Four titanium implants hold an entire arch of permanent teeth in place — that is the clinical core of All-on-4 at Advanced Dentistry. This guide explains the procedure, 2026 pricing, candidacy, recovery, and what Pomona, Newport Beach, and Brea patients should expect before choosing full-arch implants.
From coastal Newport Beach to inland Pomona, Southern California spans three distinct geographic clusters where Advanced Dentistry places All-on-4 full-arch implants. Since 2005, Dr. Soboh has completed over 2,800 full-arch cases — roughly 70% of them for patients who first arrived wearing traditional dentures they could no longer tolerate.
All-on-4 restores an entire upper or lower arch on just four precisely angled implants. The procedure delivers permanent, fixed teeth in a single day for the majority of qualifying patients. For those facing full-mouth tooth loss, no other treatment offers the same combination of stability, aesthetics, and long-term value.
This guide covers everything Southern California patients need: how the procedure works, exact 2026 costs at our three offices, insurance and financing pathways, recovery expectations, candidacy requirements, and how All-on-4 compares to dentures and traditional multi-implant reconstruction.
Ready to explore your options? Book a free All-on-4 consultation at your nearest Advanced Dentistry office →
What Is All-on-4 Dental Implant Treatment?
All-on-4 is a full-arch tooth replacement technique that uses four dental implants to anchor a fixed prosthetic bridge of 10-14 teeth per jaw. The procedure was pioneered in 1998 by Dr. Paulo Malo in Portugal and is now the global clinical standard for treating edentulous patients.
The two back implants are tilted 30-45 degrees to engage denser jawbone. This angled placement avoids critical anatomy — the sinus cavities in the upper jaw and the inferior alveolar nerve in the lower jaw — while creating the stable foundation needed for same-day fixed teeth.
Unlike individual dental implants, which replace each missing tooth with its own post, All-on-4 leverages engineering principles to support an entire dental arch with minimal hardware. The result: lower cost, shorter surgical time, and no bone grafting for roughly 85% of candidates.
At Advanced Dentistry, we use the original Nobel Biocare All-on-4 protocol with pre-planned CBCT-guided surgery. Every case starts with 3D imaging and digital treatment planning before a single incision is made.
How Much Does All-on-4 Cost in Southern California?
All-on-4 treatment at Advanced Dentistry ranges from $24,000 to $32,000 per arch, depending on material choice, surgical complexity, and sedation requirements. Treating both jaws simultaneously costs $45,000-$58,000 — a $3,000-$6,000 savings versus single-arch pricing staged separately.
Here is the 2026 pricing breakdown for Southern California patients:
| Component | Cost Range | What It Covers |
|---|---|---|
| Four titanium implants | $6,000-$8,000 | Medical-grade Nobel Biocare implants and surgical placement |
| Same-day temporary bridge | $4,000-$5,500 | Acrylic prosthesis worn during 4-month healing phase |
| Final zirconia or hybrid prosthesis | $12,000-$16,000 | Permanent fixed bridge, custom tooth shade and shape |
| CBCT imaging + digital planning | $800-$1,200 | 3D diagnostics and guided surgical planning |
| IV sedation | $1,200-$1,800 | Anesthesia for same-day surgical placement |
Every quoted price is transparent from day one. Advanced Dentistry provides full itemized estimates at the free consultation, including every material, lab fee, and follow-up visit cost. No surprise charges appear during treatment.
For detailed city-specific pricing, read our complete All-on-4 cost breakdown for Ontario and the Inland Empire.
Am I a Candidate for All-on-4 Implants?
Most adults with significant tooth loss qualify for All-on-4 treatment, including many who have been told elsewhere they lack sufficient bone for traditional implants. The angled implant technique eliminates the need for bone grafting in 85% of cases, dramatically expanding candidacy.
Strong candidates share these clinical indicators:
- Missing all or most teeth in at least one jaw
- Failing dentition requiring multiple extractions
- Current denture wearers frustrated by slipping, reduced bite force, or bone loss
- General good health — diabetes and osteoporosis do not automatically disqualify patients when well controlled
- Willingness to avoid tobacco during the 4-month osseointegration phase
Patients who smoke, have uncontrolled diabetes, or take certain bisphosphonate medications require additional evaluation. Dr. Soboh reviews each case individually using CBCT imaging and medical history before recommending treatment.
Read our candidacy guide for Fullerton and the surrounding area for a deeper look at qualifying factors.
