All-on-4 Dental Implants
Henderson, NV
Losing most or all of your teeth affects more than just your appearance. You may find yourself eating smaller meals, avoiding certain foods, or dealing with dentures that move when you talk. If your remaining teeth are painful, broken, loose, or often need repairs, it can feel overwhelming to keep fixing them.
All-on-4 dental implants provide another solution. This treatment uses four carefully placed implants to hold a full set of replacement teeth, helping restore your ability to chew and offering a stable option for those with significant tooth loss instead of traditional removable dentures.
At George Harouni, DDS, we begin by looking at the basics: your remaining teeth, gum health, bone, bite, medical history, and how your new teeth should work together. With over 28 years of experience, Dr. Harouni treats full-arch implants as a restorative challenge. The implants are important, but so is everything that goes on them.
Schedule your All-on-4 consultation with Dr. Harouni.
All-on-4 dental implants are a full-arch tooth replacement treatment that uses four dental implants to support a connected set of fixed replacement teeth in the upper or lower jaw. Implant positions are planned around available bone, bite forces, and the design of the final restoration.
Unlike a traditional denture that rests on the gums, an All-on-4 restoration is secured to implants placed in the jawbone. This creates a stable foundation for biting, chewing, speaking, and everyday use.
While four implants are central to this treatment, that number is not always right for everyone. Factors like bone quality, anatomy, bite strength, medical history, and the design of your restoration all play a role. Dr. Harouni looks at your entire situation before deciding on the best implant plan.
Dr. Harouni also offers single-tooth, immediate-loading, and other full-arch implant approaches, so patients are not limited to one implant configuration.
All-on-4 Dental Implants | |
|---|---|
| Best For | Extensive tooth loss, failing teeth, or patients seeking a fixed alternative to removable dentures |
| Treatment Type | Fixed full-arch implant restoration |
| Implants | Typically four per treated arch |
| Anesthesia | Local anesthesia with additional comfort options planned as appropriate |
| Appointment Length | Usually several hours for the surgical phase; extractions and treating one or both arches affect timing |
| Downtime | Several days of swelling and soreness are common |
| Pain Level | Numbing controls discomfort during treatment; soreness, pressure, and swelling are expected afterward |
| Initial Teeth | A temporary fixed restoration may be possible when implant stability and clinical conditions allow |
| Healing | Implant integration generally occurs over several months |
| Longevity | Implants can remain functional for many years or decades with proper care; the attached restoration may need maintenance or eventual replacement |
| Pricing | Pricing reflects the number of arches treated, extractions, implant components, provisional and final teeth, preparatory procedures, and case complexity |
All-on-4 is generally considered when tooth loss affects an entire dental arch rather than one isolated area.
It may be used for patients dealing with:
Some patients arrive assuming every remaining tooth needs to come out. That is not automatically true.
Healthy, maintainable natural teeth have value. Dr. Harouni examines each remaining tooth and its supporting bone before recommending extraction. Full-arch implant treatment makes sense when the condition of the teeth supports that decision, not simply because four implants are available.
The basic idea is mechanical: four implants create support points inside the jawbone, and a full row of replacement teeth connects to those implants.
The front implants are typically positioned more vertically. The posterior implants may be angled to take advantage of available bone and create a wider base of support for the restoration. That positioning can sometimes help patients avoid more extensive grafting, although bone grafting may still be appropriate in certain cases.
Once implants are placed, the bone begins to heal around their surfaces. This biological process is called osseointegration. Over the following months, the implants become integrated into the jaw and form a stable foundation for the final prosthesis.
The restoration itself requires just as much planning as the implants.
Dr. Harouni considers:
This is where full-arch dentistry gets more complex than just placing four implants. Even if the implants are placed correctly, the restoration on top must also be carefully designed.
For the right patient, All-on-4 can rebuild function across an entire arch without placing an individual implant for every missing tooth.
