All-On-Four
A Permanent, Life-Changing Solution,
All-on-X: Your Solution for Missing Teeth
If you are living with missing teeth, failing dental work, or loose dentures, you already know how much it can affect daily life. Dr. Alan Meltzer and Dr. Wael Isleem use All-On-X dental implants to restore a full arch of teeth with a solution designed for long-term stability. Instead of relying on removable appliances, this advanced treatment secures a full set of teeth to as few as four strategically placed implants.
A Smarter Way to Rebuild Your Smile
Traditional implant treatment is not always the best fit for every patient, especially when bone loss is present. All-On-X was developed to help more people qualify for a fixed solution by making better use of the bone that remains, often reducing the need for additional procedures. Depending on your needs, benefits may include:
Moving forward with implant treatment even after experiencing bone loss
Avoiding additional procedures that may be required with traditional implant approaches
Receiving a stable, fixed alternative to removable dentures
Spending less time moving through multiple stages of treatment
Enjoying the possibility of same-day teeth in many cases
The Process
1
Comprehensive Evaluation
We begin with a clinical examination, review of dental records, and advanced imaging to determine candidacy and design your personalized surgical plan.
2
Surgical Placement Under Sedation
During your procedure, implants are placed in predetermined positions within the jawbone. The process is performed under sedation to ensure comfort. A temporary prosthesis is typically attached the same day so your smile remains intact throughout healing.
3
Healing and Integration
Over the following months, the implants integrate with the jawbone while the surgical sites heal undisturbed. Not every patient qualifies for immediate permanent loading, and we determine the safest protocol based on your anatomy.
4
Final Fixed Restoration
Once healing is complete, a custom full-arch bridge is secured to the implants. At this stage, most patients return to a comfortable diet and regain full function.
Many full-arch cases can be completed in a single surgical visit within our office, where teeth removal, implant placement, and attachment of a fixed prosthesis occur in one streamlined procedure.
5
Long-Term Care
Your new teeth are fixed in place, but the gums and bone around your implants still need attention. Regular visits with Dr. Meltzer and Dr. Isleem let us clean around your implants and bridge, check the health of your gums and bone, and make sure everything is working the way it should. We'll also show you how to keep your teeth clean at home.
What Happens at an Implant Maintenance Visit
Clinical exam of implants and soft tissues around the restoration
Professional cleaning of areas that are hard to reach at home
Bite and prosthesis check for comfort and stability
Imaging when needed to monitor bone support
Review of home-care techniques for full-arch hygiene
Plan next maintenance interval based on your healing and risk
Precision Matters at Every Step
Full-arch implant treatment requires advanced surgical training and restorative expertise.
Our board-certified periodontists, Dr. Alan Meltzer and Dr. Wael Isleem, were trained at leading dental institutions and specialize in complex implant reconstruction. Using guided surgical technology and in-office laboratory support, we complete your treatment in one location with careful attention to long-term performance.
As Dr. Meltzer explains, patients often arrive with dentures, missing teeth, or advanced gum disease and leave the same day with a secure new smile. We also provide ongoing maintenance and monitoring to protect the longevity of your investment.
It's Time for a Permanent Solution
Living with advanced tooth loss can feel limiting, but it does not have to remain that way. All-On-X dental implants offer a permanent, structurally sound solution that restores function, preserves bone, and rebuilds confidence.
The first step is a comprehensive consultation to determine whether this solution aligns with your goals and anatomy.
Frequently Asked Questions
What is All-On-4 dental implant treatment?
All-On-4 is a full-arch tooth replacement solution that uses as few as four strategically placed dental implants to support a complete set of fixed teeth. This approach allows many patients with extensive tooth loss to replace an entire upper or lower arch without relying on removable dentures.
Who is a candidate for All-On-4 dental implants?
Many patients with multiple missing teeth, failing dental work, or loose dentures may be candidates for All-On-4 treatment. Even if bone loss is present, the strategic placement of implants can make treatment possible for patients who may not qualify for traditional implant approaches. A consultation and 3D evaluation are needed to determine candidacy.
Can I get teeth the same day as All-On-4 surgery?
Many patients receive a temporary set of fixed teeth on the same day their implants are placed. This allows you to leave surgery with a functional smile while your implants heal and integrate with the jawbone. Your doctors will determine whether same-day teeth are appropriate for your situation.
Do I still need dental visits after All-On-X?
Yes. Your implants and bridge need regular professional care, just like natural teeth do. Maintenance visits let us check the gums and bone around your implants, clean areas that are hard to reach, and catch small problems early. Our team handles your ongoing care here, so you're always seen by the doctors who know your case.