All-on-4 dental implants replace a full arch of missing teeth using just four titanium posts. Mountainside Dental offers All-on-4 treatment at our La Quinta and Rancho Mirage locations, where our prosthodontist Dr. Scott Adishian and periodontist Dr. Tyler Hendry work together to plan and place full-arch restorations. Patients often receive temporary teeth the same day as surgery.
What Are All-on-4 Dental Implants?
All-on-4 is a full-arch implant treatment that uses four strategically placed titanium posts to support a fixed set of replacement teeth. Two posts are placed vertically at the front of the jaw. Two are angled at the back to maximize contact with available bone.
The angled rear implants allow the prosthodontist to anchor a full prosthetic without requiring bone grafting in many cases. This makes All-on-4 a practical option for patients who have experienced bone loss from missing teeth or long-term denture wear.
The prosthetic attached to All-on-4 implants is fixed and non-removable. It does not come out for cleaning like traditional dentures. Patients brush and floss their All-on-4 teeth just like natural teeth.
How All-on-4 Differs from Traditional Implants
Traditional implant treatment replaces each missing tooth with an individual post and crown. A patient missing 12 teeth would need 12 separate implants. This approach works well for single-tooth replacement but becomes expensive and surgically intensive for full-arch cases.
All-on-4 replaces an entire arch of teeth with only four implant posts. The angled placement of the rear implants distributes bite force across the jaw, providing enough stability to support 10 to 14 prosthetic teeth per arch.
| Factor | All-on-4 Implants | Traditional Full-Arch Implants |
|---|---|---|
| Number of Implants | 4 per arch | 6 to 8 per arch |
| Bone Grafting Required | Often avoided due to angled placement | Frequently required |
| Treatment Timeline | Temporary teeth same day; final prosthetic in 3 to 6 months | 6 to 12 months (longer if grafting needed) |
| Number of Surgeries | Typically one surgical appointment | Multiple surgeries for grafting and staged implant placement |
| Cost | $20,000 to $30,000 per arch | $30,000 to $50,000+ per arch |
| Best For | Patients with moderate bone loss who want fixed teeth quickly | Patients with good bone who prefer individual implants |
The All-on-4 Treatment Process at Mountainside Dental
Our La Quinta office has both a periodontist (who places the implants) and a prosthodontist (who designs the prosthetic) working together on All-on-4 cases. This coordination happens under one roof, which simplifies scheduling and ensures both specialists are aligned on your treatment plan.
From Consultation to Final Teeth
Consultation and 3D Imaging
We take digital X-rays and a 3D cone beam CT scan to evaluate your jawbone density, nerve locations, and sinus proximity. This imaging guides surgical planning and helps determine if you can avoid bone grafting.
Treatment Planning
Dr. Hendry (periodontist) and Dr. Adishian (prosthodontist) collaborate on your implant placement plan. We discuss the procedure, timeline, anesthesia options, and cost. You receive a detailed treatment estimate before committing.
Extraction and Implant Surgery
On surgery day, any remaining teeth are extracted and the four implant posts are placed. The angled rear implants grip areas of denser bone. Sedation is available for patients who prefer it.
Temporary Teeth Same Day
In most cases, a temporary fixed prosthetic is attached the same day as surgery. You leave the office with a full set of functional teeth. This temporary restoration protects the implants during healing.
Healing Period (3 to 6 Months)
The titanium posts fuse with your jawbone through a process called osseointegration. We monitor your healing at follow-up appointments. Most patients can eat soft foods within a week and gradually return to normal diet.
Final Prosthetic Placement
Once the implants have fully integrated, the temporary prosthetic is replaced with your permanent All-on-4 teeth. The final prosthetic is made from high-strength zirconia or acrylic and custom-designed for your bite and appearance.
Who Is a Good Candidate for All-on-4?
All-on-4 works best for patients who are missing all or most teeth in one or both arches, or whose remaining teeth are failing and need extraction. Candidates should be in good overall health and able to undergo oral surgery.
Ideal Candidates Include:
- Patients currently wearing full dentures who want a fixed, non-removable alternative
- Patients with multiple failing teeth that require extraction
- Patients with moderate jawbone loss who want to avoid bone grafting
- Patients who want functional teeth quickly (same-day temporary prosthetic)
- Non-smokers or patients willing to quit smoking before and after surgery
Patients Who May Need Additional Evaluation:
- Active smokers (smoking significantly increases implant failure risk)
- Patients with uncontrolled diabetes or autoimmune conditions
- Patients with severe bone loss that may require some grafting even with All-on-4
- Patients who grind their teeth heavily (bruxism) may need a nightguard post-treatment
Our team evaluates each patient individually during the consultation. The 3D CT scan reveals bone quality and quantity, helping us determine if All-on-4 is the right approach or if alternative treatment would serve you better.
Benefits of All-on-4 Dental Implants
Fixed, Non-Removable Teeth
All-on-4 teeth stay in your mouth permanently. No more removing dentures at night or worrying about slippage during meals.
Same-Day Temporary Teeth
Most patients leave surgery with a temporary prosthetic attached. No gap between extraction and receiving functional teeth.
Often Avoids Bone Grafting
The angled rear implants anchor into denser bone areas, allowing placement even when bone loss is present.
Full Bite Force Restored
All-on-4 restores 80% to 90% of natural bite force. Eat steak, apples, and corn on the cob without restriction.
Preserves Jawbone
Implant posts stimulate the jawbone, preventing the bone loss and facial collapse that occurs with traditional dentures.
Lower Long-Term Cost
Four implants cost less than 6 to 8 individual implants. No ongoing denture relines, adhesives, or replacements.
