All-on-4® Dental Implants in Beaverton, OR
Permanent, non-removable full-arch replacement teeth secured by four strategically angled titanium implants. Walk out on surgery day with an immediate aesthetic smile, bypass extensive bone grafts, and restore 90%+ natural chewing power.
- Permanent non-removable full arch fixed bridge
- In-house 3D CBCT guided surgical planning
- Same-day immediate load teeth & certified sedation

Quick Answer · All-on-4 Dental Implants
All-on-4 dental implants replace an entire upper or lower arch of missing or failing teeth using four strategically placed medical-grade titanium implants and a permanent fixed zirconia bridge. At Aloha Dental Specialty Center in Beaverton, OR, the procedure is planned with 3D CBCT imaging by Dr. Walied Eldomiaty (Periodontist & Implant Surgeon), allowing most patients to receive temporary fixed teeth the same day without extensive bone grafting.
How Tilting Implants Eliminates the Need for Bone Grafting
For decades, patients who suffered widespread tooth loss or advanced periodontal disease were told they lacked sufficient bone height for dental implants. Traditional protocols required six to eight straight vertical implants per jaw, frequently necessitating lateral window sinus lifts, nerve transposition, or months of invasive autogenous block bone grafting.
The patented All-on-4 treatment protocol, originally pioneered by Dr. Paulo Malo and Nobel Biocare, revolutionized full-mouth rehabilitation by utilizing biomechanical triangulation. By angling the two posterior titanium implants up to 30 to 45 degrees, our surgical team achieves two critical clinical advantages:
- Anatomical Clearance: The tilted trajectory bypasses the maxillary sinus cavities in the upper jaw and avoids the mental foramen and inferior alveolar nerve canal in the lower jaw.
- Cortical Bone Engagement: Longer implant fixtures (up to 20mm) can be placed to anchor into high-density anterior bone, achieving the rigid primary stability (≥35 Ncm) required for immediate provisional loading.
- Broad Anterior-Posterior (A-P) Spread: Angling the posts posteriorly creates an expansive mechanical foundation, minimizing cantilever forces on the final monolithic zirconia prosthesis.
Expert Clinical Rationale
At Aloha Dental Specialty Center, Dr. Merat Ostovar (Implant & Full-Arch Reconstruction) collaborates with Dr. Walied Eldomiaty (Periodontist & Bone Regeneration Specialist) to map bone density on high-resolution 3D CBCT scans. Every angle, torque vector, and multi-unit abutment is digitally simulated prior to surgery.
All-on-4 vs Removable Dentures
Conventional dentures sit on resting gum mucosa and rely on surface tension or sticky adhesives. Over time, the absence of natural tooth root stimulation causes severe alveolar bone resorption (facial collapse).
Dentures provide only 15% bite efficiency, limiting diets to soft processed food. All-on-4 implants transmit chewing forces directly into basal bone, restoring 90%+ natural chewing power.
Upper dentures cover the entire roof of the mouth, dulling taste receptors and triggering gag reflexes. All-on-4 arches are horseshoe-shaped, leaving the upper palate completely open and natural.
All-on-4 is fixed. It does not click, slip, or require removal at night. You brush and floss it like natural teeth.
All-on-4 vs All-on-6 vs Traditional Dentures
Compare clinical parameters, bone requirements, bite force, and longevity across the three primary full-mouth restorative modalities available at our Beaverton specialty center.
