All on 4 & All on X Implants for Patients Missing All of Their Teeth – Syracuse Oral & Maxillofacial Surgery

If you’re tired of loose dentures, struggling with failing teeth, or looking for a long-term solution to extensive tooth loss, All-on-4® and All-on-X dental implants may allow you to replace an entire arch of teeth with a secure, natural-looking smile. All-on-4 uses four implants to support a full arch of replacement teeth, while All-on-X allows for a customized number of implants based on your bone structure and bite. At Syracuse Oral Surgery, our experienced oral surgeons use advanced digital planning, full IV sedation, and the latest implant technology, including X-Nav Dynamic Navigation, to deliver precise, predictable results for patients in Syracuse, New York.

What Are All-on-4® and All-on-X Dental Implants?

All-on-4® and All-on-X are full arch implant treatments that replace an entire row of missing or failing teeth with a fixed, implant-supported bridge. Instead of placing one implant for each missing tooth, a smaller number of strategically positioned implants support a complete arch of replacement teeth that look and function like natural teeth. This bridge stays fixed in place, so it does not come out for cleaning the way a removable denture does.

All-on-4 vs. All-on-X

The difference between All-on-4 and All-on-X comes down to the number of implants used to support your new smile. All-on-4 uses four implants per arch, while All-on-X allows for additional implants when a patient’s bone structure or bite calls for extra support. Every treatment plan at Syracuse Oral Surgery is customized, so not every patient needs exactly four implants to achieve a stable, long-lasting result.

What Is All-on-X?

All-on-X implants refer to a full arch treatment where the exact number of implants is determined by your unique anatomy rather than a fixed formula. Our oral surgeons evaluate your jawbone, bite, and overall oral health before recommending how many implants will provide the strongest foundation. This individualized approach supports long-term stability and comfort.

Why Choose Syracuse Oral Surgery for Full Arch Dental Implants?

Patients considering full arch dental implants deserve a surgical team with the experience, technology, and training to plan and place implants with precision. At Syracuse Oral Surgery, our oral surgeons combine advanced technology with extensive surgical experience to support predictable, long-term outcomes for complex full arch cases. Here is what sets our practice apart.

The Only Practice in New York with X-Nav Dynamic Navigation Technology

Syracuse Oral Surgery is the only practice in Central New York offering X-Nav Dynamic Navigation for implant placement. This GPS-guided system provides real-time navigation during surgery, giving our surgeons greater precision when positioning each implant.

  • GPS-guided implant placement with real-time surgical navigation
  • Customized implant positioning based on your unique anatomy
  • Helps maximize available bone, which can be especially valuable for complex full arch cases

Full IV Sedation & General Anesthesia

We offer full IV sedation and general anesthesia to help patients feel comfortable throughout treatment. Most patients sleep through their procedure while our team continuously monitors their vital signs.

  • A comfortable, restful experience during surgery
  • Continuous monitoring throughout the procedure
  • Well suited for full mouth procedures that involve multiple steps

Specialists in Complex Implant Surgery

Our oral surgeons have extensive experience with full arch cases, including bone grafting, sinus lifts, and revision surgery. We also work with patients who have been told by another provider that they are not candidates for implants.

  • Full arch implant placement for upper and lower arches
  • Bone grafting and sinus lift procedures to build a stronger foundation
  • Revision surgery for implants that did not succeed elsewhere

Comprehensive Treatment Planning

Every full arch case begins with detailed 3D CBCT imaging and digital smile planning. We collaborate closely with your restorative dentist throughout the process to plan for long-term success rather than a quick fix.

  • 3D CBCT imaging for a complete view of your jaw and bone structure
  • Digital smile planning to visualize your results before surgery
  • Ongoing collaboration with your restorative dentist

Who Is a Candidate for All-on-4® and All-on-X?

Ideal candidates for All-on-4 and All-on-X implants include patients who:

  • Wear dentures or have loose, uncomfortable dentures
  • Have multiple failing teeth or severe decay
  • Have advanced periodontal disease or broken-down teeth
  • Are tired of removable dentures and want permanent teeth
  • Have been told they do not have enough bone for implants

Even if another provider has told you that you are not a candidate, advanced imaging and treatment planning at Syracuse Oral Surgery may reveal additional options.

Benefits of All-on-4® & All-on-X

Patients who choose All-on-4 or All-on-X implants often experience benefits that go beyond a new smile, including:

  • Permanent teeth that do not come out for cleaning
  • Freedom to eat a wider variety of foods comfortably
  • No more denture adhesive
  • Preservation of jawbone that would otherwise be lost over time
  • A stable, secure bite
  • Clearer speech
  • A natural-looking, confident smile
  • Improved facial support and a better overall quality of life

What If I Don’t Have Enough Bone?

A shortage of jawbone does not automatically rule out full arch dental implants. Depending on your anatomy, our surgeons may recommend one or more of the following to create a stable foundation for your new teeth:

  • Bone grafting
  • Sinus augmentation
  • Angled implants
  • Advanced planning with X-Nav technology

Not every patient requires bone grafting. A personalized evaluation with our surgical team will determine the best approach for your smile.

Our Treatment Process

Consultation

Your visit begins with a full exam and CBCT scan so our surgeons can review your goals and discuss your treatment options.

  • Comprehensive oral exam
  • CBCT scan for detailed imaging
  • Conversation about your goals and treatment options

Digital Planning

Once your treatment plan is set, our team uses virtual implant planning and X-Nav navigation to map out your surgery in detail, creating surgical guides when needed.

  • Virtual implant planning
  • Surgical guides when appropriate
  • X-Nav Dynamic Navigation

Surgery

On the day of your procedure, our surgical team completes any necessary extractions, places your implants under IV sedation, and attaches a temporary bridge when appropriate.

  • Extractions, if necessary
  • Implant placement under IV sedation
  • Temporary bridge when appropriate

Healing

As your implants integrate with your jawbone, you will attend follow-up visits with our team and follow a soft diet to support healing.

  • Implant integration
  • Follow-up visits with our surgical team
  • Soft diet during recovery

Final Smile

Additional appointments with your restorative dentist are needed to complete your final bridge.

Once healing is complete, your final bridge is placed and adjusted for a comfortable, natural bite that supports long-term maintenance.

  • Final bridge placement
  • Bite adjustments
  • Long-term maintenance

Most patients will have three to six visits with our surgical team, depending on whether extractions, bone grafting, or immediate temporary teeth are part of the treatment.

Schedule a Consultation

If you are ready to explore whether All-on-4 or All-on-X dental implants are right for you, our team at Syracuse Oral Surgery is here to help. Contact us at Fayetteville Office Phone Number (315) 637-4476 to schedule a consultation and learn more about your full arch implant options.