Who treats you
Dr. med. dent. M.Sc. Sandro Strößner – working in implantology since 2013 · M.Sc. in Oral Implantology and Periodontology – together with the team at Zahnkompetenzzentrum Weißenfels.
First Appointment
Conversation, medical history and examination (3D X-ray if needed) – planning comes first, treatment follows. A purely informational conversation without an examination is free of charge; examination and treatment and cost plan are billed according to the GOZ (the German scale of dental fees).
Costs
A written treatment and cost plan before treatment begins; an initial, non-binding price range is provided by the cost calculator further down.
First Step
Book an appointment around the clock via our online reception (the “Appointment” button), or by phone during opening hours on 03443 339 65 54.
“All-on-4 is one of the most elegant innovations in modern implantology: a completely toothless jaw, or one requiring full restoration, is fitted with just four implants, positioned so that stable anchorage is possible even where bone volume is reduced.”
Cone-beam CT scan, intraoral scans, structured assessment. The first appointment isn't treatment — it's a conversation backed by data.
From the final dental prosthesis back to the surgery. What should exist at the end determines the first step — not the other way round.
Coordinated by one team under one roof. Surgery, prosthetics, laboratory — nothing handed off, nothing lost in translation.
After a healing period of 4–6 months, the provisional bridge is replaced with a high-quality, definitive restoration (usually all-ceramic or a hybrid). The result: a fixed, load-bearing, naturally aesthetic set of teeth – lasting many years with good care and aftercare.
Short videos in which our team answers the questions we're asked most often. No jargon, no sales pressure.
The videos provide general information and do not replace individual advice or examination. The course and outcome of treatment depend on personal circumstances; medicine offers no guarantee of success. All videos have subtitles.
Fixed Dental Restoration on Four Implants
All-on-4 describes a treatment concept in which complete, fixed dental prosthetics for a toothless jaw, or one in need of full restoration, are anchored on just four implants. Instead of removable dentures resting on the gum, the dental bridge is permanently connected to the implants. This creates dental prosthetics that stay in the mouth and sit like your own teeth in the jaw when speaking, laughing, and eating. For many people who have lived for years with loose teeth, a wobbly denture, or severely compromised remaining teeth, this concept opens a path back to a stable, resilient set of chewing teeth.
The name All-on-4 is meant literally: an entire row of teeth – “all” – is supported on four implants. What is special is the positioning of these four artificial roots. The two front implants are placed largely vertically into the jawbone. The two rear implants are deliberately angled. This angling is no accident, but the heart of the concept: it makes it possible to make optimal use of the available bone and to avoid areas where anatomical structures, such as the maxillary sinus in the upper jaw or the nerve canal in the lower jaw, would otherwise stand in the way of straight implant placement.
The Zahnkompetenzzentrum Dr. med. dent. M.Sc. Sandro Strößner in Weißenfels supports patients through this form of fixed restoration, from the initial consultation, through planning and the surgical procedure, to long-term aftercare. Treatment is tailored individually to your particular oral situation, anatomical circumstances and personal expectations. No general statement about the outcome can be made in advance – every restoration begins with a careful examination and a personal conversation.
It is important to distinguish this from classic single implants. Anyone wanting to close a single missing tooth gap generally needs one implant with a crown. All-on-4, by contrast, is aimed at people whose entire upper or lower jaw is affected – whether because all teeth are already missing, an old denture needs replacing, or the remaining teeth can no longer be saved due to advanced periodontitis or decay. In such cases, it would be neither necessary nor sensible to place a separate implant for every single tooth. Four strategically placed implants can bear the load of a complete bridge.
Who this procedure is suitable for
Not every oral situation is equally suited to every procedure. Whether All-on-4 could be an option for you personally can only be assessed responsibly after an examination at the practice. However, there are typical starting situations in which this concept is often considered. These include, in particular, people who already have an edentulous jaw, or who are likely to have one in the foreseeable future because the remaining teeth can no longer be saved.
A generally acceptable state of health is always a prerequisite for implant treatment. Certain underlying medical conditions, uncontrolled diabetes mellitus, ongoing treatment with certain osteoporosis medications, or heavy smoking can affect healing and the integration of the implants. Such factors do not automatically rule out treatment – but they must be discussed openly in advance and taken into account in planning. The presence of sufficient healthy jawbone also plays a central role and is assessed using three-dimensional X-ray diagnostics.
Anyone wanting to replace just a single gap or a few missing teeth, and who otherwise has a stable, healthy set of teeth, is usually better served with single implants or smaller bridge solutions. There are also situations in which, for medical reasons, other steps should come first – for example, treating periodontitis or targeted bone augmentation. At the Zahnkompetenzzentrum in Weißenfels, we therefore first assess which approach suits your situation, before making a recommendation. Honest information about alternatives is part of every consultation.
