Have you recently lost an entire arch of teeth? Are you ready to restore your smile to its former glory? Missing teeth can leave an impact on your quality of life. Your face can lose its structure, food choices become more restricted, and your self-confidence can take a hit. Fortunately, a comfortable, permanent solution exists with today’s dental technology. All-on-4 dental implants give you a beautiful smile whilst being functional and giving you much-needed support.
Our St. Louis County Dental team, led by Dr. Brace and Dr. Grayem, has the experience and expertise to give you a smile that provides you with the independence you need to continue living your life. Call 314-762-6784 to start exploring your implant options, serving Woodbine, Kirkwood, and Clayton.
Our commitment to utilizing the latest dental technology ensures that your implant treatment is as efficient and comfortable as possible. We leverage state-of-the-art tools like 3D Cone Beam CT scans for precise diagnostics and computer-guided implant placement for unparalleled accuracy. We offer same-day implant options for qualified candidates, allowing you to leave our office with a functional, beautiful smile in just one visit. Our advanced technology and techniques enable us to provide precise implant placement and immediate restoration when appropriate.
Combined with our extensive experience, this cutting-edge approach means faster healing times, more predictable results, and less time away from your normal routine. Our dental implant team stays current with the latest advances in implant dentistry to ensure you receive the most effective and comfortable treatment available in the St. Louis area.
Like most dental implants, All-on-4 is a set of four implants used to recreate your top or bottom arch of teeth. These four strategically placed implants, often with two angled in the back, maximize contact with existing bone, frequently allowing patients to avoid the need for bone grafting. This prevents your natural teeth from shifting and preserves the appearance of your facial structure. Without your teeth, your face can begin to sag and lose its natural shape, but All-on-4 implants help stimulate the jawbone, preventing further bone atrophy.
In the past, patients had the choice between traditional dentures or full arch replacements. Traditional dentures can slide around and pinch the gums. Older full arch replacements required the placement of six to eight implants. With All-on-4, you can enjoy a permanent treatment with a faster recovery time and fewer implants.


All-on-4 combines the unique advantages of dental implants with the functionality and appearance of dentures. Some benefits of this implant restoration include:

You may be a perfect candidate for All-on-4 implants if you:
If you’re ready to start your journey to a complete smile, schedule an appointment with our St. Louis dentist by calling our office at 314-332-1307. At your initial consultation, we’ll evaluate your oral health and determine if you’re an ideal candidate for all-on-4 implants.

The All-On-4 dental implant procedure is a sophisticated treatment designed to restore an entire arch of teeth. Here’s a detailed overview of the steps involved:
The journey begins with an initial consultation with your dental provider. They will conduct a thorough examination of your oral health, including X-rays and possibly a 3D Cone Beam CT scan. This comprehensive assessment helps determine if you’re a suitable candidate for All-On-4 implants and allows for precise planning.
Based on the evaluation, a personalized treatment plan is devised using advanced 3D imaging software. This plan outlines the optimal number and placement of implants, including the strategic angling of posterior implants to maximize bone support and often avoid the need for bone grafting. The type of prosthetic that will be used is also determined.
On the day of the procedure, a local anesthetic is administered to ensure you’re comfortable throughout. The dental surgeon then strategically places four implants into the jawbone with exceptional precision, often utilizing computer-guided techniques. Two of these implants are typically inserted at an angle to maximize stability and support, even in cases of reduced bone density.
While the implants integrate with the jawbone, a temporary set of prosthetic teeth is attached to the implants. These temporaries are custom-designed to provide you with immediate oral function and aesthetics, allowing you to eat soft foods and smile confidently from day one.
Throughout three to nine months, the implants undergo osseointegration – a natural process where they fuse with the surrounding bone. This integration provides a sturdy, permanent foundation for the final restoration.
Once the implants are fully integrated, the temporary prosthetic is replaced with a custom-crafted, permanent set of teeth. These final restorations are meticulously designed to look and function just like your natural teeth, providing superior comfort, stability, and aesthetics.
After your All-On-4 procedure, it’s crucial to follow these steps to ensure the longevity and health of your new smile:
Oral Hygiene: Maintain excellent oral hygiene by brushing and flossing regularly. Use non-abrasive products and follow your dentist’s recommendations for specialized brushes or tools, such as water flossers or interdental brushes, which are highly effective for cleaning around implants.
Regular Dental Check-ups: Schedule routine check-ups with your dentist. They will monitor the health of your implants and the surrounding tissues and provide professional cleanings to prevent any complications.
Dietary Considerations: Initially, stick to soft or liquid foods to avoid putting excess pressure on the implants. As you heal, gradually reintroduce a balanced diet. Avoid extremely hard or sticky foods that could potentially damage the prosthetic.
Avoid Tobacco and Excessive Alcohol: Both tobacco and excessive alcohol consumption can impair the healing process and increase the risk of complications. It’s advisable to quit smoking altogether.
Protective Measures: If you participate in contact sports or activities that could impact your mouth, consider wearing a protective mouthguard to safeguard your new smile.

