Losing most or all of your teeth changes everything. It affects what you can eat, how clearly you speak, and how confident you feel in everyday life. For many patients in Marlow, Beaconsfield and High Wycombe, conventional dentures have offered only a partial solution — one that moves, clicks, and never quite feels secure.
All-on-4 is different. Using just four precisely placed dental implants, we can support a full arch of fixed, natural-looking teeth that are anchored into the jawbone. No adhesives. No slipping. No compromise.
At Conway House Dental Practice, All-on-4 treatment is planned and placed by GDC-registered Specialist Dentists in Oral Surgery and Restorative Dentistry — clinicians who have dedicated years of postgraduate training to implant dentistry. This is not a procedure carried out after a short course. It is specialist care, delivered to the highest clinical standard.
All-on-4 is a full-arch implant system that replaces an entire set of upper or lower teeth using only four dental implants. Two implants are placed vertically at the front of the arch; two are angled at the back, taking advantage of available bone and avoiding the need for bone grafting in many cases.
A fixed bridge — a full set of prosthetic teeth — is then secured onto these four implants. The result is stable, permanent, and designed to look and function like natural teeth. In most cases, a temporary set of teeth can be fitted on the same day as implant placement, so you leave the practice with a complete smile.
All-on-4 is life-changing for patients who have lived with failing teeth, advanced tooth loss, or ill-fitting dentures. It restores function, confidence, and quality of life in a single, coordinated course of treatment.
If you are living with significant tooth loss, failing teeth, or uncomfortable dentures, and you are looking for a permanent, specialist-placed solution in Marlow, Beaconsfield or High Wycombe, Conway House Dental Practice is here to help.
Book your All-on-4 consultation today. Our specialists will assess your suitability, explain your options clearly, and design a treatment plan built around your goals, your health, and your budget.
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This treatment is delivered by our specialist dental implant team.
View all specialist servicesDentists can refer complex implant cases to our specialists.
All-on-4 is designed for patients who are missing all or most of their teeth in one or both arches, or who have teeth that are failing and cannot be saved. It is particularly well suited to patients who:
A thorough assessment — including 3D CBCT imaging — is always carried out before treatment is recommended. We will assess your bone quality and quantity, your gum health, and your general medical history to confirm that All-on-4 is the right option for you, and to plan the procedure with precision.
In the UK, any dentist may legally place dental implants, including complex full-arch procedures, after completing only a short training course. At Conway House, we take a fundamentally different approach.
Our All-on-4 cases are led by Mr Dipesh Patel, Consultant Oral Surgeon (BDS Lond, MFDS RCS Ed, MOral Surg), and coordinated with Mr Ashok Vijayakumar, Consultant and Specialist in Restorative Dentistry (M.Pros RCS Eng, FDS RestDent RCS Eng). Together, they bring the surgical precision required for implant placement and the restorative expertise needed to design and fit the final prosthesis — a combination that delivers consistently excellent outcomes.
We use world-renowned implant systems, recognised globally, which means any dentist anywhere in the world can access the components if maintenance is ever needed in the future.
Every All-on-4 case is planned individually. The process typically follows these stages:
We begin with a detailed consultation and take 3D CBCT images of your jaw. This gives us a precise picture of your bone volume, density, and anatomy — allowing us to plan the exact position and angle of each implant before a single incision is made. You will receive a clear, itemised treatment plan with realistic timelines and costs.
If any remaining teeth need to be removed, or if gum disease is present, these issues are addressed before implant placement. Our Specialist in Periodontics, Dr Mital Patel, is closely involved where gum health requires attention — active gum disease significantly increases the risk of implant failure, and we will not proceed until the conditions are right.
On the day of surgery, four implants are placed under local anaesthetic. IV sedation is available for patients who prefer a more relaxed experience. A temporary fixed bridge is then attached, so you leave with a complete set of functional teeth on the same day. Most patients are surprised by how comfortable and straightforward the experience feels.
Over the following three to six months, the implants fuse with the jawbone through a natural process called osseointegration. During this time, you wear the temporary bridge and attend review appointments so we can monitor healing closely.
