All-on-4 replaces an entire row of missing or failing teeth with a fixed prosthesis anchored on just four implants, no adhesives, no removable plate, and a bite that works like natural teeth again.
All-on-4 uses four strategically angled implants to support a full arch of fixed replacement teeth. The back two implants are placed at an angle to reach denser bone and avoid the sinus cavity, which is what makes it possible to support an entire arch on just four posts instead of six or eight.
Unlike a traditional denture, the prosthesis is fixed, it doesn't come out at night, doesn't shift when you eat, and doesn't rely on suction or adhesive. Many patients leave the same day with a functional temporary set of teeth while the implants heal.
All-on-4 is most often the answer when most or all of the teeth in an arch are failing, missing, or already gone. At your consultation we'll take a 3D scan and tell you honestly whether your jawbone and health support it.
If most teeth in your upper or lower arch are decayed, broken, or already extracted, All-on-4 replaces the whole arch at once instead of tooth by tooth.
If your denture slips, clicks, or you're tired of adhesive, a fixed All-on-4 arch stays in place permanently.
The angled back implants reach available bone without a bone graft in most cases, even when a standard implant plan wouldn't work.
Many patients qualify for a temporary fixed arch on the day of surgery, so you're never without teeth.
Because it replaces so much at once, All-on-4 works best for patients ready to keep up with implant-specific hygiene and check-ups.
We take a CBCT scan to map your bone volume, nerve position, and sinus location, then build a digital surgical plan for exactly where each of the four implants will go.
The four implants are placed under sedation in a single visit. Any remaining failing teeth are removed at the same appointment.
Many patients receive a temporary fixed arch the same day. If bone needs more time to heal, you'll wear a removable temporary while the implants integrate, typically 3 to 6 months.
Once the implants have fully fused with the bone, we take final impressions and deliver your permanent fixed prosthesis, milled to match your bite and smile.
A traditional denture is less invasive and less expensive upfront, but it rests on the gum and bone that keeps shrinking underneath it. All-on-4 is anchored to implants, so it doesn't have that problem.
All-on-4 cost depends on how many arches are involved, whether teeth need to be extracted first, and the material used for the final prosthesis. Dental insurance typically covers only a portion of implant treatment, though many PPO plans contribute toward extractions, the prosthesis, or both. We offer CareCredit and Lending Club financing, and we'll walk you through your exact out-of-pocket number and payment options before treatment starts.
Our clinic is in network with most PPOs and accepts all insurance plans. We'll verify your benefits and file the claim on your behalf.
Spread payment over time with interest-free financing through Lending Club or CareCredit, so cost isn't the reason you delay treatment.
Not insured? Our in-house membership plan simplifies preventative care and saves on treatment, a smart alternative when insurance isn't a fit.
Learn About MembershipOur implant team plans and restores full-arch cases in-house, from surgical placement through the final fixed prosthesis, without referring you out mid-treatment.
Over a decade of practice in the DC area. Certified Invisalign provider and AAFE-certified in Botox therapeutics for TMJ and facial pain.
Restorative, cosmetic, and complex oral surgery. Invisalign and dental implant certified, with a special focus on patients with dental anxiety.
Compassionate care with a friendly approach. A Fairfax native who combines clinical expertise with genuine warmth that puts patients at ease.
Multi-disciplinary, comprehensive dentistry with a pragmatic approach. Passionate about patient education and staying current with advances in dental care.
Still have questions? Book an exam at any of our three offices and we'll walk you through your options in plain language.
Book ConsultationThe implant placement is done under sedation, so you won't feel the procedure itself. Some swelling and soreness for several days afterward is normal and manageable with the medication we prescribe. Most patients are back to normal activity within a week.
Many patients qualify for a temporary fixed arch placed the same day as surgery, but it depends on your bone quality and how the implants respond during placement. We'll tell you honestly at your consultation whether same-day teeth are realistic for your case.
Full integration with the jawbone typically takes 3 to 6 months. You'll function normally with a temporary prosthesis during that time, and we'll monitor healing before moving to your final fixed arch.
Most PPO plans don't cover the implants themselves as a whole, but many contribute toward extractions, bone grafting if needed, or a portion of the prosthesis. We verify your specific benefits and give you a clear number before treatment, and offer CareCredit and Lending Club financing for the rest.
Individual implants replace one tooth each and usually need more of them to support a full arch, along with more bone. All-on-4 uses angled back implants to support an entire arch on just four posts, which is often possible even for patients who don't have enough bone for a traditional implant plan.
You brush and floss it much like natural teeth, using a water flosser or floss threaders to clean under the bridge where it meets the gum. We'll show you the exact technique and schedule follow-up cleanings to keep the implants healthy long-term.
Bring us your X-rays or let us take new ones. We'll show you your bone, walk you through whether All-on-4 fits your case, and give you a straight timeline and cost.
No pressure. No obligation. Just a clear picture of what's possible.
New patients always welcome. Fill out the form and we'll reach out to schedule your implant consultation, or call the office nearest you.