All On Four Implants Yokine, WA
Odin House Dental Surgery is located at 3/8 Odin Rd, Innaloo WA 6018. While we are not located in Yokine, we welcome and regularly treat patients from Yokine and the surrounding areas.
Odin House Dental Surgery provides All-on-4 dental implant treatment for patients from Yokine and across the Perth metropolitan area. The All-on-4 approach uses four strategically placed titanium implants to support a complete arch of fixed teeth, often with temporary teeth fitted on the same day as surgery.
Dr Johannes Yap (Registered Dental Practitioner, DEN0001580350) assesses each patient’s jawbone density, remaining teeth, gum health, and medical history to determine whether All-on-4 is the right approach. If you would like to find out whether this treatment could work for you, call us at (08) 9468 7182 to arrange a consultation.
What Is All-on-4?
All-on-4 is a full arch restoration technique. Rather than replacing each missing tooth with a separate implant, four titanium implants are placed into the jawbone to support a complete set of upper or lower teeth.
The key difference from standard implants is how the four posts are positioned:
- Two implants are placed vertically at the front of the jaw, where bone is naturally thicker
- Two implants are placed at an angle (typically between 30 and 45 degrees) towards the back of the jaw
This angled placement achieves two things. It maximises contact with available bone, and it often reduces or avoids the need for bone grafting that would otherwise be required for patients with reduced jawbone density. A temporary set of teeth (a provisional prosthesis) is usually attached to the implants on the same day as surgery, so you leave the appointment with functioning teeth.
At Odin House Dental, Dr Johannes Yap provides All-on-4 treatment for upper arch, lower arch, or both at our Innaloo practice.
Who Is All-on-4 For?
All-on-4 is designed for people who have lost most or all of their teeth in one or both arches, or who are facing that situation. It may be a suitable option if you are dealing with:
- Complete tooth loss in the upper jaw, lower jaw, or both
- Multiple failing teeth that need extraction
- Dentures that slip, cause discomfort, or make eating difficult
- Reduced jawbone density that makes individual implants impractical without grafting
- A preference for fixed teeth rather than removable dentures
All-on-4 is not the right choice for everyone. Patients who are only missing a few teeth, for example, would generally be better served by single or multiple implants. At Odin House Dental, Dr Yap assesses your bone structure, oral health, and overall health during consultation to determine which approach fits your situation.
What Happens When You Keep Putting It Off
Living with missing teeth or ill-fitting dentures might feel manageable for now, but the longer the situation continues, the harder it becomes to treat. Here is what typically happens over time:
- Bone loss accelerates: Without tooth roots or implants to stimulate it, the jawbone gradually resorbs. The longer you wait, the less bone is available to support implants, and additional procedures such as bone grafting may be needed.
- Denture fit deteriorates: As the jawbone shrinks, dentures become progressively looser. Relining helps temporarily, but the underlying bone loss continues.
- Nutrition suffers: People with missing teeth or poor-fitting dentures tend to avoid harder foods like raw vegetables, nuts, and lean meats, shifting to a softer, less nutritious diet. Over time, this can affect overall health.
- Remaining teeth are under pressure: If you still have some teeth, the remaining ones bear more load than they are designed for. This accelerates wear, increases the risk of fracture, and can lead to further tooth loss.
- Facial changes: Significant bone loss from prolonged tooth loss can alter the shape of the lower face over time, particularly around the chin and jawline.
If you are from Yokine and have been living with this situation for a while, the sooner you speak with Dr Yap at Odin House Dental, the simpler and more predictable your treatment options are likely to be.
For more than 20 years, we’ve cared for patients from suburbs across Perth, helping families maintain their oral health and improve their smiles.
Am I a Good Candidate for All-on-4?
