All-on-4 Implants in Richardson, TX
A full arch of teeth supported by four implants, planned carefully and explained clearly before anything begins. If you are tired of failing teeth or a loose denture, this is a real option worth a real conversation.
What to Know About All-on-4 Before You Decide
All-on-4 Implants in Richardson TX is a way to replace a full upper or lower arch of teeth using four dental implants and a fixed bridge that does not come out at night. It is not the right answer for every mouth, and we will tell you honestly if it is not the right answer for yours. When it does fit, it can change how you eat, speak, and sleep within a matter of weeks.
Most people who come to us about All-on-4 fall into one of two groups. Either they have a denture that slides and clicks and they are done with it, or they have a stretch of teeth that are failing one by one and they want to stop the slow-motion repair cycle. Both are reasonable reasons to ask the question.
We do not push this treatment. Dr. Korenman has practiced for more than 30 years, and part of that experience is knowing when a smaller solution is the honest recommendation. Sometimes a few targeted implants and a partial denture make more sense. Sometimes a careful plan of crowns and root canals will get another fifteen years out of the teeth you have. We say so when that is the case.
How Four Implants Support a Full Arch of Teeth
The idea behind All-on-4 is straightforward. Four implants are placed into the jaw at angles that take advantage of the bone you still have, usually two toward the front and two tilted back along the arch. A fixed bridge of teeth is then attached to those four anchors. It does not come out. You brush it like teeth, sleep in it, and eat with it.
The angled placement matters. Many people who have lost teeth have also lost bone height in the back of the jaw, especially near the sinuses on top. Tilting the rear implants forward lets us use denser bone and often avoids the need for a sinus lift or extensive bone grafting. When grafting is needed, we tell you up front and price it separately so there are no surprises.
Before any of this is planned, we map the jaw in three dimensions using our in-house 3D NewTom VG3 cone-beam CT scanner. We can see where the bone is solid, where the nerves run, and where the sinuses sit. That scan is the difference between a guess and a plan.
Who Is a Good Candidate for All-on-4, and Who Is Not
All-on-4 tends to be a good fit when most or all of the teeth in an arch are already gone, loose, or beyond saving. If you are wearing a full denture that you cannot stand, or if you are facing a series of extractions and have decided you do not want to live with a removable plate, this is the conversation to have. Healthy patients with reasonable bone volume often qualify even when traditional implant cases would call for grafting first.
It is not always the right call. Heavy uncontrolled diabetes, active gum infection, certain medications that affect bone healing, and significant smoking all raise the risk of failure. We talk about these openly during the consultation. If we think the odds are stacked against a good outcome, we will say so before you have committed anything. When the case is outside what we do in-house, we refer to a specialist we trust rather than stretching.
Age, by itself, is rarely the deciding factor. We have placed implants for patients in their seventies and eighties who healed beautifully, and we have advised younger patients to wait or choose a different path. What matters more is bone, health history, and what you want your next ten or twenty years of eating and talking to feel like.
What Your All-on-4 Treatment Includes from Start to Finish
The first visit is a careful look and a conversation. We take the 3D scan, review your medical history, and ask what is worrying you most. Cost. Time off work. Whether anyone will know. Whether it will hurt. We answer each one before we recommend anything, and we put the fee in writing before any work begins.
On the surgery day itself, failing teeth are removed, the four implants are placed, and a temporary fixed bridge is attached the same day in most cases. You leave with teeth. Sedation options are discussed ahead of time so you know what your day will look like and who is driving you home. That evening, Dr. Korenman calls to check on you and shares a direct number in case anything comes up overnight.
Healing takes a few months while the implants integrate with the bone. During that time you wear the temporary bridge and eat a softer diet. Once integration is confirmed, we deliver the final bridge: a stronger, more refined prosthesis designed to last for years with regular hygiene and check-ins.
Insurance, Financing, and the Written Quote for All-on-4
Loveable Smiles works with most PPO dental insurance plans. Full-arch implant treatment is rarely covered in full, but many PPO plans contribute toward parts of the case: the extractions, the temporary prosthesis, sometimes a portion of the final bridge. We verify your benefits before we quote anything, so the number you see reflects what you would actually pay, not a sticker price minus a guess.
For the balance, we will talk through financing options and timing. Some patients prefer to split the treatment across two benefit years to use insurance maximums twice. Some prefer to finish in one stretch. Neither is wrong. Dr. Korenman will walk you through the trade-offs so you can decide.
You will leave the consultation with a written quote, an itemized plan, and a clear picture of what insurance is expected to cover. If something changes during treatment, we tell you before we do it. That is the whole point of the clear-fees policy.
Why Patients Choose All-on-4 Over Dentures or Staged Extractions
The honest appeal of All-on-4 is the end of the cycle. No more repairs on teeth that are losing the fight. No more adhesive. No more taking anything out at night. The bridge stays put, and the bite feels closer to natural teeth than a removable plate ever can. With proper hygiene and the periodic checkups we schedule, the result is designed to last for decades, though outcomes vary based on bone health, daily care, and overall health.
There are also quieter benefits people do not always anticipate. Speaking without worrying about a denture shifting. Eating a steak or an apple without a plan. Smiling in photos without checking first. These are not promises, they are common reports from patients who finished treatment and got on with their lives.
If you are weighing this against a traditional denture, a partial, or holding on to a few remaining teeth a while longer, we will lay out each path honestly.
Talk to Dr. Korenman About All-on-4
Bring your questions, your old X-rays if you have them, and the parts of this that worry you most. We will look carefully, explain what we see in plain language, and quote the fee in writing before any work begins.