All-on-X implants are a modern solution for replacing an entire arch of teeth using as few as four strategically placed implants, designed to restore your smile with precision and durability. Located conveniently in Frederick, MD, our advanced implant technology provides a comfortable, lasting alternative to traditional dentures. What Are All-on-X Dental Implants? All-on-X dental implants are an innovative solution for patients needing a fixed full-arch restoration, a permanent alternative to traditional removable dentures. This advanced procedure uses dental implants to securely anchor a full arch of prosthetic teeth, offering greater comfort, stability, and a natural appearance compared to dentures. The term “X” refers to the number of implants used to support the arch, which typically ranges from four to six depending on individual needs. These implants act like artificial roots, providing a strong foundation designed to last for decades. Unlike removable dentures, All-on-X implants remain fixed in place, giving patients the confidence to eat, speak, and smile without worry. This procedure is ideal for those seeking both function and aesthetic improvement, combining advanced dental technology with personalized care for optimal results. It is well-suited for restoring oral health and quality of life with a solution that feels almost indistinguishable from natural teeth. Why Choose All-on-X Implants? Here’s why this treatment stands out. Key Benefits Permanent solution for missing teeth. Improved bite strength and function compared to dentures. Aesthetics: Provides a natural-looking smile with stable, long-lasting results. Efficiency: Requires fewer implants to support a full arch, streamlining the process. Bone preservation: Prevents future bone loss with strategically angled implants designed for optimal support. How They Compare to Traditional Implants and Dentures Cost: All-on-X implants offer a cost-effective solution by using fewer implants for complete arch restoration, unlike traditional single implants. Stability: More stable and secure compared to removable dentures, which can shift or loosen over time. Treatment time: Faster results with All-on-X implants due to their streamlined procedure. The All-on-X Implant Process at Our Frederick Office Diagnostic Surgery Same Day Results Final Restoration Diagnostic During your initial consultation, Dr. Towe will determine if All-on-X is the appropriate treatment for you based on your current health and specific smile goals. She will then plan each step of your treatment digitally using 3D CT scans and intra oral scans. Virtual pre-surgical planning the procedure allows us to achieve consistent and ultra-precise results. Dr. Towe only uses high-quality implant posts and recommends using the longest-lasting and most aesthetically appealing restoration materials for your final smile. Surgery Dr. Towe relies on her extensive expertise and experience to complete smile-transforming surgeries every day. After making you comfortable with IV sedation, she’ll remove any remaining decayed teeth before placing a minimum of four durable titanium posts per jaw. These titanium posts are placed in strategic positions to support a full jaw of teeth. Same Day Results After the titanium posts are placed, Dr. Towe will work with your general dentist to attach a temporary bridge to the posts so that you can leave with a full mouth of beautiful and securely fixed teeth that same day! These will function just like real teeth until you receive your final bridge. Final Restoration After checking that your implants have successfully healed in the jaw bone, your temporary bridge will be replaced with a custom-designed and durable final bridge. The final bridge provides long-term function and beauty. You will finally have a brand new smile! Who is a Candidate for All-on-X? We understand that every patient’s situation is unique. All-on-X implants are an innovative solution designed for specific needs, particularly for: Patients missing most or all of their teeth who are looking for a permanent, reliable replacement. Denture wearers seeking a more stable and comfortable alternative to traditional dentures. Individuals with some degree of bone loss, as angled implants can often bypass the need for extensive grafting. Cost of All-on-X Implants The cost of All-on-X implants can vary depending on several factors, including: Number of implants required to securely anchor the restoration. Bone grafting needs, which may be necessary for patients with insufficient bone structure. Type of restoration selected, such as material and design specifics. We understand that this is a meaningful investment, which is why we offer flexible financing options and payment plans to make advanced dental care more accessible. Our goal is to help you achieve a restored smile while staying within your budget. Why Patients Trust Advanced Implants & Periodontics Proud to be a trusted name in Frederick, MD for advanced dental care, our practice is led by highly skilled periodontists with advanced training in the latest techniques and technology, ensuring every patient receives exceptional care.  Beyond expertise, our warm and supportive team is dedicated to creating a comfortable, patient-focused environment, so you always feel at ease. Our emphasis on precision and compassion ensures that you’re in capable, caring hands. Frequently Asked Questions How many implants are used in an All-on-X treatment? The “X” in All-on-X refers to the number of implants placed, usually four to six per arch. The exact number depends on your bone structure and treatment needs. Will I have teeth the same day as the surgery? In most cases, yes. Many patients leave their procedure with a set of temporary teeth attached to the implants, so you never go without a smile. How long does it take to heal after All-on-X implants? Initial healing usually takes about 1–2 weeks, but full integration of the implants with your jawbone can take several months. During this time, you’ll wear temporaries before your final custom prosthetic is placed. Are All-on-X implants painful? Most patients report minimal discomfort thanks to sedation options and precise surgical techniques. Any soreness after surgery is typically managed with medication and eases quickly. How long do All-on-X implants last? With proper care, All-on-X implants can last decades or even a lifetime. Regular checkups, cleanings, and good oral hygiene are essential for long-term success. What should I expect if I get all-on-X dental implants? Your damaged teeth will be extracted to make room

