All-on-4 dental implants in Miami

These are the same idea with a different number of implants. "All-on-X" and "full-arch implants" are the general names; All-on-4 and All-on-6 say how many implants carry the bridge.

Four implants are enough for many arches. Six spread the load further when there is enough bone, when the bite is heavy, or when you grind your teeth. The number comes from your 3D scan and your bite — not from a package price.

• Four implants when the bone allows a stable plan with fewer fixtures, often without grafting.
• Six implants when there is bone to place them and the extra support is worth it.
• Another approach — individual implants, an implant bridge, or keeping teeth that can be saved — when that serves you better. We'll tell you if it does.

Full-arch treatment is usually considered when most or all of the teeth in an arch are missing, failing, or loose from gum disease, or when a denture has stopped working for you. Many people who were told they don't have enough bone for implants are still candidates once the 3D scan shows where the bone is.

At the consultation, Dr. Rodriguez looks at:

• How much bone you have, and where it is solid (this is what the CBCT scan shows)
• The health of your gums and any remaining teeth
• Your medical history and medications — especially diabetes control, smoking or vaping, bone-strengthening medications given by IV, and any radiation treatment to the head or neck
• How you bite, and whether you clench or grind
• What you want from your new teeth

Some of these don't rule treatment out; they change the plan or the timing. If full-arch isn't the right choice for you, you'll hear that plainly, with the options that are.

Four stages, from the first scan to your final teeth. Select a stage to read it.

Stage 01Consultation & CBCTStage 02Digital planningStage 03Surgery dayStage 04The final arch

Stage 01

Consultation & CBCT

A three-dimensional scan shows exactly how much bone you have and where it is solid. It is the difference between a plan and a guess, and it is why we will not quote a full arch over the phone.

Hover a stage to read it · click to keep it open

Case photography to come — this frame is reserved for a real patient, shown with written consent.

Planning and surgical guides

Every implant position is planned on your scan before surgery day. For some cases Dr. Rodriguez uses a printed surgical guide made from that plan; for others he places the implants freehand, following the same plan. Which one depends on your anatomy and the plan — the planning happens either way.

Surgery day

Any remaining teeth are removed, infection is cleaned out, and the implants are placed, usually in a single visit. You choose the level of sedation with Dr. Rodriguez:

• Local anesthesia only — you're numb and awake.
• Oral sedation — a prescribed medication taken before the appointment to help you relax.
• IV sedation — deeper sedation given through a vein.

With any sedation you'll need someone to drive you home and stay with you for the rest of the day.

Fixed teeth within 24 hours

In suitable cases, a fixed provisional bridge is attached within 24 hours of surgery, so you don't go home without teeth. Whether that's possible depends on how firmly the implants are held by the bone on the day. If they need time first, you'll wear a temporary until they're ready, and we'll have told you that possibility in advance.

Healing

The implants bond with the bone over the following months. During that time you eat a soft diet, keep the area clean, and come in for check-ups so we can watch the healing. Many people are back at work within a few days; how you feel depends on how many extractions you had and your own healing.

The final arch

Once the implants have healed, the provisional is replaced with your final bridge. It's designed with our in-house ceramist — tooth shape, length, color and gum line fitted to your face and your bite — and tried in before it's finished.

Implants can't get cavities, but the gums and bone around them can get infected if they aren't kept clean. Daily care takes a few minutes:

• Brush twice a day, including where the bridge meets the gums
• Clean under the bridge daily with a water flosser or the brushes we show you how to use
• Wear a night guard if you grind
• Come in for maintenance visits; at some of them we remove the bridge to clean it and check the implants

With that care, the implants are meant to last for many years. The teeth on top wear like any restoration and may need repair or replacement over time.

This is surgery, and it should be weighed like surgery. Most people heal without problems, but you should know what can happen:

• Swelling, bruising and discomfort for several days after surgery
• An implant that doesn't bond with the bone and has to be replaced
• Infection around implants (peri-implantitis), more likely with smoking, poorly controlled diabetes or poor cleaning
• Temporary or, rarely, lasting numbness of the lip or chin when implants are placed in the lower jaw
• A provisional bridge that chips or breaks during healing
• A period of getting used to speaking and eating with new teeth

Dr. Rodriguez will go through the risks that apply to you at the consultation, and you'll sign a consent that lists them before anything is done.

We don't give full-arch prices over the phone or online, because they depend on things only an exam and a scan can tell us: one arch or two, four implants or six, how many teeth need to come out, whether any grafting is needed, the sedation you choose, and the material of your final bridge. After your free consultation you get a written plan with the total.

Most patients spread the cost with financing. We work with:

We're currently out of network with dental insurance. We'll submit a claim to your plan as a courtesy; see Insurance & membership for how that works.

• The same dentist from start to finish. Dr. Rodriguez does your consultation, your surgery and your final teeth.
• 3D imaging in the office. Your CBCT scan is taken here, at the first visit.
• An in-house ceramist. Your final teeth are designed with someone who works in the office, not only through a lab you never meet.
• English or Spanish, whichever you're more comfortable with.
• Perla After Hours on Friday evenings and weekends, if something comes up outside regular hours.