All on 4 Dental Implants-replacing all teeth permanently

all on 4 permanent implants


All on 4 implants is the most practical way to permanently replace a full upper and/or full lower set of teeth. Our sedation dentists can put you to sleep while you get a new set of all on 4 dental implants at our location in Burtonsville Maryland. All on four implants is a permanent full mouth implant option that stays in the mouth and does not need to be removed. IV Dental sedation is recommended but not required.

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full mouth dental implants

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All on 4 Dental Implants Video



Frequently Asked Questions about All on 4 dental implants:


  1. What is the Cost of full mouth dental implants
  2. How much is full top set of dental implants
  3. What do full mouth implants look like?
  4. How long do full mouth implants last?
  5. Can I get all my teeth replaced with individual implants?


If you truly want to find out the exact cost  of  All on 4, we recommend you come into our office for a free consultation with one of our doctors. The consultation includes a 3D X ray, a complete review of your case and the different implant and teeth options.


All on 4 Dental Implant Costs


All on 4 implants with zirconia teeth that are permanently installed cost $45,000 – $55,000 USD for a full upper and lower set of teeth. These prices include sedation dentistry, removing any remaining natural teeth, and getting a complete set of new fixed implant teeth. The price also includes a set of temporary teeth installed the same day all the remaining natural teeth are removed.

Full mouth implants are fixed permanently into the mouth so the do not need to be taken in and out of the mouth. Permanent implants are also called all on 4 dental implants because an entire upper or lower set of teeth can be supported with as few as 4 implants. We recommend at least 5-6 implants per arch just in case.

Wondering if All on 4 dental implants are the right choice for your tooth replacement needs? Designed to support an entire arch of teeth with only four implants, this innovative solution simplifies the path to a restored smile, merging durability with a natural feel. Our in-depth guide will shed light on the All on 4 process, advantages, and what you can expect, equipping you with the knowledge to decide if this treatment suits your unique situation.


Key Takeaways


  • The All on 4 dental implant procedure utilizes advanced surgical techniques to anchor a full arch of permanent teeth with only four implants, eliminating the need for bone grafting in most cases and offering immediate functionality. Sometimes up to 6 implants is needed, but 4 is the minimum.
  • Candidates for All on 4 dental implants require adequate jawbone density and good oral health, but the innovative angling of implants allows individuals with significant bone loss to still be eligible for the procedure.
  • Technological advancements, such as 3D imaging and computer-guided implant surgery, play a crucial role in the All on 4 treatment, enhancing the precision of implant placement and improving the overall success and longevity of the implants.


Exploring the All on 4 Dental Implant Treatment



The All on 4 dental implant treatment offers an encouraging solution for those who have experienced the loss of natural teeth. It’s an innovative approach, utilizing only four dental implants to anchor a full arch of permanent teeth, offering a fixed and long-lasting alternative to removable dentures and extensive traditional dental implant procedures. Whether you’re transitioning from dentures or looking to replace an entire arch of teeth, this treatment is tailored to restore not just your smile but also your ability to enjoy life’s simple pleasures, like savoring your favorite foods without concern.

This treatment journey commences with an individualized consultation, where a dental professional meticulously evaluates your needs to craft a personalized treatment plan. The goal is to enhance your oral function and aesthetics, providing you with a seamless experience from implant surgery to the final restoration, all under one roof.


Understanding the All on 4 Procedure-Clear Choice Dental Implants


The All on 4 dental implant procedure stands as a surgical marvel, strategically utilizing at least four dental implants to replace the entire set of teeth on either the upper or lower jaw. This is not just about implant placement; it’s about adopting advanced surgical techniques to ensure stability and support for a lifetime. The procedure distinguishes itself from traditional methods, where the two posterior implants are angled ingeniously to maximize bone density and eliminate the need for bone grafting in most cases.


The distinguishing feature of the All on 4 procedure is:

  • The considerate angling of the posterior implants, which are tilted at 45 degrees
  • This allows them to pass through the denser anterior region of the jaw
  • This technique is a game-changer, especially for those who have experienced bone loss
  • It means a full arch can be supported with fewer implants, minimizing surgical complexity and enhancing overall treatment outcomes.
  • The all on 4 concept was revolutionized by Nobel Biocare.


