Smile Dental Center Medellín
Cosmetic DentistryEl Poblado · Medellín

All-on-4 Dental Implants in Medellín, Colombia — A Fixed Full Arch

Replace a full arch of missing or failing teeth with fixed teeth anchored on four implants, at our clinic in El Poblado, Medellín. 3D-planned surgery, a provisional arch when your case allows immediate loading, and a two-trip plan for patients flying in from the US.

4.0 · 61 Google reviews

Medically reviewed by Dra. Linda Paola Ortiz · Dentist

No spam. We only contact you about your consultation.WhatsApp
  • 4.0★ · 61 Google Reviews
  • El Poblado, Medellín
  • Digital Smile Design
  • Spanish & English spoken

Why Choose Us?

We combine cutting-edge technology with Colombian artistry

A Full Arch on Four Implants

Two straight implants at the front and two angled at the back support a complete fixed bridge. The angled implants make the most of the bone you have, which often avoids bone grafting.

Provisional Teeth Without the Long Wait

When implant stability allows immediate loading, a fixed provisional arch is attached the same day or within 48 hours — so you don't leave without teeth. The definitive arch comes after healing.

Planned with 3D Imaging

A full-arch CBCT scan, photos and digital impressions let the implant team plan the position of each implant and the shape of your new teeth before surgery.

Honest Candidacy Check

All-on-4 is irreversible and it's surgery. We check bone volume, gum health, smoking and medical conditions first — and if All-on-6 or another option fits you better, we say so.

Durable Definitive Materials

The definitive arch is made in zirconia or metal-ceramic and screwed to the implants: it doesn't come out at night, and it's cleaned like natural teeth with a water flosser.

Designed for Patients Who Travel

Two trips separated by 3–6 months of healing, with remote follow-up by WhatsApp and video call in between. We help with airport pickup and hotel recommendations, in English or Spanish.

Full-arch implant dentistry

All-on-4 · illustrative image 1
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All-on-4 · illustrative image 5
All-on-4 · illustrative image 1
All-on-4 · illustrative image 2
All-on-4 · illustrative image 3
All-on-4 · illustrative image 4
All-on-4 · illustrative image 5

The Process

  1. 1

    Records & 3D Planning

    Full-arch CBCT scan, intraoral photos and digital impressions. We review your medical history and plan where each implant goes and how your new smile will look. If you're abroad, start by sending a panoramic X-ray and photos on WhatsApp.

  2. 2

    Extractions (If Needed) & Implant Placement

    Failing teeth are removed and four implants are placed in the same session — two straight at the front, two angled at the back. Surgery takes roughly 1.5–3 hours per arch under local anesthesia, with sedation options discussed at your assessment.

  3. 3

    Fixed Provisional Arch

    When stability allows immediate loading, a screw-retained provisional arch in acrylic (PMMA) is fitted the same day or within 48 hours. You eat soft foods and smile normally while the implants heal.

  4. 4

    Osseointegration (3–6 Months)

    The implants fuse with the jawbone. If you've flown home, we follow up remotely with photos and video calls; any local dentist can check your soft tissues in between.

  5. 5

    Definitive Arch

    On the second trip (typically 3–5 days) the provisional is replaced with the definitive zirconia or metal-ceramic arch, screwed to the implants, and the bite is adjusted for comfort and function.

What's Included?

  • Full-arch 3D CBCT scan and digital planning
  • Digital smile preview of your new arch
  • Written treatment plan and itemized quote
  • Four titanium implants per arch
  • Extractions of failing teeth when needed
  • Fixed provisional arch when immediate loading is possible
  • Remote follow-up during osseointegration
  • Definitive screw-retained arch in zirconia or metal-ceramic

All-on-4 quote

Free assessment

The cost depends on one or both arches, four or six implants, extractions or grafts, and the definitive material. Send a panoramic X-ray and photos on WhatsApp for a preliminary quote; it's confirmed after the 3D scan.

Full-arch 3D CBCT scan and digital planning
Digital smile preview of your new arch
Written treatment plan and itemized quote
Four titanium implants per arch
Get my quote

All-on-4 replaces every tooth in an arch with a fixed, screw-retained bridge anchored on just four titanium implants: two straight at the front and two angled at the back. When implant stability allows, patients receive a fixed provisional arch the same day or within 48 hours, and the definitive arch after 3–6 months of osseointegration. Long-term studies report implant survival above 90% at 10 years. At Smile Dental Center Medellín (El Poblado, Colombia) every case is planned with a 3D CBCT scan.

All-on-4 in Colombia: how the two trips work

If you're flying in, we group your appointments so the first trip covers surgery and the provisional arch, and the second trip the definitive arch. We help with airport pickup and hotel recommendations near our clinic.

  1. 1

    Trip one · 5–7 days

    3D scan, extractions, implants and a fixed provisional arch when immediate loading is possible.

  2. 2

    Healing · 3–6 months at home

    Remote follow-up by WhatsApp or video call while the implants integrate.

  3. 3

    Trip two · 3–5 days

    Definitive zirconia or metal-ceramic arch and bite adjustment.

