Dental Implants
All-on-X — often called All-on-4 or All-on-6 — replaces an entire upper or lower arch of teeth with a fixed bridge secured to four or six implants. Because the case is planned digitally in advance, many patients leave their surgical appointment in Titusville with a set of fixed teeth the same day.
All-on-X is a full-mouth implant approach that secures a complete arch of teeth — upper, lower or both — on just four or six implants. The “X” simply reflects the number of implants your case requires.
Instead of an implant for every missing tooth, a small number of carefully positioned implants support a single fixed bridge. It is designed for people with missing or severely damaged teeth who want a long-lasting replacement that stays in place and doesn’t come out at night.
All-on-X, also known as “Teeth in a Day,” is often considered for patients with significant tooth loss, periodontal (gum) disease or extensive decay. It can be particularly helpful when jawbone volume has decreased to the point that individual implants would be difficult.
The front implants are placed in the denser bone toward the front of the jaw, and the back implants are angled to avoid the sinus cavities in the upper jaw and the nerve canal in the lower jaw. Making the most of the bone you already have may reduce the need for grafting, although your dentist will tell you whether grafting is still advisable in your case.
A predictable full-arch result depends on understanding your anatomy in detail. A CBCT 3D scan shows bone volume, density and the position of nerves and sinuses, while intraoral scans record your teeth, gums and bite digitally.
From these records your case is planned on screen: implant positions and angles are chosen, a surgical guide is created, and your new teeth are prepared before the day of surgery. This preparation is what makes same-day teeth possible.
On the day of surgery, any remaining failing teeth are removed, the implants are placed and a fixed set of teeth is attached. You leave with teeth that stay in place — not a removable denture.
Implants still need time to bond with the bone. During that healing period you’ll follow a softer diet and attend follow-up visits, and your dentist will explain if and when a final bridge will be made once healing is complete.
Considering All-on-X Teeth in a Day?
Start with a relaxed conversation about your goals and options.
Benefits
Because your teeth are prepared in advance, many patients leave their surgical visit with a fixed arch rather than waiting months without teeth.
The bridge is secured to implants and is designed as a durable, long-term replacement you don’t take out at night.
Angled rear implants make use of denser bone and may reduce the need for separate grafting procedures.
Digital planning and a surgical guide help the procedure go efficiently, and patients often report less discomfort than they expected.
Is it right for you?
Every mouth is different. Your exam is where we confirm the right option for you.
What to expect
We evaluate your oral health and general health, listen to your goals and talk through whether a fixed full arch or another option suits you.
CBCT and intraoral scans are used to plan your case on screen, create a surgical guide and prepare your new teeth before surgery.
On your procedure day, the implants are placed by your implant team following the digital plan, with local anesthesia and comfort options discussed in advance.
Your fixed teeth are attached, the bite is checked and you receive detailed instructions for eating and cleaning while you heal.
Regular visits let us monitor healing and integration and plan any next steps toward your long-term bridge.
Shows bone volume and the location of sinuses and nerve canals, which is essential for planning angled implants safely.
A digital scan of your teeth and bite replaces most messy impressions and gives the lab precise records for your new teeth.
Your teeth are prepared with a local, American-made lab, keeping the planning team and lab in close contact.
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Cost & insurance
Every plan and every mouth is different, so we confirm your coverage and explain your estimated portion before treatment begins. When you schedule, have your insurance details ready and we’ll verify eligibility for you.
Delta Dental PPO · DHA (Dental Health Alliance) Plans · Cigna Dental Plans · GEHA. We file all PPO plans as a courtesy.
Questions
In many cases, yes — that is the purpose of planning the case and preparing your teeth in advance. Whether same-day teeth are right for you depends on bone quality and implant stability at surgery, which your dentist will discuss beforehand.
The number refers to how many implants support the arch. Your dentist recommends four or six based on bone volume, bite forces and the shape of your jaw, as seen on your CBCT scan.
Not always. Angling the rear implants into denser bone often reduces the need for grafting, but some patients still benefit from it; your 3D scan will show which applies to you.
You brush it daily like natural teeth and clean underneath it with the tools your hygienist recommends, such as a water flosser. Regular checkups and professional cleanings are important to protect the gums and implants.
Insurance benefits for full-arch implants vary by plan, and we’ll help you check yours — we are in network with Delta Dental PPO, DHA, Cigna and GEHA. CareCredit and Cherry financing can also help make treatment manageable.
From the journal
Related care
Dental Implants
Snap-in implant dentures or fixed full-arch teeth? Compare both and plan your next step at an All-on-X consultation.
Dental Implants
Implant-anchored crowns, bridges and dentures that replace the root as well as the tooth, planned with 3D imaging.
Comfort & Sedation
A prescribed oral sedative taken before treatment so you stay awake but relaxed, with your health history reviewed first.
Your visit
Book a visit and we’ll examine, explain your options clearly, and help you choose what’s right for you, with no pressure.
