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Replace a full arch of missing or failing teeth with a fixed, natural-looking bridge or overdenture, supported by just four implants. Restore comfort, function and confidence — with in-house 3D imaging and, where needed, the option of treatment under general anaesthetic.
All-on-4 is a full-arch dental implant treatment that replaces every tooth in a jaw with a fixed bridge or overdenture, supported by just four implants. A dental implant is a small titanium post placed into the jawbone; over the following months it fuses with the bone — a process known as osseointegration6 — providing a stable, permanent foundation for a fixed restoration. In the All-on-4 arrangement, two implants are placed vertically at the front of the jaw and two are angled toward the back,1,2 making the most of the available bone without the need for grafting in most cases.
All-on-4 is designed for people who have lost — or are about to lose — all of the teeth in one or both jaws, and for long-term denture wearers who want a permanent, stable alternative to a removable plate.
In suitable cases a temporary fixed bridge can be fitted on the same day as surgery.2 All planning is carried out in-house using 3D CBCT imaging for precise, personalised implant placement.
1.
Your journey begins with a comprehensive consultation with Dr Takhar: a full clinical examination, medical history review, and an in-house 3D CBCT scan. We assess bone volume and quality, discuss whether All-on-4 or an alternative is right for you, and prepare a personalised treatment plan and quote.
2.
Four implants are placed under local anaesthetic, with sedation or general anaesthetic available for anxious or more complex cases. In many cases a fixed temporary bridge is fitted the same day. Most patients report only mild discomfort afterwards, managed with ordinary pain relief.
3.
Any swelling or bruising usually settles within a few days. You will follow a soft-food diet during recovery, with clear aftercare guidance and review appointments to check healing. Our experienced team is available throughout to answer your questions and monitor your progress.
4.
Once the implants have fully integrated with the bone, your definitive custom-made fixed bridge or overdenture is fitted, restoring bite, speech and appearance. With good hygiene and regular maintenance, full-arch implant treatment shows strong long-term survival over follow-up periods of 10 years and beyond.3,4
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Removable dentures can slip, cover the palate and limit what you can comfortably eat. A fixed All-on-4 bridge or overdenture is anchored to implants, so it is stable, lets you bite and chew with confidence, and looks and feels like natural teeth. Restoring a full arch also helps preserve the jawbone and facial structure lost when teeth are missing.6 A consultation with Dr Takhar will confirm whether All-on-4 is the right option for you.
For patients who feel anxious about surgery, or whose cases are more complex, Zenith can carry out treatment under general anaesthetic — a rare offering among dental clinics. Suitability is assessed carefully; local anaesthetic with optional sedation remains the standard, comfortable approach for most people.
All-on-4 is one of several ways to replace a full arch. Depending on your bone, health and goals we may discuss alternative options. We give an honest clinical assessment and recommend the option that genuinely suits you.2
Zenith Dental Clinic is a CQC-registered private practice in Nottingham. Your All-on-4 treatment is led by Dr Karamvir (Rocky) Takhar, with postgraduate qualifications in implantology and advanced restorative dentistry. We are Dentistry Awards finalists, committed to honest, evidence-based care from your first consultation through to your final review.
Postgraduate-qualified
Your treatment is led by Dr Karamvir (Rocky) Takhar. Dr Takhar plans every case using in-house 3D CBCT imaging and reviews the treatment plan with you before any surgery is scheduled.
Independently inspected
Zenith Dental Clinic is registered with and inspected by the Care Quality Commission. CQC registration means our facilities, processes and patient care standards meet regulatory requirements, giving you independent confidence in the care you receive.9
For suitable patients
For patients who feel anxious about surgery, or whose cases are more complex, Zenith can carry out All-on-4 treatment under general anaesthetic. This is a rare option among dental clinics. Suitability is assessed carefully; local anaesthetic with optional sedation remains the standard approach for most patients.
Precise on-site planning
Your case. Your system.