The restoration attaches to implants rather than sitting loosely on the gums. Patients do not remove it at night the way they would a traditional denture.
Implant support helps reduce the rocking and movement associated with loose dentures. As healing progresses and the restoration is cleared for normal use, patients can generally return to a broader range of foods.
A fixed implant restoration does not rely on pastes or adhesive products to stay in place.
Dental implants transfer forces into the underlying bone. That is different from a conventional denture, which rests primarily on the gum tissue.
One implant does not have to be placed for every missing tooth. Four strategically planned implants support the connected full-arch restoration.
Full-arch treatment replaces visible teeth, but the work goes deeper than choosing a tooth shade. Tooth length, width, position, bite, lip movement, and facial proportions all influence the final design.
If your removable teeth are affecting where you eat, what you choose to order, or how you speak, it might be time to see if a fixed full-arch solution could work for you.
Schedule a full-arch implant evaluation in Henderson.
You may be considered for All-on-4 dental implants if you:
Long-term success depends on your involvement. While All-on-4 teeth cannot get cavities, the gums and bone around the implants can still become irritated or infected.
Another treatment plan may make more sense if:
A traditional denture or partial denture can remain a practical option for some patients, particularly when surgery, anatomy, health, or budget makes implant treatment less appropriate.
Choosing dental implants can bring meaningful improvements to your daily life.
No, not always.
Full-arch implant dentistry should not start with the assumption that every remaining tooth has to go. During your evaluation, Dr. Harouni looks at decay, fractures, previous dental work, periodontal support, mobility, root structure, bone loss, and the likely lifespan of each tooth.
A tooth that is healthy and maintainable should be considered differently from one that has repeatedly failed treatment or no longer has adequate support.
Sometimes a damaged tooth can still be preserved through restorative care such as a root canal rather than being extracted. Dr. Harouni evaluates those options before recommending removal.
If extraction becomes part of the plan, Dr. Harouni will explain why those teeth are considered non-restorable or poor long-term candidates before moving forward.
Full-arch treatment is carefully sequenced. The exact order can change according to your anatomy and the condition of any remaining teeth.
Sometimes.
“Teeth in a day” refers to attaching a temporary restoration soon after implant placement. It does not mean the implants have finished healing or that the same teeth placed on surgery day will necessarily be your final restoration.
Immediate provisional teeth require enough initial implant stability to safely support them. Bone quality, implant position, bite forces, medical factors, and the complexity of the case all affect that decision.
If immediate loading is appropriate, you will still need to protect the implants while osseointegration takes place. That usually means a modified diet and careful control of chewing forces.
After healing, the temporary restoration can be replaced with the planned final prosthesis.
You should be numb during implant placement. Most patients notice pressure, movement, vibration, or the sound of dental equipment rather than sharp pain.
The first few days afterward are different. Swelling, tenderness, bruising, and a feeling of pressure are normal after oral surgery. If teeth were extracted at the same appointment, those areas are healing as well.
Your temporary teeth may also feel unfamiliar at first. Speech can sound slightly different. Your bite may feel new. The tongue suddenly has different contours to navigate.
These changes usually fade as the swelling goes down and you get used to your new teeth.
Severe pain that is getting worse rather than better, uncontrolled bleeding, persistent fever, significant swelling, or a restoration that suddenly feels loose deserves a call to the office.
Plan for a quiet first day. Some bleeding or oozing around surgical sites can occur, along with swelling and soreness. Take medications exactly as directed and avoid disturbing the treatment area.
Cold compresses may be recommended during the early swelling period.
A temporary restoration may look like a complete set of teeth, but the implants beneath it are still integrating with the jawbone. Hard chewing can place unnecessary stress on them.
Start with foods that require minimal chewing and follow the diet Dr. Harouni provides. Avoid hard, crunchy, sticky, or very chewy foods until you have been cleared to add them back.
Many patients plan several days away from work after full-arch implant surgery, particularly when extractions are involved. Swelling often makes the early recovery more noticeable than the discomfort itself.