How Does the All-on-4 Procedure Work at Advanced Dentistry?
Your All-on-4 journey takes one surgical day plus two follow-up phases. The procedure is predictable, planned entirely in digital software before surgery, and refined across more than 2,800 Advanced Dentistry cases since 2005.
Here is the step-by-step process:
- Free consultation (45 minutes): CBCT scan, oral exam, medical review, and treatment plan with exact pricing.
- Digital surgical planning (2-3 weeks): Dr. Soboh designs implant angles and the temporary bridge in 3D software. Nothing is improvised in the operating room.
- Surgery day (3-5 hours): Under IV sedation, remaining failing teeth are removed, four implants placed, and the same-day temporary bridge attached. You leave with fixed teeth.
- Healing phase (4 months): Implants fuse to the jawbone. You eat soft foods for the first 6 weeks, then gradually return to normal chewing.
- Final prosthesis delivery (1-2 hours): After osseointegration completes, the custom zirconia final bridge replaces the temporary. This is your permanent smile.
Most patients walk out of surgery without discomfort thanks to long-acting local anesthetic and a post-operative medication protocol refined over two decades. The vast majority of Pomona, Newport Beach, and Brea patients return to work within 3-5 days.
What Is the Recovery Timeline After All-on-4 Surgery?
Recovery from All-on-4 is shorter than most patients expect. Here is what Advanced Dentistry patients experience based on documented outcomes across 2,800+ cases.
| Timeframe | What to Expect | Activity Level |
|---|---|---|
| Day 1-3 | Mild swelling, managed with ice and ibuprofen | Rest at home, soft foods only |
| Day 4-7 | Swelling reduces significantly, discomfort minimal | Return to desk work, light activity |
| Week 2 | Normal daily routine, soft foods continue | All work and social activities resume |
| Week 3-6 | Progressive return to firmer foods | Light exercise resumed |
| Month 2-4 | Osseointegration completes, bone fuses to implants | Normal activity, careful chewing |
| Month 4-5 | Final zirconia bridge delivered | Full bite force restored |
Pain management rarely requires opioids. Advanced Dentistry uses a multi-modal approach: long-acting local anesthesia, ibuprofen, and occasional Tylenol work for over 90% of patients. Most report discomfort comparable to a standard tooth extraction.
Get Your Personalized All-on-4 Treatment Plan
Free consultations at all three locations include CBCT imaging, exam, and exact pricing — 45 minutes from start to finish.
Book Free Consultation →How Does All-on-4 Compare to Dentures and Traditional Implants?
All-on-4 fills the gap between removable dentures and full-mouth reconstruction with individual implants. For patients missing all teeth in an arch, it delivers 95% of the benefit of traditional implant reconstruction at roughly 40% of the cost.
| Factor | Traditional Dentures | All-on-4 | Individual Implants (8+) |
|---|---|---|---|
| Cost per arch | $2,500-$4,500 | $24,000-$32,000 | $45,000-$65,000 |
| Bite force retained | 20-25% | 80-90% | 95-100% |
| Preserves jawbone | No | Yes | Yes |
| Dietary restrictions | Many | Almost none | None |
| Lifespan | 5-7 years | 20-25+ years | 25+ years |
| Surgery sessions | 0 | 1 | 4-8 |
The bite force difference matters most in daily life. Denture wearers report avoiding apples, steak, corn on the cob, and crusty bread. All-on-4 patients eat whatever they want within two months of final bridge delivery.
For a deeper comparison, read our All-on-4 vs dentures guide for San Clemente patients.
Does Dental Insurance Cover All-on-4 in California?
Most PPO dental plans cover a portion of All-on-4 treatment — typically 25-50% of the implant surgical component, capped at the annual maximum of $1,500-$2,500 per plan year. We accept Delta Dental, Cigna, MetLife, Aetna, Guardian, and most other PPO carriers.
Insurance strategy matters for expensive full-arch cases. Advanced Dentistry phases treatment to maximize annual benefits: implants in December, final prosthesis in January captures two calendar years of coverage. This saves qualifying patients $1,500-$3,000 compared to single-year billing.
For patients without complete coverage, CareCredit offers 24-month 0% APR financing. A $28,000 single-arch case becomes $1,167/month — manageable for most working households. In-house payment plans with smaller down payments are also available for patients who prefer avoiding credit applications.
Which Advanced Dentistry Location Is Right for Your All-on-4 Treatment?
