Fixed Teeth in One Day Munich – All-on-4

You are a good candidate if one of these applies to you:

• You have no teeth in your upper or lower jaw and wear a full denture you are unhappy with.
• Your remaining teeth are loosened by periodontitis or so badly damaged that saving them no longer makes sense.
• Your jawbone has shrunk, and conventional implants would only be possible with extensive bone grafting.
• You want as few procedures as possible and no months-long phase without fixed teeth.

When we look more closely

Some factors do not rule out All-on-4 in principle but increase the risk. We discuss them openly and, where needed, coordinate with your GP or specialist:

• Smoking reduces blood flow and increases the risk of healing problems and later inflammation around the implant. Pausing before and after surgery, or stopping altogether, clearly improves your chances.
• Diabetes is not a reason to exclude you if your blood sugar is well controlled. Poorly controlled diabetes slows wound healing.
• Bisphosphonates or denosumab (medication for osteoporosis or bone metastases) can increase the risk of jaw osteonecrosis. The drug, dose and duration matter; an individual assessment is essential.
• Radiotherapy to the head and neck, untreated periodontitis and severely limited oral hygiene must be taken into account before planning.
• Extreme bone loss in the upper jaw: in individual cases there is not enough bone even for angled implants. Alternatives such as a sinus lift or special implant types may then be considered, which we discuss with you or refer to specialised colleagues.

For a first assessment in two minutes, try our All-on-4 suitability check.

From the first consultation to the finished bridge usually takes four to seven months. You have fixed teeth from the day of surgery onwards.

Many people who choose fixed teeth in one day have avoided the dentist for a long time, often out of fear. The procedure takes several hours, so we offer three levels:

• Nitrous oxide: relaxed but awake and responsive. Better suited to shorter stages.
• Twilight sedation: you sleep lightly, breathe on your own and barely remember the treatment afterwards.
• General anaesthesia: you are completely unaware. A specialist anaesthetist monitors you throughout the procedure at our practice.

For the several-hour operation most patients choose twilight sedation or general anaesthesia. If anxiety plays a big role for you, our page for anxious patients explains how we approach the first conversation and the treatment day.

The first weeks

• Soft diet: for the first six to eight weeks, eat foods you can mash with your tongue or a fork: soups, scrambled eggs, fish, mashed potatoes, cooked vegetables, yoghurt. Hard, chewy or crunchy foods (bread crust, nuts, steak) wait until healing is complete.
• Cooling during the first 48 hours, with breaks; keep your head slightly raised when sleeping.
• No smoking, at least until the wounds have healed, ideally for good.
• Oral hygiene from day one, gently with a soft brush and the rinse we give you.

Long-term care

Implants do not get caries, but they can become inflamed (peri-implantitis) if plaque builds up under the bridge. The most important care therefore happens at home: brushing, interdental brushes or superfloss under the bridge and, if you like, a water flosser. Add regular check-ups with professional cleaning at the practice, usually two to four times a year. When needed, we remove the bridge and clean the implants thoroughly.

The terms are often mixed up. An immediate implant replaces a single tooth: the tooth is removed and the implant is placed into the fresh socket in the same session. Depending on the situation it receives a provisional crown straight away, or it first heals in protected. It requires an infection-free socket with enough bone, especially on the outer wall.

All-on-4, by contrast, restores an entire jaw: four implants carry a complete bridge. Both approaches shorten the time without teeth, but they suit very different starting points. We clarify which one is right for you at the consultation. For an overview of all implant solutions, see implant dentistry.

Implant-supported restorations such as All-on-4 are not part of the standard care (Regelversorgung) of German statutory health insurance. Statutory patients still receive something: the insurer pays a findings-based fixed subsidy (Festzuschuss). For a toothless jaw it is calculated from the standard care, i.e. a full denture, and is paid even if you choose a more elaborate solution.

• 60 percent of the standard care as the base amount
• 70 percent if your bonus booklet (Bonusheft) documents five years of regular check-ups
• 75 percent with ten years of uninterrupted check-ups
• up to 100 percent of the standard care for patients on low incomes (hardship rule)

Statutory insurance covers the implants themselves only in narrowly defined exceptional cases, for example after tumour surgery. Private health insurance and supplementary dental insurance reimburse a large share depending on the policy. Our guide to the fixed subsidy explains the details. We prepare your personal treatment and cost plan after the 3D diagnostics so you can submit it to your insurer before treatment.

Our practice is in Munich-Oberföhring, easy to reach from Bogenhausen, Johanneskirchen, Englschalking and eastern Munich. Dentist Christina Dickel specialises in implant dentistry (curriculum of the German Society of Implantology, DGI) and carries out the entire treatment herself: 3D diagnostics and planning, surgery, provisional and final restoration, and aftercare.

At the first consultation we take time for your questions, look at the X-rays together and tell you openly whether fixed teeth in one day are the right path for you or whether another solution fits better. For background reading, see our guides to dental implants and jawbone loss.