When patients search for reviews of All-on-4 at a specific practice, they’re usually looking for the same thing: honest information about what the experience is actually like. Not the glossy version. The real one.
Here’s the honest version of what All-on-4 at Melton Dental House involves, from the first consultation through to the moment you walk out with a permanent, full-arch restoration. No surprises.
The Consultation: Where It Actually Starts
Before any treatment is planned, you’ll sit down with Dr Fong Nien Yong for a comprehensive assessment. This isn’t a short appointment. Dr Fong reviews your medical and dental history, examines your current oral health, and in most cases, takes 3D cone beam CT (CBCT) imaging to map your bone structure in detail.
This imaging is essential. The placement of four implants to support an entire arch of teeth requires precision planning; the angle, depth, and position of each implant is determined well before surgery begins. This planning stage is where experience matters enormously. Dr Fong has completed over 3,000 hours of advanced professional education in implantology and has placed more than 3,000 implants. His All-on-4 experience extends across more than 500 full-arch cases.
The consultation is also where you ask your questions, about the process, the timeline, what sedation options are available, and what your restoration will look like.
The Surgical Phase
All-on-4 is a surgical procedure, and it’s worth understanding what that involves. On the day of surgery, four titanium implants are placed into the jawbone at specific angles, a technique designed to maximise contact with available bone, even in cases where bone density has reduced over time.
In many All-on-4 cases, any remaining failing teeth are removed on the same day as implant placement. A temporary, fixed prosthetic arch is often fitted at the same appointment, which is why All-on-4 is sometimes described as “teeth in a day.” That said, this temporary restoration is not the final result; the permanent arch comes later, once osseointegration is complete.
For patients concerned about comfort during the procedure, Melton Dental House offers in-house IV sedation and general anaesthesia through our sleep dentistry service, options that allow you to be fully relaxed or asleep throughout the surgical phase. This is available at the practice without the need to be referred to a separate facility.
Healing and Osseointegration
After surgery, the implants need time to integrate with the jawbone. This process, osseointegration, typically takes between three and six months, depending on the individual case. During this period, you’ll be wearing the temporary arch and attending follow-up appointments to monitor healing.
This is not a passive waiting period. What happens during healing directly affects the long-term stability of your implants. Dr Fong and the team provide clear guidance on care during this phase, what to eat, what to avoid, and what signs to watch for.
The Final Restoration
Once osseointegration is confirmed, your permanent prosthetic arch is fitted. This is the final, fixed restoration that functions like natural teeth. The process of designing and fitting the final arch involves careful attention to fit, function, and aesthetics, ensuring the result is both comfortable and suited to your face.
Individual results vary based on factors including bone density, overall health, oral hygiene habits, and adherence to aftercare guidance. These are honest variables, and Dr Fong discusses them in detail during the consultation phase.
What the Experience Is Like at Melton Dental House
Patients who go through All-on-4 at Melton Dental House consistently describe a process that feels well-managed, clearly explained, and genuinely considerate of how daunting the whole thing can feel.
The practice is experienced in dental anxiety care. The team takes time to explain what’s happening before and during each stage. And having in-house sedation options means patients who’ve historically avoided significant dental treatment aren’t forced to white-knuckle their way through it.
For residents of Melton, Rockbank, Kurunjang, Toolern Vale, and Exford, the ability to access this level of care locally, with an experienced, qualified clinician who doesn’t require a referral and a trip to the CBD, is a meaningful practical difference.
To find out if All-on-4 is right for your situation, book a consultation with Dr Fong Nien Yong at Melton Dental House. We’re open Monday to Friday 8am–6pm and Saturdays 8am–4pm at 6 O’Neills Road, Melton VIC 3337.
