A Full Arch of Teeth — Supported by Just Four Implants
All-on-4 Dental Implants in Decatur, TX: A Permanent, Full-Arch Solution
All-on-4 replaces an entire arch of missing or failing teeth with a fixed, permanent set of prosthetic teeth — anchored by just four strategically placed titanium implants. No adhesive. No removal at night. No slipping when you eat, talk, or laugh. Many patients walk out of surgery the same day with a fully functional temporary set of teeth, then return for their final permanent restoration once healing is complete. If you've been living with loose dentures, failing teeth, or the embarrassment of gaps — this is the procedure that changes everything.
Same-day temporary teeth · 3D CBCT surgical planning · In-house placement by Dr. Nwokorie · Sedation available · Decatur, TX
All-on-4 implants can last 20+ years with proper care — and many patients receive their temporary teeth the same day as surgery.
Four strategically angled implants maximize existing bone, often eliminating the need for bone grafting. You leave the office with teeth, not an empty mouth.
From Consultation to Confident Smile — Step by Step
The All-on-4 process is more involved than a single implant, but the result is transformative. Here's what the journey looks like from start to finish.
Consult & Plan
3D CBCT scan maps your jawbone. Dr. Nwokorie designs a precise surgical plan — implant positions, angles, and prosthetic design are all determined before surgery day.
Implant Placement
Four titanium implants are surgically placed into the jawbone — two straight in the front, two angled in the back to maximize bone contact without grafting.
Temporary Teeth
A functional temporary prosthesis is attached to the implants the same day. You leave the office with teeth — not a gap, not a denture, teeth.
Final Restoration
After 3 to 6 months of healing, the temporary is replaced with your permanent, custom-crafted full-arch prosthesis. This is your final smile — for life.
All-on-4 Dental Implants at a Glance
What Makes This Different From Traditional Implants or Dentures
All-on-4 sits at the intersection of implants and dentures — delivering the permanence of implants without requiring one post per tooth, and the full-arch coverage of dentures without the slipping, adhesive, or bone loss.
Only Four Implants Per Arch
Traditional full-arch implants may require 6 to 8 individual posts. All-on-4 achieves the same result with just four — reducing surgery time, recovery, and overall investment while maximizing bone contact through strategic angling.
Walk In With Dentures, Walk Out With Teeth
Most All-on-4 patients receive a functional temporary prosthesis the same day as surgery. You don't spend months with an empty mouth or a temporary denture — you leave with teeth that look and function from day one.
No Bone Grafting in Most Cases
The two back implants are placed at an angle to engage the denser bone at the front of the jaw. This technique often eliminates the need for bone grafting — even in patients who've been told they don't have enough bone for traditional implants.
Stops Bone Loss Permanently
Traditional dentures sit on top of the gums while the jawbone shrinks underneath. All-on-4 implants integrate into the bone, stimulating it the way natural roots do — halting resorption and preserving your facial structure for life.
All-on-4 Placed by Dr. Nwokorie — No Outside Referral
All-on-4 requires a surgeon who can plan, place, and restore — and Dr. Christian Nwokorie handles the entire process in-house. From the 3D CBCT scan and digital treatment planning through the surgical placement and final prosthetic restoration, you stay with one team in one office.
- Oral surgery residency training — complex implant placement handled in-house
- 3D Cone-Beam CT imaging for precise, nerve-sparing implant positioning
- Digital treatment planning — your surgery is mapped before the first incision
- Same-day temporary prosthesis attached at surgery
- Nitrous oxide and oral sedation available for surgical comfort
- CareCredit financing for the full treatment
Ideal Candidates — and Who Might Need a Different Path
All-on-4 is designed for patients who are missing most or all of their teeth in one or both arches. But not everyone is a candidate. Here's who typically benefits most.
- Missing all or most teeth in the upper jaw, lower jaw, or both
- Wearing dentures that slip, cause sores, or limit what you can eat
- Teeth failing across the arch — multiple teeth that are cracked, decayed, or loose from gum disease
- Been told you lack bone for traditional implants — All-on-4's angled placement often works without grafting
- Want a permanent solution — not another removable appliance
- Medically healthy enough for oral surgery — Dr. Nwokorie evaluates this during your consultation
Not sure where you fall? That's exactly what the consultation is for. A 3D scan and clinical evaluation answers the question definitively.
All-on-4 vs. Traditional Dentures vs. Individual Implants
All-on-4 occupies the sweet spot between removable dentures and a full mouth of individual implants. Here's how they stack up.
