Fixed teeth in one day
A temporary acrylic or composite restoration is placed within 24 hours of implant placement.
All-on-4 is a revolutionary implantological concept that enables patients without teeth (or with a large number of compromised teeth) to leave the practice with fixed temporary teeth on the very same day. Four strategically positioned implants — two straight at the front and two angled at the back — assume the function of the entire jaw.
All-on-4 is a revolutionary implantology technique that enables complete rehabilitation of an edentulous or compromised jaw with the help of just four precisely positioned implants. It was developed by Dr. Paulo Maló in 1998 and has since become the gold standard for patients who want fixed teeth — without a removable denture, without a palatal plate, without compromise.
At Implantološki centar Smile in Bjelovar, we perform numerous All-on-4 procedures each year, using 3D CBCT planning, guided surgery, and premium implant systems (C-Tech, Megagen, Noris) with a lifetime manufacturer's guarantee on the implant. Typically, we place fixed temporary teeth on the same day as implant placement — the patient leaves our clinic with fixed teeth already in place.
All-on-4 is particularly indicated for patients with bone loss in the posterior jaw regions — the two posterior implants are placed at an angle of 30–45° and utilise the remaining bone in the anterior region, eliminating the need for augmentation (bone grafting) or sinus lift in the vast majority of cases.
- Advantages of the zirconia All-on-4 solution:
✔ Natural-looking smile
✔ Zirconia teeth reflect light similarly to natural enamel, making the smile appear sophisticated and effortlessly natural.
✔ Exceptional strength
✔ Zirconia is one of the most resilient materials in modern dental prosthetics, making it ideal for long-lasting fixed restorations.
✔ Stability and security

A temporary acrylic or composite restoration is placed within 24 hours of implant placement.
Tilted posterior implants make maximum use of existing bone — avoiding sinus lift in the majority of patients.
With regular check-ups and proper oral hygiene, the All-on-4 system lasts for decades. The implants carry a lifetime osseointegration guarantee.
The definitive zirconia or hybrid prosthetic restoration restores full chewing force and a natural-looking smile.
Both protocols provide fixed teeth across the entire jaw, but differ in the number of implants, load distribution, and indications. The final decision is made by the implantologist based on CBCT bone analysis.
| All-on-4 | All-on-6 | |
|---|---|---|
| Number of implants | 4 per jaw | 6 per jaw |
| Indication | Moderate bone volume, particularly the lower jaw | Larger jaw, strong occlusal pressure, upper jaw |
| Force distribution | 2 anterior straight + 2 posterior angled | More uniform distribution across 6 points |
| Bone augmentation | Frequently avoided | Sometimes required when bone volume is reduced |
| Stability | Very high (cross-arch stabilization) | Exceptional — multiple safety support points |
| Process duration | Shorter — fewer implants | Slightly longer |
| Price (indicative) | Lower (4 implants) | Higher (6 implants) |
| Time to fixed restoration | Same day (immediate load) | Same day in most cases |
Initial consultation, clinical examination, 3D CBCT imaging, photographs and intraoral scan. Treatment plan provided in digital format.
We present you with a 3D simulation, a financial plan and all available options. You decide — with no pressure.
Extraction of any remaining non-viable teeth, placement of 4 implants using guided surgery, and fitting of fixed temporary teeth — all on the same day.
Monitoring of healing, minor bite corrections, oral hygiene counselling.
Impression taking, fabrication of the zirconia or hybrid abutment in our laboratory, and final placement.
X-ray, professional cleaning, verification of screws and occlusion. Lifetime support from our team.

Premium implants with conical connection, hydrophilic SLA surface for faster osseointegration.
Knife-edge thread design — exceptional primary stability even in soft bone.
Specially designed for angled (tilted) implants in the All-on-4 protocol — longer, stronger, certified.
Three-dimensional computed tomography — implant placement precision of ±0.3 mm.
The 3Shape® TRIOS® intraoral scanner is fast, easy to use, and produces documented, accurate full-colour digital impressions with the freedom of wireless scanning.

