All-on-4 Dental Implants
All-on-4 replaces a full arch of missing or failing teeth with a fixed bridge anchored on just four implants. For many patients the temporary teeth go in the same day, so you leave with a complete smile, not a gap.
Book a consultationWhat All-on-4 is
Instead of one implant per tooth, four implants are placed at precise angles to use the strongest available bone, then a full fixed bridge is attached to them. The result is a set of teeth that stays fixed in your mouth. You do not take it out, and it does not slip like a denture.
Am I a candidate?
Most adults missing most or all of their teeth on an arch, or facing that, are candidates, even many who were told they lacked enough bone for traditional implants. The angled placement is designed to work around bone loss. A CBCT scan at your consultation confirms it for your case.
The same-day process
We take a 3D CBCT scan and plan the placement digitally. On surgery day, the implants are placed and a temporary fixed bridge is attached, usually the same day. After healing and integration over a few months, the final bridge is fitted. Our oral surgeons handle the surgery in-house, start to finish.
Cost and financing
All-on-4 pricing depends on the number of arches, whether extractions or bone work are needed, and the final material. All-on-4 full-arch treatment is $22,000 per arch. We give you an exact, itemized number at your consultation, because the final figure depends on extractions, any bone work, and how many implants your bone needs, and we offer financing through Cherry, Affirm, and Sunbit, often with 0% plans, so the cost can be spread out.
Why Omega
Every All-on-4 case is performed by an oral and maxillofacial surgeon, not a general dentist. We use 3D CBCT planning and a CAD/CAM lab so the fit is precise and the timeline is short. Sedation is available for the procedure.
All-on-4 in Houston, planned and placed under one roof
Many All-on-4 patients in Houston get bounced between a surgeon for the implants and a separate lab or dentist for the teeth. At Omega, the oral surgeon who places your implants and the restorative dentist who designs your new teeth work in the same Midtown office at 106 W Gray Street, so your care is coordinated in one place. We treat full-arch patients from across Houston, including Montrose, River Oaks, the Medical Center, and the Heights, with 3D planning done on site.
Recovery and the first few weeks
Plan to take it easy for the first two or three days. Swelling and bruising usually peak around day two and then settle, and your surgeon sends you home with a written plan for medication, ice, and rinses. Most people arrange a few days away from work, and more if the job is physical. You will eat soft foods while the implants integrate with the bone. Think eggs, soup, pasta, fish, and smoothies for several weeks, and no biting into hard or crusty foods with the temporary bridge. The temporary is strong enough for daily life, but it is not meant to be tested. We see you back within the first week or so, then at intervals while healing progresses. If something feels off between visits, call (713) 322-7474 rather than waiting for the next appointment. Because your surgery and your follow-up care happen in the same office, you are never explaining your case to a practice that did not do the work.
Eating, speaking, and cleaning day to day
Once you are healed and the final bridge is in place, most patients go back to a normal diet, including foods that were off the table with a denture or with failing teeth. Chewing feels stable because the bridge is anchored to implants rather than resting on your gums. Speech takes a short adjustment. Some sounds can feel different for a week or two while your tongue learns the new shape, and reading out loud at home speeds that up. There is no palate covering the roof of your mouth the way a full upper denture has, so taste and temperature come through normally. Cleaning is different from brushing natural teeth. You brush the bridge twice a day and clean underneath it, usually with a water flosser and a floss threader, because plaque still collects where the bridge meets the gum. We show you the technique before you leave.
How All-on-4 compares with other options
A traditional full denture is the least involved option and the least stable. It rests on the gums, needs adhesive for many people, and comes out at night. Bone tends to shrink under a denture over the years, which is why the fit keeps changing. An implant-retained overdenture sits on two or more implants and snaps in. It is more secure than a plain denture and usually costs less than a fixed arch, but you still take it out to clean it. Replacing every missing tooth with its own implant is possible when the bone supports it, though it means more implants, more surgical time, and a higher cost. All-on-4 sits between those: a fixed set of teeth on four implants that you do not remove. Which one suits you depends on your bone, your bite, your health history, and your budget. Our oral surgeons walk through all of them at the consultation.
Insurance, records, and planning the cost
Full-arch treatment is rarely covered end to end by dental insurance, but parts of it often are. Extractions, and sometimes a portion of the prosthetic work, may fall under your benefits, and most plans carry an annual maximum that resets each year. We verify your plan before treatment and show you in writing what it is expected to pay and what it is not. Bring your insurance card, your current medications, and any recent scans or x-rays from another office. If you have a plan quoted elsewhere, bring that too and we will go through it with you. The balance can be spread out through Cherry, Affirm, or Sunbit, and our in-house membership plan is an option if you do not carry dental insurance at all. We will not begin treatment until you have a written total and a payment path you are comfortable with.
Frequently asked questions
Are All-on-4 teeth permanent?
Yes. The bridge is fixed to the implants and stays in your mouth. Only your dentist removes it, for maintenance.
Can I really get teeth the same day?
In most cases a temporary fixed set of teeth is attached the same day as surgery. The final bridge comes after the implants integrate with the bone over a few months.
What if I was told I do not have enough bone?
All-on-4 is specifically designed to use available bone with angled implants, so many patients who were turned down for traditional implants still qualify. A CBCT scan confirms it.
How much does All-on-4 cost?
It varies by case, so we give an exact number at your consultation rather than a misleading online figure. Financing with 0% options is available.
Where can I get All-on-4 dental implants in Houston?
Omega Dental Specialists offers All-on-4 at our Midtown Houston office at 106 W Gray Street, with the surgeon and restorative dentist working together under one roof. We serve patients from downtown, Montrose, River Oaks, the Medical Center, and the Heights. Call (713) 322-7474.
Ready to talk it through?
The fastest way to a clear answer is a consultation. Call (713) 322-7474 or book online. More on Dental Implants