Full-Arch Tooth Replacement · Agoura Hills, CA

All-on-4 Dental Implants in Agoura Hills, CA.

All-on-4 dental implants in Agoura Hills replace a full arch of teeth — upper, lower, or both — with a fixed, non-removable bridge supported by just four strategically angled implants. No slipping long-term dentures, no nightly soaking glass, no avoiding apples. Patients from Agoura Hills, Calabasas, and Conejo Valley get all four implants placed in a single surgery day, wear a removable temporary while their bone integrates, and return for a fixed, permanent bridge — typically within 4 to 6 months.

For single missing teeth, see individual dental implants. Most All-on-4 cases use IV sedation for a comfortable surgery day.

Call (818) 706-6077

Is All-on-4 Right for You?

Six Patient Profiles We See Every Week

1
Patients with failing dentition
You've reached the point where several teeth need extraction, others are loose, and patchwork dentistry no longer makes sense. All-on-4 replaces everything in a single planned procedure.
2
Existing denture wearers
If you've been in dentures for years and you're tired of glue, slipping, sore spots, and avoiding hard foods — All-on-4 transitions you to fixed teeth that function like your own.
3
Severe periodontal disease
When gum disease has destroyed the bone supporting your teeth and crowns/bridges are no longer viable, extracting and replacing the entire arch is often the cleanest path forward.
4
Significant bone loss
Years of missing teeth cause the jawbone to shrink. All-on-4 uses the bone that remains — those angled posterior implants are specifically designed to avoid grafting in atrophied jaws.
5
Patients who want results faster
Traditional full-arch implant rehab can stretch over a year. All-on-4 compresses that into one surgery day plus follow-ups — most patients are in their final teeth within 4–6 months.
6
Anyone wanting the most cost-effective fixed solution
Replacing every tooth with its own implant is the most expensive route. All-on-4 delivers the same fixed-bridge result with about 60% fewer implants — a meaningful cost difference.

Your Surgery Day & Recovery

What the Full Treatment Timeline Looks Like

2–3 Weeks Before

3D CBCT scan + virtual surgical planning

We capture a cone-beam CT of your jaw, scan your existing teeth or dentures, and merge them into a virtual model. Your dentist designs the implant positions on a screen — exact angles, exact depths, exact tooth positions — before surgery day. A custom 3D-printed surgical guide is fabricated from this plan.

Surgery Day · 7:00 AM

Arrival, sedation, final consent

Light breakfast at home, IV sedation provider greets you, vitals are checked, and you settle in. Most patients are in twilight sedation within 20 minutes — relaxed, calm, no memory of the procedure.

Surgery Day · 8:00 AM

Failing teeth extracted, bone contoured

Any remaining hopeless teeth in the arch come out. The bone is gently smoothed and shaped using the surgical guide as the reference. This step typically takes 30–60 minutes per arch.

Surgery Day · 9:30 AM

Four implants placed via guided surgery

Using the 3D-printed surgical guide, each implant goes in at the planned position and angle. Torque values are confirmed — high primary stability is essential for predictable long-term integration. About 60–90 minutes for four implants.

Surgery Day · 11:30 AM

Post-op observation & transitional denture try-in

After the implants are placed, sutures are secured and your removable transitional denture is fitted over the surgical site. We confirm bite and comfort before you leave.

Surgery Day · 2:00 PM

Wake up, transitional denture in, go home

Sedation reverses. You leave wearing your removable transitional denture so you're never without teeth in public. Soft-food instructions, prescriptions in hand, ride home with a family member. Most patients sleep through the rest of the day and wake up sore but smiling.

Weeks 1–12

Soft diet, healing, integration

Soft foods only for 8–12 weeks while the implants integrate with your bone (osseointegration). Check-ins at days 7, 30, 60, and 90 to confirm everything is healing as expected.

Month 4–6

Final permanent bridge delivered

New impressions, shade matching, and the final permanent bridge is fabricated — most often zirconia or porcelain-fused-to-metal for durability and aesthetics. Once delivered, you can eat anything you want.