“After 8 years with a lower denture, I finally have fixed teeth. On the same day I left with a temporary restoration and had a proper dinner that evening. The team is professional, and Dr. Grnja explained everything in detail.”
“I travelled 2.5 hours to Bjelovar and have no regrets. The price was 40% lower than in Zagreb, yet the quality was outstanding. With conscious sedation, I felt nothing at all. Highly recommended!”
“I was afraid of the procedure, but Dr. Grnja and the team put me at ease. CBCT planning showed I had sufficient bone for All-on-4 without augmentation. Everything took 3 hours. After a year, the teeth feel like my own.”
“I had been researching where and how for a long time. I visited quite a few practices and clinics across Slavonia and Zagreb, and then I saw an advertisement on Facebook and decided to contact Smile. From the very first moment I felt it was the right decision. Due to my quite poor dental condition, they recommended All-on-4 therapy with zirconia teeth. Now my smile has never been more beautiful, and enjoying food has taken on a whole new dimension.”

All-on-4 is a protocol in which an entire arch of fixed teeth (12–14 teeth per jaw) is supported by only 4 implants. The two posterior implants are placed at an angle of 30–45° to avoid anatomical considerations (sinus, nerve) and to utilise the maximum amount of available bone. Conventional implants require 6–8 implants per jaw and often bone augmentation.
The All-on-4 price at Implantološki centar Smile starts from more competitive levels than in Zagreb, with the same material quality. The exact amount depends on the material of the final prosthetic construction (acrylic, hybrid, zirconia), the number of extractions required, and the need for any additional procedures. For a precise quote, we invite you to a complimentary consultation including a 3D CBCT scan.
In more than 90% of cases — YES. We use an immediate-load protocol whereby temporary fixed teeth are placed on the same day as the implants. The patient leaves the clinic with fixed teeth in place and can eat soft food as early as that same evening.
The greatest advantage of All-on-4 is precisely the avoidance of augmentation. The angulation of the posterior implants allows the use of existing bone. A CBCT analysis will reveal your specific case — in approximately 80% of patients, augmentation is not required.
Implant placement + temporary teeth: 2–4 hours under conscious sedation. Full rehabilitation (temporary → definitive zirconia restorations): 4–6 months, with only a few clinic visits.
We offer conscious sedation (the patient is relaxed but awake) and local anaesthesia — patients describe the sensation as a 'light sleep'. Following the procedure, we prescribe analgesics and antibiotics; typical recovery is 3–5 days with mild swelling.
All-on-6 uses 6 implants instead of 4, providing better distribution of chewing forces — we recommend it for patients with greater bone volume, pronounced bruxism, or when treating the upper jaw. Please see the comparative table above for details.
The literature reports a survival rate of >95% after 10 years, which we confirm in our own practice. The implants themselves, with proper hygiene and annual check-ups, last a lifetime. The zirconia superstructure is recommended to be renewed after 15–20 years.
We recommend abstaining from smoking for a minimum of 4 weeks following the procedure. Smoking reduces the osseointegration success rate by 15–20% — for All-on-4 patients, we strongly advise cessation or a significant reduction in consumption.
Implants: lifetime manufacturer's warranty. Definitive superstructure: 5-year warranty on materials and workmanship. All annual check-ups during the first year are included in the cost of the procedure.
Controlled diabetes (HbA1c < 7), moderate blood pressure and many other conditions are not absolute contraindications. Submitting your medical profile and blood test results is part of the consultation. Absolute contraindications: uncontrolled diabetes, active chemotherapy, severely poor oral hygiene.
Yes — we schedule appointments so that patients travelling from a distance can complete everything in 1–2 days. Bjelovar is 70 km from Zagreb (1 hour by motorway) and 100 km from Slavonski Brod. We also offer accommodation recommendations near the clinic.
Do you have a further question? Send an enquiry — we respond within 24h.
Implantološki centar Smile in Bjelovar is centrally located and easily accessible to patients from across continental Croatia. For All-on-4 treatment, we regularly welcome patients from Zagreb (1 hour by motorway), Slavonski Brod, Daruvar, Koprivnica, Križevci, Virovitica and surrounding areas. We schedule appointments within a single day so that patients travelling from further afield can minimise the number of visits — where medically justified, we utilise immediate-load protocols (fixed temporary teeth on the same day).
Placement of All-on-4 implants in the lower jaw – Same Day Smile workflow 2026
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