All-on-4 vs. All-on-6 vs. full dentures

★ MOST COMMON

All-on-4

4 implants per arch

ProvisionalImmediate if stable
JawbonePreserved
FixationFixed, screw-retained
GraftingOften avoided
DefinitiveAfter 3–6 months
Get my quote ↑
🔷 MORE SUPPORT

All-on-6

6 implants per arch

ProvisionalImmediate if stable
JawbonePreserved
FixationFixed, screw-retained
Best forUpper jaw, grinders
DefinitiveAfter 3–6 months
⚠️ REMOVABLE

Full dentures

No implants

ProvisionalNot applicable
JawboneKeeps shrinking
FixationRemovable, adhesive
SurgeryNot required
LifespanNeeds relining
Implant surgery instrument kit prepared for surgery
All-on-4

A full arch on just four implants

Instead of one implant per tooth, the All-on-4 technique anchors a complete fixed arch on four strategically angled implants. It uses the bone you have, often avoids bone grafting, and replaces a removable denture with fixed teeth that don't slip.

  • Angled implants that make the most of available bone
  • Screw-retained: it doesn't come out at night
  • Cleaned like natural teeth, with a water flosser
Patient checking her smile in a mirror in the dental chair (illustrative image)
Provisional and definitive

Two prostheses, one goal

The acrylic provisional arch lets you speak, smile and eat soft foods while the implants heal. The definitive arch, in zirconia or metal-ceramic, is made once integration is confirmed and adjusted to your final bite.

  • Fixed provisional when stability allows
  • Definitive arch in zirconia or metal-ceramic
  • Annual check-ups to keep implants and gums healthy

The expert hands behind your smile

Dr. Linda Paola Ortiz, dentist at Smile Dental Center in Medellín, Colombia

Who designs your smile

Dra. Linda Paola Ortiz

Dentist — Smile Dental Center Medellín, Colombia

Dentist at Smile Dental Center's clinic in El Poblado, Medellín, Colombia. She treats porcelain and composite veneers, smile design, implants and whitening, following the clinic's Digital Smile Design protocol.

  • Dentist
  • Digital Smile Design
  • Spanish & English
  • El Poblado, Medellín
Meet Dr. Ortiz →

Frequently Asked Questions

We don't publish fixed prices because a full-arch quote depends on your case: one arch or both, four or six implants, extractions or bone grafts, and whether the definitive arch is zirconia or metal-ceramic. Send a recent panoramic X-ray and photos on WhatsApp for a preliminary, itemized quote, confirmed after the 3D scan. When you compare clinics, check that the figure includes the provisional arch, the definitive arch, imaging and follow-ups — not just the implants.

Two. The first visit (about 5–7 days) covers the 3D assessment, extractions, implant placement and the provisional arch when immediate loading is possible. After 3–6 months of healing at home — with remote follow-up by WhatsApp and video call — the second visit (about 3–5 days) is for the definitive arch and bite adjustments.

In most cases yes, but it depends on what we find during surgery. If the implants achieve enough primary stability, a fixed provisional arch is attached the same day or within 48 hours. If they don't, loading them immediately would risk the implants, so we wait — your safety comes before the schedule. Either way, the definitive arch is placed after osseointegration.

All-on-4 is designed for people who have lost most or all of the teeth in one jaw, whose remaining teeth are failing, or who are tired of loose dentures. The angled back implants work with less bone than conventional implants, so many patients avoid grafting. Smoking, uncontrolled diabetes and active gum disease lower success rates and need to be addressed first. The 3D scan confirms candidacy.

It's irreversible — remaining teeth in that arch are removed; it's surgery, with swelling, temporary discomfort and, rarely, implant failure; some people need a few weeks to adapt their speech; hygiene under the fixed arch requires a water flosser and a technique you'll learn; and the prosthesis can chip or wear and may need repair or replacement over the years. Careful 3D planning and scheduled check-ups reduce most of these risks, and we'll tell you plainly if another treatment fits you better.

All-on-4 uses four implants per arch; All-on-6 uses six. Four implants give excellent stability for many patients. Six spread the bite force better and are often preferred in the upper jaw, where bone tends to be less dense, or for people who grind their teeth or have a strong bite. The choice is made from your 3D scan, not from a package.

Long-term studies of the All-on-4 concept report implant survival above 90% after 10 years. The implants are designed to stay for decades with good care; the prosthesis is the part that wears and may need repair or replacement after many years of use. Annual check-ups and professional cleaning under the arch are part of keeping it healthy.

It can be, if you choose carefully. The CDC advises checking the provider's qualifications, getting a written plan and arranging follow-up care before you travel. Ask any clinic for a full-arch 3D scan, an itemized written quote, the implant brand and reference, and copies of your records — and plan for a dentist at home who can see you between trips.

For the first weeks, soft foods only — eggs, yogurt, soups, fish, mashed vegetables — because the provisional arch protects implants that are still healing. Avoid biting into hard or sticky foods with the front teeth. After the definitive arch is fitted, most patients return to a normal diet, following the specific guidance we give at each stage.

No. The arch is screwed to the implants and only the dentist can remove it for maintenance. You brush it like natural teeth and clean underneath with a water flosser — no adhesives, no overnight soaking.

Yes. We help coordinate airport pickup in Medellín, share hotel recommendations near our clinic in El Poblado, and schedule your appointments so you have time to rest after surgery. Our team speaks Spanish and English.

What Our Patients Say

Real Google reviews · Medellín 4.0★ (61 reviews)

Our clinic in El Poblado

Medellín, Colombia · Spanish & English spoken

Mall Platinum Superior, Local 176

Cra. 25 # 1A Sur - 155, El Poblado, Medellín

  • Monday–Friday: 9:00 AM – 6:00 PM (COT)
  • Saturday: 9:00 AM – 1:00 PM (COT)
  • Sunday: closed
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