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All-on-4 Dental Implants

All-on-4 Dental Implants
in Surrey & South London

A full arch of fixed teeth supported by four implants, fitted in a single day at our Morden and Surbiton practices.

£9,950per arch · fixed, all-inclusive· 0% finance over 12 months

  • 4.9 on Google · 800+ reviews
  • Dr Jignesh Patel, GDC 81168
  • Morden & Surbiton
  • 4.9★from 800+ Google reviews
  • Since 201511 years caring for patients in Surrey and South London
  • 500+dental implants placed

What are All-on-4 dental implants?

All-on-4 dental implants replace every tooth in one jaw with a single fixed arch of teeth held on four titanium implants. The implants do the job the tooth roots used to do, the arch does the job of the teeth, and the whole thing stays in your mouth permanently — you do not take it out to clean it and you do not take it out at night. It is a treatment for people who have already lost most of an upper or lower jaw of teeth, and for people who have been told the teeth they still have cannot be saved.

It is also worth being clear about what it is not. All-on-4 is not an improved denture, and it is not a small procedure: it is oral surgery, it carries the risks any surgery carries, and the arch needs real cleaning every day for the rest of its life. What it offers in return is a set of teeth that do not move.

Why four implants is enough

Four implants can carry a full arch because of where they are put, not because the arch has been made to do less. The two at the front go in upright, into the deeper, denser bone at the front of the jaw that tends to survive longest after teeth are lost. The two at the back are tilted forwards, so that their length lies in that same solid bone rather than reaching back towards the sinus in the upper jaw or the nerve canal in the lower one.

Tilting has a second effect that matters just as much: it brings the back implants out further along the arch, widening the footprint the bridge stands on and shortening the unsupported stretch behind the last implant. Four well-spread anchor points are steadier than four bunched at the front. That geometry is also why so many people told they need a bone graft can have full mouth dental implants without one — the implants are routed into bone that is already there rather than into bone that has to be built first. Where a graft or a sinus lift is still needed, it is covered by the price rather than added to it, so the scan finding one does not change what you pay.

What the fixed arch is made of

The arch is one piece — teeth and gum together — screwed down onto the implants through small access holes that are then filled in, so nothing shows. You will have two of them over the course of treatment. The temporary arch is fitted on the day of surgery and is usually a hard-wearing acrylic, built to look right and to let you talk normally straight away rather than to stand up to heavy chewing — which is why the food advice during healing matters.

The final arch is made once the implants have integrated and is a more substantial piece of work: commonly acrylic teeth on a metal framework, or a solid zirconia arch, chosen with you according to your bite and whether you grind your teeth. Because it is screwed rather than cemented, it can be unscrewed years later so everything underneath can be cleaned and inspected, then refitted. That access is a real long-term advantage, and the reason maintenance appointments are worth keeping.

How All-on-4 differs from full arch implants placed one at a time

Conventional full arch implants rebuild the jaw in sections, on six, eight or more implants carrying separate bridges or crowns. Where the bone at the back has shrunk, those back implants usually need grafting or a sinus lift first, which adds months of waiting and a second surgical procedure. All-on-4 sidesteps most of that by angling the back implants, and compresses the surgical side of treatment into one appointment that ends with teeth in a day — implants placed and a fixed temporary arch attached before you go home.

The trade-off is worth knowing before you choose. With individual full arch implants a single crown can be replaced on its own; with All-on-4 the arch is one unit, so a chip or a repair usually means the whole arch comes off, goes to the laboratory and comes back. Where there is plenty of bone, or where you would rather have teeth restored in separate sections, conventional implant treatment can still be the better answer. Your CT scan and your priorities decide it, and we will say so if All-on-4 is not the right route for you.

All-on-4 results from our patients

Genuine, unretouched photographs of ConfiDental Clinic patients, published with their written consent.

After treatment
Before treatment
Upper arch, failing front teeth
A missing upper front tooth with heavy decay and old fillings in the teeth either side. Treated with a fixed upper arch; the patient's own lower teeth were kept.

Actual ConfiDental patient · individual results vary

After treatment
Before treatment
Both arches, advanced gum disease
Long-standing gum disease with receded gums, heavy tartar and teeth that had drifted apart. Treated with fixed upper and lower arches.

Actual ConfiDental patient · individual results vary

After treatment
Before treatment
Both arches, worn and decayed teeth
Worn, discoloured teeth with decay at the gum line. Treated with fixed upper and lower arches, shown here in a natural smile.

Actual ConfiDental patient · individual results vary

Hear it from our All-on-4 patients

Short, unscripted videos recorded by patients who have had a full arch of teeth replaced.

Filmed with each patient’s permission. Every mouth is different and results vary from person to person.

How All-on-4 works, from first visit to final teeth

Teeth in a day is real, but it is one stage of a longer process. Here is the whole thing, honestly.