Many patients who have been told they are not suitable for individual implants can still be candidates for All-on-4, because the angled placement works with less bone than conventional implant approaches require. Our in-house CBCT scanner produces a detailed 3D map of your jawbone at the same appointment, and in many cases the angled technique or modified positioning means treatment is possible where a standard assessment suggested otherwise.
| Generally Suitable | Requires Assessment and Possible Preparatory Treatment |
|---|---|
|
|
This table provides general guidance only. At Odin House Dental, suitability is determined through individual clinical assessment including CBCT 3D imaging and a full review of your medical history with Dr Yap. If you are from Yokine and have been told elsewhere that you are not a candidate, it is worth arranging a consultation to discuss your specific situation.
How All-on-4 Compares to Other Options
If you have lost most or all of your teeth, there are three main replacement approaches. Each involves different trade-offs in terms of stability, cost, treatment time, and ongoing maintenance.
| Factor | All-on-4 Implants | Conventional Full Dentures | Individual Implants (6-8 per arch) |
|---|---|---|---|
| What it involves | 4 implants placed per arch to support a fixed bridge of teeth | Removable prosthesis that sits on the gums | 6 to 8 separate implants per arch supporting a fixed bridge |
| Surgery required | Yes, one surgical session per arch under local anaesthetic | No surgery (may require extractions first) | Yes, multiple surgical sessions over several months |
| Treatment time | Temporary teeth on the same day; final prosthesis after 3 to 6 months of healing | Typically ready within a few weeks | 12 to 18 months for the full process |
| Bone grafting | Often avoided due to angled implant placement | Not applicable | Frequently required for posterior implants |
| Stability | Fixed in place, does not move | May move during eating or speaking | Fixed in place, does not move |
| Chewing ability | Generally improved compared to dentures; individual results vary | Reduced compared to natural teeth | Generally improved compared to dentures; individual results vary |
| Jawbone preservation | Implants stimulate the jawbone, which may help reduce bone loss | Does not prevent ongoing bone loss | Implants stimulate the jawbone, which may help reduce bone loss |
| Maintenance | Daily cleaning with specialised tools; regular dental visits | Remove daily for cleaning; periodic relining or replacement | Brush and floss as with natural teeth; regular dental visits |
| Relative cost per arch | Higher upfront cost than dentures, generally lower than 6-8 individual implants | Lower initial cost | Highest cost option |
The right option depends on the number of remaining teeth, bone density, budget, and your priorities. During your consultation at Odin House Dental, Dr Yap reviews these factors with you using your 3D scan results.
Use this time to ask a question, address concerns or discuss the available treatment options for improving the health and appearance of your smile. Call our office today or use our online scheduler to get started.
The All-on-4 Procedure Step by Step
The All-on-4 process is more streamlined than traditional implant treatment, with fewer surgical sessions and temporary teeth fitted on the same day.
| Stage | Typical Timeframe | What Happens |
|---|---|---|
| 1. Consultation and planning | First visit | Dr Johannes Yap examines your teeth, gums, and jawbone using clinical assessment, digital X-rays, and 3D CBCT scans. Your medical history is reviewed, and we discuss treatment options, anaesthesia, the expected timeline, costs, and risks specific to your case. Impressions or digital scans are taken to begin planning your provisional teeth. |
| 2. Surgery day | One session (typically 2.5 to 5 hours per arch) | Any remaining teeth are extracted. Four implants are placed into the jawbone under local anaesthesia (sedation available). Two implants go vertically at the front, two are angled at the back. A provisional (temporary) set of fixed teeth is attached to the implants before you leave. |
| 3. Healing and osseointegration | 3 to 6 months | The implants integrate with the surrounding jawbone. This typically takes 3 to 4 months in the lower jaw and 4 to 6 months in the upper jaw, as the upper jawbone is naturally less dense. During this period, you wear the provisional teeth and follow a modified diet (soft foods initially, gradually returning to normal). Regular check-up appointments monitor healing progress. |
| 4. Final prosthesis | 2 to 3 visits after healing | Once the implants have fully integrated, impressions are taken for your final prosthesis. This is a custom-made, fixed bridge designed based on your individual anatomy, with attention to appearance, bite alignment, and long-term durability. Results vary between individuals. The provisional teeth are replaced with the final restoration. |
Total treatment time from consultation to final prosthesis is typically 4 to 8 months. The provisional teeth allow you to eat and speak throughout the healing period. In some cases, same-day provisional teeth may not be possible, for example if implant stability at placement is insufficient, if bone grafting is required, or if clinical conditions on the day make it more appropriate to allow initial healing before loading. This will be discussed during your consultation.
