Full-arch implants
All-on-X full-arch implants in Downtown Brooklyn
All-on-X is a full arch of replacement teeth supported by four to six dental implants instead of one implant per tooth. The implants are positioned and angled with 3D planning so they engage the strongest available bone, and a single fixed bridge is secured to them. Where the implants are stable enough at surgery, a provisional set of teeth can be delivered the same day, which is what Teeth in a Day means.
This is reconstructive surgery, not a same-day promise. Candidacy depends on bone volume, gum health, and bite forces, all of which are measured before anything is scheduled.
What is All-on-X?
All-on-X is a category rather than a brand: All-on-4 and All-on-6 describe the same concept with a different number of implants. Angled implants let a surgeon reach dense bone at the front of the jaw and avoid the sinus and nerve, so a full arch can often be restored without extensive grafting.
The result is a fixed bridge that you do not remove. It is different from an implant-retained overdenture, which snaps onto implants and comes out for cleaning, and different from a conventional denture that rests on the gums.
What Teeth in a Day actually means
Immediate loading means a provisional bridge is attached to the implants at the surgical visit, so you do not leave without teeth. It is possible when the implants achieve enough stability in bone at the moment of placement.
The provisional is not the final bridge. After three to six months of healing, your restorative dentist or our prosthodontic colleague delivers the definitive bridge in zirconia or titanium and acrylic.
If the implants are not stable enough on the day, loading them anyway risks losing them. In that situation we heal first and restore second, and we tell you that possibility at the consultation rather than in the chair.
Who is a candidate?
Most or all teeth in an arch are failing
Advanced periodontal disease, multiple fractured teeth, or a mouth already restored repeatedly with diminishing returns.
A denture is no longer tolerable
Loose lower dentures, gagging, or an inability to eat normally are the most common reasons patients ask about full arch.
Adequate bone in the anterior jaw
The 3D scan determines whether four, five, or six implants are appropriate, and whether any grafting is required.
Gum and peri-implant health can be maintained
Full arch demands committed hygiene and regular maintenance. We are candid about this because peri-implantitis is a large part of what we treat.
Not a candidate today
Uncontrolled diabetes, active heavy smoking, or untreated infection are addressed first. Sometimes keeping strategic natural teeth is the better plan, and we will say so.
How the procedure is performed here
01
Records and 3D planning
CBCT scan, digital scans, and photographs. Implant positions are planned to the prosthetic design, not the reverse, in collaboration with the dentist restoring the case.
02
Surgery day
Remaining teeth are removed, the ridge is prepared, and four to six implants are placed, often with a guide. Sedation is available. The visit typically runs several hours.
03
Provisional bridge
If stability targets are met, a provisional fixed bridge is delivered the same day. Otherwise a healing period comes first.
04
Healing and the final bridge
Three to six months of soft-food healing and monitoring, then the definitive bridge is fabricated and delivered.
05
Maintenance
Peri-implant cleanings and radiographic monitoring on a set interval, permanently. This is what keeps a full arch working for decades.
Recovery and what to expect
Swelling and bruising peak at two to three days. Most patients take three to five days off. Soreness is manageable with prescribed and over-the-counter medication.
You will be on a soft, non-chewing diet for several weeks to protect the provisional, with a written diet progression and both doctors' cell numbers.
Speech and lip support adapt over a few weeks; the provisional stage is also when contour and tooth position are refined before the final bridge is made.
Why see a periodontist for full-arch treatment
Periodontists are the specialists trained in both the surgical placement of implants and the management of the tissue and bone that must support them long term. Both of our doctors completed three years of NYU specialty residency and are board certified in periodontics.
Because dentists and other specialists refer failing full-arch cases to us for revision, we plan new arches with the failure modes in mind: cleansable bridge design, implant position, and a realistic maintenance schedule.
Alternatives we consider first
Full arch is not always the right answer. Keeping strategic natural teeth with periodontal therapy, a segmented approach with fewer implants, or an implant-retained overdenture can all be better choices for a specific mouth and budget. We will lay out the alternatives with the scan in front of you.
Questions patients ask
Full-arch and Teeth in a Day questions
- How many implants does a full arch need?
- Usually four to six per arch. The number depends on bone volume, bite forces, and whether the opposing arch is natural teeth or a denture.
- Can I really get teeth the same day?
- Often yes, as a provisional fixed bridge, when the implants are stable enough at placement. If they are not, we heal first. We will not load implants that are not ready.
- Is All-on-X the same as All-on-4?
- All-on-4 is the four-implant version of the same concept. All-on-X simply means the number of implants is chosen for your anatomy.
- Do I need bone grafting for All-on-X?
- Frequently not, because angled implants can use existing dense bone. The 3D scan gives the definitive answer.
- How long does the final bridge take?
- Typically three to six months after surgery, once the implants have integrated and the provisional has confirmed tooth position and contour.
- Can the bridge be removed?
- Not by you. It is fixed to the implants and only the dentist removes it, for maintenance. That is the main difference from a snap-in overdenture.
- How do I clean a full-arch bridge?
- With a water flosser, interdental brushes, and professional peri-implant cleanings. We design for cleansability and teach the routine before you leave the provisional stage.
- Can full-arch implants fail?
- Yes, most often from peri-implantitis, smoking, or an uncleansable bridge design. Failing arches placed elsewhere are a routine referral to us, and prevention starts with design and maintenance.
- What does All-on-X cost in Brooklyn?
- Full-arch treatment is quoted per arch after the scan, because it depends on the number of implants, whether extractions or grafting are needed, and the final bridge material. You receive the fee and an insurance estimate in writing before scheduling.
- Does insurance cover full-arch implants?
- Plans typically contribute toward parts of the treatment rather than all of it. Our insurance team files electronically as a courtesy, and CareCredit financing is available.
- Is sedation available?
- Yes. Full-arch surgery is commonly done with sedation, and we discuss the options at the consultation.
Related
Dental implants
Single and multiple implant placement, planned prosthetically.
Bone grafting and sinus lift
Rebuilding the ridge when there is not enough bone.
Failing dental implant
Revision and salvage of implants and arches placed elsewhere.
Second opinion
Have a full-arch plan quoted? We will review it independently.
Considering a full arch?
Bring any plan or scan you already have. We will measure the arch, show you the options including the ones that are not surgery, and put the sequence and the fee in writing.