Once osseointegration is confirmed, your definitive fixed bridge is fitted. This is custom-made to match the shape, shade, and character of natural teeth — crafted with the involvement of our Specialist in Restorative Dentistry to ensure the aesthetic result is as carefully considered as the surgical outcome.
All-on-4 restorations require professional maintenance to remain healthy. We will see you for regular hygiene and check-up appointments, and guide you on how to clean effectively around your fixed bridge at home. Implants can develop peri-implantitis — a form of infection around the implant — if not properly maintained. Our team ensures you have everything you need to protect your investment long term.
All-on-4 sits within a wider ecosystem of specialist care at Conway House. Because we offer a full range of advanced dentistry in-house, your entire treatment journey — from initial preparation to final restoration and ongoing maintenance — is coordinated by one clinical team, without the need for external referrals.
Gum health is a prerequisite for successful implant treatment. Our Specialist in Periodontics, Dr Mital Patel, manages any periodontal disease prior to implant placement and monitors gum health throughout your care. Peri-implantitis — infection around the implant — is the leading cause of long-term implant failure, and specialist periodontal oversight is one of the most important safeguards against it.
Some All-on-4 patients require bone grafting, sinus lifts, or complex extractions before implants can be placed. Our Consultant Oral Surgeon, Mr Dipesh Patel, performs these procedures in-house, using advanced techniques and 3D imaging guidance. Keeping this expertise within the practice means faster, more coordinated care and a single clinical team who understands your full history.
The surgical placement of an implant is only half the story. The prosthetic restoration — the teeth that attach to the implants — must be designed and fitted with equal precision. Mr Ashok Vijayakumar, our Consultant and Specialist in Restorative Dentistry, brings a level of expertise to this stage of treatment that goes well beyond what a general dental practitioner can offer. The result is a restoration that looks, feels, and functions as it should for the long term.
For patients who are having All-on-4 in one arch and retaining some natural teeth in the other, we recommend considering professional teeth whitening before the final prosthesis is made. This allows us to match the shade of your new fixed teeth to a brightened, whitened smile — creating a seamless, natural result. We offer Enlighten and White Dental Beauty whitening systems, both dentist-supervised and clinically proven.
In some cases where patients are retaining teeth in one arch while replacing the other, orthodontic treatment may be considered to improve alignment and spacing before implant placement. We offer Invisalign and fixed braces for adults, and our team will advise you clearly on whether this is relevant to your treatment plan and, if so, what the optimal sequence of treatment would be.
The titanium implants themselves can last a lifetime with proper care. The prosthetic bridge attached to them is highly durable but may require adjustment or replacement after ten or more years, depending on wear. Regular professional maintenance is the single most important factor in long-term success.
The procedure is carried out under local anaesthetic and is typically well-tolerated. IV sedation is available for patients who prefer a deeper state of relaxation. Post-operative discomfort — some swelling and tenderness — is normal and manageable with over-the-counter painkillers. Most patients are surprised by how comfortable the experience is.
Both use implants to support a replacement arch, but the key difference is fixation. All-on-4 provides a fully fixed bridge that is permanently secured to the implants — it cannot be removed by the patient. SynCone uses a precision attachment system that allows the overdenture to be removed for cleaning, clicking firmly onto the implants for day-to-day use. Both are far more stable than conventional dentures; the right choice depends on your clinical situation and personal preference, and we will guide you through both options at your consultation.
One of the specific advantages of All-on-4 is that the angled positioning of the rear implants allows us to utilise available bone that a vertically placed implant could not reach. This means many patients who have been told they lack sufficient bone for conventional implants are still suitable for All-on-4. Where grafting is required, our Consultant Oral Surgeon performs this in-house.
The cost depends on the complexity of your case, the condition of your existing bone and gum health, and whether preparatory treatment is needed. We provide clear, itemised pricing at your consultation with no hidden costs. Flexible payment options are available, including 0% finance subject to status, to help spread the investment across a period that suits you.
Yes — restoring full chewing function is one of the primary goals of All-on-4. During the healing phase, a soft diet is recommended to protect the implants as they integrate with the bone. Once the definitive bridge is fitted, the vast majority of patients eat without restriction and describe this freedom as one of the most significant improvements to their quality of life.
