All-on-4 Dental Implants


How much does all-on-4 dental implant cost?

As of 2021, our ALL-ON-4 dental implants cost base price starting at $21,500 per arch for teeth-in-a-day. This treatment is for patients who have failing teeth, bad teeth, broken caps and bridges, missing teeth and don't want dentures. The initial cost of all-on-4 procedure includes the surgical placement of 4 dental implants and permanent all-acrylic set of Teeth-in-a-Day for a single arch (all-acrylic teeth as an implant-supported fixed bridge)

We have been on an epic ride ever since we have pioneered several ALL-ON-4 techniques for better care. Please note that our patients may save on their cost anywhere from $4,000 to about $6,000 per arch when all the treatment is completed in our office. Our All-On-4 cost is affordable and the cost is much lower when compared to a two-location approach, where both doctors from two locations would charge separate fees, significantly increasing the total cost of treatment.

In general, all-on-4 dental implants treatment and most of the lab work is performed in-house for a full mouth of teeth-in-a-day. Nevertheless, in many cases when extensive lab work is required, the set of teeth is delivered in 24 hours.

We are looking forward to listening to your unique dental situation and help you get your smile back so you can eat and speak with a high degree of confidence. Dr. Max Arocha enjoys very much helping patients get their smiles back with all-on-4 dental implants. He spends several hours every week replying to emails, answering phone calls, reviewing x-rays received in the mail, performing free exams, and countless complimentary consultation services.

While the vast majority of certified all-on-4 clinicians in the dental implant industry take a traditional approach of using just novocaine local anesthesia during treatment, our All-On-4 dental implant clinic is state board certified in sleep dentistry including twilight sedation and general anesthesia to more conveniently serve our patients, expedite their treatment and lower the overall cost. We provide advanced anxiety-free service. The US and International patent holder and medical staff at Memorial Hospital Doctor Max Arocha DMD have pioneered several All-On-4 techniques including using advanced hard tissue lasers with surgical computerized 3D surgical guide protocols. We were the first one to minimal invasive place all-on-4 dental implants, for denture patients, without the use of a surgical scalpel.

all on 4 cost

Additional All-On-4 cost depends on several factors including the system and type of teeth the patients may want as a full mouth permanent dental implant-supported fixed bridge for teeth-in-a-day replacement.

These full mouth fixed bridges can be made out of zirconia or a combination of acrylic teeth over a titanium framework (known as hybrid permanent bridges). (Continue reading below for the different types available).

A zirconia permanent implant-supported fixed bridge is occasionally recommended for strength and durability. A combination of using permanent acrylic teeth over a titanium framework (often called a hybrid permanent bridge also known as a full-mouth restoration with implants) is preferred for control, durability, and repairability.

teeth in a day cost

Keep in mind that there may also be some additional procedures required before the placement of teeth-in-a-day with All-On-4 to ensure its long-term success rate. Additional procedures may be required including controlling any broken caps, failing bridgework, and gum infection before surgery. In certain all-on-four clinical cases, when the patient's gums are in severe condition, Dr. Arocha works together with our in-house periodontist, gum specialist, to achieve a great smile by removing any gum disease including gingivitis and periodontitis all within 24 hrs.

In general, Teeth-In-A-Day over 4 dental implants often results in lower cost, making it more affordable, because it allows for fewer dental implants being placed versus traditional dental implant for full mouth reconstruction. The teeth-in-a-day treatment option is a cost-effective procedure for those people suffering from failing teeth, bad teeth, and broken caps and bridges. Even people who have no teeth and are wearing loose-fitting dentures are great candidates.

We pride ourselves in utilizing dental implants that are backed by research and, as our dental implant quality standard, we only use high-grade titanium that is FDA approved.

All of our dental prosthesis parts and materials are made in the USA dental lab including acrylic teeth, zirconia teeth, and titanium bars. Our fixed dental bridges custom made are white natural-looking in color to match your natural teeth. Each tooth is meticulously positioned to give you a natural-looking appearance to compliment your face with a great smile.

You would spend approximately one-hour one-on-one with Dr. Arocha. Teeth-in-a-day consultation is all about listening to your unique dental situation and the history of your teeth and gums. In addition to comprehensively and effectively going over details of your CT scan including addressing all aspects of your teeth condition and smile.

