Restore your full smile with fewer implants, faster healing, and results that feel completely natural.

At a Glance: Why All-on-X?

• Replaces an entire upper or lower arch using just 4 to 6 implants
• Often delivers teeth in one day with a secure, fixed bridge
• More cost-effective and efficient than replacing each tooth individually
• Works well for patients with bone loss, often avoids the need for bone grafting
• Permanent, natural-looking results that restore full chewing ability
• A trusted solution for those who want comfort, confidence, and lasting stability

What Are All-on-X Dental Implants?

All-on-X is a full-arch tooth replacement method that uses four to six dental implants to support a complete set of teeth on the upper or lower jaw. Instead of placing an implant for each missing tooth, this technique strategically angles the implants to maximize stability, making it a strong option even for patients with bone loss.

The result is a fixed, non-removable bridge that functions and looks like natural teeth. In many cases, patients receive a temporary bridge on the same day, making this a “teeth-in-a-day” solution.

This approach builds on the foundation of traditional dental implants, but with greater efficiency and broader accessibility.

Who Is a Good Candidate for All-on-X?

Are missing all or most of their teeth in one arch

If you’re missing most or all of your teeth on the top or bottom, All-on-X can rebuild your entire smile in one procedure. It’s designed for full-arch replacement (not just a few missing teeth), making it ideal when your dentition can’t be saved.

Are frustrated with loose or removable dentures

If your dentures slip, click, or feel uncomfortable, you’re not alone. Many patients come to us after years of struggling with traditional dentures. 

All-on-X offers a secure, fixed alternative that won’t budge during meals or conversations.

Want a permanent, non-removable solution

Tired of taking teeth in and out? All-on-X implants stay in place. You treat them like real teeth: 

• no adhesives
• no removing them at night
• no embarrassing surprises

Just a stable, natural-feeling solution that stays put.

Have some bone loss but want to avoid bone grafting

One of the biggest advantages of All-on-X is that it works for patients with bone loss. The angled placement of the implants helps avoid thin areas in the jaw and often eliminates the need for bone grafting.

Are in good health and able to undergo oral surgery

Most healthy adults qualify. If you can handle a routine dental extraction or minor surgery, you’re likely a candidate. We’ll review your medical history and take 3D scans to make sure it’s the right fit for you.

Even if you’ve been told in the past that implants weren’t an option, you may have more choices than you think. All-on-X has helped many people turn “no” into a confident, functional smile.

How Does the All-on-X Procedure Work?

The All-on-X process is designed to be efficient, precise, and as comfortable as possible. Here’s what to expect, step by step.

Consultation & 3D Imaging

It all begins with a personalized consultation. We sit down with you to understand your goals, concerns, and health history. Then we take high-resolution 3D scans of your mouth and jaw.

These scans allow us to plan your implant placement digitally, right down to the millimeter. This approach ensures accuracy, avoids nerves and sinuses, and helps determine if you need tooth extractions or other prep before your procedure.

Tooth Extractions (if needed)

If you still have teeth that are damaged or cannot be restored, we’ll remove them gently as part of the All-on-X process. In many cases, extractions can be done on the same day as implant placement.

We use local anesthesia and offer sedation options to keep you completely comfortable. Removing failing teeth helps create a clean foundation for your implants and improves long-term outcomes.

Implant Placement

Once your mouth is prepared, we place four to six dental implants into your jaw. These implants are positioned at specific angles to provide maximum stability, even in areas with reduced bone.

The procedure is guided using digital planning, so everything is mapped out in advance. This allows us to place the implants with precision, reduce surgical time, and ensure the best fit for your future bridge.

You’ll be numb and comfortable throughout the process. With sedation, you may not even remember it.

Same-Day Smile

In most cases, we attach a temporary, fixed prosthesis right after the implants are placed. That means you leave with a full set of natural-looking teeth the same day as surgery.

This temporary bridge is functional and attractive. It allows you to speak, smile, and eat soft foods while your implants heal. You’ll never be without teeth during the process.

