Losing teeth isn't just a dental issue; it's a life issue. It changes how you eat, how you speak, and most importantly, how you feel about yourself. For many, the simple act of smiling becomes a source of anxiety rather than joy. If you’ve been navigating life with missing teeth or struggling with uncomfortable dentures, you know this reality all too well.
But modern dentistry has evolved. You no longer have to settle for solutions that feel temporary or unstable. There is a revolutionary approach that restores not just your smile, but your confidence and quality of life.
Enter the All-on-Four dental implant technique. This advanced procedure offers a permanent, stable, and natural-looking solution for full-arch restoration. At Dentistry of Bellevue, we specialize in helping patients reclaim their smiles with this life-changing treatment. In this guide, we’ll explore everything you need to know about All-on-Four implants—from how they work to why they might be the perfect choice for you.
The All-on-Four treatment concept is a surgical and prosthodontic procedure for total rehabilitation of the edentulous (toothless) patient, or for patients with badly broken down teeth, decayed teeth, or compromised teeth due to gum disease.
The name "All-on-Four" refers to the fact that a full arch of prosthetic teeth (either upper or lower) is supported by just four dental implants. Traditional full-mouth reconstruction might require six, eight, or even more implants per arch. All-on-Four simplifies this by placing two anterior implants vertically and two posterior implants tilted at an angle of up to 45 degrees.
This strategic placement is key. By tilting the posterior implants, we can take advantage of available bone density, often eliminating the need for bone grafting—a common barrier for many patients seeking implants. These four anchors provide a sturdy foundation for a fixed hybrid bridge, giving you a full set of functional teeth that look and feel natural.
Unlike removable dentures, which sit on the gums, All-on-Four implants are fixed into the jawbone. This mimics the root structure of natural teeth, stimulating the bone and preventing the deterioration that often accompanies tooth loss. While individual implants are excellent for single tooth replacement, replacing a full mouth of teeth individually is invasive and costly. All-on-Four bridges the gap, offering full restoration with less surgery and lower costs than traditional full-mouth implants.

For decades, traditional dentures were the go-to solution for total tooth loss. While they serve a purpose, they come with a well-known list of complaints.
If you wear dentures, you’re likely familiar with the instability. Lower dentures, in particular, are notorious for slipping or floating, making chewing difficult. You might find yourself avoiding certain foods—steaks, apples, corn on the cob—because your teeth simply can't handle them. Then there are the messy adhesives, the speech impediments caused by bulky plastic covering the roof of your mouth, and the sore spots on your gums.
All-on-Four implants solve these problems by being anchored securely in place. Because they are screwed into the jawbone, they do not move. There is no slipping, no clicking, and absolutely no need for adhesive.
The difference in bite force is dramatic. With traditional dentures, you might only regain about 20% of your natural bite force. With All-on-Four implants, you can regain up to 90%. This means you can return to a varied, healthy diet without fear. You can taste your food better because the upper prosthesis doesn’t cover the palate. Most importantly, you can laugh, speak, and smile with the confidence that your teeth aren't going anywhere.
Understanding the process can help alleviate anxiety about the procedure. At Dentistry of Bellevue, we pride ourselves on a transparent, patient-centric approach.
Your journey begins with a comprehensive consultation. We use advanced 3D imaging (CBCT scans) to assess your bone density and structure. This digital planning allows us to determine the precise placement of implants before surgery begins. We discuss your aesthetic goals, medical history, and anesthesia options to ensure a comfortable experience.
On the day of surgery, any remaining failing teeth are extracted. The four implants are then placed into the jawbone at precise angles. The surgery is typically performed under sedation, ensuring you remain comfortable and relaxed throughout.
One of the most significant benefits of All-on-Four is the concept of "Teeth in a Day." In most cases, we can attach a temporary, fully functional set of teeth to your implants on the very same day as surgery. You walk in with failing or missing teeth and walk out with a brand-new smile. This provisional bridge allows you to eat soft foods and smile confidently while your implants heal.
Once the implants have fully integrated with your jawbone (a process called osseointegration, which usually takes 3-6 months), you will return for your permanent, customized teeth. These are crafted from high-durability materials like zirconia or porcelain, designed to perfectly match your natural aesthetics.
Recovery from All-on-Four implant surgery is often faster than patients expect, especially compared to more invasive bone grafting procedures.
Most patients can return to work within a few days to a week. You may experience some swelling and bruising for the first 3-5 days, which is normal. Pain is generally manageable with prescribed medication and over-the-counter pain relievers.
To ensure proper healing, we recommend:
Diet: Stick to a soft-food diet for the first few months while the implants integrate. Avoid hard, crunchy, or sticky foods.
Rest: Keep your head elevated and avoid strenuous activity for the first week.
Ice: Applying ice packs to the outside of your face can help reduce swelling.
Caring for All-on-Four implants is similar to caring for natural teeth. Daily brushing and flossing (using special floss threaders or a water flosser) are essential to keep the gum tissue around the implants healthy. Regular check-ups at Dentistry of Bellevue are crucial so we can monitor the stability of the implants and professionally clean the prosthesis.

