The All-on-X procedure is a modern dental implant treatment that replaces an entire arch of teeth using a limited number of strategically placed implants—usually 4 to 6—providing a permanent, stable, and natural-looking solution for patients with multiple missing or damaged teeth.

🦷 What Is All-on-X?

  • Definition: “All-on-X” refers to a full-arch restoration supported by X number of implants (commonly 4, 6, or more depending on bone health and patient needs).

  • Purpose: It offers a fixed, long-term alternative to removable dentures, restoring both function and aesthetics.

  • Candidates: Ideal for patients with extensive tooth loss, severe decay, or those seeking a more permanent solution than dentures.

🔍 How the Procedure Works

  1. Consultation & Planning

    • Comprehensive exam, digital scans, and X-rays to assess bone density and oral health.

    • Treatment plan customized to determine the number and placement of implants.

  2. Implant Placement Surgery

    • Typically performed under local anesthesia or sedation.

    • Four or more implants are placed:

      • Two vertical implants near the front of the jaw.

      • Two (or more) angled implants toward the back for maximum stability.

  3. Temporary Prosthesis

    • A set of temporary teeth is attached the same day, allowing patients to leave with a functional smile.

    • Healing time allows implants to fuse with the jawbone (osseointegration).

  4. Final Restoration

    • After several months of healing, a permanent, custom-designed dental arch is placed.

    • The final prosthesis is crafted for natural appearance, proper bite alignment, and long-lasting durability.

✅ Benefits of All-on-X

  • Fewer implants needed compared to traditional full-mouth implants.

  • Immediate function—patients often leave surgery with a new smile.

  • Improved comfort and stability compared to removable dentures.

  • Preserves bone structure by stimulating the jawbone.

  • Cost-effective compared to placing individual implants for each missing tooth.

📌 Key Differences vs. Traditional Implants

  • Traditional implants: one implant per missing tooth → longer treatment, higher cost.

  • All-on-X: fewer implants anchor a full arch → faster, less invasive, more efficient.

Educational Note: The “X” in All-on-X simply represents the number of implants used, most commonly All-on-4 or All-on-6, depending on patient anatomy and treatment goals.