What Are All-on-4 Dental Implants?
All-on-4 is a full-arch tooth replacement method that uses four or more dental implants, with the posterior implants placed at a precise angle to maximize contact with the bone. It’s sometimes referred to as Teeth-in-a-Day, Smile-in-a-Day, or All-on-X, depending on the number of implants used and the treatment approach.
This angled placement helps avoid the need for a bone graft in many cases and provides strong, stable support for a full set of replacement teeth.
Each arch is supported by:
- Four or more dental implants anchored into your jawbone
- Custom abutments that connect the implants to the final prosthetic
- A full-arch bridge that looks and functions like natural teeth
Experienced Care from Trusted Providers
All-on-4 dental implants require precision, planning, and attention to detail. At Angus Dentistry, your care is led by a team with advanced training in implant placement, restoration, and full-mouth reconstruction.
- Dr. Rebecca Angus is a Fellow of the International Congress of Oral Implantologists and has a special interest in complex restorative dentistry, including cosmetic and implant procedures. She creates custom plans that support both function and esthetics.
- Dr. Kristen Reitano brings surgical experience in implantology and a background in cosmetic and family dentistry. Her approach emphasizes long-term health and patient comfort.
Together, they deliver implant dentistry that’s grounded in experience and shaped by your goals.
Benefits of All-on-4 Dental Implants
Whether your treatment involves four implants or more, the benefits of full-arch implant solutions include:
- A fixed, non-removable alternative to dentures
- Strong, stable biting function
- Immediate improvement in comfort, appearance, and speech
- Preservation of jawbone and facial structure
- Fewer implants than traditional full-mouth implant approaches
- Long-term reliability and high success rates
- In most cases, you will leave surgery with a fixed temporary bridge in place
Before and After All-on-6


Candidates for All-on-4 Dental Implants
All-on-4 is often recommended for patients who are missing most or all of their upper or lower teeth and want a permanent, fixed solution.
You may be a good candidate if you:
- Want a long-term alternative to removable dentures
- Have adequate bone volume in key areas of the jaw
- Are in good general health and do not have uncontrolled medical conditions
- Do not smoke, or are willing to stop during healing
Patients with certain health conditions, such as poorly controlled diabetes or immune disorders, may face a higher risk of complications. Heavy smokers, individuals with severe jawbone deterioration, or those unable to undergo oral surgery may not be ideal candidates for All-on-4.
The All-on-4 Treatment Process
Every full-arch restoration begins with a detailed consultation and exam. Here’s what you can typically expect:
- Consultation and imaging: We perform a full exam, review your health history, and take a cone beam CT scan to assess your anatomy.
- Treatment planning: Using digital design tools, we create a custom surgical guide and restorative plan based on your goals and jaw structure.
- Implant placement: Four (or more) implants are placed with guided precision. In most cases, a temporary fixed bridge is secured the same day, so you leave your appointment with a full set of teeth in place.
- Healing and integration: Over 3–6 months, the implants fuse with your jawbone through a process called osseointegration.
- Final prosthetic: After your implants have fully integrated with the bone, we replace the temporary bridge with a permanent one. This final restoration is crafted for long-term durability, natural esthetics, and full chewing function.
Healing and Recovery Timeline
Everyone heals at a slightly different pace, but most patients can expect a straightforward recovery. While some minor discomfort is normal in the first week, many people return to daily activities within a few days.
Here’s a general timeline:
- First few days: You may experience some swelling, bruising, or tenderness. Stick to soft foods and avoid strenuous activity.
- First 1–2 weeks: Discomfort typically fades. You will continue to wear your temporary bridge while the implants begin integrating with your jawbone.
- Months 2–4: Osseointegration continues beneath the surface. We will monitor your healing at follow-up visits and ensure your temporary bridge is functioning well.
- Month 4–6: Once your implants are fully integrated, we will place your custom permanent bridge.
Our team will provide detailed aftercare instructions and support your recovery every step of the way.
Monthly Payments Designed For You
Everyone deserves access to high-quality dental care. We work with each patient to make treatment as affordable and manageable as possible. Financial consultations are offered to explain all associated costs and walk you through payment options.
We accept most major insurance plans and offer flexible financing through Care Credit for those who qualify.
Personalized Care with Lasting Results
At Angus Dentistry, we bring together surgical expertise, restorative skill, and advanced technology to offer full-arch implant solutions that support long-term oral health and lasting results.
Our doctors have advanced training in implantology and a shared commitment to delivering care that’s both precise and personalized.
We will guide you through your options, answer your questions, and build a treatment plan around your unique goals.
We participate with Delta Dental PPO Plus Premier and can help you make the most of your benefits, and we accept payment from all major dental insurance companies. As an in-network provider, we help patients maximize their benefits while receiving expert, personalized care that fits their coverage.We proudly serve Midlothian and Richmond and the Greater Richmond area with personalized, high-quality dental care.
All-on-4 Dental Implants in Midlothian, VA
All-on-4 offers a reliable way to replace a full arch of missing teeth with fewer implants and fewer procedures. At Angus Dentistry, we use advanced planning tools and proven techniques to deliver durable results with care that’s tailored to you.
To book an appointment at our dentist office in Midlothian, VA, call (804) 794-6893 or visit us at 2400 Pagehurst Dr, Midlothian, VA 23113.
FAQs About All-on-4 Dental Implants
How long do All-on-4 implants last?
With proper care, the implants themselves can last a lifetime. The full arch prosthetic may need to be updated after 10–15 years due to normal wear.
Can I eat normally with All-on-4 implants?
Once healed, you can enjoy a wide variety of foods without worrying about slippage or irritation.
Are All-on-4 implants covered by insurance?
Coverage varies by plan. Some insurance plans contribute to parts of the treatment, such as the consultation, imaging, or prosthetic teeth. We will review your benefits and walk you through your financial options.
What if I’m not a candidate for All-on-4?
We offer a range of dental implant solutions and can help you explore other options, such as implant-retained dentures, implant-supported dentures or traditional dentures.
Where can I get All-on-4 dental implants in Midlothian?
If you are in Midlothian, Richmond, or the surrounding areas, Angus Dentistry offers personalized All-on-4 treatment under one roof. Contact our office to schedule a consultation and find out if this option is right for you.