Dent Leon

All-on-4 Implants

Transform your entire smile in just one day with All-on-4 dental implants at Dent Leon in İzmir, Turkey. This revolutionary technique replaces a complete arch of missing or failing teeth using just four strategically positioned implants, offering a fixed, natural-looking solution.

What is All-on-4 Implants?

All-on-4 is an advanced dental implant technique that replaces an entire arch of teeth (upper or lower jaw) using precisely four dental implants as anchoring points for a fixed full-arch prosthesis. Developed by Nobel Biocare and backed by over 20 years of clinical research, this protocol strategically positions two straight implants in the anterior (front) region where bone is typically densest, and two posterior (back) implants angled up to 45 degrees to maximize contact with available bone while avoiding anatomical structures like sinuses and nerves. This intelligent implant configuration distributes chewing forces evenly across the arch, creating a stable foundation that supports 10-14 replacement teeth without requiring one implant per missing tooth. The angled posterior placement is particularly innovative—it allows patients with moderate bone loss to receive implants without extensive bone grafting procedures that would otherwise add months to treatment and thousands to costs.

What makes All-on-4 truly revolutionary is the ability to load implants immediately or within 24-48 hours of placement, meaning eligible patients walk out with a complete set of functional, aesthetic temporary teeth the same day as surgery—no extended toothless period. This immediate loading is possible because the specific implant angulation and strategic positioning create exceptional primary stability, allowing the prosthesis to be attached before complete bone integration occurs. Over the following 3-6 months, the implants undergo osseointegration (fusing with jawbone), while you eat, speak, and smile normally with your temporary teeth. Once healing is complete, your temporary prosthesis is replaced with a final restoration—typically made from durable materials like hybrid acrylic, layered porcelain, or premium monolithic zirconia—custom-crafted to match your facial features, smile line, and personal preferences. The result is a permanent, non-removable solution that looks, feels, and functions remarkably like natural teeth, restoring up to 90% of original chewing power and dramatically improving quality of life for patients who’ve struggled with missing teeth or ill-fitting dentures.

Avg. Cost of All-on-4 Implants in Turkey

Understanding All-on-4 implant price comparisons reveals why İzmir has become a premier destination for this life-changing treatment:

Country All-on-4 Single Arch All-on-4 Both Arches Savings vs Turkey
🇺🇸 United States $25,000 - $40,000 $50,000 - $80,000 Save 70-85%
🇬🇧 United Kingdom £18,000 - £28,000
($23,000 - $35,000)
£36,000 - £55,000
($45,000 - $70,000)
Save 70-80%
🇩🇪 Germany €15,000 - €25,000
($16,300 - $27,000)
€30,000 - €50,000
($32,500 - $54,000)
Save 65-75%
🇦🇺 Australia A$30,000 - A$45,000
($19,500 - $29,300)
A$55,000 - A$85,000
($35,800 - $55,300)
Save 70-80%
🇨🇦 Canada C$28,000 - C$42,000
($20,700 - $31,000)
C$52,000 - C$80,000
($38,400 - $59,000)
Save 70-80%

What determines your All-on-4 price at Dent Leon:
Your final investment depends on several customizable factors: implant brand selection (Nobel Biocare original All-on-4 system, Straumann, or Astra Tech—all premium European options), prosthesis material choice (hybrid acrylic for economy, layered porcelain for balanced aesthetics and durability, or monolithic zirconia for premium strength and natural appearance), whether extractions are needed (if you still have failing teeth requiring removal), complexity of your case (simple cases with adequate bone vs. cases requiring minor bone augmentation), and single arch vs. both arches treatment. Our transparent pricing model ensures you understand exactly what you’re paying for with no surprise fees.

Comprehensive all-inclusive packages include:
Dent Leon’s All-on-4 price covers complete treatment from consultation to final prosthesis: thorough initial consultation with digital smile design preview, 3D cone beam CT imaging and surgical planning software analysis, surgical guide fabrication for precise implant placement, all necessary tooth extractions, four premium implant fixtures per arch with abutments and components, surgical procedure with choice of local anesthesia or sedation, immediate temporary fixed prosthesis (same-day teeth for eligible patients), final permanent prosthesis after 3-6 months healing, all follow-up appointments for first year, post-operative medications and care kits, and lifetime warranty on implant fixtures. International patient packages additionally include complimentary airport transfers, hotel booking assistance with negotiated rates, dedicated multilingual patient coordinator, and 24/7 support during your stay.

