ALL-ON-4 Dental Implants

Posts for: March, 2019

By Max Arocha DMD
March 20, 2019

What is ALL-ON-4 dental implants for teeth in a day? (with photos)


The all-on-4 dental implants refer to “all” teeth being supported “on-4” dental implants (also known as AO4). A full mouth fixed dental prosthesis for patients who have failing teeth, bad teeth, broken caps and bridges, and missing teeth. It may consist of full mouth teeth replacement having bad teeth due to severe periodontal gum disease. The 4 dental implants support a full mouth of teeth replacement of about 10 to 12 teeth. A fixed bridge with teeth is placed immediately or typically within 24 hours of dental implants placement.

Teeth-in-a-day with all-on-4 treatment is a valid, cost-effective, and more affordable alternative to conventional dental implant treatment.

With the advances in implant dentistry now available, If you have a full mouth of missing or failing teeth and broken caps and bridges,  the all-on-four treatment may be the optimal solution. It is proven and cost-effective. And it lowers the cost replacing all your teeth per arch with just 4 dental implants for a full mouth fixed dental prosthesis.

When it comes to weighing your options with teeth-in-a-day with dental implants, many people today are not seeking teeth replacements with dentures and instead, they are looking for a fixed and permanent solution.

Can you eat the night of All-on-4 implant placement?

The all-on-4 treatment is a dental implant protocol where in one day all bad teeth and broken caps and bridges are removed, 4 dental implants are placed, and a fixed temporary (or permanent) dental prosthesis is delivered for teeth-in-a-day. This surgery and full month teeth replacement take place in about 4-6 hours. The final result is a great looking smile, that is fixed to 4 dental implants at the time of surgery. It should be secure and stable. This will be worn for about 4-10 months, then the final fixed dental prosthesis (permanent bridge) is made. The final and permanent fixed prosthesis (bridge) has titanium reinforcement and is meant to last several years.

All-on-4 and missing teeth

All-on-4 for teeth-in-a-day is not your grandparent's denture. The all-on-4 is slim and with minimal pink acrylic around. It lacks the flanges or "wings" that traditional dentures have. It does not cover the roof of your mouth. Teeth-in-a day consists of a fixed and one piece bridge that is screwed into the 4 dental implants, these dental implants hold the teeth in. The all-on-four should neither rock nor move; it should be stable. You do not remove your dental prosthesis with all-on-four treatment, it is retrievable by a dentist only, but not by the patient. This gives patients security and a piece of mind.

A full mouth of missing teeth can be replaced with as few as 4 dental implants per full arch (upper teeth or lower jaw teeth) of fixed, non-removable dental prosthesis know as teeth-in-a-day. This remarkable life-changing treatment can be accomplished in a single day or with 24 hours.

Conventional dentures rest on the gums - which by their nature move. It is well known in the dental literature that with conventional dentures patients are only able to function at about 10% or less; with teeth, patients are able to function at 100%. Much of a difference with full mouth dental implants reconstruction like all-on-four, they provide a stable foundation for which we can build a fixed bridge with teeth - the fixed bridge of the all-on-four treatment concept. This arrangement of implants and prosthesis, transmit the forces the jaws generate directly to the food- translating in the ability to improve eating. Much of the force is lost at the gums with conventional dentures.

Please note, in the 90 days after 4 dental implants placement, the patient is asked to maintain on a soft diet. This is because the bone around the 4 dental implants during the first 3 months undergoes some changes healing and if overloaded, could be at risk of failure.

What is All-on-4 Teledentistry?

All-on-4 Teledentistry is a new form of remote diagnosis and treatment plan development of patients by means of telecommunications technology.

Teledentistry allows all-on-4 dentists to evaluate and diagnose patients in remote locations using telecommunications technology.

Teledentistry allows prospect all-on-4 patients in remote locations to access dental implants for teeth-in-a-day expertise quickly, efficiently and without travel.

Max Arocha DMD has pioneered the ALL-ON-4 dental implants online live video consultation for real-time with all-on-4 patients. Teledentistry face-to-face live interactive video gets you a smile analysis while going over details for teeth-in-day. Get all of your ALL-ON-4 questions answered at your convenience with a "all-on-4 teledentistry" mobile App.