No sell consultation
If, at your consultation, Dr Takhar believes All-on-4 is not the right option for your case, he will explain the alternatives clearly. That might mean a different implant approach or a well-fitted removable option. We would rather give you the right advice than the wrong treatment.10
Most people who have lost, or are losing, all teeth in an arch can be considered for All-on-4. Suitability depends on bone volume and quality, gum health and general health — factors such as smoking and diabetes are assessed as part of your consultation.7 A meeting with Dr Takhar, including an in-house 3D CBCT scan, will confirm whether All-on-4 or an alternative is right for you.
Implant placement is usually completed in a single day. In many suitable cases a fixed temporary bridge is fitted the same day, so you do not leave without teeth.2 Your definitive bridge is then fitted once the implants have fully integrated with the bone, typically over the following few months.
Treatment is carried out under local anaesthetic, with sedation or general anaesthetic available for those who need it. Most patients report only mild discomfort afterwards, managed with ordinary pain relief. Any swelling usually settles within a few days. We will walk you through what to expect before, during and after your procedure.
Dental implants have strong long-term evidence, with 10-year survival rates above 95% in systematic reviews.3,5 Full-arch All-on-4 restorations have been followed successfully for 10 to 18 years.1 Longevity depends on good daily hygiene, not smoking, and attending regular maintenance reviews with our experienced team.
Implant failure is uncommon. If an implant does not integrate with the bone, it can usually be removed and the site allowed to heal before a replacement attempt. Ongoing review appointments monitor implant health so any concern is identified and addressed early. Dr Takhar will discuss the management of risks with you at your consultation.8
All-on-4 pricing at Zenith is bespoke and tailored to each case. The right treatment plan depends on your bone structure, the bridge materials, and whether any preparatory work is needed. After your consultation and 3D scan, you receive a clear written quote. 0% finance options are available to spread the cost, with no pressure and no obligation.
*charges may apply for certain cards
Bespoke quote
Your All-on-4 treatment at Zenith is led by Dr Karamvir (Rocky) Takhar, BDS, PGCert Implantology, PGCert Advanced Restorative Dentistry, GDC 267084. Dr Takhar plans every case with your long-term comfort and oral health in mind, and remains your clinician from your initial assessment through to your final bridge fitting. He brings postgraduate-level implant training and a calm, honest approach to every case.
Step 1
Meet Dr Takhar for a full clinical assessment and in-house 3D CBCT scan. We discuss your goals, assess your bone and oral health, and explain your options clearly. You will leave with a personalised treatment plan and a clear quote. No referral needed.
Step 2
Your four implants are placed under local anaesthetic, with sedation or general anaesthetic available where needed. In many cases a fixed temporary bridge is fitted the same day. Dr Takhar monitors your healing at regular review appointments, keeping your recovery on track throughout.
Step 3
Once your implants have integrated fully, your definitive custom-made fixed bridge is fitted, restoring your bite, speech and appearance. Dr Takhar remains your point of contact for all ongoing aftercare and reviews, ensuring your result stays exactly as planned.
Read more …DEV - All on 4 Dental Implants
We offer both conscious sedation and full general anaesthetic, allowing your most anxious or complex patients to be treated comfortably.
Intravenous sedation for anxious patients requiring dental treatment. Patients remain responsive but fully relaxed throughout.
Full GA for complex, lengthy, or multi-procedure cases. Delivered by a consultant anaesthetist in our clinical theatre.
No - and this is important to us. We are a specialist referral service, not a competing practice. We treat the case you refer and return the patient to you with a full clinical report. Routine and restorative care stays where it belongs: with you.
We accept referrals for wisdom tooth extractions (including surgical and impacted cases), dental implants, root canal treatments, surgical periodontics, and any case requiring IV conscious sedation or general anaesthetic. If you're unsure whether a case is suitable, call us and we'll advise.
Yes. We are one of very few dental practices in the Nottingham region to offer GA for dental procedures within our own clinical environment. This is particularly valuable for highly anxious patients, those with complex needs, patients with learning difficulties, or cases requiring multiple procedures in a single visit. Our GA is delivered by a consultant anaesthetist using a fully equipped theatre.
