All-On-4 Dental Implants

Missing most or all of your teeth can affect your ability to eat, speak, and smile comfortably. All-on-4 dental implants offer a stable, long-term alternative to traditional dentures by supporting a full arch of replacement teeth with a strategically placed set of dental implants.

Schedule a consultation with our board-certified oral surgeons to learn if you are a candidate. Call (303) 444-2255.

Full-Arch Dental Implant Solutions Customized for Your Needs

Replacing an entire arch of teeth requires more than simply placing dental implants. Long-term success depends on careful planning, precise surgical placement, and a restoration designed to function properly for years to come.

At Foley & Le Oral Surgery, full-arch dental implant treatment is performed by experienced oral and maxillofacial surgeons using advanced imaging and digital treatment planning.

  • Clear Communication and Support
  • Surgical Expertise at Every Stage
  • Comprehensive Case Planning
  • Organized, Efficient Care
  • Focus on Long-Term Stability

Advanced Surgical Expertise for Full-Arch Implant Treatment

Full-arch dental implant treatment requires a higher level of planning and surgical expertise than single-tooth replacement. Factors such as bone availability, bite forces, facial support, medical history and restoration design all influence the treatment plan.

Dr. Benjamin Foley has extensive experience in dental implant surgery, bone grafting, and complex oral reconstruction, with a focus on creating stable, long-term solutions for patients with missing teeth.

Dr. Thao Le brings advanced training in oral and maxillofacial surgery and works closely with patients to develop personalized treatment plans that support both function and aesthetics.

Dr. Michael Schiappa is skilled in dental implant placement and complex surgical procedures, using careful planning and modern techniques to help patients achieve predictable outcomes.

Together, their expertise allows treatment to be customized to each patient’s needs rather than relying on a one-size-fits-all approach.

What Are All-on-4 Dental Implants?

All-on-4 is a full-arch dental implant technique that uses four strategically placed implants to support an entire upper or lower arch of replacement teeth.

Unlike traditional dentures, which rest on the gums, All-on-4 implants are anchored directly into the jawbone. This creates a stable foundation that allows patients to speak and chew with greater confidence.

The technique involves placing the back implants at an angle to maximize available bone and reduce the need for bone grafting in some patients.

Full Arch Treatment Options

While All-on-4 is a widely recognized treatment approach, not every patient is best served with exactly four implants.

Depending on your anatomy, bone quality, and treatment goals, your surgeon may recommend four, five, six, or more implants to support your restoration. This customized approach is often referred to as All-on-X treatment.

The goal is not simply to use the fewest implants possible. The goal is to create a stable, long-lasting foundation that supports proper function and durability.

 X-ray image of a patient with All-on-X full arch treatment. Five implants are placed on the top arch and 4 implants are placed on the bottom arch.

Benefits of Full Arch Dental Implants

Full-arch dental implants provide several advantages over traditional removable dentures.

Benefits may include:

  • Replacement of an entire upper or lower arch of teeth
  • Improved stability while eating and speaking
  • A fixed restoration that does not move during daily activities
  • A natural-looking smile
  • Improved bite strength compared to removable dentures
  • Support for long-term jawbone health
  • Reduced need for denture adhesives
  • Greater confidence in social situations

For many patients, full-arch implant treatment can significantly improve comfort, function, and quality of life.

Candidates for All-on-4 Dental Implants

Many adults who are missing most or all of their teeth may be candidates for full-arch dental implants.

You may be a candidate if you:

  • Have multiple failing or missing teeth
  • Wear dentures and want a more stable solution
  • Have sufficient bone to support implants
  • Are healthy enough for oral surgery
  • Are committed to maintaining your oral health after treatment

Even if you have experienced bone loss, additional procedures such as bone grafting may make treatment possible.

The best way to determine candidacy is through a comprehensive consultation and 3D imaging evaluation.

Before and After Full-Arch Dental Implants

Left: Patient with severe tooth decay and failing teeth before full-arch dental implant treatment. Right: Upper and lower full-arch dental implant restorations with a healthy, natural-looking smile.
Before-and-after photographs showing the transformation achieved with full-arch dental implants. The pretreatment image shows extensive decay and failing teeth, while the postoperative image shows a restored, natural-looking smile with upper and lower full-arch implant restorations.

Patient Video Testimonials

Jason All On 4 - Foley and Le Oral Surgery

Jason, All-on-4

Shane All On 4- Foley and Le Oral Surgery

Shane, All-on-4

Colin All On 4- Foley and Le Oral Surgery

Colin, All-on-4

Consultation and Treatment Planning

Every full-arch implant case begins with a detailed evaluation.

