All-on-X and All-on-4

Missing many to all of your teeth requires a custom solution, built for your smile and your lifestyle. If you are looking for a full arch restoration or want to replace your traditional dentures, Middle Tennessee Prosthodontics offers All-on-X and All-on-4. These custom implant-supported dentures are customized to your specific face shape, jawbone density, and more.

If you are ready for permanent dentures that help support your oral health and functional needs, contact our office in Brentwood, Tennessee.

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If You Are Struggling, Implant-Supported Dentures Can Help

Have you been frustrated by your dentures slipping? Traditional dentures, especially poor fitting ones, can cause pain or embarrassment if they slip or chafe. They can even make eating and speaking more difficult. All-on-X or All-on-4 implant dentures may work to replace your traditional dentures.

Losing your teeth can result in jawbone deterioration and even facial sagging. Dental implants replace the tooth root, and then use custom dentures to replace your visible teeth. This stimulates the jawbone, so your jaw remains healthy instead of brittle.

What is All-on-X?

All-on-X is a full-arch tooth replacement solution that uses a series of strategically placed dental implants to support a complete set of upper or lower teeth. Instead of using an implant for every missing tooth, All-on-X relies on as few as four to six implants to anchor a fixed prosthesis. This technique provides patients with a stable, long-lasting alternative to traditional dentures, especially when replacing an entire arch of missing or failing teeth.

The All-on-X system is carefully designed to maximize support, even in areas with limited bone. By angling the implants and customizing the prosthetic, prosthodontists can deliver a natural-looking, fully functional smile that’s securely attached—no slipping, adhesives, or removal needed. For many patients, All-on-X offers a significant improvement in comfort, confidence, and quality of life.

What is All-on-4?

All-on-4 is similar to All-on-X and is primarily used for patients with high bone density. Instead of a custom amount of implants based on bone density, All-on-4 uses just 4 implants for maximum comfort and easier recovery. We still customize placement and the kind of implants used when we use this treatment approach.

Enjoy the Benefits of All-on-X

Full-arch restorations like All-on-X and All-on-4 offer a modern alternative to traditional dentures and bridges. By using a small number of dental implants to support a complete set of prosthetic teeth, this approach provides greater comfort, security, and long-term function—especially for patients with multiple missing or failing teeth.

Here’s why many patients choose All-on-X for their tooth replacement:

  • Fewer Implants, Full Results: Just four to six implants are used to support an entire upper or lower arch of teeth, minimizing the need for extensive surgical procedures.
  • Immediate Function: In many cases, a provisional set of teeth can be placed the same day as implant surgery, allowing patients to leave with a functional, natural-looking smile.
  • No Need for Adhesives: Unlike traditional dentures, All-on-X prosthetics are securely attached to implants and do not shift, slip, or require adhesives to stay in place.
  • Preserves Bone Structure: The implants stimulate the jawbone, helping to prevent bone loss and maintain facial contours over time.
  • Easy Maintenance: These restorations are designed for long-term wear and are cleaned much like natural teeth, making them more convenient than removable options.
  • Improved Quality of Life: With enhanced chewing ability, clear speech, and restored confidence, patients often find All-on-X to be a life-changing solution.

For patients seeking stability, aesthetics, and long-term reliability, All-on-X offers a streamlined and effective approach to full-mouth restoration.

Tailored Treatment Plans for Long-Lasting Results

No two smiles are the same—and your tooth replacement plan shouldn’t be either. At Middle Tennessee Prosthodontics, we take a customized approach to All-on-X treatment, designing each restoration to suit your oral health, facial structure, and aesthetic goals. From the number and positioning of implants to the shape and shade of your new teeth, every detail is planned with precision.

We create a prosthesis that not only looks natural but also performs reliably. Our team of board-certified prosthodontists will guide you through every step of the process, ensuring that your final result is both comfortable and built to last.

What to Expect from the All-on-X Process

A Streamlined Approach to Full-Arch Restoration

Replacing a full set of teeth may sound complex, but with the All-on-X approach, the process is highly coordinated, efficient, and designed to minimize downtime. At Middle Tennessee Prosthodontics, we guide you through every step.

Your journey begins with a detailed consultation. Using digital scans and imaging, we assess your bone health, gum condition, bite alignment, and overall oral function. This planning stage helps us determine the optimal number and placement of implants, as well as design the shape and shade of your new smile. If you’re a candidate for All-on-X, we’ll create a custom treatment plan that supports both your health and your goals.

We work closely with skilled oral surgeons who place the dental implants according to our carefully designed plan. These oral surgeons are highly experienced in placing implants so they function the best. Typically, 4–6 implants are placed per arch, depending on your unique anatomy.

In many cases, a temporary prosthesis is placed on the same day as your implant surgery. This allows you to leave your appointment with a full set of functional, natural-looking teeth—no need for removable dentures during healing. This immediate restoration is crafted to support comfort and aesthetics while your implants integrate with your jawbone.

After several months of healing and integration, you’ll return to our office for your final prosthesis. This permanent restoration is designed for strength, durability, and a natural appearance, tailored to match your facial features and bite. We’ll make any final adjustments and walk you through how to care for your new smile.

With advanced planning, a collaborative team, and expert prosthodontic design, the All-on-X process delivers efficient, high-quality results that restore both function and confidence.

Why Choose Implant-Supported Dentures Over Regular Dentures?

Support for Your Jaw, Not Just Your Smile

While traditional dentures can restore your appearance and some function, they don’t address the long-term health of your jaw. Without natural tooth roots or implants in place, the jawbone begins to shrink over time. This gradual loss of bone can change the shape of your face, affect your ability to chew comfortably, and lead to a loose or ill-fitting denture.

Implant-supported dentures offer a healthier alternative. Because the implants act like artificial tooth roots, they stimulate the jawbone and help prevent bone loss. 

Implant-supported dentures are more secure, don’t require adhesives, and allow for a more natural-feeling experience when eating or speaking. For patients looking for a long-term, health-focused solution to missing teeth, implant-supported dentures offer both strength and stability where it matters most.

Make the Switch to Permanent Dentures Today

Whether you are looking to get dentures for the first time or are switching from traditional dentures, you can contact Middle Tennessee Prosthodontics for custom restorations and treatment plans today.

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