ALL-ON-4® DENTAL IMPLANTS · BETHESDA, MD

Replace a full arch with four implants — and teeth that stay in place.

If most or all of the teeth in one arch are already missing or can no longer be predictably saved, the All-on-X® concept uses four strategically positioned implants to support a fixed full-arch restoration.

Four implants. One fixed arch. A completely different experience from removable dentures.

WHY ALL-ON-X IS DIFFERENT

Six things to understand before replacing a full arch.

All-on-X isn’t simply a denture with implants underneath. The number and position of the implants, the fixed restoration and the way the arch is planned all make it a different treatment concept.

Four implants support the arch

Rather than placing one implant for every missing tooth, four strategically positioned implants can support a complete fixed arch.

The back implants are angled

The All-on-X concept uses two anterior implants and two posterior implants that may be tilted to make strategic use of available anatomy and bone.

Your teeth stay fixed in place

The restoration is secured to the implants rather than removed by you each night like a conventional or snap-in denture.

Grafting may sometimes be avoided

The implant positioning is specifically designed to use available bone efficiently, which can allow treatment without bone grafting in appropriately selected cases.

Temporary teeth may be placed right away

When the implants achieve the stability and clinical criteria needed for immediate loading, a fixed provisional arch can be delivered on the day of surgery.

Fixed doesn’t mean maintenance-free

The restoration stays attached, but the implants and tissues underneath still need careful daily cleaning and professional maintenance.

Four implants doesn’t mean four teeth — they can support an entire fixed arch.

2 front implants + 2 strategically angled back implants = one foundation designed to support a complete fixed arch.

HOW FOUR IMPLANTS CAN SUPPORT A FULL ARCH

The strategy isn’t simply using fewer implants. It’s where those four implants go.

The original All-on-4® treatment concept uses two straighter implants toward the front of the jaw and two posterior implants positioned at an angle, which can help make use of available bone while avoiding important anatomical structures.

Those four implants create the foundation for a single fixed full-arch restoration. That means the replacement teeth work together as one prosthesis supported by the implants rather than each missing tooth receiving its own individual implant.

For patients who meet the clinical requirements and whose implants achieve adequate initial stability, a fixed provisional restoration may also be connected on the day the implants are placed. The definitive restoration comes later, after healing and the restorative plan are ready for that next stage.

WHO ALL-ON-4 MAY BE FOR

It’s designed for a full arch — but patients can arrive there from very different starting points.

The decision depends on your remaining teeth, bone, gums, health and restorative goals — not simply how many teeth you’re missing.

Already Missing All Your Teeth

All-on-4 can create a fixed full-arch alternative for someone currently living without natural teeth or wearing a complete removable denture.

Most Teeth Are Failing

Sometimes an arch still has teeth present, but extensive decay, fractures or periodontal problems mean they cannot predictably support the smile long term.

Traditional Dentures Aren’t Enough

Some patients can wear removable dentures successfully but want the confidence and function of a restoration that does not come out at home.

YOUR ALL-ON-4 TREATMENT · STEP BY STEP

Plan the full arch. Place the four implants. Build your final smile.

We evaluate your remaining teeth, gums, jawbone, bite and imaging to determine whether a four-implant full-arch approach fits your anatomy and restorative goals.

The four implants are strategically positioned. When immediate-loading criteria are met and adequate stability is achieved, a fixed provisional arch may be attached the same day.

As the implants heal, we monitor your tissues, bite and provisional restoration. Your definitive fixed teeth are then designed and delivered according to the final restorative plan.

What patients say

200 reasons to choose us.

We don't ask you to trust us. We let our patients do the talking.

A full-arch solution is a big decision. Financing can make the investment easier to manage.

We accept most PPO insurance plans and can help you understand any benefits that may apply to your treatment. Cherry, Sunbit, Proceed and Care Credit financing is also available for eligible implant care with no hard credit check · approval in seconds · and plans from 3 to 24 months.

If the whole arch is failing, you don’t have have to replace one tooth at a time.

Whether you’re already wearing dentures or facing the loss of most of your teeth, we’ll evaluate your bone, remaining teeth and goals to see whether All-on-4 could give you a fixed way forward.