All-on-4 Dental Implants in Tribeca, NYC — A Patient Decision Guide
I'm Dr. Nina Izhaky. All-on-4 is the concept where four implants support a fixed full-arch prosthesis — two of them tilted to make the most of your available bone. It's a big decision, so this page is written as a guide: who it's for, when same-day teeth are realistic, and what the tradeoffs are. The short version: for the right anatomy, it's a fixed, full smile without removable dentures — but candidacy is always decided by 3D evaluation, never by a brochure.
How to think about All-on-4
The facts that matter when you're deciding.
Four implants, one fixed arch.
All-on-4 is a full-arch implant concept: four implants support a fixed prosthetic arch — nothing removable, nothing to take out at night.
Tilted implants use your bone.
The two posterior implants may be tilted to improve the use of available bone and reduce cantilever length — which is why many full-arch cases need less grafting than you'd expect.
A decision made with 3D imaging.
Low bone volume doesn't automatically determine one treatment. A 3D evaluation shows whether standard All-on-4 positioning, grafting, additional implants, or another full-arch approach fits you.
The whole team is in the room.
Our prosthodontists plan full-arch cases with digital precision — and for surgery day, the prosthodontist is on site in the surgery itself.
Your All-on-4 journey
Surgery day is only one chapter.
Comprehensive evaluation.
Consultation, 3D imaging, surgical and restorative planning — candidacy depends on oral health, bone anatomy, medical history, hygiene, and your goals.
Surgery and the provisional.
In qualifying cases, a fixed provisional restoration is delivered on the day of implant placement — you leave with function while healing begins.
Healing and follow-up.
Consultation, imaging, planning, surgery, healing, and follow-up unfold over a treatment timeline that varies by patient — we see you through all of it.
The final bridge.
After healing and implant integration, the final restoration is refined for fit, bite, cleansability, material, and esthetics.
The maintenance conversation we have with everyone
A fixed full arch still needs you: daily plaque control and professional maintenance, for life. We'll show you exactly how to clean around and beneath the restoration — floss threaders, interdental brushes, or an oral irrigator, matched to your design. Fixed teeth are a commitment, not just a procedure.
Hablamos español
We warmly welcome Spanish-speaking patients. Nuestro equipo le explica si All-on-4 es para usted y su precio exacto en su idioma — llámenos al (212) 561-5303. No facturamos directamente al seguro; le ayudamos con el financiamiento.
All-on-4 questions, answered
01What are All-on-4 dental implants?
All-on-4 is a full-arch implant concept in which four implants support a fixed prosthetic arch. Two posterior implants may be tilted to improve the use of available bone and reduce cantilever length.
02Who is a candidate for All-on-4?
It may be considered for people missing most or all teeth in an arch, people with severely compromised teeth, or denture wearers seeking a fixed option. Candidacy depends on oral health, bone anatomy, medical history, hygiene, and restorative goals — decided at a 3D evaluation.
03Can I get temporary teeth the same day?
In qualifying cases, a fixed provisional restoration may be delivered on the day of implant placement. Immediate loading depends on implant stability, bone conditions, bite forces, and the surgical plan — so it cannot be promised before evaluation.
04Does All-on-4 always avoid bone grafting?
No. The angled implant concept can reduce the need for grafting in many full-arch cases, but some patients still need bone augmentation or a different implant strategy based on their anatomy and treatment goals.
05How long does All-on-4 treatment take?
The surgical visit is only one part. Consultation, imaging, planning, surgery, healing, follow-up, and fabrication of the final restoration occur over a longer timeline that varies by patient.
06How do I clean an All-on-4 bridge?
Daily care typically includes brushing the restoration and cleaning beneath the bridge with tools recommended for your design — floss threaders, interdental brushes, or an oral irrigator. Professional maintenance remains important, and we'll teach you the technique.
07What if I've been told I don't have enough bone?
Low bone volume doesn't automatically determine one treatment. 3D evaluation can show whether standard All-on-4 positioning, grafting, additional implants, or another full-arch approach should be considered.
08How much does All-on-4 cost?
It depends on your anatomy, the restoration, and whether grafting is needed. Your evaluation ends with an exact number and financing options. Call (212) 561-5303.
09Where are you located?
54 Warren Street, New York, NY 10007, in the heart of Tribeca — serving Tribeca, SoHo, Battery Park City, the Financial District, and Downtown Manhattan.
All-on-4 in the heart of Tribeca
Find us at 54 Warren Street, New York, NY 10007 — in the heart of Tribeca, serving Tribeca, SoHo, Battery Park City, the Financial District, and Downtown Manhattan.
Is All-on-4 right for you? Let's find out
A 3D evaluation, an honest candidacy answer, and an exact price. Call (212) 561-5303 or book online.