Advantages Over Traditional Dental Implants


All on 4 dental implants surpass traditional implants with a myriad of benefits, tailored to meet the demands of modern life. One of the most significant advantages is the potential to bypass bone grafting, a common necessity in traditional dental implant surgery. This treatment leverages your existing bone tissue, even in the presence of jawbone loss, thus simplifying the process and reducing recovery time.

Moreover, the All on 4 dental implants offer the following benefits:

  • Immediate function, allowing for the enjoyment of a complete set of teeth shortly after the procedure
  • The ability to walk out of the implant surgery with a fully functional set of teeth that are virtually indistinguishable from natural teeth
  • No need for denture adhesives or nightly removal, as the implants are permanent and cared for just like natural teeth
  • Unmatched comfort and stability, revolutionizing the concept of dental restoration.


Who Can Get All on 4 Dental Implants

Assessing bone density for dental implants


When contemplating All on 4 dental implants, it’s necessary to ascertain if you’re a suitable candidate for this life-changing treatment. Men and women bearing the burden of significant teeth damage or missing teeth, and seeking a permanent, fixed solution, may find All on 4 to be the perfect fit. This procedure is designed for those who desire not just the look but also the unrestrained functionality of natural teeth.

Nonetheless, the desire for fixed teeth isn’t the only determinant for this treatment’s candidacy. It requires the presence of adequate jawbone density to support the dental implants and an overall good health status to ensure the success of the implant surgery. It’s not just about replacing missing teeth; it’s about setting the foundation for a lifetime of smiles and wellbeing.


Importance of Adequate Bone Density


Bone density plays a pivotal role in the success of the dental implant treatment. The implants need to fuse with the surrounding jawbone, a process known as osseointegration, to provide the sturdy foundation required for your new teeth. Without enough bone density, the implants may not secure properly, leading to potential complications down the line.

For those worried about bone loss, the All on 4 treatment often presents a beacon of hope, as the strategic angling of the posterior implants can utilize areas of higher bone density. This innovative approach allows individuals who may not have been candidates for traditional implants to enjoy the benefits of a full and steadfast set of teeth.


Evaluating Patient’s Oral Health


Alongside bone density, a patient’s oral health also significantly contributes to the successful outcome of the All on 4 dental implant procedure. Good oral health lays the foundation for implant success, ensuring that the new teeth have a healthy environment in which to thrive. Prior to undergoing the All on 4 implant procedure, any pre-existing oral health issues, such as gum disease, must be resolved and managed effectively.

The good news is that oral health concerns don’t automatically disqualify you from receiving All on 4 dental implants. Once these issues are treated and oral health is stabilized, many patients with previous oral health issues can still qualify for the treatment. This inclusivity makes the All on 4 procedure a viable option for a wide array of individuals seeking full arch rehabilitation.


The Role of Technology in All on 4 Treatment

Guided implant placement in All on 4 treatment


Technology acts as a linchpin in the All on 4 treatment, heralding a new age of precision in dental implant surgery. Innovations such as 3D imaging, particularly Cone Beam Computed Tomography (CBCT), have revolutionized the planning and execution of dental implants. These technologies offer a detailed three-dimensional view of the oral structures, improving the strategic planning of implant placement with respect to bone volume, sinus proximity, and nerve locations. Such precision allows for the placement of longer implants in the bone, maximizing the available tissue for a successful outcome.

The use of 3D-printed surgical guides, developed from CBCT cone beam scans, represents another technological leap that has greatly enhanced the All on 4 procedure. These guides ensure that dental implants are inserted with remarkable accuracy, tailored to each patient’s unique oral anatomy. This customized approach minimizes the margin for error and is instrumental in the procedure’s success, ensuring the implants integrate seamlessly with the jawbone for a stable and durable foundation.


Guided Implant Placement


Guided implant placement is a critical component of the All on 4 treatment, providing a level of precision unattainable by conventional methods. By utilizing computer-guided surgery, oral surgeons can:

  • Place the four implants with exacting precision
  • Optimize the use of available bone
  • Improve the immediate functionality of the prosthesis
  • Ensure a snug fit that feels natural and comfortable


The surgical guide, created from a patient’s mouth scan, acts as a roadmap during the implant placement. It ensures that each implant is positioned at the precise angle and location planned during the initial stages. This level of accuracy not only aids in successful osseointegration but also contributes to the overall aesthetic and functional outcomes of the full arch rehabilitation.