Tooth Extraction
If you still have remaining teeth in the arch being treated, these will need to be extracted before the implants are placed. This is a normal part of the All-on-4 process. The prosthesis replaces the full set, so the site needs to be clear for implant placement. Extractions are performed during the same surgical session, under the same anaesthesia, so there is no separate procedure to plan for.
Bone Grafting (If Needed)
One of the advantages of All-on-4 is that the angled implant placement often avoids the need for bone grafting, even in patients with reduced jawbone density. The angled posterior implants engage a longer stretch of existing bone, which is why All-on-4 can work for patients who have been told they are not candidates for conventional implants.
However, in some cases, particularly where bone loss is significant across the entire jaw, grafting may still be recommended to provide a solid foundation. If this applies to you, it will be identified during the 3D imaging at your consultation, and the additional time, cost, and recovery involved will be explained before you make any decisions.
Does All-on-4 Surgery Hurt?
During the Procedure
At Odin House Dental, the area is completely numbed under local anaesthesia before the procedure begins. Most patients report feeling pressure or vibration but not pain. All-on-4 surgery is longer than a single implant placement (typically 2.5 to 5 hours per arch), so sedation is commonly used at our Innaloo practice. Options include:
- Oral sedation: A tablet taken before the appointment to help you relax
- Nitrous oxide: Delivered through a mask to reduce anxiety during the procedure
- IV sedation (twilight sedation): Medication delivered through a drip, allowing you to remain in a deeply relaxed, semi-conscious state throughout the procedure
Due to the length and nature of All-on-4 surgery, you will need someone to drive you home after the appointment. You are also welcome to listen to your own music or podcasts during the procedure.
After the Procedure
Discomfort after All-on-4 surgery is normal and more significant than after a single implant placement. Most patients describe the first few days as uncomfortable but manageable with prescribed pain relief. What to expect:
- Pain: Moderate discomfort for 5 to 10 days, usually worst in the first 48 to 72 hours. Managed with prescribed pain relief and over-the-counter medication.
- Swelling: Common and often more pronounced than with single implants. Usually peaks at day 2 to 3 then gradually subsides. Ice packs during the first 24 hours help.
- Bruising: May occur around the jaw and chin, typically resolving within 7 to 14 days.
- Jaw stiffness: Common in the first week, gradually easing as swelling resolves.
Detailed post-operative instructions and appropriate pain relief are provided at your appointment. Contact Odin House Dental on (08) 9468 7182 if pain worsens after the first few days, as this may need assessment.
All-on-4 Recovery Timeline
| Period | What to Expect | What to Do |
|---|---|---|
| First 48 to 72 hours | Peak swelling and discomfort, possible bleeding or oozing from surgical sites, jaw stiffness | Rest and avoid all strenuous activity. Apply ice packs (20 minutes on, 20 minutes off). Eat only cold or lukewarm soft foods: yoghurt, smoothies, soup (not hot), mashed potato, scrambled eggs. Take all prescribed medications as directed. Sleep with your head slightly elevated. Do not use straws, spit forcefully, or rinse vigorously. Do not smoke. After the first 24 hours, begin gentle warm salt water rinses. |
| Days 4 to 7 | Swelling begins to subside, bruising may appear or spread before fading, discomfort eases gradually | Continue gentle salt water rinses after meals. Continue with soft foods. Most patients feel well enough to return to non-physical work within 5 to 7 days. Hold off on the gym or strenuous exercise for at least 10 days. |
| Weeks 2 to 4 | Swelling and bruising resolve, sutures dissolve or are removed around day 7 to 10, provisional teeth feel more settled | Gradually introduce firmer (but still soft) foods like pasta, fish, and steamed vegetables. Resume gentle oral hygiene around the provisional teeth as instructed. Attend your scheduled follow-up appointment. |
| Months 2 to 6 | Osseointegration progresses (implants fuse with the jawbone), provisional teeth function well for everyday eating and speaking | Attend scheduled check-ups at our Innaloo practice. Maintain careful oral hygiene. Gradually return to a normal diet, avoiding very hard or sticky foods until the final prosthesis is fitted. |
When to contact us: Contact Odin House Dental Surgery if you experience severe pain that worsens after the first few days, heavy or persistent bleeding, swelling that increases after day 3, signs of infection (pus, fever, increasing redness), numbness that persists beyond 48 hours, or if a provisional tooth loosens or breaks.
