4 Reasons You Should Offer All-on-4 to Your Patients

In most professions, the ability to change someone’s quality of life is never a guarantee—in fact, it’s quite rare. But in dentistry, it’s something that happens nearly every day, and even more so if you’re Dr. Joe Mehranfar, whose Phoenix, AZ, practice is limited to a single treatment: All-on-4.

“We average about 300 cases a year,” shared Dr. Mehranfar. “My whole goal is to make the patient experience as wonderful as it can be, while also creating a fluid workflow for our doctors, team members, and lab."

While today the All-on-4 treatment concept is regarded by many as the gold standard of full-arch teeth replacement, the game-changing technique was born over 25 years ago when Dr. Paulo Malo devised a new concept in which 4 posterior implants tilted at a 45° angle could be immediately placed.

While the surgical protocol for All-on-4 has remained largely unchanged over the years, Nobel Biocare is constantly innovating its implants and prosthetic components to help clinicians achieve the best results. Here, we highlight 4 reasons to add this cost-efficient full-arch treatment solution to your practice.

1. Create an Exceptional Patient Experience

A life-changing solution for edentulous and partially edentulous patients, All-on-4 uses just 4 implants to support a full-arch prosthesis—minimizing surgical complexity while maximizing patient comfort and convenience. Patients receive a fixed provisional restoration within 24 hours, reducing anxiety and restoring confidence quickly.

“Patients care about their experience, so we want to reduce their anxiety and maximize their benefits,” Dr. Mehranfar said. “We’re a total solution provider where patients get all their treatment under one roof. In fact, the only outsourcing we do is for the final prosthetic,” which comes from the state-of-the-art NobelProcera manufacturing facility in Mahwah, NJ.

Overall, he added, patients understand the process. “They’re at terminal dentition and they’re frustrated, and they just want a solution that’s safe, predictable, and cost-effective,” he added. “And that’s exactly what we offer them.”

2. Follow a Digitally Driven, Predictable Process

From diagnostics to final delivery, Nobel Biocare’s All-on-4 treatment concept is supported by a fully digital and highly predictable workflow. By using tools like CBCT, intraoral and facial scanners, photogrammetry, and CAD/CAM, every step is streamlined and precise.

“The first thing we do is digitize the patient with cone beam, and with that, we do our initial treatment planning, evaluate the available bone and implant positioning, and come up with a treatment plan that’s designed for that patient,” explained Dr. Mehranfar.

After that, an intraoral scan captures the teeth and soft tissue, while a facial scan records the patient’s facial features and expressions. “Lastly, we do a series of photos, because once we digitize the patient, we want to make sure the design team, lab, and restorative doctors can do a facial analysis and a smile design for that patient in a predictable and repeatable fashion.”

The digital workflow also improves practice efficiency, especially when it comes to the surgery aspect of treatment. “I can do 2 arches from 7 to 9 am, and again starting at 10 am, and I’ll be done by noon,” he said. “Patients aren’t waiting around 2 or 3 hours for a chairside conversion, so it’s much better for them. It also frees up my surgery load, while still giving the restorative team enough time to print and process the provisionals.”

3. Open Up a New Revenue Stream

Offering All-on-4 allows you to provide a high-value service that appeals to a large, often underserved patient population. By reducing the number of implants needed and avoiding bone grafting, the treatment becomes more affordable without compromising quality.

“Why don’t more people get full-arch treatment? Because they can’t afford it,” explained Dr. Mehranfar. “It’s our job to come up with a process that reduces the margins and makes it affordable for doctors to incorporate this process, while also bringing the cost down for a population that can’t afford it.”

And for dentists already exploring digital dentistry, adding full-arch cases is a natural next step.

“Every office should have a cone beam CT and an intraoral scanner because they’re great diagnostic tools. And 3D printers have come a long way—they’re fast, predictable, and efficient. Now, I can print a full upper and lower All-on-4 prosthetic in 23 minutes."

4. Get Support from a Trusted Partner

Nobel Biocare pioneered the All-on-4 treatment concept and continues to refine it with high-quality components, digital innovation, and a robust educational infrastructure. Their comprehensive product lineup—from implants to final prosthetics—is built to work together seamlessly.

“I stay with Nobel because they’re the pioneers. All the literature is based on their work. Their process is incredible—every part, every component is dialed into microns, and their products don’t go to market unless they meet certain requirements,” Dr. Mehranfar said.

Those requirements include strict adherence to ISO 13485 standards, including a rigorous QA process designed to help minimize complications. The NobelProcera bridge, for example, is milled to within 25 microns of the submitted digital file—ensuring accuracy, consistency, and a high-quality final result.

“It’s not just about implants—it’s about the authenticity and the quality of the product and the workflow,” he advised. “Other companies don’t have total solutions from the implant to the prosthetic to the design and final lab work, but Nobel does.”