All on 4 Sydney evolved – the future of dental implants is here

At Macquarie Street Dental, we’ve advanced All on 4 dental implants with surgical precision, an ultra-slim design, and a seamless, natural-looking finish – for a smile that looks and feels instinctively yours. This is All-on-4 Next Gen.

If you’re losing teeth, living with dentures, or weighing up your options – this changes everything.

Actual patient

For All on 4 Sydney patients ready for something better, this is the next step. We’ve evolved the trusted all on four method to be more precise and more lifelike than ever before – using the latest technology to take results to the next level. All-on-4 Next Gen gives you a smile that looks real, feels natural, and preserves more of what’s already yours.

Think All on 4 dental implants are all the same? Think again.

Since the early 2000s, traditional All on 4 has been the gold standard in full-arch tooth replacement. It’s trusted, effective, and has changed thousands of lives.

But dentistry evolves – and so do expectations.

That’s why we offer All-on-4 Next Gen: a refined approach that keeps what works, removes the unnecessary, and delivers a smile that fits seamlessly from the start.

STANDARD ALL-ON-4
Replaces gums and teeth with a clear transition line
Teeth are bulkier and can feel more foreign in the mouth
Flat gumline, pink material, often visible
Requires bone and gum removal in most cases
ALL-ON-4 NEXT GEN
Preserves your natural gum tissue – no transition line
Slim, strong and lifelike teeth for a more natural feel
Teeth emerge from gumline for seamless, realistic look
Preserves bone and tissue for better long-term outcomes

This isn’t a new product. It’s the natural evolution of a proven solution, reengineered to feel more like you. All-on-4 Next Gen replaces only the teeth, not the gums, using unheard of precision and lifelike design to deliver a seamless smile – literally.

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All on 4 treatment: What’s changed – and why it matters

What are all on 4 dental implants?

Illustration of all on 4 dental implants used in Sydney.
standard all-on-4 dental implants

All on 4 is a fixed tooth replacement solution that uses just four titanium implants per jaw to support a full arch of teeth. This procedure restores function and appearance with a permanent, natural-looking fixed bridge – often without the need for bone grafting. Patients benefit from faster treatment and reduced costs compared to placing several individual implants.

See how Next Gen compares to standard All-on-4

All-on-4 Next Gen builds on a trusted foundation and advances it. With careful planning and digital design, it delivers a smile that looks natural and feels comfortable.

STANDARD ALL-ON-4
NEXT GEN  ALL-ON-4

Feature or
Benefit

Standard
All-on-4

Next Gen
All-on-4 at MSD

No gum removal
No bone removal
No pink false gum
No clear transition line
Minimally invasive
The slimmest bridge available

Who is All-on-4 Next Gen for?

  • People missing most or all of their teeth
  • Denture wearers wanting more stability and comfort
  • Those facing tooth loss from gum disease or trauma
  • Anyone seeking the most natural look and feel possible
  • Patients looking for standard All-on-4 with a less invasive option

Find out if All-on-4 Next Gen is right for you.

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Illustration of all on 4 dental implants used in Sydney.
Evolution of All-on-4: the Next Gen at Macquarie street dental

Book your free All on 4 Sydney Next Gen consultation

What to expect

There’s a lot to weigh up when replacing all your teeth. That’s why we offer a free consultation with our All on 4 dentist, Dr Dunn, in our Sydney clinic to help you explore whether All-on-4 Next Gen is right for you.

Your free consultation includes:

  • A full dental and oral health review (with 3D scans and precise assessment)
  • Personalised treatment option recommendations
  • Side-by-side comparisons of bridge materials and outcomes
  • Clear guidance on Next Gen vs other full-arch implant dentistry (so you know exactly what’s right for you)
  • A breakdown of timelines, dental implants cost, and next steps
CONTACT US

You’ve done the research. Now see what’s possible

1 / 1
Patient's photo before all-on-4 dental implants treatment at Macquarie Street Dental.
Macquarie Street Dental's patient photo after all-on-4 dental implants treatment.

Case Study One

Our patient had lost some teeth previously, which she replaced with partial dentures. But when a workplace accident damaged even more of her teeth, she needed to restore her whole smile.

