Short answer: yes, there are trade‑offs. All‑on‑4 can be life‑changing, but it is still surgery and a full‑arch prosthesis. Here is the clear, honest rundown from our team at Aria Dental Implant Center in Phoenix.
The Main Drawbacks to Consider
- It is a surgical procedure.
Expect a few days of swelling and soreness. Rare risks include infection, sinus irritation on uppers, or nerve issues on lowers. We lower these risks with 3D imaging and guided planning, but surgery always carries some uncertainty. - Healing diet and speech changes.
For the first weeks, you will follow a softer diet while the implants integrate. Some patients notice a temporary lisp or extra saliva. We tune your bite and speech during follow‑ups so it improves. - Hygiene must be meticulous.
Implants do not get cavities, but the gums around them can get inflamed if plaque sits there. Daily water‑flossing, brushing under the bridge, and routine cleanings are critical. - If one implant fails early, the whole bridge is affected.
Because the teeth are connected, losing an implant can mean extra visits or a revision. Careful planning helps prevent this, yet it remains a possibility with any full‑arch system. - Tooth count is usually fewer than natural teeth.
Most arches are designed from first molar to first molar. You may not get second molars, which slightly shortens the chewing surface, although function for daily meals is still excellent. - Cost compared with dentures.
All‑on‑4 costs more than a removable denture. At our practice the All‑on‑4 treatment starts at a very afforadable cost per arch, and we review total costs up front. - Insurance limitations.
Many plans offer little or no implant coverage. Our center is a fee‑for‑service practice, and we do not accept insurance, although we do offer third‑party financing.
Who Might Not Be a Good Candidate
Heavy smoking, uncontrolled diabetes, or untreated gum disease raise the risk of complications. Very soft or limited bone may need grafting or a different plan, such as additional implants. We evaluate this with a complimentary 3D CT scan and consultation before we recommend anything.
How We Lower These Risks at Aria
- Experienced surgical team.
Dr. Joe Mehranfar has treated 2,500+ full‑arch cases and 1,500+ All‑on‑4 arches, and he lectures internationally on this treatment and digital workflows. Experience matters when planning bite forces and implant position. - In‑house digital lab control.
Our seven‑person lab uses photogrammetry, facial scanning, 3D printing, mills, and guided surgery to fine‑tune fit and strength. Faster adjustments and fewer remakes help reduce headaches for patients. - Guided, transparent process.
We tour you through our center, explain pros and cons in plain language, and help you choose the plan that fits your health and budget. - Sedation options and supportive follow‑up.
Sedation can make the surgical day more comfortable. Our team checks healing, polishes your bite, and teaches home care that protects your investment. - Center of Excellence.
We are recognized as an All‑on‑4 Center of Excellence by Nobel Biocare, which reflects training, outcomes, and systems dedicated to full‑arch care.
Bottom Line
All‑on‑4 has huge benefits, yet it is important to know the downsides. The right case selection, precise planning, and careful maintenance make the difference between a good result and a great one. We are here to give you a clear picture and a custom plan.
Next step: Book your free 3D CT consult, ask every question on your list, and leave with a written plan and itemized fees. Call (602) 877‑0429 or visit us in Phoenix. We speak English, Spanish, Arabic, and Farsi.
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