All-on-4 dental implants are an advanced solution designed to restore a full arch of teeth using four strategically placed implants. This treatment is often recommended for patients who have lost most or all of their teeth and may not have sufficient bone to support traditional implant placement.
Unlike removable dentures, All-on-4 implants support a fixed bridge of teeth, allowing patients to eat, speak, and smile with confidence.
At our clinic in Jarabacoa, Dominican Republic, Dr. Florentino provides advanced full mouth implant treatments for international patients seeking a stable and long-lasting solution.
The All-on-4 system uses four dental implants placed in strategic positions within the jawbone to support a full arch of prosthetic teeth.
This technique was originally developed to help patients with advanced bone loss avoid extensive bone grafting procedures.
Special implant positioning and angulation allow the implants to anchor into stronger areas of the jawbone, providing stability for a full arch bridge.
The final prosthesis typically includes 10 to 12 teeth per arch, restoring both function and aesthetics.
Dr. Florentino typically recommends All-on-4 implants for patients who:
• Have significant bone loss in the jaw
• Currently wear removable dentures
• Have smaller dental arches
• Do not have enough bone to safely place six implants
Each patient undergoes a detailed evaluation to determine if All-on-4 is the most appropriate treatment option.
While All-on-4 can be an excellent solution for certain patients, it was originally designed specifically for cases with insufficient bone volume.
In modern implant dentistry, some clinics may recommend All-on-4 simply because it requires fewer implants. However, fewer implants do not necessarily mean a better or stronger long-term result.
Dr. Florentino carefully follows established implant protocols and recommends All-on-6 or more implants whenever bone conditions allow, as additional implants provide greater stability and durability.
The goal is always to provide the most predictable and long-lasting outcome for each patient.
All-on-4 implants offer several important advantages for patients with severe tooth loss.
Unlike dentures, the prosthetic teeth are fixed in place and do not move while eating or speaking.
Patients can comfortably eat a wider variety of foods compared to traditional dentures.
The prosthetic teeth are custom designed to resemble natural teeth and restore facial aesthetics.
Because of the implant angulation, many patients with bone loss can receive implants without complex grafting procedures.
Full mouth implant treatment is typically completed in two visits.
Patients travel to the Dominican Republic for implant placement.
Patients who already wear dentures may stay approximately 5 days.
Patients who require tooth extractions typically stay around 10 days to allow time for healing and adaptation of temporary dentures.
During surgery, implants are placed in one arch in approximately two hours, and the second arch is treated the following day.
Temporary dentures are then adjusted while the implants heal.
Implants require approximately 4 to 6 months to integrate biologically with the jawbone through a process called osseointegration.
During this time, patients wear temporary dentures.
Patients return for approximately 20 days for fabrication of the final prosthetic bridges.
During this phase several appointments are required to finalize:
• bite alignment
• smile design
• tooth shape and aesthetics
• final prosthesis fitting
Each arch receives a custom porcelain bridge with 10 to 12 teeth.
The cost of All-on-4 full mouth implants in the Dominican Republic is:
$16,000 USD for both arches
Additional procedures may be required depending on each case.
Extractions and bone grafts for extraction sites may cost:
$1,000 USD per arch
Dr. Florentino has more than 18 years of experience in implant dentistry and has placed over 3,000 dental implants.
Patients travel from the United States and other countries to receive advanced implant treatments at our clinic in Jarabacoa.
Our approach focuses on:
• proper implant protocols
• long-term stability
• personalized treatment planning
• high-quality prosthetic work
In many cases patients ask whether All-on-4 or All-on-6 implants are better.
The answer depends on bone availability, jaw size, and long-term stability requirements.
You can read the full comparison here:
All-on-4 vs All-on-6 Dental Implants
If you are considering All-on-4 dental implants in the Dominican Republic, we invite you to contact our clinic to determine if you are a candidate.
Dr. Florentino will evaluate your bone structure and oral condition to design a personalized treatment plan.
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