All-on-4 · full-arch restoration
A permanent set of teeth on four implants — placed in one visit
A full-arch restoration that ends the denture days. Fixed, natural-looking teeth — and most patients walk out the day of surgery with a working bite.
Who’s a good candidate?
- You’ve lost most or all of your teeth in an arch, or you’re close to it.
- You wear a denture you can’t tolerate — slipping, sore spots, food restrictions, or covering the roof of your mouth.
- You want a permanent solution, not something you take out at night.
- Your remaining teeth (if any) aren’t worth restoring individually — they’re heavily decayed, periodontally compromised, or already failing.
- You have moderate bone height — even without ideal bone volume, the angled placement of All-on-4 often makes it possible without grafting.
Why four implants is enough
Traditional full-arch restorations needed 6–8 implants. All-on-4 changes the geometry: the back two implants are tilted at an angle, which uses the densest bone in your jaw and creates a wider, more stable support base for the bridge above. The result is fewer implants, less surgery, and reliable long-term function. Twenty-plus years of clinical research back the technique.
The day of surgery
- Sedation + anesthesia. You’re comfortable throughout. Most patients have IV sedation or oral sedation in addition to local anesthetic.
- Remaining teeth removed (if applicable), gentle bone shaping if needed.
- Four implants placed at the planned positions.
- Temporary bridge attached the same day. You walk out with teeth.
- Healing over 3–6 months while the bone fuses to the implants. Soft food at first, gradually back to normal.
- Final bridge delivered after full healing — custom-fabricated for ideal fit, function, and appearance.
Common questions
Frequently asked
- What is All-on-4?
- All-on-4 replaces an entire upper or lower arch of teeth using just four strategically-placed implants. A custom bridge of 10–14 teeth is anchored onto those four implants, giving you a permanent, non-removable set of teeth that look and feel like the real thing.
- Why only four implants?
- By tilting the back implants at an angle, we use the densest, strongest bone available — which means fewer implants are needed, surgery is less invasive, and you can often skip bone grafting. It’s a well-studied technique with 95%+ long-term success rates.
- Do I get teeth the same day?
- Yes. Most All-on-4 patients leave on the day of surgery with a fixed temporary bridge in place. The temporary stays in for 3–6 months while the bone integrates with the implants. The permanent, final bridge is delivered after healing.
- Who is a candidate?
- Patients who are missing all (or nearly all) of their upper or lower teeth, or who are wearing a denture they can’t tolerate. We use a CBCT scan to confirm enough bone is available — and even when bone is limited, the angled placement of All-on-4 often makes treatment possible without grafting.
- How is it different from regular dentures?
- All-on-4 is fixed in place — you don’t take it out. No adhesives, no slipping when you talk or eat, no covering the roof of your mouth. The bite force is dramatically better than a denture, and the appearance is closer to natural teeth.
- What does it cost?
- All-on-4 typically runs $20,000–$30,000 per arch in our area. That includes surgery, the temporary bridge, and the final fixed bridge. We provide a detailed estimate after your CBCT and offer financing through CareCredit, Sunbit, and in-office payment plans.
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