How the All-on-4 Treatment Is Planned: From Consultation to Digital Surgery
by Dr. Davide Romeo, Prosthodontist at Milano Dental Studio | Manhattan, NY
Choosing to restore your smile with All-on-4 dental implants is a transformative decision. But behind every beautiful, functional result is a careful, data-driven planning process.
At Milano Dental Studio in Manhattan, Dr. Davide Romeo — a surgical prosthodontist with over 20 years of expertise in full-arch implant rehabilitation — leads patients through a cutting-edge, fully digital workflow that ensures predictable, long-lasting outcomes.
Here’s a step-by-step overview of how we plan your All-on-4 treatment — from your first consultation to computer-guided surgery.
Step 1: Initial Consultation and Oral Examination
Your journey begins with a one-on-one consultation with Dr. Romeo. During this visit, we will:
This initial visit allows us to determine whether All-on-4 is the ideal solution for your needs, and whether additional steps — such as extractions or bone contouring — are needed.
Step 2: Review of Your Medical and Dental History
Before planning any surgery, we review your full medical and dental background to assess any factors that may affect healing or implant success.
We’ll ask about:
Your safety is our priority, and this step ensures your All-on-4 treatment is tailored to your overall health.
Step 3: 3D CBCT Scan (Cone Beam CT)
The CBCT scan is a critical diagnostic tool that gives us a three-dimensional view of your jaws, bone density, and anatomy.
This low-radiation scan helps us:
This imaging is the foundation for digital surgical planning.
Step 4: Intraoral Digital Scan and Photographic Documentation
Next, we take a digital intraoral scan of your mouth using an advanced optical scanner — no uncomfortable impression material needed.
This scan records:
We also take high-resolution photographs of your face, smile, and teeth. These photos are used for:
This comprehensive digital dataset allows Dr. Romeo to visualize and pre-design your new smile before the day of surgery.
Step 5: Digital Surgical Planning
Using your CBCT and digital scans, we create a 3D surgical plan that maps out every detail of your procedure before it happens.
This virtual plan includes:
This process ensures maximum precision and minimal invasiveness, greatly improving your comfort, healing, and long-term success.
Step 6: Schedule Your Surgery
Once your treatment plan is finalized, we’ll:
You’ll also receive personalized information on preparing for IV sedation and what to expect during recovery.
Why This Planning Process Matters
The success of your All-on-4 treatment depends on how well it is planned.
By using advanced diagnostics, digital design, and customized protocols, we ensure:
Experience the Milano Dental Studio Difference
Dr. Davide Romeo has helped many patients reclaim their confidence with All-on-4. As a global lecturer and researcher in full-arch implant therapy, his expertise and dedication ensure that your smile is built to last.
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.
