All-on-Four Dental Implants

 / All-on-Four Dental Implants

All-on-Four Dental Implants

You may have heard of All-on-Four dental implants if you have been exploring your teeth replacement options. This technique was created by Dr. Palo Malo, a Portuguese dentist, as a way to place a full arch of teeth on individuals with low bone density. At the same time, this treatment avoids expensive bone grafting. If you do not have a lot of bone remaining, this treatment may be a possibility for you to consider.

Highly angled implants are surgically implanted near the front of the jaw. The placement is angled so that the denture can still be secured even with minimal bone at the site. You can see this technique illustrated in the diagram.

The Pros & Cons of All-on-Four Dental Implants

For patients that are missing a lot of bone, this technique can be appealing for many reasons. Time-consuming and expensive bone grafting surgery is completely eliminated, and the patient can have the entire treatment done in only one appointment.

Some clinics that advertise heavily base their appeal on the simplicity of this treatment for the patient. They choose to put All-on-Four implants on every patient with compromised dentition. However, Dr. Coleman doesn’t believe in a one-size-fits-all solution in dental implants treatment. Every case is different. Although he believes the All-on-Four technique is appropriate for some patients, he is far more concerned about the long-term results and quality of life of each and every one of his patients. And while you need to make the final decision about which treatment option you want, he wants you to be fully informed of the benefits and risks of each treatment.

Some feel that All-on-Four is a shortcut because it has a much higher risk for failure. In many cases, bone grafting would bring a more stable and longer-term result. Also, if all the implants are placed in the front of the jaw, which is usually the case with All-on-Four, there will still be bone resorption in the back of the jaw. The immediate area around the dental implants will not be resorbed because the bone is stimulated. But the posterior section of the jaw is still subject to bone atrophy. To learn more about this process, please visit our facial collapse page.

To compensate for a lack of volume of bone in supporting the implants, the four implants are placed at extreme angles, as shown in the radiograph above. This makes them very resistant to loosening, and is what gives the denture that is attached to the implants its stability. However, if one of the implants fails at some later time, the entire case will fail and will have to be re-done. All of these risks need to be weighed against the advantages. All-on-Four is definitely easier, faster, and less expensive than other options.

For more information about other risks involved with dental implants, please visit our dental implant failure page.

Dr. Coleman will present all of your options and will discuss the advantages and disadvantages associated with each procedure. Call 713-783-2800 to schedule an implant consultation where Dr. Coleman will help you determine if you are an All-on-Four candidate. He will be honest with you and make every effort to give you a better idea of what the best options are for your specific case.

