All-on-4 Dental Implants in San Diego

Discover everything you need to know about all-on-4 dental implants in San Diego—an entire set of teeth in the upper or lower jaw supported by four dental implants.

Learn about our treatments!

Payments starting as low as

$75/mo

Payments starting
as low as
$75/mo

Dental Implants in San Diego

Discover everything you need to know about all-on-4 dental implants in San Diego—an entire set of teeth in the upper or lower jaw supported by four dental implants.

Learn about our treatments!

What is All on 4 Dental Implants?

All-on-4 dental implants are the best option for replacing a full arch of missing teeth. Your fixed dental prosthesis has an entire set of teeth attaching to a minimum of four titanium implants in your upper or lower jawbone. For patients who are missing most or all of their teeth, all-on-4 dental implants are more practical and less expensive than replacing each tooth individually. All-on-4 implants maintain jawbone density and act like natural tooth roots to prevent bone loss and support the shape of your face.

All-on-4 implants, All-on-6 implants and All-on-X implants, refer to the specific number of implants needed to support a full arch of teeth based on individual patient factors such as bone health, arch size, and stability requirements. The number of implants needed is a minimum of four, with additional implants determined by your unique anatomical and functional needs.

Your full set of upper or lower teeth is permanent and looks and functions like natural teeth. After traumatic injury, infection, periodontal disease, or irreparable damage to multiple teeth due to decay, all-on-4 dental implants are a permanent solution for replacing a full arch of teeth. Different from removable dentures and bridges, all-on-4 dental implants require oral surgery for placement in your jawbone. They are the gold standard in dentistry for replacement teeth because they look, function, and feel like your natural teeth.

All-on-4 dental implants consist of these main components:

Implants:

These are a minimum of four titanium implants surgically placed into the jawbone, acting as permanent roots for the new arch of teeth.

Abutments:

A minimum of four small metal connector pieces that hold your dental prosthesis in place and attach to the four implant heads in your jawbone.

The Denture and Crowns:

The denture holds the full arch of crowns, a visible part of all-on-4, all-on-6, and all-on-x dental implants that act like a full arch of natural teeth.

What is the Cost of All-on-4 Dental Implants in San Diego for 2025?

In 2025, for one arch of all-on-4 dental implants in San Diego, the out-of-pocket cost ranges from $14,000 to $35,000, which includes the assessment, surgery, and placement of your implants, abutments, and crowns. No two surgeries are exactly alike, and the varying complexity of your case accounts for the pricing differences. All-in, full-mouth dental implants in San Diego cost between $35,000 and $70,000.

Does Dental Insurance Cover All-on-4 Implants?

No dental insurance plan will cover the entire cost of all-on-4 dental implants. Basic dental insurance plans don’t cover any of the cost, while premium dental insurance may cover all-on-4 dental implant costs up to $5000, which acts as a maximum annual or lifetime payout. Circumstances like traumatic injury, severe decay leading to tooth loss, or conditions causing significant functional impairment may qualify for coverage. That said, your dental insurance might cover related costs, like consultations, x-rays, extractions, bone grafts, and anesthesia. Feel free to chat with our team to explore your coverage options. For those without insurance coverage for all-on-four dental implants in San Diego, we have trusted third-party financing options available with payments as low as $75/month. At Fifth Avenue Dental Arts, our team is here to help you navigate your insurance benefits and determine if your situation qualifies.

Does Delta Dental Cover All on 4 Implants?

Yes, the Delta Dental PPO plan covers 50% of all-on-4 dental implant costs, while the Delta Dental Premier Plan covers 40%. Most Delta Dental plans have a 12 to 24-month waiting period for implants in the Individual PPO Premium Plan. The Delta Dental PPO Plus Premier Enhanced Plan has no waiting period.

Meet Our San Diego All-On-4 Dental Implant Dentists

With over 50 years of combined experience in all-on-4 dental implant procedures, Ramin Ghassemi, DDS, MS, and Nina Mojaver, DMD, have post-doctoral training and advanced certification in periodontics, implantology, and full-mouth reconstructions. Dr. Mojaver completed postdoctoral studies at the Harvard School of Medicine and specializes in cosmetic dentistry. Dr. Ghassemi earned his doctorate in dental surgery at the University of Brussels and his master’s in periodontology at the University of Manchester in England. Using cone beam technology, 3D imaging, and laser technology, our team has expertise in resolving even the most complicated cases to replace missing teeth and effectively restore your oral health.

How to Clean All-on-4 Dental Implants?

