What are All-on-Four Full Arch Implants?
All-on-4 implants are 4 to 6 precisely placed implants in the upper and/or lower jaw. The implants are surgically guided with the aid of AI and 3D modeling and scanning. The main purpose of those implants is to support a fixed denture and eliminate the need to get an implant for every one of your missing teeth.
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Dr. Brian Wilkinson has been my dentist for the past 8 years. He is absolutely the very best. Caring and has always been available to help me and my husband during several emergencies. He is always thanking his staff for their work while assisting him. He is so appreciative of them and does an amazing job. Great smile too.
This is the place to go. This dentist is the best I have been to in my long life. He was able to diagnose an issue that another dentist caused. I have a sensitive mouth and I don't even feel when he gives the shot to get work done. Wonderful experience.
This is by far the best dental office I have ever been to. I have never been a fan of the dentist, but they don't judge. They told me what was necessary, what I needed most, and let me choose what I could afford, first. Josie lights up the office with her kind, empathetic personality and Dr. Wilkinson is gentle and he speaks in terms everyone can understand. Everyone here is kind and professional and I wouldn't trade them for the world. I hope they know how amazing they are.
What are the benefits of the All-on-4 procedure?
All-on-4 is widely considered to be a preferred solution for people that don’t want teeth that come in and out. They dramatically increase chewing efficiency, improve digestion (because of better chewing efficiency), increase self-confidence, and are the most comfortable, on average, solution.
What is the process for All-on-4 ?
You will have your consultation and exam with Dr. Wilkinson and discuss the options for the replacement of missing teeth. A CBCT/3D X-ray will be taken and if you are a candidate, a treatment plan will be presented to you.
If you wish to proceed, we will do an intraoral 3D scan of your mouth. This scan, when combined with the CBCT/3D X-ray, will allow Dr. Wilkinson to plan your surgery with the help of AI.
That information will be used to 3D print a surgical guide for placement of your implant.
Placing Your Implant
This will be the date of placement of the implant. You will have to be numb for this procedure. Conscious sedation is not required for this, but that is always an option for proper candidates. We also offer Nitrous Oxide for proper candidates. Once you are numb, the surgical guide will be used to place the implants. Dr. Wilkinson will take a 3D image during the procedure to double-check the guide. Once everything is verified the procedure will continue and the implants will be placed slightly below the level of bone. Pain medication and antibiotics may be necessary. You will still be able to wear your denture while you are healing. Though many offices place a temporary prosthetic same day, it is safer not to.
Post-op appointments are at 2 days, 2 weeks, and 2 months. X-rays may or may not be taken. Dr. Wilkinson does not charge for post-op or working x-rays, so there won’t be a charge for any x-rays pertaining to the implant.
Placing the Healing Caps
4 months after placement of the implants, you will have to be numb again, and Dr. Wilkinson will likely use a laser to uncover your implants and place tissue-level healing caps. 2 weeks will be allowed for your gum to heal.
Making Your Teeth
You will not need to be numb for this. A digital scanner will be used to scan the implants and make your teeth.
This will be a try-on appointment. Once we’re certain your implants fit correctly, we will deliver your teeth, adjust the bite, and send you out smiling.
Contact us today
to schedule an initial consultation & exam.
Your consultation will include an examination of everything from your teeth, gums and soft tissues to the shape and condition of your bite. Generally, we want to see how your whole mouth looks and functions. Before we plan your treatment we want to know everything about the health and aesthetic of your smile, and, most importantly, what you want to achieve so we can help you get there.
Your mouth is one of the most important investments that you can make in yourself. Many of our patients find it easier to break up the investment in their mouth into monthly payments. As such, we work with Care Credit and Alphaeon to help. There are options ranging from 0% interest for 6 months, to 60-month terms.
Frequently Asked Questions
This varies. Usually though, it is about the same as the extraction was. Pain and swelling are usually at their worst around day 2 but may persist into day 4. Pain may last longer than that but should be subsiding after day 4 and should begin to feel more like a bruise (bruises sometimes do develop). Everyone is different and we want everyone to know that they should always reach out to us if they are concerned. It’s better to be safe rather than sorry.
Rest and drink plenty of water. Seriously. Your body will need the rest, don’t overdo it. Most people find that cold compresses help significantly. We do recommend taking Advil Dual Action if we have not prescribed pain medication and as long as it doesn’t interfere with other medications you might be taking.
No. An extraction and bone graft with membrane would be an additional cost.
Your implant will be treated just like a natural tooth. That is to say that you should brush them twice a day and floss at least once, right before bed.
Though some dentists do that, Dr. Wilkinson has found that this is less predictable in his experience. He prefers the boring and predictable way. It is also much riskier to “load” the implants (that is what we call it when the implants are in function). That said, Dr. Wilkinson also understands that people can make educated decisions, and Dr. Wilkinson will make a temporary prosthetic for you on the same day if you understand the risks involved.
Yes, there is a 5-year warranty on all work for non-smokers and controlled diabetics that get regular cleanings. Though we don’t offer hygiene services, we do refer to an office that does.
The point of the post-op appointments is to catch failure early so that we can remove the failing implant and graft the site to prepare for the future. Replacement of the implant is done at no charge for all unloaded implants (same-day implants carry an inherent risk which is why I advise against it). Smoking, uncontrolled diabetes, and undiagnosed medical conditions that adversely affect implants are the only things that void that warranty.
One of the reasons that we can offer the prices we do is because we don’t have the administrative cost associated with running a hygiene department. We are working on a way of integrating that into our model but have no current plans to open that service up at this time.
This depends on the severity. If something feels life-threateningly wrong, please call Emergency Services immediately by dialing 911. For emergencies that aren’t life-threatening or require immediate attention, please call our emergency line at 423-558-3934.
People often say that it is 85% like real teeth. Significantly more comfortable than regular dentures, and more comfortable than implant-retained dentures. The main advantage is that they don’t come in or out without direct and knowledgeable intervention. They become a part of you, and you forget that you ever had a problem.
The initial appointment where we take x-rays and diagnosis and treatment plan takes about 90 minutes to 2 hours. Implant placement is scheduled for 2 hours, but usually only takes 90 minutes 4 implants, at the long end, and can be done in as little as 60 minutes thanks to digital scans, AI, and 3D printing. Post-op appointments are usually no more than 30 minutes and often take only 10 minutes. The appointment where we uncover your implants is 60 minutes. Scanning of your implants takes about 90 minutes. Delivery is scheduled for 90 minutes.