If you are considering All‑on‑4, you are likely wondering how many teeth you actually get. Here is the short, honest answer from our team at Aria Dental Implant Center in Phoenix.
Quick Answer
Most All‑on‑4 full‑arch restorations include 12 teeth per arch. Some patients receive 10–12 teeth on one arch and 12–14 teeth on the other, depending on jaw size, bite, and smile goals. In other words, if you treat both arches, you will usually end up with 24 teeth total, not counting wisdom teeth.
Why the Number Changes
We design every smile to fit your mouth, not a template. The final tooth count depends on:
- Your jaw size and bite
Wider jaws can often support 14 teeth. Smaller jaws may be best with 10–12 to keep forces balanced. - Bone and implant position
The angle and placement of the four implants guide how far back we can safely extend teeth. - Material choice
PMMA, titanium‑reinforced hybrids, or zirconia each have different strength and space needs. - Speech and smile line
We test your speaking sounds and smile display so your teeth look natural and feel comfortable.
Our goal is to give you enough back teeth for strong chewing while protecting the implants from overload. That is why you will often hear “first molar to first molar” as the sweet spot, which equals 12 teeth.
Why Not Replace Every Tooth?
Adult mouths can have up to 16 teeth per arch with wisdom teeth. We almost never replace wisdom teeth and we often do not add second molars. Skipping those very back teeth reduces stress on the implants, makes hygiene easier, and still gives you great chewing power.
Upper vs. Lower: Is the Count the Same?
Often, upper arches allow 12 teeth and lower arches may use 10–12. This helps keep your bite even and protects the implants during healing. Once everything is stable, some patients qualify for a 12–14‑tooth final, depending on space and force analysis.
What to Expect at Aria Dental Implant Center
You will start with a complimentary 3D CT scan and consultation, so we can map bone, plan implant angles, and show you a digital preview of tooth count and smile shape.
You are in experienced hands. Dr. Joe Mehranfar has treated 2,500+ full‑arch cases and 1,500+ All‑on‑4 arches, and he lectures internationally on All‑on‑4 and digital workflows.
We are also proud to be a Nobel Biocare All‑on‑4® Center of Excellence, and we build your smile in our in‑house digital lab so quality and timelines stay in our control.
Transparent pricing matters too. Our All‑on‑4® treatment is priced fully transparently, and we review every option before you decide.
FAQ
Do All‑on‑4 teeth come out?
No. They are a fixed full‑arch bridge that only a dentist can remove for maintenance.
Will 12 teeth let me chew steak and raw veggies?
Yes. With proper design and bite balance, 12‑tooth arches offer strong function for daily meals. We fine‑tune your bite at follow‑ups so chewing feels natural.
Do I get the final teeth right away?
You leave surgery with a fixed healing bridge that looks like a full smile. After healing, we make your final bridge with your ideal tooth count and shape (this is where small changes, like going from 10 to 12 teeth, may happen based on how you heal).
Next Step
Curious what your exact tooth count would be? Book your free 3D CT visit. We will scan, design, and show you a custom plan in plain language. Call (602) 877‑0429 to schedule.
Read More >> Are There Any Downsides of All‑on‑4 Dental Implants?