Since his hospital implant training in Pennsylvania, hundreds of dental implant surgeries, for 17 years, has been performed by Dr. Max Arocha DMD.

teeth-in-a-day costWe have intravenous moderate (IV) sedation (know as twilight Anesthesia) and general anesthesia available for all teeth-in-a-day over 4 dental implant treatment. Our dental implant treatment starts with a free consultation. At this complimentary consultation, you would be exam by Dr. Max Arocha who has the clinical experience of performing this type of dental implant surgeries (4 dental implant placement for teeth-in-a-day). He is looking forward to meeting with you and listening to the story behind your smile.

Dr. Arocha is passionate and generous about helping patients getting their smiles back. Along with his extensive training in oral implantology and dental lasers, Dr. Arocha possesses a unique eye for smile design helping patients look younger.

How to get an ALL-ON-4 complimentary CT radiograph

cheapest all on 4 dental implants

Patients save $350 on all-on-4 with our complimentary service. The i-CAT Cone Beam 3D dental imaging system and all necessary radiographs allow us to provide a quick, comfortable, and effective dental imaging for precise all-on-4 dental implant diagnosis and review. i-CAT dental implants features include:

  • 8 and a 23-second scan that provides enough data for a complete all-on-4 procedure.
  • A safer diagnosis with less radiation than traditional CT scanners.
  • Increased comfort. Dental implant patients are seated in an open environment with plenty of space.
  • A more cost-effective imaging system. (Free for new all-on-four dental implant patients)
  • We can easily review and share the dental implant data with patients, so patients stay informed and can make educated decisions on their course of teeth-in-a-day treatment.

Our office is pleased to offer i-CAT 3D Cone Beam imaging for patients receiving dental implant treatment. Come and see for yourself what it's like to receive an advanced, patient-friendly 3D scan.

How is the ALL-ON-4 recovery time?

all on 4 recovery time

We prefer to perform teeth-in-a-day and dental implant surgery with our advanced computerized 3D dental treatment software whenever possible. Our advanced surgical computerized guide protocol from Anatomage® not only delivers high precision for dental implant surgery but also allows all-on-four patients to eat, soft diet,  the next day. In addition to significantly decrease recovery time. Our implant 3D software is a highly effective tool that, in certain clinical cases, delivers minimal invasive surgery for fast all-on-four recovery time.   

What can I eat after ALL-ON-4 procedure?

Here is a list of several kinds of soft foods to keep in mind after implant surgery menu interesting. In general, a soft diet like gelatin, pudding, soup, ice cream, yogurt, etc. are advised during the first two days following surgery to avoid small and large food particles from lodging underneath the wound. Semi-liquid foods including mashed potatoes, eggs, soft pasta may be added to the diet on the third day. You may resume a normal diet after the first two weeks. Avoid crunchy, hard foods like popcorn, nuts, and chips for four weeks following surgery. Smoking and consumption of alcoholic beverages should be avoided for the first two weeks.

Remember that even though food is soft ask yourself is it spicy? Very hot? Are there seeds, even small seeds like poppy or sesame? Rice and quinoa, even when cooked extra soft, could get under your all-on-4 bridge and might not be the best option, at least in the first week of healing. Visit our All-on-4 diet page for more detailed information.

What are ALL-ON-4 different payment options and financing? (Best Choice)

The best choice of patient financing for the ALL-ON-4 that makes it possible for patients to receive dental implants treatment.

This Program offers flexible financing. The Program offers an easier way to pay for treatments not covered by insurance and to cover deductibles

Should the cost of all-on-4 for teeth-in-a-day prove prohibitive for an individual, are there options to consider that can put all within reach and save you time and money? We have found that LendingClub online application is fast and easy. It takes just minutes, with no impact on your credit score. Financial times have changed, and credit scores are no longer the main factor for patient dental implant financing. You can instantly review the loan offers that you qualify for, and you would not need to visit a branch to complete your application.

all on 4 financing

Our dental office is affiliated with LendingClub for teeth-in-a-day with all-on-4 dental implant treatment. LendingClub can finance over $30,000 for upper and lower jaw full mouth teeth replacement. All LendingClub financing payment plans feature an affordable fixed rate, which means your monthly payment does not increase. Also, you can prepay your loan at any time and there's not a prepayment penalty or fee.

With this type of teeth-in-a-day dental implants financing plan, patients can break up the total cost of treatment into a series of monthly payments. Click on the LendingClub logo above to apply online and check your options in just minutes. Please note: (Under doctor name you must enter: " max arocha ")

Types of dental implant fixed bridge prosthesis for the full mouth  [photos]

dental implant bridge

Dental implant fixed acrylic teeth prosthesis over a titanium bar on 4 dental implants. The titanium bar may be hidden under the acrylic upon request. (Permanent hybrid fixed bridge)


dental implant zirconia bridge

Dental implant-supported zirconia teeth over a pink zirconia base on 4 dental implants. (Permanent fixed bridge)


dental implant temporary acrylic bridge

All-acrylic teeth over a pink all-acrylic base on 4 dental implants (temporary hybrid bridge for 4-10 months).