How It Compares

All-on-4 vs. Dentures vs. Individual Implants

Recommended

All-on-4

Fixed bridge on 4 implants per arch

Cost per arch$22k–$27k

Surgeries required1 visit

Healing time3–6 months

Removable?No, fixed

Bone preservationExcellent

Bite force vs natural~80–90%

Eat any foodYes

Lifespan20+ years

Full Dentures

Removable acrylic, gum-supported

Cost per arch$2k–$2.5k

Surgeries requiredNone

Healing timeN/A

Removable?Yes, daily

Bone preservationPoor — bone shrinks

Bite force vs natural~20–30%

Eat any foodNo — restricted

Lifespan5–7 years; reline often

Individual Implants (Each Tooth)

8–10 implants per arch, each crowned

Cost per arch$28k–$42k

Surgeries requiredMultiple stages

Healing time9–18 months

Removable?No, fixed

Bone preservationExcellent

Bite force vs natural~95%+

Eat any foodYes

Lifespan20+ years

For single missing teeth or partial cases, see our single-tooth implants page.

Technology Behind Precision Surgery

3D-Guided Surgical Planning, Step by Step

CBCT Scan

A 30-second cone-beam CT captures your jaw in three dimensions — bone density, nerve location, sinus floor, every existing tooth — in a single low-dose scan you take standing up.

Virtual Implant Placement

Your dentist places each implant virtually on the 3D model — exact position, angle, depth, brand — checking that every placement avoids the inferior alveolar nerve and sinus and lands in dense bone.

3D-Printed Surgical Guide

A custom guide is printed in medical-grade resin. It fits over your jaw exactly and tells the drill where to go — eliminating freehand judgment from the most critical part of the surgery.

Pre-Designed Transitional Denture

Because we know where the implants will land before surgery, your removable transitional denture is fabricated in advance — fitted comfortably over the surgical site the day of treatment so you're never without teeth.

Investing in a New Smile

Cost, Insurance, and How Most Patients Pay

All-on-4 typically runs $22,000–$27,000 per arch in our office — that includes the surgical guide, all four implants, the transitional denture worn during healing, IV sedation, follow-up visits, and the final permanent bridge. Final pricing varies based on materials — titanium vs. ceramic implants, zirconia vs. porcelain-fused-to-metal crowns, and other component choices all affect the final quote. Most insured patients have 50–80% coverage for this procedure. We verify your benefits before treatment and give you an accurate estimate — and we work to maximize every dollar of coverage you're entitled to. Most patients combine insurance with a multi-year payment plan — bringing the monthly cost under $400 for many cases.

See Financing Options →

From $389/month

60-month plans available through Cherry, Alphaeon, LendingClub, CareCredit

All-Inclusive Pricing

One quote covers surgical guide, sedation, implants, transitional denture + final bridge, and all follow-ups

Free CBCT Consultation

Includes 3D imaging, surgical feasibility review, sedation evaluation — at no cost

Common Questions

All-on-4 FAQ

Do you offer All-on-4 dental implants in Agoura Hills?

Yes — All-on-4 dental implants in Agoura Hills are performed entirely in our office at 28632 Roadside Dr #270, Agoura Hills, CA 91301. CBCT planning, surgery, IV sedation, and the transitional removable denture all happen in one location. We treat patients from Agoura Hills, Calabasas, Westlake Village, Thousand Oaks, Oak Park, Hidden Hills, and Malibu. Free consult includes a full 3D scan and written all-inclusive quote.

What do I wear during the healing period?

After surgery, you'll wear a custom removable transitional denture for 3–6 months while your implants integrate with the bone. It's comfortable, looks natural, and means you're never without teeth in public. Once healing is complete, we replace it with your permanent fixed bridge that screws directly into the implants.

Why only 4 implants for a whole arch? Isn't that risky?

