Real cases from our clinic
Patients of Dr Haim Aseriel, photographed at the clinic and shared with their consent. Drag the line across the photo to compare.
Full-arch restoration on implants
- Real patients of the clinic
- Published with patient consent
- Every result is individual
What are full mouth dental implants?
Full mouth dental implants restore a complete arch with titanium implants that replace all the teeth in the upper jaw, the lower jaw or both.
Unlike a removable denture resting on the gums, full-arch implants are placed directly in the jawbone and provide a stable base for a fixed bridge. A common approach is All-on-4 dental implants, which uses only four implants per arch (two straight and two tilted) to support a fixed set of teeth, often with immediate loading: a temporary bridge is attached shortly after surgery. According to 2017 data cited in a large cohort study, about 267 million people worldwide have lost all their teeth (French et al., Clinical Implant Dentistry and Related Research, 2021).
When are full mouth implants needed?
Full-arch rehabilitation is for patients who have lost all their teeth (edentulism) or most of them, whose remaining teeth cannot be saved, who have lost significant bone to advanced gum disease, or who cannot get used to removable dentures. In these cases, full mouth rehabilitation can noticeably improve chewing and quality of life.
Benefits of full mouth dental implants
- Stability: a fixed bridge that does not move when you speak or chew.
- Bone preservation: the implant transmits chewing forces to the jawbone and helps slow its resorption.
- Natural appearance: teeth that look and feel like natural teeth.
- Function: better chewing and speech than with a removable denture.
- Long-term durability: an implant survival rate of 97.99% after 8 years in a retrospective study of 112 All-on-4 patients (Chowdhary & Midhula, Journal of Long-Term Effects of Medical Implants, 2025).
Full mouth dental implant options
According to the literature reviewed by Francetti and colleagues, implant survival in full-arch rehabilitation on straight and tilted implants ranges from 97.2% to 100%, and tilting the implants often makes it possible to avoid bone grafting (Francetti et al., Journal of Periodontal & Implant Science, 2015).
The method is chosen for each patient according to bone density and volume, age and general health. Planning is based on 3D CBCT imaging taken at the clinic (Planmeca ProMax 3D) and, when needed, a 3D-printed surgical guide. The main options:
| Option | Implants per jaw | Fixed or removable | When it fits |
|---|---|---|---|
| All-on-4 | 4 (two straight, two tilted) | Fixed bridge | Even when bone is thin, thanks to the tilted implants; often allows same-day teeth on a temporary bridge |
| All-on-6 | 6 | Fixed bridge | When extra support is needed, for example with low bone density |
| Implant-retained denture | Usually fewer implants than a fixed bridge | Removable denture that clips onto the implants | When a fixed bridge is not suitable, or to stabilize a loose denture |
When bone volume in the upper jaw is insufficient, an oral and maxillofacial surgeon may recommend a sinus lift before implant placement. Success also depends on gum health: gum treatment beforehand prepares the ground for dental implants. The implant-retained denture in the table above is what some patients call "full mouth dentures on implants".
Limitations of full mouth implants
Not every patient is immediately suitable for full mouth implants, so a thorough preliminary assessment is essential.
The main limitations are severe bone loss requiring a dental bone graft first, uncontrolled diabetes, heavy smoking, which increases the risk of implant failure, and certain bone-strengthening medications (such as bisphosphonates), which are linked to a risk of jaw osteonecrosis (MRONJ) after oral surgery (Ruggiero et al., Journal of Oral and Maxillofacial Surgery, 2022).
In a cohort study of 10,871 implants, the incidence of peri-implantitis (inflammation around the implant) was 7.1% 8 to 10 years after placement (French et al., Clinical Implant Dentistry and Related Research, 2021), which is why regular maintenance and professional follow-up are essential for the life of the implants.
Why know this in advance? Because careful planning is the key to long-term success.
Implant types and materials for full-arch bridges
In a prospective cohort study, the survival rate of titanium implants with an SLA surface supporting a full bridge in the upper jaw was 95.1% after 10 years (Fischer & Stenberg, Clinical Implant Dentistry and Related Research, 2012).
The clinic places MIS implants. Once the arch is restored, the teeth of the fixed bridge are usually made of metal-free ceramics such as zirconia or E.max (for a comparison of crown types, see porcelain crowns), chosen according to the strength and aesthetic needs of each case.
95.1%
survival of SLA implants in the upper arch after 10 years
Compared with porcelain fused to metal, metal-free ceramics transmit light in a way that is closer to a natural tooth.
Examination, treatment plan and price quote
detailed and personalized
During the consultation, Dr Haim Aseriel examines your teeth, explains all the options and gives you a transparent price quote, with no obligation. The clinic is at 12 HaTnufa Street, Jerusalem.
Local or general anesthesia?
