All-On-4® Perth
Replace a full arch of failing or missing teeth with just FOUR implants.
Some suitable patients may receive a temporary prosthesis on the day of surgery.
1000+ All-On-4 procedures are completed annually
QIPAccredited
Clinic
AHPRA Registered
Implant Dentists
All-On-4® Dental Implants Perth
If you’re missing multiple teeth from both arches, you may experience difficulty eating and speaking. Without treatment, tooth loss can lead to progressive bone loss in the jaw, changes to your facial structure, and further dental complications over time.
Perth Dental Rooms is an established clinic providing All-On-4 dental implants to patients across Perth. All-On-4 implants offer a fixed full-arch tooth replacement option, with temporary teeth placement possible on the day of surgery for suitable patients, and may assist with oral function and appearance for suitable patients without relying on removable dentures.
Led by Dr Vireena Koshal, our clinical team provides All-On-4 treatment as part of its implant services with a strong commitment to patient care and personalised treatment planning.
We designed Perth Dental Rooms with your comfort in mind. Our practice offers a calm, welcoming environment that combines modern clinical care with a patient-first approach. Each treatment room is equipped with digital implant technology, and our sterilisation and infection control protocols are followed to support safe and appropriate dental care. We use only TGA-approved implant systems, including Nobel Biocare and Straumann, and our clinicians are proud members of the Australian Dental Association (ADA).
We aim to make your All-On-4 journey as smooth and supported as possible, from your first consultation to your final result.
What are All-On-4® Dental Implants?
All-On-4® is a clinically documented full-arch tooth replacement approach developed by Dr Paulo Maló with Nobel Biocare. It uses four titanium implants – two placed straight at the front and two angled towards the back – to support a fixed arch prosthetic for the entire upper or lower jaw.
At Perth Dental Rooms, we use just four implants placed exactly where they need to go in your jaw. The two front implants are placed vertically, while the two rear implants are angled at up to 45 degrees. This angle maximises contact with the strongest available bone and, in most cases, eliminates the need for bone grafts, making All-On-4 suitable for many patients who have been told they have insufficient bone for conventional implants.
Our All-On-4 clinic in Perth uses this technique to give patients a complete, fixed set of teeth in a single appointment without the lengthy delays associated with traditional implant methods or bone grafting.
All-On-4 Cost Perth
At Perth Dental Rooms, the All-On-4 dental implant cost starts at $19,000 per jaw with an acrylic bridge and $25,000 per jaw with a zirconia bridge. The final cost depends on your individual treatment needs. Factors such as whether extractions are required, if bone grafting is needed, the material chosen for the final teeth, the overall complexity of the case, and any sedation requirements will influence the total investment.
| Procedure | Price (AUD) |
|---|---|
| All-On-4 (one full arch) | $19,000 |
| All-On-4 (two full arches) | $38,000 |
| All-On-4 with an acrylic titanium bridge (per jaw) | $19,000 |
| All-On-4 with an initial temporary bridge and final Zirconia bridge (per jaw) | $25,000 |
Prices listed are starting costs and may vary based on the complexity of your case, the number of extractions required, and your individual clinical needs. A full treatment plan with transparent pricing is provided following your consultation.
From $87/week*
With payment options starting from $87/week, dental implant treatment may be more accessible depending on your individual circumstances and approved finance arrangements.
Call 08 9322 5340 for more information.
Why Choose Perth Dental Rooms for All-On-4® Dental Implants?
Same-Day Temporary Teeth for Suitable Patients
By using available jawbone structure, All-On-4® may allow temporary fixed teeth placement on the day of implant surgery where clinically appropriate. Treatment timing and suitability are determined through an individual clinical assessment.
In-house digital dental laboratory
Our on-site laboratory means your prosthesis is designed and fabricated right here by our technicians. This gives Dr Koshal direct collaboration with the lab team throughout your case, faster turnaround times, and greater quality control over the final result.
Nobel Biocare® All-On-4® System
We use the Nobel Biocare® implant system as part of our All-On-4® treatment approach. Supported by clinical research, this system is used in implant dentistry as part of treatment planning for suitable patients.
TGA-Approved & ADA-Compliant Components
Every implant component we place is TGA-approved and selected to meet relevant Australian regulatory requirements. Our team follows appropriate clinical and infection control protocols when providing implant treatment.
