Full-Arch · All-on-4 · All-on-X

A new set
of teeth.
In a single
surgery day.

Replace every tooth on your upper or lower jaw with a fixed set of teeth anchored on just four to six implants. Leave the office the same day with a temporary set. Eat dinner that night.

A confident older man with a warm, healthy smile after a full-arch dental implant restoration
4–6
Implants per arch
Strategically placed to support an entire set of teeth — no need to replace each one individually.

Four implants.
One full set of teeth.
All permanent.

Instead of a separate implant for every missing tooth — dozens of implants and months of surgery — your dentist places just four (sometimes six or eight) at the angles where your bone is densest, then anchors a full arch of fixed teeth to them. One surgery, a complete set of upper or lower teeth.

It doesn't come out
Fixed to the implants — not removable like a denture.
No slipping, no adhesive
It stays put through dinner and conversation.
Brush it like natural teeth
Normal daily care — no soaking cups overnight.
Eat what you want
Chewing force returns to near-natural levels.
All-on-4 vs All-on-X

All-on-X is the same concept with six or eight implants instead of four — typically used for the upper jaw, or cases where extra stability is wanted.

Full-arch helps
three kinds of people.

Profile 01

The denture wearer who's done with dentures.

You've had dentures for years. They slip. They click. You've tried every adhesive. You avoid certain foods. You're ready for something permanent.

Most patients find the upgrade to All-on-4 genuinely life-changing. Chewing force returns to near-natural levels.
Profile 02

The patient with failing dentition.

Multiple teeth are loose, failing, or already gone. Your remaining teeth can't be saved. Rather than extracting them one at a time and placing individual implants over years, All-on-4 does it all at once.

We can extract remaining teeth and place implants in the same surgery. You leave with a temporary set of teeth that day.
Profile 03

The patient with bone loss from years of missing teeth.

Teeth have been missing for a while. The jawbone has shrunk. Traditional individual implants aren't possible without extensive grafting — but All-on-4 uses strategic placement that often works with less bone.

We'll take a 3D cone-beam scan and tell you honestly whether grafting is needed or whether we can proceed directly.

What actually happens
on surgery day.

People are often surprised how manageable this is. Here's what a typical All-on-4 day looks like at our office. Plan to be here for four to six hours, with a driver to take you home.

1
7:30 AM · Arrival
Pre-op and preparation

You arrive, fill out any remaining paperwork, and meet with your dentist to review the plan once more. Blood pressure check, final questions. We apply a topical numbing gel and, if you've chosen IV sedation, our anesthesiologist gets you settled.

2
8:00 AM · Extractions
Any remaining failing teeth come out

If you still have teeth on the arch we're working on, they get extracted first. This is often the part patients worry most about — and it's usually over faster than they expected. Under sedation, most people don't remember it.

3
9:30 AM · Implant placement
Four to six implants placed, carefully

Your dentist places each implant at the precise angle planned from your 3D scan. For All-on-4, that's typically two straight implants at the front and two angled implants at the back. Each implant gets torque-tested to make sure it's stable enough to support teeth that same day.

4
11:30 AM · Temporary teeth
A full set of teeth, fitted and adjusted

Your temporary set of teeth — pre-made from your impressions in the weeks before surgery — gets attached to the new implants. Adjustments, bite check, polish. This set is functional but intentionally lightweight so it doesn't stress the healing implants.

5
1:00 PM · Home
Recovery instructions, then rest

We review post-op care in detail — what to eat, what to avoid, pain management, when to call. Your driver takes you home. Most patients are eating soft food (soup, mashed potatoes, eggs) by dinner. Soreness peaks at 48 hours, then improves quickly.

Hover or tap any step to see what's involved.

What We Recommend
  • ·Bring a driver — you cannot drive home after sedation.
  • ·Clear your schedule for the next 2–3 days. Most patients feel well enough for desk work by day 3.
  • ·Stock up on soft food: broth, yogurt, scrambled eggs, mashed potatoes, smoothies.
  • ·Ice packs for the first 24 hours (20 on / 20 off) control swelling significantly.
  • ·No smoking or heavy exertion for at least two weeks.
  • ·Someone to check in that first night is a good idea — not required, just comforting.
We call you the next morning to check in. You call us anytime you have questions.

Three materials.
Three price points.

The surgery is essentially the same across all three. What differs is the final set of teeth attached to the implants. This is the biggest variable in your final cost.

Entry

Acrylic

~$25K+
per arch

High-grade dental acrylic on a titanium frame. Strong, affordable, natural-looking. The workhorse material — what most patients choose.

