Dental Implants

Replace missing teeth in just one day and regain your confidence, comfort, and natural-looking smile.

Advantages ›Process ›Costs ›FAQ ›
Siegel All-on-4 Behandlungskonzept Excellence Center 2022


Dental Implants

Replace missing teeth in just one day and regain your confidence, comfort, and natural-looking smile.

Advantages ›Process ›Costs ›FAQ ›

The All-on-4 dental implant procedure is a full arch treatment and a revolutionary solution designed to restore functionality and aesthetics to those who have lost most or all of their teeth. This treatment involves placing four (or six in certain cases) dental implants strategically in the jaw, which serve as anchors for a full dental prosthesis.

The procedure is efficient and cost-effective, usually requiring fewer appointments than traditional dental implants. What's more, it can be a game-changer for individuals with significant tooth loss or decay, enabling them to reclaim their smile, confidence, and quality of life.

Read on to discover more about the All-on-4 treatment, its advantages, the procedure, conditions for treatment, pros and cons, alternative treatment methods, and more. We invite you to explore our galleries showcasing the dramatic before and after transformations of our patients.

At our Dental Clinic, a specialized All-on-4 competence centre, our priority is delivering the highest standard of care tailored to your individual needs. Let's embark on this journey to a new smile together!

Advantages of the
All-on-4 treatment

The All-on-4 treatment offers numerous advantages for patients suffering from tooth loss or edentulism:

Same-Day Results

All-on-4 implants allow for a full arch of teeth to be supported by just four strategically placed implants. This innovative approach often enables patients to leave the clinic with a brand-new smile on the same day as the implant surgery.

Enhanced Stability

By utilizing advanced implant techniques, All-on-4 provides exceptional stability and support for your new set of teeth. This means you can enjoy improved biting and chewing capabilities, allowing you to savor your favorite foods without hesitation.

Natural Appearance

All-on-4 implants are designed to imitate the look and feel of natural teeth. With a customized set of prosthetic teeth – made by our inhouse dental technicians - that are carefully crafted to complement your facial features, you can achieve a beautiful, natural-looking smile that enhances your overall appearance.

Improved Confidence

Regaining a full set of teeth can significantly boost your self-esteem. With All-on-4 implants, you can confidently interact with others, speak clearly, and smile freely, knowing that your teeth are stable and aesthetically pleasing.

About All-on-4

Get your smile back

All-on-4 dental implant treatment is a well-established and widely accepted procedure in dentistry. The treatment concept was developed by the dental implant supplier Nobel Biocare and Portuguese dentist Dr. Paulo Malo in the late 1990s. Since then, it has been used successfully all over the world.

The method is backed by extensive clinical research and has been proven to offer a safe, effective, and long-term solution for patients suffering from tooth loss or edentulism (loss of all teeth).

All-on-4 involves the strategic placement of four implants to support a full arch of teeth. These implants serve as anchors for a fixed prosthesis, providing a natural-looking and fully functional set of teeth that feel and function like your natural teeth.

1. Consultation and Planning

We begin with a comprehensive evaluation of your oral condition to determine if you are a candidate for an All-on-4 treatment, or if you are better suited for alternative options.

2. Diagnostics and Properative Procedures

Special X-Ray Scans are needed (DVT) to complete your diagnosis and plan the positioning of the dental implants and the temporary post-surgery prosthesis.

3. Implant Placement

During the All-on-4 dental implants surgery four or – if necessary – more implants are inserted. Remaining teeth (if there are any) are removed within the same procedure. Most patients opt for this surgery under general anaesthesia.

4. Temporary Teeth

After the implants are placed, a temporary set of teeth is affixed to the implants on the same day, which allows you to eat and speak normally while your mouth     heals.

5.  Permanent Teeth

Once your mouth has healed fully, the temporary teeth are replaced with a custom-made, permanent set of teeth that are designed to look and feel like natural     teeth and according to your individual preferences (colour, shape, material).

Conditions for Smile
in a Day Treatment

Candidates for the All-on-4 procedure must be in good general health and have enough bone structure to support the implants.