Not wanting to resort to removable dentures, the patient needed a fast, permanent solution for her smile. With All on 4, she was able to achieve this in a matter of days.

Patient's photo before all-on-4 dental implants treatment at Macquarie Street Dental.
Macquarie Street Dental's patient photo after all-on-4 dental implants treatment.

Case Study Two

Our patient lost some teeth many years prior after an accident and had a dental bridge covering the gaps. When his bridge fractured, it was time to look at more long-term treatment options.

Wanting to avoid dentures, the most predictable and cost-effective solution for him was to remove the damaged teeth and replace them with a fixed dental implant solution.

Patient's photo before all-on-4 dental implants treatment at Macquarie Street Dental.
Macquarie Street Dental's patient photo after all-on-4 dental implants treatment.

Case Study Three

Our patient wasn’t surprised when her old dental bridge fell out one day. For years, fear had held her back from going to the dentist. But now, she wanted a natural-looking solution that would stand the test of time.

The patient's damaged teeth were removed and four dental implants were placed. A few days later, her temporary bridge was fitted. After her six-month healing period, her final Signature bridge was placed.

Patient's photo before all-on-4 dental implants treatment at Macquarie Street Dental.
Macquarie Street Dental's patient photo after all-on-4 dental implants treatment.

Case Study Four

Our patient was suffering with periodontal disease (gum disease) and a painful abscess. He’d recently had some teeth removed but it didn’t help the pain. He had an infection in the upper jaw and was also worried about further tooth loss.

Due to the peridontitis, the prognosis for the remaining teeth was poor. Therefore, the removal of the teeth and placement of dental implants with a fixed tooth bridge was the most effective and beneficial long-term solution.

Evolution doesn’t just look better – it feels better

All-on-4 Next Gen isn’t just an upgrade in technology – it’s a shift in how full-arch implants feel, function, and fit. Here’s what patients love about it:

Illustration of all on 4 dental implants used in Sydney.

A new smile, the same day

Walk in for surgery, walk out with new, functional teeth, the very same day.

More future options

Because Next Gen doesn’t cut away healthy bone, it opens up more possibilities for future dental success.

Looks and feels like the real thing

Standard All on 4 treatments look natural, but can feel bulky. Next Gen offers a light, slimline bridge with no ‘fake’ pink gum to trap food. You’ll speak clearly, eat comfortably and forget it’s there.

Gentler healing, less downtime

By preserving more of your existing bone and tissue, the dental implant procedure can feel less invasive – and may support a smoother healing process.

A seamless smile line

Next Gen teeth emerge naturally from your gumline – no visible join, no artificial look.

Comfort you can feel

Every implant is placed with sub-millimetre accuracy, and your bridge is digitally mapped in real time – so it fits right, from day one.

This is what’s next in dental implants – and no one will ever know you’ve had all your teeth replaced.

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Technology evolves.
Your smile should, too.

At Macquarie Street Dental, we’ve adopted two ground-breaking new technologies that place this next‑generation all on 4 Sydney treatment ahead of what many cosmetic dentists and standard practices offer.

X‑Guide®: think “GPS for your smile”.

This guided system uses 3D navigation to place each implant with sub‑millimetre accuracy – meaning your procedure is planned and executed with exacting control.

What it means for you:

  • Enhanced protection for nerves and adjacent structures.
  • A more controlled surgical route with minimal bone or gum disruption.
  • A clearer path to predictable outcomes.

FastMap®: same‑day smile, sculpted for you.

With FastMap, we capture the final bridge shape in real time while you're still in the chair – allowing your new teeth to be fitted with a bespoke, contoured design.

What it means for you:

  • Walk out with functional, tailored teeth the same day.
  • A bridge that follows your natural gumline, supporting speech and comfort.
  • A result that prioritises how it feels, not just how it looks.

The Dr Dunn difference

Dr David Dunn doesn’t just perform dental implants – he’s helped shape how they’re done in Australia. After training with Professor Brånemark, the inventor of dental implants, he has spent over 25 years refining his craft and has carried out more than 3,000 All on 4 treatments.

