All-on-4 dental implants can replace a full-arch of missing teeth without relying on uncomfortable dentures that shift and slide around. Using just 4 dental implants, you can get a comfortable, natural-looking smile – all in a single visit for some patients.
All-on-4 is the most sophisticated, advanced method of full-arch implant restoration. It’s an excellent alternative to dentures, and offers superior results, a longer lifespan, enhanced comfort, and tons of other benefits. If you have lost most or all of your teeth and want to replace them permanently, All-on-4 may be a good choice for you.
Gum disease is the leading cause of tooth loss, and is responsible for up to 70% of missing teeth, according to some estimates.
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Dental implants usually last 30+ years with proper care. You may be able to keep your implants for the rest of your life. And while your full-arch bridges may need to be replaced eventually, they will last much longer than a set of dentures, which need to be replaced as often as every 5 years.
All-on-Four full-arch bridges are built from porcelain, which looks very similar to your natural teeth. They will look completely natural. Your new smile will feel natural, too. Because they're supported by dental implants, your new teeth will never move or shift when you chew, eat, speak, or smile.
Unlike dentures, dental implants help protect your jaw bone, and prevent bone resorption due to tooth loss. Over time, bone resorption can cause changes to your appearance and can negatively affect your oral health. With All-on-Four, your dental implants stimulate your jaw bone, keep it healthy, and help preserve your appearance and your oral health, too.
To begin the process, your dentist will take x-rays and develop a treatment plan. Then, your dentist will place your dental implants. They will clean and numb your mouth, then place your implants precisely based on your surgical plan. All-on-Four implants are placed at a special angle to anchor them to your jaw, and provide a tight hold with just 4 implants. Other methods of full-arch restoration require as many as 8 implants.
Immediately after implant placement, you’ll get a temporary set of teeth. You will need to eat a soft diet and follow special recovery instructions to make sure your mouth heals properly after surgery. Initial recovery takes just a couple of weeks, but it will take up to 3-6 months for your implants to bond to your jaw. You’ll come in for some follow-ups to check your progress, and to allow your dentist to begin building your All-on-Four bridges.
Once your mouth has healed and your All-on-Four bridges are done, you’ll come to our office for a final appointment. Your dentist will remove your temporary teeth, then check the fit of your bridges. Once everything looks perfect, they’ll be permanently attached to your implants. Then, you’ll go home and enjoy your brand-new set of teeth.
All-on-4 cost depends on the materials used, whether extractions or bone grafting are needed, and whether you replace one arch or both. Estimates roughly start at $24,995 per arch. Your exact price is set at a consultation at our Middletown, DE office with a 3D scan, and we provide a written, itemized treatment plan so you know what is included. We also offer financing options and can help you check your dental insurance and HSA/FSA benefits.
The implants themselves are designed to last decades, and often a lifetime, with good oral hygiene and regular checkups. The teeth attached to them (the prosthesis) are made of acrylic or zirconia and can wear over time, so they may need professional maintenance or replacement after many years. Smoking, grinding your teeth and skipped cleanings are the biggest factors that shorten their life.
In many cases, yes. When the implants are stable enough, we can attach a temporary set of teeth the same day so you leave with a full smile. After the implants fuse with your jawbone, typically over a few months, we replace the temporary set with your final, custom-made teeth. During healing you will follow a soft-food diet. Whether same-day teeth are right for you depends on your bone and overall health, which we confirm at your consultation.
Dental House offers full-arch implant treatment right here in Middletown, Delaware, so you can plan your consultation, surgery and follow-up visits close to home. Your first visit includes a 3D scan and a personalized plan, and the same team follows you from consultation through your final teeth. Call us or request a consultation online to get started.
All-on-4 uses four strategically placed implants to support a full arch of teeth. All-on-X is a broader term for the same approach using the number of implants that fits your jaw, often four to six. Additional implants can spread chewing force more evenly and may be recommended when your bone is softer, especially in the upper jaw. We will tell you which approach fits your anatomy and bite.
You may be a good candidate if you are missing most or all of your teeth in an arch, have failing teeth, or are tired of loose dentures. Good general health and healthy gums matter. Smoking, uncontrolled diabetes and certain medications can affect healing, so we review your history carefully. Even if you have lost bone, grafting or extra implants can sometimes still make treatment possible.
The procedure typically involves removing any failing teeth, placing the implants and attaching temporary teeth, often in a single visit. Swelling and soreness usually peak in the first few days and improve over one to two weeks. Most people return to light activity within a few days. You will eat soft foods while the implants fuse with your jaw, then move to your final teeth, usually in about three to six months.
Fixed All-on-4 teeth do not slip, do not need adhesive and let you bite and chew with far more confidence. The implants also help preserve your jawbone, which shrinks over time under traditional dentures. Dentures cost less upfront and may be the right choice for some patients, so we review every option with you.
Brush twice daily and clean under the prosthesis each day with a water flosser or special floss. Visit us for regular professional cleanings and checkups, usually every three to six months, so we can inspect the teeth and the gum tissue. A nightguard may be recommended if you grind your teeth.
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