Although highly successful in terms of both short- and long-term survival rates, All-on-4®-style dental implant treatment is a multistep process with many potential complications. Beyond reports of survival rates for dental implants and the final prostheses, the dental literature is relatively devoid of information regarding obstacles and pitfalls associated with All-on-4-style dental implant treatment. In the current article, the author describes common issues that he has encountered before, during, and after All-on-4-style dental implant treatment of more than 500 arches and discusses methods for overcoming these obstacles.