Dentures & All-on-4®
From permanent All-on-4 fixed teeth to flexible partials and zygomatic implants. Restore natural chewing power, facial symmetry, and total confidence in Lower Manhattan.
The short answer
From permanent All-on-4 fixed teeth to flexible partials, we rebuild full smiles for people missing many or all teeth. All-on-4 uses four implants to anchor a complete arch \u2014 often with teeth the same day. It's the closest thing to getting your natural teeth back.
Not your grandparents' dentures. Advanced smile architecture.
Tooth loss significantly impacts facial collapse, speech clarity, and nutritional intake. At Tribeca Dental Studio, our multi-specialist team crafts custom prosthetics using biocompatible resins, digital impressions, and precision dental implants for permanent stability.
Comprehensive Denture Configurations
All-on-4 / All-on-X Implants
Four to six standard titanium implants support a fixed, non-removable prosthesis. Provides jawbone stimulation to prevent bone loss, maintains natural facial structure, and never slips or clicks.
All-on-4® Implants vs. Conventional Dentures
All-on-4® / Implant Fixed
- ✓Jawbone Preservation: Implants stimulate bone tissue, preventing facial collapse and sunken appearance.
- ✓Permanent Solution: One-and-done restoration without needing relining every few years.
- ✓Absolute Stability: Zero clicking, slipping, or adhesives. Cleaned just like natural teeth.
Conventional Dentures
- •No Bone Requirement: Can be placed regardless of existing jawbone density or surgical restrictions.
- •Periodic Remaking: Must be relined or remade every 7–10 years as jawbone structure resorbs naturally.
- •Nightly Removal: Requires daily adhesive gels, cleaning solutions, and night soaking.
A Full Arch Without the Denture Compromises
There's a moment we see again and again at our Tribeca office: a patient removes their upper denture to show us the sore spots on their gums, or tells us they avoid certain restaurants because they can't chew with confidence. Conventional dentures were an advance in their time, but they demand daily compromises — adhesives, nightly soaking, the constant fear of slipping mid-laugh. All-on-4 eliminates those compromises at the root.
The concept is elegant in its simplicity: four to six titanium implants, placed strategically — the rear ones angled to maximize contact with available bone — support a complete fixed prosthesis that never comes out. Unlike a denture, which rests on the gums and accelerates bone loss, All-on-4 implants stimulate the jawbone with every bite, preserving the facial structure that dentures allow to collapse over the years.
For our downtown Manhattan patients, the practical appeal is undeniable. No adhesives to apply before a meeting in the Financial District. No nightly soaking in a Battery Park bathroom. Just fixed teeth that brush like natural ones and a smile that never requires a second thought. Planning with 3D imaging at our Warren Street office lets us determine in a single consultation whether All-on-4 is right for your case — even if you've worn dentures for years.
Surgery Day: What Actually Happens
Here's what the day looks like. You arrive in the morning; by the time you leave, the implants are in and a fixed temporary prosthesis is attached — meaning you walk out with teeth the same day. The surgery itself is done under anesthesia with sedation available, so you're comfortable throughout. Most patients tell us the anticipation was worse than the appointment.
Then comes the healing phase, and honesty matters here: your implants need several months to fuse with the jawbone, a process called osseointegration. During that time you wear the temporary prosthesis and eat a softer diet while the bone does its quiet work. We see you for check-ins along the way to make sure everything is integrating exactly as it should.
When the foundation is solid, we take new digital impressions and craft your final prosthesis — shaped, shaded, and fitted to your face and bite. The result is teeth that don't come out at night, don't need adhesive, and let you bite into an apple without thinking about it. For people who've spent years managing dentures, that first confident bite is the moment everything was for.
Who All-on-4 Helps Most
All-on-4 was designed for people facing full-arch tooth loss: patients whose remaining teeth are failing, long-time denture wearers tired of the daily routine, and anyone told they don't have enough bone for traditional implants. The angled rear implants change that math for many patients — and for severe upper-arch bone loss, zygomatic implants anchored in the cheekbone can complete the picture.
It's not for everyone, and we'll tell you if it isn't. Untreated gum disease needs to be addressed first, and habits like smoking affect healing — we'll have an honest conversation about every factor that matters. That's what the 3D scan and consultation are for: a straight answer about whether All-on-4 is your best path, or whether a different option serves you better.
“If the tooth is no longer there and the bone is good, the replacement process is actually very uneventful \u2014 very little recovery at all. What we hear from our patients is how unremarkable the procedure was. They\u2019re surprised, and we\u2019re thankful for their appreciation.”
— Dr. Nina Izhaky, Tribeca Dental Studio
Frequently Asked Questions
What is the difference between All-on-4 and traditional dentures?
+Am I a candidate for All-on-4?
+How long does the All-on-4 process take?
+Is the All-on-4 procedure painful?
+How do I care for All-on-4 implants?
+What if I've been wearing dentures for years?
+Explore Related Services
TRIBECA • NEW YORK
Restore Your Natural Smile & Chewing Power
Schedule your consultation for All-on-4® or custom dentures with our prosthodontic team in Lower Manhattan.
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