All On X Dental Implants

Experience the ultimate dental solution with All-on-X Implants. Restore your entire set of teeth with a fixed, comfortable, and natural-looking hybrid bridge. Our expert dentists use cutting-edge technology to ensure lasting results, allowing you to eat, speak, and smile with confidence.

Table of Contents

Welcome to the world of transformative dental care, where the fusion of artistry, technology, and personalized care reshapes smiles and lives. At The Practice, under the expert guidance of Dr. Matt Kasiar, DMD, we’re not just about treating teeth; we’re about treating people. Our office is a beacon of advanced cosmetic, implant, and general dentistry in the heart of Franklin, TN. Our philosophy? Tailored and minimally invasive dental care that meets expectations and exceeds them, ensuring every patient steps out with a smile brighter than the one they walked in with.

In today’s discussion, we delve into the innovative realms of All-on-X and All-on-Four dental implants, services that exemplify our commitment to excellence and patient satisfaction. These procedures represent the pinnacle of dental implant technology, offering solutions as life-changing as they are groundbreaking. Whether you’re seeking to restore functionality or achieve the smile of your dreams, understanding these procedures is the first step to renewed confidence and wellness.


What Are All-on-X and All-on-Four Dental Implants?

All-on-X and All-on-Four dental implants are groundbreaking procedures designed to replace missing teeth with a full arch of prosthetic teeth anchored securely to the jawbone. The “Four” in All-on-Four signifies the minimum number of dental implants required to support a full arch of teeth, whereas “X” in All-on-X represents a variable number, indicating that the procedure can be customized with more implants based on the patient’s specific needs and bone density. This flexibility allows for a tailored approach to dental restoration, aligning perfectly with our practice’s philosophy of personalized care.


The Evolution of Dental Implant Technology

The journey of dental implants has seen remarkable advancements over the years, with All-on-X and All-on-Four representing the pinnacle of this evolution. Initially developed as a solution for patients who lacked sufficient bone density for traditional implants, these techniques have become popular for their ability to provide a fixed, stable foundation for prosthetic teeth, offering an alternative to dentures and bridgework. Their development is a testament to the continuous innovation in dental technology, aiming to provide patients with effective, long-lasting solutions to tooth loss.


Purpose and Applications

The primary goal of both All-on-X and All-on-Four dental implants is to restore function and aesthetics in patients who have lost most or all of their teeth. These procedures are particularly beneficial for:

  • Enhancing overall oral health and functionality.
  • Providing a permanent solution to tooth loss that closely mimics natural teeth.
  • Improving facial structure and aesthetics, preventing the sunken appearance associated with tooth loss.
  • Offering a stable and secure solution that eliminates the need for removable dentures.


In our practice in Franklin, TN, these procedures are more than just treatments—they are a pathway to restoring confidence and improving our patients’ lives. By employing advanced diagnostic and treatment technologies, we ensure that each patient receives a customized, precise, and minimally invasive procedure tailored to their unique needs. Our focus on comfort and dedication to achieving the best possible outcomes make The Practice a leader in cosmetic, implant, and general dentistry.


All-on-Four Dental Implants

The All-on-Four dental implant procedure is a revolutionary approach designed for individuals who have lost most or all of their teeth but seek a permanent, stable solution. This technique involves strategically placing four dental implants in the jawbone, which serve as the foundation for a full arch of prosthetic teeth.


What Are All-On-4 Implants and How Do They Work

The procedure utilizes four titanium implants placed at specific angles in jaw areas with higher bone density, maximizing support for the prosthetic arch. This placement often eliminates bone grafting, making the procedure accessible to more patients.


Ideal Candidates 

Ideal candidates for All-on-Four implants include those with significant tooth loss looking for a fixed, long-term solution. Patients should have adequate bone density to support the implants, although the technique is known for its flexibility in accommodating varying bone conditions.


All-on-X Dental Implants

Expanding on the principles of the All-on-Four, the All-on-X dental implant procedure provides a customizable solution, with the “X” indicating the number of implants used can vary based on the patient’s specific dental structure, bone density, and needs.


