If you've lost most of your teeth on the top, the bottom, or both, All-on-4 replaces the entire arch with a fixed set of teeth supported by just four dental implants. Nothing comes out at night, nothing shifts when you eat, and there is no adhesive involved. For most people, it is the closest thing to having their own teeth back.
At Titensor Dental in Flower Mound, we hear the same concern from almost every patient who comes in for a full-arch consultation: they waited too long, their bone loss is too severe, or someone already told them no. A 3D scan is what actually answers that question, and it shows us far more than a visual exam ever could.
Call us at (972) 355-9545 and we will get you in.
We start with a conversation about your dental history, what has been going on, and what you are hoping to get back. Then we take a cone beam scan, which gives us a three-dimensional picture of your jaw, bone volume, nerve position, and sinuses. That scan is what makes a real treatment plan possible.
Using your scan, we map exactly where each implant will go before we touch a thing. The two front implants go in straight. The two rear implants are tilted, which lets them reach the denser bone that tends to remain even after tooth loss, and that usually means less grafting.
Any remaining teeth in that arch are removed, the four implants are placed, and a temporary fixed set of teeth is attached so you do not leave without teeth. This all happens in one appointment, under the sedation level you chose.
Over the next several months, your bone grows around the implant surfaces and bonds with them. You wear the temporary teeth through this period and follow a softer diet. Brief check-in visits let us confirm everything is on track.
Once the implants are solid, we design and fit your permanent teeth. Shape, shade, and bite all get dialed in. With our in-house digital lab, that work happens here rather than being sent out.
All-on-4 is designed for people dealing with significant tooth loss across a full arch, not someone missing one or two teeth. If any of the following sounds like your situation, you are likely a strong candidate:
That third point comes up more than any other, and in many cases it turns out to be wrong. Bone loss alone rarely closes the door, and a past opinion formed without 3D imaging is not the final word. Some factors do matter though: uncontrolled diabetes, active smoking, or untreated gum infection can all affect how well implants heal, and we will be straightforward with you about any of those before anything is scheduled.
Most patients go from surgery to their final teeth in four to eight months, though your healing sets the pace. Here is what that time actually looks like:
We'll give you specific instructions based on your sedation choice. Plan for a driver and someone to stay with you for a few hours after. Pick up soft foods beforehand: soups, eggs, yogurt, smoothies, mashed potatoes. If you take blood thinners or anything that affects clotting, let us know well ahead of time.
Use ice on the first day, rest with your head elevated, and take pain medication on schedule rather than waiting for discomfort to build. Skip straws and don't smoke. Smoking during healing is the fastest way to put an implant at risk. Gentle salt water rinses can start the day after surgery.
Your new arch needs consistent daily cleaning, just like natural teeth. Brush it normally, and use a water flosser or the specialty brushes we'll show you to clean underneath, where the arch meets your gums. Regular hygiene visits let us clean what you can't reach and make sure everything is holding up well. They're also a good time to ask any questions that come up along the way.
We don't publish a price because a real number depends on what we actually find: extractions needed, bone condition, grafting, sedation level, and final arch materials. Any figure before a consultation is a guess, not a quote.
What we can promise is a clear, itemized estimate before anything is scheduled. We'll file claims with your insurance and walk you through what your benefits cover. Most plans treat implants as a partial benefit at best, so ask about payment options when you come in and we'll go over what's available.
Titensor Dental has been family-owned since Dr. Steve Titensor founded it in 1986. Dr. Brett Titensor and Dr. Mann lead day-to-day care today, and your treatment from first scan to final arch stays with the same two doctors the whole way through.
Everything is handled in-house using cone beam imaging, digital scanning, and our own lab. For patients who have been putting this off out of fear, IV sedation is performed with a board-certified anesthesiologist by your side. We serve Flower Mound and the surrounding communities just north of DFW airport.
Often, yes. A cone beam scan gives us a three-dimensional view of your jaw that a visual exam simply can't. Many patients told no elsewhere have qualified once we could actually see what was there.
A conversation and a scan, not a procedure. We review your dental and medical history, take 3D imaging, and talk through your goals. Nothing is done to your teeth that day.
Not during the procedure. With IV sedation, most patients have little to no memory of it. Expect some soreness and swelling for a few days after, managed with medication and clear instructions from our team.
The implants are designed to be permanent. Bone grows around them and holds them in place over time. The arch itself can be repaired or replaced if needed. Consistent cleaning and regular checkups are what protect the long-term result.
You wouldn't be the first, and no one here will make you feel bad about it. Many of our full-arch patients came in after a long gap. We start from where you are.
Knowing how All-on-4 works and knowing whether it's right for your mouth are two different things. Only a scan and a real conversation can answer the second one. Come in, get imaged, get a clear answer on whether you qualify, and leave with a written estimate based on your actual jaw, not a general guess.
If dental anxiety is part of what's kept you from moving forward, mention it when you call. We offer nitrous, oral conscious, and IV sedation, and we'll make sure the visit feels manageable from the start. We're here Monday through Thursday, 8:00 a.m. to 5:00 p.m., and Friday mornings until noon. Reach us at (972) 355-9545 and we'll find a time that works.
Call 972-355-9545 or request an appointment online to set up your first visit. We’ll be in touch soon.