All-On-4 dental implants replace a full arch of teeth, upper, lower or both, with a fixed bridge supported by four implants. For people who are missing most of their teeth, who are facing extractions, or who are tired of loose dentures, it offers teeth that stay in place, let you eat confidently and look like a natural smile.
Dr. Dan Shaer, who completed an Implantology Fellowship, plans full arch treatment the same way he plans every smile: the finished teeth are designed first, around your face and bite, and the implants are planned in 3D to support them.
What are All-On-4 dental implants?
The All-On-4 approach uses four implants to anchor a complete arch of teeth. The two front implants are placed upright, and the two back implants are typically placed at an angle. Angling the back implants lets them reach areas of denser bone, which often makes it possible to support a full arch without the extensive bone grafting that individual implants for every tooth might require.
The new teeth are a fixed bridge attached to the implants. You do not take them out at night the way you would remove a denture, and they are cleaned in place with a brush and specialized floss or a water flosser. The bridge is designed as a complete smile: tooth shape, color and the way the gumline meets the teeth.
Full arch implants planned in 3D
Full arch treatment depends on precision: implant positions, angles, the bite, the height of the new teeth and how much gum shows when you smile all have to work together. Implant positions are planned digitally in 3D, and the design of the final teeth guides where each implant goes.
Because you are replacing an entire arch, the smile design matters even more than with a single tooth. The plan considers your facial profile, lip support and the proportions of your new teeth so the result looks natural rather than oversized.
Who is a good candidate for All-On-4?
You may be a good candidate if any of these sound familiar:
- Patients missing most or all teeth in one or both arches
- Anyone facing the loss of many failing teeth
- Denture wearers who want fixed teeth that do not slip
- Patients told they lack the bone for individual implants
- Good general health, with conditions such as diabetes well managed
- Non smokers, or patients willing to stop during healing
The only way to know for sure is an examination with digital scans. Dr. Dan tells you honestly whether this is the right option for you, and what the alternatives are.
All-On-4 vs dentures vs individual implants
| All-On-4 fixed bridge | Traditional denture | Implant for each tooth | |
|---|---|---|---|
| Stays in place | Yes, fixed to four implants | Removable, can slip | Yes |
| Covers the palate | No | Upper dentures usually do | No |
| Number of implants | Four per arch | None | Many |
| Bone grafting | Often reduced | Not applicable | More often needed |
| Chewing | Close to natural teeth | Reduced | Closest to natural teeth |
Your All-On-4 treatment, step by step
Every treatment at the studio follows the same mapped, guided process, from your first consultation to the final reveal.
- 01
Consultation and digital scanning
Dr. Dan listens to what you want to change, examines your teeth and gums, and takes digital scans, photos and video of your smile to confirm whether All-On-4 dental implants is the right choice for you.
- 02
Facial analysis and 3D mapping
Your face, lips and bite are measured so the plan is built around your proportions, not a template.
- 03
Your smile blueprint
The treatment is designed digitally. You review the blueprint and ask for changes before any treatment begins.
- 04
Mockup and preview
A mockup lets you preview the design before anything is final, so you know what you are agreeing to.
- 05
Treatment
Any remaining failing teeth are removed and the four implants are placed following the 3D plan. When the implants are stable enough, provisional fixed teeth are attached. After healing, the final full arch bridge is made and secured.
- 06
Final reveal and after care
Your new teeth are checked for fit, bite and comfort, and you receive a maintenance plan with regular professional cleanings to protect the implants.
All-On-4 recovery and healing
After surgery, swelling and soreness for several days are normal, and a soft diet is recommended while the gums and bone begin to heal. The implants then need time to fuse with the jawbone, a process the AAOMS notes usually takes several months.
In many cases a provisional set of fixed teeth can be attached soon after the implants are placed, when they are stable enough, so you are not without teeth during healing. Once integration is complete, the final bridge is made and attached. Whether a provisional bridge is right for you depends on your bone and the stability of the implants, and it is part of your plan.
Caring for All-On-4 teeth
Full arch implant teeth need daily care around the implants and under the bridge: brushing twice a day, cleaning under the bridge with floss designed for implants or a water flosser, and regular professional maintenance visits. Good care keeps the gums and bone around the implants healthy, which is what keeps the teeth secure for the long term. A night guard may be recommended if you grind.
How much do All-On-4 dental implants cost in Beverly Hills?
All-On-4 dental implants start at $14,500 per arch. This starting price covers an oral examination, 3D CBCT imaging, four dental implants and temporary replacement teeth. The permanent restoration is priced separately, and your final cost depends on your jawbone condition, the number of arches and any additional procedures.
| Treatment component | Cost |
|---|---|
| All-On-4, one arch | Starting at $14,500 |
| All-On-4, both arches | Based on your treatment plan |
| Tooth extractions, if necessary | Based on the number and complexity of extractions |
| Bone grafting, if required | Depends on the extent of bone loss |
| Sedation | Based on the type of sedation required |
Starting prices are subject to promotional conditions. Additional procedures and final restorations may cost extra. What shapes your fee:
- One arch or both
- Extractions or bone grafting needed before placement
- Provisional teeth during healing
- The material of the final full arch bridge
Your exact fee is confirmed in a written plan after your consultation, before any treatment begins.
Payment options include cash, check or card, flexible spending accounts and select insurance coverage, plus third party financing through Cherry, Sunbit and CareCredit, which offer low monthly payment plans. For eligible patients there is a no interest option if fees are paid in full within a set number of months.
The most expensive dental work is often the work that has to be redone. Careful planning, quality materials and precise execution are what make a result last.
Why patients choose Dr. Dan Shaer for All-On-4 dental implants
Dr. Dan Shaer is a Beverly Hills trained cosmetic and restorative dentist who plans every case the way an architect plans a building: symmetry, proportion, alignment and balance are mapped first, and the treatment follows the blueprint. His philosophy is simple. Great dentistry should be natural, minimally invasive and tailored to the individual, so your smile matches your face, your personality and your identity.
- Digital Smile Design Certification, so every plan is previewed before treatment
- Implantology Fellowship and Biomimetic Dentistry Certification
- European Minimally Invasive Dentistry Program and U.S. and European training
- Beverly Hills Advanced Cosmetic Dentistry Training
- One plan for function and aesthetics, reviewed and approved by you before anything begins
See real results in the before and after gallery, or book a consultation at the studio on Wilshire Boulevard.