What Are All-On-X Implants and How Do They Work

The All-On-X procedure allows for a variable number of implants greater than four, offering a tailored approach to support a full arch of teeth. It is particularly beneficial for patients requiring additional support beyond four implants, ensuring a secure and stable foundation for the prosthetic teeth.


Ideal Candidates

All-on-X is suited for individuals requiring a more customized approach to dental restoration. It is ideal for those with varying bone density and those who may benefit from additional implants for enhanced stability and support.


Step-by-Step Procedure Process

At The Practice, our commitment to excellence and patient comfort is reflected in our meticulous approach to the All-on-X and All-on-Four dental implant procedures. We ensure every stage of the process is conducted with precision, care, and a focus on minimizing invasiveness. 


Initial Consultation

The journey to a new, vibrant smile begins with an initial consultation at The Practice, where we prioritize personalized treatment plans tailored to each patient’s unique needs and goals. Recognizing the importance of accessibility and convenience for our patients, we are pleased to offer a free virtual consultation option.


Assessment and Planning

This crucial first step involves thoroughly evaluating your oral health and discussing your dental history and desired outcomes. Whether you’re considering All-on-X or All-on-Four dental implants, this comprehensive assessment is essential for determining your most suitable treatment path. Our virtual consultation provides an easy, comfortable way to start this conversation from the convenience of your home. During this session, Dr. Matt Kasiar, DMD, and our team will listen to your concerns, answer your questions, and outline a customized approach to achieve your smile goals.


Imaging and Models

Leveraging the latest imaging technology, we aim to gather detailed insights into your dental structure, even remotely. While certain diagnostic tests may require an in-office visit, the initial virtual consultation allows us to discuss preliminary plans and prepare for any necessary imaging or models. This step ensures that we design a prosthetic solution that is aesthetically pleasing and perfectly tailored to your functional needs.


Surgical Procedure

Our practice prides itself on employing minimally invasive techniques to ensure patient comfort and optimal outcomes.



The surgical area is prepared under local anesthesia or sedation, according to the patient’s comfort and health requirements. Our team ensures a calming environment, treating every patient with the utmost care and attention.


Implant Placement

The implants are placed into the jawbone at predetermined locations and angles to maximize support and stability. Four implants are used for All-on-Four procedures, while the All-on-X may involve additional implants based on the patient’s specific needs.


Temporary Prosthesis Fitting

In many cases, a temporary prosthesis is fitted the same day, allowing patients to leave with a functional and aesthetic set of teeth while the implants integrate with the jawbone.


Recovery & Healing Post-Op

The recovery and healing process for All-on-X and All-on-Four dental implants is a crucial phase that ensures the success and longevity of the treatment. This period involves several stages, from immediate post-operative care to integrating the implants with the jawbone, known as osseointegration.


Immediate Post-Operative Period

  • Pain Management: After the surgical placement of the implants, it’s common to experience some discomfort, swelling, and bruising around the implant sites. Pain management typically involves prescribed or over-the-counter pain relievers to alleviate discomfort.
  • Diet: Patients are advised to follow a soft or liquid diet for the first few days to weeks after surgery. This precaution helps avoid undue pressure on the implants as they integrate with the jawbone.
  • Oral Hygiene: Maintaining oral hygiene is paramount, but care must be taken not to disturb the surgical sites. Gentle rinsing with salt water or an antimicrobial mouthwash prescribed by your dentist can help keep the area clean and aid in healing.

Osseointegration Phase

  • Duration: This phase is critical for the implants’ success and typically lasts 3 to 6 months. During osseointegration, the implants fuse with the jawbone, creating a strong and stable foundation for the prosthetic teeth.
  • Activity Restrictions: Patients are usually advised to avoid strenuous activities for a short period after surgery to prevent any movement of the implants and facilitate proper healing.
  • Follow-Up Visits: Check-ups are scheduled to monitor the healing process and ensure the implants integrate successfully with the bone.

Fitting of the Permanent Prosthesis


Temporary Prosthesis

In many All-on-X and All-on-Four cases, a temporary prosthesis is placed on the day of surgery. This allows patients to have functional teeth while waiting for the osseointegration process to complete.

