Dental Implant Procedures

Dental Implant Procedures

Missing, damaged or misaligned teeth are painful, make eating difficult and may cause infections leading to abscesses and swelling. They can also harm your self-confidence and lead to changes in the shape of your face. Dental implants procedures are the best way to replace missing or damaged teeth, giving you the most comfortable and best-looking set of new teeth available.

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Dental Implants Procedures & Steps


The dental implant procedure places three components into a person’s jaw

  1. The implant itself: The implant is a small metal screw surgically placed into small holes drilled into the jawbone.
  2. An abutment. Abutments are used to connect your dental implant to the crown.
  3. A dental implant crown. Dental implant crowns are not the same as a crown placed on top of an already existing natural tooth. A dental implant crown attaches to the abutment and is made of durable, natural-looking zirconia.

Types of Dental Implants:

Single implant: If you have just one tooth that needs replacing, a single dental implant is an excellent choice. In a single dental implant procedure, only one titanium post placed into the jaw. The abutment and crown are placed on top of that implant after healing is complete—usually 2 to 3 months

Full mouth dental implants (i.e., full arch, Teeth-in-a-Day, all-on-X, 4-on-1): In contrast, in a full arch dental implant procedure, 4 implant posts are placed in each jawbone. A bridge containing an entire arch of teeth is then placed on top of these implants after healing is complete, which typically takes around 3 months.

Before the dental implant procedure

The following steps are common to both the single dental implant and full arch. Before the surgery, your oral surgeon will:

  • Take a detailed medical history

  • Perform a thorough oral examination of your mouth

  • Take 3D CT scans and X-rays of your jawbone. 

The examination and scans are necessary to find out how thick your jawbone is. Dental implant posts require the jawbone to be thick enough to support the pressure the implant will be under during chewing. Digital imaging also allows a pair of temporary teeth to be made for you to wear home.

During the dental implant procedure

  • Extracts any existing tooth or teeth that need to be removed

  • Makes incisions in the gum tissue at the implant site, exposing the jawbone

  • Drills small hole(s) into the jawbone and insert titanium implant(s) into the jawbone hole(s)

  • Closes the gum tissue around the implants

For a single implant and full mouth dental implants, healing takes 2 to 3 months, during which time the jawbone fuses with the implant post. Once the jawbone has healed, an abutment is placed onto the implant post. After healing is complete, a permanent crown/bridge is placed onto the abutment(s). 

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How Dental Implants Work

How Dental Implants Work

Dental implants work just like natural tooth roots. They’re made of titanium posts that are implanted surgically into the jawbone, and the crown or bridge (i.e., the part people see when you smile) will be placed on top of the implants. Because dental implants are firmly and permanently placed inside the living bone of the jaw, they halt bone loss, as well as provide a steady base for an artificial tooth or bridge.

A small metal connector called an abutment is placed on top of each implant. The abutment joins the artificial tooth to the titanium post implanted into the jaw. The artificial tooth (or teeth) is called a crown.

Crowns are prosthetic (artificial) teeth custom-made to fit a person’s mouth and unique oral health and aesthetic needs. When more than one tooth is held in place by dental implants, the entire row of artificial teeth is called a bridge.

Dental implants also have a lot of advantages over dentures:

  • They fit, feel and look just like healthy natural teeth.
  • Dental implants allow a person the freedom to eat any type of food, without discomfort or pain.
  • Unlike dentures, dental implants don’t have to be removed, are durable, and can last a lifetime.

Dental Implants Bone Grafting Procedures

Bone grafting is an outpatient procedure performed by your dental implant oral surgeon. Dental implant bone grafting is used to help people who have lost bone mass after experiencing bone resorption, which causes thinning bone structure in the jaws. When teeth are removed, the lack of tooth roots causes the blood vessels of the jaw’s bone tissue to stop nourishing the bone, and the body gradually reduces the bone mass for use elsewhere. Bone loss can also be caused by gum disease. Gum disease results most often from bacteria invading gum tissue, leading to soft tissue damage, loose and missing teeth, and damage to the jawbones. A bone graft will replace or repair bone.

Dental implant bone grafting is necessary in the aforementioned cases. The good news is that you can still get dental implants even in cases where the jawbone has experienced significant thinning.

If after a close examination of your mouth and evaluation of the thickness of your jawbone, your oral surgeon recommends an oral bone grafting procedure, the following steps will be taken.

When performing a bone graft, an oral surgeon performs the following steps:

  • You will be IV sedated so the entire procedure will be more comfortable.
  • Any remaining natural teeth that must come out will be removed.
  • Your oral surgeon will surgically open the gum tissue around the area where the graft is to be placed.
  • The oral surgeon closes the opening, sealing the newly placed material inside.
  • Over about 4 months, the bone graft material is broken down and used by the body to construct bone in the jaw. This lifts the height and thickness of the jawbone, making it firm enough to support dental implants.