Four is the magic number established by 30+ years of research and over a million treated cases worldwide. The two angled posterior implants — set at 30–45° — gain dramatically more bone contact than a vertical implant would. The cross-arch stabilization spreads bite force across all four like a sturdy four-legged table. The success rate is 95–98% — comparable to single-tooth implants. Some cases benefit from a fifth or sixth implant (called "All-on-6"); your CBCT will tell us what your specific anatomy needs.

Do I need bone grafting first?

In most cases, no — that's one of the protocol's biggest advantages. The angled posterior implants are specifically designed to engage the dense bone that remains even after years of tooth loss, avoiding the sinus and nerve without grafting. Patients who needed grafting for traditional implants often qualify for All-on-4 without grafting.

How painful is the surgery and recovery?

With IV sedation, you'll have no memory of the surgery itself. Recovery is most patients' bigger concern — and the honest answer is "much less than you'd expect." Most patients describe the first 3 days as "tight, swollen, sore" but manageable with prescribed anti-inflammatories. By day 5, most are back to desk work. By week 2, swelling is gone. The implants themselves don't hurt — it's the gum and bone work that creates the soreness.

Can I really eat anything afterward?

Once your final permanent bridge is delivered (month 4–6) and the implants are fully integrated — yes, you can eat steak, apples, corn on the cob, anything. Bite force returns to roughly 80–90% of natural teeth. The only thing we advise against is using your teeth as tools (opening packages, cracking ice, etc.) — same as we'd tell a patient with natural teeth.

How long do All-on-4 implants last?

The implants themselves are designed to last a lifetime — modern titanium fuses with bone and stays there. The bridge attached to them is what wears: a high-quality zirconia bridge typically lasts 20+ years before refurbishment. We see patients 25 years post-surgery with their original implants still in perfect position. Good home care, no smoking, and routine professional cleanings every 4–6 months are the keys to longevity.

Am I a candidate if I smoke or have diabetes?

Both are workable but require honest conversation. Smoking reduces implant success rates by about 10–15% and dramatically increases the risk of peri-implantitis later. We strongly recommend stopping at least 2 weeks before surgery and remaining smoke-free during healing. Well-controlled diabetes (HbA1c under 7) is not a contraindication — many of our most successful cases are diabetic patients. Poorly controlled diabetes is a concern we address at the consult; we'll often coordinate with your physician first.

What if one implant fails later?

Rare, but planned for. The remaining three implants are typically strong enough to hold the bridge while a replacement implant is placed and integrated. We use premium implant brands (Nobel Biocare, Straumann) with full manufacturer warranties — and we stand behind our work with a 5-year implant guarantee. If something fails because of how we placed it, we make it right at no cost.

Related Care · Agoura Hills, CA

Implant-Related Services in Agoura Hills

Single Dental Implants

For one or a few missing teeth — individual titanium implants with custom crowns.

IV Sedation Dentistry

Standard for All-on-4 surgery in Agoura Hills — sleep through the procedure comfortably.

Restorative Dentistry

Crowns, bridges, and full-mouth rehabilitation options if All-on-4 isn't the right fit.

Your Agoura Hills Dentist

Meet the practice. Third-generation dentists serving Agoura Hills, Calabasas & Conejo Valley.

Have questions about cost or payment plans? See our financing page or contact us.

Book All-on-4 Dental Implants in Agoura Hills, CA.

Free consultation includes a 3D CBCT scan, surgical feasibility review, sedation evaluation, and a transparent all-inclusive price quote — nothing surprises you on surgery day.

Call (818) 706-6077

28632 Roadside Dr #270, Agoura Hills, CA 91301 · Mon–Thu 8am–5pm · Fri 8am–3pm

All-on-4 Dental Implants in Agoura Hills, CA.

Six Patient Profiles We See Every Week

Patients with failing dentition

Existing denture wearers

Severe periodontal disease

Significant bone loss

Patients who want results faster

Anyone wanting the most cost-effective fixed solution