QIP Accredited for Your Safety
As a QIP-accredited practice, we follow relevant clinical and safety standards and undergo independent assessments as part of the accreditation process.
3D CBCT imaging and digital treatment planning
Every All-On-4® case begins with a cone beam CT scan to create a three-dimensional model of your jaw. This allows precise planning of implant placement before a single incision is made, improving both accuracy and predictability.
Book Your All-On-4® Consultation
Your free consultation will be with one of our dental implant dentists. It will include photographs and an OPG x-ray so that we can craft a personalised, detailed treatment plan. Our treatment coordination team will also have a chance to discuss any finance options and concerns you have about the treatment. Free consultation includes initial assessment only. Additional diagnostic services may incur fees.
Our 6-steps All-On-4 Dental Implants Procedure
All-On-4® dental implants work by attaching a full set of artificial teeth to either one or both jawbones during a surgical procedure. Look at the detailed 6-step procedure.
1.Consultation and Planning
Your All-On-4 treatment begins with a detailed consultation, where our experienced team assesses your oral health, discusses your goals, and takes scans or X-rays. Based on the results, we will decide whether you are an eligible candidate for All-On-4 treatment. If you are eligible, we will create a detailed treatment plan that includes the type of implant you need, material selection, the complete process timeline, cost, and payment options.
2.Tooth Removal and Preparation
If any damaged or remaining teeth are present, they are carefully removed, and your mouth is prepared for the new implants. We also offer optional sedation for patients who feel anxiety.
3.Implant Placement
Based on the digital plan, our implant dentist places the four titanium implants. Two straight implants at the front and two strategically angled implants at the back. We place them strategically to utilise your strongest bones, reducing the need for bone grafting surgery. The surgery takes about 2 to 4 hours per arch.
4.Temporary Teeth Placement
We immediately begin custom crafting your fixed bridge at our dental lab. After the four implants are securely placed in your jaw, temporary teeth may be attached during the initial stage of treatment where clinically appropriate. You will wear these temporary teeth during the initial healing period.
5.Healing
The healing stage commonly takes around 3 to 6 months, depending on individual healing and clinical factors. During this period, the titanium implants integrate with the jawbone through a process known as osseointegration. Your dentist will monitor your progress through regular reviews before proceeding with the final bridge placement.
6.Final Restoration
Once your implants have integrated with the jawbone, we begin preparing your final bridge. It is customised using materials such as zirconia or acrylic, with consideration given to factors such as function, appearance and your individual treatment needs.
See the Difference: All-On-4® Before & After
See examples of previous patient treatments. Individual results vary. Clinical images shown are from All-On-4® dental implant treatment at our clinic. Clinical photography is provided for informational purposes only and does not constitute a representation or assurance of outcome. Individual results vary significantly between patients based on clinical factors, including bone volume, health status, oral hygiene, and adherence to post-operative instructions. Images have not been digitally altered or enhanced. All images were taken 3 months after treatment.
Disclaimer: Results may vary. Before-and-after images are of real patients, and individual outcomes can differ depending on treatment type, health, and aftercare. All images are used with the patients’ consent.
Meet Your All-On-4 Implant Dentist
Dr Vireena Koshal
AHPRA Registration No - [DEN0002003358]
Dr Vireena Koshal is the principal dentist at Perth Dental Rooms with a strong clinical focus on All-On-4® dental implant treatment.
After graduating from the University of Western Australia in 2015, she has undertaken extensive additional training, including the gIDE Master Clinician Program at Loma Linda University. She has also completed additional training to be able to provide neuromodulator treatment for alleviating masseter tension/jaw pain where appropriate.
“My approach is to give patients the information they need to make a decision that’s right for them, not just to recommend treatment. All-On-4® is a highly invasive procedure, and I want every patient to feel genuinely informed before we proceed.” — Dr Vireena Koshal, Perth Dental Rooms
Meet Our All-On-4® Dental Implants Team
Our experienced team is here to provide complete care for all your All-On-4® dental implant needs, from consultation to full smile restoration.