What is the cost of a full mouth set for Teeth-in-a-Day with dental implants for denture patients?

Most traditional dental clinicians place about six to eight dental implants per arch for a full set of teeth in patients who have a bad failing, missing teeth, or dentures. When you factor in the cost of each dental implant surgery, related dental lab work and materials, follow-up visits, and dental implants healing time before loading, it's easy to see that a fewer dental implants treatment save time, money and effort relative to traditional implant treatment that may cost well over $30,000 for one arch. Fewer dental implant reduces total healing time and cost. In certain clinical cases where no extractions are required, you may be eating soft foods and drinking as soon as you leave the dental office or within 24 hours with a budget of about $13,500 per one arch for fixed temporary teeth-in-a-day.

A full mouth set of teeth replacement treatment over few dental implants such as all-on-four dental implant treatment is specifically designed for people with teeth in poor condition, those who are wearing dentures and those in need of full mouth upper and/or lower teeth replacement. Qualified patients receive as few as four dental implants and a set of new fixed dental implant-supported replacement teeth, usually in one day. The major benefit of having fewer implants is how quickly dentures can be replaced with a permanent fixed bridge. This efficient treatment concept saves time and cost.

teeth-in-a-day timeline

Out-of-state travelers for Teeth-in-a-Day for full mouth dental implants prosthesis.

If you are an out-of-state traveler flying over to our dental practice in Fort Lauderdale for our all-on-four complimentary consultation, we suggest to first contact Maria Sherman. We would like to first hear your unique dental situation and the story of your teeth and gums. We may suggest for you to send over a CT scan and/or a panoramic radiograph for Dr. Arocha to carefully review it before your arrival.

teeth-in-a-day picture

Since we have a significant number of people from out of state interested in having teeth-in-a-day with all-on-four treatment, we ask you to please be patient and keep in mind every case is different. It takes time and planning to come up with a detailed all-on-four treatment plan and being able to provide a full mouth set of teeth replacement with dental implants.

We offer the convenience of having teeth-in-a-day with all-on-four treatment in one office. Our patients save anywhere from $5,000 to $7,000 per arch by having the all-on-four treatment in one single location. We are conveniently located 10 miles from Fort Lauderdale International Airport. Hotels are walking distance from our dental office.

How long do All ON 4 implants last?

There are numerous scientific studies that demostrate the cumulative success rate in the mid to high 90%

All-on-4 dental implants are meant to be a permanent dental solution. Your implants can last 20 years or more with proper care. The is more than 94 percent, according to some scientific studies. long-term implant-related success rate after 10 years

The success rate of the lower and upper jaw. The All-On-4 implant procedure is a proven long-term solution with high survival rates and with up to 10 years follow-up.

A clinical study published in October 2014 in the Journal of Clinical and Diagnostic Research included 242 patients with 968 immediately loaded implants supporting fixed complete upper jaw all-acrylic prosthesis demonstrated a high survival rate of 93% at the patient level and 98% at implant level after 5-year of follow-up.

In general, a cumulative survival rate is high in both maxilla (upper jaw) and mandible (lower jaw) according to scientific evidence reviews

  • Mid-term 3–4 years: 96.3–100%
  • Long-term 5–10 years: 94.8–98.0%

A more recent study encouraged the use of the All-on-4 concept emphasizing that when planning a fixed rehabilitation in the upper jaw using four implants, the quality of bone, the length of implants, the patient’s habits should be considered.

The fixed bridge prosthesis (bridge over the implants) survival rate. According to Dr. P. Malo, the originator of the All-On-4 concept, the bridge survival rate in the lower jaw was 99.2% after 10 years of follow up. In the upper jaw, after 5 years of follow up, the bridge survival rate was 100%.

Does insurance cover ALL-ON-4?

Yes, many dental insurances cover a portion of All-On-4 dental implants. Our dental insurance claim specialists have experience in working with most dental insurance to maximize your savings for all-on-four and teeth-in-a-day treatment. We take all major PPO dental insurance such as Delta Dental, Metlife, Cigna, Humana, Guardian, AETNA, Blue Cross Blue Shield, etc. We have been successful in having an insurance company paying $2000 and more for the cost of teeth extractions about all-on-four.