Restore a full arch of teeth with enhanced support and long‑term stability. At a Glance: Why All‑on‑8? Eight implants support a full‑arch bridge, offering stronger load distribution Ideal for patients with higher bite force or full‑mouth wear‑and‑tear Promotes excellent bone preservation and facial structure Can often support same‑day provisional teeth Designed for long‑term comfort, durability, and function   What Are All‑on‑8 Dental Implants? All-on-8 dental implants are a full-arch restoration solution that uses eight implants to support a permanent, fixed bridge of teeth.  It’s designed for patients who are missing all of their upper or lower teeth (or both) and need added strength and stability beyond All-on-4 or All-on-X approaches. How Is All‑on‑8 Different? While All-on-4 uses four implants and All-on-X may use four to six, All-on-8 provides even more anchorage. With eight implants evenly distributed across the jaw, the prosthetic bridge is extremely stable and better able to handle strong biting forces. This makes All-on-8 ideal for patients who: Have a strong bite or grind their teeth (bruxism) Need full-mouth reconstruction with extra support Prefer the most secure and long-lasting implant solution What Materials Are Used? The final bridge is typically made from high-quality materials like: Zirconia: Durable, lifelike, and resistant to staining Titanium-reinforced acrylic: Lightweight and strong for hybrid bridges PMMA: Often used for the temporary bridge placed on surgery day Each case is customized for aesthetics, function, and longevity. Full‑Arch All‑on‑8 Dental Implant Process Getting All‑on‑8 implants is a multi-phase journey, but one that delivers powerful, lasting results. Here’s how the process works step by step. 1. Consultation & 3D Imaging Your journey begins with a personalized evaluation. During this visit, we: Review your medical and dental history Take 3D CBCT scans to evaluate your jawbone, sinuses, and nerve location Discuss your goals, aesthetic preferences, and timeline Develop a precise digital treatment plan tailored to your unique needs This digital planning ensures that every implant is placed in the most secure and strategic location. 2. Extractions & Site Preparation If you have remaining teeth that are failing, decayed, or causing discomfort, they’ll be removed during this phase. Tooth extractions are typically done on the same day as implant placement The jawbone is smoothed and shaped to prepare for the bridge In some cases, minor bone grafting is performed to ensure stability This step sets the stage for successful implant placement and a long-lasting foundation. 3. Implant Placement Once your jaw is prepared, eight dental implants are precisely placed using guided surgical techniques. Four implants are typically placed in the front, and four in the back Implant angles are adjusted to maximize contact with healthy bone The procedure is performed under sedation for your comfort. In most cases, all eight implants are placed in a single visit The secure placement of all eight implants allows for a highly stable base, especially important for long-term wear and heavy biting forces. 4. Same‑Day Temporary Bridge After the implants are placed, most patients receive a temporary bridge the very same day. This fixed, non-removable bridge lets you leave with a full set of teeth It’s crafted to look natural and allow light chewing during healing You won’t go without teeth during recovery Helps you adjust to your new smile while the implants integrate This provisional restoration is worn for several months until your final custom bridge is ready. 5. Healing & Final Restoration After implant placement, your jaw needs time to heal and allow the implants to fuse with the bone, a process called osseointegration. Healing typically takes 3 to 6 months We monitor integration through checkups and digital scans Once stable, the temporary bridge is replaced with your permanent restoration The final bridge is custom-designed for durability, function, and aesthetics Your permanent teeth will look and feel natural. And with eight implants as their foundation, they’ll be ready for decades of confident smiles and strong bites. Who Is a Good Candidate for All‑on‑8? All‑on‑8 dental implants aren’t for everyone, but they’re an excellent choice for patients who need more support than All‑on‑4 or All‑on‑X can provide. You may be a good candidate if you: Need a full‑mouth restoration and have strong chewing habits or a history of teeth grinding Have moderate bone density, especially in the posterior jaw Want added stability and support for your bridge beyond what fewer implants offer Are in good overall health and free from active gum disease or infection Have been told you’re not a candidate for All‑on‑4 or have had a failed implant case in the past Bone grafting may still be needed, but with eight implants, the load is better distributed, which helps protect the implants and bridge over time. Recovery and Longevity of All‑on‑8 Implants Healing from All‑on‑8 is typically smoother than expected, especially with a fixed temporary bridge in place. Here’s what to expect during recovery and over the long term. Initial Recovery Timeline Most patients return to light activity within 1–2 days Swelling and soreness usually peak in the first 48 hours Ice packs, soft foods, and prescribed medications help manage comfort A soft diet is recommended for several weeks Your temporary bridge helps you speak and smile confidently while your implants heal underneath. Temporary-to-Final Bridge Transition The provisional bridge is worn during the 3–6 month healing period Once your implants are fully integrated, impressions are taken for your final bridge The permanent restoration is stronger, more aesthetic, and built to last Longevity The eight implants themselves can last 20 years or more, often for life The final bridge may need replacement every 10 to 15 years due to normal wear Material choice (zirconia vs. acrylic) can affect longevity Maintenance and Follow-Ups Clean at home daily with a soft toothbrush and water flosser Visit the office every 3–6 months for cleanings and implant checks Early care protects your investment and helps prevent implant complications Cost Guide: All-on-8 Dental Implants Understanding the cost of full-mouth implants is key to planning your treatment. All-on-8 is a premium option due to the