Teeth-in-a-day with all-on-4 there is no need for denture adhesives

Denture creams and adhesives are a thing of the past when your denture is converted and screwed into the 4 dental implants with all-on-4 procedure concept. There is absolutely no need for the goop!

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

Teeth-in-a-day with all-on-4 is less costly when compare with traditional full month rehabilitation dental implant treatment for people with bad teeth, no teeth and soon to lose all his or her teeth. For all-on-4 dental implant cost, we have an all-inclusive fee that coves everything from teeth removal, bone grafting if needed, 4 to 6 dental implants, and temporary and final permanent bridge. If you are looking at multiple offices the fee will be split between the offices, meaning a surgical portion as phase I and then a restorative portion as Phase II.

Shorter treatment times with all-on-4

The ability to angle or tilt of the back implants prevents the need for time-consuming and costly bone grafting procedures known as a sinus lift. Most of the patients we treat are able to receive their dental implants and a new set of non-removable teeth on the same day or the next day. The following is an approximation of your typical All-on-4 treatment timeline. On consultation day there is a detail discussion about your smile and of potential treatment options. The planning for the doctor. Then the day of the actual all-on4 treatment, you arrive at the office in the morning. We then escort you to your private room where you are prepped for surgery. The sedative is administered then once you are ready, we administer a local anesthetic as necessary and begin the procedure. The surgery is usually brought to an end later that morning.

After dental implant surgery, we would then fit, screw in and deliver your initial set of teeth fixed dental bridge. You will then be allowed to return home, typically early in the afternoon, to start and enjoy your new smile. Your follow-up appointment varies from patient to patient. It is scheduled usually a few weeks to two months out to ensure you are healing well

The recovery time for all-on-4 dental implants varies from patient to patients due to their clinical dental condition. We prefer to perform Teeth-in-a-day and dental implants 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 implant surgery including all-on-4 concept but also significantly decrease recovery time for the patient. Our dental implant 3D software is a highly effective tool that, in certain clinical cases, delivers minimal invasive surgery for a fast recovery.

Then around six months later, your temporary bridge may be replaced with your final bridge. But sometimes the final bridge is delivered within 24 hours when the surgery is performed under computerized guide protocol. This is possible with all-on-four dental implant guided surgery only. Periodic dental visits with the hygienist are suggested for proper maintenance protocols. A visit twice a year with any dentist is recommended. Keep in mind, every patient is different, so make sure you understand the treatment timeline discussed with you by our dentist and dental implants team members.

Teeth-in-a-day provides a great looking smile.

The all-on-4 treatment is a great procedure for the patient to smile about. Replacing the whole mouth of teeth with dental implants allow dentists to uniformly create a beautiful and harmonious smile. Patients can feel free to smile, eat, drink, and speak knowing there is no slippage or chance for of embarrassing moment if your teeth slip or fall.

All-on-4 dental implants benefits and before and after (phtos)

all-on-four dental implants

People have regained confidence by replacing bad teeth with All-on-four dental implants. In the US All-on-four has become popular and preferable among people over the age of 45 years old because it can replace an entire mouth of teeth with just 4 dental implants in a one-day surgery. Because this treatment costs less than other options, many more people are able to restore their entire smile with affordable all-on-4 dental implants. It’s possible to replace all of your teeth in just one day known as teeth-in-a-day. Some of the Benefits include:

  • A full set of new teeth in only one day creating a new smile
  • An entire single arch smile with only 4 dental implants
  • One surgery
  • All teeth replace over a secure placement of 4 dental implants deep in the jawbone
  • No bone graft usually necessary
  • A more affordable cost than other treatment alternatives, making it easier to replace teeth with affordable all-on-four dental implants

By Max Arocha DMD
March 19, 2019

What is the cost of dental implants?

As of 2022 in the U.S., dental implants cost ranges from $1,800 to $1,900, with the national average at about $1,800. For instance, the average dental implants cost in Fort Lauderdale, FL is $1,800.

dental implants cost


Dental implant treatment can vary depending on your needs. Of course, a dental implant dentist will be able to fully determine the cost, which is based on the specifics of your individual dental needs. These factors can include the complexity of your case and how long a dental implant treatment will take.