Dr Dunn’s difference isn’t just his elite surgical training; it’s his belief that delivering your most natural smile isn’t just dental, but personal. That’s why he’s helping bring All-on-4 Next Gen to life and raising the standard of what’s possible in full-mouth treatment.Today, he leads Macquarie Street Dental, one of just a few Nobel Biocare Centres of Excellence in Australia, recognised for its innovation in next-generation All-on-4 care.

Dr Dunn

Dr Dunn’s experience

  • Bachelor of Dental Surgery (Honours), University of Sydney
  • Fellow, Royal Australasian College of Dental Surgeons (FRACDS)
  • Faculty Member, gIDE/UCLA Master Clinician Program in Implant Dentistry
  • Founder & Former Chairman, Osseointegration Society of New South Wales
  • Published Author in the International Journal of Prosthetic Dentistry
  • Faculty gIDE/UCLA Master Clinician Program in Implant Dentistry
MORE ABOUT DR DUNN

How much do all on four dental implants cost in Sydney?

When you’re considering All on 4 dental implants in Sydney, cost is an important factor. That’s why we’ve created a free All-on-4 Price Guide, which gives you a clear breakdown of All-on-4 treatment inclusions, how the process works, and what factors may affect your total investment.

Get the facts, not just the figures – so you can take the next step with confidence.

See what's included in your All-on-4 treatment, and what it costs

Complete the form below to download our guide.
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All on 4 implants Sydney – ways to pay

With flexible payment options and interest-free payment plans, we help make the path to full-arch restoration more accessible. You’re not just paying for implants; you’re investing in care at a new standard – delivered by one of Australia’s leading implant clinics.

SmileFund

SmileFund makes the all on 4 cost Sydney patients face easier to manage. Interest-free repayments, no fees, and the freedom to pay off early with no penalty. Applying is quick and easy, with fast approvals for eligible patients.
FIND OUT HOW

Superannuation

You may be eligible to apply for the early release of your superannuation to cover the cost of your dental treatment. Some super funds will release money from your super on compassionate grounds.
FIND OUT HOW

How the All-on-4 Next Gen process works

Whether you’re facing full tooth loss or tired of struggling with loose dentures, All-on-4 Next Gen is the pathway to a smile that feels like yours again.

Free consultation

Your journey starts with a one-on-one assessment, including 3D scans and a full oral health assessment. You’ll learn whether you’re a suitable candidate for All-on-4 Next Gen, explore your options, and receive a clear outline of what your treatment could involve.
1

Planning Phase

Before treatment begins, we gather detailed records and use them to map every aspect of your treatment. This phase allows your clinicians to plan your implant positioning, design your future smile, and prepare everything needed for a smooth, predictable procedure.
2

Precise implant placement

On the day of your procedure, we use X-Guide® navigation technology to place every implant with exceptional accuracy and predictability, giving you peace of mind.
3

Same-day smile

Thanks to FastMap® technology, we craft your new teeth onsite and fit them the very same day. This allows for real-time adjustments, ensuring your bridge feels natural and comfortable from day one.
4

Continued care as you heal

Your care doesn’t end after your implant surgery. We provide ongoing support, check-ins, and refinement as your implants integrate and your new replacement teeth settle – so your smile continues to look and feel its best.
5

Your All on 4 questions answered

How is Next Gen different from standard All-on-4?

The key difference is in how much we preserve (rather than remove) and how our technology delivers fit, feel and function. Standard All on 4 often replaces both teeth and gums (known as FP3), which can result in a thicker bridge and visible transition line. In contrast, the Next Gen treatment concept aims to replace only the teeth, preserving more of your natural gum and bone whenever your anatomy allows. That means a slimmer bridge, fewer modifications to your jaw or gum tissue, and a more natural feel. Even if you’re not a candidate for Next Gen, the advanced technologies we use still provide a more precise and comfortable outcome compared with conventional techniques.

Is the procedure painful?

We recognise full‑arch restoration is a significant step – and comfort is a priority. We offer twilight sedation administered by an accredited anaesthetist so you remain conscious but relaxed, and many patients report little recall of the procedure. After‑care protocols and advanced surgical planning aim to minimise post‑operative discomfort. Sedation fees may attract a Medicare rebate depending on your eligibility. (Note: Individual experience varies.)