Understanding two leading full-arch implant options: how they compare, when to choose one over the other, and what it means for your long-term smile. At a Glance: All-on-X vs All-on-4 Both are full-arch dental implant systems All-on-4 uses four implants placed in a fixed protocol All-on-X uses 4 to 6 implants based on your bone and anatomy All-on-X allows greater flexibility and customization Both can deliver a fixed bridge and teeth in one day Ideal solution depends on your bone structure, goals, and health   What Are All-on-4 and All-on-X? Both All-on-4 and All-on-X are advanced full-arch dental implant solutions that replace all the teeth in the upper or lower jaw with a fixed, non-removable bridge. What Is All-on-4? All-on-4 is the original concept developed to restore a full arch of teeth using exactly four implants. Two implants are placed straight in the front, and two are angled in the back to maximize support without the need for bone grafting. It’s a proven protocol designed for speed, simplicity, and effectiveness. Recommended reading: What Are All-on-4 Dental Implants? What Is All-on-X? All-on-X is a more flexible and modern version of the same concept. It uses between four and six implants, depending on your anatomy, bone density, and bite needs. This approach is customized using 3D imaging and guided surgery for optimal placement and long-term stability. What Stays the Same? While All-on-4 and All-on-X differ in planning and implant count, they share several important advantages: Full-arch restoration. Both replace all the teeth in the upper or lower jaw with a secure, fixed bridge. Same-day teeth. In many cases, a temporary bridge is placed the same day as the implants. Fixed, non-removable solution. Unlike dentures, these bridges stay in place; you don’t take them out. Improved function and confidence. Both restore chewing, speech, and facial structure. Implant-supported stability. No slipping, no adhesives, and no bulky acrylic bases. No matter which system you choose, the goal is the same: a healthy, full smile you can rely on every day. Key Differences Between All-on-X and All-on-4 Both treatments are effective, but they’re not identical. Here’s how they compare side by side: Feature All-on-4 All-on-X Number of Implants Always 4 Typically 4 to 6 Flexibility in Placement Fixed protocol Adapted based on bone and anatomy Best For Predictable jaw structure Complex or custom cases Customization Level Limited High—based on 3D-guided planning Need for Bone Grafting Often avoided Also avoided, even in more advanced cases Longevity & Success Rate High Equally high with tailored support In simple terms: All-on-4 is efficient and streamlined. It’s ideal if your anatomy fits the standard placement model. All-on-X adapts to your anatomy. It’s often better for patients with bone loss or unique needs. Both approaches result in a full, fixed smile; you just get there a slightly different way. When Is All-on-X the Better Option? All-on-X is ideal for patients who need a more customized approach to full-arch restoration. Because it allows the number and angle of implants to be tailored to your specific needs, it works well for a broader range of cases. All-on-X may be better if you: Have advanced bone loss that makes traditional placement difficult Were previously told you’re not a candidate for dental implants Need greater stability or implant coverage across the arch Want a more personalized plan guided by digital imaging Have a history of failed dentures or prior implant attempts This flexible approach can also be paired with other advanced solutions. For patients with severe upper jaw bone loss, zygomatic implants may be used instead of bone grafting. When Is All-on-4 Still Ideal? All-on-4 remains a highly effective solution for many patients, especially when jawbone volume is adequate and no added customization is needed. It’s a streamlined, proven protocol that offers excellent results with fewer implants. All-on-4 may be the right choice if you: Have a healthy bone structure in the front and back of your jaw Prefer a simpler treatment plan with fewer surgical variables Are looking for a cost-effective full-arch option Want to avoid bone grafting and receive teeth quickly Qualify under standard implant placement criteria All-on-4 has helped millions of people regain a confident smile, especially when time and budget are important considerations. Materials and Final Results Both All-on-4 and All-on-X use similar materials to create strong, attractive full-arch restorations. The final result is a set of teeth that look, feel, and function like your own. Common Bridge Materials Acrylic (PMMA): Lightweight and often used for temporary bridges Zirconia: Durable, highly aesthetic, and stain-resistant, ideal for final restorations Titanium bars (sometimes used): Provide internal support and added strength Your choice of material may depend on bite strength, esthetic goals, and budget. Both treatments aim to deliver a result that’s comfortable, long-lasting, and visually natural. No matter which option you choose, the final smile is life-changing, restoring your ability to chew, speak, and smile with confidence. Cost Comparison and Planning The cost of All-on-4 and All-on-X is similar, but there may be slight variations depending on your treatment complexity. Both options are a significant investment in your health, appearance, and quality of life, and both can be more affordable than placing individual implants for each tooth. What Affects the Cost? Number of implants (4 vs. 5 or 6) Bone condition and surgical needs Type of restoration material (temporary vs. zirconia) Sedation or anesthesia preferences Additional procedures (tooth extractions, sinus lift, etc.) At our Frederick, MD, practice, full-arch implant treatment starts around $25,000 per arch for direct patients. We offer flexible financing and walk you through every detail at your consultation. Key Takeaways Both All-on-X and All-on-4 offer life-changing, fixed full-arch solutions All-on-4 is ideal for standard, predictable cases All-on-X offers more flexibility for unique needs and bone challenges The right choice depends on your anatomy, goals, and clinical exam You don’t have to choose alone, our team will guide you Frequently Asked Questions Can I choose between All-on-X and All-on-4? Yes. After your consultation and 3D imaging, we’ll discuss which approach