Desk work can return sooner than strenuous physical activity. Follow your individual activity restrictions.
A connected full-arch bridge creates spaces that need deliberate cleaning.
Dr. Harouni and the hygiene team will show you how to clean around the implants and underneath the restoration using the tools appropriate for your design. Regular professional maintenance remains necessary after your natural teeth have been replaced.
Routine dental cleanings and exams remain part of protecting the gum and bone surrounding your implants.
The gums typically settle before the implants have completely integrated with the bone. Implant healing continues beneath the surface for several months.
Follow-up visits allow Dr. Harouni to monitor healing, check your bite, inspect the temporary restoration, and determine when the implants are ready for the next restorative stage.
Contact the office if you experience:
The first visible change can happen quickly if a provisional set of teeth is attached at the time of implant placement. The final result takes longer.
Your gums need time to heal. Swelling has to resolve. The implants need to integrate with the bone. Your bite and the way you function with the temporary restoration also give Dr. Harouni useful information before the definitive teeth are fabricated.
Once the implants are ready and the tissues are stable, records can be finalized for the definitive restoration.
This staged approach gives Dr. Harouni an opportunity to refine tooth position, bite, speech, proportions, and comfort rather than treating surgery day as the finish line.
Dental implants are intended to provide long-term support and can remain functional for many years, often decades, when bone and gum health remain stable.
The prosthetic teeth are a separate part of the system. They are exposed to chewing forces every day and may eventually require repair, maintenance, screw replacement, or replacement of the prosthesis itself.
Longevity is influenced by:
Full-arch teeth are built to last, but they still need regular care.
Patients who grind or clench heavily may also need their bite and jaw habits evaluated because repeated forces can affect natural teeth and restorations alike.
All-on-4 involves oral surgery, dental implants, and a large prosthetic restoration. Potential risks include:
Careful planning helps lower risks, but no dental implant treatment can be guaranteed.
All-on-4 represents a larger treatment plan than the placement of four implants alone.
Pricing reflects the amount of surgery, restorative work, materials, and laboratory work required to rebuild an entire arch. A complete estimate may include examinations and imaging, extractions, four implant fixtures, implant components, anesthesia, bone management, the provisional restoration, laboratory stages, and the definitive full-arch prosthesis.
Treating both arches creates a different scope of care than rebuilding only the upper or lower arch. Material choices for the final teeth can also affect the total investment.
During your consultation, the office can provide a treatment-specific estimate once Dr. Harouni has reviewed the anatomy and determined exactly what the case requires.
George Harouni, DDS works with financing providers including Cherry, CareCredit®, and HFD for patients who prefer to divide treatment costs into monthly payments.
Both options can replace a full set of teeth, but living with them day-to-day feels different.
All-on-4 Dental Implants | Traditional Dentures | |
|---|---|---|
| Support | Anchored to dental implants | Rests on gum tissue |
| Removal | Fixed; removed professionally when necessary | Patient-removable |
| Movement | Designed to remain stable while eating and speaking | May shift as fit and jaw anatomy change |
| Surgery | Requires implant surgery | Usually no implant surgery |
| Bone Requirements | Requires suitable implant support | Can be used without implants |
| Cleaning | Cleaned around and beneath the fixed bridge | Removed for cleaning |
| Chewing | Generally provides stronger stability | Chewing efficiency may be more limited |
| Cost | Higher initial investment | Lower initial investment |
| Maintenance | Implant and prosthetic maintenance | Relines, adjustments, and eventual replacement may be needed |
Traditional dentures remain a reasonable treatment. Some people do very well with them.
All-on-4 is appealing if you want a fixed set of teeth, better stability, and the support of implants. Your anatomy, health, goals, and budget all play a part in choosing the right option.
Dr. Harouni also offers custom full and partial dentures for patients who prefer or are better suited to a removable restoration.
