Full Arch Implants (All-on-4)
All-on-X Full Arch Consultation is a specialized dental service provided by the board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. The step-by-step surgical and prosthetic process for delivering a permanent full arch on four to six implants.
We understand this can feel like a big decision. Our team is here to answer every question and make sure you feel confident before moving forward.
What Happens on Surgery Day — A Full Arch Case From Start to Finish
Full arch implant surgery is our most transformative procedure. Here is what the day looks like. You arrive early morning. IV sedation is started. While you are deeply relaxed, Dr. Ostovar extracts any remaining failing teeth, debrides the sockets, and smooths the alveolar ridge to create a flat, even surface for the prosthesis. Then, using a CBCT-planned surgical guide, he places four to six implants at precise positions and angles. Insertion torque is checked — each implant needs at least 35 Ncm for same-day loading.
Once all implants are placed and primary stability is confirmed, multi-unit abutments are screwed onto each implant to correct the angulation between the implant and the prosthesis. Impressions are taken or a pre-fabricated provisional bridge is tried in, adjusted, and secured to the abutments with small prosthetic screws. The access holes are sealed with temporary filling material. You wake up from sedation with a full set of fixed teeth that do not come out.
The provisional bridge is made from reinforced acrylic — durable enough for soft foods during the three-to-six-month osseointegration period. During this time, you return for periodic checkups to ensure healing is on track. Once the implants are fully integrated, the provisional is removed, final impressions are taken, and a permanent bridge — typically milled monolithic zirconia with individually characterized teeth — is fabricated and delivered. This final prosthesis is designed for 15 to 25 years of hard use.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite A, in Beaverton, Or 97003egon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
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Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
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Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
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Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local general dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to general dentists throughout the Tualatin Valley. When cases require CBCT-guided planning, IV sedation, bone grafting, or other advanced procedures, local providers refer to Dr. Ostovar for his fellowship-trained expertise and predictable results.
We handle the complex surgical phases and coordinate closely with your general dentist for seamless continuity of care from start to finish.
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. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- 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. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
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. We are available for post-operative concerns.
Immediate Loading Mechanics: Why Same-Day Teeth Work on Fresh Implants
Immediate loading — attaching a prosthesis to implants on the day of surgery — is possible because the four to six implants are splinted together by the rigid bridge framework, distributing forces across all implants as a single unit. This splinting prevents micromotion at any individual implant, which is the primary enemy of osseointegration. Research by Malo, Rangert, and others established that when all implants in a full-arch case achieve primary stability above 35 Ncm and the prosthesis is designed with passive fit, immediate loading produces survival rates equivalent to delayed loading. The soft-food diet during healing further protects the implants from excessive force during the critical early integration phase.
Why Choose a Specialist?
The full-arch implant procedure demands synchronized execution of oral surgery, prosthodontics, and laboratory coordination — often compressed into a single day. Dr. Ostovar functions as surgeon, prosthodontist, and treatment coordinator throughout the process. His ICOI fellowship specifically covered immediate-load full-arch protocols, including management of complications like insufficient primary stability (requiring protocol adjustment to delayed loading) and prosthesis adjustments for proper occlusion and aesthetics. Having one clinician oversee every phase eliminates the gaps that occur when surgical and restorative responsibility is split between providers.
Your All-on-X Full Arch Consultation Treatment Steps
- Consultation & Exam: Comprehensive all-on-x full arch consultation evaluation with CBCT 3D imaging at our Beaverton office.
- Treatment Plan: Board-certified specialist discusses your all-on-x full arch consultation options, timeline, and costs. Our procedures maintain a 95%+ success rate, backed by advanced 3D imaging and evidence-based protocols.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for optimal healing.
Schedule Your Appointment Today
Book a consultation with our board-certified specialists at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 7 AM to 7 PM, Saturday and Sunday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
From Dr. Ostovar: What I Tell My Implant Patients
“In my experience placing thousands of dental implants, I’ve found that the patients who do best are the ones who understand what they’re getting into. It’s not a painful procedure — most people tell me it was easier than the extraction. But it is a process. You’re looking at 3-6 months from implant placement to final crown, sometimes longer if we need to build bone first.
I won’t sugarcoat it: not every patient is a candidate right away. If you’ve had teeth missing for years, you’ve likely lost bone. That doesn’t mean you can’t get implants — it means we may need a bone graft or sinus lift first. I’d rather take the time to build a solid foundation than rush and risk failure.
The materials matter too. We use Nobel Biocare and Straumann titanium implants — these are the systems with the best long-term research behind them. For the crown, I typically recommend zirconia or e.max porcelain depending on the location in your mouth. Front teeth get a different material consideration than molars.
If you’re comparing costs, a single implant at our Beaverton office runs $3,500-$5,500 including the crown. That’s competitive for the Portland metro area, and we offer CareCredit 0% financing. Most PPO dental insurance plans now cover a portion of implant costs — our team will verify your benefits before we start.”
— Dr. Merat Ostovar, DDS | Board-Certified Implant Specialist
For additional clinical information, visit the American Dental Association (ADA).
Last reviewed by our dental specialists: March 2026. Clinical information on this page reflects current evidence-based dental practices.
