If you’re living with multiple missing teeth or uncomfortable, ill-fitting dentures, All-on-4® dental implants offer a life-changing solution. This revolutionary technique uses just four strategically placed implants to support a full arch of beautiful, permanent teeth—often in a single day. At East Wind Dental Care, Dr. Merat Ostovar has advanced training in full-arch implant restoration and can help you regain your smile, confidence, and quality of life.
What is All-on-4® / All-on-X®?
All-on-4® (also known as All-on-X®, teeth-in-a-day, or full-arch implant restoration) is an advanced dental implant technique that replaces an entire arch of missing or failing teeth with a fixed, permanent prosthesis supported by just four dental implants.
How It Works
Traditional Dentures:
- Rest on your gums
- Require adhesives
- Slip, shift, and cause sore spots
- Restrict your diet
- Require removal for cleaning
- Contribute to bone loss
All-on-4® Implants:
- Anchored securely to your jawbone via implants
- No adhesives needed
- Never slip or shift
- Allow you to eat anything you want
- Stay in place 24/7 (cleaned like natural teeth)
- Preserve and stimulate bone growth
The Science Behind All-on-4®
The All-on-4® technique uses four dental implants placed at strategic angles to maximize contact with existing bone. The two front implants are placed vertically, while the two back implants are angled at approximately 30-45 degrees to avoid anatomical structures (like sinuses or nerves) and provide optimal support.
This innovative design:
- Eliminates the need for bone grafting in most cases
- Provides immediate stability for a temporary prosthesis
- Distributes biting forces evenly across all four implants
- Preserves healthy bone structure
- Reduces treatment time and cost compared to traditional implants
The All-on-4® Treatment Process at East Wind Dental Care
Step 1: Initial Consultation & Evaluation
Your All-on-4® journey begins with a comprehensive consultation with Dr. Ostovar, which includes:
Detailed Examination:
- Comprehensive oral health assessment
- Evaluation of remaining teeth (if any)
- Gum and bone health assessment
- Medical history review
- Discussion of your goals and concerns
Advanced Imaging: We use our 3D Cone Beam CT scanner to capture detailed images of your jaw structure, bone density, and anatomical features. This technology allows Dr. O to precisely plan implant placement, avoid vital structures like nerves and sinuses, determine if bone grafting is necessary, and create a custom surgical guide for pinpoint accuracy.
Treatment Planning: Dr. Ostovar will review all findings with you and create a customized treatment plan that includes number of implants needed (typically 4-6 per arch), surgical approach and timeline, type of prosthesis (temporary and final), detailed cost breakdown, and financing options.
Step 2: Implant Placement Surgery
On the day of your surgery:
Preparation: You’ll be made comfortable with your choice of sedation (nitrous oxide or oral conscious sedation). Any remaining failing teeth will be removed. The treatment area will be thoroughly cleaned and prepared.
Implant Placement: Four to six dental implants are placed at precise angles in your jawbone. Abutments (connector pieces) are attached to the implants. The entire procedure typically takes 2-3 hours per arch.
Same-Day Teeth: In most cases, a custom temporary prosthesis is attached to your new implants the same day—so you’ll never be without teeth! This temporary bridge looks natural, allows you to eat soft foods, and protects your implants while they heal.
Step 3: Healing Period (3-6 Months)
Over the next several months, your implants will fuse with your jawbone through a process called osseointegration. During this time:
- You’ll wear your temporary prosthesis
- You’ll maintain a soft food diet initially, gradually adding firmer foods
- You’ll have periodic check-ups to monitor healing
- You’ll follow a specific oral hygiene routine
Step 4: Final Prosthesis Placement
Once your implants have fully integrated with your bone, we’ll take detailed impressions of your implants and mouth, create your final custom prosthesis made from durable, beautiful materials, carefully fit and adjust your new teeth for optimal comfort and function, and provide instructions for long-term care and maintenance.
Your final All-on-4® prosthesis will look, feel, and function like natural teeth—allowing you to eat, speak, and smile with complete confidence!
Benefits of All-on-4® Dental Implants
Functional Benefits
Eat Your Favorite Foods Again: Unlike traditional dentures, All-on-4® implants allow you to eat whatever you want—steak, corn on the cob, apples, nuts—without worrying about slipping, shifting, or discomfort.