At the clinic, full mouth implants are placed under local anesthesia; the clinic does not provide general anesthesia.
Local anesthesia avoids the risks of general anesthesia, shortens recovery and lets most patients go home the same day. For patients with significant dental anxiety, light oral sedation on prescription can be added to the local anesthesia. Surgery is performed at the clinic together with Dr Yves Weinberg, head of the Oral and Maxillofacial Surgery Department at Barzilai Medical Center.
Aftercare instructions for full mouth implants
Recovery after full mouth implants requires following the dentist's instructions, to reduce complications and allow the implants to bond properly with the bone.
- Soft diet: in the first weeks, soft foods that do not require hard chewing, as the dentist advises.
- Appropriate hygiene: a soft toothbrush around the implants and mouth rinses as the dentist instructs.
- No smoking: at least during healing, and ideally for good, because smoking increases the risk of implant failure.
- Follow-up: regular check-ups of the implants, gums and bone.
After healing, regular professional maintenance is the key to the longevity of the implants.
Full mouth dental implant procedure steps and healing time
In a study of the All-on-4 concept in the lower jaw, the implant-level success rate was 94.8% with up to 10 years of follow-up (Maló et al., Journal of the American Dental Association, 2011); full-arch rehabilitation is a long-term treatment that requires structured healing and follow-up.
The first week
Swelling and discomfort are common in the first week; the pain reliever and dose are decided with the dentist or pharmacist.
The first weeks and months
The gums heal over the first weeks, and osseointegration (the bonding of the implant with the bone) takes a few months.
The permanent bridge
The final stage, fitting the permanent bridge, usually takes place 3 to 6 months after implant placement, depending on how the bone heals.
With All-on-4 and immediate loading, by contrast, the patient leaves surgery with functional temporary teeth the same day or shortly after.
Cost of full mouth dental implants: what affects it
The cost of full mouth dental implants depends on the number of implants per arch, whether one or both jaws are treated, the need for a bone graft or sinus lift, the temporary and permanent bridges and the materials chosen. The clinic does not publish a single price: after the examination and imaging, you receive a written quote listing each stage, and itemized receipts you can submit to your insurer (reimbursement depends on your policy). See also dental implant cost.
Before
After
Full mouth dental implants in Jerusalem: consultation at Dr Haim Aseriel's clinic
At the consultation, held in English at the dental clinic in Jerusalem, Dr Haim Aseriel, a US-trained dentist (DDS, NYU College of Dentistry), evaluates the bone with on-site 3D imaging when indicated, and you leave with a detailed treatment plan and a written quote. The clinic is at 12 HaTnufa Street in Talpiot, south Jerusalem, open Sun 8:00–19:00 · Mon 9:00–19:00 · Tue–Wed 9:00–21:00 · Thu 8:30–21:00 · Fri 8:00–14:00. You can also read patient reviews.
Full mouth dental implants: frequently asked questions
Full mouth dental implants restore a complete arch with titanium implants that replace all the teeth in the upper jaw, the lower jaw or both. Unlike a removable denture that rests on the gums, the implants are placed in the jawbone and provide a stable base for a fixed bridge (prosthesis).
Full mouth dental implants are intended for patients who have lost most or all of their teeth, or whose dentures no longer work for them. Common situations include having no teeth at all (edentulism), remaining teeth that cannot be saved, and advanced gum disease that has caused significant bone loss.
A full mouth restoration usually needs 4 to 6 implants per jaw, depending on the amount and quality of the bone: with All-on-4 the fixed bridge rests on four implants, with All-on-6 on six. There is no need for one implant per missing tooth.
Not every patient is immediately suitable for full mouth dental implants, so a thorough preliminary assessment is essential. The main limitations are severe bone loss requiring a bone graft first, uncontrolled diabetes, heavy smoking, which increases the risk of implant failure, and certain bone-strengthening medications (such as bisphosphonates), which are linked to a risk of jaw osteonecrosis after surgery.
After full mouth dental implants, swelling and discomfort are common in the first week; the pain reliever and dose are decided with the dentist or pharmacist. Osseointegration takes a few months, and the permanent bridge is usually fitted three to six months after implant placement. With immediate loading, a temporary bridge is attached shortly after surgery.
Sources
- Maló P et al., Journal of the American Dental Association, 2011 – Link to study
- Francetti L et al., Journal of Periodontal & Implant Science, 2015 – Link to study
- French D et al., Clinical Implant Dentistry and Related Research, 2021 – Link to study
- Fischer K & Stenberg T, Clinical Implant Dentistry and Related Research, 2012 – Link to study
- Chowdhary R & Midhula V, Journal of Long-Term Effects of Medical Implants, 2025 – Link to study
- Ruggiero SL et al. (AAOMS), Journal of Oral and Maxillofacial Surgery, 2022 – Link to study