The ADA recommends to brush your teeth for two minutes twice a day with a tooth brush that has soft thistles. In other words, you will treat your all-on-4 dental implants like natural teeth.

Brush:

Using a non-abrasive toothpaste, brush your all-on-4 implants twice a day. Be gentle as you brush and avoid damaging the implants or gum tissue.

Floss:

After meals gently floss around your replacement teeth to remove food stuck between teeth. A water flosser is also helpful for cleaning your gums which promotes circulation and combats inflammation around the all-on-4 implants.

Rinse:

Choose an alcohol-free rinse for your all-on-4 dental implants, like an antiseptic mouthwash, fluoride mouthwash, or natural/herbal mouthwash. Also, ask your dentist if you might benefit from a prescription mouthwash with chlorhexidine gluconate containing antibacterial properties. Though not right for everyone, prescription mouthwash may help maintain optimal hygiene around the implant site and surrounding gum tissue.

All-on-4 dental implants are built for longevity, but it is important to clean them like your natural teeth because bacteria can buildup and cause infection or discomfort without proper brushing, flossing, and rinsing. Consulting with Dr. Ghassemi and Dr. Mojaver at Fifth Avenue Dental Arts will help you determine the best toothbrush, floss, and rinse for your all-on-4 dental implants in San Diego.

All-On-4 Dental Implants Process

The process for getting all-on-4 dental implants in San Diego involves several important steps that

galvanize the success of your procedure:

Initial consultation and assessment: In this initial phase, Drs. Ramin Ghassemi and Nina Mojave assess your oral health, engage in detailed discussions about the treatment options best for your needs, and create a customized plan for your all-on-4 implants.

Preparation of the jawbone (if needed): If the jawbone lacks the density or structure to support all-on-4 dental implants, bone grafting or other procedures may be required to prepare the area properly. This step is crucial to the long-term success of your replacement teeth. It creates a solid foundation for all-on-4 dental implants to naturally integrate with the surrounding bone structure.

Placement of all-on-4 implants: During the all-on-4 dental implant procedure, the four titanium implants are positioned and surgically inserted into the bone to serve as an artificial tooth root, providing a strong foundation for the restoration to come.

Healing and osseointegration: Following the placement of your four implant, a healing period is required for osseointegration to take place. This biological process involves the four implants fuzing with the jawbone, promoting not only stability but also long-term durability and strength.

Placement of the abutments: Once the four implants have successfully integrated with the bone through a process called osseointegration, four abutments are attached to your four implants to securely link the custom-made replacement teeth.

Attachment of the denture and crowns: The last step in the process is to carefully place the overdenture to the four abutments. The denture, called an overdenture, is fitted with implant abutment snaps that connect securely to your four implants and abutments.

What are the Problems with All-On-4 Dental Implants?

The success rate for all-on-4 dental implants is 97% when having no teeth, i.e., edentulism. That said, like any surgical procedure, you and your doctor should discuss potential problems. Some of the rare complications caused by all-on-4 dental implants are:

Normal surgical risks like infection and bleeding.
Implant failures that are caused by teeth grinding, smoking, osteoporosis, medications, allergic reactions, or improper placement.
Infection or inflammation around the implants.
Recommended bone grafting, if there’s insufficient bone.

To avoid problems with all-on-4 dental implants, your doctor will talk to you about what to expect during and after your dental implant procedure, as well as how to take care of your new teeth and maintain your oral health. Here are some ways you can address potential problems with all-on-4 dental implants:

Practice regular hygiene
Get regular checkups at your dentist
Learn about the transition period following the placement of your all-on-4 dental implants when you will have temporary teeth.
Be patient with yourself as you adjust to your new teeth
Understand the costs involved in the all-on-4 dental implants process

The good news is that studies show a prosthetic success rate of 99.2% for All-on-4 treatments. With very low rates of biological complications, and up to 18 years of documented clinical success, patients can look forward to exploring smile restoration with confidence. Fifth Avenue Dental Arts is known as one of the best San Diego all-on-4 dental implants providers. If you have any further questions, don’t hesitate to call us.

How long do all-on-4 dental implants take to heal?

The initial all-on-4 dental implant healing process takes up to 3 weeks, especially if bone grafting is required. Patients follow a liquid and soft food diet for 48–72 hours, at which time many return to eating normally. The final healing process before the prosthetic placement lasts 3 to 6 months.

Full-mouth dental implants patients require 6 to 8 months for proper integration and healing before the final restoration can be completed.

