Posted by in Blog, Featured Articles | 7 comments

Over five years ago, I became highly interested in helping patients who came to me crying because no one was offering them hope of an easy, fully functional solution for their terminal dentitions. Just as heart-tugging were the desires of those who were already suffering from full edentulism.

Many implant surgeons were and many continue to be skeptical about the efficacy of full arch immediate function fixed restorations supported by angled implants, but I decided to learn about them, do them, and stay in conversation with colleagues who were and are doing them.

I am happy to report we are seeing very few complications among our patients, many of whom are now five years post-operative, and these patients are reporting continued high satisfaction with quality of life improvements consistent with that reported in the literature.

It wasn’t that long ago that a young woman with terminal dentition came to me in tears, afraid I would turn her away without a solution. During the consult she begged to begin implant reconstruction that would not involve a lengthy process of bone grafting and multi-staged procedures.

Although I am convinced the All-on-4 procedure provides a life-changing graftless solution for many edentulous patients, I am a strong advocate for educating patients about all of their treatment options during the consultation process.  I took the time to educate her about her options, and she chose the All-on-4 procedure because it was the only procedure that allowed her to avoid wearing a denture while her implants were healing. She was thrilled with the results and effusive with gratitude.

It means so much to patients like her to have immediate function and normal appearance that I have found these cases very fulfilling. And the costs of All-on-4 implant restoration are reduced, providing a full arch fixed restoration option that is simple and more affordable than other treatment options and consistent with Dr. Brånemarks vision for future care in implant dentistry.

I’ve written this before and it is worth writing again. Clinicians must be able to perform a focused patient evaluation early in the consultation to quickly determine if an immediate load fixed implant restoration is a viable option or if several procedures will be required to satisfy the patient’s treatment goals. The All-on-4 procedure is not viable for every patient who might desire it. But the “All-on-4-or-More” treatment concept is a viable option with predictable results for many patients who might not ever proceed with other lengthy treatment protocols or procedures that require wearing a temporary denture.

The advantages of being able to quickly determine and inform your patients about the feasibility of providing the treatment that they desire include:

  • An exponential increase in patient acceptance,
  • Avoidance of costly and time consuming diagnostic procedures, and
  • Tremendous practice growth as patients perceive you as an expert and go out of their way to refer their friends and colleagues.

There is a great demand among patients for All-on-4 graftless solutions, and this presents a special opportunity for doctors to continue developing a dental implant practice and expand capabilities to treat edentulous and near terminal dentitions.

At Sclar Center, we held an All-on-4® Immediate Function Course two weeks ago for 16 doctors. This was a comprehensive course, teaching the surgical, restorative, and lab techniques required to put the procedure into practice.

I’d like to share with you a few comments we have been receiving and invite you to consider attending one of the next sessions of this course (May 19-21, 2013 or November 17-19, 2013). We’ve posted a couple of video clips from the course on the SCLAR CENTER Facebook page. Click here for the brochure.

 “This course gave me great knowledge of the principles of Immediate Loading with hands-on experience.  Highly recommend it!!”  Dr. Edgar Pichardo

 ”The ability to witness live surgery was invaluable.  Questions asked and answered in real time.”  Dr. Phill McIver

 ”An absolute must for GP’s and Surgeons, as well as their Lab person for seamless delivery of a complex All-on-4 procedure.  WELL worth the trip!”  Dr. Stuart Youman

 ”I had been looking for an “All-on-4″ course to take.  When I saw that Dr. Sclar was doing one I knew it was the course to take.  I was not disappointed.  He’s always very thorough and organized.”  Dr. Richard Benninger

“One of the best courses I have taken.”  Dr. Michael Kolodychak

A doctor who took the course called to tell us he had a patient accept an All-on-4® treatment plan last week!

We had a great three days. Students were excited and confident they could go back home and do an
All-on-4®. Thanks for the support!

UPDATE: The 2013 sessions of this course have filled. We will repeat the course on April 6-8 and September 28-30 of 2014.   Participation will be limited. Seats will fill early. A deposit of $1,500 will hold your seat. Details and registration for the course may be found on


  1. November 6, 2012

    I have been involved with the use of All on 4 therapy for the past 3 years and it has been a great treatment for many of my patients. I have seen some prosthetic complications which related to implant placement but over time these have been extremely rare. The prosthetic dental aspects of these procedures is in my opinion the most important aspect of the treatment. Designing excellent immediate dentures that can be converted into the immediate fixed hybrids(fixed dentures)is crucial to obtaining a great result. The initial occlusion must be stable and distributed throughout the implant areas so that there is not over stress on the immediate implants. I am a Prosthodontist as well as the surgeon for my cases and I spend a lot of time planning the prosthetic aspects of the case to insure the best success. Obviously the surgery needs to be properly performed but in my opinion making sure that you do an adequate alveoloplasty and evaluating the smile line etc is the areas that most be understood to get the best result.

  2. November 7, 2012

    Tony, great work. I attended one of your courses at the univ on MI about 20 years ago and knew you would be one of the leaders of OMS in implants at that time. I too, have had good results with all on 4 or more with about a dozen cases so far. Good luck in the future. What is Lou Clarizio up to these days?
    Rich Panek

  3. November 13, 2012

    It’s a nice post, really good to feel that people got relive and doing well now after getting the all on 4 treatment. It’s a good post for those people who are suffering dental problems and scared of visiting dentist.

  4. April 20, 2013

    I look forward to the next course. I will not miss it!

  5. April 24, 2013

    Nice article, good dentist are those who have long term patients for dental treatment & they want to come again if having any dental problem.

  6. June 18, 2013

    With the help of all on 4 dental implant procedure, the patient can easily replace loose fitting dentures. All on 4 implants provide a fixed and stable denture. Therefore, with the help of this treatment procedure, patient can get a full set of non-removal, replacement teeth.

  7. August 2, 2013

    Hello there! This article couldn’t be written any better! Reading through this article reminds me of my previous roommate! He always kept preaching about this. I am going to send this information to him. Pretty sure he’s going to have a great read.
    I appreciate you for sharing!

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