At a Glance: Full-Mouth Implant Options Fixed solutions are designed to replace an entire set of upper, lower, or both arches Options include All‑on‑4, All‑on‑X, implant‑supported dentures, and zygomatic implants Same‑day provisional teeth are available in most cases Premium natural results with full chewing strength Tailored to anatomy, bone availability, and patient goals   What Are Full-Arch Dental Implant Options? Full-arch dental implants are a permanent way to restore your entire smile, and they’re nothing like traditional removable dentures.  Instead of dealing with slipping or discomfort, these implants support a fixed bridge that looks, feels, and functions just like real teeth. Imagine eating, smiling, and living your life without worrying about your teeth again! Dental implants for all teeth could be the answer you’ve been looking for. All‑on‑4 Implants All‑on‑4 is a proven method that uses exactly four dental implants to support a full arch of teeth. The implants are strategically placed (two in the front and two angled in the back) to maximize stability, often without bone grafting. The bridge is fixed in place and does not come out Most patients receive temporary teeth on the same day Ideal for patients with moderate bone loss and a healthy overall condition Streamlined treatment with predictable, long-term success This approach has helped thousands of patients regain confidence, comfort, and function with just one surgical procedure. All‑on‑X Implants All‑on‑X is a more flexible version of the full-arch dental implant approach. Instead of always using four implants, like the All-on-4 method, this approach utilizes between four and six implants, depending on your jaw structure, bone density, and bite force. The placement is customized using 3D digital imaging and guided surgical tools, allowing your periodontist to position each implant for optimal strength and support. More implants can improve the long-term durability and distribution of chewing forces Ideal for patients with more complex anatomy or uneven bone levels Still allows for same-day teeth in many cases Especially helpful if you’ve been told you’re not a candidate for traditional implants Implant-Supported Dentures Implant-supported dentures provide a secure and removable option for replacing all teeth in the upper or lower arch. Instead of relying on suction or adhesives, these dentures attach to two to six dental implants placed in the jaw. They “snap” onto implant abutments for added stability You can remove them for cleaning, but they stay firmly in place during daily use Fewer implants are needed compared to fixed bridges A cost-effective option for patients wanting better support than traditional dentures This approach offers a good balance between affordability and function, especially for patients who want a removable solution that doesn’t shift or slip. Zygomatic Implants Zygomatic implants are a specialized solution for patients with severe bone loss in the upper jaw who cannot receive traditional implants. Instead of being anchored in the jawbone, these longer implants are placed into the cheekbone (zygoma), which offers strong, stable support. Often eliminates the need for bone grafting or sinus lifts Used when other full-arch dental implant options are not possible Typically paired with two to four standard implants in the front for a secure full-arch restoration Performed by highly trained specialists with advanced imaging and surgical planning This technique is ideal for patients who have been told they’re not candidates for implants due to bone loss. Who Qualifies for Dental Implants for All Teeth? Not everyone is an immediate candidate for full-mouth dental implants, but many more people qualify than they think. Thanks to modern imaging, surgical planning, and advanced techniques, full-arch restorations are more accessible than ever. Health & Bone Requirements To be considered for dental implants to replace all your teeth, you should: Be in generally good health Have stable blood pressure and well-managed medical conditions Avoid tobacco use or be willing to stop during healing Have healthy gums free from active infection Possess adequate bone in the jaw, or qualify for bone-building procedures If you’re missing bone or have worn dentures for years, don’t worry. You still may be eligible. Bone Regeneration Options Bone loss used to disqualify patients from receiving implants. Today, that’s no longer the case. Bone grafting helps rebuild areas with shrinkage or thin bone Guided surgery allows precise implant placement in stronger areas Zygomatic implants bypass the jawbone altogether and anchor into the cheekbone These solutions make full-mouth implants possible even for patients with significant bone loss.  What to Expect During Full-Arch Treatment Replacing all of your teeth with dental implants is a carefully planned and highly personalized process. Here’s what you can expect from start to finish. 1. Comprehensive Evaluation & Planning Every case begins with a full diagnostic workup. This includes: A thorough exam and review of your health history Digital X-rays and 3D CBCT imaging to assess bone levels Bite analysis and smile design tailored to your goals From this, your periodontist develops a step-by-step treatment plan that outlines everything, including implant placement, prosthetic design, and recovery phases. 2. Extractions and Site Prep If you have remaining teeth that are failing or unhealthy, they’ll be gently removed as part of the implant preparation. Extraction is often done the same day as implant placement Bone reshaping or smoothing may be performed for optimal fit Any infection or inflammation is managed beforehand Healing time between extractions and implants depends on your specific case. 3. Implant Placement Techniques The surgical portion of treatment involves placing the implants into the jawbone. Depending on your needs, this may include: All-on-4 or All-on-X full-arch placement A combination of regular and zygomatic implants Snap-on implant-supported denture abutments Each implant is placed using guided techniques for precision and long-term success. 4. Provisional Teeth Delivery Most patients receive a fixed temporary bridge the same day as their surgery. This allows you to: Leave with a full smile Eat soft foods Begin healing with confidence These temporary teeth are designed for aesthetics and light function during recovery. 5. Healing & Final Restoration Your bone needs time to integrate with the implants, a process called osseointegration. Healing

