Precision Periodontics & Implant Dentistry

All on Four Dental Implants

All on Four Dental Implants

All on Four Dental Implants

All on Four Dental Implants

Patients who are missing the majority or all of their teeth or are unsatisfied with their dentures may be good candidates for All-on-4 Dental Implants, an implant supported denture that only requires four implants, compared to bridges, which can require up to ten dental implants. Along with the impact missing teeth can have on an individual’s self-esteem and self-confidence, there are numerous health issues that can develop when a tooth is not replaced over time, including the following:

  • Difficulty chewing properly
  • Deterioration of jawbone
  • Shifting teeth, which changes your bite
  • Drifting teeth
  • Jaw joint issues
  • Added stress to remaining teeth

All-on-4 Dental Implants are an effective way to address these issues in a fast and cost-effective manner. At Precision Periodontics and Implant Dentistry, our specialty trained periodontists Dr. Justin Zalewsky and Dr. Antara Daru have years of experience treating a wide range of stages of gum disease and placing dental implants. To learn more about All-on-4 Dental Implants, our clinic facilities, or to schedule an appointment for a procedure, contact our Alexandria, VA office at (703) 823-2422 or our Washington D.C. office at (202) 296-3360.

More On Our Locations For All on 4 Dental Implants:

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Dr. Justin Zalewsky

Dr. Zalewsky

Dr. Justin Zalewsky, a graduate of Case Western Reserve University School of Dentistry, then went on to Temple University Kornberg School of Dentistry where he received his Certificate of Periodontology and Oral Implantology.


Dr. Daru

Dr. Antara Daru, a graduate of New York University College of Dentistry, then went on to University of Maryland, Baltimore College of Dentistry where she received her Masters of Science in Oral Biology and Certificate in Periodontology and Oral Implantology.

Procedure Expectations

Prior to performing the procedure, we will conduct a 3D scan of your teeth, gums, and jaw to develop a detailed view of your mouth structures and jawbone contours. This will allow us to determine the optimal location to place your implants. This initial scan will also allow us to determine whether a bone graft or augmentation for your jawbone is necessary.

If it is determined that you are a viable candidate for All-on-4, your procedure will be scheduled. In some cases, patients will need to have a tooth extracted prior to the implants being placed. Prior to the procedure, you will be given a local anesthetic and dental sedation if necessary. Our clinic offers a range of dental sedation options, including oral sedation, nitrous oxide, and IV sedation. Once you are properly numbed, your periodontist will secure the titanium posts that will anchor your dentures into your jaw. Each of the four posts will be strategically placed at a 45-degree angle. Tilting the implants in this manner ensures that the nerve canal and sinus cavity are not damaged, and also increases the strength and stability of your implant.

Once these posts are properly positioned, a set of temporary dentures which have been customized to your specific mouth will be placed. These temporary dentures will be worn throughout the healing process. Once the titanium posts have fused with your jawbone, your implant supported dentures will be placed and your treatment will be complete.


There are a range of benefits associated with All-on-4, includig the following:

  • Cost effective
  • Natural feeling and looking
  • Minimally invasive
  • Procedure can be completed in a single visit
  • Long lasting
  • Will allow you to return to eating most foods
  • Reduces need for bone graft
  • Once implants are placed, bone loss will stop progressing
  • Facial features restored


Following your All-on-Four procedure, it is important to be cautious during the initial healing stage. You should plan on sticking to a soft food diet for the first two weeks, after which you can begin to slowly reintroduce harder foods.

Once you have completed the recovery process, it will not be necessary to follow special aftercare instructions, although it is important to be aware of the reason this procedure was needed in the first place. Continue practicing good daily oral hygiene practices. Brush and floss twice daily, and schedule regular visits to your periodontist to ensure that your teeth receive regular professional cleanings, which will reduce your risk of developing gingivitis or periodontitis. If you follow these best practices, you will enjoy a bright and healthy smile for many years to come.


The cost of having All-on-4 dental implants placed will depend on a variety of factors, including your dental insurance plan, the severity of your case, and what type of dental sedation (if any) was used. In general, All-on-4 is a cost-effective alternative to the traditional method of placing several implants and having patients wear dentures while waiting for their implants to heal. The price of the procedure includes surgery, implants, anesthesiologist fees, and dental lab work.

At Precision Periodontics and Implant Dentistry, we are committed to ensuring that money is not a deterrent to our patients receiving the optimal dental health care they deserve. For this reason, we offer a range of payment options regardless of what type of treatment you are having, which our staff will be happy to explain and assist with. Our office insurance coordinators work with other insurance companies to assist patients with their claims.

For your convenience, Precision Periodontics and Implant Dentistry accepts cash, check, debit and credit cards (Mastercard, American Express, Visa, and Discover). Our clinic also accepts CareCredit, a financing option for procedures and treatments not typically covered by insurance, or when insurance does not cover the entire cost. We are happy to provide an application in our office or you can apply online at

Precision in Perio - 2019 Team

Providing you with Optimal Care

At Precision Periodontics and Implant Dentistry, we are proud to provide optimal care for patients in the Washington D.C. and Alexandria, VA area, and are dedicated to collaborating with your dentist to provide you with the customized treatment you deserve. In addition to having state-of-the-art equipment, we are also committed to creating a peaceful and relaxing environment, with amenities such as personal movie screens, neck pillows, and soft blankets available regardless of what procedure you are having performed.

To schedule your appointment for All-on-Four Dental Implants, contact us today. We look forward to helping you achieve and maintain a bright and healthy smile!

Washington DC

2311 M Street NW Suite 500
Washington D.C. 20037
(202) 296-3360

Alexandria VA

4660 Kenmore Avenue Suite 300
Alexandria, VA 22304
(703) 823-2422