We aim to triage all referrals promptly and will contact you with an appointment timeframe as soon as the referral is reviewed. Urgent cases are flagged - if you have a time-sensitive situation, call us directly rather than using the form.
Please include the patient's contact details, a summary of the clinical situation, your treatment request, and any relevant radiographs or images. The more information you provide upfront, the faster we can assess and book appropriately. You can upload files directly through the referral form.
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A long lasting, clinically supported way to replace one tooth, several teeth or a full arch. Dental implants are designed to look, feel and function just like natural teeth. At Zenith, implant treatment is led by Dr Karan Maini, BDS, Dip OS, supported by Dr Karamvir Takhar, BDS, PGCert Implantology. Treatment is available under local anaesthetic or, for nervous patients and complex cases, under general anaesthetic with a qualified consultant anaesthetist present throughout.
A dental implant is a small titanium post placed into the jawbone where a tooth is missing. Over three to six months, it fuses with the surrounding bone through a process called osseointegration, then supports a custom made crown, bridge or denture that looks and functions like a natural tooth.
Because the implant replaces the root as well as the visible crown, it works independently of neighbouring teeth. It does not rely on adjacent teeth for support, as a dental bridge does, and it does not move under load, as a denture can. Implants also help preserve the jawbone, which begins to shrink when a tooth is missing.
At Zenith, every implant assessment begins with a full consultation and in house 3D CBCT scan, so Dr Karan Maini can plan your treatment with precision before any surgery takes place.
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Before treatment begins, you will attend a detailed consultation with Dr Karan Maini, including a clinical examination, medical history review and an in house 3D CBCT scan of your jaw. You will leave with a written treatment plan, a personalised quote and a clear discussion of anaesthetic options including local anaesthetic, sedation or general anaesthetic.
2.
Implant surgery is carried out under your chosen anaesthetic at our Nottingham clinic. A titanium post is placed into the jawbone, where it gradually fuses with the bone over three to six months. Under local anaesthetic, placement typically takes 30 to 90 minutes per implant. Where general anaesthetic is chosen, multiple implants are often placed in a single planned session.
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After your implant is placed, you will receive personalised aftercare guidance and a schedule of healing reviews. Mild swelling and tenderness for two to three days is common and managed with over the counter pain relief. Most patients return to work the day after local anaesthetic surgery. After a general anaesthetic session, one full day of rest is recommended.
4.
Once the implant has fully integrated, the abutment is fitted and your custom made crown is placed. Your final tooth is made in a specialist laboratory and matched to the colour and shape of your natural teeth. Peer reviewed studies report 10 year implant survival rates above 95% in suitable patients, with many implants remaining functional for two decades or more.
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Leaving a gap after tooth loss has real consequences. Over time, the surrounding bone begins to shrink, neighbouring teeth can shift, and your bite, speech and facial structure may all be affected. Dental implants address the root cause by replacing both the missing tooth and its root, preserving bone and restoring function. For many patients, they are the most long lasting way to treat missing teeth, and a thorough consultation with Dr Karan Maini will confirm whether they are right for you.
Many UK dental practices only offer implant placement under local anaesthetic. Zenith is one of a small number with the team and facilities to offer treatment under general anaesthetic, with a qualified consultant anaesthetist present throughout.
For the right patient, GA changes what's possible; opening implant treatment to people who have previously found it intolerable, and allowing complex full-arch work to be completed in a single planned session.
Dental implants may be suitable whether you are missing one tooth, several teeth or a full arch, and whether loss is due to decay, gum disease, injury or a tooth that could not be saved. For patients with inadequate bone volume, bone grafting can often prepare the site for implant placement. Our honest clinical approach means that if implants are not the right option for your case, Dr Karan Maini will explain the alternatives clearly and without pressure.
Zenith Dental Clinic is a CQC registered private practice in Nottingham, led by Principal Dentist Dr Karan Maini, with a multidisciplinary team with over 75 years experience. We are General Dental Council registered, Dentistry Awards finalists, and committed to honest, evidence based care from your first consultation through to long term review.
