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A Full-Arch Solution
All-On-4 is a full-arch tooth replacement technique that uses just four strategically placed dental implants to support an entire fixed row of upper or lower teeth. Rather than replacing one tooth at a time, this advanced protocol restores an entire arch - often on the same day the implants are placed - giving patients with extensive tooth loss, failing dentition, or long-term denture wear a permanent, secure, and fully functional smile.
The technique was engineered specifically to maximize the use of available bone, angling the two posterior implants to engage denser bone structure and avoid the need for bone grafting in many cases. This means patients who were previously told they weren't candidates for implants due to bone loss may now qualify for a fixed, non-removable solution. At Dentistry of Uptown Charlotte, our team plans every All-On-4 case with 3D imaging and digital treatment design to ensure precision, comfort, and a result that looks and functions like natural teeth.
Unlike traditional dentures, All-On-4 restorations do not sit on the gums, shift while eating, or require messy adhesives. They are anchored directly to the jawbone, restoring bite force, speech clarity, and facial support that is often lost after years of missing teeth.
Many patients live with declining oral health for years before realizing that a fixed, permanent solution exists. If you recognize several of the situations below, an All-On-4 consultation may reveal that this treatment can dramatically improve both function and quality of life.
Determining candidacy for All-On-4 requires a comprehensive evaluation of your oral anatomy, bone density, gum health, and overall medical history. Because the procedure replaces an entire arch, our team takes special care to confirm that the treatment plan will deliver long-term stability and a natural bite before moving forward.
No two mouths are alike, which is why our All-On-4 protocols are customized to your bone anatomy, bite relationship, and aesthetic goals. We use digital planning software and guided surgery to determine the ideal implant number, angulation, and prosthesis design for your case before any drilling begins.
All-On-4 offers advantages that extend well beyond aesthetics. Because the implants integrate directly with the jawbone, they help preserve bone density, restore natural chewing forces, and eliminate many of the daily frustrations associated with removable dentures.
Implant stimulation helps prevent the ongoing jawbone shrinkage that occurs naturally after tooth loss, preserving facial structure over time.
A fixed arch supports the lips and cheeks the way natural teeth once did, softening the sunken look often caused by long-term denture wear.
Fixed implants restore up to full biting force, allowing patients to enjoy a wide variety of foods again without discomfort or hesitation.
Without a bulky palate or shifting plastic base, patients speak more naturally and confidently in social and professional settings.
Most patients receive a fixed temporary prosthesis on the day of surgery, meaning you never leave without teeth.
With proper care, All-On-4 restorations can last for decades, giving patients lasting confidence in their appearance and daily life.
Healing after All-On-4 surgery is a gradual, well-managed process. Most patients experience manageable swelling and tenderness during the first week, with a return to normal routines within days and full osseointegration occurring over the following months. We provide detailed home-care instructions and scheduled follow-up visits to monitor healing every step of the way.
We begin with a thorough exam, CBCT scan, and bite analysis to map your bone structure and design a personalized treatment plan.
Using guided-surgery software, we determine the ideal implant positions, angles, and prosthesis design before ever picking up a drill.
Under sedation, any remaining failing teeth are removed and four (or six) implants are precisely placed into healthy bone.
A temporary fixed bridge is attached the same day, so you leave our office with a complete, functional smile immediately.
Over the following months, the implants fuse securely with the jawbone while we monitor progress at scheduled follow-ups.
Once healed, we fit your durable, natural-looking final zirconia arch, custom-shaded and shaped to complement your face.
Our team uses advanced CBCT imaging and computer-guided surgical templates to place implants with exceptional precision, reducing surgical time and improving predictability.
Our clinicians have guided countless patients through full-arch restoration, coordinating surgical and restorative phases seamlessly under one roof in the heart of Charlotte.
We walk every patient through cost, timeline, sedation options, and expected outcomes in plain language before any commitment is made.
Sedation options and a calm, boutique-style setting help ease anxiety for patients undergoing full-arch treatment in a single visit.
With proper hygiene and regular professional maintenance, the implants themselves can last a lifetime, while the fixed prosthetic arch typically lasts 10-20 years before a replacement or refurbishment may be recommended.
The procedure is performed under sedation, so patients feel no pain during surgery. Mild soreness and swelling afterward are normal and manageable with prescribed medication, usually subsiding within a week.
Yes. In most cases, a fixed provisional bridge is attached to your new implants the same day as surgery, allowing you to leave with a functional, natural-looking smile while your final restoration is fabricated.
Often not. The angled placement of the posterior implants is specifically designed to utilize existing bone and avoid grafting for many patients, though a 3D scan will confirm this during your consultation.
Unlike removable dentures that rest on the gums, All-On-4 is permanently anchored to implants in the jawbone. This eliminates slipping, adhesive use, and gum irritation while restoring significantly more chewing power.
All-On-6 uses two additional implants for cases with sufficient bone volume or higher bite-force needs, offering added support. Your candidacy for either approach is determined during your 3D imaging consultation.
Schedule your visit with Dentistry of Uptown Charlotte today and experience gentle, personalized care in the heart of the city.