All On 5by Dr Jimenez Book a consultation
01 Full Arch
Reconstruction
All full-arch protocols
02 Cosmetic
Restoration
All cosmetic restoration
Full Arch Reconstruction

All on 4,
Dental Treatment

Surgery performed by:
Dr Jose Jimenez DDSHarvard trained surgeon
Treatment type:
Four implants per arch
Provisional
Screw-Retained
Permanent Bridge
3 Months Later

By Salvador Frutos - Clinically reviewed by Dr. José Jiménez - Last reviewed 18 May 2026

Bridge Material

Types of
Permanent Teeth.

Close view of an older layered ceramic bridge over a darker support structure.
Lower-cost compromise

Porcelain

Porcelain lowers the upfront fee, but it sacrifices cosmetics and reliability. Expect more maintenance, slower repairs and a reduced warranty path.

Best for
Patients prioritizing initial price over appearance and durability
Watch
Reduced warranty, prolonged maintenance, chipping, stain retention
Provisionals
Screw-retained Provisionals included.
Metal type
Titanium bar (lifetime warranty)
Implants
Nobel, Straumann or Hiossen (lifetime warranty)
Close view of a white monolithic zirconia-style bridge surface.
Not true screw-retained

Zirconia

Zirconia is often marketed as screw-retained, but the trick is usually screw chimneys with abutments bonded or cemented into the brittle ceramic. That weakens the bridge.

Best for
Rare cases with proven support and full disclosure
Watch
Chimneys, bonded abutments, torque cracks, fake opacity
Provisionals
Screw-retained Provisionals included.
Metal type
Titanium bar (lifetime warranty)
Implants
Nobel, Straumann or Hiossen (lifetime warranty)
PMMA full-arch bridge shown above a titanium bar support.
Preferred tested route

PMMA

This is the option our patients keep choosing. It is screw-retained, lighter, more cosmetic, repairable and more forgiving when the bite is tested in real life.

Best for
Real teeth look, comfort, repairability, maintenance access
Watch
Wear, hygiene, service visits, planned replacement window
Provisionals
Screw-retained Provisionals included.
Metal type
Titanium bar (lifetime warranty)
Implants
Nobel, Straumann or Hiossen (lifetime warranty)
Porcelain All on 4 bridge with ceramic teeth and implant screw access.
Posts4 Titanium Posts
Bar1 Titanium Bar
TeethPorcelain Teeth
Porcelain All on 4

All-On-4
Porcelain.

Porcelain is the less-expensive option, but the savings come with a tradeoff: weaker cosmetics, lower reliability, prolonged maintenance and a reduced warranty.

What it is Ceramic over support.

A porcelain tooth surface layered over a metal or reinforced framework, then fixed to implant components.

Only when Price is the driver.

It belongs in limited cases where the patient accepts the cosmetic sacrifice, repair delays and reduced warranty before treatment starts.

Main limitation Maintenance can become prolonged.

Small chips may polish or patch. Larger fractures, rough repairs or discoloration around aged surfaces can mean removing the bridge and waiting on lab work.

Risk check Warranty coverage.

Titanium bar: lifetime warranty.
Implants: lifetime warranty, except smokers and periodontal disease cases.
Porcelain teeth: 5 years.

Treatment cost $5,000 USD per arch
Payment terms
  • $500 deposit
  • 50% upfront
  • 50% minus deposit paid upon completion
  • All electronic/check payments require a 3.8% surcharge.
Included
  • 4 titanium posts
  • 1 titanium bar
  • Shuttle service
  • Room for 3 days (both trips)
  • 3 meals per day
Clarify before deposit

Cost may vary if the patient requires more than 4 implants, or if an additional trip is required as a result of severe bone loss reconstruction surgery.

Zirconia All on 4

All-On-4
Zirconia.

Zirconia is often sold as screw-retained, but the detail matters: a screw-access hole is not the same as a true screw-retained material connection. In many cases, abutments or titanium bases are bonded or cemented into zirconia, then a screw is driven through a chimney.

What it is Rigid ceramic with chimneys.

The access holes make the case look screw-retained, but the zirconia is usually relying on bonded or cemented abutments inside the bridge.

Only when The connection is disclosed.

Patients should know whether the bridge is truly screw-retained or whether the abutments are cemented or bonded into zirconia.

Main limitation Chimneys weaken the material.

Cutting screw paths through brittle zirconia concentrates stress. Torque, bite force or fit errors can turn those areas into cracks or repair problems.

Risk check Warranty coverage.

Titanium bar: lifetime warranty.
Implants: lifetime warranty, except smokers and periodontal disease cases.
Zirconia teeth: 10 years.

Treatment cost $6,000 USD per arch
Payment terms
  • $500 deposit
  • 50% upfront
  • 50% minus deposit paid upon completion
Included
  • 4 titanium posts
  • 1 titanium bar
  • Shuttle service
  • Room for 3 days (both trips)
  • 3 meals per day
Clarify before deposit

Cost may vary if the patient requires more than 4 implants, or if an additional trip is required as a result of severe bone loss reconstruction surgery.

Zirconia All on 4 bridge with white monolithic ceramic teeth and implant screw access.
LookCan look opaque or fake
FeelHeavy, rigid bite
ConnectionChimney + bonded abutment
PMMA screw-retained upper arch provisional bridge with four visible screw access holes.
LookNatural acrylic finish
FeelLighter, softer impact
RepairFastest path to adjust
Preferred Balance / PMMA Screw-Retained

All-On-4
PMMA.

This is the option we want most patients to understand first. After 200+ full-arch outcomes, PMMA screw-retained keeps winning because patients love the look, the comfort and the way it can be serviced.

