If you’re missing most or all of your teeth — or living with dentures that slip, click, or limit what you can eat — All-on-4 dental implants may be the most life-changing procedure you’ve never heard enough about. At Sonoma OMA Oral Surgery in Gilbert, AZ, Dr. Kevin Burns performs All-on-4 treatment for patients throughout the East Valley, including Mesa, Chandler, Queen Creek, San Tan Valley, and Tempe.

This guide covers everything you need to know: how All-on-4 works, how it compares to traditional implants and dentures, what it costs in Gilbert, and how to find out whether you’re a candidate.

What Are All-on-4 Dental Implants?

All-on-4 is a full-arch tooth-replacement system that uses just four strategically placed titanium implants to support an entire set of upper or lower teeth. Unlike traditional implants — which typically require one implant per missing tooth — All-on-4 anchors a complete fixed prosthesis to four implants, two placed vertically at the front of the jaw and two angled at the rear to maximize contact with available bone.

The result: a permanent, non-removable set of teeth that looks, feels, and functions like your natural dentition. Most patients leave the office with a full smile in a single visit — which is why the procedure is often called “Teeth in a Day.”

All-on-4 vs. Traditional Implants vs. Dentures

Understanding your options is the first step toward a confident decision.

All-on-4 vs. Traditional Full-Arch Implants

Replacing every tooth individually requires anywhere from 6–8 implants per arch and a much longer treatment timeline. All-on-4 achieves a comparable result with fewer implants, lower cost, and — crucially — often avoids the need for bone grafting in Gilbert, AZ. The angled rear implants engage denser bone at the back of the jaw, bypassing areas where bone has been lost over time.

All-on-4 vs. Removable Dentures

Conventional dentures rest on the gums and rely on adhesive or suction to stay in place. They can slip while eating or speaking, accelerate bone loss in the jaw, and require ongoing maintenance. All-on-4 implants are fixed — they do not come out. They also stimulate the jawbone the same way natural tooth roots do, which helps preserve facial structure and prevents the “sunken” look that often accompanies long-term denture use.

The All-on-4 Procedure: Step by Step

At Sonoma OMA Oral Surgery in Gilbert, the All-on-4 process is designed around precision and patient comfort.

1. Consultation and 3D Imaging

Dr. Burns uses cone beam CT (CBCT) scanning to create a three-dimensional map of your jaw. This technology allows for precise implant planning — down to the millimeter — so there are no surprises in surgery. If you have remaining teeth that need to come out, extractions and implant placement can typically be done in the same appointment.

2. Implant Placement

On surgery day, you’ll receive IV sedation or general anesthesia for complete comfort. Dr. Burns places four implants into predetermined positions in the jawbone. The angled rear implants are a signature feature of the All-on-4 system — they distribute bite force across a wider area and avoid the sinus cavities in the upper jaw. Patients who’ve needed a sinus lift for dental implants in Gilbert, AZ may find that the All-on-4 angled technique eliminates that requirement entirely.

3. Temporary Prosthesis (Same Day)

Before you leave the office, a temporary fixed prosthesis is attached to the implants. This is a full set of functional teeth — not a removable denture. You’ll go home smiling.

4. Healing and Final Prosthesis

Over the next four to six months, the implants fuse with the jawbone through a process called osseointegration. Once healing is complete, the temporary prosthesis is replaced with your final, custom-fabricated permanent bridge — typically made from high-strength zirconia or acrylic — designed to match your natural facial aesthetics.

Are You a Candidate for All-on-4?

All-on-4 is an excellent option for a wide range of patients, but a proper evaluation is essential. You may be a strong candidate if:

• You are missing all or most of your teeth on one or both arches
• You have been wearing dentures and are unhappy with their function or fit
• You have experienced significant bone loss but still have adequate bone at the implant sites
• You are in good general health and a non-smoker (or willing to quit before surgery)
• You want a permanent, fixed solution — not another removable appliance

Some patients who would need extensive bone grafting for traditional implants are still excellent All-on-4 candidates precisely because of the angled implant design. Patients in Gilbert, Mesa, Chandler, Queen Creek, and San Tan Valley are encouraged to schedule a consultation to find out where they stand.

