All-on-4® Dental Implants in Washington, DC

Full-Mouth Dental Implants That Restore Your Smile in One Day

Do you have extensive tooth loss, and are conventional dentures not as comfortable and stable as you’d like?

Losing your teeth affects more than your appearance and smile; it causes insecurity and discomfort and impacts how you eat, speak, and feel in everyday life. Many patients try dentures, only to find them uncomfortable, unstable, and frustrating.

All-on-4® dental implant treatment (also referred to as full-mouth dental implants or All-on-4® implant teeth) offers a permanent, fixed solution. Instead of removable teeth, this approach uses four strategically placed implants to support a full set of natural-looking teeth that stay securely in place. The result is a smile that functions properly and allows you to return to normal life without hesitation.

The most sophisticated and reliable All-on-4® dental implant system in the Washington, D.C. area is offered by Saltman Implantology and Oral Surgery. All-on-4® implant treatment has become one of the most reliable solutions for full-mouth restoration and can replace all of your teeth in one or both the upper and lower jaws.

At Saltman Implantology and Oral Surgery, we use the #1 implant system in the world for All-on-4® treatment. Keep in mind that the quality of the implant system used will have a significant impact on the longevity of your All-on-4® dental implants; not all systems on the market are suitable for this treatment option.

What Are All-on-4® Dental Implants?

All-on-4® is a full-mouth dental implant technique designed to replace an entire arch of teeth using just four implants.

These implants are placed in areas of strongest bone and act as anchors for a custom-designed bridge of teeth. Because the teeth are fixed in place, they do not move, shift, or require removal.

Compared to traditional dentures, All-on-4® provides:

A stable, non-removable solution
A more natural appearance and feel
Improved chewing ability and bite strength
Long-term support for jawbone health

How All-on-4® Restores and Secures Your Smile

The All-on-4® treatment is designed to be efficient, precise, and predictable. It restores an entire arch of teeth using just four implants placed in areas of strongest bone. These implants act as anchors for a custom-designed set of teeth that are securely fixed in place—not removable—providing a functional and predictable bite.

Why Patients Choose All-on-4® Over Dentures

Traditionally, when patients lose most or all of their teeth due to advanced gum disease, severe decay, or injury, removable dentures were the standard solution. These dentures sit on the gums and are often secured with adhesives. While they may work initially, they can become less stable over time as the gums and jawbone naturally resorb and shrink due to ongoing chewing forces and lack of stimulation. This bone loss can cause dentures to loosen, slip while eating or talking, and affect comfort, stability, and function.

All-on-4® dental implants are designed to overcome these limitations by securing a full set of teeth to four strategically placed implants anchored in the jawbone.

Unlike removable dentures, All-on-4® implant teeth are permanently fixed in place and do not wobble or shift. By integrating with the jawbone, they provide stability, durability, and long-term function that looks, feels, and functions much like natural teeth—something traditional dentures cannot match.

All-on-4® treatment allows patients to eat comfortably without worrying about movement, speak clearly without slipping dentures, smile with confidence in social and professional settings, and avoid adhesives, constant adjustments, and daily removal.

Beyond comfort and function, All-on-4® implants also help preserve jawbone structure, which plays an important role in maintaining facial shape and overall oral health, and help prevent the “sunken” look often associated with long-term denture use.

What is involved with getting All-on-4® implant teeth?

Consultation and Treatment Planning

The first step is a consultation appointment with Dr. Saltman, an oral and maxillofacial surgeon at Saltman Implantology and Oral Surgery.

During the consultation, he will begin planning your All-on-4® treatment with a comprehensive evaluation, including understanding your goals, reviewing your medical history, examining your oral health, and evaluating your jawbone using advanced 3D imaging.

This 3D imaging allows Dr. Saltman to gain a detailed visualization of your jawbone anatomy and surrounding structures, such as your sinuses and nerves, for optimal implant placement. This advanced imaging system is also powered by artificial intelligence, helping ensure precise planning of your All-on-4® treatment.

Once you approve the proposed plan, your surgery date will be scheduled.

Surgery and Same-Day Teeth

On the day of surgery:

Dr. Saltman removes any remaining failing teeth and prepares your jawbone for implant placement
Four implants are placed in optimal positions in each jaw to achieve maximum support for your new All-on-4® full implant teeth.
A full set of transitional fixed teeth is attached to the four newly placed implants by Dr. Saltman when the implant surgery is completed

You are able to leave surgery the same day with a new smile (full set of fixed teeth)—no period without teeth, allowing you to feel secure while smiling, eating, and socializing.

Healing and Final Restoration

After a short healing period (typically about 8 weeks), you are ready to receive your final All-on-4® teeth. Your fixed transitional teeth are replaced with a final restoration set that is stronger, more refined, and designed for long-term strength, function, and aesthetics.

