We’re an All-on-4 Center of Excellence!

The Center for Oral Surgery & Dental Implants is now a certified Center of Excellence for the All-on-4 treatment concept, one of only three oral surgery practices in Michigan to have achieved this recognition. It means that our surgeons have undertaken extensive training and have the necessary surgical experience with this technique to provide the best possible care for your patients.

All-on-4 treatment requires no grafting and is a cost-effective implant solution for patients with failing dentition and for many with edentulism. The latest research shows good long-term clinical outcomes and high patient satisfaction. “Overall, we’ve found that patients are quite pleased with the experience and outcomes made possible with this treatment,” says Richard Panek, DDS, a surgeon at the Center for Oral Surgery & Dental Implants.

 All-on-4 treatment provides full-arch rehabilitation without bone grafting using only four implants per arch: Two axial anterior implants and two implants tilted up at 45 degrees in the posterior. The final prosthesis can contain up to 12 teeth. For patients who meet the criteria for immediate loading of implants, a fixed acrylic bridge provides immediate function.


To determine eligibility for All-on-4 treatment for each prospective patient, our surgeons perform a thorough evaluation, consisting of:

  • MEDICAL HISTORY, including any conditions that might affect the treatment outcome or the patient’s ability to have oral surgery, such as conditions or habits that could interfere with healing (diabetes, smoking).
  • DENTAL HISTORY, including periodontal disease and habits such as clenching and bruxing that can impact long-term outcomes.
  • RADIOGRAPHIC ANALYSIS, initially with a panoramic radiograph, and usually followed by a full-mouth periapical series, a CT scan or a cone-beam CT analysis.
  • INTRA- AND EXTRAORAL EXAMINATION to evaluate the remaining teeth and soft tissue.

Most reasonably healthy patients are excellent candidates for All-on-4 treatment.

To speak with one of our surgeons about the All-on-4 treatment concept, please call 616-361-7327.