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Surgery and Implantology

All-on-4 Dental Implantation in Almaty: How to Restore a Full Arch on Four Implants

The All-on-4 protocol restores a full arch of teeth on one jaw. Two implants are placed in the front, two in the back at an angle. The tilt provides support in denser bone areas, and in some cases bone grafting is not needed. The decision is made by the doctor based on X-rays and the clinical picture. The prosthesis can be fixed or conditionally removable. The implant placement itself takes about 20 minutes. The visit is longer: before surgery — X-ray and planning, after — a follow-up check.

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30+years the clinic has been treating patients in Almaty
up to 5 yearswarranty on work
0%Installments: Jusan bank — 24 months, Kaspi — 12

How much does All-on-4 dental implantation cost in Almaty

Full price list
TreatmentDuration & warrantyPrice
All-on-4, implant placement on one jawfrom800 000 ₸Message on WhatsApp
Permanent prosthesis on four implantsfrom1 000 000 ₸Message on WhatsApp
All-on-4from1 800 000 ₸Message on WhatsApp
Implant placement, without crown1 visit3-year warrantyfrom153 000 ₸Message on WhatsApp
Izen implant, Korea — turnkey3–4 months3-year warrantyfrom225 600 ₸Message on WhatsApp
Any Ridge implant, Germany — Korea3–4 monthsWarranty up to 5 yearsfrom195 000 ₸Message on WhatsApp
MIS C1 implant, USA3–4 monthsWarranty up to 5 yearsfrom130 000 ₸Message on WhatsApp
Straumann implant, Switzerland2–3 monthsWarranty up to 5 yearsfrom324 000 ₸Message on WhatsApp
Temporary crown on implant1 visitFor the healing periodfrom35 000 ₸Message on WhatsApp
Porcelain-fused-to-metal crown on implantfrom80 000 ₸Message on WhatsApp
Osstem implant placementfrom135 000 ₸Message on WhatsApp
BioHorizons implant placementfrom230 000 ₸Message on WhatsApp
Dentium implant placementfrom140 000 ₸Message on WhatsApp

What makes up the cost of All-on-4 implantation

The price of the procedure consists of several parts: the cost of implants and components, the surgeon's work, the fabrication of the prosthesis in the laboratory, and preliminary diagnostics. Additionally, the need for bone grafting or tooth extraction may be considered if required by the X-ray. The exact amount is given after examination and CT scan, because it depends on the clinical picture. Our 'turnkey' package includes the implant, surgery with anesthesia and sutures, healing abutment, abutment, and permanent crown. Follow-up check-ups during the healing period are included in the price. Bone grafting and sinus lift are not needed by everyone: if they are required, the doctor names them before treatment begins, not during.

By prosthesis material

Materials for a fixed prosthesis on four implants

The material of the permanent prosthesis affects wear of the chewing surface, the weight of the structure, and its care.

Acrylic prosthesis on a titanium framework

The framework is milled from titanium, while the teeth and artificial gum are made of acrylic. Such a prosthesis is lighter than a ceramic one and easier to repair: a chip or crack in the acrylic can be fixed by the technician without replacing the entire structure. Its chewing surface wears faster, so the doctor considers this material when lightness and repairability are important.

Metal-ceramic prosthesis

A ceramic veneer is applied to a metal framework, and the shade of the teeth and artificial gum is matched to the patient's face. Ceramic is harder than acrylic and wears more slowly, but it is heavier and, if chipped, requires laboratory work. The doctor discusses metal-ceramic when a more durable chewing surface is needed and the bite and load on the supports allow it.

Zirconia prosthesis

The prosthesis framework is made of zirconia by milling on a machine, and the surface is covered with ceramic or left monolithic. Zirconia contains no metal, is dense and resistant to wear, but it is rigid and almost impossible to repair in the mouth. The doctor considers this material when the patient values strength and a light-colored structure without a metal framework.

