Full Arch Restoration
All-on-X Full Mouth Dental Implants
All-on-X (also called All-on-4 or full arch implants) replaces an entire arch of missing or failing teeth using just four to six dental implants and a fixed bridge of new teeth. At Centurion in Walnut Creek, Dr. Alijanian plans every case with 3D imaging and works closely with your restorative dentist so most patients leave with a complete set of fixed teeth on the day of surgery.

Who this is for
All-on-X is ideal for adults with failing dentition, severe gum disease, multiple missing teeth, or those who are unhappy with removable dentures. It is often a strong alternative for patients who were told they need bone grafting because the technique uses strategic implant angles to maximize available bone.
How the procedure works
- 1Comprehensive evaluation, 3D imaging, and digital smile planning.
- 2Coordinated treatment plan with your restorative dentist.
- 3Same-day removal of any failing teeth and placement of four to six implants per arch.
- 4Attachment of a fixed temporary bridge of teeth, usually the same day.
- 5After healing, a final custom prosthesis is placed for long-term function and esthetics.
What to expect
Surgery is typically completed under IV sedation or general anesthesia in a single visit. You walk in with failing or missing teeth and leave with a stable, fixed set of teeth. We coordinate every appointment from consultation through final restoration.
Benefits
- Fixed teeth — no removable denture
- Often completed in a single surgical visit
- Avoids the need for extensive bone grafting in many cases
- Restores natural chewing power and confident smiling
- Long-term, durable solution backed by decades of research
Risks & considerations
As with any surgery, risks include swelling, bruising, infection, and rare complications such as implant failure or sinus involvement. Careful planning, specialist surgical training, and anesthesia options minimize these risks. Dr. Alijanian discusses your individual risk profile during consultation.
Recovery
Most patients are comfortable enough to return to work within several days. A soft food diet is recommended during initial healing. Final teeth are placed after the implants fully integrate, typically within a few months.
Cost & insurance
Full arch implant costs vary based on number of arches, materials, and anesthesia. We provide a transparent written plan after consultation, accept most PPO insurance for surgical portions, and offer third-party financing.
See insurance & financing optionsAnswers
Frequently Asked Questions
- All-on-X is a full arch implant technique that replaces an entire upper or lower arch of teeth using four to six implants and a fixed bridge of new teeth — often in one day.
Next step
Schedule Your Oral Surgery Consultation in Walnut Creek
Speak with our team about dental implants, wisdom teeth, anesthesia options, or complex oral surgery. We answer questions clearly and never pressure a decision.