What Does All-on-4 Cost in Gilbert, AZ?

All-on-4 is a significant investment, and cost varies based on several factors: whether you need extractions, which prosthesis material you select, and whether upper arch, lower arch, or both are being treated. In the Gilbert area, patients can generally expect:

• Single arch (upper or lower): $20,000–$30,000
• Full mouth (both arches): $35,000–$55,000

While these numbers are substantial, compare them to the cumulative cost of denture maintenance, adhesives, relining, and replacement over a lifetime — plus the value of restored confidence and unrestricted diet. Many patients consider All-on-4 the most worthwhile investment they’ve ever made in their health.

Sonoma OMA Oral Surgery works with patients to review financing options. We also accept a range of dental insurance plans — visit our insurance page for details on coverage.

Why Choose Sonoma OMA Oral Surgery for All-on-4 in Gilbert?

Not all All-on-4 procedures are alike. The outcome depends heavily on the surgeon’s training, the imaging technology used, and the quality of the prosthesis. Here’s what sets Sonoma OMA apart:

• Board-certified oral and maxillofacial surgeon. Dr. Kevin Burns completed a hospital-based residency in oral and maxillofacial surgery and holds board certification — the highest credentialing standard in the field.
• In-house 3D imaging. CBCT scanning at our Gilbert, AZ office means faster, more accurate treatment planning without being referred elsewhere.
• IV sedation available. Full IV sedation is provided in-office so surgery is comfortable and anxiety-free.
• Comprehensive care. From consultation through final prosthesis placement, your care is coordinated under one roof in Gilbert.

Patients travel to our Gilbert office from across the East Valley — including Mesa, Chandler, Queen Creek, San Tan Valley, and Tempe — because of the combination of surgical expertise and personalized care.

For patients interested in replacing individual missing teeth rather than a full arch, we also offer traditional dental implants in Gilbert, AZ as well as dental implants in Chandler, AZ.

Frequently Asked Questions About All-on-4 in Gilbert, AZ

How long do All-on-4 implants last?

The titanium implants themselves are designed to last a lifetime with proper oral hygiene and routine check-ups. The prosthetic bridge may eventually need replacement or adjustment — typically after 10–15 years — depending on the material selected and how well it’s maintained.

Is the All-on-4 procedure painful?

The surgery itself is performed under IV sedation or general anesthesia, so you will not feel pain during the procedure. Post-operative discomfort is manageable with prescribed medication and typically resolves within one to two weeks. Most patients report that recovery is more comfortable than they anticipated.

Can I eat normally with All-on-4 implants?

During the healing phase (four to six months), you’ll follow a soft-food diet to protect the implants while they integrate. Once your permanent prosthesis is placed, you can eat a wide variety of foods — including many you may not have been able to enjoy with dentures.

Do I need bone grafting before All-on-4?

One of the key advantages of All-on-4 is that the angled rear implants often allow placement even in patients with significant bone loss — eliminating the need for bone grafting in many cases. Your CBCT scan at the consultation will determine whether any bone augmentation is needed. Learn more about bone grafting in Gilbert, AZ if your provider recommends it.

How do I get started with All-on-4 at Sonoma OMA in Gilbert?

The first step is a consultation with Dr. Kevin Burns. During this visit, he will review your medical and dental history, perform a clinical exam, and take CBCT imaging to assess your bone structure. You’ll leave with a clear picture of whether All-on-4 is right for you, what the timeline looks like, and what it will cost.

Disclaimer: This content is intended for informational purposes only and does not constitute medical advice. Individual results vary. Please consult with a qualified oral and maxillofacial surgeon to determine whether All-on-4 dental implants are appropriate for your specific situation.