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.
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.
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.
All-on-4 may be the right solution if you're experiencing:
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.
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.
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.
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.
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.
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.
| 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.
Our patients consistently rate us 5 stars for gentle, anxiety-free care. Read verified patient experiences on Google.
View All Reviews on GoogleWhy patients choose Dental Sedation Ottawa for All-on-4: