and the temporary arch belong to a first stay in Alanya; the final arch follows on a later visit, once the implants have healed. How long each stay should be, and what happens while you are at home, is agreed before you book travel.
How a dental holiday worksWhy Dental Art
What you can expect from us
Dentists in Alanya: Esra Namlı and Oğuz Ulutaş.
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A plan before you book travel
Options, the likely number of appointments and what still depends on an examination — before flights are booked.
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Five languages
The Dental Art group works in Dutch, English, German, Russian and Turkish, with practices in Alanya, Glanerbrug and Venlo.
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One number throughout
WhatsApp +31 6 1508 6008 reaches the clinic before, during and after your visit.
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Stay and transfers on request
Hotel stays and transfers between hotel and clinic can be arranged; what applies to you is confirmed in advance.
Ready when you are
Considering All-on-4? Start with a conversation.
Share what you would like to change and any recent X-rays or photographs. You will hear what is realistic, and what an examination would need to confirm.
Call +31 6 1508 6008Questions
Questions about All-on-4
If yours is not here, ask it directly. There is no obligation in asking.
Ask on WhatsAppWhat is the difference between All-on-4 and All-on-6?
Both replace a whole arch with a fixed bridge on implants. All-on-4 uses four implants, with the back two usually angled to make use of the available bone. All-on-6 uses six, which spreads the load over more implants and is often considered where there is enough bone along the arch. Which is more appropriate depends on your bone, your bite and your general health, and is decided after 3D imaging and an examination.
Will I have teeth straight after surgery?
Often a temporary fixed arch can be attached within days of surgery, but only when the implants are stable enough on the day. If they are not, another temporary solution is agreed with you. This is explained during planning so that you know both possibilities before you travel.
Why does All-on-4 involve more than one trip?
The implants have to heal into the bone before the final arch is made, which takes several months and cannot be completed within a single stay. For patients travelling to Alanya, treatment is therefore commonly split into a surgical visit and a later visit for the final arch. The timing for your case is set out before you book flights.
Am I suitable for All-on-4?
That can only be answered after an examination with 3D imaging. Your dentist looks at the amount and quality of bone across the arch, your gums, your bite and your medical history. Photographs or existing X-rays you send in advance help start the conversation, but they do not replace an assessment in the chair.
Is the surgery painful?
Implant placement is normally carried out under local anaesthetic, so the area is numb during the procedure, and sedation can be discussed for longer procedures. Swelling and discomfort afterwards are common and are usually managed with the pain relief your dentist recommends. You receive written aftercare instructions and a way to contact the clinic.
Does smoking affect All-on-4?
Yes. Smoking is associated with poorer healing and a higher risk of problems with the gum and bone around implants. When a whole arch depends on four implants, that risk matters even more. If you smoke, your dentist will explain how it may affect your treatment and what can be done to reduce the risk.
How do I look after an All-on-4 bridge?
Daily cleaning under the bridge and around each implant is essential, usually with a soft toothbrush, interdental brushes and a water flosser or special floss. Regular professional check-ups, at which the bridge may sometimes be removed for cleaning, help keep the gums and bone healthy. Your dentist will show you which cleaning aids suit your bridge.
Related treatments
Often considered alongside