The Turkish advantage explained:
Turkey’s dramatically lower All-on-4 implant price doesn’t reflect inferior quality—you’re receiving identical Nobel Biocare, Straumann, or Astra Tech implant systems used in Beverly Hills, Harley Street London, or Sydney’s premium clinics. The cost difference stems from Turkey’s lower operational expenses (staff salaries, facility costs, laboratory fees), favorable currency exchange rates for international patients, government incentives supporting medical tourism infrastructure, and high patient volumes allowing economies of scale. Turkish dentists maintain identical training standards—many Dent Leon specialists earned degrees and certifications from leading European and American institutions. You’re simply accessing world-class expertise and materials without the Western price markup.

All-on-4 Implant Process

Your All-on-4 journey at Dent Leon follows a proven protocol refined over thousands of successful cases:

1. Comprehensive Consultation and Digital Treatment Planning
Your transformation begins with detailed evaluation at any of our 6 İzmir facilities. We conduct clinical examination of your oral health, remaining teeth (if any), gum condition, and bite relationship. Advanced 3D cone beam CT imaging captures precise measurements of bone volume, density, sinus positions, nerve locations, and anatomical variations. Our specialists use Nobel Biocare’s proprietary planning software (NobelClinician) or equivalent digital platforms to virtually position all four implants with submillimeter accuracy, determining optimal angles (typically 30-45 degrees for posterior implants), depths, and positions to maximize bone contact while avoiding anatomical structures. Digital Smile Design technology allows you to preview your final result and customize tooth shape, size, and color. This comprehensive consultation takes 90-120 minutes and concludes with a personalized treatment proposal, timeline, and transparent cost breakdown.

2. Pre-Surgical Preparation and Medical Clearance
If you have teeth requiring extraction, periodontal disease needing treatment, or active infections, these are addressed first or on surgery day depending on severity. Patients with certain medical conditions (uncontrolled diabetes, recent heart events, bleeding disorders) may need medical clearance from their physicians—our team coordinates this communication. We prescribe pre-operative antibiotics (typically started 1-2 hours before surgery) and anti-inflammatory medications. You’ll receive detailed instructions: fasting requirements if sedation is planned, medication adjustments for blood thinners if applicable, and what to expect on surgery day. For international patients, we ensure all preparatory work is completed before your arrival to maximize efficiency.

3. All-on-4 Surgical Procedure
On surgery day, you’ll receive your chosen anesthesia—local anesthesia for conscious patients, IV sedation for relaxation while maintaining responsiveness, or general anesthesia for complete unconsciousness (available at our hospital-affiliated facilities). The procedure begins with any necessary extractions and socket preparation. Using your custom surgical guide fabricated from CT data, we create precise osteotomies (implant sites) and place the four implants—two straight anterior implants perpendicular to bone, and two posterior implants angled at 30-45 degrees tilted toward the front to engage maximum bone and avoid sinuses/nerves. The angled placement is critical: it increases bone-implant contact by 30-40% compared to shorter vertical implants in the same bone volume. Each implant is torqued into position with controlled force; we measure insertion torque values—achieving 35+ Ncm indicates sufficient primary stability for immediate loading. The entire surgical procedure takes 90-150 minutes per arch. Most patients report the experience as “far easier than expected” with post-operative discomfort described as moderate and manageable.

4. Immediate Temporary Prosthesis Fabrication
If your implants achieve adequate primary stability (which occurs in 85-90% of cases), we proceed with immediate loading—attaching a temporary prosthesis the same day or within 24-48 hours. Multi-unit abutments are connected to the implants, creating a level platform for prosthesis attachment. Impressions or digital scans are taken immediately post-surgery. Our on-site dental laboratory technicians work concurrently, fabricating your temporary acrylic or composite resin prosthesis with pre-set teeth during or immediately after your surgery. Within hours, you’re fitted with a complete arch of fixed, functional teeth. This temporary prosthesis is fully aesthetic (designed to look natural) and functional for eating soft-to-moderate foods. You’ll leave our clinic the same day with a complete smile—no toothless recovery period. For cases where delayed loading is necessary (typically due to compromised bone quality or lower initial stability), we provide a removable temporary denture to wear during the 3-4 month healing phase before the fixed prosthesis is attached.

