All-on-4 Dental Implants in Bulgaria: Our Best Clinics and Costs 2025

The desired outcome of the procedure is available for people who have:

• total lack of teeth
• a lot of damaged teeth
• low bone tissue volume
• a removable prosthesis and want to change it to a fixed prosthesis
• severe periodontitis or periodontosis
• no possibility to eat solid food
• stagger and pain of all teeth.

Specialists divide contraindications for All-On-Four implant into two groups — absolute and relative. The first group of contraindications includes:

• blood disorders ( anemia, bleeding disorders such as hemophilia, blood clots, and blood cancers)
• nervous system disorders (Alzheimer's disease, cerebral palsy, epilepsy, motor neurone disease, Parkinson's disease and so on)
• cancer, sarcoma
• autoimmune diseases (multiple sclerosis, systemic lupus erythematosus, inflammatory bowel disease, etc.)
• connective tissue disorders (rheumatoid arthritis, scleroderma, lupus, Marfan syndrome, etc.)
• tuberculosis
• some oral mucosal diseases (chronic recurrent oral aphthous ulcers, pemphigus, Sjogren's syndrome, etc.)
• type I diabetes.

The most common relative contraindications are:

• acute illnesses
• rehabilitation and recovery after treatments
• pregnancy
• drug addiction
• radiation therapy
• age under 17 years old.

During the procedure, the patient is under local anesthesia. The process of All-On-Four dental implants placement in Bulgaria has such steps as:

• Diagnostics. To analyze the condition and volume of the bone tissue, dentists carry out a panoramic dental X-ray. According to its result, doctors determine the optimal places for implants.
• Implantation. The All-On-4 dental installation takes approximately 2.5 hours (depending on the case complexity). A temporary acrylic prosthesis is placed over four dental implants. 
• Osseointegration. The process when dental implants become a permanent part of your jaw. It usually takes 3-6 months.
• Installation of a permanent prosthesis. After successful osseointegration, the temporary acrylic prosthesis changes to a permanent orthopedic one that relieves pain, has a long lifespan, looks aesthetically, and allows taking any food.

All-on-4 dental implantation is a minimally invasive surgery, therefore, it usually causes pain. During the procedure, the patient is under local anesthesia and after the surgery, dentists make several antibiotics and painkillers injections. So the pain usually does not occur immediately.

Maximum discomfort can last up to 10 days or a little longer — until the sutures are removed from the gums. On average, the recovery period takes 3-5 days. 

If the sutures have already been removed and the pain remains or suddenly appears, contact your doctor as soon as possible. 

During the recovery period, the patient may also face swollen gums, slight bleeding, and temperature increase.

During rehabilitation, the patient has restrictions on food intake. At this step, it is important to follow the doctor's recommendations to speed up the healing process.

It is necessary to distinguish the complications and side effects of the All-on-Four operation. Complications usually develop because of the body’s problems and require prompt treatment. In contrast, side effects are the result of tissue injury and is a normal reaction of the body.

The most common side effects of All-On-4 dental implant are:

• bleeding
• pain
• swelling
• temperature increase up to 38 degrees
• slight numbness of the jaw in the area of ​​installed implants.

Most often, complications occur not immediately after the surgery. The main reason for their appearance is the patient’s health deterioration, trauma, or inadequate hygiene. Among them are:

• infection
• implant rejection
• anesthesia-associated risks.

All-On-Four dental implant is a surgical process of the teeth prostheses fixation on four implants placed in the upper or lower jaw.

Dentists install two implants in the area of the anterior teeth, and two others in the area of chewing teeth with an angle of 45 (sometimes up to 35) degrees. The angle is necessary for implant placement when the bone tissue is atrophied due to insufficient chewing load.

Among the primary benefits of All-On-4 dental implantation in Bulgaria are:

• complete restoration of lost teeth in just a few hours
• allows implantation on one jaw and on both
• steady fixation
• no bone extension required
• significant savings — All-On-4 does not require bone grafting. Restoring all teeth is much cheaper than several single implants installation
• lifetime warranty — dentists apply Nobel Biocare implants that are recognized as the best ones in the world due to its excellent quality. 

Compared to people with All-On-4 dental implants, patients with removable implants feel permanent discomfort. Removable implants are not so convenient and can lead to the destruction of the remaining teeth that occurs because of the long-wearing of dentures or periodontitis development.

In contrast to traditional tooth implantation, the All-On-4 method {inCountry} does not require the installation of a large number of implants. 4 implants are installed in specific positions to distribute the mastication load. All-On-four implants simplify the operation and allow the patients to shrink the rehabilitation period.

The bad candidates for All-On-4 dental implantation in Bulgaria are considered people who have:

• 1-3 missing teeth even in a row
• cancer and autoimmune diseases
• contraindications for implantation.