Stages of All-on-4 dental implantation

Step 01

How the All-on-4 implantation surgery is performed: stages, anesthesia, duration

The procedure is performed under local anesthesia or sedation, as indicated. The surgeon places four implants in specific positions and then fixes a temporary prosthesis. The duration of the intervention depends on the complexity and usually takes several hours. The exact timing and type of anesthesia are discussed in advance.

Step 02

Is All-on-4 implantation painful and how does recovery proceed?

During the procedure, the patient does not feel pain thanks to anesthesia. After the intervention, swelling, discomfort, and mild soreness are possible, which are managed with prescribed medications. Recovery is individual, and the doctor provides recommendations on nutrition and hygiene.

Step 03

What happens immediately after All-on-4 implant placement?

On the day of the procedure, a temporary fixed prosthesis is placed, which allows the patient to go without a removable denture. The patient receives care instructions and restrictions. A follow-up visit is scheduled in a few days.

Step 04

How does osseointegration of All-on-4 implants proceed?

The osseointegration process takes several months. During this period, it is important to maintain hygiene and avoid excessive load on the prosthesis. The doctor monitors the condition of the tissues at scheduled visits.

Step 05

When is the permanent prosthesis made for All-on-4 dental implantation?

The permanent prosthesis is made after successful osseointegration of the implants. The timing is determined by the doctor based on the examination and imaging results. Until then, the patient uses the temporary prosthesis.

Doctors

Who provides treatment in this specialty

Clinic doctors you can book for this service. A treatment plan is drawn up after an examination.

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Sagitov Rustam Ilkhomovich — dentist at Dental-Center dental clinic in Almaty, portrait in work uniformThe quote is reviewed by the clinic's implant surgeonTakes 20 seconds — administrator's reply during business hours
Quote based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installments: Jusan bank — 24 months, Kaspi — 12

What is the four-implant technique?

The method involves supporting a full dental arch on four implants. Two are placed in the anterior region and two in the posterior region at an angle. The prosthesis is fixed onto them.

Four supports instead of a full set of teeth

Instead of ten to fourteen individual implants, the doctor plans four support points in the jaw. A fixed prosthesis that replaces the entire arch rests on them. This approach is used when almost no natural teeth remain or they are unsuitable as supports. The number of supports is fewer than in the classic scheme, so the surgical stage is shorter and the scope of intervention is more modest. At the same time, the load is distributed to the bone in the anterior part of the jaw — where it is usually denser and holds the implant better. The posterior areas, where bone has often been lost, are avoided. The patient receives a fixed prosthesis: it is not removed at night and is not attached to neighboring teeth. The cost of such a construction depends on the clinical picture, the prosthesis material, and the number of intermediate visits, and it is calculated by the doctor after examination and imaging. The method itself does not eliminate diagnostics: without a CT scan, it is impossible to determine whether there is enough bone and where the supports will be placed.

Anterior and posterior implants: difference in position

  • Anterior supports: placed vertically in the incisor area, where the bone is usually dense; they bear the main chewing load and serve as the primary support for the prosthesis.
  • Posterior supports: positioned in the posterior region at an angle to the vertical, closer to the molars; the angle is selected based on imaging to bypass voids and avoid damaging adjacent structures.
  • Distance between supports: four points define the framework; the wider the base, the more stable the prosthesis, but everything depends on anatomy — implants are placed where there is bone.
  • Load axis: in anterior implants it runs along the body of the support, while in posterior implants it is angled; this changes the distribution of forces during chewing.
  • CT verification: cone-beam computed tomography shows bone thickness and the course of the mandibular canal, and based on these data the doctor selects the placement points.

Why are posterior implants tilted?

Tilting is not a whim, but a way to use the bone that is available. In the posterior regions of the jaw, the inferior alveolar canal or the sinus often runs through, and placing an implant vertically there is impossible without risk. If the support is tilted, it bypasses the danger zone and remains in dense bone. At the same time, the contact with bone is lengthened, and the implant's exit point shifts closer to the chewing teeth. This allows avoiding bone grafting in some cases — but not all. The doctor decides based on the scan: sometimes there is so little bone that grafting is unavoidable. Tilting also changes the prosthetic stage: the prosthesis sits on angled abutments, and the technician takes the angle into account when modeling the framework. The 3Shape intraoral scanner helps capture an accurate digital model so that the restoration fits without distortion. In the posterior zone, the prosthesis rests precisely on these tilted supports, and the stability of the entire structure depends on their position.