While All-On-4 implants are considered a highly successful and reliable treatment, there are some rare but potential risks and complications to be aware of. Our experienced team takes every precaution to minimize these risks, and our expertise allows us to address any issues promptly and effectively:
Although rare, infections can occur at the implant site. Signs include swelling, pain, or discharge. Prompt treatment with antibiotics is essential.
While uncommon, implants may fail to integrate with the bone. Factors like poor bone quality or inadequate healing time can contribute to this issue. Our thorough evaluation and precise placement techniques significantly reduce this risk.
In rare cases, the nerves around the implant site may be affected, leading to temporary or, in extreme cases, permanent numbness or altered sensation. Our use of 3D imaging helps us map nerve pathways to avoid such complications.
Wear and tear on the prosthetic teeth can occur over time. Your dentist will monitor and address any necessary adjustments or replacements.
Sinus Complications (Upper Arch)For upper arch treatments, there is a slight risk of sinus complications due to the proximity of the sinus cavity. Your surgeon will take precautions to minimize this risk, including supplemental procedures for dental implants like a sinus lift.
It’s important to note that these risks are infrequent and can often be mitigated with proper care, regular check-ups, and adherence to post-operative instructions provided by your dental professional. Always consult with your dentist for any concerns or complications that may arise.
The cost of All-on-4 dental implants depends on factors such as location, the dentist’s expertise, materials used, and any additional procedures required, like tooth extractions or bone grafting. On average, the cost per arch ranges from $15,000 to $30,000.
Factors affecting cost include:
Many dental practices offer payment plans, financing, or accept dental insurance that may cover a portion of the procedure. Some patients also explore medical credit cards or third-party financing options.
All-on-4 implant posts can last a lifetime, but your dental restorations may only last up to 20 years with proper maintenance. You can extend the longevity of your restoration by practicing good oral hygiene, such as brushing twice a day and flossing once a day.
We also encourage patients to visit our St. Louis dental office for routine dental visits twice a year. Regular dental cleanings and exams can help keep your mouth free of bacteria and allow your dentist to detect the earliest signs of oral health complications.
All-on-4 provides many benefits compared to traditional removable dentures. Dentures tend to
have a bulky appearance and may cause discomfort by pinching your gums and sliding around in your mouth. All-on-4 implants provide a stable, natural appearance that feels and functions like real teeth.
All-on-4 implants also won’t click while you speak, and you won’t need to adhere to dietary restrictions. Removable dentures must be taken out and cleaned each night, which can be a hassle. All-on-4 is not only low maintenance, but can also last much longer than traditional removable dentures.
Receiving all-on-4 dental implants is a virtually painless experience. Your St. Louis implant dentist will administer a local anesthetic beforehand so you don’t feel any pain. We also offer sedation dentistry options for patients who struggle with dental anxiety.
You may experience mild discomfort once the numbness fades, but any pain should subside within a few days and can be alleviated with over-the-counter pain medications.
Give yourself the smile you deserve. If you’re ready to set yourself up with a perfect set of all-on-4 dental implants, contact our team by email or call our St. Louis dental office at 314-762-6784 for new patients, or 314-332-1307 for existing patients. We look forward to helping you reach your smile goals! We’re honored to serve patients from Woodbine, Kirkwood, Clayton, and the surrounding areas.

Dr. Barry Brace
St. Louis County Dental Partnership
469 S Kirkwood Rd
St. Louis, MO
USA 63122
New Patients:
314-762-6784
Current Patients:
314-332-1307
Monday: 7:30am - 7:30pm
Tuesday: 7:30am - 5:00pm
Wednesday: 7:30am - 7:30pm
Thursday: 7:30am - 6:00pm
Friday: 7:30am - 4:00pm
Saturday: 8:00am - 1:00pm
Sunday: Closed