5. Healing Phase and Osseointegration
Over the next 3-6 months, your implants undergo osseointegration—the biological process where bone cells proliferate and bond directly to the titanium implant surface, creating a permanent fusion. During this critical period, you’ll follow a modified diet: soft foods initially (weeks 1-2), then gradually introducing firmer foods while avoiding very hard items that could overload healing implants. The temporary prosthesis allows you to eat, speak, and socialize normally throughout healing—most patients adapt within days and forget they’re wearing temporaries. You’ll return for periodic check-ups at weeks 1, 2, 4, 8, and 12, where we monitor healing through clinical examination and periodic X-rays, ensuring proper integration and making any necessary occlusal adjustments to your temporary prosthesis. International patients can often complete these follow-ups virtually via video consultation or with their local dentist using our provided protocols.

6. Final Prosthesis Design and Fabrication
Once osseointegration is confirmed (typically 4-6 months post-surgery), we begin creating your permanent prosthesis. New impressions or digital scans capture the healed implant positions and soft tissue contours. Bite registration records are taken to ensure proper jaw relationship. We conduct shade selection, matching your desired tooth color to your complexion and preferences—many patients choose natural shades slightly whiter than their original teeth for a rejuvenating effect. Shape and size selection considers your facial proportions, lip support, and smile line. You’ll attend a “try-in” appointment where the prosthesis framework and temporary teeth are tested in your mouth, allowing you to evaluate aesthetics, phonetics (speech), and comfort before final fabrication. Based on your chosen material—hybrid acrylic (durable and economical), layered porcelain (excellent aesthetics), or monolithic zirconia (premium: exceptionally strong, stain-resistant, and natural translucency)—our master technicians craft your final prosthesis over 2-3 weeks.

7. Final Prosthesis Delivery and Occlusal Refinement
At your final delivery appointment, we remove the temporary prosthesis and attach your permanent restoration. For screw-retained prostheses (our preferred design), the prosthesis is secured with screws through small access holes, which are then sealed with composite resin—this allows future removal if needed for maintenance or repair. Cement-retained options are also available. We meticulously verify and adjust your bite (occlusion) using articulating paper and digital occlusal analysis, ensuring even contact across all teeth when biting and smooth gliding during chewing motions. Proper occlusion prevents implant overload and prosthesis wear. High-polish finishing eliminates any rough edges. We photograph your new smile, provide comprehensive home care instructions with specialized cleaning tools (interdental brushes, water flosser, antimicrobial rinse), and schedule your first maintenance appointment. Most patients experience an immediate boost in confidence and can’t stop smiling.

Advantages of All-on-4 Implant Treatment

  • Only 4 Implants Per Arch Required: Revolutionary design uses just four strategically positioned implants instead of 8-10, reducing surgical invasiveness, healing time, and cost while delivering equivalent stability and function.
  • Same-Day Teeth Transformation: Immediate loading protocol allows most patients to receive a complete set of fixed, functional temporary teeth within hours of surgery—no extended period without teeth.
  • Avoids Extensive Bone Grafting: Angled posterior implants maximize use of available bone, often eliminating the need for sinus lifts or major bone augmentation procedures that add 4-6 months and $5,000-$15,000 to treatment.
  • Faster Overall Treatment Timeline: Complete treatment typically finishes in 3-6 months versus 12-18+ months required for individual implants with extensive grafting—get your final teeth up to a year sooner.
  • Clinically Proven Long-Term Success: Backed by 20+ years of research and hundreds of clinical studies, All-on-4 demonstrates 95-98% success rates with proper maintenance—one of dentistry's most evidence-based treatments.
  • Permanently Fixed—Never Slips or Moves: Unlike removable dentures that shift while eating or speaking, All-on-4 prostheses are screw-retained to implants, providing rock-solid stability and eliminating embarrassing denture moments.
  • Restores 85-90% of Natural Chewing Power: Strategic implant positioning and load distribution allow you to eat virtually any food—steaks, apples, nuts, crusty bread—without worry or dietary restrictions.
  • Prevents Bone Loss and Facial Collapse: Implants stimulate jawbone like natural tooth roots, halting the progressive bone deterioration that causes denture wearers' faces to develop sunken, aged appearance.
  • No Palate Coverage—Enhanced Comfort and Taste: Upper arch All-on-4 prostheses leave the palate completely open, eliminating bulky denture coverage that triggers gag reflex and diminishes taste sensation.
  • Superior Aesthetics to Traditional Dentures: Custom-crafted prostheses are designed with pink acrylic or porcelain "gums" that hide receding bone and create natural-looking gum lines—friends won't know they're not your natural teeth.
  • Simpler Oral Hygiene Maintenance: Clean your All-on-4 like brushing teeth—no denture removal, overnight soaking, or messy adhesives required. Water flossers make cleaning underneath the prosthesis easy and effective.
  • More Affordable Than Individual Implants: Replacing 10-14 teeth with four implants costs 40-60% less than placing individual implants for each tooth, while achieving comparable function and longevity.
  • Suitable for Moderate Bone Loss Cases: Patients told they have "insufficient bone" for traditional implants are often excellent All-on-4 candidates due to the technique's innovative use of available bone volume.
  • Immediate Confidence Boost: Walk out of our clinic the same day with a complete smile—no hiding at home during recovery or struggling with temporary removable appliances during the healing period.
  • Predictable Outcomes with Digital Planning: Computer-guided surgical planning and custom surgical guides ensure millimeter-precision implant placement, dramatically reducing complications and increasing predictability.