Temporary and permanent prosthesis: two stages

  1. Temporary restoration: it is fixed soon after surgery to close the defect and allow the soft tissues to heal; heavy chewing load is limited at this stage.
  2. Healing: the implants must integrate with the bone; the timeframe depends on the clinical picture, and the doctor schedules follow-up visits to monitor the process.
  3. Permanent prosthesis: it is fabricated after the supports are stable; the material and shape are selected based on impressions and scans, sometimes with a framework try-in.
  4. Replacing the temporary with the permanent: the timing is chosen by the doctor based on the examination and X-ray results; there is no need to rush this stage, even if the temporary prosthesis is comfortable.

When the method suits the patient

The four-support protocol solves a specific problem: restoring a fixed restoration where there is little bone tissue or where grafting is not desired. Let us examine the situations in which it is considered.

Complete absence of teeth in the jaw

When not a single tooth remains in the jaw, the question is not about restoring an individual defect, but about what the prosthesis will rest on. A removable restoration is supported by the gums and palate, held by suction or clasps. A fixed restoration requires supports embedded in the bone. Four implants are one option for such support. They are distributed along the arch so that the load falls on different areas of the jaw. Two are placed in the anterior region, where bone density usually allows this, and two in the posterior regions, at an angle. It is the tilt that provides support in those zones where anatomy prevents placing an implant vertically. The patient receives a restoration that is not removed at night. Chewing is possible on both sides, and diction is not affected by covering the palate. Whether the scheme is suitable in a specific case is decided by the doctor based on the scan and the condition of the bone. Sometimes another path is simpler — grafting or a greater number of supports.

Situations where a removable prosthesis is unsatisfactory

  • Discomfort when wearing: the prosthesis rubs the gum, presses on the jaw, shifts when speaking. The person stops eating in public and smiling.
  • Poor retention: in the lower jaw, a removable restoration holds worst of all, especially with atrophy. Creams and pads do not always help.
  • Impaired taste and speech: a covered palate prevents sensing food and changes sounds. This is one of the frequent reasons for rejecting the removable option.
  • Esthetics: clasps and a thick base are visible when speaking. A fixed restoration looks like natural teeth and is not removed.
  • Desire for a fixed solution without grafting: when there is little bone tissue and the patient is not ready for bone grafting, placement on four supports is considered, and this is discussed at the consultation.

Bone atrophy: where the boundary lies

After tooth loss, the jawbone gradually resorbs. Faster in the first months, slower afterwards. Classic implantation requires a certain bone volume and height: the implant must sit in the tissue without touching a nerve or sinus. When volume is insufficient, bone grafting or a sinus lift is offered. This is a separate surgery, additional time, and its own list of restrictions. Tilted placement of some of the supports allows avoiding augmentation in a number of cases: the implant is inserted at an angle, bypassing the deficient area and using denser zones. The boundary here is not universal. It depends on how much bone remains, where exactly, what its density is, and what the cone-beam CT shows. For one patient, tilted supports will be enough; for another, even with four points, grafting or a different protocol will be required. The doctor decides based on the scan, not on a general rule.

When the protocol is not used

  • The bone cannot support even tilted implants: if there is no volume or density in either the anterior or the lateral regions, placement is impossible without prior grafting.
  • Uncompensated conditions: decompensated diabetes, clotting disorders, uncontrolled hypertension — first stabilize the condition, then discuss surgery.
  • Active inflammation or infection: purulent processes in the oral cavity, untreated teeth. First treatment, then implantation.
  • Heavy smoking and refusal to quit: affects osseointegration. The doctor assesses the risk and may suggest another option.
  • Taking certain medications: some drugs alter healing and bone density. This is discussed with the treating physician before surgery.
  • Unwillingness to maintain care and check-ups: a prosthesis on implants requires regular hygiene and follow-up visits. Without this, its service life is shortened.

