All-on-X

All-on-X is a full-arch tooth replacement method that uses a small number of dental implants, usually four to six, to support an entire row of fixed teeth. Rather than resting on the gums like a denture, the replacement teeth attach directly to implants placed in the jawbone. This gives you a permanent, non-removable set of teeth. The treatment can address failing teeth, multiple missing teeth, or an entire arch that needs replacement.

Traditional dentures rest on the gums and can shift, slip, or feel uncomfortable, especially while eating or speaking. All-on-X teeth attach to implants in the jawbone, so they stay fixed in place instead of needing to be removed and cleaned separately. This stability also helps preserve jawbone density over time, which dentures alone cannot do. Many patients find All-on-X restores a level of function and confidence dentures never fully provided.

At SweetGrass Dental Associates, our complete All-on-X treatment package is $20,000 per arch, representing approximately $32,000 in treatment value. That price includes extractions, grafting when needed, implants, sedation, temporary fixed teeth, and your final zirconia teeth. Because everything is bundled into one package, you won’t face surprise costs added on later. Financing options may also be available for qualifying patients.

Yes, All-on-X replacement teeth are designed to stay in place rather than be removed for cleaning like a denture. Once your implants have integrated with the jawbone and your final zirconia teeth are delivered, they function as a permanent part of your smile. Regular checkups and good oral hygiene help protect your investment over the years. With proper care, All-on-X is built to last for the long term.

No, All-on-X is designed as a fixed, implant-supported restoration rather than a removable denture or plate. Once your teeth are placed, they stay anchored to your implants and function like natural teeth. You won’t need to take them out to sleep or clean them the way you would a denture. This is one of the main reasons patients choose All-on-X over removable options.

Potentially, yes. Many patients wearing complete dentures make excellent candidates for All-on-X, depending on their medical history and a clinical evaluation of their jawbone and gum health. Moving from a removable denture to a fixed, implant-supported solution is one of the most common reasons patients pursue treatment. A consultation will confirm whether you’re a good fit.

Potentially. Controlled diabetes doesn’t automatically rule out implant treatment, since many patients with well-managed blood sugar levels heal and integrate implants successfully. Poorly controlled diabetes, however, can increase surgical risk and may require additional medical evaluation before moving forward. Your care team will review your health history closely during your consultation.

Heart stents alone aren’t an automatic disqualifier for All-on-X. What matters is when they were placed, your broader cardiovascular history, your current medications, and whether your condition is medically stable. This information helps your dental team plan safely around your health needs. A thorough medical review is part of every evaluation.

Taking aspirin, antiplatelet medications, or anticoagulants doesn’t automatically prevent implant treatment, but your exact medication and medical history need to be reviewed carefully beforehand. Never stop a blood thinner without instructions from the physician who prescribed it. Your dental and medical teams may need to coordinate before your surgical appointment. This keeps your treatment both safe and effective.

Smoking increases the risk of complications with dental implants, including slower healing and a higher chance of implant failure. The amount and type of nicotine use you report will be reviewed as part of your evaluation. This doesn’t automatically disqualify you, but it’s an important factor in your treatment plan. Reducing or quitting beforehand can improve your outcome.

Let your dental team know the exact medication you took, how you took it, why it was prescribed, and how long you were on it. Some osteoporosis medications require additional risk assessment before implant surgery can move forward safely. Higher-dose, bone-modifying medications used for certain cancer treatments carry a meaningfully different level of risk and may rule out routine implant placement. This information is a standard part of your evaluation.

No. All-on-X is a surgical treatment, and we should recommend it only when it’s medically and clinically appropriate for you. Certain serious health conditions, medications, or jaw structures may make implant surgery unsafe or require a specialist’s evaluation first. Your care team’s job is to determine what’s right for your specific situation, not to assume every patient qualifies.