All-on-4 Dental Implants in Richmond, VA | Richmond Implant & Smile Studio
Smile again with confidence: Full Arch Dental Implants with teeth in Just one day, all under one roof!
Discover the life-changing benefits of All-on-4 implants—permanent, natural-looking teeth without the wait.
What is an All on 4?
All-on-4 (or All-on-X) is a modern dental solution that replaces a full arch of missing or damaged teeth using just 4 to 6 strategically placed dental implants. This fixed prosthesis offers a stable set of teeth that can often be delivered the same day—making it a popular choice for patients seeking immediate results. The set delivered the same day of the surgery is a temporary set. The permanent set is usually delivered after 3-4 months. This approach is different than the concept of delivering final teeth after 24 hours of the surgery. There are many benefits to the approach we adopted at Richmond Implant & Smile Studio. See these advantages in the FAQ section.
Commonly known by names like “All-on-4,” “Teeth in a Day,” “Permanent Teeth on Implants,” or “Full Arch Implants,” this treatment restores both function and aesthetics with a natural-looking smile that doesn’t come in and out like dentures.
Educational side view of an All-on-X dental prosthesis secured with implants inside a transparent model.
Transparent Model of All-on-X Implant Prosthesis
Illustration showing fixed teeth supported by four implants in each jaw.
A high-quality zirconia All-on-X prosthesis ready for delivery
The inner view of a final All-on-X zirconia arch
Who's a candidate?
Missing Most or All Teeth.
Wearing Dentures or Needing Full Extractions due to decay or severe periodontal disease.
Adequate Bone Support.
Good Overall Health.
Seeking a Fixed, Long-Term Solution: You want a stable, non-removable option that feels, functions, and looks like natural teeth.
People with a moderate to severe gag reflex that prevents them from wearing conventional dentures.
Those seeking improved chewing, speaking, and smiling confidence.
Patients looking for a same-day, fixed, full arch restoration,
Completely edentulous and wears upper/lower dentures
Multiple teeth affected by root caries and extensive decay.
Severe periodontal disease with gum inflammation, tartar buildup, and loose teeth.
Multiple teeth affected by root caries and extensive decay.
Benefits of All-on-4 Dental Implants
Fixed, non-removable teeth
Immediate function (same-day smile)
Seamless transition from the temporaries to the final.
Natural look and feel
No need for bone grafting in most cases
Cost-effective compared to individual implants
Before and after All on X procedure: smile closeup
Before and after All on X procedure: retracted view
Panoramic Xrays of a before and after: All on X
Before and after All on X procedure: Facial view
Why Choose Richmond Implant & Smile Studio?
Board-certified prosthodontist Dr. Rami Ammoun, with years of surgical experience in implant surgery and extensive background in Dental Laboratory Technology.
In-house dental lab for faster, high-quality results
CBCT, digital planning, and sedation available
Personalized care in a comforting, modern space
A team of talented, detail-oriented professionals who truly care and love what they do
Local expertise—serving Richmond, Short Pump, and surrounding communities
Before and after All-on-X treatment
Before and after All-on-X treatment
Before and after All-on-X treatment
Before and after All-on-X treatment
Before and after All-on-X treatment
The Treatment Process (Average span: 3.5 Months)
Appointment 1
Consultation
Free consultation and 3D imaging (CBCT scan). We’ll review your needs, discuss available treatment options, and create a customized plan just for you.
Appointment 2
Work up
During this visit, we’ll complete your treatment consent forms, review financial arrangements, take intraoral scans and pre-operative photographs, and provide you with detailed pre-op instructions. If everything is in place financially and you’re ready to move forward, we can combine this with your first visit—so you can choose your surgery date without delay.
Appointment 3
Surgery Day
On your surgery day, any remaining teeth will be gently removed, and any infection will be thoroughly cleaned out. We’ll then place 4 to 6 dental implants to support your new smile. In most cases, you’ll receive a temporary set of natural-looking teeth the same day—so you won’t leave without teeth. These will allow you to eat soft foods while your implants heal over the next two months. Once healing is complete, you’ll return for your permanent smile.
We’ll see you for a 1-week follow-up visit to make sure everything is healing well.
Appointment 4 (1 week after surgery)
1-Week Follow-Up Visit
On this visit, we do a CBCT scan to obtain a baseline of bone around the implants. We remove the temporaries and do a visual check for the healing, this is to make sure the wounds are in stable condition prior to letting your go for your 2 months healing period.
We’ll see you for a 2 months follow up visit to start making your permanent teeth!