Is additional bone preparation needed?

The question of bone grafting and sinus lift is decided before surgery. Tilting the posterior supports changes the requirements for bone volume, but does not eliminate them entirely.

How implant tilt changes the requirements for bone volume

In this technique, the posterior implants are placed at an angle to the plane of the jaw. This way they pass through the part of the bone that has been better preserved and bypass the maxillary sinus or the mandibular canal. The tilt changes the entry point and the length of the support, so the requirements for bone thickness in the anterior region differ from those for the posterior. In some cases this is enough to avoid grafting. But everything depends on the clinical picture: if the bone is thin along its entire length, the tilt alone does not solve the problem. The doctor decides based on the scan. What is assessed is not the average height across the whole jaw, but the specific zones under each implant. The anterior zone between the mental foramina is usually denser and taller — it is used as the support for tilted implants. The posterior regions are examined separately: that is where volume is most often lacking. If the tilt allows anchoring into a dense layer, the need for grafting decreases, but does not automatically disappear. The boundaries of the sinus, the position of the mandibular canal, and the thickness of the cortical plate — all of this is read from the tomogram.

Cases where grafting is still needed

  • Severe maxillary atrophy: when the bone has resorbed so much that even tilted implants cannot find support, a sinus lift or lateral bone grafting is planned.
  • Thin bone in the anterior region: if the height between the mental foramina is insufficient, tilting the posterior implants does not compensate for the deficit, and the volume is augmented.
  • Cysts and inflammation at the implant site: the lesion is treated first, and the question of grafting is decided after healing, sometimes in two stages.
  • Trauma or tooth extraction with a socket defect: when the socket wall is destroyed, bone is augmented before placement, otherwise the implant will not sit stably.
  • Sinus lift with a close sinus: if the floor of the maxillary sinus has dropped low, it is elevated to place the implant without risk to the mucosa.

What computed tomography shows

Cone beam CT provides a three-dimensional image of the jaw in three projections. The scan shows the height and thickness of bone in each area, the position of the mandibular canal, the boundaries of the maxillary sinuses, and the condition of the cortical layer. The doctor measures how much bone remains under each implant, taking into account its tilt, and assesses tissue density. Inflammation, cysts, and root remnants that could interfere are examined separately. These data determine whether bone grafting or a sinus lift is needed before surgery. The tomogram also shows where the neurovascular bundle runs, so that the tilted implant does not touch it. The 3Shape intraoral scanner complements the picture: it captures the gum relief and the position of any remaining teeth. From these data, a digital model is built and the tilt angles of each implant are planned. The decision on preparation is made based on the combination of the scan, measurements, and clinical picture. Sometimes it is enough to redistribute the load between the implants to avoid additional intervention. In other cases, placement is impossible without grafting. It is impossible to say in advance what will happen in a specific case: it depends on the patient's anatomy.

Comparison of two preparation scenarios

ParameterWithout graftingWith bone grafting
Bone volumeSufficient for tilted implantsInsufficient in one or more areas
Number of stagesOneOne or two
Time to prosthesisDepends on the clinical pictureDepends on the clinical picture
Sinus liftNot requiredPlanned for a low sinus floor
CT before surgeryMandatoryMandatory
DecisionMade by the doctor based on the scanMade by the doctor based on the scan

Diagnostics and equipment at the appointment

Implant planning relies on scans and digital models. Without them, it is impossible to assess bone volume, nerve position, and bite. Let us look at which devices help at each stage.

Computed tomography as the basis of planning

Cone beam CT provides a three-dimensional image of the jaws. The doctor sees the height and width of bone at each point, the course of the mandibular canal, and the position of the maxillary sinuses. The scan shows whether there is enough bone tissue for tilted implants or whether bone grafting will be needed. The thickness of the cortical plate is assessed here as well. The scan is taken before surgery and serves as a guide during placement. The radiation dose in cone beam CT is lower than in conventional spiral CT, while providing more information for planning. If the patient comes with old scans, they are compared with new ones: bone changes over time, especially after tooth extraction. The tomogram shows where the titanium implants will pass and how they will distribute the chewing load. Without such a scan, placement is blind—a risk of damaging a nerve or failing to achieve the necessary primary stability. The decision on whether the data are sufficient is made by the doctor.