| Clinical Feature | All-on-4® Dental Implants | All-on-6 Dental Implants | Traditional Removable Dentures |
|---|---|---|---|
| Number of Implants | 4 (2 anterior straight, 2 posterior tilted) | 6 (2 anterior, 4 posterior) | 0 (Tissue-borne only) |
| Prosthetic Type | Fixed, non-removable hybrid bridge | Fixed, non-removable bridge | Removable plastic/acrylic plate |
| Chewing Force Restored | 85% – 92% of natural bite | 90% – 95% of natural bite | 10% – 20% of natural bite |
| Bone Grafting Required? | Rarely (<5% of cases) due to tilted posts | Occasionally required in posterior maxilla | None (leads to rapid ongoing bone loss) |
| Palate Coverage (Upper Jaw) | None (Open horseshoe design) | None (Open horseshoe design) | Full acrylic palate covering roof of mouth |
| Same-Day Loading | Yes (Fixed provisional teeth on surgery day) | Yes (If insertion torque ≥35 Ncm achieved) | Immediate denture sits on raw surgical gums |
| Jawbone Preservation | Halts bone resorption via osteostimulation | Maximum bone stimulation & force distribution | Accelerates bone atrophy due to mucosal friction |
| Primary Candidate Profile | Moderate bone loss, failing dentition, edentulous | Heavy bruxers, high occlusal force, softer maxilla | Temporary placeholder or low surgical tolerance |
Full-Arch Material Comparison: Zirconia Hybrid vs. Acrylic PMMA vs. Traditional Dentures
| Material Property | Monolithic Zirconia Hybrid (ADSC Standard) | Acrylic-Titanium (PMMA) Hybrid | Traditional Acrylic Dentures |
|---|---|---|---|
| Durability & Flexural Strength | 1,200+ MPa (Virtually unbreakable; 20+ years lifespan) | 100–150 MPa (Prone to tooth wear and chipping; 5–8 years) | Low (Cracks easily if dropped; 5–7 years) |
| Stain & Odor Resistance | 100% Non-porous ceramic; impervious to coffee, wine, and odors | Porous resin; absorbs micro-stains and odors over time | Highly porous plastic; absorbs food stains and bacterial biofilm |
| Bone Preservation | Direct osteostimulation preserves facial structure and jawbone | Preserves basal bone through rigid implant anchorage | Accelerates ongoing bone atrophy from mucosal compression |
| Aesthetic Naturalism | Multi-translucent ceramic hand-glazed to replicate natural enamel | Good initial aesthetics, but teeth gradually wear down flat | Noticeable artificial look with bulky pink acrylic flanges |
| Typical Oregon Investment | $22,000 – $28,000 per arch (All-inclusive permanent restoration) | $18,000 – $22,000 per arch (Requires periodic re-lining) | $2,500 – $4,500 per arch (Frequent replacements required) |
Your Full-Arch Implant Journey at ADSC
We execute your complete All-on-4 transformation in-house under one roof in Beaverton, from high-precision digital scanning to final custom monolithic zirconia delivery.
Phase 1: 3D CBCT Imaging, Digital Impressions & Photogrammetry
We begin with an ultra-low-dose Green CBCT 3D volume capture and high-resolution intraoral scanning. Our team evaluates your bone volume, sinus proximity, mandibular canal position, and smile aesthetics in 3D CAD/CAM software to design the custom surgical guide and pre-manufacture your same-day provisional prosthesis.
Phase 2: IV Moderate Sedation & Atraumatic Extractions
On surgery day, you rest comfortably under monitored IV sedation. Any non-restorable, broken, or infected teeth are gently removed with minimal alveolar bone trauma. Our periodontist conditions the surgical site and applies autologous Platelet-Rich Fibrin (PRF) to accelerate cellular healing and soft tissue seal.
Phase 3: Computer-Guided Implant Placement & Immediate Loading
Using 3D-printed stereolithographic surgical guides, four medical-grade titanium implants are inserted at the exact planned depths, angulations, and rotational alignments. Multi-unit abutments are torqued, and an aesthetic provisional fixed acrylic bridge is rigidly cross-arch splinted into place. You leave our office with a beautiful, fixed set of functional teeth on the very same day.
Phase 4: Biological Osseointegration (3 to 5 Months)
During the healing window, osteoblasts migrate across the titanium fixture surface, depositing new trabecular bone in a process termed osseointegration. Patients follow a gentle modified soft-food diet to prevent micro-motion while the implants bond permanently with the surrounding jawbone.
Phase 5: Final Monolithic Prettau® Zirconia Bridge Delivery
Once 3D radiographic scans verify mature bone remodeling, digital verification jigs capture your final soft tissue contours. We custom mill a master monolithic zirconia bridge—the gold standard in restorative dentistry. Zirconia is biocompatible, chip-resistant, non-porous (stain and odor proof), and hand-glazed to match your ideal facial aesthetics.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery. Questions during recovery? Call us at (503) 822-0096.