For implant supported denture patients, the initial healing process involves mild pain, and swelling in the jawbone, chin, and cheeks for 7-10 days, at which time patients can return to a regular menu. To fully integrate the implants within the jawbone, the full healing process takes 9 to 12 months, or longer when bone grafting is also required. The final denture is securely attached when the healing process is complete.

During healing, the titanium screws (implants) must integrate with the bone (osseointegration) to provide a stable foundation for your new teeth. Patients will have a temporary restoration for functional aesthetics and protection, improving speech, chewing, and appearance, while the implant site heals for the final restoration. Fifth Avenue Dental Arts is dedicated to providing compassionate, comprehensive care throughout every stage; we ensure your comfort and satisfaction with your new smile.

Patient Stories

Dr Mojaver and Dr Ghassemi have been my dentists for over 10 years. They are kind, compassionate and do amazing work. My husband and I have recently had a lot of dental work including crowns, root canals, dental implants and cosmetic dentistry. I was nervous about the implants, but they were surprisingly easy and not painful at all! I’m also very happy with how my cosmetic dental work has turned out, they do beautiful work! I recommend them to all my family and friends!

Dr Majover, I have never had such a fantastic experience in any health office. She made me feel unique and essential, which is just a tremendous experience when you are uncomfortable and feel shame regarding your teeth. I was terrified at first as I was primarily there for dental implants. The idea that my teeth would be shaved down to nubs scared me. The entire process was painless. Her calm, warming, maternal, loving energy dissipated my anxiety. I also appreciate Val, who was her right hand from setting my temporary impressions, shaping my permanent veneers, and whitening to brighten and blend my smile. The results are phenomenal. I wish I had done it sooner, and I am grateful that I am now part of the Fifth Avenue Dental Arts Family with Dr. Majaver and her team.

Look no further for a wonderful dental office, because you've found it! I am incredibly grateful to have stumbled upon this team of caring, professional, and all-around amazing people. On a Sunday night, I experienced a severe toothache and knew I needed emergency care. I searched for a dental office near my downtown home and stumbled upon this gem. Despite my initial skepticism, I was able to easily book an appointment online for the very next morning at 10 AM. As soon as I stepped into the office, I could feel the positive energy. Despite being in the chair for a few hours getting a dental implant, everyone in the office was incredibly kind and provided me with their best selves. Ruben, in particular, went above and beyond to keep me engaged with hilarious jokes and an amazing attitude. The human connection I felt at this office was truly invaluable, and I was grateful to learn so much about the team because of how genuine everyone was. This dental office is more than just a place to get your teeth taken care of; it's like a family that truly cares about you. I feel incredibly blessed to have come across this office and would give it a 100 out of 10 rating.

This dentist office is great, they are giving me a full dental reconstruction which has been a lot of dental appointments. The doctor has been great and tells you the truth instead of sugar coating things. Currently on the path to get implants. I definitely recommend this dentistry!

All-on-4 Dental Implants vs Implant-Supported Dentures

At Fifth Avenue Dental Arts, we’re proud to offer All-on-4 dental implants and implant-supported dentures for patients seeking full mouth restoration or replacement of upper or lower arches. Each option caters to different needs and preferences — there’s a solution for every situation!

All-on-4 Dental Implants

Benefits: All-on-4 dental implants offer a permanent, fixed solution that closely copies natural teeth. This option provides exceptional stability and appearance and eliminates the need for denture adhesives.

Cost Differences: The initial cost of All-on-4 dental implants is higher compared to implant-supported dentures, primarily due to the surgical expertise required. However, considering their longevity and reduced need for replacement, they can be more cost-effective in the long term.

Longevity: Designed to last a lifetime, all-on-4 dental implants are a long-term investment in your oral health. Their durability and stability are superior, requiring fewer replacements than traditional dentures.

Standard Maintenance: Like natural teeth, All-on-4 dental implants require consistent oral hygiene practices, including brushing, flossing, and regular dental check-ups. The simplicity of their care is one of their most appreciated advantages.

Implant-Supported Dentures

Benefits: Implant-supported dentures provide a stable and secure fit, significantly reducing the movement associated with traditional dentures. This stability improves comfort and functionality, allowing you to eat a wider range of foods and speak with confidence.

Cost Differences: Implant-supported dentures are generally more affordable than some full-mouth dental implant solutions. The cost is influenced by the number of implants and the materials of the prosthetics.

Longevity: With proper care and maintenance, implant-supported dentures can last many years. The longevity of the implants themselves can be a lifetime with diligent oral hygiene and regular dental check-ups.