Speak Clearly & Confidently: Traditional dentures can slip and cause speech difficulties. All-on-4® implants stay firmly in place, allowing you to speak naturally and confidently.
No More Denture Adhesives: Say goodbye to messy adhesives, powders, and pastes. Your All-on-4® prosthesis is permanently attached to your implants.
Protect Your Bone & Facial Structure: Traditional dentures rest on your gums and don’t stimulate your jawbone, leading to bone loss and a sunken facial appearance. All-on-4® implants stimulate bone growth and preserve your natural facial contours.
Aesthetic Benefits
Natural-Looking Smile: Your custom prosthesis is designed to look like beautiful, natural teeth—perfectly matched to your facial features, skin tone, and personal preferences.
Youthful Appearance: By preserving bone structure and supporting your facial muscles, All-on-4® implants help maintain a more youthful appearance compared to traditional dentures.
Confidence Boost: With a secure, beautiful smile, you’ll feel more confident in social situations, professional settings, and everyday interactions.
Lifestyle Benefits
Low Maintenance: Care for your All-on-4® prosthesis just like natural teeth—brush, floss (with special tools), and visit us for regular checkups. No need to remove them for cleaning or soaking overnight.
Durability: With proper care, All-on-4® implants can last 20+ years or even a lifetime. The prosthesis itself typically lasts 10-15 years before needing replacement.
Improved Quality of Life: Studies show that patients with All-on-4® implants report significantly improved quality of life, including better nutrition, social confidence, and overall wellbeing.
Who is a Candidate for All-on-4®?
All-on-4® dental implants may be right for you if you:
- Are missing most or all of your teeth
- Have failing teeth that need to be removed
- Wear uncomfortable traditional dentures
- Have experienced bone loss (but still have sufficient bone for implants)
- Are looking for a permanent, long-lasting tooth replacement solution
- Want to avoid bone grafting procedures
- Are in good general health
- Don’t smoke or are willing to quit (smoking impairs healing)
- Have realistic expectations about the treatment process
Medical Considerations
While All-on-4® is suitable for most patients, certain conditions may affect candidacy:
Conditions that don’t typically disqualify you:
- Diabetes (if well-controlled)
- High blood pressure (if managed with medication)
- Osteoporosis (case-by-case evaluation)
Conditions that may complicate treatment:
- Uncontrolled diabetes
- Active gum disease (must be treated first)
- Heavy smoking (significantly reduces success rates)
- Certain bone disorders
During your consultation, Dr. Ostovar will thoroughly evaluate your health and determine if All-on-4® is right for you.
All-on-4® vs. Traditional Dentures
| Feature | Traditional Dentures | All-on-4® Implants |
|---|---|---|
| Stability | Slip and shift | Completely stable |
| Adhesives | Required | Never needed |
| Eating Ability | Limited diet | Eat anything |
| Bone Preservation | Bone loss continues | Preserves bone |
| Speech | May affect speech | Natural speech |
| Removal | Remove daily | Stays in 24/7 |
| Lifespan | 5-8 years | 20+ years (implants) |
| Maintenance | Soaking, adhesives | Brush and floss |
| Comfort | Sore spots common | No sore spots |
| Appearance | Can look artificial | Looks natural |
Cost & Financing
Investment in Your Quality of Life
The cost of All-on-4® treatment varies depending on several factors:
- Number of implants needed (4-6 per arch)
- Whether one or both arches are being treated
- Type of prosthesis materials
- Need for additional procedures (tooth extractions, bone grafting, etc.)
Typical Range: $15,000-$30,000 per arch
While this may seem like a significant investment, consider:
- Traditional dentures cost $1,500-$4,000 and need replacement every 5-8 years
- Over 20+ years, you’d spend $6,000-$16,000+ on multiple sets of dentures
- All-on-4® implants can last a lifetime with proper care
- The improved quality of life, confidence, and function are priceless
Flexible Financing Options
We offer several options to make All-on-4® treatment affordable:
CareCredit Healthcare Financing: Low monthly payments, interest-free promotional periods (for qualified applicants), quick online application.
In-House Payment Plans: Spread costs over time, no credit check required, flexible terms.
Insurance: While dental insurance typically doesn’t cover the full cost, many plans cover a portion. We’ll maximize your benefits and file claims on your behalf.