Advanced In-House Technology Built for Precision
Every All-on-4 surgical procedure is performed in our state-of-the-art surgical suites in Beaverton with strict sterilization protocols and advanced digital instrumentation.
Low-Dose 3D CBCT Imaging
Captures sub-millimeter cross-sectional volumetric anatomy of your maxilla, mandible, and nerve paths with up to 70% lower radiation exposure than traditional medical CT scans.
Learn about 3D CBCT →Hospital-Grade IV Sedation
Administered with continuous multi-parameter telemetry monitoring (pulse oximetry, end-tidal capnography, blood pressure, and ECG), ensuring absolute peace of mind for dental anxiety.
Explore IV Sedation →PRF (Platelet-Rich Fibrin)
We spin a small vial of your own blood to isolate concentrated autologous growth factors, white blood cells, and fibrin matrices, reducing postoperative discomfort and accelerating bone healing by 40%.
Bone Regeneration →3D Computer-Guided Surgery
Eliminates freehand surgical error. Custom CAD/CAM 3D surgical splints seat directly over the alveolar ridge, guiding pilot drill trajectory and implant seating with sub-millimeter precision.
Digital Tech Suite →Monolithic Zirconia Prosthetics
Engineered from solid blocks of ultra-translucent yttria-stabilized zirconia. With flexural strengths exceeding 1,200 MPa, zirconia will never fracture, stain, chip, or discolor like acrylic.
Implant Restorations →Transparent Financing Solutions
We believe life-changing dental care should be accessible. We offer 0% promotional APR financing plans through CareCredit and Sunbit, plus clear itemized surgical breakdowns with no surprise fees.
Financing & Insurance →Severe Bone Loss? Solutions When You Were Told "No"
Many patients come to Aloha Dental Specialty Center after being told by general dental offices that they are not candidates for dental implants due to severe bone loss or sunken jaws. As a dedicated multi-specialty surgical center led by Dr. Walied Eldomiaty (Periodontist & Implant Surgeon), we routinely reconstruct complex full-arch cases using advanced microsurgical techniques:
- 30° to 45° Angled Posterior Implants: By utilizing existing dense cortical bone along the anterior nasal spine and posterior canine pillars, we anchor implants securely without needing bone grafts.
- All-on-6 Force Distribution: When anatomy permits, placing six implants spreads occlusal force across a wider surface area, ideal for patients with high masticatory power or softer maxilla.
- Platelet-Rich Fibrin (PRF) & Biologics: We harvest autologous growth factors from your own blood to accelerate bone matrix formation and soft tissue healing in resorbed ridges.
- Zygomatic & Pterygoid Alternatives: For patients with extreme maxillary bone loss, specialized cheekbone anchorage completely bypasses the need for conventional ridge grafting.
You do not have to accept unstable, slipping dentures for the rest of your life. Schedule a comprehensive 3D CBCT diagnostic assessment in Beaverton to discover your full-arch possibilities.
Candidate Qualification Factors
Even with severe periodontal disease or decade-long denture wear, over 95% of patients qualify for immediate fixed teeth through our multi-specialty protocol.
Loose, painful, or infected teeth are gently extracted at the time of implant placement.
Angled fixtures anchor into deeper basal cortical bone that never atrophies.
Controlled systemic health conditions are carefully evaluated and monitored alongside your physician.
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements.
Clinical Complexity
Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
Materials
We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
Sedation
Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing: We accept most major dental insurance plans and file claims on your behalf. We partner with CareCredit and Cherry for flexible payment plans, and offer our ADSC Dental Savings Plan for patients without insurance.
Get a Free All-on-4 Consultation →Meet Your Beaverton All-on-4 Specialists
Unlike clinics where a single general dentist attempts complex surgery without specialty support, Aloha Dental Specialty Center combines expert general implant surgeons with board-level periodontal specialists.
