Plano, TX — Dental Implant Guide

All-on-4 Dental Implants (Malo Bridge)

All-on-4 replaces a full arch of missing or failing teeth using just four dental implants — two placed vertically at the front and two angled at the back to maximize contact with available bone. The angled placement often avoids bone grafting and allows a fixed set of teeth, with permanent prosthetics typically completed after 3-6 months of healing.

Medically reviewed by Dr. Ozayr Mahomed, DMD · Updated June 2026

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The Technique

How All-on-4 works

Instead of one implant per tooth, All-on-4 supports an entire arch on just four implants. Two are placed vertically at the front of the jaw, and two are angled at the back — a design that uses the densest available bone and avoids the sinus and nerves. That angulation is why All-on-4 often avoids bone grafting.

A fixed bridge of teeth attaches to those four implants. Most patients leave surgery day with a fixed temporary set of teeth, and the permanent prosthesis is placed after 3-6 months of healing.

All-on-4 vs. traditional implants

Implants per arch4
Bone graft usually needed?Often no
Teeth on surgery day?Usually yes
Removable?No — fixed
Time to final teeth3-6 months
Pricing

What All-on-4 costs at Innate Dental Solutions

A fixed full arch starts at $13,000 per arch, and the premium All-on-4 Malo Bridge is under $20,000 per arch — all-inclusive of surgery, sedation, and the final teeth, 40-50% below the typical Dallas price. Financing brings it to roughly $100+/month.

Severe upper-jaw bone loss? Zygomatic implants can support a fixed arch when standard All-on-4 isn't possible. A 3D scan at your free consult confirms the right approach.

Common Questions

All-on-4 Implants FAQ

How does the All-on-4 dental implant procedure work? +
Four implants are placed in each arch — two vertical at the front and two angled at the back to use the densest available bone and avoid the sinus and nerves. A fixed bridge of teeth attaches to those four implants; a temporary set often goes on the same day, with the final prosthesis after healing.
How much do All-on-4 dental implants cost in Plano? +
At Innate Dental Solutions, a fixed full arch starts at $13,000 per arch and the premium All-on-4 Malo Bridge is under $20,000 per arch — all-inclusive of surgery, sedation, and the final teeth. Financing brings it to roughly $100+/month.
Is All-on-4 permanent? +
Yes. Unlike a removable denture, the All-on-4 bridge is screwed onto the implants and only a dentist removes it. You brush it like natural teeth. The implants can last a lifetime; the bridge typically lasts many years.
Do I need a bone graft for All-on-4? +
Often no. Angling the back implants lets them anchor in available bone, which is why All-on-4 frequently avoids grafting. For severe upper-jaw bone loss, zygomatic implants are an alternative — determined by a 3D scan.
How long does All-on-4 take? +
Many patients leave the surgery day with a fixed temporary set of teeth. Osseointegration takes about 3-6 months, after which the permanent prosthesis is placed.

Sources & further reading: Prosthodontic literature on full-arch implant concepts (PMC); ADA MouthHealthy.

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