Appointment 5 (2 months after surgery)
2 Months Follow-Up
At this visit, we’ll take a new CBCT scan and remove your temporary teeth to clean around the implants and check the stability of both the implants and prosthetic components. We’ll also take updated intraoral scans and records to begin designing your second, more refined prototype set of teeth. We’ll see you again in about two weeks to try in your new refined set!
Appointment 6 (2 weeks after appointment 5)
Refined Prototype Teeth Try In
At this visit, we’ll remove your initial surgical prototype and replace it with a more refined version. This allows you to experience how your new smile will look, feel, and function before we move forward with your final set of teeth. You’ll wear this refined prototype for a few days, and once you’re comfortable and satisfied, simply let us know. We’ll then begin crafting your final set, which typically takes 2–3 weeks to complete.
Appointment 7 (3.5 Months After Surgery)
Final Visit – Hooray! 🎉
At this visit, we’ll remove your temporary teeth and place your final, custom-made set. We’ll seal the access holes with a durable composite material. This visit typically takes place approximately 3.5 months after the surgery.
Congratulations! We’re so excited for you, and we hope your new smile brings you confidence, comfort, and joy in the journey ahead. 😊
Cost and Financing Options
To make your treatment more affordable, we offer flexible financing options through trusted third-party lenders, like Proceed Finance, CareCredit, The Lending Club, and Cherry. These plans often come with low monthly payments and quick approval processes, helping you get started without delay.
We believe in transparency and making your dream smile achievable. Our All-on-4 treatments start at $19,995 per arch, with pricing clearly explained upfront—no hidden fees or surprises.
Standard All on 4: generally works with most patients.
Advanced All on 4: generally required for patients with severe bone loss, which requires extensive bone grafting, zygomatic implants, or pterygoid implants.
Standard All on 4
Single Arch
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Free evaluation & CBCT scan
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Fixed Full Arch Solution with 4–6 Implants
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Includes a final zirconia set
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Includes IV sedation
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Minor bone grafting
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All-inclusive, no surprises
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All done under one roof
You’ll receive a free evaluation, a cone beam CT scan, and a personalized treatment plan tailored to your needs.
If minor bone grafting is needed, it’s included at no extra cost.
Pay once. Smile forever.
We have a talented team and an in-house lab, which helps reduce your costs and speed up your treatment timeline.
Standard All on 4
Double Arch
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Free evaluation & CBCT scan
-
Fixed Full Arch Solution with 4–6 Implants
-
Includes a final zirconia set
-
Includes IV sedation
-
Minor bone grafting
-
All-inclusive, no surprises
-
All done under one roof
You’ll receive a free evaluation, a cone beam CT scan, and a personalized treatment plan tailored to your needs.
Fixed Full Arch Solution with 4–6 Implants
If minor bone grafting is needed, it’s included at no extra cost.
Pay once. Smile forever.
Pay once. Smile forever.
Advanced All on 4
Single Arch
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Same Features of Standard All on X
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Cases requiring Zygomatic or Pterygoid Implants
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Revision or redo cases
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Advanced prosthetic requirements
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All-inclusive, no surprises
Same specs of the standard, however these are done for more advanced cases.
These are required for cases with severe bone loss
Redo cases are very challenging and require a lot of additional time, effort, and material.
Cases requiring metal in the prosthesis due to extremely high forces, or patients with increased height of prosthetic space (usually due to severe bone loss)
Pay once. Smile forever.
Advanced All on 4
Double Arch
-
Same Features of Standard All on X
-
Cases requiring Zygomatic or Pterygoid Implants
-
Revision or redo cases
-
Advanced prosthetic requirements
-
All-inclusive, no surprises
Same specs of the standard, however these are done for more advanced cases.
These are required for cases with severe bone loss
Redo cases are very challenging and require a lot of additional time, effort, and material.
Cases requiring metal in the prosthesis due to extremely high forces, or patients with increased height of prosthetic space (usually due to severe bone loss)
Pay once. Smile forever.
Frequently Asked Questions
How is All-on-4 different from dentures?
Unlike removable dentures, All-on-4 teeth are screwed to your implants. They provide greater stability, improved chewing function, and a more natural appearance—without slipping or adhesive.
Can I get my final teeth the same day?
You’ll receive a fixed temporary set of teeth on the same day as your surgery. These are designed to look natural and restore your smile immediately.
Your final, permanent teeth are typically delivered around 4 months after surgery. We do not offer same-day final teeth or final teeth within 24 hours—and here’s why:
Healing First: We want to ensure your implants are fully integrated with the bone for long-term success.
Customization: The temporary teeth allow us to fine-tune the fit, appearance, and function based on your feedback.