Postgraduate qualified
Independently inspected
Zenith Dental Clinic is registered with and inspected by the Care Quality Commission. CQC registration means our facilities, processes and patient care standards meet regulatory requirements.
Rare among UK dental clinics
Precise planning on site
Your case. Your system.
No sell consultation
If, at your consultation, Dr Karan Maini believes implants are not the right option for your case, he will say so and explain the alternatives, including bridges, dentures, or doing nothing if the gap is not causing concern.
Yes. Zenith is one of a small number of UK dental practices able to offer implant treatment under general anaesthetic, with a qualified consultant anaesthetist present throughout. This pathway is particularly suited to patients with significant dental anxiety, a severe gag reflex, complex multi implant cases, or full arch rehabilitation. Suitability is assessed at consultation including a pre anaesthetic medical review. Local anaesthetic, with or without sedation, remains available and is the most common choice for straightforward single implant cases.
From consultation to final crown, most single implant cases take three to six months. The surgery itself is a single appointment of around an hour under local anaesthetic, or longer where multiple implants are placed in one session. The remaining time is healing and osseointegration, during which most patients carry on with normal daily life.
Most adults with good general and oral health are suitable for dental implants. You will need healthy gums, adequate jawbone volume (or be suitable for bone grafting), and a commitment to routine dental care. A full consultation including an in house 3D CBCT scan will confirm your suitability and identify whether any preparatory treatment is needed first.
In suitable patients with good oral health and regular maintenance, dental implants are designed to last many years. Peer reviewed studies report 10 year implant survival rates above 95% for single tooth implants, with many remaining functional for two decades or more. The crown fitted on top typically lasts ten to fifteen years before replacement. Long term success depends on daily brushing, cleaning between teeth and routine dental check ups.
Implant surgery is carried out under local anaesthetic, so you should not feel pain during the procedure. Some discomfort, mild swelling and tenderness for two to three days afterwards is normal and can usually be managed with over the counter pain relief. Most patients return to desk based work the next day. After a general anaesthetic session, one full day of rest is recommended before normal activities resume.
Daily brushing, flossing and regular dental check ups are essential for long term implant health. Implants should be cleaned in much the same way as natural teeth. Peri implantitis, which is inflammation around the implant, is the main long term risk, and is significantly reduced by consistent home care and professional hygiene visits. Your care team will provide personalised aftercare guidance after your treatment.
Implant failure is uncommon in suitable patients with good care, with peer reviewed studies reporting 10 year survival above 95%. Where failure does occur, the implant can usually be removed and, after a healing period, a replacement implant placed. Potential risks including infection, temporary discomfort or implant failure will be discussed in full at your consultation before any treatment begins.
A single dental implant with crown starts from £2,400 (standard price £3,400; saving £1,000 on current offer). Implant treatment is bespoke to your case, and a personalised quote is given only after a full consultation and 3D scan. Multi tooth bridges and full arch treatment including All on 4 are priced per case at consultation. A clear, written quote is provided with no pressure and no obligation.
*charges may apply for certain cards
From £2,400
Your implant treatment at Zenith is led by Dr Karan Maini (BDS, Dip OS, GDC 272548) and Dr Karamvir Takhar (BDS, PGCert Implantology, PGCert Adv Rest Dent, GDC 267084). Both dentists hold postgraduate qualifications and plan every case with your long term oral health and comfort in mind.
Step 1
Book a confidential consultation with Dr Karan Maini or Dr Karamvir Takhar. We will carry out a full clinical examination, take an in house 3D CBCT scan, discuss your goals and anaesthetic options, and provide a written treatment plan with a personalised quote. No referral is needed.
Step 2
Your implant is placed under your chosen anaesthetic at our Nottingham clinic. Under local anaesthetic, placement takes around 30 to 90 minutes. With general anaesthetic, multiple implants can often be placed in a single planned session. The implant then fuses with your bone over three to six months.
Step 3
Once your implant has healed, your custom made crown is fitted. We ensure your smile receives dedicated aftercare and scheduled reviews, so your implant remains healthy and stable for many years to come.
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