With guided implant placement, patients can trust that their new teeth are not only fixed but also perfectly tailored to their individual needs.


Customizing Your New Smile

Customized full-arch prosthesis


The route to a new smile concludes with the personalization of your full-arch prosthesis, a process that promises to replicate the natural appearance of your teeth. After the All on 4 implants have fully integrated with the jawbone, the transition from temporary to permanent prosthesis begins. This isn’t a one-size-fits-all solution; it’s a meticulous crafting of teeth that considers the unique aspects of color, shape, and size, ensuring that your new teeth harmonize with any remaining natural teeth and enhance your overall facial aesthetics.

All on 4 implants present an aesthetically pleasing and functional solution that also eliminates the need for removable dentures. Imagine biting into an apple or laughing heartily without a second thought about your teeth. This is the level of confidence and normalcy that All on 4 implants aim to restore, providing you with a permanent set of teeth that look and feel just like your own.


Crafting the Final Implant Prosthesis


The skill required to create the final prosthesis stems from a team effort between dental lab technicians and the implant dentist. Zirconia, a specialized porcelain, revered for its durability and aesthetic qualities, is often the material of choice for the final implant teeth. This ensures that your new teeth are not only strong and functional but also possess the luminous quality of natural teeth.

Initially, patients receive a temporary full-arch prosthesis immediately after the implant placement. This serves as a protective measure and allows patients to get accustomed to their new teeth while the mouth heals. Once recovery is complete, the permanent prosthesis is attached, marking the final step in the full arch rehabilitation.

This final restoration is designed to closely resemble natural teeth, providing both cosmetic and functional benefits that contribute to a patient’s overall quality of life, while taking into account their remaining teeth.


Recovery and Aftercare Following All on 4 Surgery

Recovery and aftercare for All on 4 surgery


The post-operative recovery and aftercare are integral to the success of the surgical procedure. Patients can expect a quicker recovery, thanks to the minimally invasive procedures that involve less tissue trauma and subsequent decreased postoperative discomfort. However, it’s important to note that complete healing typically spans six to eight months, though patients can usually resume normal eating habits within a few weeks.

Immediately after surgery, it’s advisable to have a companion to assist during the initial recovery from local anesthesia and IV sedation dentistry. Proper healing also involves avoiding any physical disturbances at the implant site, such as touching or picking at the mouth. Gradually resuming exercise and abstaining from smoking are further steps to ensure the implants heal properly.

Routine follow-up visits are pivotal in the recovery process, providing an opportunity for the dental team to monitor the healing progression and advise on care and activity restrictions.


Immediate Function and Healing Time


One of the standout characteristics of the All on 4 treatment is the principle of immediate function. A temporary set of teeth is secured to the implants right after placement, offering patients an instant aesthetic improvement. This allows patients to enjoy their new smile while the implants undergo the crucial healing phase. To ensure optimal healing, it’s recommended to stick to soft foods that don’t disrupt the temporary teeth during recovery. Who is a good candidate for All on 4 implants.

The healing period is governed by osseointegration, a biological process where the implants become one with the jawbone, establishing a solid base for the final prosthetic teeth. This process is critical for the stability and longevity of the implants and the overall success of the full arch rehabilitation. Understanding this phase of healing ensures patients can look forward to a durable and fully functional set of teeth.


Longevity and Maintenance of All on 4 Implants


The All on 4 dental implants provide a lasting remedy for missing teeth, with their durability largely attributed to the high-quality materials used, such as titanium. To ensure the longevity of the implants, a maintenance routine is essential. This includes:

  • Using a Waterpik and a Sonicare tooth brush for optimal hygiene around the implants
  • Avoiding hard and sticky foods that could damage the implants
  • Adhering to a dental care regimen that includes non-abrasive toothpaste and regular flossing around the implants
  • Regular dental check-ups, typically every six months

These practices help support dental implants and ensure overall oral health.

The commitment to proper maintenance and regular dental care is what ultimately determines the long-term success of All on 4 dental implants. By being diligent about oral hygiene and visiting the dentist for professional cleanings and monitoring, patients can enjoy the benefits of their All on 4 implants for many years to come.