At-a-Glance: Why Choose Dental Implants? Permanent replacement for one or more missing teeth Look, feel, and function like your natural teeth Help prevent jawbone loss and changes in facial shape Versatile enough to support single teeth, bridges, or full-arch restorations Backed by advanced surgical technology and customized sedation options for your comfort   What Are Dental Implants and How Do They Work? A dental implant is a small post made of titanium that’s placed in your jaw where a tooth is missing. It acts like the root of a natural tooth. Over time, the implant bonds with your bone. This creates a strong foundation for a crown, bridge, or even a full-arch of teeth. The process is called osseointegration, and it’s what makes implants so stable. Unlike removable dentures, implants stay in place and feel like real teeth. They let you eat, speak, and smile with confidence. Recommended reading: What Are Dental Implants? Who Is a Good Candidate for Dental Implants? Have one or more missing teeth. If you’re missing even one tooth, a dental implant may be the best way to replace it. Gaps can cause your other teeth to shift over time, affecting your bite and your ability to chew comfortably. Dental implants are a permanent solution that helps restore your smile and prevent future dental problems. Whether you lost a tooth due to decay, injury, or gum disease, replacing it early can protect your long-term oral health. Are in good overall health Good general health plays a key role in successful healing after implant surgery. If you’re able to undergo routine dental procedures like extractions or minor oral surgery, you’re likely a strong candidate. Chronic conditions like uncontrolled diabetes, active cancer treatment, or immune disorders may affect healing, but they don’t always rule out implants. We’ll review your medical history carefully to make sure the procedure is safe and effective for you. Being in good health ensures your body can support the implant as it bonds with your bone and gum tissue. Have sufficient jawbone or are eligible for bone grafting Dental implants require solid bone to remain securely anchored. If you’ve had missing teeth for a while, there’s a chance your jawbone has started to shrink in that area. This is common, but it doesn’t automatically disqualify you from treatment. We use 3D imaging to check the density and volume of your bone. If it’s not thick enough, we can often rebuild it with a simple bone grafting procedure. This creates a strong foundation so your implant can be placed securely and heal properly. Many patients who were once told they didn’t have enough bone now qualify thanks to these advanced techniques. Don’t smoke or are willing to quit for healing Smoking can slow healing and increase the risk of implant failure. That’s because it reduces blood flow to your gums and bone, both of which are essential for your implant to integrate successfully. If you’re a smoker, that doesn’t mean you can’t get implants. But you’ll need to stop before and after the procedure to give your body the best chance to heal. Even cutting back significantly during the healing phase can improve your outcome. We’re happy to discuss your options and offer guidance if quitting is part of your treatment plan. Even if you’ve been told in the past that you don’t qualify for implants, there may still be options. Advanced techniques like bone grafting and zygomatic implants have helped many patients with bone loss get the care they need. Still not sure if you’re a candidate? Visit our Dental Implant FAQs for more details on who qualifies and what to expect. What to Expect During the Dental Implant Process in Frederick, MD 1. Consultation and digital planning Every implant journey starts with a thorough consultation. We’ll take the time to understand your goals, medical history, and concerns. Then, we conduct a comprehensive oral examination and take 3D digital scans of your jaw. These images help us plan your treatment with pinpoint accuracy. Using advanced software, we can map the ideal implant position and avoid critical structures like nerves and sinuses. If you need additional procedures like extractions or grafting, we’ll build that into your plan from the start. 2. Tooth extraction (if needed) If you still have a damaged or unsalvageable tooth in the area, we’ll gently remove it before placing your implant. In many cases, this can be done during the same visit as your consultation or implant placement. Extractions are typically quick and comfortable, especially with local anesthesia and sedation options to help you relax. Once the tooth is removed, we assess the bone and gum tissue to decide whether the implant can be placed right away or if healing time is needed. Taking this step early helps prepare your mouth for the most stable, natural-looking restoration. 3. Bone grafting (when required) If your jawbone isn’t thick or dense enough to support an implant, we may recommend a bone graft. This is a straightforward procedure in which we add bone material to rebuild the area and create a stable base for the implant. Bone grafting doesn’t always mean a long delay. In some cases, we can place the implant at the same time. At other times, we allow a few months for the graft to fully integrate before proceeding. The goal is to give your implant the strength and support it needs to last for years to come.  4. Surgical placement of the implant Once your jaw is ready, we place the dental implant directly into the bone beneath your gum. The procedure is always performed under sedation, with patients having the option to choose between oral sedation or IV sedation for their comfort. The process typically takes less than an hour per implant. We use precise digital planning to guide placement and ensure optimal positioning. After the implant is placed, the gum is gently closed around it, and a healing cap is applied. Most patients experience minimal discomfort afterward,

