If you are missing most or all of your teeth in an arch, or you are tired of loose dentures, All-on-4 replaces an entire arch with a fixed, non-removable set of teeth, anchored by just four implants and often delivered the same day as surgery.
All-on-4 is a full-arch tooth replacement approach in which four implants are placed at carefully planned positions and angles in the jaw, taking advantage of the strongest available bone so that grafting can often be minimized or avoided. Those four implants then support a complete, fixed arch of replacement teeth, either the upper arch, the lower arch, or both.
Because the implants are angled to engage denser bone, many patients can walk out with a temporary full-arch prosthesis attached the same day their implants are placed, giving them functional, natural-looking teeth while the implants heal and fuse with the bone underneath.
All-on-4 is designed specifically for patients who need to replace an entire arch, not a single tooth or a handful of scattered teeth. If you are dealing with widespread decay, advanced periodontal disease, or a mouth full of failing teeth that need extraction, this full-arch approach lets us address the whole arch in one coordinated treatment plan rather than tooth by tooth.
Full-arch treatment is planned in detail before we ever pick up a handpiece, so you know what each visit involves.
We evaluate your remaining teeth, gum health, and jawbone with 3D CT imaging, then map the ideal position and angle for each of the four implants before any surgery is scheduled.
Any remaining teeth that cannot be saved are gently removed, and the four implants are placed in the same visit. If additional support is needed, we discuss a bone graft beforehand.
In most cases, a temporary fixed full-arch prosthesis is attached to the new implants before you leave, so you are not without teeth while your jaw heals.
Once the implants have fully integrated with the bone, typically over a few months, we replace the temporary with a custom-fitted, permanent full-arch bridge built for long-term comfort and appearance.
All-on-4 asks a lot of a surgical team, exact implant positioning, careful bone assessment, and a prosthesis that fits and functions from day one.
Dr. Rana Shahi, Dr. Priscilla Young, and Dr. Ivan Yi are all board-certified periodontists with advanced training in implant placement, giving your full-arch case the surgical precision it demands.
Every All-on-4 case is planned with 3D CT imaging so Dr. Shahi and her team can position each implant for maximum bone contact and long-term stability before surgery begins.
Dr. Young and Dr. Yi work alongside Dr. Shahi to coordinate extractions, implant placement, and prosthetic delivery so your temporary and final full-arch teeth fit and feel right.
With 240+ five-star patient reviews across Google and Yelp, our Wilshire Blvd practice has built its reputation on handling advanced periodontal and full-arch implant cases with patience and clear communication.
You are missing most or all of your teeth in the upper arch, lower arch, or both.
You currently wear a full denture that has become loose, uncomfortable, or unstable.
Advanced periodontal disease or widespread decay means your remaining teeth are not savable.
You have adequate jawbone density, or you are open to a bone graft to build a stable foundation.
You are in good general health and able to tolerate a surgical implant procedure.
You want a fixed, non-removable solution rather than a denture you take in and out.
Schedule a consultation to find out if All-on-4 is the right path to a fixed, confident smile. Our team will walk you through 3D imaging, candidacy, and a clear treatment timeline.
Traditional dentures rest on the gums and can shift, slip, or need adhesive, especially over time as the jawbone changes shape. All-on-4 teeth are fixed to four implants anchored in the jawbone, so they do not move when you eat, laugh, or speak, and they help preserve the bone that dentures alone cannot.
In most cases, yes. A temporary fixed full-arch prosthesis is attached to your new implants on the day of surgery, so you leave with a functional, natural-looking set of teeth while the implants heal underneath. Your final custom bridge is placed once healing is complete.
Surgery and placement of your temporary teeth typically happen in a single visit. The healing period before your final permanent bridge is placed generally runs several months, since the implants need time to fully integrate with the jawbone. We map out a specific timeline for you at your consultation.
Often, yes. Many of our All-on-4 patients have worn removable dentures for years and are ready for a fixed alternative. Long-term denture wear can also lead to jawbone loss, so we evaluate your bone with 3D imaging and discuss a bone graft if extra support is needed before implant placement.
All-on-4 is a full-arch solution, meaning it replaces every tooth in an entire arch, upper, lower, or both, using four implants per arch. If you are only missing one tooth or a few scattered teeth, a single or multiple tooth implant is usually the more conservative option. We will confirm which approach fits your situation at your consultation.
If you still have natural teeth in the arch being treated, they usually need to be removed before or during implant placement, particularly if they are compromised by decay or periodontal disease. We handle extractions and implant placement together whenever possible to minimize the number of surgical visits.
Most patients experience some swelling and soreness for the first few days, managed with medication and a soft-food diet. Because you leave with a temporary fixed arch of teeth, you are able to eat and speak with more comfort and confidence during healing than you would with a traditional denture or no teeth at all.
Cost depends on how many arches are treated, whether extractions or bone grafting are needed, and your specific treatment plan. Full-arch implant treatment is a significant investment, but it is often more predictable over the long term than repeatedly repairing or replacing conventional dentures. Dental insurance coverage varies, and our team will review your benefits and financing options during your consultation.
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