All-on-4: 95% Success at 10 Years – What You Should Know

smiling male All-On-4 dental implant patient.

If you’re missing multiple teeth—or facing the reality of full-arch tooth loss—you may feel overwhelmed by your options. Traditional dentures? Costly full-mouth implants? Fortunately, there’s a proven solution that combines comfort, efficiency, and long-term results: the All-on-4® dental implant system.

But how well does it really work?

Let’s take a deep dive into what patients (and science) say about All-on-4, including a landmark study that revealed a 94.8% success rate after 10 years.

What Is All-on-4?

Same day dental implants All-on-4 implants.
Replacement teeth are supported by 4 implants per arch.

The All-on-4 dental implant technique allows for the full restoration of a missing upper or lower arch of teeth using just four strategically placed implants.

Unlike traditional full-mouth dental implants (which may require 6–10 per arch), All-on-4:

  • Uses two vertical implants in the front
  • And two angled implants in the back to maximize bone contact
  • Often avoids the need for bone grafts
  • Is designed for same-day tooth placement in many cases

This method was developed by Dr. Paulo Maló in collaboration with Nobel Biocare in the 1990s—and has revolutionized full-arch rehabilitation since.

The Study: 94.8% Success After 10 Years

In a long-term clinical study published by Dr. Maló and his team in the Journal of the American Dental Association, researchers followed patients who received All-on-4 treatment.

The findings:

  • 245 patients with a total of 980 implants were monitored for 10 years
  • Cumulative implant survival rate: 94.8%
  • Prosthesis survival rate (how long the full arch of teeth lasted): 99.2%
  • Very low complication rate, with most issues easily corrected

What does this mean for you?
It means if you’re a candidate for All-on-4, the odds are overwhelmingly in your favor for long-term success—with results that both look and feel like natural teeth.

Benefits of All-on-4 Implants

Here’s why more patients and clinicians are choosing All-on-4 over traditional options:

1. Immediate Results

In many cases, patients leave the office the same day with a fixed temporary prosthesis—no waiting months for teeth.

2. Avoid Bone Grafting

Because the rear implants are angled, they avoid areas of low bone density, often eliminating the need for sinus lifts or grafting.

3. Natural Look and Feel

All-on-4 implants are fixed in place, so they don’t shift or slip like removable dentures.

4. Lower Cost

Fewer implants = lower surgical and material costs than traditional full-arch restoration.

Are There Risks?

Like any dental procedure, All-on-4 carries some risks:

  • Peri-implantitis: An inflammatory condition that can compromise implant success if not managed early.
  • Mechanical wear: Over time, the prosthetic teeth may require maintenance or replacement.
  • Hygiene and follow-up: Patients must commit to good oral hygiene and regular dental visits.

However, with proper care, most patients experience stable, functional, and aesthetic results for a decade or more.

Are You a Candidate for All-on-4?

You may qualify for All-on-4 if:

  • You’re missing most or all of your teeth in one arch
  • You wear dentures and are looking for a permanent upgrade
  • You have moderate bone loss but want to avoid grafting
  • You want fixed teeth that don’t come out at night

At Arizona Periodontal Group, we perform a detailed exam—including digital 3D imaging—to determine your bone health and implant eligibility.

Why Choose Arizona Periodontal Group for All-on-4?

Dr. Trujillo and our expert team bring decades of experience in advanced implant techniques. What sets us apart?

  • 3D CBCT scanning for ultra-precise planning
  • Partnerships with leading implant brands like Nobel Biocare
  • Sedation options for maximum comfort
  • Transparent pricing and financing options
  • A compassionate team that walks you through every step

Ready for a Confident, Complete Smile?

All-on-4 isn’t just a dental procedure—it’s a life-changing transformation. If you’re tired of missing teeth or struggling with dentures, now is the time to discover whether you’re a candidate.

Call us today at (602) 459-9459 or request your consultation online to take the first step.


Sources & Studies:

  • Maló P, Rangert B, Nobre M. “All-on-4 Immediate-Function Concept with Brånemark System Implants.” JADA. 2003.
  • Gallucci GO, et al. “Consensus statements and clinical recommendations for implant loading protocols.” Int J Oral Maxillofac Implants. 2014.
  • Jung RE, Zembic A, et al. “Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications.” Clin Oral Implants Res. 2012.

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