During your consultation, we will assess:

  • The condition of your remaining teeth
  • Bone quantity and quality
  • Your bite and jaw relationship
  • Your overall health history
  • Your treatment goals

Advanced 3D imaging allows our surgeons to evaluate the jawbone and plan implant placement with a high level of precision before surgery begins. This planning process helps improve accuracy, efficiency, and long-term treatment outcomes.

The All-on-4 Procedure

Full arch treatment is completed in stages to allow for proper healing and long-term stability. The process typically includes:

  • Extraction and implant placement: If necessary, any remaining teeth are removed and the dental implants are placed in the jawbone to support a full arch of replacement teeth.
  • Temporary restoration: In many cases, a temporary prosthesis is attached so you can leave with a functional smile while healing occurs.
  • Healing phase: Over the next several months, the implants bond with the surrounding bone through a process called osseointegration.
  • Final restoration: Once healing is complete, the temporary prosthesis is replaced with a custom-designed final restoration built for long-term function and aesthetics.

Your oral surgeon will determine the best treatment approach based on your anatomy, bone quality, and overall treatment goals.

Dental implant surgery is performed with anesthesia to keep you comfortable. Options may include nitrous oxide, IV moderate sedation, or IV deep sedation, depending on the complexity of the procedure and your preferences.

Recovery and Aftercare

Recovery and healing after full-arch dental implant surgery is generally well tolerated. Most patients experience mild to moderate discomfort for a few days, along with some swelling in the surrounding area. 

While every patient’s experience is different, the procedure is often less invasive than many people expect, and symptoms are typically manageable with routine post-operative care.

Most patients are able to return to normal daily activities within a relatively short period of time, although temporary dietary modifications and activity restrictions may be recommended during the initial healing phase. Patients are asked to follow a soft diet for the first 3-6 months following surgery to allow the implants to integrate.

You will receive detailed post-operative instructions after your procedure to support healing and help ensure the best possible outcome. Our team remains available throughout your recovery and will monitor your progress during follow-up visits.

Risks of All-on-4 Dental Implants

All-on-4 dental implants have a high long-term success rate and are considered a safe, predictable treatment option. As with any surgery, there are potential risks, but complications are uncommon.

After surgery, mild swelling, bruising, and discomfort are expected and typically improve within a few days. Less common risks may include infection, implant failure, temporary changes in sensation, or complications related to anesthesia.

These risks will be reviewed with you during your consultation so you can make an informed decision about your treatment.

Dental Insurance and Payment Options

If you have Delta Dental Premier or Cigna, your estimated portion is collected at the time of service. For all other plans, payment is due in full, and any insurance reimbursement will be sent to you once your claim is processed.

Financing options are also available through Cherry, which allows you to split treatment costs into manageable monthly payments.

All-on-4 Dental Implants in Boulder, CO

Full-arch dental implant treatment at Foley & Le Oral and Maxillofacial Surgeons is centered on precise surgical planning, advanced technology, and long-term stability.

To book a dental implant consultation at our oral surgery office in Boulder, CO, call (303) 444-2255 or visit us at 1420 28th St, UNIT 100, Boulder, CO

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FAQs

What is the difference between All-on-4 and All-on-X?

All-on-4 uses four implants to support a full arch of teeth. All-on-X is a broader term used when four or more implants are used to support the restoration.

Can I get teeth the same day as my implant surgery?

Many patients receive a temporary full-arch restoration on the same day as implant placement. This allows you to leave surgery with a functional smile while the implants heal and integrate with the jawbone. Your surgeon will determine whether immediate loading is appropriate for your case.

How do I clean full-arch dental implants?

Full-arch dental implants require daily cleaning to maintain healthy gums and implants. Your surgeon and restorative dentist will provide specific instructions, which may include specialized brushes, flossing aids, or water irrigation devices designed for implant-supported restorations.

Can I get All-on-4 dental implants if I have bone loss?

Many patients with bone loss are still candidates for All-on-4 dental implants. One of the advantages of the All-on-4 technique is that the implants can often be placed in areas where more bone is naturally available, allowing some patients to avoid extensive bone grafting procedures.

Are implant dentures better than traditional dentures?

Implant-supported dentures are fixed in place or securely attached to dental implants, while traditional dentures rest directly on the gums. As a result, implant dentures generally provide greater stability, improved chewing ability, and increased confidence when speaking and eating.

Where can I get All-on-4 dental implants in Boulder, CO?

Foley & Le Oral and Maxillofacial Surgeons provide All-on-4, All-on-X, and other full-arch dental implant solutions in Boulder, CO. Treatment is performed by board-certified oral and maxillofacial surgeons using advanced imaging, digital treatment planning, and modern surgical techniques.