Dr. Merat Ostovar, DMD
General Dentist | Implant & Full-Arch DirectorFocuses extensively on advanced implant surgery, 3D computer-guided full-arch restorations, and digital prosthetic design. Trained across premier surgical institutes to deliver natural, life-changing smiles.
View Dr. Ostovar's Credentials →Dr. Walied Eldomiaty, DDS
Periodontist | Bone & Tissue SpecialistSpecializes in comprehensive periodontal therapy, advanced bone graft biology, sinus elevations, soft tissue aesthetics around dental implants, and LANAP/LAPIP regeneration.
View Dr. Eldomiaty's Credentials →Endodontic & Tooth Salvage Care
Specialized Endodontic TeamProvides advanced microscopic diagnosis and 3D endodontic evaluation to salvage compromised natural teeth whenever clinically viable prior to surgical reconstruction.
Learn About Tooth Salvage →Frequently Asked Questions About All-on-4
Everything you need to know about candidacy, anesthesia, surgical healing, costs, and daily hygiene for full-arch dental implants in Beaverton, Oregon.
All-on-4 is an advanced full-arch implant rehabilitation protocol that permanently anchors a rigid prosthetic bridge onto four medical-grade titanium implants. Our clinicians at Aloha Dental Specialty Center in Beaverton, Oregon, provide comprehensive All-on-4 surgical and restorative treatments. In practice, traditional removable dentures rest loosely on sensitive gingival gums, leading to progressive bone resorption, slippage, and painful chewing sores. According to the American Academy of Implant Dentistry, dental implants transmit functional chewing forces directly into the jawbone, preserving facial skeletal volume. The clinical distinctions include key operational benefits: 1. Over 90% restoration of natural chewing efficiency compared to only 20% with removable dentures. 2. A streamlined palate-free prosthesis design that preserves normal taste and speech clarity. Additionally, our clinical team utilizes computer-guided surgical templates to achieve millimeter-level accuracy. Aloha Dental Specialty Center provides individualized implant consultations in 2026 across Beaverton and Washington County. Explore All-on-4 full-arch implants.
Posterior implant tilting refers to the biomechanical placement of distal dental implants at precise 30 to 45 degree angles within the jawbone. Dr. Walied Eldomiaty and our team at Aloha Dental Specialty Center in Beaverton, Oregon, utilize 3D CBCT digital planning to optimize bone anchorage. In practice, angling the posterior implants allows clinicians to engage dense anterior cortical bone while safely bypassing the maxillary sinus cavities and inferior alveolar nerve canals. According to published biomechanical literature, tilted implants provide exceptional load distribution without requiring invasive sinus lift surgery. The protocol provides substantial patient advantages: 1. Eliminates extensive bone graft donor sites and months of preliminary healing downtime. 2. Allows immediate prosthetic loading in over 90% of qualifying full-arch clinical candidates. Additionally, our clinical evaluations confirm that tilted implants achieve stability equal to vertically placed fixtures. Aloha Dental Specialty Center evaluates full-arch candidates in 2026 across Beaverton and Portland. See our 3D CBCT imaging guide.
Immediate-load provisional restoration refers to the surgical protocol where a customized, rigid full-arch acrylic bridge is securely fastened to implants on the day of surgery. Dr. Walied Eldomiaty and our team at Aloha Dental Specialty Center in Beaverton, Oregon, coordinate surgery and laboratory fabrication seamlessly under one roof. In practice, patients never leave our specialty center without functional teeth. According to clinical protocols established by Professor Paulo Malo, immediate cross-arch splinting stabilizes the four implants collectively, promoting rapid osseointegration. The same-day surgical workflow involves systematic stages: 1. Morning extraction of terminal teeth followed by computer-guided 3D implant placement. 2. Afternoon insertion of a custom laboratory-fabricated provisional fixed bridge. Additionally, our clinical records indicate that over 95% of eligible patients transition through healing with continuous aesthetic and functional confidence. Aloha Dental Specialty Center provides complete same-day transformations in 2026 across Beaverton. Book a consultation to confirm eligibility.