Free Consultation
Schedule a complimentary All-on-4® consultation to receive a personalized treatment plan and cost estimate. Call (503) 614-0198 today!
Why Choose Dr. Ostovar for All-on-4® Implants?
Advanced Training & Expertise
Dr. Merat Ostovar has completed extensive advanced training in dental implantology and full-arch restoration. His experience includes hundreds of successful dental implant cases, advanced surgical techniques for complex cases, proficiency with 3D imaging and computer-guided implant placement, and continuing education to stay current with latest techniques.
All-in-One Convenience
Unlike many practices that refer implant cases to specialists, Dr. Ostovar handles the entire All-on-4® process in our office—from initial consultation and implant placement to final prosthesis delivery. This means fewer appointments and locations, consistent care from a provider who knows you, streamlined communication, and better coordination of treatment.
State-of-the-Art Technology
Our office is equipped with advanced technology that makes All-on-4® treatment more accurate, efficient, and comfortable:
- 3D Cone Beam CT scanner for precise planning
- Digital impressions (no messy molds)
- Computer-guided implant placement
- Sedation options for comfort
- Same-day temporary teeth
Patient-Centered Care
Dr. O takes time to listen to your concerns, answer your questions, and create a treatment plan that aligns with your goals and budget. You’ll never feel rushed or pressured—just supported and cared for.
Frequently Asked Questions About All-on-4®
1. Does the procedure hurt?
No. You’ll be comfortably sedated during the procedure, and we use local anesthesia to ensure you feel no pain. Most patients report minimal discomfort afterward, manageable with over-the-counter or prescribed pain medication.
2. Will I really get teeth the same day?
In most cases, yes! We attach a temporary prosthesis to your implants the same day as surgery, so you’ll never be without teeth.
3. How long does the procedure take?
Implant placement typically takes 2-3 hours per arch. If you’re having both arches done, it may be split into two appointments or completed in one longer session, depending on your preference and medical factors.
4. How long do All-on-4® implants last?
The implants themselves can last a lifetime with proper care. The prosthesis typically lasts 10-15 years before needing replacement due to normal wear.
5. What can I eat with All-on-4® implants?
Initially, you’ll eat a soft food diet while healing (soups, smoothies, eggs, etc.). After complete healing, you can eat anything—steak, apples, corn on the cob, nuts—just like natural teeth!
6. How do I clean my All-on-4® prosthesis?
You’ll brush your prosthesis and implants twice daily with a soft toothbrush. You’ll also use special flossing tools to clean under the prosthesis. We’ll provide detailed instructions and demonstrate proper techniques.
7. Can I get All-on-4® if I have bone loss?
Yes! All-on-4® is specifically designed for patients with bone loss. The angled placement of the back implants maximizes use of available bone and often eliminates the need for bone grafting.
8. What’s the success rate of All-on-4® implants?
All-on-4® has a success rate of over 95% when performed by experienced dentists and when patients follow post-operative care instructions.
9. Will my new teeth look natural?
Absolutely! Your prosthesis is custom-designed to look like beautiful, natural teeth—perfectly matched to your facial features and personal preferences.
10. How does All-on-4® compare to individual implants?
Individual implants are ideal for replacing a few missing teeth. All-on-4® is more cost-effective and efficient for replacing a full arch of teeth, as it uses only 4-6 implants instead of 8-14 individual implants.
Ready to Transform Your Smile & Your Life?
If you’re tired of the limitations and embarrassment of missing teeth or ill-fitting dentures, All-on-4® dental implants can give you the permanent, beautiful, functional smile you deserve.
Schedule Your Free All-on-4® Consultation Today
Call: (503) 614-0198
Visit: 7546 NE Shaleen St, Hillsboro, OR 97124
Serving: Hillsboro, Beaverton, Aloha, and the Portland Metro Area
During your consultation, Dr. Ostovar will evaluate your oral health and bone structure, determine if you’re a candidate for All-on-4®, create a personalized treatment plan, provide a detailed cost estimate, and answer all your questions.
Take the first step toward a life-changing smile transformation—call us today!
Written by Dr. Merat Ostovar, DDS
Doctor of Dental Surgery | 15+ Years Experience
Aloha Modern Dentistry | Beaverton, Oregon
Last updated: November 26, 2025