All-on-4 Costs for Yokine Patients
In Australia, All-on-4 treatment typically ranges from $20,000 to $35,000 per arch. The variation depends on several factors:
- Materials: The type of final prosthesis (acrylic over metal framework vs zirconia) affects the overall cost
- Additional procedures: If bone grafting or additional extractions are required, these add to the total
- Single vs both arches: Treating both the upper and lower jaw costs more than a single arch
- Sedation: IV sedation carries an additional cost compared to local anaesthetic alone
- Itemised quote upfront: A written breakdown covering every stage (implants, provisional teeth, final prosthesis, any preparatory work, and all follow-up appointments) is provided at consultation so there are no surprise bills down the track.
- Preferred provider rates: Odin House Dental Surgery is a preferred provider for Bupa, Medibank, HBF, HIF, NIB, and CBHS. That means lower out-of-pocket costs for the preparatory work (extractions, 3D scans, consultations) compared to non-network clinics. All-on-4 treatment falls under “Major Dental,” which usually has waiting periods and annual caps. We can check your fund on the spot during your consultation so you know exactly what is covered before you commit to anything.
- Flexible payment plans: Treatment costs can be spread over time to make the investment more manageable.
- Staged treatment: Where clinically appropriate, treatment can be staged across financial years to make better use of your annual insurance limits.
Contact us to learn more about how we can help you achieve and maintain a healthy smile. For your convenience, we offer online appointment scheduling. Simply select a day and time that works best for you!
All-on-4 Risks
All-on-4 is a surgical procedure and carries risks. The main risks include:
- Implant failure: One or more of the four implants may not integrate with the bone. If this occurs, the failed implant is removed and a replacement may be placed after healing. In some cases, additional implants can be placed to support the prosthesis.
- Infection: May occur at the surgical sites during healing. Signs include increasing pain, swelling, pus, or fever.
- Nerve damage: Can cause numbness or tingling in the lower lip, chin, or tongue (lower jaw procedures). Usually temporary, but permanent damage is possible in rare cases.
- Sinus complications: Upper jaw procedures carry a risk of sinus membrane perforation during implant placement, particularly with the angled posterior implants. This can lead to sinusitis or require additional treatment.
- Prosthesis issues: The provisional teeth are made from acrylic and can chip, crack, or fracture during the healing period. This is one of the more common complications. If it occurs, the prosthesis can usually be repaired, though this may require an unscheduled visit.
- Bone loss around implants: Can occur over time due to infection (peri-implantitis), excessive force, or inadequate home care.
- Prolonged recovery: Some patients experience more significant swelling, bruising, or discomfort than average.
Certain factors increase risk:
- Smoking (significantly increases implant failure rates)
- Uncontrolled diabetes
- Osteoporosis or bone disorders
- Certain medications (anticoagulants, bisphosphonates, immunosuppressants)
- Active gum disease
- Teeth grinding or clenching
Dr Yap discusses these risks and any factors specific to your case during your consultation at Odin House Dental. If you have any of these risk factors, alternative approaches or risk management strategies are considered before proceeding.