  1. Free consultation and assessment

    Day 1 · about 45 minutes

    We examine your mouth and remaining teeth, talk through what you want to be able to eat and how you want to look, and tell you honestly whether All-on-4 is the right answer for you.

  2. 3D CT scan and digital planning

    Within 1–2 weeks

    A CT scan shows exactly how much bone you have and where it is. We plan the position and angle of each implant digitally before you come in for surgery, so nothing is decided on the day.

  3. Extractions, if any are needed

    Same appointment as surgery

    Any failing teeth on the arch being treated are removed at the start of the surgical appointment, under local anaesthetic.

  4. Four implants placed and a fixed temporary arch fitted

    Surgery day · 3–5 hours

    Four implants are placed, two upright at the front and two angled at the back to use the bone you already have. A fixed temporary arch is attached the same day, so you go home with teeth.

  5. Healing and review

    3–6 months

    The implants fuse with your jawbone. You wear the temporary arch throughout and come in for periodic reviews. Most people are back to normal daily life within a week or two.

  6. Your final fixed arch

    After integration

    Once the implants have integrated we take final impressions and fit your permanent arch, made to the shape, shade and bite we agreed with you.

Who will treat you

Dr Jignesh Patel, Implant Surgeon at ConfiDental Clinic

Dr Jignesh Patel

Implant Surgeon

Dr Jignesh Patel qualified as a dentist from King’s College London in 2002 and went on to complete a Diploma in Implant Dentistry at the Royal College of Surgeons of England in 2012. He has spent over 15 years placing dental implants, with a particular interest in full-arch rehabilitation, including cases that involve bone grafts and sinus lifts.

For patients considering All-on-4, Dr Patel carries out every assessment himself, using a 3D CT scan to plan the position of each implant before any surgery takes place. He takes the time to explain what is realistic for your own mouth and bone levels, and will tell you plainly if a different approach, such as grafting, would serve you better. Dr Patel treats patients at both the Morden and Surbiton practices.

  • GDC No. 81168
  • Over 15 years placing dental implants
  • BDS, King's College London (2002)
  • Diploma in Implant Dentistry, Royal College of Surgeons of England (2012)
  • Places All-on-4 at ConfiDental Clinic Morden and Surbiton
Read Dr Jignesh Patel’s full profile →

Am I suitable for All-on-4?

Usually suitable

You have lost, or are about to lose, most teeth in an arch

All-on-4 is designed for exactly this situation. If teeth are failing but still present, they can be removed on the day the implants are placed.

Usually suitable

You have some bone loss

The two back implants are angled specifically to make use of bone that is still there, which is why many people who were told they needed grafting can have All-on-4 without it.

Depends

You have severe bone loss

If there is very little bone left, All-on-4 alone may not be enough. Bone grafting or zygomatic implants may be the better route, and the CT scan tells us which.

Depends

You have gum disease

Active gum disease has to be brought under control before implants go in. That is treatable, and it is a delay rather than a refusal.

Depends

You smoke

Smoking raises the risk of an implant failing to integrate and of later problems. We will not refuse to treat you, but we will be straight with you about the higher risk and ask you to stop, at least around the surgery.

Usually suitable

You already wear dentures

Long-term denture wearers are among the people who notice the biggest difference, because a fixed arch does not move when you eat or speak.

Usually suitable

You are older

There is no upper age limit. What matters is your general health and whether you can manage the surgery, not the number on your birth certificate.

Depends

You have a health condition such as diabetes

Well-controlled conditions are usually not a barrier. We will ask about your medical history and, where it helps, speak to your GP before proceeding.

What our implant patients say

Genuine reviews left on Google by patients Dr Patel has treated. Quotes are excerpted; nothing is reworded.

Went for full upper dental implants. Jignesh really looked after me right from first assessment. For implants I highly recommend ConfiDental.

Nick PFull upper arch implantsvia Google

If you're looking for a genuinely caring, friendly, outstanding dentist to do your implant then look no further than Dr Jignesh Patel. I received my treatment from him mainly at the [Morden] branch and once at the Surbiton branch… I was very nervous and he reassured and advised me well both pre and post operation. Thank you so much for doing such an outstanding job at helping me to confidently smile again!

Madame MunozDental implants · Morden · January 2025via Google

If you are looking to have a tooth implant I would highly recommend Jig Patel. My experience, from the start to the finish of the process, has been one of professional, personalised treatment resulting in a successful quality result I'm extremely pleased with.

Susanna SomovillaTooth implant · September 2023via Google

I can't praise ConfiDental highly enough. The staff are lovely… He explains everything clearly and my treatment has been first class.

Linda BDental implantsvia Google

Excellent service for my treatment involving extraction and implant.

Anna HolmesExtraction and implant · August 2024via Google

These are individual patients describing their own experience. Every mouth is different and results vary from person to person.

All-on-4 pricing and finance

These are fixed prices, not starting figures. Bone grafting and sinus lifts are inside them, so needing one does not change what you pay. You will get a written quote at your consultation before you commit to anything.

