- Dental Implants
- All-On-4® Dental Implants
- Other Services
All-On-4® offers a premium smile solution for replacing all missing or badly damaged teeth. With a 98% success rate* they are a predictable and permanent teeth replacement solution.
All-On-4® dental implants support a new set of teeth using just four dental implants in each arch. They’re functionally and aesthetically superior to any other teeth replacement solution, including dentures.
At Perth Dental Implant Centre, our highly accredited and experienced dentist Dr David Norcross can restore your smile with All-On-4® dental implants or full mouth dental implants. For personalised advice or to discuss your smile options, book a consultation at your nearest clinic in Kelmscott or East Victoria Park.
All-on-4® is a technique developed by Professor Paulo Malo for Nobel BioCare, a swiss dental implant company. The term All-On-4® refers to a full set of teeth attached to four dental implants, and both the protocol and the dental implants are registered trademarks of Nobel BioCare.
The protocol involves placing dental implants in a way that can avoid or reduce the need for a bone grafting procedure. New teeth are attached within five days following surgery, providing a quick solution to replacing all missing teeth.
During surgery, two dental implants are placed at the front of the mouth and two dental implants at the back of the mouth at a 45-degree angle, carefully avoiding nerves and sinuses. A titanium-reinforced acrylic bridge or denture is tried on one to two days after surgery and then fitted by day five, restoring the smile quickly and efficiently.
Dr Norcross has completed residencies at the Malo Clinic in Melbourne, Portugal and Brazil learning the All-On-4® protocol, and offers implant package options for patients to choose from.
Dr Norcross is also trained in advanced surgical techniques using the All-On-4® procedure with longer pterygoid dental implants for clients who suffer from significant upper jaw bone loss.
Nobel Biocare’s All-On-4® dental implants are the #1 recognised brand world-wide for full mouth dental implant treatment and are backed by clinically-proven studies and a 98% success rate*.
*Malo P, de Araújo Nobre M, Lopes A, Moss SM, Molina GJ. A longitudinal study of the survival of All-on-4® implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc 2011;142:310-204
Want to learn more about All-On-4® treatment? See our blogs.
Perth Dental Implant Centre is proud to be recognised as an All-On-4® Centre of Excellence by Nobel BioCare, the company that founded the All-on-4 treatment concept 25 years ago.
We are one of only a handful of All-On-4® Centres of Excellence in Australia. This title demonstrates our experience and training in All-On-4® techniques using genuine Nobel BioCare dental implants. We regularly place dental implants using the All-On-4 technique and are a trusted source.
There are several advantages to choosing All-On-4® dental implants to replace missing or badly damaged teeth.
The advantage to choosing All-On-4® dental implants over other full mouth dental implant systems is in the process used. All-On-4® dental implants are placed using a unique protocol that reduces or avoids the need for a bone grafting procedure.
Dental implant surgery like all surgical procedures, involves general surgical and specific risks. Treatment and maintenance costs are also higher than costs associated with suction dentures. When you book a consultation with our experienced dentist, we’ll assess your mouth and medical history and take diagnostic radiographs to determine the most suitable teeth replacement solution for your treatment needs and budget.
Cost of All-On-4® implants in Perth start from $21,000 per arch or $40,000 for both.
Every dentist uses their own method for placing the first set of All-On-4® teeth. The dentist and method you choose determines the overall price, durability and how long teeth may last before needing to be replaced.
The staged approach that many dentists use is to fit a 100% acrylic bridge to dental implants within five days of surgery. This staged approach requires you to upgrade to a zirconia bridge within three to six months of surgery, incurring an additional cost for a bridge.
Perth Dental Implant Centre’s approach to All-On-4® offers longevity to a patient’s first set of teeth that may last between two to five years on average. We fit a high-impact acrylic bridge that is reinforced with a milled titanium bar (hidden within the bridge) for added strength and durability.
When choosing a dentist for All-On-4®, it’s important to know what the first set of teeth are made of, because it could mean the difference between paying for a replacement bridge within the first year, or potentially gaining another four years out of the one you have.
During your consultation, we’ll discuss your treatment goals and treatment processes and provide a full examination including diagnostics. Clinical photographs, x-rays, 3D CBCT bone scan and digital impressions are also taken to help determine whether there is enough jawbone to hold dental implants in place. After this appointment, you’ll be provided with a tailored treatment plan and a break down of costs.
Following this initial appointment, we take pre-surgery records and you’ll meet with our lab technician to decide on your desired tooth shape and shade.
