A complete fixed arch supported by four to six implants, designed for patients with failing teeth, missing teeth, or loose dentures who want a permanent solution that looks natural and functions like teeth.
Also known as All on 4, teeth in a day, or same day dental implants depending on the protocol.
The X is a variable,
not a fixed number
All-on-X is a full arch implant protocol in which the letter X represents the number of implants, typically four to six, used to support a complete fixed prosthesis. The implants are placed at strategic positions throughout the jaw, often with the posterior implants angled to take advantage of available bone and maximize support across the arch.
All on 4 is the original and best-known version: four implants, two placed straight at the front and two angled at the back. The angling allows the posterior implants to avoid areas of denser bone loss while still providing strong support for the full arch bridge.
The number of implants used in a given case depends on bone volume, jaw anatomy, bite forces, and the length of the arch being restored. At Dental Implants & Cosmetics in Plantation, we determine implant count based on your evaluation, not a standard formula.
All on 4
Four implants per arch, two straight anteriors, two angled posteriors. The original protocol, designed to minimize grafting and treatment complexity for patients with moderate bone loss.
All-on-X (5, 6, or more)
Five or six implants per arch, or more in some cases. Used when additional support is beneficial given the patient's bone quality, bite forces, or arch design. May offer greater distribution of load across the arch.
Candidacy is determined
by evaluation, not assumption
All-on-X was designed specifically for patients with significant tooth loss and moderate bone loss, the population that traditional full arch implants often could not serve without extensive grafting. The angled posterior implants use bone that tends to remain after the back teeth are lost.
Failing teeth
Loose dentures
Bone loss
Fixed result
The outcome is decided
before the surgery
All-on-X outcomes are determined largely by how thoroughly the case is planned before any implant is placed. Implant position and angulation, bone quality at each site, prosthetic design, bite forces, and the provisional to final progression all require detailed evaluation with 3D imaging before surgery.
Practices that compress planning to offer faster turnarounds are transferring that risk to the patient. At Dental Implants & Cosmetics, the consultation and planning phase is as important to us as the surgery itself.
Nothing moves forward until the implant positions, prosthetic design, treatment sequence, and your expectations are fully aligned. That conversation happens at the consultation, before any fee for treatment is collected.
Same day teeth.
Not the final result.
One of the most important things to understand about All-on-X is that the teeth placed on surgery day are provisional. They function as your teeth during healing and give you a preview of the final result. The permanent arch comes later.
Beyond the
functional repair
Chewing and diet
Fixed teeth restore substantial bite capacity. Many patients return to foods they have been avoiding for years.
Facial support
When teeth and bone are lost, the face can collapse inward over time. A well-designed arch restores facial height and lip support.
Speech and clarity
Ill-fitting dentures can affect pronunciation. A fixed, stable arch eliminates the movement that causes slippage during speech.
Social confidence
The concern about teeth shifting, slipping, or being noticed disappears when teeth are fixed. This affects how patients carry themselves in daily life.
Bone preservation
Implants stimulate the jawbone the way natural tooth roots do. Without that stimulation, bone continues to resorb. All-on-X slows or stops that process at the implant sites.
All-on-X with
cosmetic clarity
Many All-on-X providers approach the procedure as a surgical protocol and treat the final arch as a commodity. We approach it as a complete smile restoration, where the implant positions and the prosthetic design are planned together, not in sequence.
Dr. Noemi Tisminesky brings cosmetic training to every All-on-X case. Crown proportion, tooth length, midline, shade, and gum contour are considered during planning, not after the prosthesis arrives. Patients from Fort Lauderdale, Davie, Weston, Sunrise, and Cooper City travel to our Plantation practice for this level of planning.
Financing is available and discussed at your consultation. Our team works with most patients to find a payment approach that is realistic for their situation.
Real concerns,
addressed directly
Most patients considering All-on-X in Plantation, FL are not looking for a sales pitch. They want to understand cost, timeline, what the provisional period is like, and whether the result will actually look and feel like teeth. Here is our honest answer to each.
Cost and financing
All-on-X is a significant investment. The total cost depends on the number of implants, whether extractions or grafting are needed, imaging requirements, provisional fabrication, and the final prosthesis design and material. We review itemized costs at your consultation and discuss financing options before any commitment is made. No patient should agree to a treatment plan they do not fully understand financially.
How long treatment actually takes
Provisional teeth can often be placed the same day as surgery. The final prosthesis takes longer, typically several months after surgery, once implant integration has been confirmed. The total treatment arc from consultation to final delivery often spans six months to a year or more depending on bone health and healing. We map out the full timeline before treatment starts so there are no surprises.
What the provisional teeth look and feel like
Provisional teeth are designed to function and look reasonable while the implants integrate. They are not the final result. Some patients love their provisionals; others use the time to refine details like tooth shape, length, or shade before those choices are locked in for the final arch. This is intentional, the provisional phase is your chance to live with and adjust the result before it becomes permanent.
Whether the result will look natural
The appearance of the final arch depends on how carefully it is designed. Crown proportion, gum contour, tooth shade, and the emergence of the prosthesis from the ridge all contribute to a natural result. At Dental Implants & Cosmetics, cosmetic awareness is part of every full arch case, not an afterthought. The design phase happens before the final prosthesis is fabricated.
Candidacy and bone loss
Bone loss does not automatically disqualify a patient from All-on-X. The angled implant positioning used in the All-on-X protocol is designed to take advantage of available bone in areas where it is typically better preserved. Some patients still need grafting at one or more sites. A 3D imaging evaluation at your consultation is the only way to know what is possible for your specific jaw.
Long term maintenance
All-on-X teeth are fixed in place and maintained like natural teeth, with brushing, flossing, and professional cleanings. Water flossers can be helpful beneath the arch. Periodic implant checkups are part of long term care. The prosthesis can be removed by the clinician if inspection or maintenance is needed. We review the full maintenance protocol when the final arch is delivered.
A consultation is
not a commitment
The only way to know whether All-on-X, full arch implants, or another approach is right for you is a consultation with 3D imaging and a clinical review. We will give you an honest answer, and options, before asking you to commit to anything.
All-on-X questions,
answered without spin
Your smile has a story.
Let's design
what comes next.
Begin with a private consultation designed to help you understand your options clearly and confidently with no pressure and no obligation.