All-On-4 Implants Crafted in Our In-House Perth Ceramics Lab
Perth Dental Rooms executes the entire process of your All-On-4 restoration with precision and dedication. The crowns and teeth supported by the implants are crafted by our master ceramists to ensure that their colour, shape, and size closely match your existing teeth.
Having an in-house lab provides several advantages:
- Faster treatment times: Adjustments often made during your visit.
- Direct communication between your dentist and ceramist.
- Australian materials for all restorations.
- Custom colours, shapes, and sizes are selected based on your existing teeth, facial features, and individual treatment requirements.
- Digital scanning and CBCT technology for precise placement.
- No overseas outsourcing
Am I Suitable for All-On-4®?
All-On-4® may be suitable for patients in a range of situations. The following characteristics are commonly associated with candidacy — however, suitability is always determined by individual clinical assessment.
- You are missing most or all teeth in one or both arches and are looking for a long-term, fixed solution
- You have experienced significant bone loss in your jaw and have been told you may not be suitable for traditional implants
- You are in reasonable general health and any systemic conditions (such as diabetes) are well-managed
- You currently wear full or partial dentures that feel unstable, loose, or uncomfortable
- You are a non-smoker, or you are willing and able to cease smoking ahead of treatment
- You are looking for a fixed, non-removable tooth replacement option and would like to discuss how it compares with conventional dentures in terms of function and comfort.
Please note: Not all patients presenting with the above characteristics will be suitable for All-On-4® treatment. Some patients may be better served by alternative treatment approaches. Dr Koshal will provide a thorough clinical assessment at your consultation and discuss all options with you honestly.
All-On-4® Aftercare and Maintenance: Care Tips from Perth Dental Rooms
- Keep your mouth clean: Gently brush your implants with a soft-bristled toothbrush after meals to remove food particles. Avoid brushing too hard on the implants in the initial healing period.
- Use antimicrobial mouthwash: Rinse with a recommended mouthwash to reduce the risk of infection and keep your gums healthy.
- Follow up with regular check-ups: Visit Perth Dental Rooms for scheduled check-ups to ensure the health of your implants and gums.
- Avoid hard or sticky foods: For the first few months, avoid foods that could put excessive pressure on your implants, like hard candies or sticky gums.
- Watch for discomfort: If you feel any pain, swelling, or unusual discomfort, contact us immediately for advice or treatment.
- Don’t smoke: Smoking can hinder the healing process and increase the risk of complications with your implants.
- Take prescribed medications: If our dentist has prescribed pain medication or antibiotics, follow the instructions carefully.
- Stay hydrated: Drink plenty of water to help keep your mouth hydrated and prevent dry mouth, which can affect implant health.
All-On-4 vs. Individual Implants vs. Dentures: Which is Right for You?
| Feature | All-On-4® Implants | Individual Implants | Dentures |
|---|---|---|---|
| Number of Implants | 4 implants support a full arch of teeth | Typically 6–8 implants may be required for full arch replacement depending on individual treatment needs | No implants; rests on gums |
| Procedure Time | Temporary teeth placement may be possible on the day of surgery for some patients | Requires multiple visits over several months depending on treatment complexity | Can be provided as a removable tooth replacement option |
| Functionality | Fixed tooth replacement option designed to support oral function | Fixed tooth replacement option that may require additional implants depending on treatment requirements | Removable option that may require adjustments over time |
| Comfort | Designed for comfort, with reduced movement or slipping. | Comfortable, but may have more gum irritation | Can be uncomfortable, may slip or shift |
| Longevity | Bridge: 10-15 years (typical). Implants: may last many years with proper care | 10-20 years for implants, bridge needs replacement | 5-10 years, requires adjustments over time |
| Bone Loss Prevention | Helps preserve bone by stimulating jawbone | Stimulates jawbone, preventing bone loss | Can lead to bone loss over time |
| Maintenance | Minimal, regular check-ups required | Requires cleaning, adjustments, and relining | Requires cleaning, adjustments, and relining |
| Aesthetic Appearance | Designed to provide a tooth replacement option that considers appearance and function | Individual crowns are designed based on your treatment needs and preferences | Appearance can vary depending on denture design and individual factors |
| Cost | Higher initial cost, but includes full arch restoration | Generally more expensive due to multiple implants | Lower upfront cost but requires ongoing maintenance |
This table is a general comparison. Individual clinical suitability and the most appropriate treatment for your situation is determined by clinical assessment. Results and experiences vary between patients.
