01 All-on-4 Dental Implants
✓ Medically reviewed by Dr. Neel Bhatavadekar, Periodontist & Implantologist
When most or all teeth in a jaw are missing or failing, All-on-4 replaces the entire arch with a fixed bridge supported by just four implants, two placed straight and two angled toward the back of the jaw to use the bone that's actually available.
At Clarus Dental Specialities in Koregaon Park, All-on-4 is planned and placed directly by Dr. Neel Bhatavadekar, Pune's only US Board Certified Periodontist and Implantologist.
Patients usually visit us for: most or all teeth missing in a jaw failing teeth beyond saving tired of removable dentures bone loss from long-term denture wear wanting a fixed, non-removable arch
By calling or messaging, you agree to share your contact details with Clarus Dental Specialities for this enquiry.
Struggling with a failing denture or loose remaining teeth? Emergency slots may be available the same day, subject to the clinic's schedule. Call to confirm.
Quick answer: All-on-4 is a fixed, full-arch tooth replacement that uses four implants, two straight and two angled, to support a complete bridge of teeth for an entire jaw. In Koregaon Park, Pune, Clarus Dental Specialities plans and places All-on-4 under the direct care of Dr. Neel Bhatavadekar, a US Board Certified Periodontist and Implantologist, often allowing a temporary fixed set of teeth on the same day as surgery.
Before You Book
But if you want treatment backed by science and done by a US Board Certified Specialist, you're in the right chair.
02 Overview
All-on-4 replaces an entire arch of missing or failing teeth using exactly four implants per jaw rather than one implant per missing tooth. A fixed bridge, shaped as a full arch, is then attached across all four.
The two back implants are placed at an angle, tilted to reach denser bone further forward in the jaw and to avoid structures like the sinus in the upper jaw. This angled placement is what allows many patients with some bone loss, common after years of missing teeth or denture wear, to avoid a separate bone grafting procedure before treatment.
Because the four implants are positioned and connected as one system, the bridge is stable enough to often support a temporary fixed set of teeth on the day of surgery, while the final, more detailed prosthesis is made once healing is complete.
03 Candidacy
All-on-4 is generally considered when most or all teeth in one jaw are missing or beyond saving, and a fixed rather than removable solution is wanted.
04 Background
Replacing an entire arch tooth-by-tooth, one implant per missing tooth, can mean eight or more implants and often isn't possible where bone has been lost over years of missing teeth or denture wear. All-on-4 was developed specifically to support a full arch with fewer implants, engineered around the bone that's actually present rather than the bone an ideal case would have.
The alternative most patients are comparing it against is a removable denture, which sits on the gum, can move while eating or speaking, and does nothing to stop the bone beneath it from continuing to shrink. A fixed All-on-4 bridge is anchored in bone and loads it the way natural teeth did.
05 Options
Within All-on-4 treatment, the main decisions are the timeline for the fixed teeth and which arch is being treated.
A temporary fixed bridge is attached to the four implants on the day of surgery, so you don't leave without teeth.
The site heals without a fixed load on the new implants first, with a removable interim option in the meantime if needed.
All-on-4 is planned separately for the upper and lower jaw, based on what each arch actually needs.
06 Procedure
A 3D scan maps the available bone across the whole arch, used to plan the exact position and angle of all four implants before surgery.
Any teeth beyond saving in that arch are removed, often in the same visit as implant placement.
Two implants are placed straight and two are angled toward the back of the jaw, under local anaesthesia.
If initial stability allows, a temporary fixed bridge is attached the same day so the arch isn't left without teeth.
Once osseointegration is confirmed, typically several months later, the final, more detailed fixed bridge is fitted.
07 Cost Factors
All-on-4 cost is case-specific, depending on both arches involved and the materials chosen. It's discussed only after an examination, once the following are known:
A specific estimate is only meaningful after a clinical evaluation and 3D imaging. This section is informational and is not a quotation.
If you've already been given a full-arch treatment plan elsewhere, Dr. Neel is available to review the imaging and share an independent clinical view.