Is All on 4 worth it?

For people facing full‑arch tooth loss or longstanding denture use, All on 4 offers a fixed teeth, long‑term solution rather than removable alternatives. Research suggests high overall satisfaction rates among patients with conventional All on 4. While we don’t promise results, many patients in these circumstances find the upgrade meaningful – not just in appearance of their new fixed teeth, but in ease and daily function.

Why does the cost vary so much?

All on 4 cost will vary depending on the type of dental bridge you select for your new teeth, the use of genuine, high-quality dental implants, your individual case, and the clinician's surgical experience. During your initial consultation at our All on 4 clinic Sydney, we’ll break down the exact cost and provide a detailed treatment plan. We also offer payment plans, so you can get high-quality, authentic All on 4 dental implants and pay for your treatment in manageable instalments. Remember, the cheapest All on 4 dental implants Sydney may come with hidden costs and not give you the results you want. Do your research and read up on All on 4 reviews.

How successful is All on four?

Clinical studies on conventional All on 4 report implant‑survival rates in the range of 95‑98% over multi‑year follow‑up periods. The use of guided technologies (such as ours) may enhance precision and reduce variables, though, as with any surgical treatment, success depends on individual anatomy, oral hygiene, health factors and maintenance. Always discuss your personal prognosis and success rates during your consultation.

Am I too old for All on 4 dental implants?

Age is rarely a barrier to dental implants. What matters most is your overall health and bone quality. Many patients in their 70s, 80s, or even older successfully receive implants and enjoy a fully restored smile. Dental implants are typically recommended for adults 18 years and over because jaw growth needs to be complete before treatment. We can assess your suitability and discuss options tailored to you.

What are the benefits of full-arch rehabilitation/replacing missing teeth?

Some of the benefits frequently experienced by patients include:

  • Stable, fixed teeth rather than removable teeth
  • Improved ability to eat a wider variety of foods
  • Improved speech
  • Preservation of the jawbone structure, which can atrophy under dentures
  • A simplified maintenance routine (with professional support and home care)

What materials are used?

For our Next Gen bridge restoration, we use the ICE® zirconia ceramic system by Zirkonzahn – a zirconia framework over a high-strength white zirconia (approximately 1900 MPa). Because there’s no titanium framework, the bridge can be thinner yet stronger. The design is custom‑contoured to match your gumline and anatomy, offering a more natural feel and appearance compared with thicker, generic alternatives.

What are the risks of All on 4 treatment?

As with any surgical procedure, there are risks. Potential All on 4 problems may include:

  • Implant failure
  • Infection
  • Incorrect placement, causing nerve damage
  • Tooth bridge breakages and fractures
  • Complications related to certain health conditions

Choosing an experienced clinic and following all aftercare instructions can help minimise these risks.

How long does it take, and what’s the recovery time?

The All-on-4 Next Gen procedure is completed within a day. When it comes to recovery, most people take around 2 - 5 days to rest and heal. Your final bridge is then placed four to six months later, once the implants have fully integrated with the bone and you’re fully healed.

How do you clean and care for On-4 dental implants?

Good home hygiene and professional reviews are key to lasting outcomes. We recommend:

  • Brushing both teeth and gums twice daily
  • Flossing under the bridge where accessible
  • Using a water‑flosser for harder‑to‑reach areas
  • Attending professional check‑ups every six months (or more frequently if advised). Regular follow‑up ensures we can monitor healing, bite alignment and oral health.

Is it safe to get All on 4 in Thailand or elsewhere overseas?

While cheaper overseas alternatives may appear attractive, patients should be aware of the trade‑offs: limited local support, low-quality implants and components, difficulty in returning for revision or maintenance, potential regulatory differences, and no on‑site after‑care. At Macquarie Street Dental, you’re supported locally with clinicians, anaesthetists, on‑site labs and follow‑up care. We believe depth of local support is a key factor in long‑term satisfaction and safety.

This page has been medically reviewed by Dr David Dunn, internationally recognised authority on implant dentistry (FRACDS). (Last reviewed Jan/2026).

This is All on 4, evolved.

Preserving more of what makes you you, while advancing everything else
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