When it comes to full mouth teeth replacement with dental implants our dental implant billing coding specialists can submit insurance claims to the dental insurance company on your behalf and/or provide you with a detailed breakdown of charges and updated 2018 dental procedure codes, know as CDT, to submit to your dental insurance company coverage.

Most dental insurance plans may cover at least a portion of the fee charged to add teeth to your dental implants. The best way to learn more about your insurance policy is to have Maria Sherman call and speak with your dental insurance company directly. This way we can help you determine the estimated out-of-pocket cost of the all-on-four treatment and assist you with a payment plan or financing if you wish so.

In our years of experience, many dental insurance companies partially cover the all-on-four which means that you should process and send out a dental implant claim to them. However, some offices don’t allow you to claim the cost of the surgery itself. This is because, despite the health benefits that can be provided by dental implants, many insurance companies still classify it as a cosmetic procedure.

While most dental insurance questions can be answered easily and quickly, the question of whether dental insurance covers teeth-in-a-day with all-on-four takes more time to get an accurate answer.

How much Teeth-in-a-Day cost?

We offer an all-inclusive teeth-in-a-day approach that not only streamlines full mouth set of teeth replacement on dental implant treatment but saves you time. Our approach also makes the teeth-in-a-day with all-on-four dental implants treatment much more affordable.

We also provide single teeth-in-a-day. The cost for a single implant is about $1,800 plus the implant crown. The dental implant cost depends on the condition of the gums and jaw bone. The cost for two implants placement for a three-unit fixed bridge starts at about $3,200.

When multiple teeth are being replaced by dental implants, Teeth-in-a-day is indeed possible in most clinical situations. It is done when all of a patient’s lower and/or upper teeth are being replaced at once by dental implants and a permanent bridge within 24 hours.

candidate teeth-in-a-day

Who is a candidate for ALL-ON-4?

The most important criterion for teeth-in-a-day candidacy is having sufficient bone structure in your jaw to accommodate the 4 dental implants. If you lack sufficient jawbone volume and bone density, the 4 implants may not be able to withstand the biting forces exerted by chewing and therefore the implants may not be loaded with your permanent bridge the same day. In general, and over 90% of the time, patients neither need bone grafting nor sinus lift due to the nature of the ability to place the implants where the available bone is located and then performing "dental implant angle correction" to allow for a precise fit and accurate bridge placement for teeth delivery

What is All-On-4 Live Chat?

ALL-ON-4 Teledentistry provides live video consultation with the doctor! A send us an email so we can invite you to download our App and have convenient access to ALL-ON-4 doctor online via mobile live video and text messaging. Using secure texting and online live video App technology service can screen your smile profile, have diagnosed your front teeth condition, and go over different possible options all while answering all of your questions.all on 4 live support

All-On-4 Teledentistry focuses exclusively on ALL-ON-4®  dental implants for teeth-in-a-day. Whether it’s replacing multiple teeth or the full mouth with top and bottom arches, their doctor offers patients a world-class level of expertise. With all-on-four teledentistry you can start texting to a certified ALL-ON-4 team member and book a live video consultation with the doctor from the convenience of your home. This allows for dynamic visualization and qualification analysis. This online analysis would help determine the course of your ALL-ON-4 dental implants treatment and assist you in creating your treatment plan.

ALL-ON-4 before and after  [photos].

Experiencing life from having severely bad teeth, failing caps and dental bridges is emotionally exhausting for many patients. Our great satisfaction in serving our wonderful patients with their journey of having teeth-in-a-day for a new smile, especially when patient's tears of happiness are present, is difficult to put into words. Every all-on-4 new smile experience has a story to tell...When we met our patients in real life, we ask questions to get to know them better. We listen to their past dental work, previous dental experience, and beliefs.

We try to unearth their dental and life story and to tell our own as clinicians. The end goal is to find out if we can bring these patients back to good oral health and give them a great smile. In this process of knowing each other we tap into the underlying reason patients lose their teeth and why they have decided to come to see us – to get to be the very best version of themselves; a version they have always had within them that got lost along the way.

Dr. Arocha understands that emotional health and physical well-being are intertwined. But it's not always clear how each element affects his dental implant patients.

We have found that most of our patients know that a negative emotional state due to the lack of a healthy smile or having an embarrassing smile, whether from having periodontitis or bad teeth from childhood, can have a correlating effect on the way they feel physically.

For instance, feeling depressed from not having the ability to smile in front of people can make a patient less likely to date, eat with confidence, and maintain and find a job.