Lifespan: 7–10 years typical before replacement
Maintenance: Professional cleaning every 6 months
Best for: First-time full-arch patients, tighter budgets
Most Popular

Zirconia Hybrid

~$35K+
per arch

Acrylic base reinforced with zirconia teeth. More durable than pure acrylic, better stain resistance, more natural translucency. The sweet spot for most people.

Lifespan: 15–20 years typical
Maintenance: Professional cleaning every 6 months
Best for: Most patients — best value for the lifespan
Premium

Full Zirconia

~$45K+
per arch

Monolithic zirconia — the strongest, most stain-resistant, most lifelike material available. Essentially indestructible under normal use.

Lifespan: 20+ years, potentially lifetime
Maintenance: Same — cleanings every 6 months
Best for: Patients wanting the longest-lasting option
These ranges reflect typical cases in our area. Your specific quote depends on bone condition, whether extractions or grafting are needed, anesthesia preferences, and one vs both arches. We'll quote your case in writing after the consultation.

From consult to
final teeth.

A full-arch case typically runs 6–10 months from first visit to final set of teeth. The implants need to fuse with your jawbone before the final teeth go on — you wear the temporary set during this stretch.

6–10 months, consult
to final teeth
  1. Day 1 Consultation + 3D scan

    A one-hour visit — full exam and CBCT imaging to map your bone and plan the case.

  2. Week 1–4 Treatment planning

    Your dentist designs the surgical plan while the lab fabricates your temporary set of teeth.

  3. Month 1–2 Surgery day

    Extractions, implant placement, and your temporary set fitted — all in one visit.

  4. Weeks 1–2 Initial healing

    Soft food for two weeks, then a gradual return to a normal diet as the tissue settles.

  5. Months 2–6 Osseointegration

    The implants fuse with your jawbone, with routine checks every six to eight weeks.

  6. Month 6 Final impressions

    A detailed scan and impressions to build your permanent set precisely.

  7. Month 6–10 Final teeth placed

    Your zirconia or acrylic-zirconia final set is fitted, adjusted, and polished. You're done.

Full-arch
specifics.

Questions specific to All-on-4 and full-arch restoration. For general implant questions, see the implants overview.

Do I really get teeth the same day?
Yes — in the vast majority of cases. As long as the implants are stable enough at placement (we torque-test each one), we attach a temporary set of teeth the same day. You leave with teeth, eat a soft-food dinner, and sleep comfortably. The "final" teeth come 6 months later after healing is complete.
How is this different from regular dentures?
Night and day. Traditional dentures sit on your gums, relying on suction and adhesive to stay put. They slip, click, affect speech, and cover the roof of your mouth. All-on-4 is anchored into your jawbone via four titanium implants — the teeth are fixed in place and don't come out. Chewing force returns to near-natural levels. You taste food properly again because the roof of your mouth is uncovered.
What if one of the implants fails?
Implant failure rates for experienced surgeons are low — typically under 5%. If one of the four does fail during healing, we can often replace it without compromising the others. That's part of why we sometimes place six implants instead of four on the upper arch — it gives redundancy. If a failure happens years later, we can usually replace that implant without redoing the whole arch.
Can I do upper and lower at the same time?
Some patients do both arches on the same day. It's more surgery (and more anesthesia), but it means only one recovery period instead of two. Other patients prefer to space them out by a few months so each recovery is easier. Either is fine clinically — it's a personal decision we'll talk through.
How do I clean them?
Regular brushing twice a day, plus a water flosser under the bridge to clean where a regular floss can't reach. We teach you this in detail before you leave. You come in every six months for professional cleaning, just like with natural teeth. Good hygiene is the single biggest factor in how long your implants last.
Will I look different?
Most patients say they look younger. Years of missing teeth and denture wear cause the jaw and face to compress — people get that characteristic "sunken" look. All-on-4 restores proper facial dimension. Smiles look fuller, cheeks fill out, and many patients report friends saying they look well-rested. The teeth themselves can be designed to look as natural or as Hollywood as you'd like.
What's recovery really like?
Day 1: tired, sore, mostly swollen. You sleep a lot. Day 2: peak swelling, some bruising on the outside, manageable pain with ibuprofen. Day 3–4: noticeable improvement. By day 7, most people are back to work and eating soft-solid foods. Full recovery (back to eating anything) happens over 6–12 months as the implants fully integrate.

Ready for a new
set of teeth?

Book a full-arch consultation. We'll take a 3D scan, walk through your options and materials, and give you a written plan with a specific price quote. No pressure. No upsell.