A closer look at the original full-arch dental implant solution and how it changed modern tooth replacement. At a Glance: Why All-on-4? Replaces all your upper or lower teeth with just four implants Supports a fixed, full-arch All-on-4 bridge Often avoids bone grafting by using angled back implants Teeth are typically placed the same day as surgery Designed for fast recovery and long-term success Proven protocol with decades of success What Are All-on-4 Dental Implants? All-on-4 is a game-changing dental implant technique that replaces all the teeth in your upper or lower jaw with just four implants. It’s a simple, effective solution for a full smile!  All-on-4 is a fixed, permanent solution for patients who have lost most or all of their teeth. How It Works Instead of placing a single implant for every missing tooth, All-on-4 uses: Two implants placed straight in the front of the jaw Two implants placed at an angle in the back for added support and bone contact These four implants act as anchors for a custom full-arch restoration, often placed on the same day. This approach gives patients a full set of functional, natural-looking teeth with fewer implants and less surgery. What Is the All-on-4 Bridge? The All-on-4 bridge is a fixed, non-removable prosthesis that attaches to the four implants. It looks like a natural set of teeth and is designed to stay in place, no slipping, no adhesives, and no removal at night. Bridges can be made from materials like acrylic or zirconia, depending on your needs, budget, and bite strength. They’re crafted to fit your mouth, support your facial structure, and restore full chewing power. The Origin of All-on-4 All-on-4 was developed in the 1990s as a solution for edentulous patients (those without any teeth) who didn’t want dentures or extensive bone grafting. Its angled implant placement was a breakthrough, allowing stable support in areas with limited bone. All-on-4 vs. Traditional Implants Traditional implants usually require one implant per tooth or implant-supported bridges placed in segments. These often involve bone grafts, take longer, and cost more overall. All-on-4 reduces the number of implants needed while still offering a secure, full-arch restoration. It also minimizes the need for grafting and shortens treatment time. A Modern Alternative: All-on-X While All-on-4 uses four implants, modern technology allows variation. The All-on-X method customizes the number and position of implants based on your unique anatomy, typically using 4 to 6 implants for improved support and flexibility. How Is the All-on-4 Bridge Supported? The All-on-4 system is designed for strength and stability, even in those patients with reduced bone volume. The placement of the implants is critical to the success of the procedure. Strategic Implant Placement Support for the All-on-4 bridge comes from four implants: Two implants placed vertically in the front part of the jaw where bone is typically stronger Two implants placed at an angle toward the back to avoid thin bone and reduce the need for grafting This configuration allows the implants to evenly distribute pressure and securely anchor a full set of teeth, even in cases with bone loss. Teeth in One Day One of the biggest advantages of All-on-4 is the ability to place a temporary bridge the same day as surgery. This is called the immediate load protocol. It means you don’t have to go without teeth while your implants heal. You’ll leave with a fixed, functional bridge that stays in place while your implants integrate with your jawbone. Why the Bridge Stays Secure Unlike removable dentures, the All-on-4 bridge is fixed directly to the implants. It does not come out and doesn’t rely on adhesives or suction. That means: No slipping or shifting when you eat or speak No need to remove the bridge at night Greater comfort and confidence in daily life Common Bridge Materials All-on-4 bridges are typically made from: Acrylic: Lightweight and cost-effective, often used for temporary bridges Zirconia: Stronger, more durable, and highly aesthetic, ideal for final restorations Your dentist will recommend the best option based on your needs, bite force, and cosmetic goals. Who Is a Good Candidate for All-on-4? All-on-4 dental implants are designed for adults who have lost most or all of their teeth in one arch and want a permanent, fixed solution. It’s especially helpful for patients who wish to avoid removable dentures or extensive surgery. You may be a candidate if you: Are missing all or most of your upper or lower teeth Have loose or failing teeth that need to be removed Wear dentures and are unhappy with how they fit or feel Have moderate bone loss and want to avoid bone grafting Are in good general health and able to undergo oral surgery This treatment works well for both younger and older adults. Many people who were told they didn’t have enough bone for implants are now able to receive All-on-4 because of its angled implant approach. However, if you’ve lost significant bone in the upper jaw, zygomatic implants may be a better option. We’ll assess your needs using 3D imaging and help you decide what’s best for your health and goals. What’s the Difference Between All-on-4 and All-on-X? All-on-4 and All-on-X are both full-arch dental implant solutions that use a small number of implants to replace an entire set of upper or lower teeth. The key difference is in the flexibility of the treatment plan. All-on-4 Always uses exactly four implants Follows a standardized placement protocol Originally designed to reduce bone grafting Proven track record with consistent results Typically best for patients with predictable anatomy All-on-X Uses four to six implants, depending on your unique bone structure Allows more flexibility in placement and support Tailored to the patient’s anatomy using digital planning Offers added stability in more complex or compromised cases Often chosen for patients with advanced bone loss or custom needs Both methods deliver a fixed, full-arch restoration. All-on-X is often considered an evolution of All-on-4 because it adapts the number of implants to your individual needs.

