Full-Arch Dental Implants, Explained
Everything you need to know about All On X full-arch dental implants in Sarasota, Florida — how the procedure works step by step, what it costs, and why having a board-certified oral surgeon and prosthodontist under one roof is the difference between teeth that just fit and a smile that lasts.
New teeth in one day · New patients save $2,500 per arch — see the current offer.
What Are Full-Arch Implants?
A full-arch dental implant replaces an entire row of teeth — upper or lower — using a fixed prosthesis anchored to just four to six implants. This technique is known as All On X, where “X” is the number of implants your case requires (most often four or six per arch).
Because the implants are angled and strategically placed, All On X can often avoid the bone grafting that individual implants would require — even in patients who have worn dentures for years and lost jawbone. The teeth are fixed in place; they don't pop out, slip, or need adhesive.
The Procedure, Step by Step
From your first scan to your final prosthesis, here's exactly what happens during a full-arch implant case at Speranza.
1. Consultation & 3D CT Scan
We start with a complimentary consultation and a full 3D CBCT scan to map your jawbone, nerves, and sinuses in three dimensions. This tells us exactly how much bone you have and whether All On X is right for you — or whether a sinus lift, bone graft, or zygomatic implant is needed first.
2. Treatment Planning & Smile Design
Your prosthodontist designs your new smile — tooth shape, shade, and bite — and your oral surgeon plans precise implant angles in the scan using a 3D-printed surgical guide. Surgery is planned digitally before you ever sit in the chair, so placement is guided, not guesswork.
3. Surgery & Same-Day Teeth
On procedure day, any failing teeth are removed and four to six implants are placed per arch under IV sedation. A fixed, full-arch set of temporary teeth is attached the same day — so you leave with a complete, functional smile, not a healing gap.
4. Healing & Final Prosthesis
Over the next few months, the implants fuse to your jaw (osseointegration) while you wear your temporary teeth and eat a soft diet. Once healed, your prosthodontist replaces the temporary with your final custom prosthesis — nano-ceramic or full zirconia — built for lasting strength and a natural look.
Surgeon & Prosthodontist, Together Under One Roof
A full-arch case is two disciplines in one treatment: surgery to place the implants, and prosthetics to build the teeth that go on them. Most practices send you between separate offices. At Speranza, both specialists plan and deliver your case side by side.
The Oral Surgeon
Dr. Steve Caldroney
- Performs the surgical placement of every implant
- Handles extractions, bone grafting, and sinus lifts
- Provides zygomatic implants for patients with severe bone loss
- Administers IV sedation and monitors you throughout surgery
The Prosthodontist
Dr. Melani Kapetanakos
- Designs your smile and the bite of your new teeth
- Builds and fits your same-day temporary and final prosthesis
- Owns the long-term function and aesthetics of your arch
- Adjusts occlusion so implants stay stable for years
Why it matters: when the surgeon who places your implants and the prosthodontist who builds your teeth are the same team planning the same case, the implants are positioned for the teeth — not the other way around. That means better bite alignment, less stress on the implants, fewer adjustments, and a more natural final smile.
Meet our specialists and see their credentials on our Meet Our Doctors page.
What Full-Arch Implants Cost
These are general industry ranges for planning — not a quote. Your exact investment is confirmed after a complimentary consultation and 3D CT scan.
One full arch (All On X)
$20,000 – $30,000
Upper or lower, teeth included
Both arches (full mouth)
$40,000 – $60,000
Complete smile reconstruction
New-patient savings
$2,500 off / arch
Applied to your full-arch case
What changes your price
We work with third-party healthcare lenders offering monthly payment plans, including extended-term and low-interest options for qualified applicants. We do not accept medical or dental insurance, so your quote is one straightforward, all-inclusive price — reviewed with you before you commit to anything. For the full breakdown, read our dental implant cost guide.
Full-Arch Implant Questions
What are full-arch dental implants?
Full-arch dental implants (the All On X technique) replace an entire arch of missing or failing teeth using just four to six dental implants that support a fixed, full set of teeth. Unlike dentures, the teeth don't come out — they're screwed into implants anchored in your jawbone, so they look, feel, and function like natural teeth.
How is All On X different from individual implants?
Rather than placing one implant per missing tooth (which can require a dozen or more implants across a full mouth), All On X supports an entire arch on four to six strategically angled implants. This typically means fewer implants, lower cost, and a same-day fixed set of teeth — often without bone grafting even when bone is limited.
Do I really get new teeth in one day?
Yes. On surgery day, your failing teeth are removed, the implants are placed, and a fixed temporary full-arch prosthesis is attached before you go home. These are not removable temporary teeth — they're fixed in place so you leave with a complete smile. Your final, custom prosthesis is delivered after the implants fully fuse to the jaw.
How much do full-arch dental implants cost in Florida?
Full-arch (All On X) implants typically range from about $20,000 to $30,000 per arch and roughly $40,000 to $60,000 for both arches. The final price depends on bone volume, extractions, the material of the final teeth, the number of implants, sedation, and whether one or both arches are treated. New patients currently save $2,500 per arch, and third-party financing is available.
Why do you need both a surgeon and a prosthodontist?
A full-arch case is surgery plus prosthetics. The oral surgeon places and integrates the implants and manages the surgical site; the prosthodontist designs and builds the teeth that go on them. When both specialists work together under one roof — as Dr. Caldroney and Dr. Kapetanakos do at Speranza — the surgical plan and the smile design are coordinated from day one, which means better fit, better aesthetics, and fewer surprises.
Am I a candidate if I have bone loss or wear dentures?
Most patients with significant bone loss or long-term denture wear are still candidates. If you don't have enough bone for standard implants, our oral surgeon can rebuild it with a bone graft or sinus lift, or use zygomatic implants anchored in the cheekbone. The only way to know for certain is a complimentary consultation with a 3D CT scan.
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