All-On-4® surgery involves Dr Norcross removing any remaining teeth before carefully placing All-On-4® dental implants into the jawbone. If your treatment plan includes a bone grafting procedure, this will also be done during surgery. Attachments are connected to dental implants and gums are stitched and sealed. Digital impressions are taken to mark the position of your dental implants for the lab technician to design your bridge, then a healing cap is placed over each implant.
One to three days after surgery, you’ll be able to try in a wax-up model of your final teeth. In this appointment, Dr Norcross will check your bite (how teeth come together), check how they look and make a record of any adjustments needed by the lab technician.
Within three to five days after your surgery, Dr Norcross attaches your new teeth to dental implants and shows you how to properly brush and floss teeth using a water flosser. Your mouth then begins the three to six-month healing process.
Four weeks and again at three months after your surgery, you’ll attend follow-up appointments for Dr Norcross to check your dental implants, your bridge, speech and bite. You’ll be able to ask any questions you have about maintaining your new smile and we’ll show you how to use the Waterpik waterflosser for cleaning under your bridge.
When it comes to aftercare, our goal is to help you maintain your All-On-4® teeth for as long as possible. Every 6 to 12 months you’ll attend a check-up and professional clean appointment and have x-rays taken every 12-24 months to assess the bone health around implants.
With All-On-4® dental implants, you can expect a new set of teeth in just five days.
Got questions? Get in touch with our team in East Vic Park or Kelmscott today.
All-On-4® dental implants are a permanent teeth replacement solution designed to last a long time. The teeth attached to dental implants may last between two and 15 years, depending on what the teeth are made of and how well they are cared for.
At some clinics, the fixed implant bridge fitted immediately after surgery is made of 100% acrylic and is intended to be worn for 3 to 6 months while the mouth heals from surgery and is then ready for a replacement ceramic bridge.
However, At Perth Dental Implant Centre, we use a single-stage approach to All-On-4 teeth. Our lab technician reinforces a high-quality acrylic bridge with a digitally-milled titanium frame to strengthen the bridge so they may last much longer. With proper care, it’s possible for a titanium-reinforced acrylic bridge to last between 2 to 5 years on average, or longer with proper care. This saves the cost of a replacement bridge (between $8,500 – $10,000) that you would expect to incur within the same year of surgery.
When your fixed implant bridge needs upgrading, you can choose from the following options:
Remodel your existing bridge (brand new acrylic, same titanium frame, aesthetics and bite) or choose a new titanium-reinforced acrylic bridge.
Upgrade to a titanium-reinforced zirconia bridge.
Upgrade to a titanium-reinforced and porcelain-layered zirconia bridge.
A fixed dental implant bridge made of zirconia or porcelain-layered zirconia typically lasts between 10 and 15 years on average, or longer.
How long your new teeth ultimately last, depends on how well they are maintained and any wear and tear, such as strong biting forces or a tooth grinding habit. Dr Norcross may prescribe you with a custom mouthguard if you habitually grind your teeth, so they can last as long as possible.
Learn more about tooth materials for All-On-4® treatment.
Patient reviews about the clinical aspect of a regulated healthcare service such as All-On-4® dental implants are not legally permitted in Australia. This advertising regulation is designed to protect the public from taking on unqualified medical opinions and advice.
To help your research journey, we encourage you to look at before & after photos, watch videos, read blogs and learn about the team responsible for placing your implants and designing your teeth. Where possible, ask to speak directly to patients who have had the surgery done and can share their experience with you.
There have been many studies confirming the long-term success of All-On-4® dental implants since 1998 when the surgery was performed for the first time.
A 2012 study documenting patient reviews reported high satisfaction rates with All On Four treatment. 98% of patients stated they would definitely recommend similar treatment.
Read about the trust factors we recommend you check for when choosing a dentist for All-On-4® dental implants.
Learn how All-On-4® dental implants can help to restore your smile and book an All-On-4® consultation with Dr David Norcross at your nearest Perth clinic.
Perth Dental Implant Centre is a licensed All-On-4 practice and operates out of two locations, Kelmscott Dental and EVP Dental. To book a consultation in Kelmscott, please call 1300 108 133 to book at our Kelmscott or East Vic Park clinic.
Yes. All-On-4® treatment at Perth Dental Implant Centre is supported by a 5-year warranty covering Nobel Biocare dental implants; a 5-year warranty covering the titanium bar and a 2-year warranty covering acrylic teeth. This warranty is subject to attending scheduled implant reviews, six-monthly check-ups and hygiene maintenance appointments.
