The All-On-4 Plus® Protocol
If you are living with multiple missing teeth or struggling with uncomfortable dentures, All-On-4 Plus® may offer a fixed tooth replacement option you have been looking for. This advanced treatment is designed to restore a full arch of teeth using four or more implants, often within days of surgery.
At Couture Implant Centre™, part of the Dental House Group, we combine surgical precision with a patient-first approach rooted in gentle dentistry. Every All-On-4 Plus® treatment is carefully planned, digitally guided, and delivered with your comfort and long-term outcome in mind.
All-On-4 Plus® is more than a surgical technique. It is a refined, end-to-end protocol that uses digital technology, advanced materials, and proven techniques to restore your dental function with efficiency and clinical precision. Understanding what is involved in preparing the bone, soft tissue, and final prosthesis helps you make an informed decision about the path ahead.
All-On-4 Plus®, Step by Step
Step 1: Digital Planning and Facial Analysis
Your journey begins with a comprehensive clinical assessment. We use 3D CBCT scans, facial photographs, and Digital Smile Design software to understand the relationship between your bone structure, bite, and overall facial balance. This planning process allows us to map your restoration before surgery and ensure precise implant positioning tailored to your anatomy.
Step 2: Surgical Reshaping of Bone and Gums
On the day of surgery, we prepare the implant sites by gently reshaping the jawbone and contouring the gums. This step creates a level and hygienic platform for your new teeth, improving long-term maintenance and reducing the risk of complications.
The goal is not only to fit implants, but to create a healthy foundation that supports long-term outcomes.
Step 3: Strategic Implant Placement
Four or more dental implants are placed in carefully selected positions to optimise strength and support. These angles are planned digitally, using your diagnostic records to avoid anatomical structures and ensure the most stable outcome. This step is critical in enabling immediate function and reducing the need for bone grafting in many cases.
Step 4: Immediate Final Teeth™
Instead of waiting months for the final bridge, you will receive your customised Immediate Final Teeth™ within 24 to 48 hours of surgery. These are not placeholders. They are your actual teeth, designed and milled using high-performance materials and shaped to fit your gum contours, bite, and jaw alignment. While your implants heal beneath the surface, your final teeth provide immediate form and function from the outset.
Supporting Procedures That May Be Included
Additional Implants
In cases where bone quality is poor or clenching power is excessive, additional implants may be required. These extra implants help distribute functional pressures more evenly and enhance the system’s ability to withstand daily use.
Disclaimer: Images are for illustrative purposes only. Individual results and patient outcomes may vary.
Bone Grafting
Typically used in the upper jaw, bone grafting may be necessary to rebuild bone volume in specific areas. This procedure supports better implant positioning and ensures more bone is available for future needs.
Disclaimer: Images are for illustrative purposes only. Individual results and patient outcomes may vary.
Nerve Transposition
In situations of extreme bone loss in the lower jaw, repositioning of nerve bundles may be required. This allows for improved positioning and spread of lower implants, facilitating immediate fixed replacement of teeth.
Disclaimer: Images are for illustrative purposes only. Individual results and patient outcomes may vary.
Material Upgrades
All-On-4 Plus® is a refined treatment backed by years of surgical experience, digital technology, and a fully personalised design process. Call us at 13 COUTURE (03 8338 4377) to book your consultation and discuss whether this treatment is suitable for your individual situation.
Disclaimer: Images are for illustrative purposes only. Individual results and patient outcomes may vary.
Smile Gallery
See real patient results with implant treatment tailored for long-term function, oral health, and fit.
Warning: The ‘before’ and ‘after’ images shown are of a real patient of our clinic. These images are for illustrative purposes only and do not represent the results that all patients can expect. Results vary depending on individual circumstances, and all surgical and cosmetic procedures carry risks.
Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience.
Download Our Price List
Curious about the costs associated with our services? Click here to download our price list.
Schedule Your Smile Consultation
All-On-4 Plus® is a refined treatment backed by years of surgical expertise, digital technology, and a fully personalised design process. Call us at 13COUTURE (03 8338 4377) to schedule your consultation and find out whether this approach is the right solution for you.
Disclaimer: Images are for illustrative purposes only. Individual results and patient outcomes may vary.