During their first initial dental implant consultation, our patients react to a dental diagnosis with a range of emotions, including fear, sadness, and other emotions, and in some cases, low self-esteem. Patients are individuals, with their own unique set of life experiences and their ways of coping emotionally with stressful teeth-related situations. A great smile, like the ones seen on our Before and After photos below, plays a role in that having an understanding of one’s dental condition and smile, and a sense of accomplishment.

We are not professionals expected to be psychotherapists or counselors, nor to deliver direct mental health services to our patients. However, it is important for Dr. Arocha and his team to be able to recognize the emotional reactions of our patients for a variety of reasons.

First, while newly diagnosed all-on-four patients may have access to their emotions and express them openly with Dr. Arocha, they may also suppress their feelings. Suppressed feelings ultimately have the same effect on conversations about a dental diagnosis as do directly expressed feelings. Occasionally, our patients struggling with emotions have a history of interaction with their former dentist(s) in a way that has not been productive. 

Our oral healthcare professionals, despite the challenges and the limitations, do play an important role in helping patients cope emotionally with a dental-related diagnosis. For better or worse, patients may, at least when initially diagnosed with hopeless teeth, have no other emotional support beyond, for example, the members of our dental team. Family members may not yet have been brought into the discussions about their diagnosis, or they may not yet be ready themselves to cope with the diagnosis. 

While our patients develop emotional support with our team members, often with the guidance and encouragement of their family members, if they can make an emotional connection early on in their diagnosis, they will be that much better prepared to cope as they move forward with their new smile from having teeth-in-a-day treatment. Our oral healthcare professionals can essentially pave the way for our patients.


 teeth in a day with all-on-4

all-on-4 before and after teeth in a day dental implants

Dental implants treatment teeth in one day before and after

dental implants full month before and after

All-on-4 patient reviews

You may look us up online for all-on-4 dental implant reviews to learn more about our patient's reviews.all on 4 review

Due to privacy concerns, we do not often encourage our patients to post reviews making their all-on-4® cases public. When they do we try our best to reply to them to build patient trust as a verified healthcare provider. Since reviews are only valuable when they are honest and unbiased. However, we do encourage them to spread the word about our teeth-in-a-day and our dental implant clinic.all on 4 dental implants reviews

All-On-4® Doctors

Modern implant-based doctors have provided a solution for immediate functionality with substantially increased quality of life. Accomplished through a fixed teeth-in-a-day permanent bridge prosthesis held solidly in place by four dental implants, this advanced procedure performed by experienced doctors provides comfort and security patients often miss with removable dentures while at the same time preserving the jaw bone and often bypassing the need for bone grafts like a sinus lift. By eliminating the daily frustration and discomfort of loose and breaking down teeth, patients can once again enjoy the dietary freedom of those with natural teeth with the most sophisticated solution there is to tooth loss.

The All-On-4 dental implant procedure is best for patients with significant failing dental restorations like crown and bridgework, gum disease, tooth decay and for people whose bone loss in the jaw, area prevents them from getting traditional dental implants. Our All-on-4 doctors will discuss your options during your consultation.

What medications are prescribed after the ALL-ON-4 procedure?

Unfortunately, most ALL-ON-4 procedure is accompanied by some degree of discomfort. Surprisingly there has been a high number of cases that require neither strong pain medication nor narcotic after having teeth removed and ALL-ON-4 procedure completed. However, in certain clinical cases administering Ketorolac (formerly known under the brand name Toradol) via intravenous therapy (IV) is the great short-term management of moderately severe, acute pain that requires the patient not to take pain medication the day after the ALL-ON-4 procedure. 

If you do not have an allergy to non-steroidal anti-inflammatory medications like Ibuprofen, Motrin and Advil we may recommend taking the morning of having the procedure done.

You will need a prescription from your doctor before you start taking narcotics for more severe pain. The doctor can adjust the dose as needed to help control pain.

  • Codeine
  • Fentanyl during IV Sedation (Actiq, Duragesic, Fentora, Abstral, Onsolis)
  • Hydrocodone (Hysingla, Zohydro ER)
  • Hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)
  • Hydromorphone (Dilaudid, Exalgo)
  • Meperidine (Demerol)
  • Methadone (Dolophine, Methadose)
  • Morphine (Kadian, MS Contin, Morphabond)
  • Oxycodone (OxyContin, Oxaydo)
  • Oxycodone and acetaminophen (Percocet, Roxicet)
  • Oxycodone and naloxone

You may receive around-the-clock doses to manage pain throughout the day and night. Your doctor may prescribe narcotics to be taken "as needed" in case you have "breakthrough" pain -- a flare of pain that you get despite round-the-clock doses.

