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All on 4 Dental Implants
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All on 4 Recovery: What to Eat & Expect
all on 4 Dental Implants

All on 4 Recovery: What Actually Happens in the First 6 Months

By Dr Manish Shah | Registered Dental Practitioner | Registered Medical Practitioner
19 DEC 2025

Table of Contents

It feels surreal to leave our clinic with a complete set of fixed teeth in one day. However, after the anesthesia wears off and you’re sitting on your couch at home, the real questions begin to come in:

How painful will this be? Can I eat as usual tomorrow? What if my words sound strange?

The truth is that all on 4 dental implants can change a person’s life, but they do require patience, a healthy diet, and a regular cleaning schedule during the first few months. Dr. Manish Shah and Dr. Kinnar Shah of Smile Concepts has walked many patients down this same path. This blog explains how to maintain the health of your new smile after dental treatment for decades, what foods you can and cannot eat, and the actual All on 4 recovery timeline.

The First 72 Hours: Managing Swelling and Staying Comfortable

You’ve just undergone surgery. You now have four titanium implants set into your jawbone, with a temporary bridge screwed on top. Your gums are sore, your mouth feels full, and you most likely have some swelling around your cheeks.

According to research, pain usually peaks on Day 3 and dramatically decreases by Day 5. Instead of sharp pain, the majority of patients describe it as deep pressure, similar to what happens after several tooth extractions.​

Your action plan for the first 72 hours:

  • For 15 minutes on, 15 minutes off, apply ice to the outside of your face. This keeps bruising to a minimum and minimizes swelling.
  • When you sleep, keep your head up. To keep blood from collecting in your jaw, use two pillows.
  • Limit your intake to liquids and soft foods, such as mashed vegetables, protein shakes, yogurt, cool smoothies, and lukewarm soups. Anything hot should be avoided because it increases swelling.​
  • No smoking, no straws: Smoking and suction impede the formation of blood clots and slow healing.

What about analgesics?

Take them as directed. Most patients can take over-the-counter ibuprofen without any issues by Day 4, but avoid missing doses to “tough it out.”

Weeks 1–4: Speech, Eating, and Finding Your New Normal

In week two, swelling has subsided, and you are more like yourself. But you may not fail to notice something strange: you sound different.

Because the All-on-4 bridge alters the form of your palate to some extent, most patients end up with a temporary lisp or with the sensation that they are talking with a full mouth of marbles. This is nothing to be worried about, and it can easily go away in 7-14 days when your tongue becomes accustomed to it.

Pro tip: Read one book or a newspaper aloud in 10 minutes every day. Your brain retunes quickly, and before you know it, you will be talking like yourself again.

Dietary upgrade:

You may now pass on to fork-tender foodstuffs, anything you can cut with the side of the fork without a knife:

  • Hard-boiled or soft-boiled eggs that are scrambled or boiled softly.
  • Salmon (or barramundi) in flakes.
  • Soft pasta with sauce
  • Mashed potatoes and pumpkin
  • Vegetables (broccoli, carrots) cooked in water.

Avoid:

Hard bread, nuts, uncooked carrots, sticky lollies, crunchy stuff. Implants are fine, but the bone surrounding them is soft and immature.​

Months 2–4: The Silent Healing Phase (Osseointegration)

This is the tricky part. You feel healed. You look great. However, within your jawbone, the most important process is occurring, which is the process of being integrated into bone.

The process of the titanium implant integrating with your bone is known as osseointegration. It is a process that takes 3 to 6 months, and this is your All-on-4 treatment success rate.​

One wants to chew on a roll of bread or crack on nuts. Don’t do it. Overloading the implants now is risky, just like running a marathon on a leg that is nearly healed; you run the risk of reversing months of hard work.

What to eat:

Add slightly firmer foods, although there should be no food that has to be chewed violently. Imagine slow-cooked meats, soft sandwiches (no crust), and cooked vegetables.

What to avoid:

Hard, crunchy, or sticky foods. No corn on the cob, no apples, no popcorn.​

How to Clean All on 4 Implants Without Damaging Them

Cavities cannot occur in your new teeth; however, gums and bone under your teeth can become infected in case of an accumulated mass of plaque. Poor hygiene is considered one of the leading causes of All on 4 implant failure.​

Step-by-step cleaning routine:

  1. Brush teeth twice every day using a soft-bristle toothbrush and without abrasive toothpaste. Tilt the brush at 45 degrees to brush off the gumline.​
  2. Clean the water flosser (such as Waterpik) with a low setting to remove the debris from the little space between the bridge and the gums. This is the best cleaning agent under the bridge.​
  3. Thread Superfloss under the bridge daily. It has a hard tip, which slides easily under the prosthetic to enable washing around the posts of the implant.​
  4. It should be rinsed with alcohol-free mouthwash to minimize the amount of bacteria without irritating your gums.

Expert cleanings:

Attend Smile Concepts after every 3-4 months of professional cleaning. To get the calculus you cannot reach at home, we apply specialized innovations (such as a Cavitron).​

Month 6 and Beyond: Your Final Bridge and Food Freedom

We make sure that you have been enjoying the benefits of complete osseointegration by the time you see us at half a year into your follow-up with Dr. Manish or Dr. Kinnar. Your non-permanent healing bridge is replaced by your permanent final All on 4 bridge that is usually strengthened with titanium or zirconia.​

Now, the restrictions have been lifted.

Dietary freedom:

You can return to a near-normal diet:​

  • Steak and tough meats
  • Apples and raw vegetables
  • Crusty bread and pizza
  • Corn on the cob

Bite force restored:

You can now chew like you used to with your teeth (only 10-20% with dentures).​

Long-term structure:

Since All on 4 implants are stimulated by your jawbone, they stop bone loss and the sunken face appearance that commonly occurs due to the long-term use of dentures.​

Ready to Start Your All-on-4 Journey?

Living with All on 4 is a journey, but every step is worthwhile in the end for food independence, self-assurance, and a smile that never fades.

Visit Smile Concepts Sydney to speak with Drs. Manish Shah and Kinnar Shah, if you’re sick of denture adhesive and limitations or if your failing teeth are preventing you from moving forward. Just a clear strategy based on your lifestyle and bone form, with no pressure.

Get Your Dream Smile with Smile Concepts!

Want that perfect gumline?

Frequently Asked Questions

Initial healing lasts 10-14 days, with full implant integration taking 3-6 months. Within a week, the majority of patients resume their jobs.

Day 3 is when the pain peaks, but it can be controlled with medication. By the second week, most patients report little discomfort.

Yes, but only after your final bridge is fitted and osseointegration is verified during your six-month check-up.

Swelling, a loose feeling, or ongoing pain are early indicators. Most problems can be solved with professional help if they are detected early.

Use a soft toothbrush, water flosser, and Superfloss daily. Professional cleanings every 3–4 months are essential.​

Smile Concepts is a high-end dental clinic in the heart of Sydney. To deliver the best service, we always prioritise your wellbeing so we can use our expertise to help you live a better life.

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Dr Manish Shah

Dr. Manish Shah is a cosmetic dentist with a special interest in porcelain veneers, dental implants and Invisalign in Sydney. 

Dr Kinnar Shah
BDS (Gla)

Dr. Kinnar Shah is a cosmetic dentist with a special interest in cometic dentistry, porcelain veneers and dental implants practising at Smile Concepts.