Dental Implants Payment Options and Financing.

Should the cost of dental implants prove prohibitive for an individual, there are options to consider that can put dental implants within reach? 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 procedure financing. You can instantly review the loan offers that you qualify for, and you'll never need to visit a branch to complete your application.

all on 4 financing

Our dental office is affiliated with LendingClub for dental implant treatment. LendingClub can finance over $20,000 plus 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. In addition, you can prepay your loan at any time and there's never a prepayment penalty or fee.

With this type of dental implants financing plan, patients can break up the total cost of the procedure 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 ")

Does my dental insurance cover dental implants?

Dental insurance plans may cover on average $400 - 800 towards dental implant cost just as they would with other teeth replacement treatments like dental bridgework. Either your dental insurance provider or your dental insurance carrier can help you to determine the exact dental coverage for your dental implant treatment based on your dental insurance coverage policy. If your dental insurance does not cover all of your dental implant treatment costs or if the cost of a dental implant is a concern for you, talk to your dental implant dentist provider about payment options - many dental implant dentists offer flexible and affordable monthly payment plans and financing, many with no down payment and no interest. About one-half of dental implant patients use financing options to spread their dental implant treatment costs over time.

The cost the insurance companies would cover on dental implants depends on many variables including the location of the tooth and the number of teeth. Because most dental insurance plans do not cover this cosmetic procedure, we can only give the estimated average insurance coverage for a dental implant which is about 600 per implant.

Can I look younger with Dental Implants?

You can look younger and feel healthier with dental implants. Dental implants are like having a new set of natural teeth. You can enjoy the comforts of healthy eating, speaking, and socializing without the embarrassment of missing teeth or “slipping” dentures and partials. According to the American Dental Association, a dental implant offers comfort, stability and is a dental restoration that is the closest thing to a natural tooth.

In a survey of more than 50,000 adults, only one-third of respondents were aware that missing teeth can alter facial contour. But that is only half the story. And what you do not know can hurt you. Chewing, talking, laughing, and even kissing are a few instances when the role of healthy teeth is often taken for granted until one or more teeth are damaged or lost.

Over time, even a single missing tooth can lead to bone loss which, in turn, can alter your jaw structure, cause teeth to shift, and can actually change the shape of your face. Once the tooth roots are no longer in place, bone recession in that area can gradually develop into a “sunken” appearance prematurely aging your face.

Tooth replacement that also replaces your tooth root is necessary to maintain proper facial contour. Dental implants are the only tooth replacements that substitute your tooth’s crown and root.

According to the American Academy of Implant Dentistry, dental implants should always be considered as an option to replace a failing or missing tooth.

Tooth replacement is not just a cosmetic fix. Studies have shown that failing to replace lost teeth can also affect your eating habits, speech, self-esteem, quality of life and overall health. Missing teeth that are not replaced can limit your diet to softer foods lacking proper nutrition which can lead to weight problems, digestive disorders, diabetes, and cardiovascular disease. Dental implants allow you to eat foods that can enhance your health.

Why compromise your health, give up your favorite foods, or look older than you are, when you may not have to.

Dental implants are the next best thing to your natural teeth. Until you have experienced tooth loss or having to adjust to partials or dentures you probably take for granted the simple pleasures of eating and tasting. Did you know that you can not fully taste food without “chewing awareness”? No matter how juicy that steak is or how tasty that spaghetti sauce might be, the eating experience goes beyond the mechanics of placing food in your mouth and chewing it.

dental implants benefits

Your gums, teeth, and palate (roof of your mouth) each play a part in how your brain processes chewing forces and food tastes. When your gum surfaces, teeth, and palate are covered by dentures or partial, chewing reception is altered dulling your sense of taste.

The good news is dental implants help maintain normal “chewing awareness”. So if enjoying mouthwatering meals is an important part of your life, here’s just one more reason to consider the advantage of dental implants.

