01/21/2026
Wanna know which step gets overlooked (or messed up) most often in the All-on-4 process? The bite adjustment.
If you’re seriously considering All-on-4 treatment, watch this entire video and get informed.
We see so many patients who come to us because their previous dentist can’t seem to figure out why things keep breaking, chipping, loosening, or why other problems keep popping up.
More often than people realize, the root cause is an improperly adjusted bite. It’s a “tedious” step, and honestly, a lot of providers either rush it or don’t fully understand it.
This is exactly where prosthodontists like Dr. Shahrukh Syed truly shine.
In this video, our prosthodontist Dr. Syed walks you through how he adjusts the bite on final zirconia All-on-4 teeth, and what he’s looking for:
• Speech check (“S” sounds): If there’s clicking, whistling, or the “S” sounds off, it can be a sign the vertical dimension of occlusion needs to be corrected — basically, the overall “height” of your bite (how far apart your jaws sit when you close). If that height is too tall or too short, it can affect comfort, function, and even the way you sound when you talk.
• Canine guidance: When the jaw moves side-to-side, are the canines the only teeth touching? This is critical in implant dentistry because implants don’t have the same “shock absorber” system natural teeth do — so we want the bite forces guided in a way that protects the prosthesis and reduces overload.
• Even contacts: Does the patient feel balanced, even pressure on both sides? We don’t want one side hitting harder than the other.
Bottom line: people can talk all day about “surgical skill,” but let’s be real — patients are doing All-on-X to get functional teeth. Bite/occlusion is everything for comfort and long-term durability, and prosthodontists are the dental specialists with the deepest training in that world.
That’s exactly why we have two prosthodontists at North Texas Dental Surgery.