However, since the procedure often eliminates the need for bone grafting, it is accessible to more patients than traditional implants. Even for patients with a severe loss of bone (highly atrophic jaw), there is the option to use zygomatic implants instead. Zygomatic implants, also known as ‘Zygoma’, are longer than standard dental implants which are not anchored in the jawbone but in the very stable cheekbone.

Pros & Cons for fixed teeth in a day / the All-on-4 Treatment option


The All-on-4 procedure is less invasive, requires less healing time, and offers an immediate functional solution compared to traditional implants. For severe bone loss it may be necessary to place zygomatic implants.


It is not be suitable für patients with only partial teeth loss.

Alternative Treatment Methods for those who are not suitable candidates for All-on-4, alternative treatments include traditional dental implants, implant-supported bridges, dentures, or bone grafting followed by implant placement.

Dr. Kraus Implant Clinic

Why choose Dr. Kraus All-on-4 Clinic?

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    At Dr. Kraus Dental Clinic, we are committed to providing excellent patient care using the latest dental technologies.

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    Dr. Daniel Kraus, a leading implant, All-on-4 and Zygomatic specialist, and his dedicated team strive to ensure that your All-on-4 implant procedure is as comfortable and effective as possible.

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    We believe in empowering our patients with knowledge and aim to provide a personalized, comprehensive service that meets your individual dental needs.

Risks and Complications of All-on-4 Surgery

As with any surgical procedure, All-on-4 dental implants carry some risks, although they are generally considered low and complications are rare.


As with any surgical procedure, there is always a risk of infection. However, this can be minimized by following post-operative care instructions and maintaining good oral hygiene.

Implant Failure

Though rare, there is a chance that the body might reject an implant or that the implant fails to integrate with the bone. This risk is increased in patients who smoke or have certain chronic diseases.

Nerve Damage

There is a slight risk of nerve damage during the procedure, which could result in pain, numbness, or tingling in the natural teeth, gums, lips, or chin.

Sinus Problems

For implants in the upper jaw, there might be a risk of sinus problems if the implants protrude into the sinus cavities.

However, the expertise of Dr. Kraus and his team significantly reduces these risks. During your consultation, we will discuss your health history, the potential risks, and the steps we take to minimize them. We believe that the benefits of the All-on-4 procedure often outweigh the potential risks for the right candidates, but we are committed to ensuring you have all the information you need to make the best decision for your oral health.

Dr. Daniel Kraus

Your Implant Specialist in Frankfurt / Mainz Region

Dr. Daniel Kraus, M.Sc., M.Sc., is an esteemed implantologist with over 20 years of experience, having successfully placed ten-thousands of implants, including regular placement of Zygoma implants. As the owner and lead practitioner at Dr. Kraus Dental Clinic, he applies the latest treatment concepts, often combined with cutting-edge digital technology, to find the most appropriate solution for every patient's needs.

His clinic offers state-of-the-art technical equipment, a comfortable environment, and various anaesthesia options for maximal patient safety and comfort. An in-house dental laboratory ensures the provision of individual and precision-fit dental prosthetics.

Dr. Kraus is one of the few Zygoma specialists in the German-speaking region, demonstrating his commitment to continuous professional advancement.

Costs for an All-on-4 Dental Implants

The cost of All-on-4 dental implants, which provide fixed teeth in a day, is approximately 30 % lower than that of traditional dental implant treatments. Due to the quicker completion of the treatment, fewer appointments are needed, which results in lower overall costs. The cost for the All-on-4 treatment starts at around €12.00 for the lower jaw and €13.800 for the upper jaw.

What is included in the All-on-4 Treatment Price?
The cost plan for fixed teeth in a day includes:

  • 3D Diagnostics and Planning

  • Four or six high-quality All-on-4 implants from the market leaders, Nobel Biocare and Straumann

  • The surgical procedure and dental services

  • The first fixed, aesthetically high-quality provisional dental prosthesis (healing prosthesis)

Costs may be higher if teeth need to be extracted, if more implants (All-on-6) are required due to poor bone substance, or if special Zygoma implants need to be placed.

success story

What does one of our
patients say?

