Full Arch “Same-Day Teeth” Dental Implants
If you’re living with failing teeth, loose dentures, or avoiding smiling — you’re not alone. Full-arch dental implants allow you to leave with a new set of fixed teeth the same day.
We offer a state-of-the-art solution for patients with failing or missing teeth: a full set of fixed, implant-supported teeth delivered the same day.
Often referred to as All-on-4 or All-on-X, this procedure uses 4–6 dental implants per arch to support a secure, natural-looking smile.
You can leave surgery with a beautiful, functional set of teeth — restoring your confidence immediately.
What to Expect: Same-Day Transformation
• Removal of failing or damaged teeth
• Placement of 4–6 dental implants
• Digital scanning and precise implant positioning
• Delivery of a fixed, temporary bridge the same day
• Ability to smile, speak, and eat soft foods immediately
You’ll wear this temporary bridge while your implants heal and integrate with your bone.
How the Procedure Works
We provide a streamlined, fully in-house approach to full-arch dental implants.
This advanced procedure — commonly known as All-on-4 or All-on-X — involves placing 4–6 dental implants per arch, followed by the immediate delivery of a custom-designed, fixed prosthesis.
Using advanced digital technology and our on-site lab, we are able to extract teeth, place implants, and secure a fully functional, natural-looking set of teeth — all within the same day.
This approach allows patients to leave surgery with a confident, restored smile and minimal downtime.
Why Patients Choose This Procedure
✔ Same-Day Teeth
✔ 30+ Years of Surgical Experience
✔ In-Office Procedure
✔ Advanced Digital Planning
Why Choose Us: What Truly Sets Us Apart
There are many steps involved in delivering a successful full-arch dental implant restoration — and very few centers are equipped to perform every one of them at the highest level.
At Atlanta Oral & Maxillofacial Surgery, we deliver a complete, uncompromising treatment experience focused on precision, safety, esthetics, and long-term success.
• State-of-the-art, safe, clean, and modern facility
• One of Atlanta’s most technologically advanced in-house labs
• Certified digital smile designers
• Premium implant systems (Nobel Biocare, Norris, etc.)
• Strong collaboration with experienced restorative dentists, prosthodontists, and specialists
The 10 Essential Steps of Full-Arch Implant Care
While other providers may offer some of these services, we are proud to provide all ten essential steps of treatment in-house.
1. Digital Smile Design with FaceHunter Technology
Your new smile is customized using advanced facial scanning to create a natural-looking result that complements your facial features.
2. Precision-Guided Surgery with Stacked Guides
We use digitally planned, layered surgical guides for exceptional accuracy in implant placement and surgical execution.
3. General Anesthesia by a Board-Certified Anesthesiologist
Your procedure is completed with your safety and comfort as top priorities throughout the surgical experience.
4. Surgical Expertise by a Dual-Trained Oral & Maxillofacial Surgeon and Implantologist
Your surgery is performed by a specialist with advanced training in complex oral surgery, implant placement, and full-arch reconstruction.
5. Advanced Skills in Zygomatic Implant Placement
When appropriate, zygomatic implants may allow us to avoid sinus lifts and extensive bone grafting.
6. Immediate Delivery of a Fixed Prosthesis
Patients can leave surgery with a fixed, functional, esthetically designed set of teeth the same day.
7. Esthetically Optimized Tooth Design
Your teeth are designed not only for strength and function, but also for a beautiful, natural appearance.
8. Long-Term Hygiene and Maintenance Considerations Built In
Your prosthesis is designed for optimal cleansability, long-term maintenance, and overall oral health.
9. Concierge-Level Care and Communication
From pre-op through recovery, you have direct access to our team, including after-hours support for urgent concerns.
10. Exceptional Value at Competitive Fees
We provide world-class care, advanced technology, and comprehensive treatment at fees that remain competitive within the market.
Why two sets of teeth?
When teeth are removed and dental implants are placed, your gums and jawbone naturally undergo a healing and remodeling process. During the first few months, the shape and contour of your gum tissue will change—often resulting in a small space between your gums and the initial, temporary bridge.
This temporary bridge allows for immediate function and esthetics but is not intended to be the final solution. As healing progresses, that space may become more noticeable, food may collect in the area, and in upper restorations, patients may experience slight changes in speech, such as a lisp.
After the healing phase—typically around 4-6 months—we create your final prosthesis using high-quality, durable materials such as zirconia. This permanent set of teeth is precisely engineered to fit the newly shaped tissue, ensuring ideal function, esthetics, speech, and long-term hygiene.