You might be wondering if this procedure is right for you. Generally, All-on-Four is an inclusive treatment suitable for a wide range of patients.
The ideal candidate is someone who is:
Currently wearing dentures and unhappy with them.
Suffering from severe gum disease (periodontitis) and facing the loss of all teeth.
Missing all teeth in one or both arches.
Experiencing bone loss that prevents them from getting traditional vertical implants.
At Dentistry of Bellevue, we evaluate every patient individually. While smoking or uncontrolled diabetes can affect healing, they don't necessarily disqualify you. We work with you to optimize your health prior to surgery.
One of the biggest advantages of All-on-Four is that it often bypasses the need for bone grafting. Even if you have been told in the past that you don't have enough bone for implants, the tilted implant technique used in All-on-Four may still make you a candidate.
Investment is a major consideration for any medical procedure. It’s important to view All-on-Four not just as a purchase, but as a long-term investment in your physical and mental health.
The cost can vary depending on several factors, including:
The material used for the final prosthesis (acrylic vs. zirconia).
Whether you need single or dual arch treatment.
Any necessary extractions or additional procedures.
Anesthesia fees.
While the upfront cost is higher than dentures, dentures require frequent relining, repairs, and replacement every 5-7 years. They also don't stop bone loss, which can lead to more expensive facial structural issues later. All-on-Four provides a permanent solution that, with proper care, can last a lifetime.
We believe everyone deserves a healthy smile. Dentistry of Bellevue offers various financing options and payment plans to make this life-changing procedure accessible. During your consultation, our financial coordinators will walk you through costs and help you find a plan that fits your budget.
Your smile is your greeting to the world; you shouldn't trust it to just anyone. Choosing the right implant service provider is the most critical step in your journey.
The All-on-Four procedure requires a high level of surgical skill and prosthetic expertise. The team at Dentistry of Bellevue has extensive training and experience in implant dentistry. We have helped countless patients transition from failing teeth to flawless smiles.
We utilize state-of-the-art technology, from 3D CT scanning to guided surgery software, ensuring precision and safety. But beyond the tech, we focus on you. Our office is designed for comfort, and our staff is dedicated to making you feel at ease, answering every question and holding your hand through the process.
Our commitment doesn't end when the surgery is over. We are dedicated to your long-term success. We build relationships with our patients, ensuring that your new smile remains healthy and beautiful for years to come.

The impact of restoring your smile goes far beyond aesthetics. It’s about eating the foods you love, speaking clearly in a meeting, and laughing without covering your mouth. All-on-Four dental implants offer a proven, permanent path back to a life of confidence.
If you are tired of compromising your lifestyle due to missing teeth or dentures, it is time to explore a better option. The team at Dentistry of Bellevue is ready to help you take that step.
Don’t let another day go by hiding your smile. Schedule your consultation with Dentistry of Bellevue today and take the first step toward the confident, healthy life you deserve!
Dentistry of Bellevue
https://www.google.com/maps?cid=9867356124298878902
14205 SE 36th St #365, Bellevue, WA 98006, United States
(425) 643-3912
dentistryofbellevue.com