Looking After Your All-on-4 Teeth
All-on-4 prostheses require specific ongoing care. The teeth are fixed in place (you do not remove them for cleaning), so the cleaning approach differs from both natural teeth and removable dentures.
Daily home care:
- Brush twice daily with a soft toothbrush, paying attention to the gum line and where the prosthesis meets the gums
- Use a water flosser (such as a Waterpik) daily to clean underneath the prosthesis where a regular toothbrush cannot reach
- Use interdental brushes to clean between the prosthesis and the gums
- Use a non-abrasive toothpaste to avoid scratching the prosthesis surface
Professional care:
- Attend check-ups and professional cleans every 6 months at our Innaloo practice
- The prosthesis may be temporarily removed during professional cleans for thorough maintenance
- The implants, surrounding bone, and gums are monitored for early signs of complications
- X-rays are taken as needed to assess implant stability
Lifestyle considerations:
- Avoid chewing ice, hard lollies, or very hard foods that could damage the prosthesis
- If you grind your teeth, a nightguard is recommended to protect both the prosthesis and implants
- Avoid smoking, as it significantly increases the risk of implant complications and peri-implantitis
Your final prosthesis: Once the implants have fully integrated (typically 3 to 6 months), the provisional teeth are replaced with a custom-made final prosthesis. This is made from more durable materials, typically zirconia or high-grade acrylic over a metal framework. With proper care, the implants may last many years. The prosthesis itself may need repair, relining, or replacement after 10 to 15 years due to normal wear. Because the prosthesis relies on all four implants, the loss of even one implant may require additional treatment. Longevity varies between individuals and depends on oral hygiene, bone health, overall health, and lifestyle factors. Dr Yap and the team at Odin House Dental monitor your implants and prosthesis at each check-up to catch any issues early.
Why Patients from Yokine Choose Odin House Dental for All-on-4
Patients travel from Yokine for All-on-4 treatment because of a few things that are harder to find elsewhere:
- Everything happens under one roof: Consultation, 3D planning, surgery, provisional teeth, and your final prosthesis are all completed by Dr Johannes Yap at our Innaloo practice. You are not referred out for different stages of the process.
- No-pressure consultations: Dr Yap is known for taking the time to walk through your 3D scans in plain English, making sure you understand your bone health, your options, and the realistic outcomes before discussing costs. You are welcome to bring your partner or a family member, and we send you home with a written summary so you can make the decision in your own time.
- If something does not go to plan: Implant integration fails in roughly 2 to 5% of cases. If that happens, Dr Yap removes the implant, allows the site to heal, and places a new one at no additional surgical fee.
- In-house 3D imaging: Our CBCT cone beam scanner produces a detailed 3D map of your jawbone at the same appointment. You do not need to visit a separate imaging centre, and the scan is used to plan your implant placement with precision.
All-on-4 Consultations for Patients from Yokine
To find out whether All-on-4 dental implants could work for you, contact Odin House Dental Surgery on (08) 9468 7182 to arrange a consultation. All consultations and treatment take place at our Innaloo practice at 3/8 Odin Rd, Innaloo WA 6018. During this appointment, Dr Yap assesses your jawbone, oral health, and overall health, discusses treatment options, and provides a written cost breakdown so you can make the decision in your own time.
Getting to Odin House Dental from Yokine
Yokine is around 6.4 km north-east of our Innaloo practice, approximately 13 minutes by car via Flinders St, Villiers St, and Royal St. We’re located at 3/8 Odin Rd, Innaloo, with ground-floor entry and parking at the front door, so you won’t have to navigate stairs after your All-on-4 procedure.
Yokine patients who require IV sedation as part of their All-on-4 surgery will need a companion to handle the drive home. Local anaesthetic procedures won’t affect your ability to drive back. If you’re prescribed antibiotics or pain medication, Chemist Warehouse Innaloo at 380A Scarborough Beach Rd is right near the practice.
We welcome referrals from GPs across the Stirling area. Contact our practice for a referral pack.