Permanent Prosthesis Placement

Once osseointegration is confirmed, impressions of the mouth are taken to fabricate the final, permanent prosthesis. This step ensures a perfect fit and optimal aesthetic and functional results.


Long-term Care and Maintenance

  • Dental Check-ups: Ongoing maintenance is essential for the longevity of the implants and prostheses. 
  • Oral Hygiene Practices: Good oral hygiene practices, including brushing, flossing (using tools designed for implants if necessary), and antimicrobial mouthwash, are vital to prevent infection and ensure the health of the implants and surrounding tissues.

Final Impressions

We take precise impressions of the mouth, which serve as the blueprint for crafting the permanent prosthetic arch. This ensures a perfect fit and natural appearance.


Fabrication and Fit of Permanent Prosthesis

The final prosthetic is meticulously crafted, paying close attention to aesthetics, function, and comfort. Once ready, it is securely attached to the implants, completing the restoration process.

The recovery and healing process for All-on-X and All-on-Four dental implants requires patience, adherence to post-operative care instructions, and a commitment to long-term oral health maintenance. With proper care, these implants can provide a durable, functional, and aesthetically pleasing solution to tooth loss, significantly improving patients’ quality of life.


Immediate Load Implants vs. Traditional

Our practice often utilizes immediate load implants, allowing for quicker restoration. This phase is crucial for the osseointegration process, where the implants bond with the jawbone, providing a solid foundation for the permanent prosthesis.

Prepless Veneers

Discover the magic of Prepless Veneers, the non-invasive solution for a flawless smile. Enhance your teeth’s appearance without altering their structure. Our expert dentists create custom veneers that seamlessly cover imperfections, leaving you with a stunning, natural-looking smile. Embrace the simplicity and beauty of Prepless Veneers and let your confidence shine through.

Real Patient
Before & Afters

Technological and Material Innovations

At The Practice, our approach to All-on-X and All-on-Four dental implants is deeply rooted in leveraging the latest technological and material innovations. These advancements enhance the precision and durability of the procedures and significantly improve patient comfort and outcomes.


Implant Materials

  • Titanium: The cornerstone of dental implant technology, titanium is renowned for its strength, durability, and biocompatibility. It allows for the osseointegration process, where the implant fuses with the jawbone, providing a stable foundation for the prosthetic teeth. Titanium’s reliability and long-term success rates make it the material of choice for dental implants.
  • Zirconia: As an alternative to titanium, zirconia implants are gaining popularity for their aesthetic qualities, as they offer a color more similar to natural teeth. Zirconia is also biocompatible, ensuring a high level of tissue acceptance and minimal inflammatory response, making it an excellent option for patients with metal sensitivities or those seeking a metal-free solution.


Prosthesis Materials

  • Acrylic: Acrylic teeth attached to a metal frame offer a cost-effective option for the prosthetic arch, providing pleasing aesthetics and function. While more affordable, acrylic prostheses may need to be replaced more frequently than their porcelain counterparts due to wear over time.  
  • Porcelain: Porcelain prostheses, known for their superior strength, durability, and natural appearance, closely mimic the look and feel of natural teeth. Porcelain is resistant to staining and wear, making it an excellent long-term investment for patients seeking the most natural and durable option.


Advanced Imaging and Planning Technologies

  • CT Scans: Cone beam computed tomography (CBCT) scans offer three-dimensional imaging, providing critical information about the jawbone’s quantity and quality. This precision is vital for planning the implant placement, ensuring optimal positioning, and minimizing the risk of complications.
  • CAD/CAM Systems: Computer-aided design and computer-aided manufacturing (CAD/CAM) technology revolutionize the fabrication of dental prostheses. This technology allows for the design and production of highly accurate and personalized prosthetic teeth, ensuring a perfect fit and natural appearance.


Integrating these technological and material innovations into our practice underscores our commitment to excellence in dental care. By embracing these advancements, we ensure that our All-on-X and All-on-Four dental implant procedures meet and exceed our patient’s expectations for comfort, aesthetics, and overall satisfaction.


Benefits and Advantages


Improved Oral Function

Strength and Stability: By anchoring to the jawbone, All-on-X and All-on-Four implants provide a stable foundation for prosthetic teeth, significantly improving patients’ ability to chew and speak compared to traditional dentures.