Sinus Lift Procedure and Steps

When a bone graft procedure is conducted on the upper back jaw, it is called a sinus lift procedure. This procedure is sometimes used for full mouth dental implants. A sinus lift procedure increases the amount and density of the bone mass in the upper back jaw, creating a strong foundation for stable and long-lasting dental implants.

The sinus lift procedure gives you a thicker, healthier jawbone in which to place dental implants.

The dental implant sinus lift procedure is similar to other bone grafting procedures for dental implants. Your oral surgeon will open the upper back jawbone where your back teeth were. The floor of the maxillary sinus will be elevated, and the new bone graft material is then placed inside the incision. The incision is then closed.

What They’re Saying

I went in to [America’s First] due to bad work from another dentist… the previous work needed to be fixed ASAP. Dr. walked me through how he would fix my implants and made me feel much more at ease. It was easy to work with his office to schedule the procedure. I am so happy I found him and his work is great! Definitely smiling big now =)

– Katelyn R.

Patient from Miami, FL

After several months of going to many dental offices for consults, I finally found America’s First Dental Implant Centers, and thank GOD I did… I drove all the way from Naples to Miami for my treatment and it was definitely worth it. I recommend America’s First to anyone that needs dental implants. Thank you to the Doctor and team at America’s First!

– Kenneth O.

Patient from Naples, FL

Big thank you to the Oral Surgeon doctor and staff at America’s First Dental Implant Center in Miami. I had a tooth that broke and needed to be replaced with a dental implant… The surgery was painless and I was asleep the entire time and now I have a brand new tooth. It was really a stress free experience and at a much lower price than other offices. I highly recommend America’s First to anyone that needs dental implants.

– David C.

Miami, FL

Avoiding Pain in Dental Implant Procedures


Dental implant procedures do not hurt because they are performed under  IV sedation anesthesia (which is always used here at America’s First Dental Implant Centers).

Dental implant recipients report that pain after the dental implant is no more serious than that of any other dental procedure. Dental implant procedures pain can be managed with ibuprofen or acetaminophen.  However, if needed then stronger pain medications can be prescribed.

Learn more about painless dental implants

4-on-1 (i.e., Full Mouth, Full Arch, All-on-X) Dental Implant Procedures

4-on-1 (i.e., Full Mouth, Full Arch, All-on-X) Dental Implant Procedures

Full mouth dental implants – also known as 4-on-1, All-on-X, teeth in a day, and full arch dental implants – replace an entire arch, or row of teeth in one procedure. This is a one-day procedure. 4-on-1 procedures are the perfect solution in situations where people have many missing or damaged teeth or have lost all their natural teeth due to gum disease or injuries.

4 on 1 full arch dental implants provide a convenient means of restoring the look, fit and function of natural teeth. Full arch dental implants also return a person’s bite to normal, alleviating pain while improving the person’s ability to chew.

We specialize in 4-on-1 dental implants and are experts in full arch dental restoration.

Full Arch Dental Implant Procedures Steps

In a full arch dental implant procedure, an oral surgeon will replace an entire arch of teeth (12-14 teeth) at once. This procedure is also called full mouth, 4-on-1 or teeth in a day. A full arch procedure is excellent choice when a person has many damaged or missing teeth.

The full arch dental implant procedures are as follows:

Initial Consultation

Initial Consultation

At your initial consultation, your oral surgeon will take 3D CT scans of your jaws, which allow your oral surgeon to identify the best implantation sites. Your implant team will also use these scans to make the temporary set of teeth you will wear home on the day of your procedure.

IV sedation and Surgery

IV sedation and Surgery

On the day of your surgery, your oral surgeon will make incisions at each implantation site, allowing access to the jawbone. Small holes are then drilled into the bone, in which your oral surgeon places each implant. For a full arch implant, 4 implant posts are placed in each jaw

Temporary Teeth

Temporary Teeth

On the day of surgery, your surgeon will place a temporary set of teeth on top of the implants. You won’t have to go a single day without teeth.

Healing and final placement of new permanent teeth. 

Healing and final placement of new permanent teeth. 

Complete healing of the jawbones takes about 3 months. During this time, the jawbone fuses permanently into the titanium posts in a process called osseointegration. Osseointegration give your dental implant the same stability as healthy natural teeth.

Once your jawbones and gums are healed, your oral surgeon will give you your final set of permanent teeth.

