Harrisonburg, VA

(540) 437-1230

|

Staunton, VA

(540) 213-8750

All-on-4® Dental Implants

Replace a full arch of missing teeth with All-on-4 dental implants

All-on-4 dental implants provide a secure, long-term solution for replacing a full arch of missing or failing teeth. By supporting a complete set of prosthetic teeth with as few as four strategically placed dental implants, this treatment allows many patients to regain a confident smile and improved chewing function without relying on removable dentures.

Full-Arch Implant Expertise You Can Trust

Replacing an entire arch of teeth is a significant decision, and choosing the right surgical team matters. As a board-certified oral and maxillofacial surgeon, Dr. Jeffery Kesecker combines advanced surgical expertise with a personalized, patient-centered approach to care.

At Legacy Surgery, we believe you should never feel like just another appointment. From your first consultation through implant placement, our team is committed to making you feel comfortable, informed, and treated like family.

Patients benefit from:

  • Treatment by a board-certified oral and maxillofacial surgeon
  • Individualized treatment planning based on your unique needs
  • Advanced 3D CBCT imaging for precise implant placement
  • Sedation options for a comfortable surgical experience
  • Close collaboration with your restorative dentist
  • Compassionate care from a friendly, experienced team

Whether you are replacing failing teeth or seeking a permanent alternative to dentures, our goal is to make the process as comfortable and predictable as possible. From your initial consultation through implant placement, we are committed to helping you achieve a healthy, confident smile with personalized care every step of the way.

What Are All-on-4® Dental Implants?

All-on-4 is a full-arch dental implant technique used to replace an entire upper or lower arch of missing or failing teeth. A full arch of custom replacement teeth is securely supported by strategically placed dental implants, providing a stable and long-lasting solution for extensive tooth loss.

You may also hear this treatment called All-on-X, where “X” refers to the number of implants used to support the restoration. While many patients are candidates for four implants, others may benefit from five, six, or more depending on their anatomy and treatment needs.

With the traditional All-on-4 technique, the two front implants are placed vertically while the two back implants are angled up to 45 degrees. This allows the implants to engage more of the available jawbone, often providing excellent stability while reducing the need for bone grafting.

All on 4 Legacy Dental Implants

Benefits of All-on-4 Dental Implants

Full arch dental implants offer several advantages over traditional removable dentures.

Fixed, Stable Teeth

Your replacement teeth are securely attached to dental implants, eliminating the slipping and movement often associated with removable dentures.

Improved Chewing Ability

Because the implants are anchored within the jawbone, patients can enjoy a stronger bite and greater confidence when eating many of their favorite foods.

Natural Appearance

Each restoration is custom designed to complement your facial features and create a smile that looks natural and functions comfortably.

Support for Jawbone Health

Dental implants stimulate the jawbone in much the same way as natural tooth roots. This helps reduce the bone loss that commonly occurs after teeth are lost.

Fewer Daily Maintenance Concerns

Unlike removable dentures, full arch restorations do not require adhesives or nightly removal. They are cleaned similarly to natural teeth using regular brushing and flossing techniques recommended by your dental team.

Who Is a Candidate for All-on-4?

All-on-4 dental implants may be an excellent option if you:

  • Are missing most or all of your teeth
  • Have multiple failing teeth that cannot be predictably restored
  • Wear loose or uncomfortable dentures
  • Want a permanent alternative to removable dentures
  • Are healthy enough for oral surgery
  • Have adequate bone to support implants or are a candidate for bone grafting when necessary

Even if you have experienced bone loss, you may still qualify for full-arch dental implants. During your consultation, Dr. Kesecker will perform a comprehensive examination, review your medical history, and obtain 3D CBCT imaging to determine the most appropriate treatment plan.

What to Expect During Treatment

Every patient’s treatment is customized, but the process generally follows these steps:

Consultation and Treatment Planning

Your appointment begins with a comprehensive evaluation, digital imaging, and discussion of your goals and budget. 

Preparation

If damaged or failing teeth remain, they are typically removed at the time of surgery. Some patients may require bone grafting before implant placement, although the All-on-4 technique often minimizes this need.

Implant Placement

Local anesthesia is used to numb the treatment area, and sedation options are available for your comfort. Using a customized surgical guide, Dr. Kesecker places the dental implants according to your personalized treatment plan to create a stable foundation for your full-arch restoration.

Temporary Teeth

Many patients receive a temporary fixed prosthesis on the same day as implant placement, allowing them to leave the office with a functional smile while healing begins.

Final Restoration

Once the implants have fully integrated with the jawbone, you will return to your restorative dentist for your custom final restoration. Throughout the process, Dr. Kesecker works closely with your dentist to help ensure a seamless transition from implant placement to your completed smile.

Restore Your Smile With Confidence

Living with extensive tooth loss or unstable dentures can affect your confidence, comfort, and quality of life. All-on-4 dental implants provide a stable, long-lasting solution that restores both function and appearance.

At Legacy Surgery, Dr. Jeffery Kesecker combines advanced surgical expertise, modern technology, and personalized care to help patients achieve lasting results. Schedule a consultation to learn whether full arch dental implants are the right solution for your smile.

FAQ

Are full-arch dental implants removable?

Most patients choose a fixed full-arch restoration that is securely attached to the implants and cannot be removed by the patient. However, removable full-arch implant options are also available. 

Are there any food restrictions with full-arch dental implants?

A soft-food diet is recommended while your implants heal. After your final restoration is placed, most patients are able to enjoy a full, unrestricted diet and eat comfortably without the slipping or instability associated with traditional dentures.

Will my new teeth look natural?

Yes. Your final restoration is custom designed to complement your facial features, bite, and smile. The goal is to create teeth that look natural, feel comfortable, and function like healthy natural teeth.

Am I too old for full-arch dental implants?

Age alone does not determine candidacy. Many adults in their 60s, 70s, and beyond successfully receive full-arch dental implants. Your overall health, bone quality, and ability to heal are much more important factors.

Do full-arch dental implants help prevent bone loss?

Yes. Unlike traditional dentures, which rest on the gums, full-arch dental implants are anchored into the jawbone. This allows the implants to stimulate the bone much like natural tooth roots, helping reduce the bone loss that typically occurs after teeth are lost. Preserving the jawbone also helps maintain facial structure and supports the long-term fit of your restoration.

How long do full-arch dental implants last?

With proper oral hygiene, routine dental care, and regular maintenance visits, the dental implants themselves can last for decades. The prosthetic teeth may eventually require maintenance or replacement due to normal wear.

Can I replace all of my upper and lower teeth at the same time?

Many patients are candidates to replace both arches during the same course of treatment. Whether this is recommended depends on your oral health, medical history, and treatment plan. 

How much do All-on-4® dental implants cost?

Full-arch dental implant bundles at Legacy Surgery start at $15,000. Your total investment will depend on your individual treatment needs, including the number of implants required and any additional procedures that may be recommended. During your consultation, you will receive a personalized treatment plan and detailed cost estimate. Learn more about dental implant pricing.

Book an Appointment

For inquiries or to book an appointment with our treatment coordinator, call (540) 437-1230 for our Harrisonburg location or (540) 213-8750 for our Staunton location.

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