While you're on narcotic pain medications, check in with your doctor regularly. Your doctor will need to know:

  • How your pain is responding to the drug
  • Whether you're having any side effects
  • Whether you have any potential interactions or medical conditions that could make you more likely to have side effects, such as sleep apnea, alcohol use, or kidney problems
  • Whether you're taking the drug properly

Narcotic pain medication will make you drowsy, do not drive or operate mechanical machinery while taking the prescription. Alternate Ibuprofen (2 tablets / 200mg each) and the narcotic medication every four hours if needed. Once you feel like you can stop the narcotic, use Ibuprofen or Tylenol. You may also be prescribed an antibacterial mouth rinse which should be used twice daily in the first two weeks following dental implant surgery. Post-operative antibiotics should be taken as directed and always take the entire course of the prescription. All medications should not exceed the recommended dosage.

How to avoid ALL-ON-4® problems

Damage to your teeth-in-a-day with all-on-4 can occur suddenly and gradually. A broken fixed bridge may cause discomfort. This type of teeth-in-a-day may become damaged in a variety of ways including biting something hard, natural wear of 5 plus years, and tear. When a broken and fractured all-on-four bridge, you need immediate care to prevent further damage to the titanium bar and irritation to your gum, lip, cheek, and tongue. In general, damage to this type of permanent bridge worsen over time and require more extensive and costly repairs. This is because over time a damaged permanent bridge may cause overstress of a specific area, causing a break that may continue to worsen.

 We provide any type of same-day or within 24hrs repair capable of restoring your bridge to a functional state.


The choice of a single dental implant vs four dental implants.

The choice is clear only if you know how to choose a dentist who places dental implants when it comes to having "teeth-in-a-day" with "all-on-4®" and a single implant for tooth replacement. Many times the choice is neither clear nor easy. Especially when it comes to making the right decision for your smile based on the many options available.

With increasing emphasis on dental implant value and efficiency, quality time between dentists and patients has become more and more a valuable resource. In general, the dentist who is successful and experienced in dental implants spends significant time in face-to-face contact with patients gathering relevant medical health and dental-related information. Performing a detailed dental evaluation work of your gums and bite is an important aspect of implant dentistry.

So what should you look for when searching for an implant dentist so you can have the best choice presented to you?

  • First, your dental implant expert should be a licensed dentist.
  • Second, your dental implant expert should have an education in dental implants.
  • Next, your dental implant expert should be experienced. Dental implants are not "one size fits all." They are complex, sophisticated dental devices, and you should expect your dental implants expert to have over five years of experience in the practice of implant dentistry.
  • Finally, your dental implants expert should be competent. At a minimum, when it comes to having a single tooth implant, from an implant center, make sure he has performed a variety of treatments ranging from a single tooth to replacing multiple teeth, like all-on-4, on several different patients.

With this basic information, the choice of having dental implants may be achieved without great effort and with few difficulties when you begin searching and interviewing dental implant centers to find one that is considered a dental implant expert.

Our understanding is correct, and yes there are some potential risks to go with the definite benefits of an immediate and permanent missing tooth replacement with a dental implant. There are three parts to the procedure that the dentist and team members need to consider in making this dental implant treatment successful, which includes how you will look with your new tooth in the early healing phase. They are:

  • Removal of the existing tooth or root;
  • Simultaneous placement of the implant, which will become the root part of the new tooth;
  • Placement of a crown, which will become the part of the new tooth you see in your mouth that sits atop and connects to the implant.

There are many issues and steps to consider. First of all, it is quite critical that your broken tooth is removed very carefully so that the tooth socket — the bone that supports the tooth — is not damaged. It will become the receptor site for the dental implant. If any bone from the walls of the socket is damaged or lost, it could lead to an unsightly gum recession or the possibility of having to end the procedure rather than risk a poor result.

How to clean ALL-ON-4 dental implants

Daily oral hygiene regime must be followed when cleaning around ALL-ON-4 dental implants. The gums around the dental implant and Teeth-in-a-Day bridge need special attention as food particles can easily get trapped around the base between the gum surface and underneath the bridge.

