A full arch of teeth. Four implants.
All-on-4 replaces an entire arch of missing or failing teeth with a fixed, non-removable set of teeth supported by four strategically placed implants. Dr. Andrey Ilyabayev plans and places All-on-4 restorations for patients across Bayside, Queens, and the surrounding NY area.
What Is All-on-4?
All-on-4 replaces an entire row of missing or failing teeth using just four dental implants per arch, two placed straight in the front of the jaw and two angled toward the back. That angled placement takes advantage of the denser bone typically found at the front of the jaw, which often means patients can avoid a separate bone grafting procedure. The four implants support a fixed, custom-designed arch of teeth that does not come out, unlike a traditional denture.
Why Patients Choose All-on-4
All-on-4 Compared to Traditional Dentures
Patients considering a full-arch restoration are usually weighing All-on-4 against a traditional removable denture. Looking at the two side by side makes the practical differences clear.
| Traditional Denture | All-on-4 |
|---|---|
| Rests on the gums, which accelerates jawbone loss over time | Anchored to implants, which helps preserve jawbone density |
| Held in place with adhesive, which needs daily reapplication | Fixed in place, no adhesive required |
| Can shift or slip while eating or speaking | Does not move, functions like natural teeth |
| Some foods are difficult or impossible to eat | Most foods can be eaten normally once healed |
| Removed nightly for cleaning | Brushed in place like natural teeth |
| Often needs relining or replacement every 5 to 10 years as the jawbone changes shape | Designed as a long-term, fixed solution |
Who Is a Candidate for All-on-4?
All-on-4 is designed for patients who are already missing most or all of their teeth in an arch, or whose remaining teeth are failing due to decay, gum disease, or injury and are not realistically savable. Dr. Ilyabayev evaluates your bone density, gum health, and dental history before recommending this or any full-arch option, so the plan matches what your mouth actually needs rather than a one-size answer.
The All-on-4 Process
Frequently Asked Questions
How Long Does All-on-4 Last?
All-on-4 is designed as a long-term, fixed solution. A published follow-up case study tracked an All-on-4 fixed prosthesis for 8.5 years with successful long-term function, though outcomes depend on bone health and consistent maintenance (NIH/PMC case report). Regular checkups at Bayside Dental Arts are the biggest factor in long-term success.
Will I Be Without Teeth During Treatment?
No. A temporary, fixed arch is typically attached the same day your implants are placed, so you leave with a functional set of teeth while the permanent restoration is designed.
How Long Is Recovery After All-on-4?
Many patients return to work or their normal routine within a day or two of surgery, though some swelling and soreness in the first few days is normal. Full healing and osseointegration, where the bone fuses to the implants, typically takes four to six months before the final restoration is placed.
What Is the Difference Between All-on-4 and All-on-6?
All-on-6 uses six implants per arch instead of four, offering additional support for patients who need it. Dr. Ilyabayev will recommend whichever option matches your bone structure and treatment goals.
Does Insurance Cover All-on-4?
Coverage varies by plan. Because All-on-4 is a larger treatment plan, Bayside Dental Arts offers a free consultation to walk through your options, along with PPO insurance and financing through CareCredit, Cherry, Alphaeon, and LendingClub.
Ready to Talk About a Full-Arch Solution?
Dr. Ilyabayev will review your bone structure and dental history to determine whether All-on-4 is the right fit, starting with a free consultation.
