What Is All on 4 “One Day” Dental Implants?
Bone grafting is a procedure that rebuilds or strengthens the jawbone when it has lost volume or density, creating a stable foundation for dental implants, healthier teeth, or improved facial structure. It uses grafting material, often combined with growth factors, to encourage your body to regenerate its own natural bone over time.
We recommend bone grafting when the jawbone has shrunk after tooth loss, gum disease, injury, or long term denture wear. Without enough bone, implants cannot be placed safely, and surrounding teeth lose support. Grafting restores what was lost so the rest of your treatment can succeed.
Patients typically come to us for bone grafting after losing a tooth, before planning an implant, or after another provider has told them they do not have enough bone for implants. In many cases, that is not the end of the story, it is the starting point.
Benefits, Why MD Periodontics
- A new smile in one visit, in most cases, we place all four implants and a temporary fixed bridge of teeth in a single day
- Often avoids bone grafting, the angled placement of the back implants uses existing bone, making implants possible without major grafting in many cases
- Permanent and fixed, your new teeth do not come out, do not slip, and are cleaned and cared for like natural teeth
- Restores full function, you can eat steak, apples, corn on the cob, and anything else you have been missing, with confidence
- Whole body wellness benefits, replacing failing teeth or long-term dentures, reduces chronic infection, restores proper nutrition, and supports overall immune and digestive health
- Beverly Hills specialist expertise, Dr. Moshrefi has placed countless successful All on 4 cases with advanced surgical training, and Dr. Daneshmand brings USC-trained precision and a holistic approach to every full arch plan we design together
Who Is a Candidate?
Most adults who are missing most or all of their teeth in one or both arches are candidates for All-on-4. The right fit depends on your bone, gums, bite, and overall health, all of which we evaluate carefully during your consultation.
You may be an ideal candidate if you:
- Are missing most or all of your upper or lower teeth
- Have multiple failing teeth that cannot be saved
- Wear dentures and want a permanent, fixed solution
- Have been told you need extensive bone grafting for traditional implants
- Want to eat, speak, and smile with full confidence again
- Are in generally good health and committed to good home care
Patients with uncontrolled diabetes, active gum infection, heavy grinding habits, certain autoimmune conditions, active tobacco use, or significant bone loss may need additional evaluation, preparatory treatment, or alternative approaches such as All on 6 or zygomatic implants.
The Process
- Consultation and 3D Imaging. We begin with a comprehensive exam, a full medical history review, and a 3D cone-beam CT scan. This shows your bone, nerves, sinuses, and bite in precise detail, allowing us to design your case digitally before any surgery.
- Personalized Treatment Plan. Together, we map out your case, including any teeth that need to be removed, the design of your new bridge, sedation preferences, and how the plan supports your overall wellness goals. We clearly review the timeline, comfort options, and expected results.
- Surgery and Same Day Teeth. In a single visit, we remove any remaining hopeless teeth, place your four implants using guided surgical techniques, and attach a temporary fixed bridge. You leave with a full set of teeth in place.
- Healing and Integration. Your implants integrate with the bone over 3 to 6 months while you wear the temporary bridge. During this time, the body forms a strong, stable bond with each implant, a process called osseointegration.
- Final Restoration. Once healed, we replace your temporary bridge with a custom-designed permanent bridge built for long-term strength, comfort, and beauty. Your new smile is complete.
Recovery and What to Expect
Most patients return to light activities within 24 to 72 hours. Mild swelling, bruising, and tenderness are common for the first several days and respond well to ice, rest, and prescribed medications. Each day brings noticeable improvement.
Aftercare basics:
- Stick to a soft food diet for the first 8 to 12 weeks to protect healing implants
- Avoid hot foods and drinks for the first 24 hours
- Keep your head elevated for the first 2 to 3 nights to reduce swelling
- Rinse with warm salt water as we direct
- Clean your new teeth gently with the tools we provide
- Skip strenuous exercise for 7 to 10 days
- Avoid smoking, which significantly increases the risk of failure
- Keep all follow-up appointments so we can monitor integration
Call our office if you experience heavy bleeding that does not slow within an hour, severe pain not relieved by medication, fever over 101°F, persistent numbness, drainage from the surgical sites, or swelling that worsens after day three.
FAQ
Yes. In most cases, we remove any failing teeth, place the four implants, and attach a fixed temporary bridge of teeth in a single visit. You leave with a full smile already in place. The final permanent bridge is delivered after healing.
Yes. In most cases, we remove any failing teeth, place the four implants, and attach a fixed temporary bridge of teeth in a single visit. You leave with a full smile already in place. The final permanent bridge is delivered after healing.
No. Surgery is performed under local anesthesia with sedation available, and most patients tell us the procedure was far easier than they expected. We design every plan around your comfort.
Many dental plans offer partial coverage for components of the procedure, including extractions and certain implant fees. Our team verifies your benefits and clearly explains your out-of-pocket costs before treatment begins.
With proper care, the implants themselves are designed to last decades, often a lifetime. The bridge of teeth on top may need refurbishment or replacement after many years, as with any restoration subject to daily wear.
Yes, after full healing. During the first 8 to 12 weeks, you protect the implants with a soft diet. Once your final bridge is delivered, you can eat virtually anything you want, including steak, apples, and crunchy foods that dentures cannot handle.
All on 4 teeth are fixed in place, never removed by you, do not slip, do not need adhesive, and feel like natural teeth. Dentures sit on the gums, can shift, often cause sore spots, and can lead to significant bone loss over time. All-on-4 prevents most of that bone loss.
Four implants placed at strategic angles distribute chewing forces effectively across the jaw and use the densest available bone. Decades of clinical research support this design. In select cases with specific anatomy or higher bite forces, we use five, six, or more implants for optimal long-term success.
The numbers refer to how many implants support the arch. All-on-6 uses two additional implants, which can be advantageous in cases with heavy bite forces, larger arches, or specific bone patterns. We recommend whichever design fits your anatomy and long-term goals best.
Often yes. The angled back implants are designed to work with the bone you already have, which is why so many patients qualify for All-on-4 without major grafting. Your 3D scan shows exactly what is possible in your case.
Yes. We design every plan around supporting your immune system, nutrition, and overall healing. Removing failing or infected teeth and stabilizing your bite reduces chronic inflammation and supports broader long-term wellness.
In select cases, yes. Zirconia full-arch options are available for patients seeking a fully metal-free solution. We discuss whether your specific case is a candidate for each material during your consultation, including the trade-offs of each choice.
Full-arch implant treatment is one of the most complex procedures in modern dentistry and requires specialist surgical expertise. Dr. Moshrefi has dedicated his career to advanced implant surgery, with extensive All-on-4 experience, and Dr. Daneshmand brings holistic, precision-based care to every plan we design together.