ALL-ON-4 cleaning 7-tips to set the stage for adequate hygiene:

  1. Use a Waterpik twice a day by accessing the bridge from the outside or find access points that result in the greatest dislodgement of trapped food. We recommend using a medium setting. The high setting might separate gum tissue attachment from the implants.
  2. Floss under the bridge once daily. Oral-B floss works well, but if the firm end softens too quickly, have patients tie the Super Floss to a floss threader (figure 6). Some patients prefer the curved and firmer bridge threaders. I give samples of all of these to my patients, so they can customize their home care.
  3. Look into buying multiple shapes and sizes of specialty toothbrushes and interdental brushes specifically designed for implants. Patients can buy them on
  4. Use a small soft brush to clean the part near the gum tissue. A small brush is about one-third the width of a traditional toothbrush. clean and massage the tissue contact areas of the bridge.
  5. Rinse daily with an antiseptic mouth oral rinse to debride smaller particles from under the bridge.
  6. If soft-tissue swelling occurs, rinse with warm salt water for three days. If the swelling persists, call your dentist.
  7. Some patients may need a prescription mouth rinse like Peridex made from 3M if there is consistent bleeding for two weeks. Call your dentist or hygienist to get a prescription mouth rinse as needed.


How to floss ALL-ON-4 Dental Implants

Dental flossing ALL-ON-4 dental implants enable you to insert the floss between the implants bridge permanent teeth at the gumline and pull it through to the other side. You can then lean it against the implant surface and rub out the food trap. You must be as diligent with removing plaque from around your implants as you would with natural teeth. The best means for doing this is to floss around each implant post between the bridgework and the gums as shown in our video here. This type of flossing is quite different than with natural teeth where you work the floss in between each tooth. With your bridgework, you need to thread the floss between it and the gums with the help of a floss threader, a small handheld device with a loop on one end, and a stiff flat edge on the other.

To use it you'll first pull off about 18" of dental floss and thread it through the loop. You'll then gently work the sharper end between the gums and bridge from the cheek side toward the tongue. Once through to the tongue side, you'll hold one end of the floss and pull the floss threader away with the other until the floss is now underneath the bridge. Then loop each end of the floss around your fingers on each hand and work the floss up and down the sides of the nearest tooth or implant. The next step is to release one hand from the floss and pull the floss out from beneath the bridge. Rethread it in the threader and move to the next section of the bridge and clean those implants. Please notice that there are only three spots between 4 implants you can floss.

You can also use other methods like specialized floss with stiffened ends for threading, oral irrigation, or Waterpik that emits a pressurized spray of water to loosen plaque or an interproximal small brush that can reach into narrow spaces. If you choose an interproximal brush, however, be sure it's not made with metal wire, which can scratch the implant and create microscopic crevices for plaque.

Use the method you and your dentist think best to keep your implants plaque-free. Following the instruction on the video here will help reduce your risk of a gum infection that could endanger your implant-supported bridgework.

What to eat after ALL-ON-4 Surgery

We suggest being on a soft diet for the first 12 weeks of healing. During this time your 4 implants are integrating, also known as fusing into the bone, while wearing your fixed bridge prosthesis.

It is recommended to eat lean protein and high fiber food after ALL-ON-4 Implants surgery for a fast recovery at the implants wound site.

Eating the right foods after surgery may prevent complications including constipation, pain, infection, and provide the building blocks of protein your gums and implants in your jaw bone need to heal. For detailed information on what to eat after ALL-ON-4 surgery visit

Losing teeth over time may be normal. After all, they undergo extensive wear and tear every day. But although the situation is common, many people who have lost full sets of teeth feel embarrassed about their smile or feel uncomfortable speaking or eating their favorite foods. If you’d like to regain a complete smile after you are about to lose all your upper or lower teeth, an option called All-on-4® dental implants is available. Hundreds of thousands of people like you have recovered full mouth functionality with an All-on-4 dental implant procedure.

So, believe it or not, tooth loss is extremely common among adults, especially as we age. In fact, close to 40 million people in America are missing all of their upper and/or lower teeth. Rather than living with the discomfort and hassles of dentures, many people are opting for a modern full mouth dental implant restoration know as All-on-4.

I have put together this guide of frequently asked questions about the All-on-4 dental implants procedure to help you decide whether All-on-4 dental implants is the right choice for you.

What Is All-on-4 Dental Implants?

All-on-4 dental implants are a full set of implants designed to replace your entire either upper, lower or both set of teeth. They act as a more permanent and natural-looking alternative to removable dentures.

Traditionally, each dental implant has one small titanium screw that a surgeon inserts into the gums. Then, the dentist places a single false tooth to the screw. With an All-on-4 implant, you don’t need to replace each lost tooth individually. Instead, a dental professional will surgically insert four titanium posts into your jawbone as the main anchors. They can then attach a permanent denture at those four areas for a seamless look across your entire mouth.

The prosthesis will stay in your mouth permanently and look just as natural as your surrounding real teeth.

What Are the Pros and Cons of All-on-4 Implants?