Explained step by step
All-on-4 treatment follows a structured, multi-stage process. The individual steps interlock and are planned with great care at the Zahnkompetenzzentrum Dr. Strößner, as the quality of preparation largely determines how smoothly the actual procedure and the subsequent restoration proceed. The following overview shows the typical path – the exact details always depend on your individual situation.
The time between the individual steps varies depending on the starting situation. While the implant placement itself and fitting the provisional bridge often take place on the same day, the entire treatment through to the final bridge extends over several months. This time is medically necessary, as the firm fusion of the implants with the bone cannot be sped up.
The Structural Principle Behind It
At first glance, it may seem surprising that a complete row of teeth can rest on just four implants. The answer lies in the carefully considered distribution and alignment of these four supporting posts. A fixed bridge spanning across the jaw distributes the forces generated during chewing across all the anchor points. What matters here is that the supporting posts are far enough apart to support the bridge stably.
The two rear implants are deliberately placed at an angle. This angling achieves two things. First, it moves the rear anchor point of the bridge further back, without needing to implant deeply into the bone at that point. This gives the bridge more support in the molar area. Second, this approach makes it possible to avoid sensitive anatomical structures: in the upper jaw, the area of the maxillary sinus is spared, and in the lower jaw, the path of the inferior alveolar nerve. These structures are often precisely the reason why implants in the back of the jaw would otherwise require extensive bone augmentation.
By making skilful use of the bone that is often better preserved in the front section of the jaw, this concept can, in many cases, manage without extensive augmentation. For some people, this is what makes treatment possible in the first place, where conventional, vertically placed implants would have required more extensive preliminary treatment. Whether this also applies in your case depends on your individual bone volume and is assessed using three-dimensional diagnostics.
The four implants do not function as isolated individual pillars, but are joined into a single unit by the firmly screwed-on bridge. This rigid splinting ensures that chewing forces are distributed across the whole structure, so that no single implant is overloaded. A precondition for this principle, however, is that the implants already have sufficient stability in the bone at the time of placement. This so-called primary stability is checked during the procedure and is an important condition for whether immediate treatment with the provisional bridge is possible.
Fixed Teeth in a Day
One aspect that makes the All-on-4 concept particularly attractive to many people is the option of what is known as immediate loading. This means that, under suitable conditions, the implants can be fitted with a fixed provisional bridge immediately after placement. The term "fixed teeth in a day" describes exactly this approach: in many cases, patients leave the practice after the procedure not with an empty jaw or a removable interim solution, but with fixed provisional teeth.
This option is, however, subject to certain conditions and cannot be taken for granted. Whether immediate loading can be responsibly carried out in an individual case is only decided during the procedure itself, based on how firmly the implants have taken hold in the bone. If the necessary primary stability cannot be achieved, it is medically preferable to allow the implants a quieter healing phase first and to fit the fixed restoration later. Such a decision serves solely the long-term success of the treatment and is discussed with you openly.
The provisional bridge fulfils several functions at once. It immediately gives you back a visible, fixed row of teeth, so that you do not have to get through the period until the final restoration without teeth, or with a loose denture. At the same time, it protects the healing implants and helps shape the gum favourably. It is deliberately designed as a transitional solution and can generally bear somewhat less load than the later definitive dental prosthetics – which is why dietary guidance during this period matters so much.
Once healing is complete, the provisional bridge is replaced with the final dental restoration. This is tailored to you individually in terms of fit, tooth colour, tooth shape and function, and is made through a dental laboratory process. The interval between the provisional and the final restoration gives both the bone and the gums the opportunity to stabilise before the long-term bridge is fitted.
The difference in everyday life
Anyone who has worn a removable full denture for years knows the typical limitations: the sense of hold that fades over time, uncertainty when eating firm food, the palatal plate in the upper jaw that is often felt to be intrusive, and having to remove the dental prosthetics for cleaning. A fixed, implant-supported restoration addresses exactly these points. People with fixed dental prosthetics often describe the following aspects as a real gain.
These advantages do not mean that removable dental prosthetics are fundamentally the worse choice. For some people, a removable solution – such as a denture supported by a small number of implants – is the more suitable restoration for medical, anatomical or personal reasons. Which form is right for you depends on your individual situation. At the Zahnkompetenzzentrum in Weißenfels, the options available, along with their respective characteristics, are discussed with you openly, so that you can make a well-informed decision.
