If you are missing most or all of your teeth in one arch, implant dentures and All-on-4 treatment offer a secure alternative to removable dentures. At Paramount Dental in Sacramento, this full-arch approach is designed to restore chewing comfort, speech, and confidence with fixed, natural-looking replacement teeth, usually without the need for additional bone grafting procedures.
Schedule A Free Implant Dentures All-on-4 Consultation
Benefits
Implant dentures and All-on-4 treatment are designed to provide easier tooth replacement for patients who need it. Here are some of the many benefits of choosing All-on-4:
- Fixed Solution: Replaces a full upper or lower arch with fixed, natural-looking teeth.
- Fewer Implants: Uses four implants per arch in many full-arch All-on-4 treatment plans.
- Graftless Concept: Reduces or eliminates the need for bone grafting prior to implant placement.
- Greater Comfort: Helps reduce slipping, rubbing, and denture movement while improving chewing comfort and speech clarity.
- New Teeth In One Day: Allows many patients to leave with a same-day temporary bridge.
The All-on-4 Process
Consultation
The implant dentures and All-on-4 process begins with a consultation, diagnostic imaging, and exam. Our implant specialist reviews your bone structure, health history, bite, smile goals, and whether any remaining teeth need to be removed.
3D Planning
Paramount Dental uses digital scans and x-rays to evaluate your bone quality and successfully map implant positions. This planning step helps determine whether All-on-4, implant-supported overdentures, conventional dentures, or another restorative option is most appropriate for your situation.
Implant Placement
Next, your implants are precisely placed as planned. The implants in the front of your mouth are usually placed straight, while the back implants may be angled to make better use of available bone.
Temporary Teeth
Many of our patients receive a temporary fixed bridge the same day as the implant placement. This temporary restoration helps protect the implants and restores the natural appearance of the smile while healing takes place.
Healing Phase
After placement, implants need 2 to 3 months to fuse with the jawbone, depending on the patient and their treatment plan. The team at Paramount Dental tracks your healing process and advises when your implants are strong enough to support the next step.
Final Bridge or Denture Placement
Once dental implant healing is complete, the temporary teeth are replaced with a precisely crafted permanent bridge or denture designed for long-term function, comfort, and appearance.
Candidacy & Alternatives
Good candidates for implant dentures and All-on-4 are usually missing most or all teeth in one arch area, already wear uncomfortable dentures, or have been told they don’t have enough jawbone to install conventional implants.
Strong candidates have good oral hygiene practices, control over chronic health conditions, and are committed to avoiding smoking during the healing phase. A 3D scan confirms patient bone quality, implant position, and whether this treatment is appropriate.
If it is determined that All-on-4 is not a beneficial option for you, Paramount Dental also provides the following alternatives:
- Conventional complete dentures
- Removable implant-supported overdentures
- Individual implants with crowns or bridges
- A traditional dental bridge for partial tooth loss.
The Cost & Dental Insurance
The cost of implant dentures and All-on-4 treatment depends on:
- The number of arches treated
- Any necessary tooth extractions
- The type of sedation administered during the procedure
- The imaging, lab work, and materials used for the temporary and final restorations
Dental insurance may contribute to certain parts of your treatment plan, such as extractions or imaging, but likely will not cover the full cost of a fixed full-arch implant bridge. Our Paramount Dental office team reviews your specific insurance plan and provides a detailed proposal during your consultation. This includes the expected timeline for your treatment plan, number of visits or procedures required, and an estimated out-of-pocket cost. Ask our team about the financing options we offer to make treatment more accessible to all of our patients.
Post Surgery Care & Maintenance
After implant placement, you are provided specific instructions for the best results. Proper home care and follow-up dental visits are important for healing and long-term implant health. Following are some of the instructions you may receive:
- Use cold compresses to manage swelling.
- Take medications as prescribed or recommended.
- Rest with your head elevated during the early stages of healing.
- Eat soft foods while the implants integrate with the jawbone.
- Avoid hard, crunchy, or sticky foods until your dentist says it’s ok.
- Avoid smoking and alcohol as long as is advised by your dental team.
- Brush your teeth gently and clean under the bridge with floss threaders, interproximal brushes, or a water flosser.
- Call (916) 443-1905 if you notice unusual pain, swelling, bleeding, looseness, or bite changes.
Long-term maintenance requires regular dental exams, professional cleanings, and periodic health checks of the gums, bone, bite, and the restoration. If you clench or grind your teeth, a nightguard may be recommended to protect your new restoration.
Implant Dentures All-on-4 FAQs
What are Implant Dentures All-on-4?
All-on-4 is a full-arch tooth replacement option that uses four dental implants to support a fixed bridge or denture. They are designed to more easily replace an entire upper or lower arch with stable, natural-looking teeth.
Are dentures and All-on-4 the same?
No, they aren’t the same. Traditional dentures rest on the gums and are removable, meaning they are more susceptible to loosening and moving. All-on-4 bridges, on the other hand, are more stable because they are anchored to dental implants and are not removable.
Do I get teeth the same day?
Many patients receive a temporary fixed bridge the same day their implants are placed. The final bridge is typically added after the implants heal and integrate with the jawbone.
Can All-on-4 work if I have bone loss?
All-on-4 may be an option for some patients with bone loss because the back implants can be angled to use available bone. A 3D scan is needed to confirm whether you are a good candidate.
Is an All-on-4 bridge removable?
No. The bridge is fixed in place and can only be removed by your dental team during visits to clean, inspect, or adjust it.
What is the cost for All-on-4?
The cost for All-on-4 is based on the number of arches that are placed, in addition to any extractions that need to be done, the sedation that is administered, and the materials used at the lab to create your custom restoration. Paramount Dental always provides patients a personalized estimate based on the treatment plan.
How do I clean implant dentures or All-on-4 bridge?
Brush daily and clean under the bridge with tools such as floss threaders, interproximal brushes, or a water flosser. Regular professional cleanings are also important to protect the gums, bone, and implants.