Ideal Candidate for All-on-4 Implants

All-on-4 treatment suits a wide range of patients, but certain criteria optimize success:

Dental Condition Requirements:
Ideal All-on-4 candidates include those who have lost all teeth in one or both arches and want a fixed alternative to dentures, have multiple failing teeth (due to severe decay, advanced periodontal disease, or root fractures) that are beyond restoration and headed for extraction, currently wear complete dentures but hate the instability, sore spots, and dietary limitations, have missing teeth scattered throughout the arch that collectively justify full arch replacement, or have had previous dental work fail repeatedly and want a definitive long-term solution. Even if you still have several natural teeth, if most are compromised and extraction is inevitable, addressing everything comprehensively with All-on-4 is often wiser than prolonged patchwork treatments.

Bone Volume Considerations:
All-on-4 requires adequate bone in specific zones—primarily the anterior mandible (front lower jaw) and anterior maxilla (front upper jaw) where the straight implants are placed, plus sufficient posterior bone at angled implant sites. Minimum bone requirements are typically 10mm height and 5mm width in anterior sites, with at least 8mm height posteriorly when angled implants are used. The beauty of All-on-4 is its ability to work with moderate bone loss that would disqualify traditional implant approaches—the angled posterior implants engage bone anterior to the sinus (upper jaw) or anterior to the mental nerve (lower jaw), maximizing available bone without grafting. However, severe bone resorption may still require grafting or alternative techniques like zygomatic implants for upper arch cases. Your 3D CT scan precisely reveals your bone dimensions, allowing our specialists to determine feasibility and design the optimal surgical plan.

Age and General Health:
You must be at least 18-21 years old (when facial growth completes) for implant surgery. There’s no upper age limit—Dent Leon successfully treats patients in their 70s, 80s, and beyond. What matters more than chronological age is physiological health and healing capacity. Well-managed chronic conditions don’t automatically disqualify you: controlled diabetes (HbA1c <7.5%), treated hypertension, stable heart disease, thyroid disorders, and even osteoporosis (depending on medication) are manageable with proper precautions. Conditions requiring special consideration include active cancer treatment, uncontrolled diabetes with HbA1c >8%, recent major cardiovascular events (heart attack, stroke within 6 months), severe bleeding disorders, heavy immunosuppression, and bisphosphonate therapy for osteoporosis (especially IV formulations). We’ll review your complete medical history and coordinate with your physicians to ensure safety.

Lifestyle Factors:
Smoking significantly compromises All-on-4 success—smokers face 2-4 times higher implant failure rates compared to non-smokers. Nicotine constricts blood vessels, reduces oxygen delivery to healing tissues, and impairs bone integration. While not an absolute contraindication, you should quit at least 2 weeks before surgery and avoid smoking throughout the 3-6 month osseointegration period. Ideally, use All-on-4 treatment as motivation to quit permanently. Heavy alcohol consumption also negatively affects healing and should be minimized. You must commit to excellent post-treatment oral hygiene—daily cleaning with specialized tools (water flosser, interdental brushes) and attending regular professional maintenance appointments every 6 months minimum (every 3-4 months if you have periodontal disease history).

Why Choose Dent Leon for Full Mouth Implants?

İzmir’s Premier Multi-Location Dental Network
Dent Leon operates 6 advanced dental facilities strategically positioned across İzmir. This extensive network provides unmatched convenience for international patients—whether you prefer staying in the historic city center or near modern coastal areas, world-class dental care is always accessible. Our multiple locations also mean we can accommodate urgent appointments and provide backup support throughout your treatment journey.

Quarter-Century of Implant Expertise
Since 1999, Dent Leon has been a pioneer in Turkish dental tourism and implant dentistry. Our 25+ years of experience translates to refined surgical protocols, predictable outcomes, and deep expertise in complex full arch cases. We’ve successfully completed over 3,500 full mouth implant restorations for patients from 50+ countries, building an international reputation for clinical excellence, patient satisfaction, and ethical practice.

