All-on-4 Dental Implants in Townsville

What Is the All-on-4 Treatment Concept?
All-on-4 is an advanced dental implant technique that replaces an entire arch of missing or failing teeth using just four strategically positioned titanium implants per jaw. A fixed, non-removable prosthetic bridge containing 10 to 14 teeth is attached to these implants, providing a permanent, natural-looking, and fully functional set of teeth.
The technique was developed by Professor Paulo Malo in Lisbon, Portugal, and has been extensively studied for over 20 years. A systematic review published in the International Journal of Oral & Maxillofacial Implants reported cumulative implant survival rates exceeding 98 per cent at the 5-year mark, and over 94 per cent at 10 years. The All-on-4 concept is now considered one of the most well-documented and predictable full-arch rehabilitation techniques in implant dentistry.
At Townsville Dental Clinic, we use 3D CBCT scanning and digital treatment planning to deliver precise, predictable All-on-4 outcomes.
How Does All-on-4 Work?
The Strategic Implant Placement
- Two front implants are placed vertically in the anterior jawbone where bone density is greatest
- Two rear implants are placed at approximately 45-degree angles, engaging more bone length and avoiding the sinus cavities (upper jaw) and nerve canal (lower jaw)
- This angled placement often eliminates the need for bone grafting, reducing treatment time and cost
The Treatment Process
- Consultation and 3D CT scan — comprehensive assessment of your bone structure, oral health, and treatment goals
- Digital treatment planning — precise virtual placement of implants and design of your new teeth
- Surgery day — remaining teeth are extracted (if needed), four implants are placed, and a fixed provisional bridge is attached — all in a single appointment
- Healing period — 3 to 6 months for implants to fully integrate with the jawbone
- Final prosthesis — your permanent bridge is fabricated and fitted, designed for optimal aesthetics and function
All-on-4 vs Alternatives
| Feature | All-on-4 | Conventional Dentures | Individual Implants (6-8) |
|---|---|---|---|
| Implants required | 4 per arch | None | 6-8 per arch |
| Fixed or removable | Fixed (permanent) | Removable | Fixed (permanent) |
| Chewing function | ~90% of natural | ~25% of natural | ~95% of natural |
| Bone preservation | Yes — implants stimulate bone | No — bone loss continues | Yes |
| Bone grafting needed | Usually not | Not applicable | Often required |
| Same-day teeth | Yes (provisional) | Yes | Usually no (4-6 month wait) |
| Treatment time | 1 day surgery + 3-6 months | Weeks | 6-12 months total |
| Cost range (per arch) | $20,000-$35,000 | $1,500-$4,000 | $30,000-$50,000+ |
Who Is a Candidate for All-on-4?
All-on-4 may be suitable for you if:
- You are missing all or most teeth in one or both arches
- Your remaining teeth are failing and require extraction
- You wear dentures and want a permanent, fixed alternative
- You have been told you lack sufficient bone for conventional implants
- You want to restore your smile and chewing function as quickly as possible
A comprehensive consultation with 3D CT imaging (with sedation options available) will confirm whether All-on-4 is the right option for your situation.
Caring for Your All-on-4 Implants
- Brush twice daily with a soft brush, paying special attention to the gum line and around the bridge
- Use a water flosser to clean under and around the prosthesis
- Attend dental check-ups every 6 months
- Have the prosthesis professionally cleaned annually
- Avoid biting extremely hard objects (e.g., ice, hard lollies, bone)
Related Services
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Frequently Asked Questions
Related Pages
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- arrow_forward Dental Bridge in Townsville: Types, Costs & What to Expect
- arrow_forward Titanium vs Ceramic Dental Implants
- arrow_forward Orthodontics & Teeth Straightening in Townsville
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- The Townsville Dental Centre vs 1300SMILES: Which Clinic Is Better?
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- How to Find Affordable Dental Care in Australia Without Going Overseas
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- All-on-4 in Turkey: Is It Worth the Travel for Australians?
- Dental 206 — Clinic Profile
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- Smile Makeover: What's Involved and What It Costs in 2026
- Totally Smiles Townsville: Emergency & Orthodontic Care in Mundingburra
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