All on 4 Permanent Dental Implant Bridges

You can replace a full arch of teeth with 4 implants


all on 4 permanent implants


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


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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