Traditional dentures are the most affordable option upfront, but they sit on the gums, require adhesive, restrict what you eat, and allow the jawbone to shrink over time. They need relining and replacement every 5 to 10 years. See our full implants vs dentures comparison →
Individual implants replace each tooth with its own titanium post and crown. This is the gold standard for single or small-gap replacements, but placing 8 to 14 individual implants for a full arch is more invasive, takes longer, and costs significantly more than All-on-4. Learn about single implants →
All-on-4 delivers a fixed, permanent full arch on just four strategically placed posts — with same-day temporary teeth, no bone grafting in most cases, and a lifetime solution that feels and functions like natural teeth. For patients who need a full-arch solution, it's the most efficient path to a permanent result.
What All-on-4 Costs — and Why It's an Investment, Not an Expense
All-on-4 is a significant investment — there's no way around that. The procedure involves surgery, multiple implants, a temporary prosthesis, a final custom restoration, and all the imaging and planning that goes into it. But when you compare it to the lifetime cost of denture replacements, adhesives, relines, and the dental work that comes from ongoing bone loss — the math tilts toward All-on-4 over a 10 to 20-year horizon.
We provide a detailed, written treatment estimate during your consultation — before you commit to anything. Every component is itemized so you know exactly what you're investing in.
Most dental insurance plans contribute toward the surgical implant placement. CareCredit financing is available for the remaining balance, with promotional interest-free periods that make the monthly payment manageable.
Ready to explore All-on-4?
The consultation includes a 3D scan, a clinical evaluation, and a full treatment estimate. No obligation — just answers.
(940) 304-0205 Patient FormsQuestions Patients Ask Most
What are All-on-4 dental implants?
All-on-4 is a full-arch dental implant technique that replaces an entire row of teeth using just four titanium implants surgically placed into the jawbone. A fixed prosthetic arch is attached to the implants, giving you a complete set of permanent, non-removable teeth that look, feel, and function like natural ones.
Can I get teeth the same day as All-on-4 surgery?
Yes. Most All-on-4 patients receive a functional temporary prosthesis the same day as their implant surgery. This temporary set of teeth lets you eat, speak, and smile while your implants integrate with the jawbone over the next 3 to 6 months. Once healing is complete, the temporary is replaced with your final, custom-crafted permanent restoration.
Do I need bone grafting for All-on-4?
In most cases, no. The All-on-4 technique specifically avoids bone grafting by angling the two back implants to engage the denser bone at the front of the jaw. This is one of the biggest advantages of the procedure — many patients who've been told they lack bone for traditional implants are still candidates for All-on-4. Dr. Nwokorie confirms this with a 3D CBCT scan during your consultation.
How long do All-on-4 implants last?
The titanium implant posts are designed to last a lifetime with proper care. The prosthetic arch attached to them typically lasts 15 to 20+ years before needing replacement or refurbishment. Regular dental checkups, good oral hygiene, and avoiding habits like teeth grinding maximize longevity.
Is All-on-4 painful?
The surgery is performed under local anesthesia with sedation options available — you shouldn't feel pain during the procedure. Post-surgery, patients typically experience swelling and discomfort for 5 to 7 days, manageable with prescribed pain medication. Most patients describe the recovery as less painful than they expected.
What can I eat with All-on-4 implants?
During the healing phase (first 3 to 6 months), you'll eat soft foods to protect the implants while they integrate. Once the permanent prosthesis is placed, you can eat virtually anything — steak, apples, corn on the cob, nuts. All-on-4 restores roughly 90% of natural biting force, compared to about 25% for traditional dentures.
What's the difference between All-on-4 and All-on-6?
All-on-6 uses six implants instead of four, providing additional support. It may be recommended for patients with very low bone density, those who grind heavily, or for upper arches where bone quality is naturally softer. Dr. Nwokorie will recommend four or six implants based on your specific anatomy and clinical needs.
Can I get All-on-4 if I currently wear dentures?
Absolutely — this is one of the most common starting points. Many All-on-4 patients are current denture wearers who are frustrated with slipping, adhesive, food restrictions, and bone loss. The transition from removable dentures to fixed, implant-supported teeth is one of the most life-changing procedures in dentistry. Compare implants vs dentures →
Does Christian Family Dentistry place All-on-4 in-house?
Yes. Dr. Nwokorie handles the entire process — 3D imaging, surgical planning, implant placement, temporary teeth, and final restoration — at our Decatur office. You don't need a separate referral to an oral surgeon or prosthodontist. One team, one office, start to finish.
A Full Arch of Permanent Teeth — It Starts With One Conversation.
The consultation includes a 3D scan, a full clinical evaluation, and a detailed treatment plan with cost estimate. No obligation. Just the information you need to make a confident decision.
(940) 304-0205Address: 2100 South Reeves Lane · Decatur, TX 76234
Stop Living Around Your Teeth. Start Living With Them.
All-on-4 doesn't just replace teeth — it gives you back the ability to eat what you want, speak without thinking, and smile without covering your mouth. That's not a dental procedure. That's a new life.
Call (940) 304-0205Christian Family Dental
A team working to ensure you receive the best treatment.
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