Dental Implants

Full-Arch Implants (All-on-X)

A fixed set of teeth on four to six implants, planned by your surgeon and prosthodontist together.

Cost: From $19,900 per arch
Time: Surgery typically takes three to five hours per arch. The final bridge follows in about four to six months.
Insurance: Dental insurance usually covers only a portion, often the extractions and part of the implant benefit, up to your annual maximum.

Book a consultation 23 offices offer this

An older couple smiling together outdoors.

A full arch of fixed teeth supported by four to six implants, often with a provisional bridge the same day. Planned by a surgeon and an in-house prosthodontist.

Full-arch implant treatment, often called All-on-4 or All-on-X, replaces every tooth in the upper or lower jaw with a fixed bridge supported by four to six implants. The bridge doesn't come out at night, there is no adhesive and no plastic covering the roof of your mouth. It is designed for people who have lost most of their teeth, whose remaining teeth are failing, or who are tired of a loose denture.

A surgeon and a prosthodontist, from the first visit

Full-arch treatment is part surgery and part tooth design, so at Molly it is planned by two specialists. Your oral surgeon plans the implants. An in-house prosthodontist, a dentist with three additional years of training in replacing teeth, designs the bridge: its shape, the bite, how much of the gum line it replaces, and how your face and lips are supported. You meet both at your consultation.

Planning uses a 3D cone-beam CT (CBCT) scan, digital scans of your mouth, photographs and a record of your bite. The implants are positioned in software, often angled to use the strongest available bone and avoid the sinuses and nerve. That angling is what lets many patients avoid extensive grafting. The plan becomes a surgical guide and a provisional bridge made before surgery day.

Surgery day and the months after

Most full-arch procedures are done under IV sedation or general anesthesia, with a dedicated anesthesia provider for longer cases and continuous monitoring throughout. Remaining teeth are removed, any infection is cleaned out, the bone is shaped and the implants are placed.

When the implants are stable enough, which is the case for most patients, a fixed provisional bridge is attached the same day or within a day or two. You leave with teeth. The provisional is lighter than the final bridge and is meant for a soft-food diet while the bone bonds to the implants over roughly four to six months.

After healing, your prosthodontist makes the final bridge, usually in zirconia or a titanium-reinforced acrylic, refined to your bite and appearance. You'll have follow-up visits along the way, and your surgeon calls the evening after surgery. The 24/7 surgeon line answers any night of the week.

Is it right for you?

Full-arch implants suit many people, but not all. Bone volume, medical history, smoking and grinding all matter, and some patients are better served by an implant-supported denture or zygomatic implants. The bridge needs care: daily cleaning under it with a water flosser and professional maintenance visits once or twice a year. You'll leave the complimentary consultation with one written quote that covers every stage, from extractions to the final bridge.

Cost & coverage

From $19,900 per arch

Full-arch treatment starts at $19,900 per arch, including extractions, implants, the same-day provisional bridge and follow-up visits. The final bridge material (acrylic or zirconia), any grafting and the type of anesthesia affect the total, and all are itemized on your one written quote. Proceed Finance, CareCredit, Sunbit and 0% in-house plans up to 12 months are available.

Insurance: Dental insurance usually covers only a portion, often the extractions and part of the implant benefit, up to your annual maximum. Medical insurance rarely covers full-arch treatment. We check both plans and show exactly what they are expected to pay.

Book a consultation Financing options

Not sure what you need?

Start with a consultation. Your surgeon reviews your imaging, explains your options, and gives you one written quote before anything is scheduled.

What happens at a consultation

Why it helps

Why patients choose Full-Arch Implants

Fixed teeth, not a denture
The bridge stays in. No adhesive, no palate coverage and no taking it out at night.
Teeth on surgery day for most
When the implants are stable, a provisional bridge is attached the same day or within a day or two.
Two specialists on your plan
Your surgeon places the implants and an in-house prosthodontist designs the teeth, bite and smile.
Often avoids major grafting
Angled implants placed in the strongest bone mean many patients don't need extensive bone grafts first.

The process

What to expect, step by step

Typical timeline: Surgery typically takes three to five hours per arch. The final bridge follows in about four to six months.

01
Consultation with surgeon and prosthodontist
A complimentary visit with a 3D CBCT scan, photos and a discussion of your goals and options.
02
Digital design and one quote
The implants and the provisional bridge are designed in software, and every stage is priced in one written estimate.
03
Surgery day
Under IV sedation or general anesthesia, teeth are removed, implants placed and, for most patients, a provisional bridge attached.
04
Healing on a soft diet
Over roughly four to six months the implants bond to the bone, with check-ups along the way.
05
Final bridge
Your prosthodontist makes the final bridge in zirconia or reinforced acrylic, refined to your bite and appearance.

Is it right for you?