Dental implants are second to none. No other tooth replacement compares to the look, feel, and function of dental implants. The good news is most people are candidates for this exciting, time-tested, and proven treatment option. In addition, in dental implants treatment no other teeth are involved but the missing teeth.

Things to Know about Implant Costs

Before starting with a dental implant procedure, there are a few factors to know and consider the cost of dental implants and payment options. It is always helpful to sit down with your dentist for a consultation to discuss all of your options.

  • Dental implants may be covered by insurance, and the average price for a dental implant ranges between $1700 to $2000 for a single tooth.
  • With proper oral hygiene, implants offer longevity; once they are placed, dental implants can last for many years.
  • It may be possible to reduce the overall cost of the dental implant procedure, as the timing can affect out-of-pocket costs.  The implant procedure is typically a two-part process that consists of placing the implant; four-month later the implant is restored with a crown (cap) or bridge. Scheduling the first procedure at the end of the calendar year, and then having the implant restored the following year, allows you to use two years’ worth of pretax flexible spending money through your employer.  And if dental insurance covers a portion of the cost, you won’t go over the yearly limit. Remember, insurance available coverage does not roll over to the next year. With dental insurance is either use it or lose it.

Payment Options

Since a portion of the dental implant procedure is typically an out-of-pocket expense, patients can pay for the treatment with:

  • Cash
  • Personal checks
  • Credit cards
  • A health care financing plan through CareCredit
  • An employer-sponsored flexible spending account

Patients that opt to pay for the treatment with a financing plan should pay attention to the interest rate and penalties associated with the payment plan. Patients should try to find a plan that offers low-interest rates, and pay each monthly installment on time to avoid additional fees.

Learn More about Dental Implant Prices and Payment Options

Several payment options are available to make having your best implant treatment possible. To learn more about how to make the best financial decision regarding your dental implants, book an appointment with the knowledgeable staff of Dr. Arocha’s practice today. Together, we can sit down to thoroughly go over your various payment options so that you can decide what option is ultimately best for you.

What are the benefits of dental implants?

  • Dental implants look and feel more like your natural teeth
  • Dental implants improved chewing ability
  • Dental implants provide better nutrition and health
  • Dental implants avoid facial bone loss
  • Dental implants boost self-confidence
  • Dental implants improve speech

Dental Implants Frequently Asked Questions.

What are dental implants?

Dental implants are substitutes for the roots and crowns of missing teeth. They act as an anchor for one or a series of replacement teeth or can be used to anchor bridges and dentures.

Who is a candidate for dental implants? 

According to the American Dental Association, candidates for dental implants need to have healthy gums and adequate bone to support the dental implant. A thorough evaluation by your implant dentist will help determine whether you are a good candidate for dental implants.

Dental implant patients are of all ages and dental implants may be the right choice for anyone missing one or more teeth due to dental injury, gums disease, or dental cavity. A dental implant is especially practical for patients who can no longer wear removable dentures. A complete oral exam, dental x-rays, dental and medical health history are necessary to determine if you are a candidate for dental implants.

Do I have enough gums and bone to hold a dental implant?

It is important for a dental implant patient to have enough bone to support the dental implant. If you do not have enough bone, there are many safe and effective ways to correct bone deficiency.

Why replace my missing tooth in the back if I can't see it?

For one thing, if you lose an upper tooth, you essentially lose the chewing function of that tooth and the one just below it. In addition, when you don’t replace a missing tooth, excessive force is then placed on adjacent teeth and may lead to tooth fractures and tipping. By ignoring damaged or missing teeth, you leave yourself prone to further tooth loss, teeth shifting, crowded teeth, speech problems, diet restrictions, and other dental complications.

What are the facts about dental implants

  • More than 4 million people have dental implants and that number is growing by over 500,000 a year
  • Dental implants have been used for over 50 years.
  • In some cases, the cost of a single tooth implant is less than the cost of a fixed three-unit dental bridge. (a fixed three-unit bridge is needed to replace a single missing tooth)
  • Unlike dental bridgework, dental implants don’t require the reduction of healthy adjacent teeth.
  • Dental implants are considered more predictable than dental bridgework and root canals treatments.

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