The Centre of Excellence designation demonstrates that your dental surgeon has the necessary surgical experience and training to offer the All-on-4® treatment protocol. Patients can also rest assured that their Nobel Biocare dental implants are authentic and supported by a warranty.
One of only a handful of Centres of Excellence across Australia, Perth Dental Implant Centre is proud to be recognised as an All-On-4® Centre of Excellence.
When it comes to performing dental implant surgery, there are no regulations on the amount of training a general dentist must complete before they can place dental implants. A general dentist may complete a 1 or 2-day course and begin placing implants with little experience. However, studies have shown that experience significantly affects the success of dental implant treatment.
PDIC founder, Dr David Norcross has attended various advanced implant dentistry programs and residencies, including a 1-year Master Clinician in Implant Dentistry program at the Global Institute for Dental Education (gIDE) and University of California, Los Angeles (UCLA), clinical residencies at both the Malo Clinic in Melbourne and in Portugal (home of All-On-4) learning about advanced techniques in full arch rehabilitation using the All-On-4® technique. He is a member of the International Congress of Oral Implantologists and Australian Society of Implant Dentistry and has restricted his clinical practice to surgical and implant dentistry.
When you choose Dr Norcross for implant surgery, your smile is in experienced hands.
A milled titanium frame is stronger than cast metal and has a more passive fit which means it puts less pressure on the surrounding bone. This helps the jaw bone heal better around All-on-4® dental implants.
Cast metal bars (cobalt chronium) tend to be the cheapest and are prone to fracture and can be harder to repair than acrylic bridges which are reinforced with titanium.
Each dentist has their own approach to All-On-4 teeth, it can often come down to their access to the right dental lab technology. Perth Dental Implant Centre works with Dental Engineering, a local dental laboratory in Perth which has titanium-milling technology and can meet the 1-2 day turnaround time required for All-On-4® surgery.
Most patients with healthy and sufficient jaw bone may be suitable for All-On-4® dental implants. However, some medical conditions and lifestyle factors may influence treatment success, or require additional procedures to support dental implants.
Watch as implant surgeon Dr David Norcross explains patient eligibility and success factors:
Book a consult with Dr Norcross if any of these conditions affect you:
During your consult, Dr Norcross will take a 3D CBCT bone scan and discuss your medical history and any medications you may be taking to determine whether you are suitable for treatment. A treatment consultation costs $65 and a 3D CBCT scan costs $205. We can also accept recent 3D scans from other dentists to save you the cost of a new scan.
How long All-on-4 teeth (fixed implant bridge) last, depends on your oral hygiene, biting forces and your dentist’s approach to All-On-4® teeth after surgery.
Some dentists use a two-stage approach, first placing a temporary acrylic bridge and then a permanent zirconia bridge within 3 to 6 months after surgery.
At Perth Dental Implant Centre, our single-stage approach offers longevity to the first set of teeth. Our All-On-4 acrylic bridges are reinforced with a milled titanium frame for extra strength and durability, saving you the added cost of having to replace a bridge within the first 6 months. Titanium-reinforced acrylic teeth may last between 2 to 5 years, or longer with proper care.
When the time comes to replace your first set of teeth, you may choose another titanium-reinforced acrylic bridge or upgrade to a titanium-reinforced zirconia bridge or porcelain-layered zirconia bridge. Zirconia is stronger and more aesthetic than acrylic, and teeth may last between 10 – 15 years on average before needing to be replaced.
While All-On-4 teeth are designed to last, repairs may be needed from time to time.
The cost of All-on-4® dental implants in Perth starts from $21,000* per arch or $40,000* for both arches. This includes:
*Anaesthetist and hospital fees vary and are not included in this price.
To determine your suitability for treatment, a 3D bone scan is done during your consultation to confirm there is enough jaw bone to support dental implants. A treatment consultation costs $65, a 3D bone scan costs $205.
Nobel Biocare owns the All-On-4® dental implant system.
All-on-4® is a technique developed by Professor Paulo Malo for Nobel BioCare, a swiss dental implant company. The term All-On-4® refers to a full set of teeth attached to four dental implants, and both the protocol and the dental implants themselves are registered trademarks of Nobel BioCare.
Read more on the dental implant systems used at Perth Dental Implant Centre.
All-On-4® dental implants have shown a very high success rate in the relatively short history they’ve been used to replace missing teeth.
The first patient to receive All-On-4® dental implants was in 1998. Since this time, many clinical studies have indicated very high success rates for both dental implants and the teeth attached to them.