Important Maintenance: Regular brushing, flossing, and visits to the dentist are essential. Periodic adjustments may be required to ensure the denture remains a perfect fit over time.

Weighing the Pros and Cons

Both all-on-4 dental implants and implant-supported dentures offer great benefits. The choice between the two comes down to your needs, budget, and lifestyle. At Fifth Avenue Dental Arts, we understand the importance of providing personalized options to our patients. Whether choosing all-on-4 dental implants or implant-supported dentures, we’re committed to restoring smiles with the highest standard of dental excellence.

One More Thing: Same-Day Dentures

Same-day dentures, also known as immediate dentures, are prosthetic teeth that are placed in a patient’s mouth on the same day their natural teeth are extracted. These dentures are pre-fabricated using molds and measurements taken before the extraction procedure, allowing you to leave the dental office with functional teeth, avoiding a period of being toothless. While same-day dentures provide an immediate solution for aesthetics and basic function, they may require adjustments over time as the gums and jawbone heal and shrink, which can change the fit. Same-day dentures serve as a temporary solution until your permanent denture or dental implant restoration is ready.

Are There Any Reasons Not to Get All On 4 Dental Implants?

There are instances where all-on-4 dental implants are not the right dental solution for a patient. At Fifth Avenue Dental Arts, we evaluate every patient with thorough and individualized care to determine the best course of action for your oral health restoration. Here are some of the reasons why we may not recommend dental implants:

Age restrictions: Many patients under the age of 18 are still developing skeletal maturity. We do not recommend dental implants below the age of 16 for female patients or below the age of 17 for male patients.
Osteoporosis: Some patients have severe osteoporosis, which requires unique assessment, expertise, and strategy. Though most of the time we are able to successfully overcome this condition, there are times when we may not recommend dental implants.
Smoking: Smokers have an increased risk of dental implant failure. The success of the dental implant procedure often requires quitting for a period of time before treatment.
Uncontrolled diabetes: Patients with uncontrolled diabetes may need to stabilize their condition before proceeding with dental implants.
Gum disease: The presence of gum disease can affect the overall outcome of the procedure and may require treatment prior to undergoing any dental implant procedure in San Diego.
Jaw irradiation: Prior jaw irradiation can pose challenges, and additional precautions may be needed during the dental procedure.

How Long Do All On 4 Dental Implants Last?

Most all-on-4 dental implant screws will last a lifetime with regular brushing and flossing. Though the implant and abutment can stay strong for decades, crowns of the implants may need to be replaced every 10 to 15 years. It all depends on things like wear and tear and the material used for your crowns.

The key to extending the lifespan of your all-on-4 dental implants is giving them the same TLC as your natural teeth. That means sticking to a solid home dental care routine with regular brushing, flossing, and using antimicrobial mouthwash. Remember those routine dental checkups and cleanings, too! They keep your implants healthy but also catch any issues early on. With these habits, you’re setting up your dental implants for lasting success and looking out for your smile!

Dental Implants FAQs

How long after all-on-4 dental implants can i eat normally?

After getting all-on-4 dental implants, you can eat normally again in about six to eight weeks. For more specific instructions, your dental implant dentist will communicate the extent of your surgery and your specific recovery time based on factors like the condition of your jawbone. A typical recovery will include a liquid diet for the first two weeks, followed by soft transition foods that require less chewing for up to six weeks. At about the six-week mark, you’ll introduce solid foods again.

How long does it take to get all-on-4 dental implants?

The all-on-4 dental implant process takes 4–6 months from initial consultation to fully functional brand new teeth. The implant process includes time for consultations, surgery, healing, placement of your teeth, and checkups. When bone grafting or tooth extractions are also needed, the process can take an additional month.

Does food get stuck under all on 4 dental implants?

Yes, food can get stuck under all-on-4 dental implants. The best strategies to avoid this are regularly brushing, flossing, and rinsing your mouth after meals. It is also helpful to cut food into smaller pieces, take smaller bites, and wash food down with enough water during meals and throughout the day.

How Do I Clean All on 4 Dental Implants?

Cleaning involves regular brushing, flossing, and professional cleanings, similar to natural teeth, to maintain oral health and implant longevity.

Why Are All-on-4 Dental Implants So Expensive?

The cost reflects the intricate procedure, the materials involved, and the specialized training needed to place dental implants effectively. Even though it’s an initial investment, their durability and long-term benefits often make them an essential solution for lifetime tooth replacement.

Are all on 4 dental implants removable?

No, all-on-4 dental implants are not removable. They are permanent replacement for your upper or lower teeth.