Ensuring Lasting Results


How long do All on 4 dental implants last? Securing enduring results from your All on 4 dental implants calls for a collaborative effort between the patient and dental professionals. Regular appointments with dental hygienists are vital for maintaining the health of the implants and the surrounding tissues. An effective oral hygiene regimen includes the use of a floss threader and antibacterial mouthwash to keep the gums and implants in top condition.

The All on 4 dental implants offer several benefits, including:

  • Restoring a smile
  • Supporting jawbone preservation and promoting bone growth
  • Contributing to lasting results and maintaining a youthful facial structure
  • Scheduled follow-up appointments to monitor the fit of the prosthesis, oral health, and make necessary adjustments

These benefits help ensure that patients continue to enjoy a beautiful and functional smile.


Financing and Investment in All on 4 Dental Implants


Investing in All on 4 dental implants represents a notable decision extending beyond physical transformation; it’s a commitment to your long-term oral health and well-being. Understanding the financial aspects is crucial to this investment, which includes exploring insurance coverage and customized treatment planning. Rest assured, the focus remains on providing you with the highest quality of care without surprises in services and pricing.

To accommodate the diverse financial situations of patients, there are various financing options available. CareCredit® financing, payment plans, and financial assistance programs are designed to help manage the investment in your oral health. These options cater to a broad spectrum of credit scores, offering everything from zero-interest plans to loans with extended payment terms. This ensures that the pathway to a restored smile is accessible to as many individuals as possible.


Payment Plans and Financing for Dental Implants


Managing the financial aspects of dental implants necessitates thoughtful consideration. Before diving into a financing plan, it’s essential to thoroughly evaluate all the details, including associated fees, interest charges, and the overall cost of the financing arrangement. This due diligence ensures that you are fully informed and comfortable with your investment in a new smile.

For patients with less than perfect credit, there are still viable options to finance their All on 4 dental implant treatment. Personal loans, specialized dental lenders such as Care Credit or Lending Club, or enlisting the help of a co-signer can provide the necessary funds. These alternatives allow for flexibility and ensure that financial challenges don’t stand in the way of achieving a full and confident smile.




Embarking on the journey of All on 4 dental implants is a transformative experience that encompasses not just the restoration of missing teeth but a complete revival of one’s smile and quality of life. From the precision of guided implant placement to the customization of a natural-looking full-arch prosthesis, the All on 4 treatment stands out as a pinnacle of dental innovation. By combining advanced technology with meticulous surgical and prosthetic techniques, patients are offered a permanent solution that delivers both aesthetics and functionality akin to natural teeth.

In summary, the All on 4 treatment is more than a dental procedure; it’s a pathway to renewed self-esteem and the joy of unhindered expression. With various financing options available, this life-changing solution is within reach for those who seek it. The All on 4 dental implants promise a future where a beautiful, fully functional smile is not a luxury but a reality for many.


Frequently Asked Questions

Who is the ideal candidate for All on 4 dental implants?


The ideal candidate for All on 4 dental implants is someone with significant teeth damage or missing teeth who desires fixed, non-removable teeth and has adequate jawbone density and good overall health.


Can All on 4 dental implants be done if I have bone loss?


Yes, All on 4 dental implants can be done even if you have bone loss, as the strategic placement of the implants can often eliminate the need for bone grafting.


How long does it take to recover from All on 4 implant surgery?


It typically takes six to eight months for complete healing after All on 4 implant surgery, but patients can usually resume normal eating habits within a few weeks. Immediate function with temporary teeth is also possible shortly after the implant placement.


How do I maintain my All on 4 dental implants?


To maintain your All on 4 dental implants, stick to regular dental hygiene practices like using non-abrasive toothpaste and flossing around the implants, while avoiding hard or sticky foods. Make sure to attend dental check-ups every six months for long-term success.


Are there financing options available for All on 4 dental implants?


Yes, there are financing options available for All on 4 dental implants, such as CareCredit® financing, payment plans, and financial assistance to accommodate different financial situations.