Yes. Full-arch treatment frequently requires additional dental work as part of the overall plan.
Teeth with fractures, advanced decay, severe mobility, or poor periodontal support may need to be removed before or during implant placement.
The All-on-4 concept can sometimes use areas of existing bone strategically enough to reduce the amount of grafting required. It does not eliminate bone grafting from every case.
Active periodontal disease needs to be addressed so the implants are entering a healthier oral environment. Dr. Harouni's general dentistry services include preventive and periodontal care intended to keep the gums and supporting structures healthy.
The new implant restoration has to bite against something. Worn, damaged, missing, or poorly positioned teeth in the opposing arch may affect the restorative plan.
Dr. Harouni's restorative services also include crowns, bridges, dentures, root canal treatment, and individual dental implants, allowing the opposing arch to be incorporated into the larger treatment plan when needed.
Planning a full arch involves more than just placing one implant after another.
The final teeth, the bite, available bone, implant locations, and long-term maintenance have to make sense together. That restorative perspective is central to Dr. George Harouni's approach.
With more than 28 years in dentistry, Dr. Harouni brings extensive experience in restorative and implant treatment to his Henderson practice. He also teaches at the UNLV School of Dental Medicine, bringing the same emphasis on treatment planning, precision, and clinical reasoning into patient care.
Our practice is independent and focused on personal care. You will not be rushed through a standard process. Dr. Harouni takes the time to look at your teeth, explain what can be kept, point out what needs attention, and show you how each step fits into your overall treatment plan.
Four implants can support a full arch. They still have to be the right four implants, in the right positions, supporting teeth designed for the way you actually bite.
If missing or failing teeth have reached the point where piecemeal repairs no longer make sense, schedule an evaluation at George Harouni, DDS in Henderson, Nevada. You can review your imaging, discuss fixed and removable options, and leave with a clearer picture of what rebuilding your bite would actually involve.
Ready to find out if All-on-4 is right for your mouth?
Possibly. Strategic implant positioning can sometimes allow All-on-4 treatment in patients who have experienced bone loss, but there must still be adequate bone in safe locations to support the implants. Imaging is necessary to evaluate bone volume, density, sinus position, nerves, and implant angles. Some patients will still require bone grafting or a different implant approach.
The goal is strong, stable chewing after healing, but you will not begin with an unrestricted diet. During osseointegration, softer foods help protect the implants from excessive force. Dr. Harouni gradually clears patients for firmer foods as healing progresses. Even after treatment, biting extremely hard objects can damage prosthetic teeth.
Patients generally do not remove a fixed All-on-4 restoration themselves. The prosthesis is secured to dental implants and can be removed by a dental professional when maintenance or repair requires access. If you prefer a restoration you can take out for cleaning, a [removable denture or partial] may be worth discussing.
Cleaning requires access beneath the connected restoration and around each implant. Depending on your design, your routine may include a water flosser, specialized floss, interdental brushes, or other implant-cleaning tools. Professional dental cleanings and exams remain important because plaque-related inflammation can still damage the gum and bone surrounding implants.
The next step depends on when the implant fails, its position, the condition of the remaining implants, and the prosthetic design. Treatment may involve allowing the area to heal, replacing an implant, modifying the restoration, or revising the treatment plan. Early evaluation is important if you notice movement, pain, swelling, or a sudden change in the restoration.
They solve different problems. Individual implants work well when one or several teeth are missing and healthy teeth remain around them. All-on-4 is designed for an entire arch with extensive tooth loss or teeth that cannot predictably be maintained. Dr. Harouni's exam determines which approach preserves useful oral structure while creating a stable bite.
The surgical placement and provisional restoration may occur within a short period when immediate loading is appropriate, but biological healing takes months. After the implants integrate and the gums stabilize, the definitive restoration can be fabricated and fitted. Your complete timeline reflects extractions, healing, bone quality, implant stability, and the restorative stages required for your case.
