Teeth in a Day, also called All-on-4, replaces a full arch of failing or missing teeth with a fixed set of implant-supported teeth fitted on the day of surgery. At Kirby Dental in Teddington it’s led by implant dentist Dr Karim Verjee. As of June 2026, it means you don’t leave with a gap or go through a toothless period.
That last point is the one most people care about. So let’s look at who it actually suits.
The name sounds like marketing, but it describes the protocol accurately. Four implants (sometimes more) are placed in the jaw at carefully chosen angles, and a fixed bridge of teeth is attached to them the same day.
The clever part is the angle. By tilting the rear implants, the technique anchors into the denser bone at the front of the jaw, which often avoids the need for bone grafting that older methods required. You go in with teeth that are failing, loose or missing, and you leave the same day with a fixed set you can smile with straight away.
These first teeth are a sturdy provisional set. After healing, they’re replaced with your final teeth, made to your exact shape and shade.
Teeth in a Day tends to suit people in a few specific situations:
If you recognise yourself there, it’s worth a proper conversation. If you’re only missing one or two teeth, a single implant or a smaller bridge is usually the better route, and Dr Karim Verjee will tell you so honestly rather than oversell the bigger treatment.
Full-arch implant work is among the most demanding things a dentist can do. It rewards experience, not enthusiasm.
Dr Karim Verjee has focused on implant dentistry for more than 20 years and holds a Master’s in Implant Dentistry. That’s not a sideline within a general list; it’s his primary clinical work. Colleagues describe him as a digital planner, mapping each case in detail before a single implant goes in, which is exactly the mindset full-arch surgery needs.
His Diploma in Sedation also means anxious patients can have the work done under IV sedation, in deep calm, rather than putting it off another year.
The day itself looks impressive, but the real work happens beforehand. Kirby Dental uses CBCT scanning, a 3D X-ray, to map the bone, nerves and sinuses precisely. Digital Smile Design lets you preview the shape and look of your new teeth before treatment begins, so you’re agreeing to a plan you can actually see.
By the time you sit in the chair on surgery day, the position of every implant and the design of your new teeth have already been worked out. That planning is what makes a same-day result predictable rather than hopeful.
Every option has its place. Here’s how they compare across the questions patients ask most often.
| Option | Fixed or removable | Time without teeth | Best for |
|---|---|---|---|
| Teeth in a Day (All-on-4) | Fixed, fitted the same day | None | Full-arch patients wanting fixed teeth immediately |
| Traditional implant bridge | Fixed | Often several months of healing | Full-arch patients with suitable bone who aren’t in a rush |
| Implant-retained denture | Removable, clips onto implants | Varies | Those wanting a lower-cost option and happy with a removable denture |
| Conventional denture | Removable | Varies | Lowest-cost option with no surgery |
Each has its place. The right choice depends on your bone, your budget, and how you feel about a removable option, all of which come out in an assessment.
You’ll feel some swelling and tenderness for a few days, managed with ordinary pain relief, and you’ll stick to softer foods while everything settles. Your provisional teeth stay put throughout, so you’re never hiding your smile.
Over the following months the implants fuse with the bone, and once healing is complete your final, custom teeth go on. Most people are surprised how quickly the new teeth start to feel like their own.
Full-arch implant treatment is a significant investment, and UK prices typically run from around £10,000 to £20,000 or more per arch, depending on the materials, the number of implants and the complexity of your case. It replaces an entire arch with a fixed, long-lasting result, which is reflected in the fee. Your exact figure is confirmed after assessment and scanning, and you can review the practice fees and ask about payment options.
Will I really leave with teeth on the same day?
Yes. The All-on-4 protocol is designed so a fixed provisional set of teeth is attached to your implants on the day of surgery. You don’t go through a toothless period. After several months of healing, those provisional teeth are replaced with your final, custom-made set, fitted by Dr Karim Verjee at Kirby Dental in Teddington.
Does Teeth in a Day hurt?
The surgery is done under local anaesthetic, with IV sedation available if you’re anxious, so you shouldn’t feel pain during the procedure. Afterwards, expect some swelling and tenderness for a few days, managed with ordinary pain relief. Most patients describe it as far more comfortable than they feared, particularly when sedation is used.
Am I too old, or is my bone too weak?
Often not. By angling the implants into denser bone, the All-on-4 technique frequently avoids the bone grafting older methods needed, which makes it possible for many people previously told they couldn’t have implants. Age alone is rarely the barrier. A CBCT scan and assessment with Dr Karim Verjee will confirm whether your bone can support the treatment.
How long do the new teeth last?
With good hygiene and regular check-ups, implant-supported teeth are a long-term solution and the implants themselves can last many years. The fixed bridge on top may eventually need maintenance or renewal over time, like any hard-working set of teeth. Looking after your gums and attending hygiene appointments makes a real difference to how long everything lasts.
Is it better than dentures?
For many people, yes, because the teeth are fixed and don’t move, so there’s no slipping, no adhesive and no sore spots. You eat and speak with confidence. That said, dentures cost less and need no surgery, so they remain a sensible choice for some. An assessment weighs up which fits your situation and budget best.
If you’re facing the loss of a full arch, or you’re tired of dentures and want a fixed result without a toothless gap, the first step is a consultation. Dr Karim Verjee will assess your bone with a CBCT scan, show you a preview of your new smile, and explain your realistic options and the fee before you commit to anything.
Call Kirby Dental in Teddington on +442089775939 or use the contact page. You can read more about our team and what to expect as a new patient.
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