Many people gain renewed confidence in their appearance with All-on-4 implant surgery. The implants offer several benefits that allow patients to enjoy the smile of a lifetime, including:

  • You can replace your entire set of missing teeth in just one day with only one surgery.

  • The implants permanently secure to your mouth, so they won’t loosen or shift like dentures.

  • The procedure restores your entire set of teeth with only four implants.

  • All-on-4 implants cost less than replacing each tooth individually.

  • You won’t typically need any bone grafting.

All-on-4 implants are a fantastic option for people of all ages who have lost their full set of teeth, and most patients are fully satisfied with their results. However, you and your dentist should go over every aspect of the procedure to make sure these implants are the ideal option for you. The following are some potential drawbacks you should consider before choosing All-on-4 implants:

  • You’ll need to have bone available to hold the implants in place.

  • You won’t be able to test how the teeth feel or look before your procedure.

  • The implants cannot be placed in the mouth’s molar area, where you have the greatest bite force.

How Long Do All-on-4 Implants Last?

long-term implant-related success rate after 10 years

All-on-4 dental implants are meant to be a permanent dental solution. Your implants can last 20 years or more with proper care. The is more than 94 percent, according to some scientific studies.

What Is the Recovery Time for All-on-4 Implants?

Recovery time for traditional implants typically ranges from three to four months, but with All-on-4 implants, you’ll likely recover much sooner. An All-on-4 system can fuse to your bone more easily than individual implants, which promotes better stability since they are all are splinted together.

How Do I Clean All-on-4 Dental Implants?

After your implant surgery, you can clean the site by gently rinsing your mouth with salt water. Then, you can treat your dental implants just like you would your natural teeth. Brush and floss every day, and continue to get regular cleanings from your dentist. Before your procedure, your dental team will go over more specific oral hygiene instructions that best meet your health needs.

How Much Does the All-on-4 Dental Implant Cost?

The cost of your implants depends on several factors, including the material you choose, the number of teeth you need and whether you have dental coverage. Before your procedure, you should see if you can receive any insurance or discounts.

You can typically choose either the implant’s standard acrylic material or long-lasting porcelain. The average prices for each are as follows:

Acrylic Teeth Hybrid:

Around $23,000 to $26,000

Zirconium Teeth Hybrid:

Around $28,000 to $35,000

All-on-4® is the original graftless full-arch solution on four implants created by Nobel Biocare

The All-on-4® treatment concept is a cost-efficient, graftless solution that provides patients with a fixed full-arch prosthesis on the day of surgery. The patient-friendly, scientifically proven, full-arch rehabilitation.

Two straight anterior implants and two posterior implants tilting up to 45° and avoiding the anatomical structures.

All-on-4 provide patients with immediate funtion teeth in a day

Immediate function for patients meeting criteria for immediate loading of implants.

All-on-4 dental implants offers bone graftless procedure for shorter treatment time and reduced costs, compared to conventional full arch implant treatments.

Learn More About All-on-4 Dental Implants

If you’re considering getting All-on-4 dental implants, one of the most important things you can do is to find a dental professional who uses products with an outstanding reputation. Your implants should be made with the highest quality materials to uphold strict FDA safety standards while remaining cost-effective.

Single Dental implant cost

As of June of 2021 dental implant cost for one tooth is about $1,800 plus a customized dental implant crown, known as a dental implant cap, that screws directly into the dental implant itself once it is placed and healed into the jaw bone. When the cost is over $1,800 for single dental implant placement, it means the condition of the gums and jaw bone may need bone grafting, gum soft tissue treatment, and extraction.

Keep in mind that no two patients and their customized dental implant treatments are the same, so the number of follow-up appointments, procedures, and cost of dental implants varies depending on the clinical condition of the treatment site. Unlike other tooth replacement options, dental implants are highly customized for your teeth and gums.

Keeping that in mind, the cost of dental implants compare favorably to other tooth replacement options because dental implants are a lasting permanent solution that does not involve touching near teeth. In certain clinical conditions, other teeth replacement options may be best. However, other options may appear to have a lower upfront cost, but you may continue to pay that cost over and over, making it expensive compared to dental implants.

The total cost for a dental implant to replace a single tooth, including one implant crown, know as a cap, is estimated to be in the range of $3,000 to $4,200. However, the key for you to get the lowest possible cost is to send us a dental x-ray of the tooth or missing tooth via email. This way Dr. Arocha can review it and allow us to provide you with an estimated cost over the phone.

Are you looking for All-on-4 Dental Implants or want to see if it makes sense for you?
Call Max Arocha DMD in Plantation, FL at (954) 432-7771 for more information!

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