Durability: Designed to last many years, All-On implants can significantly outperform other dental restoration options, offering a long-term solution to tooth loss.


Aesthetic Enhancements

Natural Appearance: The prosthetic teeth attached to the implants are crafted to match a patient’s teeth’ natural color, shape, and size, enhancing the overall smile and facial aesthetics.


Bone Preservation

Stimulates Bone Growth: The presence of the implant in the jawbone encourages bone growth and maintenance, a process known as osseointegration, which is crucial for oral health and the prevention of bone loss.

Prevents Bone Resorption: By providing stimulation previously delivered by natural tooth roots, these implants play a critical role in maintaining jawbone density and preventing the sunken appearance often seen with dentures.


Longevity and Durability

Long-Term Solution: All-on-X and All-on-Four dental implants are designed to solve tooth loss permanently, offering durability and longevity that surpass traditional dentures and bridges.

Low Maintenance: Unlike removable dentures that require special cleaning and care, these implants can be maintained with regular brushing, flossing, and dental check-ups, simplifying the daily oral hygiene routine.


Patient Satisfaction

Enhanced Comfort: Patients often report a significant increase in comfort due to the stable, non-removable nature of the implanted prosthetic teeth, eliminating the discomfort and inconvenience associated with loose-fitting dentures.

Confidence Boost: Restoring a functional, aesthetically pleasing smile boosts confidence and well-being, as patients can eat, speak, and smile without the concerns associated with missing teeth or ill-fitting dentures.


Dr. Kasiar and our dedicated team are committed to leveraging these advanced treatments to craft smiles that are as durable, functional, and beautiful as possible, ensuring each patient receives the highest care and satisfaction.


Considerations and Challenges


Candidate Suitability

  • Bone Density Requirements: Successful implantation requires a certain amount of jawbone density to anchor the implants securely. While All-on-Four often requires less bone density due to the strategic placement of implants, some patients may still need bone grafting to proceed.  
  • Overall Health Considerations: Patients must be healthy enough to undergo dental implant surgery. Conditions such as uncontrolled diabetes or heart disease may affect the healing process, and habits like smoking can significantly impact the success rate of implant integration.


Cost and Investment

  • Initial Investment: The upfront cost of All-on-X and All-on-Four dental implants is higher than some traditional tooth replacement options. However, considering their durability, functionality, and comprehensive benefits, they represent a long-term investment in oral health and quality of life.
  • Insurance and Financing: Patients must review their dental insurance coverage and discuss financing options. The Practice strives to work with patients to identify financial solutions that make these life-changing procedures accessible.


Maintenance and Care

  • Oral Hygiene Practices: Implant-supported prostheses require diligent oral hygiene to prevent infections such as peri-implantitis. Regular brushing, flossing, and professional dental cleanings are essential to maintaining the health of the implants and surrounding tissues.
  • Check-ups and Adjustments: Ongoing dental check-ups are crucial for monitoring the condition of the implants, prostheses, and oral health. These appointments allow for timely adjustments and interventions, ensuring the longevity of the dental work.


Procedure and Recovery Time

  • Surgical Procedure: Patients should be prepared for the surgical nature of the implantation process, understanding the associated risks and the importance of following post-operative care instructions to ensure successful healing and integration of the implants.
  • Recovery Time: While the All-on-X and All-on-Four procedures often allow for immediate placement of a temporary prosthesis, the complete healing and osseointegration process can take several months. Patients must be prepared for this timeline and adhere to dietary and activity restrictions as advised.


At The Practice, Dr. Matt Kasiar and our team are dedicated to ensuring that patients are well-informed and comfortable with every aspect of their dental implant journey. By addressing these considerations and challenges head-on, we strive to provide a clear, realistic understanding of the process, empowering our patients to make decisions that align with their health, lifestyle, and aesthetic goals.


Alternative Treatments

Traditional Dentures

Comfort and Stability: Unlike dentures, which can slip or cause discomfort, All-on-X and All-on-Four implants are anchored directly to the jawbone, offering unparalleled stability and eliminating the need for adhesives.