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Testimonials

Coleman Dental
4.8
Based on 52 reviews
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Marianne KuemperMarianne Kuemper
18:24 10 May 23
Dr Coleman and his staff are the best in town. Dr Coleman is a leader in his field, for both general and cosmetic dentistry. He was there for me when I had a problem, and I have referred many friends to him. I have been a patient for 10+ years and always enjoy seeing him and his pleasant and professional staff. Highly recommended!
L SL S
18:41 08 May 23
I recently had the pleasure of visiting Dr. Coleman for a dental repair, and I have nothing but positive things to say about my experience. From start to finish, the entire process was seamless and stress-free.Dr. Coleman was incredibly knowledgeable, professional, and took the time to thoroughly explain all of my treatment options and answer any questions I had. His attention to detail and commitment to ensuring my satisfaction was truly impressive.The results of my treatment exceeded my expectations! I received compliments from friends and family about how natural and beautiful my smile looks.Additionally, Dr. Coleman’s amazing assistant Lisa and Laurie in the front office - reception were friendly and welcoming, making each visit a pleasant experience. The office itself was clean and modern, which made me feel comfortable and confident in the care I was receiving.Overall, I highly recommend Dr. Coleman for anyone in need of dental work – either general or cosmetic. Their professionalism, attention to detail, and commitment to patient satisfaction truly set them apart. Thank you for giving me my best smile yet!P.S. Dr. Coleman's complementary ice cream is the best!
Patti RileyPatti Riley
17:04 04 May 23
Dr. Coleman’s work is sheer perfection! I drove over 330 miles to experience his expertise and he did not disappoint.When I saw my new smile, I literally got “ big alligator tears” in my eyes. Never did I dream that my teeth could be so beautiful. My procedure was totally pain free, and he was extremely gentle, while letting me know exactly what he was going to do during each step of the procedure.His staff....what can I say! Lisa has been with Dr. Coleman for 30 years and is so fabulous! Lauri greets you warmth and kindness as soon as you enter the office.I could not be more pleased with my entire experience at Coleman Dental, and will refer all of my friends and family. Thank you Coleman Dental for an experience that exceeded all of my expectations!
Alpha DonutAlpha Donut
16:03 23 Mar 23
Coleman Dental is a great place to get your dental needs cared for in a professional, friendly, and efficient manner. Dr. Coleman and his staff are wonderful and will make sure you leave loving your smile.
Wyatt PriceWyatt Price
18:14 08 Mar 23
The appointment was painless! The staff was super nice and kept me informed about my teeth’s condition. The tv and headphones made the experience enjoyable! The office was clean. All around great service!! 10/10 will definitely be a returning client.
Jordan FeinJordan Fein
01:59 05 Jan 23
I can’t emphasize enough how wonderful Dr. Coleman and his staff are. I have been a patient for many decades, and sometimes it’s easy to become accustomed to great service and forget just how great the experience truly is. I was out of the city for about 9 years, so I do have experience with other dentists. I can say without reservation that Dr. Coleman is passionate about his work, extremely knowledgeable and up to date with the latest in dentistry, and has a great, caring bedside manor. He clearly puts his patients first, and has always been there for me - even after hours. This past year, I needed some major reconstructive cosmetic dental work, and Dr. Coleman truly delivered. He put in the extra time and effort to meet my needs for detail. My smile looks better than it ever has, and the health of my teeth and gums is the best it has been. A doctor is only as good as his assistants, and Lisa and Laurie are always so pleasant, attentive, and caring. The office is clean and comfortable. For all of these reasons, I will continue going to Dr. Coleman for as long as possible and will continue to recommend him to my family, friends, and those in need of a great dentist!
Courtni StrykerCourtni Stryker
04:09 07 Dec 22
Dr. Coleman has the reputation of being the best dentist in Houston… He lives up to his reputation and exceeds expectations every visit. On top of being the very best, he is calming, non-judgmental, and overall one of the nicest people. Lisa is absolutely wonderful - she is the BEST at what she does and one of the nicest people on the planet. I smile just seeing Lisa. Catherine & Laurie are great too! Catherine does an excellent job of cleaning your teeth and is very gentle. I cannot say enough great things about Coleman Dental. It’s the only place I feel comfortable going to and I’ve tried other places. Don’t walk, run to Coleman Dental for your pearly whites!
Tom GriffinTom Griffin
16:38 06 Dec 22
Dr Coleman and hIs staff have been excellent. Very friendly and courteous and really made you feel comfortable.Dr Coleman always greets you with a welcoming smile and explained what he was going to accomplish on the visit.They have their own in house lab so it is a lot easier to get it right the first time.I can truly say it has been the best dental experience ever!
Gregory NelsonGregory Nelson
20:38 21 Sep 22
I am pleased to offer this referral for Dr. Scott Coleman and his staff. I have been a satisfied patient of Dr. Scott Coleman since 1990. During that time I’ve become a huge fan of everyone at Coleman Dental. From the office manager Laurie to Catherine the superstar hygienist who make my smile pretty and Lisa who assure that Scott does his job properly while I’m in the chair 😂 Truly the dental group with a heart!! Thanks for taking such good care of me and my family throughout the years!!
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