All three Advanced Dentistry offices offer the full All-on-4 protocol. Dr. Soboh performs surgical placement and Dr. Liswi handles final prosthetic aesthetics — their partnership delivers both functional and cosmetic excellence across every case.
Choose your location based on proximity and scheduling convenience:
- Pomona office (101 W Mission Blvd): Serves patients from Claremont, La Verne, Ontario, Rancho Cucamonga, Pasadena, Chino, and the wider Inland Empire. Call (909) 622-6633.
- Newport Beach office (20072 SW Birch St): Serves patients from Costa Mesa, Irvine, Huntington Beach, Mission Viejo, San Clemente, Laguna Niguel, and coastal Orange County. Call (949) 767-2700.
- Brea office (1800 E Lambert Rd): Serves patients from Fullerton, Yorba Linda, Placentia, La Habra, Anaheim Hills, Chino Hills, and north Orange County. Call (714) 255-0516.
Initial consultations take place at the office closest to your home. Surgical day can happen at whichever location best fits your schedule — patients often choose the Pomona office for larger cases because its expanded operatory accommodates extended procedures and recovery observation.
What Results Can Southern California Patients Expect?
Advanced Dentistry documents every All-on-4 case with before-and-after imaging. Our 2,800+ completed cases include patients ranging from age 42 to age 91, representing every socioeconomic bracket across Southern California.
Realistic outcomes include:
- 97.2% implant success rate at 5 years, matching published literature for All-on-4
- Full-strength bite restoration within 4-5 months of surgery day
- Immediate aesthetic improvement — most patients look 10 years younger after facial support is restored by proper tooth positioning
- Elimination of denture adhesive and slipping forever
- No dietary restrictions after final bridge delivery
- Typical replacement interval of 20-25+ years for the zirconia bridge
Rated 4.9 stars on Google by patients across our three Southern California locations. View real transformations in our before-and-after smile gallery.
As board-certified implant specialists, Dr. Soboh and our surgical team maintain active continuing education through the American Academy of Implant Dentistry, International Congress of Oral Implantologists, and annual Nobel Biocare clinical symposiums.
Frequently Asked Questions About All-on-4 in Southern California
How Long Does All-on-4 Surgery Actually Take?
The surgical appointment takes 3-5 hours for a single arch and 6-8 hours for both arches on the same day. This includes extractions, implant placement, and delivery of the temporary fixed bridge. Patients go home the same day with permanent-feeling teeth.
Will My All-on-4 Teeth Look Natural?
Yes — Dr. Liswi custom-matches shade, shape, and gum contour to your facial features during a 3D smile design appointment before surgery. Most patients describe the final result as better-looking than their natural teeth, especially when replacing years of dental damage.
Can I Eat Normally After All-on-4?
Yes — after the final zirconia bridge is delivered at month 4-5, you can eat everything from apples to steak with no restrictions. Bite force returns to roughly 80-90% of natural teeth, compared to 20-25% retained with traditional dentures.
What Happens If an All-on-4 Implant Fails?
Implant failure occurs in under 3% of cases, and Advanced Dentistry replaces failed implants at no additional cost within the first five years. The bridge remains supported by the three remaining implants while the replacement integrates, so patients never go without teeth.
How Long Will My All-on-4 Bridge Last?
The zirconia final bridge is rated for 20-25+ years of daily use, and the titanium implants themselves last a lifetime with proper care. Routine cleanings every 6 months and annual bridge evaluations protect the investment. Most patients never need full replacement.
Is All-on-4 Painful?
No — IV sedation during surgery combined with long-acting local anesthetic means the procedure itself is completely comfortable. Post-operative discomfort is typically managed with ibuprofen and Tylenol alone. Over 90% of Advanced Dentistry patients never require opioid pain medication.
Still Have Questions About All-on-4?
Book a no-pressure consultation at any of our three Southern California offices — 45 minutes, includes CBCT imaging and exact pricing.
Book Free Consultation →All-on-4 is the most transformative treatment Advanced Dentistry offers. For patients tired of dentures or facing the loss of their natural teeth, it delivers permanent, fixed, beautiful teeth in a single day — backed by a 97.2% success rate and 20+ years of clinical outcomes data.
Call the office nearest you to schedule your free consultation: Pomona at (909) 622-6633, Newport Beach at (949) 767-2700, or Brea at (714) 255-0516. Or book your free consultation online.
