All-on-4 Dental Implants in Washington, DC

All-on-4 dental implants in Washington, DC replace a full arch of missing or failing teeth using just four strategically placed implants. At Precision Periodontics & Implant Dentistry, we place All-on-4 arches at our DC office at 2311 M Street NW using CBCT-guided surgical planning and a same-day temporary bridge, so most patients leave with a full set of fixed teeth on the day of surgery.

The procedure is a life-changing option for patients who have lost most of their teeth, wear an uncomfortable removable denture, or face full-mouth extraction. It is faster, more affordable, and less invasive than replacing each tooth with an individual implant.

How All-on-4 Works

Four titanium implants are placed in the jawbone: two in front and two angled at the back of the arch. The angled placement lets the implants engage denser bone at the back of the mouth without a sinus lift or extensive bone grafting. Once placed, a fixed temporary bridge is attached the same day. After 3 to 4 months of healing, the temporary is replaced with a permanent zirconia or acrylic-on-titanium bridge.

Who Is a Good Candidate?

• Patients missing most or all teeth in an arch
• Patients with failing teeth from severe gum disease
• Denture wearers frustrated with slipping or poor chewing function
• Patients with enough bone volume at the front of the jaw (most patients do)
• Non-smokers or patients willing to stop smoking

What Same-Day Teeth Actually Means

All-on-4 uses a protocol called immediate loading. Because the four implants distribute forces widely, they can support a bridge right away rather than needing to fully integrate first. You leave the surgery visit with fixed temporary teeth in place. You eat soft foods for the first weeks while the implants integrate, then return in 3 to 4 months for the final bridge.

Cost of All-on-4 in Washington, DC

All-on-4 dental implants Washington DC pricing typically runs $22,000 to $32,000 per arch for an acrylic-on-titanium hybrid bridge, and $35,000 to $55,000 for a zirconia final bridge. Prices include implants, temporary bridge, final restoration, sedation, and CBCT imaging. See our full full mouth dental implants cost breakdown for details.

Recovery and Timeline

Most All-on-4 patients experience 2 to 3 days of moderate swelling and tenderness, well managed with prescribed pain medication. You will eat soft foods for the first 6 to 8 weeks and avoid biting directly on the front teeth. By the 3-month mark you are back to a normal diet. The final bridge is typically seated 3 to 4 months after surgery.

Frequently Asked Questions

How long do All-on-4 dental implants last?

The implants themselves often last 20+ years. Acrylic bridges need replacement every 10 to 15 years; zirconia bridges last 20+ years.

Are All-on-4 implants better than dentures?

They restore about 90% of natural chewing function versus 15 to 25% for traditional dentures, and they preserve jawbone that dentures do not. For most patients the quality-of-life difference is dramatic.

Can I get All-on-4 if I have bone loss?

Often yes. All-on-4's angled placement was specifically designed to work in patients with limited bone volume, which is why it avoids most sinus lifts and major grafting.

Schedule a Consult in Washington, DC

Every All-on-4 case starts with a CBCT scan and in-person exam. Call our DC office at (202) 296-3360 or request a consult online. We are at 2311 M Street NW, Suite 500 and see patients from across DC, Bethesda, Silver Spring, and Northern Virginia.