All-on-4 vs. Dentures: A Direct Comparison
Patients often ask how All-on-4 compares to traditional dentures. The two options serve different needs and budgets.
| Factor | All-on-4 Implants | Traditional Dentures |
|---|---|---|
| Removable? | No, fixed permanently | Yes, removed daily for cleaning |
| Adhesive Required? | No | Often needed to prevent slipping |
| Bite Force | 80% to 90% of natural teeth | 20% to 25% of natural teeth |
| Bone Preservation | Yes, implants stimulate bone | No, bone loss continues |
| Speech Impact | None after healing | May affect speech, especially initially |
| Lifespan | Implants: 25+ years; prosthetic: 10 to 15 years | 5 to 10 years before replacement |
| Upfront Cost | $20,000 to $30,000 per arch | $1,500 to $3,500 per arch |
Many patients start with dentures and later upgrade to All-on-4 when budget allows. Others choose All-on-4 from the start to avoid the bone loss and fit issues that develop over years of denture wear.
Considering an Upgrade from Dentures?
If you currently wear dentures and want to explore implant options, our team can evaluate your bone density and discuss whether All-on-4 or implant-supported dentures would work better for your situation. Bone grafting may be needed if significant resorption has occurred.
All-on-4 Cost and Financing
All-on-4 dental implants at Mountainside Dental typically cost $20,000 to $30,000 per arch. The final cost depends on factors including pre-surgical extractions, whether any bone grafting is needed, the type of prosthetic material (zirconia vs. acrylic), and the complexity of your case.
This investment covers the consultation, 3D imaging, surgical placement of four implants, the temporary prosthetic, all follow-up visits during healing, and the final permanent prosthetic.
Insurance Coverage
Some dental insurance plans cover a portion of implant treatment, though coverage varies significantly by carrier and plan type. Our front office team contacts your insurance company to verify benefits and provides a pre-treatment estimate of your out-of-pocket cost before surgery.
Financing Options
Mountainside Dental accepts CareCredit, which offers monthly payment plans with promotional interest rates. Many patients spread the cost of All-on-4 over 12 to 24 months. We also accept major credit cards and can discuss other financing arrangements during your consultation.
Recovery and Aftercare
Most patients experience swelling and mild discomfort for three to five days after All-on-4 surgery. We prescribe pain medication and antibiotics to manage symptoms and prevent infection.
First Two Weeks
- Stick to a soft food diet (yogurt, soup, scrambled eggs, mashed potatoes)
- Avoid hot foods and drinks for the first 24 hours
- Do not smoke (smoking dramatically increases implant failure risk)
- Rinse gently with warm salt water starting 24 hours after surgery
- Attend scheduled follow-up appointments
Weeks Two Through Six
- Gradually introduce firmer foods as healing progresses
- Continue avoiding very hard or sticky foods
- Brush the temporary prosthetic gently with a soft toothbrush
- Use a water flosser to clean around implant sites
After Final Prosthetic Placement
- Brush twice daily and use a water flosser or interdental brushes
- Visit Mountainside Dental every six months for checkups and professional cleaning
- If you grind your teeth, wear the nightguard we provide to protect your prosthetic
With proper care, All-on-4 implants can last 25 years or longer. The prosthetic teeth may need replacement after 10 to 15 years due to normal wear, but the titanium posts themselves are designed for permanent integration with your jawbone.
Why Choose Mountainside Dental for All-on-4
Our La Quinta flagship office is the only practice in the Coachella Valley with 9 dental specialists under one roof. For All-on-4 cases, this means your periodontist and prosthodontist collaborate directly on your treatment plan without referrals to outside offices.
Periodontist and Prosthodontist On Staff
Dr. Tyler Hendry places the implants. Dr. Scott Adishian designs the prosthetic. Both work together at our La Quinta location.
3D Cone Beam CT Imaging
Advanced imaging allows precise surgical planning and helps avoid complications during implant placement.
Sedation Available
IV sedation and oral sedation options for patients who experience anxiety during dental procedures.
CareCredit Financing
Spread the cost of All-on-4 over 12 to 24 months with promotional interest rates.
“I have been coming here for over 20 years. The team has been great. In 20 years I have not had a complaint. I’m still a patient here!”
— Hilda S., Google Review
All-on-4 Locations
Mountainside Dental offers All-on-4 dental implants at our La Quinta and Rancho Mirage offices, both located in the Coachella Valley. Our Rancho Mirage location specializes in prosthodontics and full mouth reconstruction.
La Quinta Office (Flagship)
78461 CA-111, La Quinta, CA 92253
Serving patients from La Quinta, Indian Wells, Palm Desert, Indio, and Bermuda Dunes.
Indian Wells
Palm Desert
Indio
Bermuda Dunes
Rancho Mirage Office
42500 Bob Hope Dr STE 1, Rancho Mirage, CA 92270
Serving patients from Rancho Mirage, Palm Desert, Cathedral City, Thousand Palms, and Palm Springs.
Palm Desert
Cathedral City
Thousand Palms
Palm Springs
Our Orange County and Inland Empire offices (Lake Forest, Rancho Santa Margarita, and Yucaipa) also offer dental implants and can coordinate referrals to our Coachella Valley specialists for complex All-on-4 cases.
Frequently Asked Questions About All-on-4 Dental Implants
Schedule Your All-on-4 Consultation
Our prosthodontist and periodontist evaluate your case together. 3D imaging, a detailed treatment plan, and a cost estimate at your first visit.
Mountainside Dental La Quinta | 78461 CA-111, La Quinta, CA 92253
Mountainside Dental provides All-on-4 dental implants at our La Quinta and Rancho Mirage offices. In-house prosthodontist Dr. Scott Adishian and periodontist Dr. Tyler Hendry. 4.9-star rating from 250+ reviews. Trusted by 5,000+ families since 2014. ADA, CDA, and AGD member practice. CareCredit accepted.
