Cornerstone treatment

Full-Arch Implants (All-on-X)

A complete, fixed set of teeth for an entire arch, supported by a customized number of implants — often placed the same day.

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Also known as: All-on-4 · All-on-6 · All on X · full mouth dental implants · teeth in a day · fixed full-arch restoration

What it is

Overview

All-on-X replaces every tooth in an upper or lower arch with a fixed, non-removable bridge anchored to a strategic number of implants (the “X” is tailored to your anatomy and bone). Because the implants are angled to use your available bone, the technique often avoids the extensive grafting older approaches required — which is why it works for many patients who were told full-arch implants weren’t an option.

Unlike a conventional denture, which rests on the gums and relies on suction or adhesive, a full-arch implant bridge is anchored in the jaw itself. It doesn’t move when you eat or speak, it doesn’t come out at night, and because the implants transmit chewing forces into the bone the way natural tooth roots do, it helps preserve the jawbone that a denture slowly wears away.

Every case at New York Dental Implants is planned digitally from a 3D CBCT scan before any surgery happens. Dr. Jean-Charles maps your bone, nerves, and sinus anatomy, decides how many implants your arch actually needs, and plans their exact positions and angles — so the surgery itself is guided, precise, and as conservative as your anatomy allows.

This is the treatment our practice is built around. Dr. Jean-Charles is an Oral & Maxillofacial Pathologist whose clinical focus is complex full-mouth rehabilitation — including the high-bone-loss cases other providers decline. If you’ve been told “you don’t have enough bone,” a 3D scan here is the way to find out what’s genuinely possible.

Who it’s for

Adults missing most or all of the teeth in an arch, living with failing or painful dentition, or struggling with loose dentures — including many patients with significant bone loss who have been turned away elsewhere.

The process

What treatment looks like

  1. Specialist consultation & 3D imagingA CBCT scan and full evaluation to confirm candidacy and map your bone and anatomy.
  2. Digital treatment planningImplant positions and your new bite are planned digitally before any surgery.
  3. Guided implant surgeryThe customized number of implants is placed, typically under IV sedation for comfort.
  4. Same-day fixed provisionalYou leave the same day with a fixed provisional set of teeth — see the timeline note below.
  5. Healing & integrationOver the following months the implants fuse with the bone (osseointegration) while you wear the provisional.
  6. Permanent final restorationYour custom, definitive prosthesis is fabricated and placed once healing is complete.
Timeline & what to expect: On the day of surgery you leave with a fixed, non-removable set of provisional teeth — not a temporary you take in and out. Your permanent, custom-crafted final restoration is placed after your implants have healed and fully integrated with the bone, typically over the following months.
Investment

Cost & paying for treatment

Full-arch treatment is an investment and is planned per patient — the number of implants, any preparatory work, and materials all factor in. We give you a clear, itemized figure at consultation, and we help you find the right way to pay for it (see Financing).

See financing & warranty options

Your specialist

Planned and performed by Dr. Germain Jean-Charles, DDS

Dr. Germain Jean-Charles is a Fellow of the American Academy of Oral & Maxillofacial Pathology and an Assistant Professor at the University of Rochester’s Eastman Institute for Oral Health. He focuses on complex, full-mouth implant rehabilitation — the difficult cases, including patients with significant bone loss who have been turned away elsewhere.

Meet Dr. Charles
Questions, answered

Full-Arch Implants (All-on-X) FAQ

Do I really get teeth the same day?
On the day of surgery you leave with a fixed, non-removable set of provisional teeth — not a temporary you take in and out. Your permanent, custom-crafted final restoration is placed after your implants have healed and fully integrated with the bone, typically over the following months.
I was told I don’t have enough bone. Can you still help?
Often, yes. Angled full-arch techniques use the bone you have, and Dr. Jean-Charles focuses specifically on complex cases with significant bone loss. A 3D scan at consultation is the only way to know for certain.
How many implants will I need?
That’s the “X” — it’s determined by your anatomy, bone quality, and bite. It’s decided during digital planning, not with a one-size-fits-all number.
How is this different from dentures?
A denture rests on your gums, moves when you eat, and comes out at night. A full-arch implant bridge is fixed to implants anchored in the jaw — it stays in, functions like natural teeth, and helps preserve the bone a denture slowly wears away.
Is the surgery painful?
Implant surgery is performed under local anesthesia, and IV sedation is available so most patients are comfortable throughout the procedure. Some swelling and soreness in the first few days is normal and is typically manageable with the aftercare plan we send you home with.
What is recovery like?
Most patients experience swelling and soreness for the first few days and stay on a softer diet while the implants integrate. Many return to normal daily activities within days. We give you a written aftercare plan and see you for scheduled follow-up visits throughout healing.
How do I care for a full-arch restoration?
Much like natural teeth: brush thoroughly, clean under the bridge as we show you (floss threaders or a water flosser), and keep regular hygiene visits so we can monitor the implants and the restoration long-term.
Keep exploring

Related reading

Same-Day Implants

How the fixed-teeth-in-one-visit approach works.

Read more

Implant-Supported Dentures

A removable snap-in alternative for some patients.

Read more

Guide: All-on-4 vs All-on-6

How the implant count actually changes the plan.

Read more

Financing & Warranty

Honest options for paying for treatment.

Read more

Is full-arch implants (all-on-x) right for you?

Take the one-minute candidacy quiz — no obligation.

Call (585) 394-5910

See if you’re a candidate

Takes about a minute · No obligation

Please note: routine dental implants are not a Medicaid or Medicare benefit and are primarily paid out-of-pocket or through third-party financing. If you have a credit score below 650, no co-signer, and require financing, we likely cannot help. Tooth loss with a medical cause may be different — see our medical insurance page.