All-on-4 Implant-Supported Bridges

Full Mouth Reconstruction: The All-on-4 Journey

This patient arrived at our Beverly Hills practice feeling overwhelmed and uncertain about where to begin. His teeth had deteriorated significantly, with multiple infected teeth causing progressive bone loss and affecting his overall health. Cases like his require a comprehensive approach that addresses both the immediate dental problems and the long-term restoration of function and aesthetics.

The All-on-4 technique represents one of the most significant advances in full mouth reconstruction. By strategically placing four implants per arch at specific angles, we can support a complete bridge of teeth without requiring an implant for each individual tooth. This approach reduces treatment time, minimizes surgical complexity, and provides immediate function in many cases.

"It is important in a case like his to work with a team who has experience in handling all aspects of the case."

Starting with Foundation

The first critical step involved removing all infected teeth that were actively causing bone loss. Leaving compromised teeth in place would have continued the destruction of his jaw bone—the very foundation needed for successful implant placement. Once the extractions were complete, we allowed adequate healing time for the bone and soft tissue to stabilize.

Designing the Ideal Smile

Once healed, we designed a custom bite and smile specifically tailored to his facial features. This is not a one-size-fits-all approach. Every patient has unique facial proportions, lip dynamics, and aesthetic preferences that must be considered. We analyzed his face from multiple angles, studied how his lips move when speaking and smiling, and designed teeth that would look completely natural.

The final prosthetics feature natural translucency and surface texture that mimics real teeth. Perhaps most importantly, the gum tissue portion of the bridges was designed to look indistinguishable from natural tissue—nothing fake or bulky. This attention to detail separates exceptional results from merely adequate ones.

In-House Excellence

What makes our approach unique is the complete integration of services. All surgery and laboratory work was completed by myself and our in-office lab team. This level of control ensures that the vision established during planning translates perfectly into the final result. There is no telephone game between doctor and lab—we work together directly, making real-time adjustments to achieve perfection.

• Complete surgical planning and execution in-house
• Custom prosthetic design and fabrication on-site
• Direct collaboration between clinician and technician
• Real-time adjustments for optimal fit and aesthetics
• Continuity of care from start to finish

The Result

After 16 weeks from initial consultation to final delivery, this patient now has a complete set of natural-looking teeth supported by dental implants. He can eat, speak, and smile with complete confidence. The transformation extends beyond aesthetics—removing the chronic infection has improved his overall health, and the stable foundation of implants will serve him for decades to come.

These comprehensive reconstruction cases are always the most rewarding. Taking a patient from a state of dental despair to a confident, healthy smile represents the pinnacle of what modern implant dentistry can achieve.

"The final result has natural translucency and texture, with gum tissue that mimics nature—nothing fake or bulky."