All-on-4 Dental Implants in NYC

All-on-4 dental implants replace a full arch of missing or failing teeth with a fixed bridge supported by four implants. For suitable patients, a temporary bridge can be attached on the day of surgery, providing fixed replacement teeth while the implants heal.

At Tribeca Advanced Dentistry in downtown Manhattan, Dr. Olga Malkin has provided All-on-4 treatment since 2007. As a prosthodontist trained in surgical implant placement and restorative dentistry, she plans both the implant surgery and the design of your new teeth.

What Are All-on-4 Dental Implants?

All-on-4 is a full-arch implant treatment concept developed through the work of Dr. Paulo Maló and Nobel Biocare. Four dental implants support a bridge that replaces the upper teeth, lower teeth, or both arches.

Unlike a conventional removable denture, the bridge is secured to implants. You do not take it out for daily cleaning, although your dental team can remove it when clinically necessary.

The teeth provided on the day of surgery are generally a temporary restoration. Your final bridge is made after the implants and surrounding tissues have healed sufficiently.

How Does All-on-4 Work?

The traditional All-on-4 arrangement uses two generally straight implants toward the front of the jaw and two angled implants farther back. The rear implants may be tilted up to 45 degrees, depending on the treatment plan.

This arrangement makes use of available bone and can help avoid anatomical structures such as the upper-jaw sinuses. In selected patients, it can reduce or eliminate the need for bone grafting. The position and angle of each implant are determined through examination and imaging.

At Tribeca Advanced Dentistry, 3D imaging and digital planning help Dr. Malkin assess implant placement and plan how the bridge will fit, function, and look.

Who May Be a Candidate?

All-on-4 may be appropriate for people who have lost most or all teeth in an arch, wear removable dentures, or have extensively damaged teeth that cannot be predictably restored.

Dr. Malkin evaluates your remaining teeth, gums, bone support, medical history, and treatment goals before recommending a plan. Teeth that can be maintained should also be considered when discussing your options.

Having bone loss does not automatically rule out implant treatment. However, All-on-4 is not appropriate for everyone, and some patients need grafting, additional implants, or a different approach.

Can I Receive Fixed Teeth on the Day of Surgery?

Suitable patients may receive a fixed temporary bridge immediately after implant placement. This depends on the treatment plan and whether the implants achieve sufficient stability during surgery.

The temporary bridge allows you to have fixed teeth during healing, but it does not mean treatment is complete or that you can immediately resume unrestricted chewing. You will receive instructions about a soft-food diet, cleaning, and protecting the implants.

If immediate loading is not appropriate, Dr. Malkin will discuss an alternative healing and temporary-tooth plan.

What Is the Difference Between All-on-4 and Teeth-in-a-Day?

All-on-4 describes the implant arrangement: four implants supporting a full arch of teeth.

Teeth-in-a-Day describes the timing: replacement teeth are attached on the day of implant surgery in suitable cases.

All-on-4 can be one way to provide Teeth-in-a-Day. Other full-arch treatments may use more than four implants while still allowing an immediate temporary restoration.

What Are the Benefits of All-on-4?

All-on-4 offers a fixed alternative to removable dentures and can restore the appearance and function of a full arch of teeth without replacing every missing tooth with an individual implant.

For suitable patients, the approach can reduce the need for grafting and allow fixed temporary teeth during healing. The bridge is planned around your bite, smile, and facial appearance.

The benefits, treatment time, and overall cost depend on your individual needs. Follow-up visits and ongoing maintenance remain part of treatment.

What Does Research Show About All-on-4?

Published studies have reported high implant survival rates with All-on-4 treatment. For example, a 2012 clinical study involving 36 patients and 44 full-arch restorations reported three-year implant survival rates of 98.96% in the upper jaw and 97.5% in the lower jaw. All 44 bridges remained in place during the study’s observation period.

These are results from a particular study, rather than a guarantee of an individual patient’s outcome or a success rate specific to our practice. Dr. Malkin will discuss the expected benefits, limitations, and risks of your proposed treatment.

All-on-4 Treatment at Tribeca Advanced Dentistry

Consultation and Planning

Your treatment begins with an examination, a review of your medical and dental history, and appropriate imaging. Dr. Malkin evaluates your bone, bite, and remaining teeth and discusses your expectations for your new smile.

Our team reviews the proposed treatment stages, restoration materials, fees, and payment schedule before you decide whether to proceed.

Implant Surgery and Temporary Teeth

On the day of surgery, teeth that cannot be saved are removed as planned, and the implants are placed. When clinical conditions allow, a temporary bridge is attached that day.

Anesthesia and sedation options are discussed in advance based on your medical history and the planned procedure.

Healing and Your Final Bridge

Healing takes several months. During this period, Dr. Malkin checks your implants, gums, and bite and makes adjustments when needed.

Once healing is sufficient—often around four to six months, depending on the case—the final bridge is fabricated and fitted. Materials may include zirconia or other restorative options selected for your clinical needs.

Your experience with the temporary teeth helps guide refinements to the final bridge’s fit, function, and appearance.

Why Choose Dr. Olga Malkin and Our Team?

Experience in Surgical and Restorative Implant Dentistry

Dr. Malkin has provided All-on-4 treatment since 2007. Her prosthodontic training supports the planning of complex tooth replacement, including the relationship between implant position, bite, and the final restoration.

She has also written about immediate full-arch implant treatment in Inside Dentistry. Read her article, “Immediate Implant Full-Arch Loading: Case Selection and Technique.”

An On-Site Dental Laboratory

Our on-site dental laboratory supports collaboration between Dr. Malkin and dental technicians. Digital design, milling, and 3D printing provide tools for planning and fabricating restorations, with the method and materials selected for each case.

This coordination helps the clinical and laboratory teams work together on the details of your treatment.

Nobel Biocare Implant Systems

Our practice uses Nobel Biocare dental implants. Implant selection is part of a broader treatment plan that also considers your bone support, restoration design, and long-term care needs.

How Much Does All-on-4 Cost?

The cost of All-on-4 depends on whether you are treating one or both arches, the extractions or additional procedures required, your anesthesia needs, and the materials used for your final bridge.

Treatment typically includes two main phases: surgery with the temporary restoration, followed by the final bridge after healing.

At your consultation, our team will explain the proposed treatment and associated fees. Your estimate should clearly identify what is included, such as extractions, implants, anesthesia, temporary teeth, the final bridge, and follow-up care.

When comparing estimates, check that they cover the same stages and services. A quote for surgery and temporary teeth alone is different from an estimate that includes the final restoration.

Visit our insurance and financing page to learn about payment options.

Explore Patient Results and Schedule a Consultation

See examples in our All-on-4 and Teeth-in-a-Day patient gallery.

To discuss whether All-on-4 is appropriate for you, schedule a consultation with Dr. Malkin at Tribeca Advanced Dentistry.

23 Warren Street, Suite 10, New York, NY 10007
Call: 212-355-4510