See the Transformation

Our Before and After Galleries

We believe that seeing is believing. That’s why we’re proud to share with you the transformative results of our All-on-4 dental implant procedures. By visiting our Before and After Treatment Galleries, you can witness firsthand the dramatic changes in our patients’ smiles and the significant improvements in their quality of life.

From restoring functionality to enhancing aesthetics, Dr. Daniel Kraus and his dedicated team strive to create personalized solutions that lead to the best outcomes. We invite you to explore these galleries and visualize what we could achieve for your smile with the All-on-4 treatment.


I have a dental phobia. What should I do?

I have a dental phobia. What should I do?

For patients with dental phobia, it's important to choose a dental clinic and a team of professionals who understand their fears and can provide a caring, empathetic, and patient-oriented approach to treatment.

At Dr. Kraus Dental Clinic, we are experienced in dealing with dental anxiety and are committed to creating a calming and safe environment. Here are a few strategies we employ and recommend:

1. Open Communication:
Share your fears and concerns with us. Knowing what makes you anxious allows us to adapt our approach to make you more comfortable.

2. Sedation Dentistry: We offer various sedation options to help make your dental procedures more comfortable. These options include mild sedatives, nitrous oxide (also known as laughing gas), and even general anesthesia for more extensive procedures or severe cases of dental phobia. The right choice depends on the patient's individual needs and the complexity of the dental procedure.

3. Familiarize Yourself: We encourage you to familiarize yourself with our clinic, your personal treatment coordinator and staff before your procedure. This can help to create a sense of comfort and familiarity, reducing anxiety.

4. Take it One Step at a Time: We're happy to proceed at a pace that you're comfortable with, and we can start with less invasive procedures to gradually help you overcome your fear.

5. Distraction Techniques: Some patients find it helpful to listen to calming music or focus on visual aids during procedures.

6. Comprehensive Explanation: We will thoroughly explain each step of the procedure to you. Knowing what to expect can often reduce fear and anxiety.

Remember, our ultimate goal is to ensure that you feel comfortable and safe while receiving the best possible dental care. Your journey to a healthy smile doesn't have to be a distressing experience. With the right approach, we can turn it into a positive one.

How to extend the durability of your All-on-4 dental implants?

Maintaining and extending the durability of your All-on-4 dental implants largely relies on good oral hygiene practices and regular dental check-ups. Here are some guidelines to ensure the longevity of your All-on-4 dental implants:

1. Practice Good Oral Hygiene: Just like natural teeth, dental implants require regular cleaning. Brush at least twice a day, floss daily, and consider using interdental brushes or water flossers (not with zygomatic implants!) to clean hard-to-reach areas around your implants.

2. Regular Dental Check-ups: Regular visits to your dentist are crucial. They will check the condition of your implants, the health of your gums, and clean areas that are difficult to reach at home.

3. Healthy Diet: Eating a balanced diet is beneficial for overall oral health. Avoid excessive consumption of sugary foods and drinks, as they can lead to plaque buildup, which can potentially cause problems for both natural teeth and dental implants.

4. Avoid Smoking and Excessive Alcohol: Smoking can inhibit healing and can cause gum disease, which can lead to implant failure. Excessive alcohol can also affect oral health, so moderation is key.

5. Don't Ignore Issues: If you experience any discomfort, loosening, or any other issues with your dental implants, contact your dentist immediately. Early intervention can prevent more serious problems down the line.

6. Protect Your Teeth: If you play contact sports, consider wearing a mouth guard to protect your implants from damage.

Remember, with good care and regular check-ups, All-on-4 dental implants can provide a long-lasting, often lifelong solution for missing teeth.

What Do Statutory Health Insurance Companies Pay for Fixed Teeth in a Day?

Although dental implant treatments have become a standard treatment for tooth loss, they are not included in the catalogue of services covered by statutory insurance funds.