Benefits Of All-On-4 Dental Implants
- Designed to provide a stable, fixed tooth replacement option for suitable patients.
- The All-On-4 procedure allows you to eat all your favourite foods comfortably.
- Patients can often receive their fixed new smile in just a few days after surgery.
- The strategic implant placement means most people can avoid costly and time-consuming bone grafting.
- The implants may help support the jawbone, which can help maintain facial structure.
- Your new teeth are designed to function and feel like your original teeth; outcomes vary and depend on individual clinical circumstances.
Conveniently Located in Perth CBD
Our All-On-4 clinic is centrally located on Murray Street in Perth’s CBD, making it easily accessible for patients from across Western Australia. Perth Dental Rooms welcomes patients from Northbridge, Subiaco, South Perth, Nedlands, Mount Lawley and Floreat.
Free on-site parking and convenient public transport access from Perth’s CBD train stations and bus routes.
Financing Options Available
Preferred Health Funds Providers
All-On-4 Dental Implants FAQs
What is All-On-4 and how is it different from regular dental implants?
At Perth Dental Rooms, we often explain that while both options use titanium posts to replace missing teeth, the main difference is the number of implants and how they are placed.
1. The Number of Implants
Regular Implants: Usually, we use one implant for every single missing tooth. If you are missing an entire row of teeth, you might need 8 to 10 implants to support them.
All-On-4: As the name suggests, we only need four implants to support a full bridge of 10 to 14 teeth.
2. The Angle of Placement
Regular Implants: These are placed straight down into the jawbone. This procedure often requires a lot of bone height, which might mean you need a bone graft surgery first.
All-On-4: We place the back two implants at an angle. This allows us to use the strongest part of your jawbone, often avoiding the need for bone grafting entirely.
3. The Speed (New Teeth in a Day)
Regular Implants: These can take many months and multiple surgeries to complete.
All-On-4: This is often called “Teeth in a Day”. Because the four implants are so stable, we can often attach your new set of teeth on the same day as your surgery.
If you are only missing one or two teeth, regular implants are the standard choice. However, if you are looking to replace an entire upper or lower row of teeth, All-On-4 is generally a faster, more cost-effective, and less invasive solution.
How much does All-On-4 cost in Perth?
At Perth Dental Rooms, All-On-4 dental implant treatment starts from $19,000 per jaw for a fixed acrylic bridge and from $25,000 per jaw for a zirconia bridge.
The total cost depends on your clinical condition, treatment complexity, and the type of final bridge selected. During your consultation, we conduct a detailed assessment, including 3D imaging, to provide a clear, personalised treatment plan with a full cost breakdown.
Can I really get teeth in a day?
Yes, in most cases. Perth Dental Rooms offers ‘teeth in a day’, where your four implants are placed and a temporary fixed bridge is attached on the same day as your surgery. You leave our Perth CBD clinic with a temporary restoration where clinically appropriate. Your final bridge is then crafted in our in-house laboratory and fitted after osseointegration, typically three to six months after surgery. This means you are never without teeth throughout the process.
How painful is All-On-4 surgery?
We use local anaesthesia to numb the area, and most patients report the procedure is more comfortable than they expected. Sedation options are available for anxious patients.
Once the anaesthesia wears off, it is normal to feel some mild swelling, bruising, or tenderness for a few days. Most patients find this is easily managed with standard over-the-counter pain relief and cold packs.
Most people are back to their normal routine within 2 to 3 days. Compared to having a single tooth pulled, many patients say the recovery from All-On-4 is smoother because the implants are placed precisely using a digital plan.
Are All-On-4 implants covered by health insurance in Australia?
In Australia, All-On-4 dental implant treatment is not usually fully covered by health insurance. Some parts of the treatment, such as extractions, imaging, or the dental prosthesis, may be partially covered depending on your level of extras cover.
At Perth Dental Rooms, we work with most major Australian health funds and can help you understand what may be claimed under your policy. We provide a detailed treatment plan so you can check your benefits before proceeding. Payment plan options are also available to assist with treatment costs.
Can I eat normally with All-On-4?