Healing & Final Restoration

Over the next few months, your implants will fully integrate with your jawbone. This healing process gives them the strength and stability to support your final restoration.

Once everything is healed, we replace your temporary prosthesis with a custom-crafted, permanent one. It’s designed to match your bite, facial features, and natural smile, so it looks like your own teeth.

Everything is carefully planned using guided implant surgery, ensuring the best fit and long-term success.

How Long Do All-on-X Implants Last?

All-on-X dental implants are built to last. With the right care and regular check-ups, they can stick around for 20 years or even longer. In fact, for many people, these implants end up lasting a lifetime!

The titanium posts are strong and biocompatible. They bond with your jawbone, creating a secure foundation that doesn’t shift or loosen.

The bridge (the visible part that looks like teeth) may need to be replaced after 10 to 15 years. This depends on your bite, oral hygiene, and daily habits.

Regular checkups and cleanings help protect your investment and keep your smile functioning beautifully for years.

What Makes All-on-X Different from Dentures or Traditional Implants?

All-on-X combines the benefits of dental implants with the convenience of a full-arch solution. Here’s how it compares to other common options:

In more complex cases (like severe bone loss), zygomatic implants may offer an alternative to bone grafting.

And for patients who prefer a removable option with more stability than dentures, implant-supported dentures may be a better fit.

Caring for Your All-on-X Dental Implants

Keeping your All-on-X implants clean is just as important as caring for natural teeth. A simple daily routine and regular checkups will help keep your gums, implants, and bridge in top shape.

Daily Care Tips

• Brush gently twice a day with a soft toothbrush
• Use a water flosser or special implant floss to clean under the bridge
• Rinse with an antimicrobial mouthwash if recommended

Professional Maintenance

• Visit us every 3 to 6 months for implant cleanings and exams
• We’ll check the implants, gum health, and make sure everything is functioning properly

What to Avoid

• Stay away from sticky or hard foods during the healing phase
• Don’t skip cleanings, even fixed teeth need routine care

Our goal is to help you protect your investment for life. Learn more about how we manage implant health through gum disease treatment.

Cost of All-on-X Dental Implants

All-on-X is a cost-effective way to replace an entire arch of teeth using fewer implants. While the upfront cost is an investment, it often saves money compared to placing individual implants one by one.

At our Frederick, MD office:

• The average cost for a full arch is $25,000 for direct patients
• This includes the consultation, surgery, implants, temporary bridge, and final restoration**
• Flexible financing options are available to help make treatment more accessible

We’ll walk you through your options and answer all your questions at your consultation. 

For more details on pricing and candidacy, see our dental implant FAQs.

**Note: The total cost of All-on-X does not include anesthesia. 

Key Takeaways

• All-on-X replaces all teeth in one arch using just 4 to 6 implants

• The bridge is fixed in place, doesn’t come out, and is often delivered the same day

• Great for patients with bone loss who want to avoid grafting

• More efficient and affordable than replacing teeth one by one

• Easy to clean, comfortable to wear, and built for long-term success

Frequently Asked Questions

What are All-on-X implants?

All-on-X is a full-arch tooth replacement system. It uses 4 to 6 dental implants to support a fixed, non-removable bridge that restores your entire upper or lower smile in one procedure.

How long do All-on-X implants last?

The titanium implants can last a lifetime with good care. The bridge on top may need to be replaced after 10 to 15 years due to normal wear.

What is the recovery time for All-on-X dental implants?

Most patients return to normal activities within a day or two. Complete healing and bone integration usually take a few months, during which you wear a stable temporary bridge.

How much is an All-on-X?

The average cost is about $25,000 per arch. This includes your consultation, implant surgery, temporary teeth, and final restoration.

How do you clean All-on-X implants?

Brush twice daily with a soft brush, use a water flosser to clean under the bridge, and visit your dentist regularly for maintenance. Keeping the area clean helps protect both the implants and your gum health.

Ready to Take the Next Step?

If you’re considering All-on-X dental implants, we’re here to help. Schedule your consultation online or call us at 240-363-0360 to find out if you’re a candidate.

Your new smile could be just one appointment away.