All‑on‑X Implant Surgery

What is All‑on‑X?

All‑on‑X is a full‑arch treatment that replaces an entire upper or lower set of teeth using a fixed bridge supported by dental implants. “X” refers to the number of implants used—commonly 4–6—based on your anatomy, bone quality, and restorative plan.

Who is it for?

• Patients with multiple failing teeth or advanced decay/gum disease
• Patients who wear dentures and want a more stable, fixed option
• Patients with significant bone loss who may still be candidates with advanced planning

Planning & coordination with your restoring dentist

All‑on‑X succeeds when surgery and restoration are planned together. We coordinate with your restoring dentist to confirm bite position, aesthetics, and the type of final teeth (fixed bridge vs removable solutions). We’ll review whether tooth replacement should be fixed (implant bridge) or removable (partial/complete), or in select cases none at all—based on your goals and clinical needs.

What happens on surgery day?

• 3D imaging and surgical planning to protect nerves and sinus anatomy
• Implant placement with attention to stability and long‑term support
• When appropriate, placement of a temporary fixed bridge coordinated with your dentist

Bone, sinus, and biologics

Many full‑arch cases involve bone loss. Depending on your anatomy, treatment may include bone grafting and/or a Sinus Lift in the upper jaw. In select severe upper‑jaw cases, we may discuss remote anchorage options such as zygomatic or pterygoid implants. We may also use PRF (Platelet‑Rich Fibrin) to support comfort and early healing after extractions and grafting.

Anesthesia options

We provide appropriate and comfortable anesthesia, whether that includes office‑based IV sedation, nitrous oxide (laughing gas), or local anesthetic, based on your needs and the complexity of the procedure.

Timing: “same‑day teeth” vs staged treatment

Some patients are candidates for a temporary fixed bridge soon after surgery, while others benefit from a staged approach (healing and bone maturation first). We’ll explain what’s realistic for your case and coordinate timing with your dentist.

Important: Outcomes depend on anatomy, healing, oral hygiene, and restorative execution. We’ll review alternatives—including denture options and no treatment—so you can make an informed decision.