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Implantology · All-on-4

All-on-4in a single day.

An entire jaw supported by just four implants — fixed temporary teeth on the same day, definitive prosthetic restoration following osseointegration. The fastest path to a fully functional smile.

4
implants per jaw
1
day to fixed teeth
98%
success rate
01 — What is it?

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.

About the procedure

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

3D model of All-on-4 implants with tilted posterior implants
3D visualization of the All-on-4 system — 2 straight anterior and 2 tilted posterior implants · Stock photo
02 — Advantages

Why choose this solution.

01

Fixed teeth in one day

A temporary acrylic or composite restoration is placed within 24 hours of implant placement.

02

No bone augmentation required

Tilted posterior implants make maximum use of existing bone — avoiding sinus lift in the majority of patients.

03

Durability and stability

With regular check-ups and proper oral hygiene, the All-on-4 system lasts for decades. The implants carry a lifetime osseointegration guarantee.

04

Aesthetics and function

The definitive zirconia or hybrid prosthetic restoration restores full chewing force and a natural-looking smile.

Comparison

All-on-4 vs All-on-6 — which to choose?

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-4All-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
All-on-4 is the optimal choice when bone volume is limited and a minimally invasive procedure is desired. We recommend All-on-6 when a greater quantity of quality bone is available, or when the patient has pronounced teeth grinding (bruxism), allowing forces to be distributed more evenly.
03 — Who is it for

The ideal candidate.

Indications and contraindications are always assessed individually, based on clinical examination and 3D diagnostics.

  • Patients with no teeth in one or both jaws

  • Patients with failed bridges and lost supporting teeth

  • Reduced alveolar bone volume (where augmentation is not possible or not desirable)

  • Patients with removable dentures seeking a fixed solution

  • Patients with advanced periodontitis — following disease stabilisation

04 — Treatment process

Step by step.

01
01

Detailed diagnostics

3D CBCT scan, intraoral scan, smile and occlusion analysis. We create an individualised treatment plan.

02
02

Guided surgery

Implants are placed using a precisely fabricated surgical guide — minimal invasiveness, maximum precision.

03
03

Same-day temporary restoration

The impression is taken immediately after implant placement, and the temporary restoration is fitted the same day or the following morning.

04
04

Definitive prosthetic restoration

After 3–6 months of osseointegration, we fabricate the definitive zirconia or hybrid restoration on a titanium abutment.

Treatment Process

Step by step — from consultation to fixed teeth

  1. 01
    1st visit · 60 min

    Consultation + CBCT

    Initial consultation, clinical examination, 3D CBCT imaging, photographs and intraoral scan. Treatment plan provided in digital format.

  2. 02
    2nd visit · 30–45 min

    Plan presentation

    We present you with a 3D simulation, a financial plan and all available options. You decide — with no pressure.

  3. 03
    Day of procedure · 2–4 h

    Implant placement + temporary teeth

    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.

  4. 04
    Weeks 1, 4, 8 and 12

    Osseointegration check-ups

    Monitoring of healing, minor bite corrections, oral hygiene counselling.

  5. 05
    4–6 months post-procedure

    Fabrication of the definitive restoration

    Impression taking, fabrication of the zirconia or hybrid abutment in our laboratory, and final placement.

  6. 06
    1×/year

    Annual check-up

    X-ray, professional cleaning, verification of screws and occlusion. Lifetime support from our team.

CBCT 3D jaw imaging for implant planning
CBCT 3D imaging enables implant placement precision of ±0.3 mm
Gallery · From our practice

Watch how we work.

Details of the equipment, materials and environment in which we perform procedures — a sterile theatre, premium implants and digital precision.

Patient status prior to implant placement
01
Patient status prior to implant placement
All-on-4 in composite
02
All-on-4 in composite
Patient status prior to implant placement
03
Patient status prior to implant placement
All-on-4 in composite
04
All-on-4 in composite
05 — Technology

Premium equipment and materials.

Guided surgery with 3D-printed templates
Premium implants Megagen, Noris, C-tech
Zirconia prosthetic construction (monolithic zirconia)
PRF therapy for accelerated healing
Technology and materials

Premium equipment we work with

C-Tech Implants

C-Tech Implant · Italy
Lifetime manufacturer's guarantee

Premium implants with conical connection, hydrophilic SLA surface for faster osseointegration.

Megagen AnyRidge

Megagen · South Korea
Lifetime manufacturer's guarantee

Knife-edge thread design — exceptional primary stability even in soft bone.

Noris Medical Tuff

Noris Medical · Israel
Lifetime manufacturer's guarantee

Specially designed for angled (tilted) implants in the All-on-4 protocol — longer, stronger, certified.

3D CBCT planning

Planmeca / Sirona · Finland / Germany

Three-dimensional computed tomography — implant placement precision of ±0.3 mm.

Digital impression-taking

3shape · Denmark
-

The 3Shape® TRIOS® intraoral scanner is fast, easy to use, and produces documented, accurate full-colour digital impressions with the freedom of wireless scanning.

Zirconia restorations crafted in our laboratory for All-on-4
The final zirconia structure is fabricated in our laboratory
Patient Experiences

What Patients Say About All-on-4

“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.”
Marko T. · Zagreb · 2024
“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!”
Marija K. · Slavonski Brod · 2023
“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.”
Dragan P. · Daruvar · 2024
“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.”
Danijela K. · Požega · August 2023
Happy patient after an All-on-4 procedure in Bjelovar
Result: fixed teeth that look and function like natural ones
06 — Frequently Asked Questions

Answers to your questions.

What is All-on-4 and how does it differ from conventional implants?

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.

How much does All-on-4 cost in Croatia?

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.

Can I receive fixed teeth on the same day?

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.

Do I need bone augmentation (bone grafting)?

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.

How long does the entire procedure take?

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.

Is the procedure painful?

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.

What is the difference between All-on-4 and All-on-6?

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.

How long do All-on-4 implants last?

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.

Can I smoke after the placement?

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.

Warranty and support?

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.

What if I have diabetes or other health conditions?

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.

Can I come from Zagreb or Slavonski Brod in a single day?

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.

Location and Accessibility

All-on-4 in Bjelovar — for patients from across Croatia

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).

BjelovarDaruvarPakracGarešnicaGrubišno PoljeKriževciKoprivnicaViroviticaČazmaZagrebSlavonski BrodSisakKarlovacKutina
Video Content

Watch

Placement of All-on-4 implants in the lower jaw – Same Day Smile workflow 2026

08 — Contact

Book an appointment specialist examination.

Send a brief description of your situation — you are welcome to include a question for our specialists. We respond the same day and suggest an appointment time that suits you.

Working hours
  • Mon · Tue · Thu 12:00 — 21:00
  • Wednesday 08:00 — 16:00
  • Friday 08:00 — 13:00
  • Saturday · Sunday closed
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