Comprehensive International Patient Services
Our dedicated patient coordinators provide airport pickup, hotel arrangements (partnerships with nearby 4-5 star hotels), translation services during appointments, and 24/7 support throughout your stay. We handle all logistics so you can focus on your treatment and enjoy İzmir’s beautiful Aegean coastline.

All-Inclusive Treatment Packages
Our transparent pricing includes consultation, 3D imaging, surgery, premium implant, abutment, custom zirconia crown, all follow-ups, and post-operative medications. No hidden fees, no surprises—just world-class care at honest prices.

Experience İzmir’s Beauty While You Heal
Combine your dental treatment with a Mediterranean getaway. İzmir offers stunning beaches, ancient ruins (Ephesus, Pergamon), world-class cuisine, and warm Turkish hospitality—making your dental journey a memorable experience.

Ready to restore your smile with a single tooth implant? Contact Dent Leon today for a free online consultation and personalized treatment plan.

FAQ's About All-on-4 Implants Treatment

Why are only 4 implants enough to support 10-14 teeth?

The All-on-4 design is biomechanically engineered for optimal force distribution. The two posterior implants are angled at 30-45 degrees toward the front of your mouth, which increases their bone contact by 30-40% compared to shorter vertical implants in the same bone volume—this angling creates a wider support polygon distributing chewing forces more evenly.

All-on-4 uses exactly four implants per arch (two straight anterior, two angled posterior), while All-on-6 adds two additional implants—typically straight vertical implants in the premolar regions, creating a six-implant foundation. All-on-6 offers enhanced stability and greater load distribution, which benefits patients with excellent bone quality who want maximum security, heavy chewers or people with bruxism (teeth grinding), or those preferring additional insurance against potential single implant failure. However, All-on-6 costs 20-30% more and requires two additional surgical sites. For most patients with moderate bone availability, All-on-4 provides completely adequate support with proven long-term success—our specialists will recommend the configuration that best suits your specific anatomy and needs.

Absolutely. During the final prosthesis design phase, you’ll work closely with our specialists and lab technicians to customize your smile. Tooth shade selection considers your complexion, age, and preferences—many patients choose shades slightly whiter than their original teeth for a rejuvenating yet natural appearance. We have extensive shade guides including options from bright Hollywood white to natural ivory tones with realistic characterizations. Tooth shape and size are selected based on your facial proportions, lip contour, smile line, and gender (masculine vs. feminine aesthetics). We’ll create a “try-in” version for your evaluation before finalizing, ensuring you’re completely satisfied with the aesthetics before final fabrication.

Dietary progression is gradual. Immediately after surgery and during the first 2 weeks with your temporary prosthesis, you’ll follow a soft diet: scrambled eggs, mashed potatoes, yogurt, smoothies, well-cooked pasta, soup, soft fish, and pureed foods. This allows surgical sites to heal and prevents excessive force on newly placed implants. Weeks 2-8, you can introduce semi-soft foods like cooked vegetables, ground meats, soft bread, and eggs prepared any style—essentially foods that don’t require vigorous chewing. After 8-12 weeks, most patients graduate to near-normal eating with the temporary prosthesis, though we still recommend avoiding extremely hard foods (raw carrots, hard nuts, tough steaks).

No. When properly designed and fabricated, All-on-4 prostheses are virtually indistinguishable from natural teeth. We carefully match tooth shade, shape, size, and translucency to appear completely natural. The prosthesis includes pink acrylic or porcelain “gums” that recreate natural gingival contours and hide areas where bone has receded—this is actually an advantage over natural teeth in cases where gum recession would otherwise show.

Our Services

What Service We Offer

We offer a variety of dental treatments including dental implants, invisalign, non-prep veneers, crowns, composite bonding etc.

 

TREATMENTS

Our clinic offers top-tier dental treatments, including implants, crowns, and cosmetic procedures for a perfect smile.

VIP TRANSFER

Enjoy our VIP transfer service, ensuring a smooth and luxurious journey from airport to clinic and hotel during your stay.

OTEL ACCOMMODATION

We provide comfortable hotel stays during your dental treatment, ensuring a relaxing and hassle-free experience.

7/24 Treatment Assistant

Our 24/7 treatment assistant is always available to support you, answering your questions and ensuring your comfort.

Dental Checkup

Book your dental checkup today and receive a thorough examination by our experienced team to maintain optimal oral health.

After Care Service

Our dedicated aftercare service ensures you receive continuous support and follow-up for lasting dental results.

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