Full Mouth Dental Implants Procedure Costs

Full Mouth Dental Implants Procedure Costs

The average national cost of full arch dental implants ranges from $25,000 to $40,000 per arch. Our price is $14,950 per arch, which is approximately 40% – 60+% less than our competition.

We can offer this price because we only work with oral surgeons who are experts in the procedure. Oral and maxillofacial surgeons have at least 4 to 6 years of hospital training in complex surgical procedures, including the safe use of anesthesia.

The full arch dental implants procedure costs are all-inclusive and include:

  • all appointments, including consults and post-operative follow-ups
    • surgery (IV sedation, extraction if needed, etc.)
    • temporary and permanent teeth

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1. What are 4-on-1, all on X, full arch, Teeth-In-A-Day Dental Implants?

All these names refer to a one-day dental implant procedure that replaces an entire arch of teeth in a single surgical procedure.

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2. What’s the difference between full arch and individual implants?

In individual implants, each crown is supported on a single implant. This is an effective solution to one missing tooth, but the costs can multiply rapidly if you need multiple implants. An individual implant can cost between $3,000 and $6,000. Replacing 3 teeth in that situation could easily cost $18,000.

Full arch implants on the other hand replaces all the teeth at one time. You will walk out of the dental office with a new set of teeth in one day. The fee is fixed per arch, and so the cost doesn’t increase with an increase in number of missing or damaged teeth. This is an effective and cost-efficient procedure if you have multiple damaged or missing teeth.

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3. Do Full Arch Dental Implants Work?

Yes, full arch dental implants are the closest thing you can get to natural teeth in terms of comfort, durability, and aesthetics. Full arch dental implants restore your ability to eat and speak normally, just like you would with healthy natural teeth. Full arch dental implants eliminate the pain caused by a misaligned bite, and prevents further bone loss.

For people who are missing all their teeth, full arch dental implants are the most effective and efficient way to get a complete new set of teeth; the success rate of this procedure is over 97%.

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4. Are full-mouth Dental Implants Procedures Painful?

You might be surprised to learn that the dental implants procedure is not painful. You will be under IV sedation during the full arch surgery, and clients describe the post-operative discomfort as being quite manageable with over-the-counter pain relievers, like ibuprofen and acetaminophen.  However, stronger pain medications can be prescribed also.

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5. Will I Have to Go Without Teeth?

No. Teeth-in-day allows you to go home on the day of your dental implant surgery with a great-looking set of temporary teeth.

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6. Will I Receive Permanent New Teeth During the Procedure?

No, you won’t receive permanent new teeth on the day of the procedure. On the day of your teeth-in-a-day procedure, four permanent small titanium posts will be surgically implanted into each of your jawbones. Connectors (abutments) that will not be visible to others will be placed onto the implanted posts, which will support a new set of temporary teeth. You will receive a temporary set of teeth on the day of your procedure that look like natural, real teeth.

You will receive temporary new teeth on the day of the all-on-X procedure because your jawbones and gums need time to heal. During the healing process, swelling will go down and the bones of the jaw will fuse to the posts. After your gums and jawbone has healed, you will receive your permanent teeth.

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7. When Will I Get My Permanent Set of Teeth?

You will receive your permanent teeth 3 months after your teeth-in-a-day dental implant surgical procedure.

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8. Are Teeth-in-a-Day Dental Implants Better than Dentures?

Teeth-in-a-day dental implants offer the best artificial teeth replacement on the market. They are more comfortable and perform better in all ways than dentures, giving a person rock-solid stability, a natural bite, and restored enunciation.

Teeth-in-a-day eliminates pain and restores a bright white healthy smile. Teeth-in-a-day dental implants never need to be removed, do not have to be soaked, and only need to be brushed and flossed like natural teeth. Unlike dentures, there is no slippage and no sore gums with teeth-in-a-day dental implants.

It is true that dentures are less expensive on the front end than teeth-in-a-day implants but consider that dental implants do not have to be removed, will not break, and do not have to be remade or re-lined—ever. Teeth-in-a-day dental implants are an investment in a life-long great smile that completely replicates healthy natural teeth.

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9. How much does full arch, all on X, 4-on 1 procedures cost?

We offer full arch procedures for $14,950 per arch of teeth. This is 40 -60 % less than the cost of our competitors, which ranges from $25,000 to $40,000 per arch.

We can offer this price because we only work with oral surgeons who are experts in the procedure. As such, they are able to perform these surgeries effectively, efficiently and with very high success rate and very low complication rate.

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10. Do you offer financing for full mouth, teeth in a day, full arch procedures?

Yes. We work with a number of financing partners who are happy to help you. You are also welcome to use your own financing company. Even if your credit is poor, we may be able to help.

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