All-on-4 and full-arch implants

All-on-4 is one design: four implants support a full arch. The back implants are often angled to use denser bone and stay clear of the sinus or nerve. Some mouths need five or six implants for a stronger bite.

Dr. Chad Curtis removes failing teeth, places the implants, and works with the dentist who designs the teeth you will live with. The brand name matters less than whether your bone, bite, and health can support a fixed arch.

Common benefits

• Teeth stay in place — no daily denture soak or adhesive
• Chewing is usually more stable than a loose denture
• You can often avoid large grafts when bone allows an angled design
• A temporary set of teeth can sometimes be attached soon after surgery

This is for adults whose remaining teeth in one or both jaws are failing — advanced gum disease, broken-down crowns, or a denture they can no longer wear comfortably. It is a larger commitment than a single dental implant.

• You want a fixed set of teeth, not a removable denture
• You need failing teeth removed and the surgical plan coordinated with your dentist
• You were told you are “not a candidate” and want a second look
• You already have a quote and want an implant second opinion

A badly mismatched bite may need jaw surgery or a different prosthetic design. We will say so if that is the case.

The first visit is the consultation. Dr. Curtis will perform an examination, review required imaging, and determine the optimized treatment plan for your particular situation. If remote anchorage is required, additional planning time will typically be required.

Surgery will be completed in either the office under IV sedation or in the operating room, depending on medical history and the extent of the surgery needed to give the patient a beautiful new smile.

The laboratory and restorative dentist will fabricate your teeth after the implants are placed.

Expect facial swelling, a soft diet, and several short follow-ups. Speech can feel odd until your tongue learns the new shape. Bruising can last longer than you expect.

The first two weeks

• Day of surgery: swelling starts, the bite feels new, and you leave with an escort if you had sedation. Soft or liquid food only.
• Days 2–4: swelling and bruising are usually at their most obvious, then should ease. A lisp is common.
• First 1–2 weeks: several short checks. Do not chew hard food on a temporary bridge. Clean under it the way you were shown.

This is major surgery. Risks include infection, implant failure, bite problems, and the need to redo a temporary or final prosthesis. The final teeth come after healing, on your dentist’s schedule, not the day of surgery.

Call us if

• A temporary tooth cracks or the bridge feels loose
• An implant feels like it moves
• Swelling is worse after the third day, or you have a fever
• Bleeding does not slow, or you cannot keep medicines down
• The lip or chin is still numb the morning after surgery

Hygiene around the implants is a daily habit. Read more about pacing in All-on-4 and full-arch implants.

Read implant aftercare. Download dental implant post-operative instructions (PDF).

A full arch costs more than a single implant because it includes extractions when teeth are failing, several implants, a temporary tooth setup when one is used, and the final bridge your dentist or the lab makes. Grafting, sedation, and whether one jaw or both are treated change the estimate.

What changes the fee is the work itself: whether grafting is needed, which anesthesia is used, the type of restoration your dentist will make, and whether new imaging is required. Dr. Curtis gives an estimate at the consultation, after the exam. This website does not list prices.

The office takes most PPO dental plans. The current in-network list is on patient info. Call (561) 833-6880 if you want to ask about a plan before you come in.