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Frequently Asked Questions
How long does full arch implant surgery take?
Plan for four to six hours at the office for a single arch, or six to eight hours for both arches. This includes IV sedation setup, extractions, implant placement, and provisional prosthesis delivery. The actual surgical time is two to three hours per arch. You are under sedation the entire time, so the hours pass without your awareness.
What if one of the implants does not achieve enough primary stability?
If an implant does not reach the 35 Ncm threshold for immediate loading, Dr. Ostovar has several options: repositioning the implant, using a wider or longer implant, or excluding that implant from the immediate load and allowing it to integrate submerged. The remaining implants can often support the provisional while the underperforming one catches up.
What is the difference between the provisional and final prosthesis?
The provisional is a reinforced acrylic bridge designed for the four-to-six-month healing period. It is functional and aesthetic but softer than the final restoration. The final prosthesis is typically milled monolithic zirconia — extremely hard, stain-resistant, and durable for 15 to 25 years. It features individually characterized teeth and natural-looking gum contours.
How many teeth are on a full arch prosthesis?
Typically 10 to 14 teeth per arch, depending on your facial anatomy, smile line, and the position of the implants. Most patients receive 12 teeth per arch. The prosthesis also includes gum-colored material that simulates natural gingival contours, especially important when bone loss has altered the ridge height.
Can the final prosthesis be removed for cleaning?
The patient cannot remove it — it is secured with prosthetic screws that only a dentist can access. At your regular maintenance visits (every six months), we can remove the prosthesis, clean it thoroughly along with the implants and abutments underneath, and reseat it. Between visits, you clean around it with a brush, water flosser, and interdental aids.
What kind of food can I eat after full arch surgery?
Soft foods only for the first three months: scrambled eggs, pasta, cooked vegetables, fish, yogurt, soup, and smoothies. Nothing that requires forceful chewing or biting. After the final prosthesis is placed and integration is confirmed, you can eat virtually anything — steak, apples, corn on the cob, crusty bread.
What does the full arch surgery cost at your office?
A single arch ranges from $20,000 to $30,000, and both arches together range from $38,000 to $55,000. This includes all extractions, implants, abutments, the provisional prosthesis, and the final zirconia prosthesis. Additional costs may apply for bone grafting or supplemental procedures. Exact pricing is provided at your consultation.
Is full arch surgery safe for older patients?
Yes, as long as you are healthy enough for IV sedation and minor surgery. We routinely perform full-arch cases on patients in their 70s and 80s. A medical history review and sometimes clearance from your physician are completed before surgery. Age alone does not disqualify you.
What if I gag easily or have dental anxiety?
IV sedation solves both issues. You will be in a deeply relaxed, semi-conscious state throughout the procedure. Patients with severe gag reflexes tolerate the procedure well under sedation because the reflex is suppressed. Most patients have no memory of the surgery afterwards.
How do I prepare for full arch surgery day?
Do not eat or drink for eight hours before surgery (required for IV sedation). Arrange a responsible adult to drive you home. Wear comfortable, loose-fitting clothing. Take any pre-operative medications we prescribe. Stock your kitchen with soft foods for the following weeks. We provide detailed written instructions before your surgery date.
Will I need someone to care for me after surgery?
For the first 24 hours, yes. IV sedation effects linger for several hours, and you should not be alone, drive, or make important decisions during that time. After the first day, most patients are self-sufficient, though having help with meals and household tasks for two to three days is ideal.
How often do I need follow-up appointments after full arch surgery?
Expect checkups at one week, two weeks, one month, three months, and six months post-surgery. After the final prosthesis is delivered, routine maintenance visits every six months are recommended. These visits include prosthesis inspection, hygiene around the implants, and occlusal adjustment if needed.
What is the difference between this procedure and implant-supported dentures?
Full arch implants produce a permanently fixed prosthesis that is screwed onto the implants and does not come out. Implant-supported dentures snap on and off — the patient removes them nightly for cleaning. Full arch implants are stronger, more natural-feeling, and better at preserving bone, but they cost more.
Can I get full arch implants if I have gum disease?
Yes, but any active periodontal disease must be treated before or during the procedure. In full-arch cases, all remaining teeth (and the infection they harbor) are removed during surgery. The surgical field is thoroughly debrided, and the implants are placed in clean bone. Post-operatively, the fixed prosthesis is easier to keep clean than diseased natural teeth were.
What if I do not like the way my new teeth look?
The provisional prosthesis is your trial period. If you want adjustments to tooth shape, size, color, or arrangement, we make those changes before fabricating the final prosthesis. The final zirconia bridge is custom-designed based on your approved provisional, so what you see is what you get — and you approve it before it is finalized.
A Full Set of Permanent Teeth in One Day — See If You Qualify
Call our Beaverton office or request an appointment online. We look forward to helping you.
Clinically Reviewed by Dr. Merat Ostovar, DMD
Doctor of Dental Medicine | Implant & Specialty Dentistry | 15+ Years Experience
Aloha Dental Specialty Center — Serving Aloha, Beaverton, Hillsboro & Greater Portland
Last updated: March 19, 2026