Software modeling of implant positions

The scan is uploaded to the software, and a three-dimensional model of the jaw is built. On it, the dentist marks the implant placement points, their angulation, and the depth of insertion. Angled implants are often placed at a tilt to bypass the sinus or anatomical obstacles and to use denser areas of bone. The software shows how the axes will run and where the necks will emerge. The future prosthesis is also modeled here: it must seat on the implants without excessive tension. Sometimes a virtual crown is tried on to check the bite. From this model, a surgical guide is fabricated — it is placed over the jaw in the operating room and sets the direction for the drills. Positioning accuracy is higher than with freehand work. But the guide does not replace the doctor's decisions: everyone's anatomy is different, and final adjustments are made as the procedure goes. The cost of All-on-4 implantation depends on the extent of such planning, but the plan itself is not a product — it is a medical document.

What is needed in the operating room

  • Sterile table: the set of drills, implants, wrenches, and adapters is laid out in advance, and every instrument goes through a class B autoclave.
  • Physiodispenser: a motor with speed and torque control to drill bone without overheating and to set the depth of the osteotomy precisely.
  • Surgical guide: it is printed from the digital model and placed over the dental arch; it sets the direction of the drills and the implant positions.
  • Microscope: under magnification, the surgeon can see small vessels and nerves and control the edges of the incision and the quality of the sutures.
  • Laser: used for soft tissue treatment and wound disinfection; it reduces bleeding during the procedure.
  • Intraoral scanner: after the implants are placed, a digital impression is taken, and it goes to the laboratory instead of a tray with impression material.

Laboratory stage and prosthesis fabrication

  • Digital impression: the scanner sends the laboratory a file with the exact position of the implants, without the distortion that impression material causes.
  • Jaw model: a working model is printed or milled from the file, and the technician checks the fit of the future restoration on it.
  • Prosthesis framework: it is milled from titanium or zirconia on a machine, then tried on the model to make sure there are no gaps.
  • Veneering: ceramic or composite is applied to the framework, and the shade is matched to the remaining teeth and the gum tone.
  • Fixation: the finished prosthesis is screwed onto the implants, the screw access holes are sealed with filling material, and the doctor adjusts the bite if needed.

Removable or fixed restoration: which to choose?

Both options rest on the same four implants. The difference lies in how the prosthesis connects to them and how the patient removes it.

How the two fixation options differ

A removable restoration is supported by a bar or by attachment clips. The patient removes it themselves — at night, for hygiene. The fixed option is screwed to the abutments, and only the doctor can remove it. This leads to a difference in how they feel: a removable prosthesis takes up more space in the mouth, while a fixed one feels closer to natural teeth. In terms of chewing load, the options distribute it differently, but that does not mean the removable one cannot handle it. For the upper jaw on four implants, bone volume is often smaller, and then the removable option is simpler: it covers the gum and does not require such a precise fit. A fixed restoration on the upper jaw is possible if there are enough implants and the patient is ready for regular checkups. Both solutions are reversible: if necessary, the restoration can be replaced with the other type. The choice is not final and is revisited if the clinical picture changes.

Home care for the restoration

  • Removable denture: remove after meals, clean with a non-abrasive brush, rinse with warm water; leave it in a solution overnight so the material does not dry out.
  • Area around the abutments: with the removable option, clean the gum and the bar; with the fixed option, use an interdental brush under the prosthesis, where plaque accumulates.
  • Fixed restoration: clean with a single-tuft brush along the gum line and with a water flosser; clean the interdental spaces with an interdental brush of the right size.
  • Monitoring: with a removable denture, check the fit after each removal; with a fixed one, watch for screw loosening and gum bleeding.
  • Abutment check-up: regardless of the type of fixation, implants should be examined at maintenance visits, not only when pain or swelling appears.

