All-on-X implants are a full-arch tooth replacement solution that uses a set number of dental implants to support a fixed prosthesis. The approach typically involves placing four to six implants in the upper or lower jaw, depending on bone quality and anatomical structure.

Our dentist and team use this method for patients who require complete restoration of an arch, particularly those who are not candidates for traditional full-mouth implants due to bone loss or other complications. The All-on-X configuration is strategically designed to maximize support while minimizing the number of implants needed.

Process and Structural Benefits

The All-on-X technique relies on angled implant placement in the posterior jaw, which avoids anatomical structures like the sinus cavity or nerve canal. This reduces the need for bone grafting in many cases.

Additional functional details include:

  • Tilted implants provide anterior-posterior spread for stability
  • Load-bearing capacity allows immediate or early placement of prosthesis
  • Cross-arch stabilization distributes bite force evenly
  • Use of digital imaging and planning improves surgical accuracy

Compared to traditional removable dentures, All-on-X prosthetics remain fixed in place, are not removed for cleaning and are supported entirely by implants rather than soft tissue. This offers significant improvements in masticatory function, structural support and hygiene maintenance.

Our Clinical Approach

Treatment begins with diagnostic evaluation, including cone beam computed tomography (CBCT) and digital scanning. These imaging tools allow our dentist to assess bone volume, nerve positioning and sinus proximity. A surgical guide is typically created for precision during implant placement.

Surgery involves placing the implants under local anesthesia or sedation, depending on patient preference. In some cases, a provisional fixed prosthesis can be placed the same day. Final prosthetics are fabricated after osseointegration, which typically occurs over several months.
At John Savukinas, DDS, all restorative components are selected for strength, fit and long-term wear. Dr. John Savukinas monitors healing and bone response through follow-up visits.

To determine if you are a candidate for All-on-X implants in Rockville, Maryland, call our dentist and team at 301-738-1155. We provide full-arch implant restoration using data-driven diagnostics and efficient surgical techniques.