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

A dental implant is a small post placed in your jaw to replace the root of a missing tooth. It creates a sturdy base for a crown, bridge, or full-arch restoration, providing a tooth that functions, looks, and feels just like a natural one. Unlike dentures, implants don’t move or slip. You can eat, speak, and smile with full confidence. They’re often made from titanium, a biocompatible metal that bonds with your bone over time. In short: dental implants are the closest thing to getting your real teeth back. Dental Implants Quick Highlights: Permanent, fixed solution for missing teeth Restores chewing, speech, and confidence Preserves jawbone and facial structure Long-lasting with proper care See patient transformations in our smile gallery How Do Dental Implants Work? Dental implants work by bonding with your jawbone, creating a strong, permanent foundation for new teeth. This process is called osseointegration, a natural fusion between the implant and bone. Once healed, the implant acts just like a natural tooth root. From there, it supports different types of restorations depending on your needs: A crown for a single missing tooth A bridge for several missing teeth Implant-supported dentures for added security and comfort Or a full-arch solution like All-on-X implants to replace all teeth in a single arch For patients with severe bone loss, advanced options like zygomatic dental implants may be recommended, offering support even when traditional implants aren’t possible. The result? A stable, natural-feeling smile that restores confidence and function. Who Should Consider Dental Implants? If you’re missing teeth (or tired of dentures that don’t stay put), dental implants could be your answer. They’re designed for adults who want a lasting solution that feels like their natural smile. You may be a good candidate if you: Have one or more missing teeth Struggle with loose, uncomfortable dentures Have bone loss from gum disease, injury, or long-term tooth loss Want a fixed, long-term solution without worrying about slipping or adhesives Even if you’ve been told in the past that implants weren’t an option, that may have changed. Dr. Melanie Towe uses advanced techniques, including bone grafting and zygomatic implants, to help more patients qualify, even in complex cases. Am I a Candidate for Dental Implants? Not sure if our dental implants are right for you? A consultation will give you the answers. It’s a full assessment of your oral and overall health to ensure long-term success.  Jawbone Strength and Gum Health Healthy bone and gums are key for implant stability. During your visit, we’ll check if your jaw has enough volume to support an implant. If not, bone grafting or other regenerative techniques may be recommended. 3D Imaging for Precision Placement We use advanced 3D imaging to map your mouth in detail. This helps us plan exactly where implants should go, improving comfort, success, and aesthetics. Review of Your Medical History Your healing ability matters. We’ll review any chronic conditions like diabetes, medications, or smoking history to ensure your body can properly heal after implant surgery. Solutions for Bone Loss and Gum Disease Even if you have bone loss or past gum disease, it’s not necessarily a barrier. Many patients still qualify after proper treatment. Learn more in our Dental Implant FAQs. How Long Do Dental Implants Last? Dental implants are built to last, often 20 years or more. In many cases, they can last a lifetime. But like any investment in your health, their longevity depends on how well you care for them. The titanium post placed in your jaw is exceptionally durable and resistant to wear. It won’t decay like a natural tooth. However, the health of the surrounding bone and gum tissue plays a crucial role in maintaining the implant’s long-term security. Here’s what helps dental implants last: Daily oral hygiene practices, like brushing, flossing, and using a water flosser, can help prevent infections around the implant. Regular checkups. We recommend cleanings every 3–6 months to keep the area healthy and detect any issues early. Gum health maintenance. Inflammation around an implant (called peri-implantitis) is one of the top reasons for implant failure. Preventive care is key. We also support long-term success through advanced gum disease treatment. If you’ve had a history of periodontal issues, we’ll create a personalized care plan to protect your results for the long haul. How Much Do Dental Implants Cost? You probably wonder, “How much do dental implants cost?” The truth is that it varies based on the type of implant, the number of teeth being replaced, and whether additional procedures (such as bone grafting) are needed. At our Frederick, MD practice: A single dental implant starts at a competitive rate based on clinical needs Full-arch solutions like All-on-X average around $25,000  While implants are an investment, they often last decades, making them more cost-effective than bridges or dentures over time. We also offer recommendations on financing options to make care accessible. Frequently Asked Questions What is a dental implant & how does it work? A dental implant is a small metal post (usually titanium) surgically placed in the jawbone to act as a replacement tooth root. The implant gradually bonds with the bone through a process known as osseointegration. Once healed, it supports a crown, bridge, or full-arch prosthesis, providing a stable, natural-looking result. How painful is getting a dental implant? Getting a dental implant is typically less painful than most people expect. The procedure is done under local anesthesia so that you won’t feel discomfort during placement. Mild soreness afterward is common and usually managed with over-the-counter pain relievers. Many patients say recovery is easier than a tooth extraction. What is the downside to dental implants? The main drawbacks are the need for surgery and healing time. Implants also require sufficient bone and good overall health. They may not be covered entirely by dental insurance. In rare cases, complications like infection or implant failure can occur, especially without proper hygiene or follow-up care. How long do dental implants last? Dental implants are among the