What it is Screw-retained PMMA bridge.

A milled PMMA full-arch bridge fixed to implant components through screw channels, so the dentist can remove it when needed.

Why patients choose it Cosmetics and comfort.

PMMA can make even the provisional stage look like real teeth, while staying lighter, quieter and easier to adjust than ceramic.

Why it is practical Problems stay serviceable.

Wear, stains, tooth changes or bite corrections can usually be handled with a clearer service path than brittle ceramic fracture.

Risk check Warranty coverage.

Titanium bar: lifetime warranty.
Implants: lifetime warranty, except smokers and periodontal disease cases.
PMMA screw-retained teeth: 15 years.

Treatment cost $8,000 USD per arch
Payment terms
  • $500 deposit
  • 50% upfront
  • 50% minus deposit paid upon completion
Included
  • 4 titanium posts
  • 1 titanium bar
  • Shuttle service
  • Room for 3 days (both trips)
  • 3 meals per day
Clarify before deposit

Cost may vary if the patient requires more than 4 implants, or if an additional trip is required as a result of severe bone loss reconstruction surgery.

Fixed Provisional Teeth

Your
Provisionals.

You will receive your non-removable, fully screw-retained provisionals during your first 3-day visit.

PMMA screw-retained provisional arch with titanium bar support.
01 / Material Lightweight milled PMMA.

PMMA keeps the provisional bridge lighter than ceramic while titanium cylinders create the screw-retained connection to the implants.

02 / Load control Even load distribution.

Implant stability decides whether the bridge can be loaded. The bite is adjusted so pressure is shared across the arch, not concentrated.

03 / Patient rules Diet & Hygiene mandatory.

Soft food, cleaning, bite checks and follow-up visits protect the implants.

04 / What changes later Designed to last 3-6 months.

While your provisionals are beautiful and screw-retained, they are not meant to withstand normal biting and chewing forces.

If immediate loading is not safe

If you suffer from periodontal disease or have severe bone recession, provisionals may not be provided.

Treatment Process

Treatment Process

Two 3-day trips, about 3 months apart.

Visit 1 / Surgery + fixed provisional

First 3-day visit

  1. Day 1 Scan, records, final plan

    Xray / CT-scan, photos, bite records, medical review, final implant count and consent before surgery.

  2. Day 2 Surgery

    Extractions if needed, implant placement, multi-unit abutments and records for the fixed provisional bridge.

  3. Day 3 Fixed provisional + travel check

    Provisional fit and polish, bite adjustment, cleaning instructions, medication review and soft-food plan.

Visit 2 / Permanent bridge

Second 3-day visit

  1. Day 1 Healing check + final records

    Tissue and implant review, new bite record, final material confirmation, shade review and bridge design.

  2. Day 2 Try-in + adjustments

    Verify smile line, fit, speech, bite, screw-access position and any lab correction before final delivery.

  3. Day 3 Permanent bridge delivery

    Final bridge is torqued in, screw channels are sealed, bite is balanced and maintenance schedule is reviewed.

Decision Gates

Your diagnosis dictates eligibility.

01Bone map

Enough support for four implants.

02Infection control

Remove the problem before building on it.

03Bite force

Grinding and jaw force change the design.

04Implant stability

Determines how the provisional is loaded.

05Cleaning access

If you cannot clean it, it is not finished.

Proof Slots

This is where credibility
beats a cheaper quote.

Before / after case
Replace with a real full-arch case and timeline.
CT planning
Show the scan-based plan.
Implant brand
Name the system used.
Lab workflow
Show how the bridge is made.
Warranty terms
Explain what is covered.
Clinical Guardrails

Evidence should support the page.
It should not bury the patient.

All on 4 can work well in selected full-arch cases. The serious part is selection, planning, hygiene, maintenance and knowing when four implants are not the best plan.

View source notes
  1. Maló P, de Araújo Nobre M, Lopes A, Francischone C, Rigolizzo M. Medium and long-term outcomes for the All-on-4 immediate-function concept. PubMed
  2. Figueiredo CE, de Oliveira NE, Cassimiro G, et al. Overview of systematic reviews for edentulous jaw rehabilitation using the All-on-Four concept. PubMed
  3. Agliardi EL, Pozzi A, Romeo D, Del Fabbro M. Full-arch immediate fixed prostheses supported by two axial and two tilted implants. PubMed
Authorship & Editorial Review - 08

Who wrote this,
and who checked it.

This section shows who created and reviewed the guidance, plus the responsible clinic record used for layout review. Credential details should be verified before indexing.

First published 18 May 2026
Last reviewed 18 May 2026
Next scheduled review May 2027
Authored by Salvador
Frutos Responsible for page structure, patient-facing treatment clarity and editorial presentation.
Clinically reviewed by Dr. José
Jiménez Specialist in Oral Surgery & Implantology. Reviewer for surgical indications, anatomy, immediate loading and implant-risk language. Dental licence: pending verification Specialty record: pending verification Registration jurisdiction: Baja California, Mexico
Responsible clinic record All On 5
by Dr Jimenez
Clinic C. Alamo 303, 21970 Vicente Guerrero, B.C., Mexico
Legal entity All On 5 by Dr Jimenez
Clinic record pending verification
Registration Clinic record: pending verification
Health authority: pending verification
Contact WhatsApp: 928 450 0370
928 450 0370
Next Step

Send the scan.
Get the plan.
Then compare clearly.

The consultation should answer the full sequence: treatment, timing, provisional teeth, permanent bridge, maintenance and price. A clinician reviews each case before treatment is accepted. Quotes remain provisional until diagnosis, records and consent are complete.

Request a consultation Return to treatments