Full-arch implants
A full set of fixed teeth on four or more implants.
Often called All-on-4 or All-on-X. Failing teeth are removed, implants are placed, and a fixed bridge is attached, usually the same day.
Who it's for
Full-arch treatment is designed for people who have lost most of the teeth in an arch, or whose remaining teeth can't be saved predictably. Common situations:
- A denture that moves, clicks, or limits what you can eat
- Widespread decay, gum disease, or repeated failed dental work
- Wanting a fixed solution rather than something removable
It is not the right answer for everyone. Some people are better served by saving teeth, by a removable implant-supported denture, or by single implants. A consultation and a 3D scan tell us which.
What the day looks like
- Sedation. An IV is started and you're brought to a comfortable, drowsy state. You breathe on your own, and you're monitored continuously.
- Surgery. Remaining teeth are removed, the bone is shaped, and implants are placed. Surgery typically starts around 7 a.m. and is finished before noon.
- Same-day teeth. While you rest, your temporary fixed bridge is made and fitted. It is usually attached to the implants by around 3 p.m., and you go home with teeth.
- Healing. Over the following months the implants integrate with the bone. You eat a softer diet during this period.
- Final bridge. Once healed, the temporary is replaced with the final prosthesis, made to fit your face and bite.
About sedation
I hold a Texas Level 3 sedation permit, which covers IV moderate sedation. That means you are deeply relaxed and usually remember little of the procedure, but you keep breathing on your own and can respond to a touch or voice. It is not general anesthesia. Before any sedation I review your medical history and medications, and for some patients I coordinate with your physician first. More about sedation.
Honest expectations
- Swelling and bruising for a week or so are normal.
- The temporary bridge is strong but not the final product. Treat it gently.
- Implant bridges need maintenance: professional cleanings and, over the years, occasional repairs or replacement of the prosthesis.
- Smoking, uncontrolled diabetes, and some medications raise the risk of complications. We'll talk about these openly.