The All-on-4 recovery timeline refers to the biological phases of soft tissue epithelial healing and bone osseointegration following full-arch implant surgery. Dr. Walied Eldomiaty and our team at Aloha Dental Specialty Center in Beaverton, Oregon, deliver comprehensive post-operative care and home recovery guidance. In practice, post-surgical swelling and mild soreness peak within the first 48 to 72 hours before subsiding rapidly. According to clinical guidelines from the International Congress of Oral Implantologists, patients comfortably resume light non-strenuous routines within 3 to 5 days. The healing progression follows defined biological milestones: 1. Days 1 through 14 require a soft nutritional diet to protect developing bone interfaces. 2. Complete osseointegration occurs over 3 to 6 months, after which final monolithic zirconia bridges are placed. Additionally, our clinical observations confirm that over 90% of patients control post-op comfort using mild analgesics. Aloha Dental Specialty Center monitors healing closely in 2026 across Beaverton.
All-on-4 and All-on-6 refer to two established full-arch implant protocols distinguished primarily by the number of supporting titanium implants placed per dental arch. Dr. Walied Eldomiaty and our team at Aloha Dental Specialty Center in Beaverton, Oregon, assess anatomical bone density via 3D CBCT scans to recommend the ideal configuration. In practice, All-on-4 provides exceptional biomechanical stability for standard arch dimensions and moderate bite forces. According to clinical research in the International Journal of Oral & Maxillofacial Implants, All-on-6 distributes occlusal stress across two additional fixtures, making it ideal for patients with severe bruxism or wider dental arches. The comparative factors involve key clinical criteria: 1. All-on-4 requires less bone volume posteriorly and avoids sinus grafting in over 85% of cases. 2. All-on-6 provides expanded posterior molar support for heavy masticatory forces. Additionally, our clinical directors evaluate bone quality to tailor each surgical plan individually in 2026 across Washington County. Compare All-on-4 vs All-on-6.
Home maintenance for All-on-4 refers to daily oral hygiene protocols designed to clean the sub-prosthetic interface between the fixed bridge and the underlying mucosal gum tissue. Dr. Merat Ostovar and Dr. Walied Eldomiaty at Aloha Dental Specialty Center in Beaverton, Oregon, provide hands-on hygiene training for all full-arch implant patients. In practice, because the prosthetic bridge is permanently screwed in place, patients clean around implants without ever removing the prosthesis. According to the American College of Prosthodontists, maintaining meticulous plaque control prevents peri-implant mucositis. Effective daily maintenance incorporates essential specialized tools: 1. High-pressure water flossers (Waterpik) flush food debris from beneath the prosthetic contour. 2. Threaded implant floss (Superfloss) and interdental brushes clean around each titanium abutment. Additionally, our clinical hygienists perform specialized ultrasonic cleanings every 4 to 6 months in 2026 to ensure lifelong implant health across Beaverton.
Our Beaverton Office
Our surgical team provides complete All-on-4 consultations, 3D CBCT planning, and full-arch restorative procedures at our single office in Beaverton, proudly serving patients across Beaverton, Aloha, Hillsboro, and the greater Portland area.
Aloha Dental Specialty Center
18455 SW Alexander St, Suite B
Beaverton, OR 97006
Mon–Wed 8:00am–5:00pm
Thu–Fri 8:00am–6:00pm
Sat 8:00am–2:00pm
Sun closed
(503) 822-0096Get directions (opens Google Maps in a new tab)
Finding Suite B
We are in the Aloha Medical Dental Square building at 18455 SW Alexander St. Look for Aloha Dental Specialty Center, Suite B, and call us if you have trouble finding the entrance.
Ready to Reclaim Your Confident, Permanent Smile?
Schedule your All-on-4 consultation at Aloha Dental Specialty Center. Receive a full 3D CBCT digital scan, complete smile simulation, and a transparent surgical treatment plan from our team in Beaverton, OR.
- 1Send your request
- 2We contact you to find a time
- 3Exam, imaging & your written plan
Proudly serving patients across Beaverton, Aloha, Hillsboro, Cooper Mountain, Tigard, Tanasbourne, Cedar Hills, and the greater Portland area. Office Hours & Directions
Request a Consultation
Takes about a minute. No medical details needed.
Prefer to talk? (503) 822-0096
