A complete arch of fixed teeth secured by four strategically angled implants.
The All-on-4 treatment concept is a surgical and restorative protocol that replaces an entire arch of failing or missing teeth using only four precisely positioned dental implants.
By angling the two back implants up to 45 degrees, Dr. Nauss maximizes contact with denser jawbone. This approach frequently reduces the need for extensive bone grafting or sinus lifts, even for patients with existing bone loss.
In most cases, patients receive a fixed temporary smile on the day of surgery, walking out of our Johnson City office with functional, non-removable teeth.
Why Choose All-on-4 Implants?
A life-changing restoration that brings back chewing power and a confident smile.
- Same-Day Fixed Teeth: Walk out on surgery day with a secure, functional provisional set of teeth attached directly to your implants.
- Often Avoids Extensive Grafting: Angled back implants use existing dense bone, avoiding complex sinus grafting for many patients.
- Open Roof of the Mouth: No bulky upper acrylic plate covering your palate, so you can taste food fully and speak naturally.
- Fixed, Non-Removable Stability: Brushed and cared for like natural teeth with no slipping, clicking, adhesives, or overnight soaking.
The All-on-4 Treatment Journey
Dr. Nauss begins with a full 3D CBCT digital workup and smile design. On surgery day, under local anesthesia with nitrous oxide available, remaining compromised teeth are gently extracted, four implants are placed, and your provisional bridge is attached.
Over the next 4 to 6 months, the implants integrate with your jawbone. We then fabricate and secure your final custom zirconia prosthetic, shaded to look natural.
Healing and Ongoing Care
Patients follow a soft food diet during the initial healing phase. Once your final arch is placed, you can enjoy a much wider range of foods. Regular cleanings with implant-specific instruments keep your gums and implants healthy.