All-On-4® Dental Implants in Atlanta, GA
All-On-4 rebuilds a complete upper or lower arch of teeth on four implants, topped with a bridge that stays fixed in place. For qualifying cases, a temporary set of teeth can be attached the same day as surgery, at any of our three Georgia offices.
What is All-On-4, and how does it work?
All-On-4 replaces a full upper or lower arch of teeth with one fixed bridge anchored on four dental implants. The back two implants are angled to use the bone that is already there. At ANEWU that bridge stays fixed in place rather than coming out for cleaning.
One bridge across the whole arch, not one implant per tooth.
Where All-On-4 sits among the full arch options, and why the number four keeps coming up.
All-On-4 replaces every tooth in an arch with a single fixed bridge, carried by four implants rather than one implant for each missing tooth. The back two are usually tilted forward so they engage the denser bone nearer the front of the jaw. That angle is the entire idea, and it is why four implants can carry a full arch in jaws that could not take ten or twelve.
Because the bridge is screwed down rather than suction fitted, it does not come out at night and it does not rely on adhesive. ANEWU keeps full arch work in house, so the temporary bridge and the final bridge are both made in our on site lab instead of being sent away and waited on.
It helps to see the whole family before you settle on one. All of the full arch implant options are planned from the same 3D scan, so the scan comes first and the decision comes after.
How do I replace a full arch of missing teeth?
A full arch of missing teeth is replaced three ways at ANEWU: a fixed bridge on four implants, the same bridge on six implants for more support, or a removable overdenture that snaps onto a smaller number of implants. A 3D scan at your consultation shows which your bone supports.
If you have ever wondered how to replace missing teeth without wearing something that comes out every night, this is the short version. The more implants your bone can carry, the more fixed and the more stable the result, and the scan is what decides the number.
Four implants carry a fixed bridge across the arch. Six spread that same load a little further and add a margin if one site heals slowly, which is what All-On-6 is for.
If your bone is limited, or a removable result simply suits you better, mini implant dentures snap onto a smaller number of narrower implants instead.
With any of the fixed options, same-day temporary teeth are possible for qualifying cases, so you are not asked to spend the healing period without teeth.
A fixed arch, or a full denture you take out.
Both replace every tooth in an arch. What separates them is whether the result stays in, and what happens to the bone underneath.
All-On-4
- Fixed onto four implants, cleaned in place rather than removed
- Implants transmit load into the jaw, which helps preserve bone
- No adhesive and no slipping while you eat or speak
- Same-day temporary teeth possible for qualifying cases
Traditional dentures
- Removable, taken out at night for cleaning
- The jawbone underneath continues to shrink over time
- Often relies on adhesive for stability
- No fixed, same-day option
Am I a candidate for All-On-4?
You are likely a candidate for All-On-4 if you have lost, or are about to lose, all of the teeth in one arch and have enough jawbone to hold four implants. Dr. Abtin Shahriari confirms that with a 3D scan at your free consultation.
- You have lost, or are about to lose, all of the teeth in an upper or lower arch
- You wear a full denture that slips, clicks or no longer fits the way it did
- You want a result that stays in rather than one you take out at night
- You would like the possibility of leaving surgery with temporary teeth
- You have been told at another office that implants were not an option for you
- You are ready for a free consultation and 3D scan in Buckhead, Cumming or Dawsonville
What are my options if I have been told I do not have enough bone?
If another office told you that you lack the bone for implants, two routes usually remain. Bone grafting rebuilds the jaw so implants can be placed later. Zygomatic implants anchor in the cheekbone instead, which can avoid grafting entirely. Dr. Abtin uses a 3D scan to determine which applies.
If you have ever wondered why one surgeon says no and another says yes, this is usually the reason. The upper back jaw loses height quickly once the molars are gone, so what matters is where the bone is missing, not only how much of it.
Bone grafting adds that height back over a healing period, after which implants can be placed in the usual way.
Zygomatic implants take a different route, anchoring in the cheekbone above the sinus so that a graft can often be skipped.
From your first scan to your final fixed bridge
Five stages. Most of them are shorter than people expect, and the two that matter most happen on the same day.
- 01
Consultation and 3D imaging
Your jaw is scanned in three dimensions so bone height, bone width and the way your bite closes can all be measured rather than estimated. What to expect at your first visit is set out step by step.
- 02
Your treatment plan
The exact position and angle of all four implants is mapped before surgery day, using 3D imaging and guided surgery to plan around the bone you actually have.
- 03
Implant placement
Any remaining teeth in the arch are removed and the four implants are placed in a single outpatient visit at your chosen office.
- 04
Same-day temporary teeth
For qualifying cases a temporary fixed bridge is attached that same day. Same-day teeth are available for qualifying cases, not for all of them.
- 05
Healing and your final bridge
After a healing period the final bridge is made in our on site lab and fitted. Your post-op instructions cover the weeks in between.
See what a rebuilt arch can look like.
Drag the slider to compare before and after. These are real ANEWU patients whose smiles were rebuilt with dental implants, and more of them are collected in our patient stories.
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BeforeAfterIndividual results vary. Photos shared with patient permission.
How much do All-On-4 implants cost in Atlanta?
All-On-4 cost at ANEWU depends on how many implants your case needs, whether bone grafting comes first, and which materials your final bridge uses. Dental insurance typically does not cover implant treatment. ANEWU accepts CareCredit and Proceed Finance and can arrange a monthly payment plan before your procedure.
Dental insurance and implant treatment
Most dental plans were written around fillings, crowns and dentures, so implant treatment usually sits outside what they cover. A plan with an annual maximum may still contribute toward extractions or toward the restoration itself. Our team will read your policy with you rather than guess at it.
CareCredit and Proceed Finance
Both are accepted at ANEWU, and a monthly payment plan can be arranged before the procedure rather than after it. Visa, MasterCard and Discover are taken at all three offices. More money questions are answered on our new patient questions page.
Where is this treatment performed?
Implant surgery is performed at all three ANEWU offices in Georgia. Patients north of Atlanta most often use the Cumming or Dawsonville offices, both just off the GA-400 corridor, while the Buckhead office serves patients inside the perimeter. Records move between offices, so follow up can happen at whichever address is closer.
As the name suggests, four implants support a full, fixed arch of replacement teeth. In some cases Dr. Abtin may recommend a different number, which is why every plan starts with a 3D scan.
For qualifying cases, yes. A temporary fixed bridge can be attached the day of implant placement, so you're not without teeth while your final restoration is made.
No. The bridge is fixed onto the implants and stays in place, so it is not taken out at night the way a denture is. You clean around it daily, much like natural teeth, and our team will show you the technique at your follow-up.
Who performs All-On-4 at ANEWU?
Every All-On-4 case at ANEWU is performed by Dr. Abtin Shahriari, DMD, MPH, an oral surgeon specializing in implant dentistry. He completed 8 years of specialty training, including the University of Pennsylvania and Emory University, and has performed thousands of surgeries across the three Georgia offices.
Dr. Abtin Shahriari, DMD, MPH
His work runs from full arch implants to complex facial reconstruction, and he is the founder of Project Global Smile. Read Dr. Abtin Shahriari's full background for his training and his approach to consultations.
Last updated September 2026 Meet the ANEWU teamGeneral dentists who send full arch cases to ANEWU can find case coordination details on our page for referring doctors.
Get a fixed, full-arch smile on four implants.
A free consultation and 3D scan will tell you whether All-On-4 fits your anatomy, and what your timeline could look like.
Reviewed by Dr. Abtin Shahriari, oral surgeon specializing in implant dentistry. Last updated September 2026.