Full-Arch Dental Implants / All-on-4 / All-on-X

Full-arch treatment is engineered before it is performed. The first visit produces a CBCT scan, an intraoral scan and photographs, and from those we determine how many implants your anatomy supports, where they can be anchored, and what the finished teeth should look like. You see the proposed tooth position before surgery is scheduled — the plan is a design, not a surprise.

Surgery is one appointment, usually under IV sedation, and combines several steps that used to be spread over months: removing the remaining failing teeth, shaping the ridge, placing the implants through a printed guide, and capturing the final implant positions. Photogrammetry records those positions in minutes with an accuracy that impression material cannot match, which is what allows a fixed provisional bridge to be delivered the same day or the next.

You leave with fixed teeth — screwed onto the implants, not resting on your gums. Over the following months the implants integrate while you eat and speak on the provisional. The final prosthesis, milled in zirconia or a hybrid material, is fitted once integration is confirmed and the bite has settled.

The first 72 hours involve the most swelling of any procedure we perform, because extractions, bone shaping and implant placement happen together. Expect facial swelling that peaks around day two or three, bruising in some cases, and a soft or blended diet. Most patients take three to five days away from work.

By the end of week one swelling has largely resolved and speech has normalized. Weeks two through six are an adaptation period: the provisional feels bulky at first, chewing confidence returns gradually, and diet advances from soft to firm — but not to hard or crunchy foods, since the provisional is protecting integrating implants.

Integration typically takes three to six months. The final prosthesis is then delivered, and because it is milled to verified implant positions rather than adjusted at the chair, fit appointments are short.

A full arch is the case where small errors compound. Four to six implants have to be positioned so that a single rigid bridge seats on all of them without strain, and any discrepancy is transmitted to the bone rather than absorbed.

CBCT planning establishes the implant positions against real bone volume, printed guides reproduce them in surgery, and photogrammetry verifies where they actually ended up before the prosthesis is designed. That verification step is why a same-day fixed bridge is a reasonable promise rather than an optimistic one — the bridge is built to measured positions, not estimated ones.