You do not experience any pain or bleeding while we unscrew your transitional teeth and exchange it for your final ones.

This approach avoids many of the limitations of traditional dentures, particularly the instability and bone loss that often develop over time.

Who is the best All-on-4® surgeon in Washington DC and why Experience Matters in Full-Mouth Implant Surgery

All-on-4® is not a routine dental procedure. It is a highly technical procedure that requires a high level of surgical precision, planning, execution and the extensive experience that Dr. Saltman brings to every All-on-4® procedure.

Accurate implant positioning for long-term stability
Avoiding critical nearby anatomical structures like sinuses and nerves that provide sensation to your jaw, lips, and teeth
Designing a functional, balanced bite

All play a role in long-term success. During this surgery is where the experience of the surgeon becomes critical.

As a leading authority in the United States, Washington, D.C.-based oral and maxillofacial surgeon Dr. Zach Saltman specializes in immediate full-mouth implant reconstruction, including All-on-4® and Vitality teeth treatments. He has pioneered many surgical techniques in full-mouth implant surgery.

In addition to performing advanced implant reconstructions and tissue engineering, in his private surgical facility in Dupont Circle Washington DC, Dr. Saltman is the leading maxillofacial surgeon at Georgetown University Hospital. He is a member of the head and neck cancer surgery team there and he performs complex Functional Same-Day Jaw Reconstruction procedures with the team.

Performing this surgical procedure requires a high degree of synchronicity between the ablative team (who remove the cancer) and the reconstructive team (who rebuild and regenerate a new jaw during the same surgical session). By doing this at Georgetown University Hospital, patients avoid the traditional year-long wait between losing their jaw and being able to chew or smile again.

That incredible level of surgical integration and precision directly translates to better outcomes for patients seeking All-on-4® treatment—especially in more complex cases or situations where there is:

Significant bone loss
Failing previous dental work
Cases previously considered “not candidates” for implants

What Are the Benefits of All-on-4® Dental Implants

All-on-4® treatment is designed to improve both function and overall quality of life by providing a full set of fixed teeth supported by just four implants. Because the procedure requires only one surgery to replace all missing teeth, it offers both convenience and reliability. Patients can quickly return to eating, speaking, and socializing with confidence.

Patients often experience:

Immediate results with same-day fixed teeth, so you are never without teeth during the healing period
A strong, stable bite force and function, allowing you to eat comfortably without limitations
Restored, natural-looking aesthetics, helping you smile with confidence
Improved nutrition and digestion due to better chewing ability
Enhanced quality of life and self-confidence in daily activities
Better oral and overall health, with reduced risk of issues such as digestive problems
Stabilization of facial structure, helping maintain a more youthful appearance
Long-lasting, durable results
No need for denture adhesives
A more conservative and affordable treatment, as only four implants are used per arch compared to traditional single-implant-per-tooth approach
Easy maintenance, as the implants can be cared for similarly to natural teeth

Are You a Candidate for All-on-4®?

You may be a candidate for full-mouth dental implants if you:

Have multiple missing or failing teeth
Wear dentures and want a fixed solution
Have been told you lack bone for traditional implants
Want a long-term alternative to removable teeth

Even complex cases can often be treated successfully with advanced planning and surgical expertise.

Schedule a consultation

Frequently Asked Questions About All-on-4® Dental Implants

How long do All-on-4® dental implants last?

With proper care, All-on-4® implants can last decades. The implants themselves are designed to be permanent, while the final teeth may need maintenance or replacement over time due to normal wear.

Is the All-on-4® procedure painful?

The procedure is performed with appropriate anesthesia or sedation to keep you comfortable. Most patients report that recovery is easier than expected and manageable with prescribed medication.

How much do All-on-4® dental implants cost in Washington, DC?

Costs vary depending on the complexity of your case, materials used, and whether additional procedures are needed. A personalized consultation is the best way to determine exact pricing and available options.

Can I really get teeth in one day?

Yes. In most cases, a full set of temporary fixed teeth is placed on the same day as implant surgery, allowing you to leave with a functional smile immediately.

What if I’ve been told I’m not a candidate for implants?

Many patients who are not candidates for traditional implants may still qualify for All-on-4®. Advanced techniques and careful planning can often overcome limitations like bone loss.

Schedule Your All-on-4® Consultation in Washington, DC

All-on-4 dental implants are a permanent solution for replacing missing and failing teeth. Don’t let tooth loss hold you back.

If you’re ready to explore a permanent solution for missing teeth, the first step is a comprehensive consultation.

📍 Washington, DC
📞 (202) 331-4110

Meet with Dr. Zach Saltman to find out if All-on-4® dental implants are right for you—and take the next step toward a confident, fully restored smile.