Can I replace both upper and lower teeth with All-on-4?

tooth implant Las VegasThe best way to replace a missing tooth is with a tooth implant. However, in some cases the jawbone has atrophied too extensively to provide a sufficient foundation for implants. If you have this problem, the All-on-4 implant procedure might provide the answer.

What is All-on-4?

With traditional dental implants, each individual tooth is replaced with a single implant and crown. With All-on-4, only four implants are used to support a removable denture. The implants are situated to take advantage of the densest areas of bone in your jaw. Although the denture can be removed, it’s anchored to the abutments on your implants so it doesn’t shift or move. As with traditional implants, you’ll be able to eat any foods you like, and you won’t have to worry about having your denture relined or retooled.

The All-on-4 procedure can be used on either the top or bottom teeth or, if necessary, on both. The implants help keep your jawbone from continuing to atrophy, and the removable dentures allow you to eat and talk just like you would with your original teeth. You’ll need to remove your denture to clean it regularly so you don’t develop decay in your remaining teeth or gum disease. You should also floss around the abutments to remove any food particles or plaque that might collect there.

Is All-on-4 Right for Me?

The best way to find out if All-on-4 is a good choice for you is to talk to your dentist. This procedure is aimed primarily at people who lack sufficient bone density for traditional implants, but other issues could make it more likely that your implants could fail. These issues include:

  • Gum disease
  • Osteoporosis—particularly if you are taking certain medications
  • Smoking
  • Diabetes
  • Autoimmune disorders

If you are concerned about any of these issues, talk to one of our specialists at The Center for Oral Surgery of Las Vegas to discuss the possibility of pre-treatment that might make you a better candidate for a successful implant procedure.

COVID-19 Updates

A COVID-19 message and well wishes from the Center for Oral Surgery of Las Vegas to all of our patients.


The health and safety of our patients and staff is our number one priority. Per CDC guidelines we will be continuing with or instituting the following measures. Other measures will be instituted as guided by the authorities.


  • Our staff will be wearing enhanced personal protective equipment (PPE).
  • We will be monitoring the health of employees and keeping home any employee who displays symptoms of COVID-19.
  • We will be providing services by appointment only and communicating any special instructions to the patient for the appointment (i.e. face covering).
  • We will be limiting the number of people allowed inside the office at any given time.
  • We will be requiring temperature checks and health screenings for patients before entering the office.
  • We will be limiting the contact between the administrative staff and the patients, such as eliminating check-in forms and receipts when possible.


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