Existing All-on-4 Dental Implants: What Patients Should Know Before We Evaluate Your Case

If you received All-on-4 dental implants, full-arch dental implants, or a fixed implant bridge at another dental office and are now experiencing a problem, you may be wondering where to turn for help.

At Richmond Implant & Smile Studio, we understand that patients sometimes need care after having full-arch implant treatment completed somewhere else. This may include treatment performed at a large implant center, a high-volume dental chain, or another dental office.

We are happy to evaluate and help patients with existing full-arch implant restorations whenever possible.

However, working on an implant prosthesis that was designed and fabricated by another office can be more complicated than routine dental care. Different offices may use different implant systems, screws, components, materials, and laboratory techniques. For this reason, we have established a clear process for patients seeking treatment for an existing All-on-4 or full-arch restoration.

What Does It Cost to Evaluate an Existing All-on-4 or Full-Arch Implant?

3D CT Scan – $250

The first step is a 3D dental CT scan (CBCT).

This allows us to evaluate the implants, surrounding bone, and other important structures before attempting to remove or work on your existing teeth.

Fee: $250

Removal of the Full-Arch Teeth and Inspection – $1,000

In many situations, the fixed implant bridge must be removed before we can determine exactly what is happening underneath it.

This appointment allows us to remove the prosthesis, inspect the implants and restorative components, and determine what options may be available.

Fee: $1,000

This fee applies to removal and inspection of the existing full-arch prosthesis.

Replacement Prosthetic Screws

If the prosthetic screws need to be replaced during the appointment, the following fees apply:

  • 4 replacement screws: $250
  • 6 replacement screws: $300

Replacement is dependent on our ability to identify and obtain compatible components for your implant system.

Can My Teeth Be Put Back the Same Day?

We cannot guarantee that your existing teeth can be reinstalled the same day.

Once the prosthesis is removed, we may discover issues that could not be identified beforehand. These can include damaged or stripped screws, fractured components, incompatible implant parts, damage to the prosthesis, implant-related concerns, or other restorative complications.

Our priority is to determine what is clinically appropriate rather than promise a same-day result before we know what is underneath the restoration.

In some cases, the teeth may be able to be reinstalled. In other cases, additional treatment, replacement components, laboratory work, or fabrication of a new prosthesis may be necessary.

Why Is Working on Dental Implants From Another Office More Complicated?

Full-arch implant dentistry is not standardized across every dental practice.

Different offices may use different:

  • Implant manufacturers
  • Multi-unit abutments
  • Prosthetic screws
  • Screwdriver systems
  • Implant connections
  • Prosthesis designs
  • Materials and laboratory workflows

Without the original treatment records, implant information, and component specifications, it may take additional diagnostic work to determine exactly what was used.

Whenever possible, we recommend obtaining your implant records, implant brand and sizes, restorative component information, and laboratory records from the office that originally completed your treatment.

Having Problems With Your All-on-4 Teeth?

If you had All-on-4, All-on-X, or full-arch dental implants completed at another dental office and need a second opinion, repair, or evaluation, Richmond Implant & Smile Studio may be able to help.

Common reasons patients contact us include:

  • Loose full-arch implant teeth
  • Loose or broken prosthetic screws
  • Clicking or movement of the implant bridge
  • Difficulty cleaning underneath the teeth
  • Broken or damaged implant teeth
  • Concerns about existing implants
  • Needing a second opinion after full-arch treatment
  • No longer being able or willing to return to the original implant provider

Every situation is different, and an examination and appropriate imaging are necessary before we can determine what treatment is possible.

Full-Arch Implant Evaluation in Richmond, Virginia

If you are looking for help with an existing All-on-4 or full-arch dental implant restoration in Richmond, VA, contact Richmond Implant & Smile Studio to schedule an evaluation.

We are happy to help patients who received their implant treatment elsewhere, but it is important to understand that treatment involving another provider’s implant system and prosthesis can be unpredictable.

Our goal is to carefully evaluate your situation, explain what we find, and provide you with appropriate options for moving forward.

Existing Full-Arch Implant Service Fees

3D CT Scan (CBCT): $250
Removal and inspection of existing teeth: $1,000
Replacement of 4 prosthetic screws: $250
Replacement of 6 prosthetic screws: $300

Please note: Removal of the existing prosthesis does not guarantee that it can be reinstalled the same day. Additional treatment and fees may be necessary depending on what is discovered during the evaluation.

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