08 Aftercare
Swelling and tenderness across the arch are normal. A soft diet is followed while the surgical sites settle.
If fitted, the temporary bridge is used with some dietary care while the implants integrate.
The osseointegration period. Follow-up visits confirm all four implants are stable before the final bridge.
The fixed bridge is cleaned with specific tools designed for the space beneath it, alongside routine check-ups.
09 Limits
All-on-4 is typically deferred or reconsidered when:
10 Your Visit
The first appointment is a consultation, not a same-visit surgery. It typically includes a review of your dental and medical history, a clinical exam of the arch involved, and 3D imaging if none is already available. Dr. Neel reviews the findings with you directly and explains whether All-on-4 fits your case, or whether All-on-6 or another approach may serve you better.
11 Why This Clinic
BDS (Nair Hospital Dental College, Mumbai) · Postgraduate periodontology training, University of North Carolina at Chapel Hill, USA · Diplomate, American Board of Periodontology (2008) · ITI Fellow, International Team for Implantology (2009)
With over two decades treating periodontal and implant cases, including full-arch rehabilitation, Dr. Neel holds the distinction of being Pune's only US Board Certified Periodontist and Implantologist, and one of only two in India.
Full-arch implant cases are planned by a periodontist, not treated as a routine restorative procedure.
Implant angles and positions planned against a full scan of the arch, not estimated visually.
Same-day fixed teeth are offered only when the case genuinely supports it, not promised to every patient.
The only dental clinic in Pune listed by the US Consulate Mumbai.
Patients can also read independent reviews on Google and Practo.
12 Visit Us
This dentist and dental clinic in Koregaon Park also treats patients from nearby areas of Pune. See the full Koregaon Park clinic page →
13 International Patients
Clarus Dental Specialities is the only dental clinic in Pune listed by the US Consulate Mumbai, and Dr. Neel holds a dual US-India dental license, which is why several NRI and overseas patients time full-arch treatment around a visit to Pune.
All-on-4's same-day fixed provisional is genuinely useful for international patients, since it means leaving with fixed teeth on the first trip. The final bridge still requires a second visit after healing (typically 3 to 6 months later), with English-language records provided for a home-country dentist to monitor in between.
14 FAQ
All-on-4 is a fixed bridge anchored to four implants, unlike a removable denture that sits on the gum. It doesn't come out, doesn't need adhesives, and helps maintain the bone beneath it, which a denture does not.
Often yes, with a temporary fixed bridge, when the implants achieve good initial stability at placement. This is assessed during and immediately after surgery, not guaranteed in advance for every case.
All-on-6 uses six implants instead of four for additional support, which can be preferred for larger jaws or higher bite forces. Which one fits depends on your bone volume and bite, assessed at consultation.
Often not, since the angled back implants are specifically designed to work with reduced bone. In cases with more severe bone loss, grafting may still be needed, which is assessed with 3D imaging.
The implants themselves are intended to be long-term, with published survival rates comparable to conventional implants when properly maintained. The bridge itself may need adjustment or eventual replacement over the years depending on wear and materials.
Yes, each arch is planned and treated on its own timeline. Some patients need it on only one arch, others on both.
Teeth beyond saving are removed as part of the same treatment plan, often in the same visit as implant placement, since All-on-4 is designed to replace the whole arch.
1. Long-term clinical studies on full-arch implant-supported prostheses and survival rates, indexed on PubMed Central. ncbi.nlm.nih.gov/pmc
2. Dr. Neel Bhatavadekar's peer-reviewed publications, indexed on PubMed. pubmed.ncbi.nlm.nih.gov
Call or WhatsApp the clinic directly to ask questions or set up a consultation with Dr. Neel Bhatavadekar.
This page provides general dental information and does not constitute a diagnosis, treatment plan, or medical advice. Outcomes vary by individual case. No specific results, costs, or timelines are guaranteed. Please consult Dr. Neel Bhatavadekar or a qualified specialist for advice specific to your condition.