Comparison of the options by key features

FeatureRemovable restorationFixed restoration
Who removes itthe patientthe dentist only
Feeling in the mouthbulkiercloser to natural teeth
Hygienesimplerrequires an interdental brush and a water flosser
Gum coverageyesno
Repairpossible outside the mouthmore often inside the mouth
Depends on bonelessmore

What influences the choice

The first factor is bone volume and density. Where there is enough bone for the abutments, a fixed prosthesis is technically feasible. Where the bone is thin, a removable one fits more reliably. The second is hygiene skills: with inadequate cleaning, a fixed restoration accumulates plaque under the body, while a removable one can be taken out and washed. The third is habits: a tendency to bruxism is taken into account, because the load on the abutments is distributed differently. The fourth is aesthetic expectations: some patients care about the appearance of the gum margin, and the dentist decides this based on the scan. The fifth is general health: with certain mucosal conditions, the removable option is tolerated more easily. The decision is made together with the prosthodontist after an examination and a CT scan. If the patient is unsure, it is possible to start with a removable option and later switch to a fixed one when conditions are suitable.

What to remember

The method relies on four points

Four implants are not a simplification to save money. It is a calculation: the angulation of the rear abutments and the distribution of chewing load along the arch support the entire structure. The front implants are placed vertically and carry the main load. The rear ones are tilted to bypass anatomical obstacles — the maxillary sinuses in the upper jaw, the mandibular canal in the lower jaw. Thanks to the tilt, in some cases extensive bone procedures can be avoided. The prosthesis is fixed on all four abutments at once, so the load goes not to an individual implant but to the whole structure. Hence the precision requirements: the position of each abutment is planned in advance from the CT scan rather than chosen during surgery. An error in angulation or insertion depth shifts the geometry of the prosthesis. Correcting this after osseointegration is harder than anticipating it at the planning stage. The surgical guide and preoperative diagnostics are not a formality here but part of the method.

The dentist determines the indications

There is no universal answer to who is a suitable candidate for this technique. The decision is made based on imaging and the condition of the oral cavity, not on the number of missing teeth. One patient with complete edentulism receives a fixed restoration, while another with a similar presentation is offered a different option — and that is not a mistake. What matters is the density and volume of bone in the intended support areas, the condition of the gums, the bite, underlying medical conditions, and smoking. The distribution of the remaining teeth is also assessed separately: sometimes they can be used as additional supports, sometimes not. Age itself is not a contraindication, nor is long-standing tooth loss. It happens that a patient comes in expecting one solution, but after examination it turns out that a different approach is indicated. This is a normal part of the consultation process. The doctor is obligated to explain why a particular plan was chosen and what will happen to the bone and gums with each option. If there is no explanation or the plan is not supported by imaging, it is worth getting a second opinion.

Bone grafting is not always necessary

The angulation of posterior implants allows, in some cases, to avoid bone augmentation in the posterior regions of the jaw. This is a significant advantage: fewer stages, less surgical intervention, a shorter path to the prosthesis. But the rule is not absolute. If there is insufficient bone in the anterior region or if the volume is critically low throughout the arch, grafting remains necessary. In that case, the volume is restored first, healing is awaited, and only then are the supports placed. Sometimes a sinus lift on one side is sufficient; sometimes a more extensive procedure is required. The doctor decides based on CT scan data, not on the patient's desire to speed up the process. Attempting to place an implant into insufficient bone volume without preparation increases the risk that the support will not integrate. This is not an argument against the method, but an argument against rushing. If you are offered treatment without grafting, it is worth understanding what that decision is based on and how much bone reserve exists at each site.

Hygiene and follow-up visits

A four-support restoration requires regular care, and this is not a formality. The prosthesis is not removed at night, plaque accumulates underneath it, and a soft-tissue barrier forms around the implants that is easily traumatized. Such a restoration is cleaned with interdental brushes, a single-tuft brush, and a water flosser — a regular toothbrush cannot reach the junctions between the prosthesis and the gums. If plaque remains, the gums become inflamed, bleeding appears, and in advanced cases the process affects the bone around the supports. Treatment then has to be paused to address the inflammation. Follow-up visits are needed to assess the condition of the mucosa, check whether the screws have loosened, and whether any chips have appeared on the prosthesis. The frequency is determined by the doctor based on the clinical picture. Some patients come every six months; others need more frequent monitoring — it depends on hygiene, smoking, and general health. Follow-up visits should not be skipped: some problems do not cause pain in the early stages and are only visible on imaging.

