All-on-4 Dental Implants in Ottawa

A Complete New Smile in One Day — with Sedation Dentistry for Total Comfort

Losing most or all of your teeth doesn't mean living with dentures that slip, click, and limit what you can eat. All-on-4 dental implants replace an entire arch of missing or failing teeth using just four strategically angled implants — and in many cases, you walk out the same day with a full set of provisional teeth. At Dental Sedation Ottawa, we specialize in making this life-changing procedure completely comfortable through IV sedation or general anesthesia, so patients who've been avoiding treatment for years finally get the smile they deserve.

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Patient consulting about All-on-4 dental implants at Dental Sedation Ottawa

What Is All-on-4?

All-on-4 is a revolutionary approach to full-arch tooth replacement developed by Dr. Paulo Maló. Instead of placing six to eight individual implants per arch (as traditional implant methods require), All-on-4 uses just four implants positioned at precise angles to maximize contact with available jawbone.

The two front implants are placed vertically in the denser anterior bone, while the two back implants are tilted at approximately 45-degree angles. This angulation serves two critical purposes: it avoids the sinus cavities in the upper jaw and the nerve canal in the lower jaw, and it engages a much longer span of bone than vertical implants would — providing exceptional stability even in patients with moderate bone loss.

What makes All-on-4 genuinely transformative is the same-day aspect. Because the angled implants achieve such strong initial stability, a full provisional prosthesis (a complete arch of teeth) can be attached immediately after surgery. You arrive with failing or missing teeth and leave with a functional, natural-looking smile — all in a single appointment.

Making Full-Arch Restoration Stress-Free

The thought of having implants placed in your jaw can feel overwhelming — especially for patients who already avoid routine dental visits due to anxiety. That's exactly why sedation dentistry exists, and why our clinic specializes in it.

IV Sedation (Deep Conscious Sedation)

You drift into a deeply relaxed, dream-like state where you're technically still conscious but completely unaware of the procedure. Most patients remember nothing afterward. An anaesthetist monitors you throughout.

General Anesthesia (Complete Unconsciousness)

Administered by a board-certified medical anesthesiologist, you are completely asleep — zero awareness, zero memory, zero sensation. Hospital-grade monitoring in our office.

Oral Sedation

A prescribed sedative taken before your appointment produces moderate relaxation and drowsiness. You remain conscious but significantly calmer.

Nitrous Oxide (Laughing Gas)

Mild, fast-acting relaxation inhaled through a nasal mask. Effects wear off within minutes after the mask is removed.

Ideal Candidates for All-on-4

All-on-4 may be the right solution if you're experiencing:

Multiple failing or broken teeth that are beyond repair
Existing dentures that slip, cause sore spots, or limit your diet
Severe decay across most or all teeth in an arch
Advanced gum disease that has loosened multiple teeth
Moderate bone loss that would complicate traditional implant placement
Teeth that have been missing for years, causing jawbone deterioration
Embarrassment about your smile that affects your confidence and social life
Difficulty eating nutritious foods because of dental problems
A desire for a permanent, fixed solution rather than removable dentures

Why All-on-4 Over Traditional Approaches

Fewer Implants, Lower Cost

Four implants per arch instead of six to eight means less surgery, less healing time, and a more affordable investment compared to individual implant placement for every tooth.

Same-Day Teeth

Traditional implant approaches typically require months of healing between implant placement and receiving your teeth. All-on-4 gives you provisional teeth the same day — you never leave without a smile.

Often No Bone Grafting Required

The angled posterior implants engage existing bone more effectively, frequently eliminating the need for costly and time-consuming bone grafting procedures that traditional approaches demand.

Simplified Maintenance

A fixed All-on-4 prosthesis cleans much like natural teeth — regular brushing, specialized flossing under the bridge, and professional cleanings. No adhesives, no nightly removal, no soaking in a glass.

Proven Long-Term Success

All-on-4 has been extensively studied for over two decades with success rates exceeding 95% at the 10-year mark. The protocol is backed by robust clinical research and used worldwide.

Natural Look and Function

Modern All-on-4 prostheses use high-quality acrylic or zirconia with individually characterized teeth and realistic gum tissue. Most people cannot distinguish an All-on-4 restoration from natural teeth.

Your Journey to a New Smile

Your Comfort Is Our Priority

From your first consultation through your final restoration, every member of our team is focused on making your All-on-4 experience as comfortable and stress-free as possible. Our support staff are trained in sedation assistance, patient comfort, and emergency response — so you're in expert hands at every step.

The Dental Sedation Ottawa team preparing for an All-on-4 procedure

Investing in Your New Smile

Comprehensive consultation & 3D imaging Complimentary
All surgical procedures (extractions + implant placement) Included
IV sedation or general anesthesia Included
Provisional same-day prosthesis Included
Follow-up appointments during healing Included
Final permanent restoration Included
All-on-4 per arch (complete) $20,000–$30,000

Many dental insurance plans cover a portion of implant treatment. We also offer flexible financing through third-party providers, with monthly payment plans starting as low as $250/month. The CDCP (Canadian Dental Care Plan) may also provide partial coverage for eligible patients.

What Our Patients Say

★★★★★ 5.0 out of 5 stars · 300+ reviews

Our patients consistently rate us 5 stars for gentle, anxiety-free care. Read verified patient experiences on Google.

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Expert Full-Arch Implant Dentistry

Why patients choose Dental Sedation Ottawa for All-on-4:

Specialized sedation clinic with IV sedation and general anesthesia
Board-certified medical anesthesiologists on staff
Advanced 3D imaging and digital treatment planning
Dr. Koniouchine's extensive experience with full-arch implant cases
Same-day provisional teeth: you never leave without a smile
Comprehensive follow-up care throughout the healing process
Flexible financing options and insurance coordination
One of the few clinics in Ottawa offering All-on-4 under full sedation

Ready for a Permanent New Smile?

Book a complimentary consultation to find out if All-on-4 is right for you. IV sedation and general anesthesia available.

Request an AppointmentCall (613) 482-0501
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