Oral Health Impact: Dentures do not stimulate the jawbone, which can lead to bone loss over time. In contrast, implant-supported solutions like All-on-X and All-on-Four help preserve bone density by mimicking the root structure of natural teeth.


Fixed Bridges

Longevity: While fixed bridges are a durable solution for replacing one or several missing teeth, they typically do not offer the same lifespan as dental implants. Bridges also require alteration of adjacent healthy teeth, whereas implants are a standalone solution that does not affect surrounding teeth.

Oral Hygiene: Cleaning under and around a fixed bridge can be challenging, potentially leading to decay or gum disease. Dental implants, conversely, can be cared for just like natural teeth, with regular brushing and flossing.


Single Dental Implants

Extent of Tooth Loss: Single dental implants are ideal for replacing individual teeth but may not be practical for patients with extensive tooth loss due to the higher cost and longer treatment time. All-on-X and All-on-Four offer a more efficient and cost-effective solution for full arch restoration.

Procedure Complexity: Placing multiple single implants requires sufficient bone density at each implant site and potentially numerous surgeries. All-on-X and All-on-Four streamline the restoration process by minimizing the number of implants needed to support a full arch, reducing treatment complexity and recovery time.



Our commitment to excellence in cosmetic, implant, and general dentistry is unwavering. The All-on-X and All-on-Four dental implant procedures represent the pinnacle of our efforts to provide patients with cutting-edge dental solutions and a pathway to renewed self-confidence and quality of life. These advanced treatments, grounded in the latest technological and material innovations, are designed to meet the unique needs of our patients, offering a blend of functionality, aesthetics, and long-term health benefits.


Making the Right Choice

Are you ready to take the first step towards a brighter, more confident smile? At The Practice, Dr. Matt Kasiar and our dedicated team are here to guide you through every stage of the process.
Whether you’re exploring the possibility of All-on-X or All-on-Four dental implants or seeking more information on how these advanced treatments can benefit you, we’re ready to provide you with the expert care and personalized attention you deserve.

Frequently Asked Questions

All-on-X and All-on-Four dental implants are advanced procedures for replacing missing teeth. Both methods involve surgically placing titanium or zirconia implants in the jawbone, which serve as anchors for a full arch of prosthetic teeth. The “X” in All-on-X refers to the variable number of implants used, which can be adjusted based on individual needs, while All-on-Four specifically uses four implants.

Candidates for these procedures typically have significant tooth loss and seek a durable, long-term solution. Suitable candidates should have adequate bone density to support the implants, though options like bone grafting can make the treatment accessible to those with varying bone conditions.

Unlike traditional dentures, which can slip and require daily removal for cleaning, All-on-X and All-on-Four dental implants are fixed in place, offering superior stability and a more natural feel. They also help preserve jawbone density and maintain facial structure, which dentures cannot provide.

Yes, the prosthetic teeth used in these procedures are designed to mimic natural teeth closely’ look, feel, and function. They are crafted to match your natural teeth’ color, shape, and size, enhancing your smile and facial aesthetics while providing strong and stable functionality.

The cost of All-on-X and All-on-Four dental implants can vary widely based on factors such as geographic location, the complexity of the case, and the materials used. It’s essential to consult with your dental provider for a detailed estimate based on your specific needs. Many practices offer financing options to help manage the investment.

While All-on-Four implants offer many benefits, potential challenges include precise placement, the importance of diligent oral hygiene to prevent infection, and the initial cost. Your dentist can discuss how these factors apply to your situation and how to mitigate them.

With proper care and maintenance, All-on-X and All-on-Four dental implants can last many years, often decades. Regular dental check-ups, good oral hygiene, and avoiding damaging habits like smoking can extend the lifespan of your implants.

The initial healing period typically lasts a few weeks, during which patients may experience discomfort and swelling. However, the complete osseointegration process, where the implants fuse with the jawbone, can take several months. Your dentist will provide detailed aftercare instructions to support a smooth recovery.

While the success rate of these implants is high, failures can occur due to factors like improper placement, insufficient bone density, poor oral hygiene, or smoking. Regular follow-ups with your dental provider are crucial for monitoring the implants and addressing any issues early on.

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