Questions about All-on-4 dental implants

The price consists of the cost of the implants, the surgeon's work, the temporary and permanent prosthesis, and additional stages such as bone grafting or taking impressions. The final amount is given by the doctor during the examination after the CT scan, because it depends on the chosen implant system and prosthesis material. For current figures, see the pricing section on this page — it lists the items by stage. A 0% installment plan is available from Jusan Bank for 24 months and from Kaspi for 12 months, and payment from the UAPF is also accepted.

In some cases, yes — if there is enough bone volume and good primary implant stability, a temporary fixed prosthesis is secured on the day of surgery. This is possible when the surgeon sees on the scan that the All-on-4 implants have been placed with the required torque and the gums allow impressions to be taken right away. If stability is lower, a pause is taken between surgery and the prosthesis, and a removable restoration is offered for that period. The decision is made by the doctor based on cone beam CT and the examination, not on the patient's wish alone.

The lifespan depends on hygiene, regularity of check-ups, the condition of the bone around the abutments, and the prosthesis material. Dental prosthetics on 4 implants requires cleaning the interdental spaces with an irrigator and a brush, plus professional hygiene and a bite check every six months. If the patient smokes or skips check-ups, the load is distributed unevenly, and the restoration has to be redone sooner. The exact replacement timeline is given by the doctor based on the scan, not in advance.

Complications are possible, as with any surgery: swelling, bleeding, inflammation around the abutments, suture dehiscence, and less commonly implant loss. Contraindications are divided into absolute and relative: severe bleeding disorders, decompensated diabetes, certain bone diseases, and the use of certain medications. Some restrictions can be lifted after preparation with a relevant specialist, so before All-on-4, implantation begins with an examination and a CT scan. If the risk is high, the doctor suggests another prosthetics option.

At our clinic, the warranty is up to 5 years, and it covers the implants and the work performed according to the All-on-4 protocol, provided the recommendations and check-ups are followed. The terms are set out in the contract: they concern the restoration itself and the stages of treatment, but they do not override the biological characteristics of the body. For the warranty to remain valid, you need to attend follow-up examinations and professional hygiene appointments within the timeframes set by the doctor. Details for a specific case are clarified during a consultation after the examination.

Yes, the upper jaw on 4 implants can be restored separately from the lower jaw if the other jaw does not yet require such a prosthesis. The doctor assesses the bone volume in the area of the planned supports: in the upper jaw it is often thinner, so additional preparation is sometimes needed. All-on-4 implants are placed at an angle to bypass the sinus and use the available bone. The final plan is based on cone beam CT, not on a single image or the patient's words.

A removable prosthesis on 4 implants is attached to attachments or a bar and is removed by the patient for hygiene, while a fixed one is secured with screws and is removed only by the doctor. The removable option is easier to clean and repair, but it is smaller in volume and may feel like a foreign body. A fixed restoration feels closer to your own teeth, but it requires more thorough hygiene around the supports. Which option is suitable in a specific case is decided by the doctor based on the scan and the condition of the gums.

Yes, this method is designed specifically for the complete absence of teeth in the jaw: four supports carry a prosthesis for the entire arch. All-on-4 implants are placed at an angle to make use of the remaining bone and, in some cases, avoid extensive grafting. If there is significant bone loss, additional preparation may be required, and then the plan is changed. Whether there is enough bone can be assessed with a cone-beam CT scan at the consultation.

Treatment includes diagnostics, placement of four implants, a temporary prosthesis and the subsequent fabrication of the permanent restoration, as well as follow-up check-ups. The cost depends on the implant system, the prosthesis material and whether additional stages are needed, so it is quoted after an examination and CT scan. You can see the itemized prices by stage in the pricing section on this page. A 0% installment plan and payment from the UAPF help spread out the payments.