This two-step process is essential to achieving the best possible outcome in terms of comfort, appearance, and longevity of your dental implant restoration.
Why choose an Oral and Maxillofacial Surgeon (OMFS) for Dental Implants?
When it comes to dental implant treatment, patients have many options—but not all providers have the same level of training, surgical expertise, or comprehensive understanding of the anatomy and complexities involved.
Dental implant procedures involve surgery on the jawbone and require precise clinical judgment regarding implant placement for optimal function, esthetics, and long-term success. Oral and maxillofacial surgeons (OMFS) are the only dental specialists formally trained to place dental implants in all areas of the mouth. This includes advanced techniques such as bone grafting and the placement of zygomatic implants, which can often eliminate the need for traditional bone grafts.
In addition to implant-specific training, OMFS specialists are rigorously trained in all aspects of surgical care—from sterile technique and operating room protocols to managing complex medical situations and complications. This level of training directly contributes to higher success rates and lower complication risks.
At Atlanta Oral & Maxillofacial Surgery, Dr. Christian A. Loetscher brings additional qualifications, including formal training in both IV and general anesthesia. This allows us to provide a higher level of comfort and safety throughout your procedure.
It’s important to be informed. Some providers—such as periodontists or general dentists—may market themselves as “oral surgeons,” but their training is significantly different. Periodontists are focused primarily on the health of the gums and supporting bone structures. While they may place implants, their surgical education is not equivalent to that of an oral and maxillofacial surgeon.
At our practice, we’ve developed one of the most advanced, streamlined, and successful implant treatment protocols in the country—outlined below.
We have developed one of the most advanced processes for tooth replacement in the US – outlined below:
Our Process
Dr. Christian A. Loetscher brings over 30 years of combined experience in full-arch reconstruction—restoring everything from completely missing dentitions to full mouth rehabilitations with a brand-new set of implant-supported teeth. Their extensive surgical expertise, combined with the precision of our in-house digital lab and master technicians, allows us to deliver immediate, functional, and esthetically outstanding results. This integrated approach to same-day tooth replacement is truly second to none.
Contact us to schedule your dental implant consultation!
Step One: Consultation
Your initial consultation includes a comprehensive evaluation with one of our surgeons.
A consultation fee applies and covers:
• Review of your dental and medical history
• Comprehensive clinical examination
• Discussion of your treatment options
You will receive a personalized treatment plan, including a detailed breakdown of fees and the recommended number and type of implants—typically 4 to 6 implants per arch.
For patients with limited bone, we may utilize advanced graftless solutions, including zygomatic implants, which can often eliminate the need for traditional bone grafting.
Our goal is to provide the safest, most effective treatment plan tailored specifically to you.
Step Two: Smile Design & Surgical Planning
Your treatment is carefully planned, your smile is digitally designed, and your surgical guides are fabricated—all before the day of surgery.
Digital Smile Design with FaceHunter Technology
Your new smile is designed in advance using a combination of advanced imaging and digital planning.
Your journey begins with comfortable, high-resolution digital scans using an intraoral scanner. These images are imported into our planning software, where your new teeth are designed for optimal function and esthetics.
To ensure your smile complements your facial features, we integrate this design with FaceHunter—a state-of-the-art 3D facial imaging system. This technology captures photo-realistic images of your face, allowing us to design a smile that is fully customized to your facial structure.
The result is a natural-looking, balanced smile that supports comfort, function, and confident speech.
Digital Implant Planning & Guided Surgery
Using your digital scans, our team plans the precise placement of each implant to optimize both esthetics and long-term maintenance.
• Implant positions are designed for ideal function and cleansability
• Your new teeth are customized specifically to your facial anatomy
• Every step is planned prior to surgery for accuracy and predictability
Custom surgical guides are fabricated in our in-house lab, where Dr. Loetscher works closely with our lab technician to design each case.
These guides allow for highly precise implant placement, which is critical for achieving optimal outcomes.
Prosthesis Design & Long-Term Success
Your final prosthesis is thoughtfully designed to support long-term success:
• Easy Maintenance: Designed for optimal hygiene and daily cleaning
• Exceptional Strength: Built with advanced materials for durability
• Retrievable Design: Allows removal for maintenance or repair without damage
• Enhanced Outcomes: Supports proper healing and long-term stability
Achieving Beautiful Esthetics:
We employ the “Natural Smile Design” developed by Dr. Christian Coachman. Utilizing a “Smile Library” of beautiful smiles, we replicate these natural teeth. This eliminates the artificial appearance of fake teeth. Natural teeth have irregular bumps and slight irregularities that reflect light in a more natural way, allowing them to look real and natural.