Proven Process: This approach is backed by years of clinical success and offers the most reliable, predictable results.
- Less stress on your implants: Temporary teeth are more flexible than the final set, which creates a gentle cushioning effect. This helps absorb bite forces and promotes better healing and integration of your implants.
Your smile is a lifelong investment—we do it right the first time.
How long does All-on-4 treatment take?
In most cases, you’ll receive your dental implants and a temporary set of fixed teeth on the same day as your surgery. The final prosthetic teeth are typically placed about 4 to 5 months later, once healing and implant integration are complete.
The surgical portion takes approximately 1 to 1.5 hours per arch. For a full-mouth (double arch) procedure, expect about 2 to 3 hours of surgery. Afterward, your temporary teeth are crafted and delivered within 1 to 2 hours.
Altogether, for a double arch treatment, you should plan to be at our office for approximately 5 to 6 hours on the day of surgery.
Is All-on-4 a painful procedure?
Most patients are surprised by how little discomfort they experience during and after the All-on-X procedure. The surgery is performed under sedation and local anesthesia, so you won’t feel any pain during the procedure itself.
After surgery, some soreness, swelling, and mild discomfort are normal and can be managed with prescribed medications and home care instructions. The swelling is usually at it’s peak on the third day, but it starts decreasing afterwards. Most patients are able to return to light activities within a week.
How long do All-on-4 implants last?
All-on-4 teeth are designed to last a lifetime with proper care and maintenance. The dental implants themselves can remain securely in place for decades, while the prosthetic teeth are crafted from high-quality, durable material (Zirconia) built to handle daily use.
However, as with any long-term dental solution, some components—such as screws or abutments—may need occasional maintenance or replacement. This is a normal part of preserving the health and function of your new smile.
Staying on top of routine dental visits and practicing excellent oral hygiene will help maximize the lifespan of your All-on-X restoration and reduce the need for future repairs.
Will My All-on-4 Teeth Look Natural?
Absolutely. All-on-4 dental implants are designed to give you permanent, natural-looking teeth that restore both your smile and your confidence. Each set is custom-made to match your facial features, bite, and desired tooth color—resulting in a smile that looks and feels like your own.
Using advanced materials like zirconia or high-quality acrylic, your new teeth are crafted to mimic the translucency and shape of real teeth. Whether you’re speaking, smiling, or eating, your All-on-4 restoration will blend in beautifully.
At Richmond Implant & Smile Studio, we focus on both function and aesthetics to deliver natural-looking dental implants in Richmond, VA—so you can enjoy a confident, long-lasting smile.
How much do All-on-4 dental implants cost?
At Richmond Smile & Implant Studio, the cost of All-on-4 dental implants, also known as Teeth in a Day, typically ranges from $19,995 to $22,995 per arch, depending on your specific needs, the materials used, and the complexity of your case.
To make treatment more accessible, most patients choose to finance their dental implants through third-party lenders. Monthly payments often range from $300 to $500 per arch, or around $675/month for full-mouth dental implants, based on approved credit.
At Richmond Smile & Implant Studio, we’ll provide a transparent treatment plan and help you explore all affordable dental implant financing options to fit your budget.
What maintenance is required for All-on-4 dental implants?
While All-on-4 dental implants are a long-term solution, they do require regular maintenance to keep your smile healthy and functioning properly.
Here’s what proper All-on-4 maintenance includes:
Daily Cleaning: Brush twice a day and use a water flosser to clean around the implants and under the prosthesis.
Routine Checkups: Visit your implant dentist every 6 months for professional cleanings and exams.
Prosthetic Care: Although the implants themselves can last a lifetime, parts like screws, abutments, or the bridge may need adjustments or replacement over time.
Nightguard Protection: If you clench or grind your teeth at night, a custom nightguard is strongly recommended. A nightguard is available upon request for $400 and helps protect your investment from wear or damage.
Staying consistent with your maintenance routine helps ensure your All-on-4 implants last for decades and continue to look and feel great.
Can I Get All-on-4 Implants If I Smoke?
Smoking does not automatically disqualify you from receiving All-on-4 dental implants, but it does increase the risk of complications.
Nicotine restricts blood flow and slows healing, which can interfere with implant integration and increase the chances of implant failure, infection, or gum issues. Patients who smoke may also experience longer recovery times and reduced long-term success rates.
If you’re not willing to quit, we’ll evaluate your case carefully with a full medical and dental assessment. In some cases, smokers can still be candidates—but extra precautions may be needed, and you should be fully informed about the risks.
For the best possible outcome, we strongly recommend quitting or reducing smoking before and after your All-on-X procedure.