You may be a good candidate if…

Adults missing most or all teeth in one or both jaws
People whose remaining teeth are failing from decay, gum disease or fractures
Denture wearers who are tired of movement, sore spots or adhesive
Patients in reasonable general health with well-controlled conditions
Those willing to stop smoking around surgery and keep up maintenance visits

Recovery tips

Expect swelling and some bruising for about a week. Ice in the first two days and keeping your head raised help.
Follow a soft diet for the full healing period. Avoid biting into hard or crunchy foods with the provisional bridge.
Take medications exactly as prescribed, including antibiotics if given.
Clean around and under the bridge daily with a soft brush and a water flosser once your surgeon says it is time.
Don't smoke or vape during healing. It is one of the main causes of early implant problems.
Keep every follow-up and maintenance visit so the implants and bridge can be checked and cleaned.

Where

Full-Arch Implants (All-on-X) near you

Offered at 23 Molly offices across Southern California.

Who you’ll see

Surgeons who focus on full-arch implants

Dr. William Carver

Oral & Maxillofacial Surgeon· DDS, MD, FACS

Newport Beach · Irvine

Existing patientsSpanish

Dr. Daniel Reyes

Oral & Maxillofacial Surgeon· DDS, MD, FACS

Beverly Hills · Santa Monica

Accepting new patientsSpanish

Dr. Thomas Nakamura

Oral & Maxillofacial Surgeon· DDS

Burbank · Valencia

Accepting new patientsJapanese

Dr. Hannah Lindqvist

Oral & Maxillofacial Surgeon· DMD

Carmel Valley · Carlsbad

Accepting new patientsSwedish

Dr. Michael Osei

Oral & Maxillofacial Surgeon· DDS, MD

Riverside · Rancho Cucamonga

Accepting new patientsTwi

Dr. Victoria Sato

Oral & Maxillofacial Surgeon· DDS, MD

Escondido · Temecula

Accepting new patientsJapanese

Dr. Amelia Hart

Oral & Maxillofacial Surgeon· DDS, MD

Valencia · Thousand Oaks

Accepting new patients

Dr. Jonathan Blake

Prosthodontist· DDS, MS

Newport Beach · Irvine

Accepting new patients

Patient stories

What full-arch implants patients say

Facebook

Dr. Mendoza and Dr. Park replaced my lower teeth. Dr. Park took time with the shape and shade so it looks like me, not a movie star. Two months later I had my first steak in years. The parking validation helped too.

Ruth M.La Jolla · Oct 2026

Google

Three other offices told me I needed a year of bone grafts. Dr. Reyes looked at my scan for a long time and explained zygomatic implants in plain terms. I had my upper arch done in one day at Molly Beverly Hills. Two weeks later I had my first steak in six years.

Leila S.Beverly Hills · Aug 2026

Google

Dr. Sato replaced my upper and lower teeth. Jordan Ellis handled the anesthesia and I remember nothing of the surgery. Dr. Sato called me that night. Three months on, I had my first steak in six years at a winery dinner.

Larry S.Temecula · Jun 2026

Paying for care

Ways to pay over time

0% in-house plans
Spread treatment over up to 12 months at 0% interest, with a modest deposit. No credit check.
CareCredit
A healthcare credit card with 6–24 month promotional financing for qualified applicants.
Sunbit
A quick, soft-pull application with a decision in about 30 seconds. Monthly plans from 3 to 72 months.
Proceed Finance
Long-term financing designed for full-arch and larger implant treatment, with fixed monthly payments.
HSA & FSA
Health savings and flexible spending cards work for eligible surgery, anesthesia and imaging.

FAQ

Full-Arch Implants questions

Have a question we didn’t cover? Send us a note and a member of our clinical team will get back to you.

Will I really leave with teeth on the same day?

Most patients do. A provisional bridge is attached the same day or within a day or two when the implants are stable enough to support it. If your surgeon judges that the implants need to heal first, you wear a temporary denture instead, and you will know this before surgery whenever possible.

What does All-on-4 cost all-in?

Treatment starts at $19,900 per arch, including extractions, implants, the provisional bridge and follow-ups. The final bridge material, grafting and anesthesia affect the total. You receive one written quote covering every stage before anything is scheduled.

How long is recovery from full-arch surgery?

Most people rest for two to four days and return to desk work within a week. Swelling and bruising usually settle over seven to ten days. You stay on a soft diet until the final bridge, usually four to six months later.

Will I be asleep for the surgery?

Most patients have IV sedation or general anesthesia. For longer cases, a dedicated dentist anesthesiologist or CRNA manages your anesthesia while your surgeon operates, with continuous ECG, pulse oximetry and capnography monitoring.

How long does a full-arch bridge last?

With good care, the implants can last many years. Final bridges typically need repairs or replacement over time, often after 10 to 15 years for zirconia and sooner for acrylic. Regular maintenance visits help catch wear early.

What if I have been told I don't have enough bone?

Angled implants often avoid the need for grafting. When bone loss in the upper jaw is severe, zygomatic or pterygoid implants may be an option. Your CBCT scan shows what is possible.