One arch (upper or lower)

£9,950

A full arch of fixed teeth on four implants

Both arches (full mouth)

£18,950

Upper and lower treated together

What the price includes

  • Consultation and full implant assessment
  • 3D CT scan and digital treatment planning
  • Any extractions required on the treated arch
  • Bone grafting or a sinus lift, if you turn out to need one
  • Four dental implants placed under local anaesthetic
  • A fixed temporary arch fitted the same day
  • The final fixed arch once healing is complete
  • All review appointments during treatment

What is charged separately

  • IV sedation, if you choose it
  • Treatment on the opposing arch
  • Routine hygienist maintenance after treatment

Spreading the cost

Spread over 12 months or less it is interest-free — you repay exactly what the treatment costs, so one arch is £829.17 a month. Longer terms of up to 60 months are available with interest added.

Try any amount and term to see what you would repay.

Representative example

Cash price £9,950. Amount of credit £9,950, repayable over 12 monthly instalments of £829.17. Total amount payable £9,950. Rate of interest 0% fixed. 0% APR representative.

Credit is subject to status and an affordability check. You will receive a written quote before agreeing to anything.

Frequently Asked Questions

How much do All-on-4 dental implants cost in the UK?

At ConfiDental Clinic, All-on-4 is £9,950 for one arch and £18,950 for both arches. That is a fixed price rather than a starting figure — what we quote is what you pay. It covers your consultation, CT scan, any extractions on the treated arch, bone grafting or a sinus lift if you turn out to need one, the four implants, a fixed temporary arch fitted the same day, and the final fixed arch. Only three things are charged separately, and our cost breakdown names them.

Can I really get teeth in a day?

Yes. In most cases a fixed temporary arch is fitted on the same day the implants are placed, so you leave with teeth. The final, permanent arch is fitted once the implants have integrated with the bone, usually after three to six months.

Does getting All-on-4 implants hurt?

The surgery is carried out under local anaesthetic, so you should feel pressure and movement but not pain. Afterwards, most people describe soreness and swelling rather than severe pain, and manage on ordinary painkillers. Sedation can be added if you are anxious. Our treatment process page sets out recovery day by day.

How long do All-on-4 implants last?

The implants themselves are intended to last for decades, and published survival figures for full-arch implants are high. The arch fitted on top is a wearing part and may need repair or replacement over the years. No implant can be guaranteed. Our FAQ page explains what shortens and what extends their life.

Am I too old for All-on-4 implants?

There is no upper age limit. What matters is your general health, whether any medical conditions are well controlled, and whether you can manage a few hours of surgery — not the number on your birth certificate. Our suitability page runs through the eight factors we actually assess.

Can I have All-on-4 if I have been told I need a bone graft?

Often, yes. The two back implants are placed at an angle so they anchor into bone you still have, which is why many people told they needed grafting can avoid it. If your scan does show you need grafting or a sinus lift to make All-on-4 possible, it is inside the £9,950 fee rather than added to it. Severe bone loss is a different matter and may need another approach altogether. A 3D CT scan settles the question.

Are All-on-4 teeth removable?

No. The arch is fixed to the implants and only your dentist can take it off, using instruments, at a maintenance appointment. You do not remove it at night the way you would a denture. Our comparison with dentures explains what that difference means day to day.

How do I clean All-on-4 implants?

You brush the arch twice a day as you would natural teeth, and clean underneath it every day with a water flosser and interdental brushes, because plaque gathers between the arch and the gum. You will also need regular hygienist visits. Our aftercare FAQs set out the full routine.

What can I eat with All-on-4 implants?

Once healing is complete most people eat normally again, including foods that dentures made difficult. During the months while the implants integrate you keep to softer foods and avoid biting hard things with the temporary arch. Our treatment process page explains what to eat at each stage.

What happens if an All-on-4 implant fails?

In most cases the arch can still be saved. If one implant does not integrate it is usually removed, the site is left to heal, and a replacement is placed, often in a slightly different position. Failure is uncommon but it does happen, and we say so before you start. Our FAQ page covers it properly.

Where we place All-on-4 implants

All-on-4 treatment is carried out at our Morden and Surbiton practices, which are equipped for implant surgery.

ConfiDental Clinic Morden

245 Saint Helier Avenue, Morden, SM4 6JH

020 8648 2600

About our Morden practice →

ConfiDental Clinic Surbiton

359 Ewell Rd, Tolworth, Surbiton, KT6 7BZ

020 8399 1291

About our Surbiton practice →

We treat All-on-4 patients travelling from Sutton, Cheam, Carshalton, Wallington, Worcester Park, Epsom, Chessington and Kingston upon Thames. If our Purley practice is closer to you, the team there can arrange your consultation and refer you for treatment.

Book your free All-on-4 consultation

Come in for an assessment with no obligation. We will examine your mouth, take a 3D scan where it is needed, explain what All-on-4 would involve for you, and give you a written quote before you decide anything.