Fixed full-arch teeth on four implants, designed to use the bone you have.
Fixed full-arch teeth on four implants, designed to use the bone you have.
All-on-4 replaces a full arch of teeth with a fixed bridge on four dental implants, two of them angled to use the bone you have. At L'Oris in São Paulo, Brazil, it usually takes two trips, often without a bone graft.
3D CT scan to confirm four implants fit
Angled implants that can reduce grafting
Final bridge designed digitally, in 3D
One English-speaking dentist, start to end
Video check-ins with her once you're home
You smoke, have uncontrolled diabetes or take bone medication. It doesn't rule you out, but it changes the plan.
A typical plan. Your written plan sets the exact days before you book.
Brazil's dental council (CRO) doesn't allow published prices. Your written plan lists each item and its cost, sent privately by email.
Video consultation and written plan · Exam and 3D CT scan · Surgical guide and four implants · Fixed temporary teeth, when bone allows · Final bridge and follow-up
Extractions · Bone graft, if the scan shows it's needed · IV sedation
Flights and hotel · Meals and local transport · Brazil e-Visa fee · Travel insurance
3D CT scan: confirms four implants fit your bone.
Angled implants: back implants tilt to reach denser bone.
Nobel Biocare implants: lot numbers recorded in your file.
Swelling and soreness for a few days are common. Less often, an infection develops or an implant doesn't bond with the bone; Dra. Cristina reviews your history first and follows you by video while you heal.
U.S., Canadian and Australian citizens need an e-Visa for Brazil. Apply online 3–4 weeks before you travel.
Most international flights land at Guarulhos (GRU), about an hour away. Congonhas (CGH) is 15 minutes from the clinic.
Campo Belo, Moema and Itaim Bibi are close to the clinic, with hotels and short-term rentals.
International wire transfer or major credit cards. Terms are in your written plan.
A slow, historic coastal town for the quiet days after treatment.
An island escape a few hours from São Paulo great for unwinding.
A cool mountain town near São Paulo, made for resting.
It starts before you fly. You send photos and any X-rays or CT scans you have, and we review your case on a video call in English. In São Paulo, we take a 3D CT scan, plan each implant digitally, and place it, often with a surgical guide, under local anesthesia or sedation. After healing, we place the final crown or bridge. Treatment usually takes 3 to 5 appointments, split over two trips.
Most implant cases need two trips. On the first, we place the implant; then the bone needs a few months to bond with it before the final crown goes on during the second trip. Each surgery appointment takes about 90 minutes. The number of days you spend in São Paulo depends on your case and is set in your written treatment plan before you book flights.
Both replace a full arch of teeth with a fixed bridge supported by implants. All-on-4 uses four implants, with the back two placed at an angle to make the most of the available bone. All-on-6 uses six, spreading the bite force across more support. Which one fits you depends on your bone volume, your bite, and your medical history, and we decide that from your 3D scan.
A traditional denture rests on your gums and comes out for cleaning and sleep. An All-on-4 bridge is fixed to implants, so it stays in, doesn't slip when you talk or eat, and helps keep the jawbone stimulated. It does require surgery and a healing period, and it isn't right for every patient. During your consultation, we walk you through both options for your case.
Most people return to light activities a day or two after surgery. Swelling and tenderness usually peak around day two or three and fade over the following week. You'll eat soft foods for a few days and follow the written aftercare instructions we give you. Full healing of the implant into the bone takes a few months, which happens at home before your second visit.
Brazil has a regulated dental profession: every dentist must be licensed by a regional dental board, which in São Paulo is CRO-SP. Safety comes down to the same things it does at home: a licensed implant dentist, a 3D scan before surgery, sterile protocols, and a clear follow-up plan. Dra. Cristina, who leads our implant cases, has post-doctoral training in implant dentistry at Fundecto-USP.
Ask for the dentist's full name and CRO number, then look them up on the CRO-SP or Federal Dental Council (CFO) website, which shows whether the license is active and which specialties are registered. Our dentists are Dra. Cristina Peixoto Soares Gavaldão, CRO-SP 63483, and Dra. Eloisa Peixoto Soares Ueno, CRO-SP 68982. You speak with them directly, in English.
Your care continues after the flight home. You get a follow-up schedule with video check-ins and can message the dentists who treated you directly. If something needs to be seen in person, we coordinate with a dentist near you and share your records, imaging, and treatment plan. Your second trip, for the final crown or bridge, is planned in advance.
Three photos of your smile are enough to start.
The dentist reviews your case herself and replies within 2 business days, in English.