All on 4 is more predictable with 5 or 6 implants


While the solution is called “All on 4”, it is better to use 5-6 implants to properly support a full set of implant teeth. Four implants are not strong enough to replace 12-14 natural teeth. Furthermore, if one of the implants does not work, the patient and implant doctor may waste a lot of time and money.


3D X-ray Cone Beam Scan:


all on 4 implant sedation


We use the latest technology for a full 3D Cone Beam scan of your jaws to determine what you need to receive a new smile with All on 4 implants sedation. The system uses minimal radiation and only takes 14 seconds. The scan is taken in the open room where you are comfortably seated. No laying down or closed and tight spaces. We are convenient to Silver Spring, Burtonsville, Columbia, Clarksville Maryland and all of Montgomery County and parts of Howard and Princes Georges counties Maryland.


How much does All on 4 Implants Cost?


All patients will save $3000 – $8000 since we compete the procedure entirely in our sedation implant center. The cost of All on 4 implants depends on the solution you choose. We have acrylic teeth and zirconia teeth. The cost also depends on how many teeth need to be removed and how much gum and bone grafting needs to be done. For your convenience, we will take your 3D cone beam scan and provide a complete treatment plan cost for your All on four implant case. The service comes at no cost to you and is complimentary. If you have insurance we will bill your insurance for the Xray and exam. If you do not have dental insurance, there is no fee.


Financing and Payment Options:


we accept care credit.  all on 4 implants sedation financing


Care Credit can do financing and payment plans for All on 4 implant procedures. Visit their website to apply.


Traveling Patients:


For patients traveling from out of town, we recommend using Reagan National Airport in DC or BWI in Baltimore. There are plenty of hotels near Burtonsville, Silver Spring and Columbia Maryland on


What to Expect at your Appointment:


  1. We will put you to sleep with intravenous dental sedatives such as midazolam and fentanyl.
  2. We will remove All remaining teeth. For example, if we are doing All on 4 dental implants to permanently replace all the upper teeth, any remaining upper teeth will be removed.
  3. The surgeon will carefully clean all the extraction sites and any areas of infection
  4. We will place bone grafts and 5-6 implants as necessary along with PRF treatments
  5. Placement of stitches as needed
  6. Delivery of temporary all on 4 teeth
  7. 12 week healing period for gum and bone to grow and attach to the implants and for the tooth extraction sites to heal.
  8. Impression of All on 4 dental implant permanent full upper implant bridge.
  9. Delivery of final All on 4 permanent implant teeth.


Does Insurance Pay for All of 4 Implants?


We will bill all PPO and traditional insurances and many will pay for a portion of the procedure. The best thing to do is contact our office and we will contact your insurance to help you determine what they will pay. This will be done typically at the time you come in for your 3D cone beam scan and consultation.


dentures vs all on 4implants sedation


False Teeth Vs All on 4:


  1. Permanent teeth replacement and never need to be removed
  2. Stable and never come loose while smiling, eating or singing
  3. implants replace root structure and decrease bone loss and decrease facial atrophy
  4. Chewing forces absorbed by jaw bone and All on 4 implants sedation teeth
  5. Teeth feel stable and natural


Conventional Dentures


  1. Dentures are removable
  2. Dentures slip and may fall out while eating and talking
  3. gums and jaw bone continues to be lost under dentures
  4. chewing forces absorbed by gum and bone
  5. teeth feel unstable, large bulky and like plastic


partial denture vs all on four implants sedation


Partial Dentures Compared to Implants


Partial Dentures use the remaining teeth to support replacement of remaining teeth. Partial dentures have metal or plastic arms that wrap around the roots of the remaining teeth to hold the fake teeth in place. Partial Dentures put pressure on the remaining teeth and eventually cause more tooth loss. Chewing forces are placed on the remaining teeth and the missing tooth areas. Partial dentures do not replace any loss root structure and the patient still has missing tooth spaces under the denture. There is still bone loss and facial bone atrophy under the dentures. The gum and bone shrink under the denture. Eventually the denture does not fit anymore and it will need to be replaced. Since the partial attaches to remaining natural teeth, if there is loss of an additional tooth, the partial denture may not fit anymore and it may need to be replace. Since dentures put pressure on the remaining teeth, it will usually lead to more tooth loss within a period of 5-7 years. Partial Dentures vs All on 4 implants sedation

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