Contact us to schedule your dental implant consultation!
Same-Day Implant Placement and Provisional Bridge
Your procedure is performed under general anesthesia, ensuring you are completely asleep and comfortable while we remove any remaining teeth and place your dental implants. During surgery, we digitally scan and record the precise positions of your implants using advanced imaging technology.
Immediately following surgery, our in-house lab designs and mills a custom fixed provisional bridge—a beautiful, functional set of teeth that is securely attached to your implants within a few hours. This temporary bridge restores your smile the same day, allowing you to speak and eat with confidence while you heal.
You’ll wear this provisional bridge for approximately 3 to 6 months as your bone naturally bonds to the titanium implants in a process called osseointegration. Once healing is complete, your general dentist will deliver your final, permanent bridge, crafted for long-term durability, comfort, and esthetics—designed to last a lifetime.
Your Final Teeth
- Beautiful and Highly Esthetic
- Match your face
- Fully functional and solid
- Durable and long-lasting
Finals are usually are placed 3-6 months later. They will be made from a permanent material that will last a lifetime if properly cared for. The material will be zirconia, porcelain, or another modern ceramic.
Why wait 3-6 months for my final bridge?
It is most ideal to wait several months after your implant surgery to allow your gums and your bone to remodel after extractions and implant placement. Typically, the height of your gum shrinks in the first 6-8 weeks. By obtaining new records after this waiting period, your new set of teeth are custom fabricated to fit most ideally to your gums. This facilitates optimal speech, esthetics, and cleansability.
Understanding All-on-4 and All-on-X Dental Implants
All-on-4 is a proven dental implant technique in which a complete set of teeth is supported by just four implants per dental arch. This method is ideal for patients with failing teeth or those who are already missing teeth, as it allows for same-day placement of a fixed, natural-looking prosthesis. The All-on-4 approach is designed to simplify cleaning, reduce overall treatment cost, and shorten recovery time.
The technique involves placing two implants vertically in the front of the jaw and two implants angled up to 30 degrees toward the back. This strategic placement allows for better distribution of biting forces and makes the most of available bone, especially in cases where bone volume is limited.
For patients with severe upper jaw bone loss, we offer a modified solution that combines the All-on-4 approach with zygomatic implants. This advanced technique avoids the need for bone grafting and still allows for immediate placement of a full set of fixed teeth.
All-on-X: Customized for You
While All-on-4 is suitable in many cases, we customize each treatment plan to the individual. In some situations, we may recommend five or six implants per arch—a method often referred to as All-on-X.
The additional implants can provide:
- Greater stability for patients with high bite forces
- A longer dental arch for enhanced esthetics and function
- Increased long-term support and durability
Proven Long-Term Success
Engineering and clinical studies support the use of 4–6 implants per arch, depending on each patient’s needs. In many cases, posterior implants (5th and 6th) are placed in the molar region to support areas with the highest bite forces. With traditional reconstructions using six implants on both the upper and lower arches, long-term success rates exceed 98–99% over 25 years. The most common reason for future revisions is natural wear of the prosthetic teeth after 20+ years—not implant failure.
During your consultation, our surgical team will evaluate your specific anatomy, bone availability, and esthetic goals to determine the best implant solution—whether All-on-4, All-on-5, or All-on-6.
Contact us to schedule your dental implant consultation!
Cost of Dental Implants
Global Fees — Starting as low as $18,000, $325 per month:
- (Extractions, implants, provisional set of teeth — not including final full arch set of teeth — delivered 3-6 months later)
- 4-6 implants per arch — Full set of 12 teeth per arch
- Digitally designed natural smile
- Digitally guided surgery
- Permanently fixed provisional teeth delivered immediately.
- Digital prosthesis designs — maximizes strength, hygiene and cleansability
- Bridges are high-strength milled materials
- Includes extractions, bone grafting and one-year maintenance
- On-site lab with renowned technicians
- Final set of teeth also available — 48 hours
- Package price, including final prosthesis, beginning at $28,000 per arch.
Contact us to schedule your dental implant consultation!
Factors That Influence Your Treatment Plan
Several clinical factors determine how your treatment will be designed.
1. Number of Implants per Arch
The number of implants typically ranges from 4 to 6 implants per arch.
6 Implants
• