The short answer
All-on-4® replaces a full arch of missing or failing teeth with a fixed, non-removable bridge anchored on four strategically angled implants. At Pebble Beach Dental, most patients leave the day of surgery with fixed temporary teeth, then receive custom permanent teeth after 3–6 months of healing.
- Implants per arch
- 4 (sometimes 6)
- Same-day teeth
- Most patients
- Treatment time
- 4–8 months total
- New-patient savings
- $3,000 off*
- Bone grafting
- Often avoided
- Removable?
- No — fixed in place
What makes All-on-4® different from dentures?
A conventional denture sits on the gums and is held by suction or adhesive. Over time the jawbone underneath shrinks, the fit loosens, and chewing power drops to a fraction of natural teeth. All-on-4® bolts a full arch of teeth onto implants, so nothing moves, nothing comes out, and your bite returns to near-natural strength.
Because the two back implants are tilted, they engage the denser bone toward the front of the jaw. That is why many patients who were told they needed extensive bone grafting can have All-on-4® without it.
Life after full-arch implants
Patients tell us the biggest change is not how their smile looks — it is how they live. Steak, apples, corn on the cob and nuts come back on the menu. Photos stop being something to avoid. Many say they look ten years younger.
Care is simple: brush twice daily, use a water flosser around the bridge, and see us for professional maintenance visits. We stand behind every implant we place with an implant warranty.
- Eat what you love again
- No adhesives, no nightly soaking
- Helps preserve jawbone and facial structure
- Natural-looking, custom-shaded teeth
Upper, lower, or both arches?
You can treat one arch or both. Some patients start with the arch causing the most trouble and complete the other later; others do both at once to save on sedation and surgery time. Your 3D plan shows the options side by side so you can choose what fits your goals and budget.
Meet John: a real full-mouth transformation
John, 52, came to us with multiple missing and failing teeth that affected his confidence and quality of life. After a full-mouth restoration with our doctors, he eats what he wants, smiles freely in family photos, and says he wishes he had done it years sooner.
Hear from a real patient
Who all-on-4® full-arch implants are right for
- You are missing most or all teeth in the upper or lower jaw
- Your dentures slip, rub, or make eating painful
- Several failing teeth need to be extracted
- You were told you do not have enough bone for implants
- You want teeth you never take out
60-second quiz
Are you a candidate for dental implants?
Question 1 of 3
What best describes your teeth today?
- 1Answer 3 questionsAbout your teeth and goals.
- 2See your matchThe option that usually fits.
- 3Claim your specialBook a free consult + 3D scan.
This quiz is educational, not a diagnosis. Your doctor confirms candidacy with an exam and 3D CT scan at your free consultation.
What to expect, step by step
- 1
Free consult & 3D smile plan
We scan your jaw with our i-CAT 3D system, discuss the smile you want, and give you a written cost estimate with financing options.
- 2
Surgery day
Failing teeth are removed, four implants are placed at precise angles, and sedation lets you rest comfortably through it.
- 3
Same-day fixed temporaries
Most patients leave with a fixed temporary arch the same day — no months in a removable denture.
- 4
Permanent teeth
After 3–6 months of integration, your final teeth are custom-designed for shape, shade and bite, built for strength and a natural look.
All-on-4® vs. traditional dentures
| Factor | All-on-4® implants | Traditional dentures |
|---|---|---|
| Stays in place | Fixed — never removed | Can slip; adhesive often needed |
| Chewing strength | Near-natural | Roughly 20–25% of natural |
| Jawbone | Stimulated and preserved | Continues to shrink |
| Covers palate | No — you taste food fully | Upper denture covers palate |
| Long-term | Implants designed for life | Relines and remakes over time |
Compare your options
Why patients choose Pebble Beach for implants
| Factor | Pebble Beach Dental | Many implant centers |
|---|---|---|
| Consultation | Free exam, 3D CT scan, plan and written estimate | Scan or consult fees vary |
| Who you see | The same local doctors from consult to final teeth | Often separate surgeon, restorative dentist and lab |
| Implant training | Dr. Atherly is a Fellow of the ICOI | Varies by provider |
| 3D imaging | In-office i-CAT 3D CT for precise planning | Sometimes referred to an outside imaging center |
| Options offered | Single implants, implant dentures and All-on-4® | Some centers focus on full-arch only |
| Care afterward | Cleanings and checkups in the same Fair Oaks office | Often a separate general dentist for follow-up |
| Payment | Promotional financing through CareCredit and Allegro Credit | Varies by provider |
Comparison reflects common practices across the industry, not any specific provider. Always ask what's included before you commit.
Cost & financing
How much does all-on-4® full-arch implants cost in Fair Oaks?
Full-arch cost depends on one vs. two arches, extractions, sedation and final-tooth material. New patients save $3,000 on All-on-4® (cannot be combined with other offers or used with insurance). Your free consultation includes a written estimate, and 0% financing through CareCredit or Allegro Credit makes the monthly payment manageable for most budgets.
Estimated monthly payment
$417/mo
$5,000 over 12 months, paid in full within the promotional period
Have dental insurance? Many PPO plans help with parts of implant treatment, such as extractions, grafting or the crown. We check your benefits before you start. Specials can't be combined with insurance.
Example only. Promotional financing through CareCredit and Allegro Credit is subject to credit approval; terms, rates and availability vary. Your exact cost comes from the written estimate at your free consultation.
Before & after
- The concern
- Failing teeth that made eating and smiling harder every year.
- The plan
- A 3D-scan-guided All-on-4® plan for a fixed full arch.
- The result
- Fixed, natural-looking teeth she can eat and smile with confidently.
- The concern
- Severely decayed, broken and missing teeth on both arches.
- The plan
- Upper and lower All-on-4® with fixed full-arch bridges.
- The result
- A complete, even smile that stays put — no removable dentures.
All-on-4® Full-Arch Implants FAQs
Can I really get teeth in one day?
Most patients leave surgery day with a fixed temporary arch. A small number need a short healing period first; your 3D scan tells us in advance.
How long does All-on-4® take overall?
From consultation to final teeth, most patients take 4–8 months. You have functional, presentable teeth the entire time.
Is All-on-4® painful?
The procedure is done under local anesthesia with sedation available so you can sleep through it. Recovery is usually described as similar to having several teeth removed.
What if I have bone loss?
Angled back implants often avoid grafting. If grafting is needed, we can usually do it the same day.
Can I switch from dentures to All-on-4®?
Yes — current denture wearers are some of our happiest All-on-4® patients. Bring your denture to the consult.
How do I clean All-on-4® teeth?
Brush twice daily, use a water flosser under the bridge, and keep professional maintenance visits so we can check the implants.
Will my new teeth look natural?
Yes. Each arch is custom-designed with you for tooth shape, length and shade.
Is All-on-4® the same as permanent dentures?
People often use “permanent dentures” to describe All-on-4®. It is a fixed implant bridge that only your dentist can remove.
Clinically reviewed by Dr. Michael Atherly, FICOI. Reference: American Academy of Implant Dentistry. This page is educational and not a substitute for an exam.