What to Expect the Day of Your All-on-4 Surgery
by Dr. Davide Romeo, Prosthodontist at Milano Dental Studio | Manhattan, NY
The day of your All-on-4 dental implant surgery isn’t just a date on the calendar—it’s a turning point. For many of our patients, it represents the moment they say goodbye to years of discomfort, insecurity, or frustration with removable dentures or failing teeth, and take the first step toward a new life with a confident, stable, and beautiful smile.
At Milano Dental Studio in Manhattan, our mission is to make sure you feel comfortable, informed, and supported through every stage of your journey. Here’s a guide to what you can expect on this exciting day.
Preparing for Your All-on-4 Surgery
Before the transformation begins, it’s important to prepare properly—especially if you’re undergoing IV sedation, which allows for a relaxed and stress-free experience. You’ll receive detailed instructions from our team, but here’s a general overview:
THE NIGHT BEFORE:
ON THE DAY OF SURGERY:
When You Arrive
You’ll be warmly welcomed by our team and settled into a calm, private surgical suite. Dr. Romeo will review your treatment plan with you one more time to ensure you feel confident and fully informed.
Before beginning the procedure, you’ll also meet with our dental anesthesiologist, who will perform a final health assessment and answer any last-minute questions you may have about the sedation process. Their priority is to ensure your safety, comfort, and peace of mind.
Once everything is confirmed, the anesthesia provider will begin IV sedation. Most patients enter a deeply relaxed, dream-like state—still conscious, but completely at ease. You’ll be responsive, but typically won’t remember much about the procedure afterward.
The Surgery: Placing Your Dental Implants
Once you’re comfortable and sedated, Dr. Romeo begins the procedure with great precision:
Dr. Romeo will confirm that your implants are secure and ready to support the immediate temporary prosthesis—the same-day smile.
Same-Day Smile: Your Temporary Bridge
This is the exciting part. Before you leave the office, you’ll receive a custom-designed temporary bridge that is attached directly to your implants. It’s not removable like dentures—it’s fixed in place.
Recovery & Post-Op Care
After surgery, you’ll head home to rest and begin the healing process. Most patients experience only mild discomfort and return to light activity within a day or two.
Here’s what recovery looks like:
What Comes Next?
As your implants heal and integrate with the jawbone over the next few months, Dr. Romeo will monitor your progress with follow-up visits. Once healing is complete, we’ll deliver your final All-on-4 restoration—stronger, more refined, and designed to last for many years.
Your final prosthesis will be:
Questions? We’re Here for You
At Milano Dental Studio, we understand how important this decision is. That’s why Dr. Davide Romeo—a prosthodontist with over 20 years of experience—personally guides each patient from consultation to completion.
With honesty, precision, and personalized care, we’re here to help you through every step of the journey—so you can smile again with confidence.
Meet Your Expert in Smile Restoration: Dr. Davide Romeo
Dr. Davide Romeo is more than a provider—he’s a pioneer in full-arch implant rehabilitation. A specialist in prosthodontics, he has taught, researched, and published internationally on the All-on-4 concept. His reputation for precision, artistry, and compassionate care has made Milano Dental Studio a trusted destination for patients across New York and beyond.
With Dr. Romeo, you’re not just getting a set of teeth—you’re getting a partner in your journey back to health, confidence, and joy.