However, for the dental prosthesis on the All-on-4 implants, they do provide a subsidy in the form of a general fixed subsidy for the dental prosthesis.

How Zygomatic implants and All-on-4 work together?

Zygomatic implants and All-on-4 are both treatment options that allow for the replacement of missing teeth with dental implants. While the All-on-4 concept generally uses four regular implants to support a full-arch prosthesis, sometimes, due to severe bone loss in the upper jaw, regular implants cannot be used.

In these situations, zygomatic implants can be integrated into the All-on-4 treatment concept, which is then often referred to as “All-on-4 Zygoma”. Here’s a basic rundown of how this combination works:

1. Examination: Your dentist will first carry out a comprehensive examination and use imaging techniques (like CT scans) to assess your bone structure.

2. Treatment Plan: If your upper jaw does not have sufficient bone for traditional implants, your dentist may recommend zygomatic implants. The treatment plan will be customized based on your specific needs.

3. Implant Placement: During the procedure, two longer zygomatic implants are placed into the zygoma (cheekbone), which has a very dense bone. The other two regular implants are placed in the front part of the jaw. In cases of extreme bone loss in the upper jaw it can be necessary to place four zygomatic implants (Quad Zygoma).

4. Prosthesis Attachment: Just like in the standard All-on-4 procedure, a provisional full-arch prosthesis can be attached on the same day, allowing you to leave the clinic with a new set of teeth.

5. Healing Period: Over time, the implants fuse with the bone, providing a stable base for the final prosthesis.

By combining zygomatic implants with the All-on-4 concept, patients who were previously not candidates for dental implants due to severe bone loss in the upper jaw can now benefit from this life-changing treatment. The combination allows for immediate function and avoids the need for bone grafting procedures like iliac crest (hip) transplants, which can be very invasive and require a longer healing period with a medium success rate.

What is the difference between All on 4 and All on 6?

The All-on-4 and All-on-6 concepts both refer to techniques of restoring a full arch of teeth with dental implants, but the main difference lies in the number of implants used and their distribution in the jawbone.


The All-on-4 concept involves the use of four dental implants to support a full arch of teeth. Typically, two straight implants are placed in the front of the jaw, and two implants are tilted up to 45 degrees in the back of the jaw. This tilt allows for longer implants to be used, increasing bone-to-implant contact and reducing the need for bone grafting. The prosthetic teeth are then mounted onto these four implants.

In the All-on-6 concept, six implants are used to support the full-arch prosthesis. Because more implants are used, the distribution of force when biting and chewing is spread over more points, which may improve the stability and durability of the prosthesis. All-on-6 can be a good option for patients with a moderate or bad bone density, who are not suitable for or want to avoid bone grafting procedures with longer healing times.

What Happens On The Day Of Your All-On-4 Surgery?

On the day of your surgery, we'll begin by administering local anaesthesia or sedation to ensure your comfort throughout the procedure. Most patients choose a general anaesthesia for more comfort. After the implants are carefully placed, you will stay in our dedicated patient area until we can affix a temporary set of teeth, allowing you to leave our clinic in the same evening with a new smile.

How Long Do All-on-4 Dental Implants Last?

With good oral hygiene and regular dental visits, All-on-4 dental implants can last many years. For the procedures in our clinic we have a 99.5% success rate within five years. The prosthetic teeth may need replacement or adjustment over time, but the implants themselves can last a lifetime.

How Long It Takes to Heal After the Smile Makeover?

While the initial healing period after All-on-4 surgery is typically a few weeks, it may take approximately four months for your mouth to completely heal and for the implants to fully integrate with your bone.

Treatment with Sedation or Under General Anesthesia

If you wish to undergo the dental implant operation under anesthesia treatment (sedation), such as general anesthesia administered by our experienced anesthesiologists or the administration of laughing gas in combination with a painkiller, this will be charged separately.

Before you decide on a treatment with All-on-4 implants, we provide you with a complete and transparent cost plan that includes all associated costs. Our staff will sit down with you, explain the cost plan, and answer your questions.