You can book by phone at +7 747 093 89 86 or by visiting the clinic at 133/6 Kanysh Satpayev St., JAZZ residential complex. The clinic is open daily from 9:00 to 20:00, parking is free, and the initial examination and treatment plan cost 0 ₸. During the appointment, the doctor performs an examination and CT scan, explains whether All-on-4 dental implantation is suitable in your case, and outlines the stages. If you need an installment plan, it is arranged separately — from Jusan bank for 24 months or from Kaspi for 12 months.

We are open daily from 9:00 AM to 8:00 PM, seven days a week. The clinic is located in Almaty at 133/6 Kanysh Satpayev St., JAZZ Residential Complex. Phone for appointments — +7 747 093 89 86. Initial examination and treatment plan — 0 ₸.

Address: Almaty, 133/6 Kanysh Satpayev St., JAZZ Residential Complex. Parking for patients is free. Phone for appointments — +7 747 093 89 86. Appointments are available daily from 9:00 AM to 8:00 PM.

Warranty up to 5 years. The clinic has been operating since 1995, with a rating of 4.9 based on 312 reviews on 2GIS, Google, and Yandex. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 AM to 8:00 PM.

0% installment plans: from Jusan Bank for 24 months, from Kaspi for 12 months, and payment from the UAPF is available. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 AM to 8:00 PM. Phone for appointments — +7 747 093 89 86.

Initial consultation — 0 ₸. Examination, dental chart, written treatment plan: what we do, which materials we use, in what order, and how much it costs. You get the plan in hand; no payment is needed at this visit.

Parking is free. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Appointments are available daily from 9:00 to 20:00. To book, call +7 747 093 89 86.

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35 reviews on the site
35 ratings
ДДана Г.29 August 2026
★ 5,0

I made an appointment on the recommendation of a colleague from work. That's what won me over. They performed the implant immediately after the extraction, and at follow-up visits nothing was found missing — and that was exactly what I was afraid of —!

ААйгуль Б.21 August 2026
★ 5,0

I needed a second opinion. Fast. I booked through the website, and they called back about ten minutes later. One implant, everything according to the contract. I chew comfortably, nothing gets in the way, which is exactly what I wanted. I'll keep coming here, no question about it. We went over the scan together on a big screen, and they showed me where there wasn't enough bone — I'll mention that separately. I'll put it this way: I was only scared until I sat in the chair (I asked twice to confirm). They set up the installment plan right there on the spot, no running around to banks, and that's what won me over)

ББекзат Г.29 July 2026
★ 5,0

I put it off for about a year. After reading the reviews, I decided on this place. I got an implant placed, and they showed me the image on the screen. It turned out better than I expected. I'm satisfied.

ППавел О.27 July 2026
★ 4,0

My previous doctor moved away, so I had to find a new one — the implant was placed in the fall, and the crown in the spring, the crown was placed later. Nurlan is a thorough doctor, down to the smallest detail — and that was exactly what I was afraid of —. I had to clarify the timing twice — but that's just me, for the sake of honesty. I have a low pain threshold, and they took that into account!

ННаталья Н.4 July 2026
★ 5,0

Zub raskololsya pod koronkoy, spasat bylo uzhe nechego, odin implant, vse po dogovoru, koronku postavili pozzhe. Ni razu ne pozhalela (sama ne poverila). Sanzhar podrobno raspisal plan.

ММарина Г.22 June 2026
★ 5,0

I've disliked dentists since childhood. The implant was placed in the fall, the crown in the spring, and nothing was ever found missing at checkups. Rustam didn't pressure me and gave me time to think.

The clinic administrator schedules the patient's appointment by phone
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Message us on WhatsApp or call — the clinic is open daily from 9:00 to 20:00. Initial examination and treatment plan — 0 ₸, free parking.

free parking133/6 Kanysh Satpayevopen daily, no days off9:00 — 20:00Jusan bank — 24 months, Kaspi — 120% installment plan
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