Yes, you can. Once your implants have fully healed, you can eat almost anything you like.
For the first few months after your procedure, we will ask you to stick to softer foods. This gives the implants the time they need to bond strongly with your jawbone. After that, you are free to enjoy a normal, healthy diet again.
Am I a suitable candidate for All-On-4 dental implants?
You may be a suitable candidate for All-On-4 dental implants if you are missing most or all of your teeth in one or both jaws and are looking for a fixed replacement option. Suitability depends on the condition of your gums, the amount of available jawbone, and your overall oral and general health. Many patients who wear dentures or have failing teeth are assessed for this treatment.
At Perth Dental Rooms, each patient is assessed based on their clinical condition and treatment needs. A detailed consultation, including a clinical examination and 3D imaging, is required to determine if this treatment is appropriate for you.
Who Might Not Be Suitable for All-On-4 dental implants treatment?
You might not be a good candidate of All-On-4 implants if,
- You have severe bone loss that cannot support implants.
- You have uncontrolled diabetes or other health conditions that affect healing.
- You smoke heavily, which can reduce implant success.
Poor oral hygiene habits
What materials are used for All-On-4 dental implants?
The two main materials we use for your All-On-4 implants are Acrylic and Zirconia. We use Australian-made titanium implants and custom bridges designed and crafted in our in-house dental lab.
What is the difference between acrylic and zirconia bridges for All-On-4?
The two main materials we use for your All-on-4 implants are Acrylic and Zirconia. We use Australian-made titanium implants and custom bridges designed and crafted in our in-house dental lab.
Are All-On-4 implants removable?
Both bridge materials are attached to your four implants and are fixed (non-removable).
Acrylic bridges are lighter and lower in cost, making them a practical and effective option for many patients. They are also easier to modify if adjustments are needed.
Zirconia bridges are made from a high-strength ceramic material with durability, stain resistance, and translucency properties that contribute to the appearance of the final restoration.
We will discuss which option suited to your needs and budget during your consultation.
How long do All-On-4 dental implants last?
When properly maintained, All-On-4 dental implants are designed as a long-term treatment option with appropriate maintenance. The four titanium posts, when properly cared for and integrated with the jawbone, can last 25 years or more.
The bridge (the teeth) is the prosthetic restoration attached to the implants. Like all dental restorations, it can experience daily wear from chewing and requires ongoing care and maintenance. Depending on the material used and your lifestyle habits, a bridge typically lasts between 10 and 15 years before it may need maintenance or replacement.
At Perth Dental Rooms, we guide you on how to care for your implants, including daily cleaning and regular check-ups. Ongoing maintenance plays a key role in how long your treatment lasts.
What are the risks of All-On-4 and how do you minimise them?
Like all surgeries, All-On-4® has potential risks, such as issues with nerves or sinuses for the upper jaw. We use a 3D CBCT scan to create a digital map. Our implant doctor, Dr Vireena Koshal, uses this information to plan implant placement with care, precision, and attention to detail, helping to assess and manage potential risks such as nerve or sinus damage.
All-On-4 vs dentures — which is better?
The main difference is that All-On-4 is fixed, while dentures are removable.
All-On-4 implants are securely anchored by four dental implants. They stay in your mouth 24/7, meaning they don’t slip; you don’t need messy glue, and you can eat all your favourite foods with full strength.
Traditional dentures sit on top of your gums. They are a more affordable, non-surgical option, but they can sometimes move while speaking or eating and must be taken out at night to clean.
If you want teeth that feel and function similar to original teeth, All-On-4® is one treatment option that may be suitable for some patients. If you want a simpler, lower-cost option without surgery, dentures may be right for you.
How long is recovery after All-On-4 in Perth?
The First Few Days: You may experience some mild swelling or bruising, which usually peaks around day 2 or 3. Most patients feel ready to return to work and light activities within 3 to 5 days.
The Healing Phase is 3–6 Months: While you will feel “back to normal” within a week, your jawbone needs time to fully bond with the implants (a process called osseointegration). During this time, you will wear a high-quality temporary bridge and stick to a soft food diet to ensure the implants stay stable.
At Perth Dental Rooms, we monitor your healing closely and provide clear aftercare guidance at each stage of treatment.