A 2011 study conducted over a 5-year period indicated a 94.8% to 98.1% success rates respectively for dental implants and over a 10-year period 93.8% and 94.8% success rates. The teeth attached to implants showed a success rate of 99.2% over 10 years.
All-On-4® dental implants were first developed by Nobel BioCare as a more convenient and cost-effective alternative for replacing a whole arch of teeth using four dental implants, instead of using an implant per tooth.
As pioneers of the technique, Nobel BioCare has a trademark on both the All-On-4® protocol and the Swiss-made implants used for it.
The technique involves placing two dental implants at the front of the mouth and two implants at the back in a way that avoids or reduces the need for a bone graft. The All-On-4 technique using genuine Nobel Biocare implants has unprecedented success rates of up to 98%.
Read our blog on What is All-On-4® and what are the alternatives?
All-On-4® costs vary because of several factors including the skill, training and experience of the dentist placing your implants; and person designing your new teeth; the quality of teeth and dental implants; and treatment plan inclusions.
1. Skill, training and experience of the dentist
Head dentist, Dr David Norcross has dedicated his career to restoring smiles using dental implants, and has completed a number of advanced courses in implant and restorative dentistry.
2. Skill, training and experience of the dental technician
All of our full mouth implant bridges are custom-designed by highly experienced dental technicians. Perth Dental Implant Centre uses both local and interstate labs to design full mouth bridges that are high in quality, durability and aesthetics that complement your face, age and personality.
3. The type and quality of replacement teeth
Our dental implant packages offer a number of teeth replacement options and materials to suit your aesthetic and financial needs. Replacement teeth materials have different strengths, durability, aesthetic features and longevity.
4. Type and quality of dental implants
Perth Dental Implant Centre can place any implant system you choose. However, for full arch replacement we offer pricing packages using two high quality implant systems: MIS Implants and Nobel BioCare.
5. Treatment plan inclusions
All treatment plans include clinical radiographs, follow-up appointments and a check-up of your new teeth four weeks after treatment. If you choose to upgrade your teeth after 3 to 6 months of your mouth healing post-surgery, we’ll include this item in your treatment plan.
At Perth Dental Implant Centre, we use MIS implants for single dental implants and small fixed bridges and Nobel Biocare dental implants for All-On-4® treatment. Our implant pricing packages feature two implant systems:
1. MIS Implants
MIS is a highly reputable implant company that has a global presence in over 65 countries including Australia. In 2016, MIS was acquired by the world’s largest manufacturer of professional dental products and technology, Dentsply Sirona. Dr Norcross is a lecturer and mentor for MIS Implants and the Dental Implantology Academy (DIA), the largest private dental training institution in Australasia.
2. Nobel BioCare (All-On-4®)
Nobel BioCare is a Swiss implant company which funded studies by Professor Paulo Malo who developed the first All-On-4® surgical concept. This technique refers to a full set of teeth immediately loaded onto four dental implants in a way that avoids the need for bone grafting.
All-On-4® refers to a surgical protocol and dental implant system were developed by Nobel BioCare as a convenient and cost-effective alternative for replacing a whole arch of teeth with fewer implants, instead of using an implant per tooth.
The technique involves placing two implants in the front of the mouth and two implants at the back of the mouth at a 45 degree angle to avoid the sinuses and nerves, and reduce or avoid the need for a bone grafting procedure.
As pioneers of this advanced surgical technique, Nobel BioCare owns the All-On-4® protocol and the Swiss-made dental implants specifically designed for it.
Perth Dental Implant Centre only uses TGA-approved dental implant systems and offers implant pricing packages to replace one tooth, several teeth and a full arch of teeth.
Read our blog on What is All-On-4® and what are the alternatives?
Zirconia bridges are milled from solid blocks of pure zirconia, a high-quality tooth material that’s known for its strength and aesthetics. Zirconia bridges take between 2 to 4 weeks to manufacture.
In the week following dental implant surgery, the jaw bone begins to soften around the implants, starting a healing process known as osseointegration. A tooth bridge needs to be attached to implants in the first 7 days of surgery, while the bone is still rigid enough to hold it in place. This is why an acrylic bridge is placed first. Our acrylic bridges are reinforced with a titanium bar for extra strength and durability.
Once jaw bone and dental implants properly fuse together over 3 to 6 months, new impressions can be taken if you wish to upgrade to a zirconia bridge, otherwise there is no rush as your titanium-reinforced acrylic bridge can last between 2 and 5 years on average, or longer in some cases.
When it’s time to replace your bridge, you can choose from another titanium-reinforced acrylic bridge or a zirconia bridge, which may last between 10 to 15 years on average, or longer.