All-on-4 Dental Implants in Tirana — Same-Day Smile

All-on-4 is a full-arch dental implant technique that supports a complete fixed bridge of 10-14 teeth using only 4 strategically placed implants. The two posterior implants are angled at 30-45 degrees to maximise contact with available bone, often eliminating the need for bone grafting. Developed by Dr. Paulo Maló and Nobel Biocare in 1998, with 25+ years of clinical evidence.

Yes, the All-on-4 protocol enables immediate loading: a fixed provisional bridge is attached the same day as implant surgery. You leave the clinic with functional, natural-looking teeth — never without teeth during healing. The permanent zirconia bridge replaces the provisional after 4-6 months of osseointegration, during a second visit of 3-4 days at Empire Dental.

All-on-4 candidates are patients who have lost most or all teeth in an arch, currently wear an uncomfortable removable denture, have severely compromised remaining teeth, or have moderate bone loss that makes individual implants difficult. Most healthy adults qualify, including those previously told they need bone grafts. Your CBCT 3D scan determines candidacy precisely.

All-on-4 typically requires no bone graft in 80-90% of cases — its key innovation is using angled posterior implants that engage longer bone areas. For patients with severe bone resorption (especially in the upper jaw), a small bone graft or sinus lift may still be needed. The CBCT 3D scan during your consultation determines this definitively.

All-on-4 implants are designed to last a lifetime when properly maintained — titanium implants placed in healthy bone have 10-year survival rates of 97-99% in independent studies. The fixed bridge (visible teeth) typically lasts 15-25 years before needing replacement due to wear. Empire Dental offers a 5-year written guarantee covering both implants and bridge.

All-on-4 surgery takes 2-3 hours per arch under local anaesthesia (sedation available on request). The entire arch is treated in a single surgical session including any necessary tooth extractions, implant placement, and provisional bridge fitting. Most patients describe recovery as comparable to having a single wisdom tooth removed. Two visits to Tirana spaced 4-6 months apart complete the treatment.