SMILE IN A DAY · ALL-ON-4

Smile in a Day: All-on-4 Dental Implants in London & Manchester

Clinically reviewed by Dr Billal Arshad, BDS, MSc FRP, MFDS RCSGlas · GDC no. 244889 · Updated November 2026

Smile in a Day (All-on-4) replaces a full arch of missing or failing teeth with a fixed set of teeth held on four dental implants. You leave on the day of surgery with fixed temporary teeth, and your final teeth are fitted once healing is complete, usually after 2–4 months. From £12,000 per arch, all-inclusive.

What is All-on-4?

All-on-4 is a way of replacing a whole upper or lower arch of teeth using just four implants. The two back implants are placed at an angle, which lets them use more of the available bone. A fixed bridge of teeth is then screwed onto the implants, so unlike a denture it doesn’t come out.

Smile in a Day is our name for All-on-4 when your temporary teeth are fitted on the same day as surgery. If you need extra support, All-on-6 uses six implants instead of four. Not sure which is right? Compare dental implant options or implants vs dentures.

Who is Smile in a Day for?

It may suit you if you:

  • are missing most or all of your teeth in one jaw
  • have teeth that are failing, loose or beyond repair
  • wear a denture you’d like to replace with fixed teeth
  • have lost some jawbone (angling the implants can often avoid the need for a bone graft)

Gum disease needs to be treated first, and smoking or uncontrolled diabetes can affect healing, so we’ll check these at your consultation. A 3D CBCT scan shows exactly how much bone you have and whether All-on-4, All-on-6 or another option suits you best.

How Smile in a Day works

  1. Consultation and 3D scan. We examine your mouth, take a 3D CBCT scan and plan your implants and the shape, shade and size of your new teeth.
  2. Treatment day. Any failing teeth are removed and four implants are placed under local anaesthetic. IV sedation is available if you’re nervous. Our dental technician then makes your fixed temporary teeth, which are fitted before you go home.
  3. Healing, usually 2–4 months. The implants fuse with your jawbone. You’ll eat a softer diet at first and come back for reviews.
  4. Your final teeth. Once healing is complete, your final teeth are made and fitted. The material is chosen for your case at your consultation.
All-on-4 pricing

How much does Smile in a Day cost?

All-inclusive: your consultation and 3D scan, any extractions, the implants, your fixed temporary teeth on the day, your final teeth and follow-up reviews.

All-on-4

from£12,000or £500/month at 0% interest

Per arch, including temporary and final teeth

All-on-6 starts from £15,000 per arch. Your exact price is confirmed in your treatment plan after your consultation.

Representative example: treatment cost £12,000, no deposit. Total amount of credit £12,000, repayable over 24 months in 24 monthly payments of £500. Cost of credit £0. Total amount payable £12,000. Representative 0% APR (fixed). Finance is subject to status; UK residents aged 18+. Rüh Dental (Fleet Street) Limited (FRN 803302) is authorised and regulated by the Financial Conduct Authority as a credit broker, not a lender, and offers credit from Tabeo Finance Limited (FRN 777539). Rüh Dental (Manchester) Limited and Rüh Dental (Notting Hill Gate) Limited are appointed representatives of Rüh Dental (Fleet Street) Limited. We may receive a commission for introducing you to a lender.

Risks and aftercare

All-on-4 is a well-established treatment, but as with any surgery there are risks. Swelling, bruising and some discomfort are common for a few days. Less commonly, an infection can develop or an implant may not fuse with the bone and need replacing. Over the long term, gum inflammation around implants (peri-implantitis) is the main thing to prevent. Smoking increases these risks.

To look after your new teeth, clean around them carefully every day, follow the soft diet while you heal, and keep up your reviews and hygiene visits. With good care, implants can last for decades.

Where to have it

Where can I have Smile in a Day?

Smile in a Day is available at three of our clinics. It isn’t offered at our Harrods clinic.

Meet the whole Rüh team

Fleet Street, City of London

Dr Giuseppe Mainas

BDS, MClinDent, PhD · GDC no. 294150

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Notting Hill Gate, West London

Dr Sonnie Yousefzadeh

BDS · GDC no. 258886

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Manchester, Spinningfields

Dr Billal Arshad

BDS, MSc FRP, MFDS RCSGlas · GDC no. 244889

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How long does Smile in a Day take?

Are the teeth I leave with on the day permanent?

Does All-on-4 hurt?

How much does All-on-4 cost?

Can I have All-on-4 if I’ve lost bone?

What’s the difference between All-on-4 and All-on-6?

How long does All-on-4 last?

Where is Smile in a Day available?

Explore

Concerns we treat with dental implants

Read more about replacing missing or failing teeth.

Missing teeth

Implants, bridges and dentures compared

Read about missing teeth

Loose teeth

What to do, and whether it can be saved

Read about loose teeth

Dentures vs implants

Why implants are the long-term option

Read about dentures vs implants

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Start your smile journey today

At Rüh Dental, we do things differently. We call it the Rüh difference.
We believe in better than the traditional dentistry of yesteryear that’s left a legacy of fear and therefore neglect because of historic experiences.

Contact Us

Ruh Dental (Fleet Street) Limited (09473949), Ruh Dental (Notting Hill Gate) Limited (10288078) and Ruh Dental (Manchester) Limited (11669648) are registered in England. Registered office: 1st Floor Metropolitan House, Darkes Lane, Potters Bar EN6 1AG.