Care, Healing and Costs
A fixed implant restoration is a long-term investment in your own quality of life. For it to bring satisfaction for many years, what matters is not only the procedure itself, but equally your cooperation during the healing phase and consistent care in everyday life. The financial side, too, is part of honest information from the very beginning.
The basis of every implant placement is sufficient load-bearing jawbone at the planned positions. This is exactly where the All-on-4 concept shows its strength, because the angled rear implants make particularly efficient use of the available bone. Nevertheless, before every treatment, three-dimensional diagnostics are used to check whether the available bone is sufficient or whether preparatory measures make sense. General health factors, good oral hygiene, and, where necessary, prior treatment of gum disease are also taken into account.
After the procedure, the phase begins in which the bone fuses with the implant surfaces. This fusion (osseointegration) is the basis for the implant's later load-bearing capacity and takes several weeks to months. During this time, it is important to follow the practice's guidance: soft food for the first few days, careful oral hygiene, and avoiding excessive strain on the temporary bridge. Temporary swelling or a feeling of tightness after the procedure is not unusual and generally subsides. If you have questions or notice anything unusual, the practice is your first point of contact.
Implant-supported dental prosthetics require conscientious daily care. In addition to thorough tooth-brushing, aids such as interdental brushes, special floss for bridges, or an oral irrigator are used to keep the areas where the bridge meets the gum clean as well. In addition, regular check-ups and professional dental cleaning at the Zahnkompetenzzentrum are an essential part of aftercare. These help to keep an eye on the condition of implants, gums, and bridge, and to adapt care to your particular situation. Consistent aftercare is one of the most important factors for restorations that remain stable in the long term.
The cost of All-on-4 treatment cannot be stated as a flat rate, as it depends on many individual factors – such as the number of jaws to be treated, any preparatory treatment needed, such as tooth extraction, the chosen design of the dental prosthetics, and the dental laboratory work involved. For this reason, you will always receive an individual, written treatment and cost plan before treatment begins, setting out the expected costs transparently. For fixed dental prosthetics on implants, statutory health insurers grant a fixed subsidy based on the diagnosis, which is based on the condition of your jaw and covers part of standard care; the remaining share is paid privately. Anyone able to show a dental bonus booklet (Bonusheft) kept up to date without gaps over the years can increase the fixed subsidy. Privately insured patients and those with supplementary dental insurance should clarify the scope of cover with their insurer in advance. The team at the Zahnkompetenzzentrum Dr. Strößner is happy to advise you on cost-planning options and instalment payment plans. For a personal consultation, you can reach the practice in Weißenfels on 03443 339 65 54.
The Zahnkompetenzzentrum Dr. med. dent. M.Sc. Sandro Strößner is here in Weißenfels and the surrounding region of southern Saxony-Anhalt for people interested in fixed dental prosthetics on implants. Whether you come from Weißenfels itself, from the Burgenlandkreis, or from the surrounding towns – the first step is always a personal consultation, in which your situation is examined and your questions are answered at your own pace. Only after that can we responsibly assess whether, and in what form, All-on-4 treatment may be an option for you. Please feel free to book an appointment for this on 03443 339 65 54.
All-on-4 is one of the most elegant innovations in modern implantology: a completely edentulous jaw, or one requiring full rehabilitation, is restored using just four implants, positioned so that stable anchorage is possible even where bone volume is reduced. Usually without extensive bone augmentation. On the very same day, you receive a fixed, screw-retained provisional bridge – allowing you to eat, speak and laugh straight away.
Fixed teeth in a day has been one of the focus areas of our Zahnkompetenzzentrum for years. 'All-on-4®' is a manufacturer's brand name (Nobel Biocare) for this well-documented treatment concept based on four implants. Digital 3D planning, navigated surgery, and close coordination with our master dental laboratory make the process highly predictable.
I was an anxious patient for fifty years. Today, I am no longer one. Not because my anxiety has disappeared, but because this team took it seriously, without ever making a drama out of it.
What convinced me was the absence of marketing. No promises. Just planning, explanation, execution. I had eight implants placed and didn't even feel like I'd made a difficult decision.
At the Zahnkompetenzzentrum
Premium Care
Fixed Dental Restoration on Your Own Root
Working in implantology since 2013
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Process, Technique, Immediate Treatment
Computer-guided implant placement in real time. See how calm, precise and safe an implant procedure at our Zahnkompetenzzentrum looks.
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Always X-Guide 3D-navigated & minimally invasive. We plan every implant on the computer and place it to within a millimetre — through a particularly small, tissue-sparing access point. That means more precision, more safety and more comfort for you. This extra effort is already built into every price.
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