Get clear, honest answers to all your questions about dental implants. Understanding Dental Implants What are dental implants? Dental implants are small titanium posts that replace the roots of your missing teeth. When inserted into the jawbone, they integrate with the bone to provide a solid base for crowns, bridges, or full-arch restorations. They look, feel, and function like natural teeth, and help preserve your jawbone and smile long-term. What are All-on-X dental implants? All-on-X is a full-arch implant system that replaces all of your upper or lower teeth using just four to six implants. It’s designed for patients who need a complete smile restoration, and in many cases, it can provide teeth in one day with a same-day temporary bridge. This solution is fixed, secure, and looks completely natural. All-on-X is especially helpful for patients with bone loss, offering long-term results without the need for traditional dentures or extensive grafting. What are zygomatic dental implants? Zygomatic implants are a specialized type of dental implant used when there isn’t enough bone in the upper jaw for traditional implants. Instead of anchoring into the jawbone, they’re placed into the cheekbone (zygoma), which is denser and provides strong support. They’re ideal for patients with severe bone loss who want to avoid bone grafting and still qualify for full-arch implant solutions. Are dental implants safe? Yes, dental implants are regarded as a very safe option. They’re made from biocompatible materials (like titanium) that naturally bond with your jawbone. When placed by an experienced provider, complications are rare, and long-term success is high. How long have dental implants been used? Dental implants have been successfully used for over five decades. Modern dental technology and surgical methods have made implants more dependable, comfortable, and natural-looking than ever before. What is the success rate for dental implants? Dental implants have a success rate of 97% to 98% when placed correctly and maintained with good oral hygiene. That makes them one of the most predictable and durable options in modern dentistry. What to Expect During the Procedure Is the dental implant procedure painful? No, most patients are surprised by how comfortable the procedure is. This procedure can be done under oral sedation or IV sedation. Afterward, some mild soreness is normal and usually manageable with over-the-counter medication. Will I be without teeth after the procedure? No, you won’t be left without teeth. In most cases, we place a temporary tooth or restoration so you can speak and smile confidently while your implant heals beneath the surface. Are dental implants as strong as natural teeth? Absolutely, dental implants are designed to function like natural teeth, and in many cases, they’re even stronger. They restore almost all your natural chewing power and don’t shift or loosen like dentures can. Candidacy and Considerations Is there an age limit for dental implants? No, there’s no strict age limit. Most healthy adults can receive implants, regardless of their age, whether in their 30s, 60s, or even 80s. We do need to wait until jaw growth is complete, so dental implants aren’t recommended for children or teens. Who is a good candidate for dental implants? You’re most likely a good candidate if you’re missing one or more teeth, have healthy gums, and enough jawbone to support an implant. Even if you’ve been told you’re not a candidate in the past, treatments like bone grafting may make implants possible. What are the advantages of dental implants? Dental implants look, feel, and function like real teeth. They help preserve your jawbone, prevent surrounding teeth from shifting, and eliminate the need for removable appliances. What are the disadvantages of dental implants? While dental implants are highly effective, they do involve surgery and healing time. Cost can be a factor; however, most insurance plans now cover implants, making them more accessible than ever. Rarely, complications like infection or implant failure may occur, but these can often be resolved with proper care and follow-up. Living With Implants Will my dental implants need special care? No, implants don’t require special tools or products. You care for them like natural teeth, brush twice daily, floss, and regularly see your dentist. Consistent hygiene is the key to long-term success. How do I care for my dental implants? Use a soft-bristled toothbrush and non-abrasive toothpaste. Floss daily, or use a water flosser if preferred. Avoid smoking and keep up with professional cleanings every 3–6 months to prevent complications like gum inflammation or bone loss. Implant Alternatives and Options Can dentures be turned into implants? No, dentures themselves can’t be converted into implants. However, you can replace removable dentures with implant-supported options that offer more comfort and stability, like All-on-X full-arch restorations. Are dental implants removable like dentures? No, dental implants are fixed in your jawbone. They stay permanently in place and function like natural tooth roots. The prosthetic teeth they support can be fixed or removable, depending on the treatment plan. How do implants help if I already wear dentures? Implants can anchor your dentures to eliminate slipping, improve chewing, and restore confidence. If you qualify, we can replace your dentures entirely with fixed implant-supported bridges for a more natural feel. Can I get metal-free dental implants? Yes, metal-free implants made from zirconia are available. While not as common as titanium, they can be a good alternative for patients with metal sensitivities or who prefer a non-metal option. Cost and Value How much do dental implants cost? The cost of dental implants varies depending on your needs. Factors include how many teeth you’re replacing, whether you need bone grafting, and the type of restoration used. At our Frederick, MD practice: A single implant typically starts at a competitive rate based on clinical needs Full-arch solutions like All-on-X average around $25,000 for direct patients Dental implants are a long-lasting solution and can often be more budget-friendly over time compared to dentures or bridges. To make treatment more accessible, we also provide flexible financing options.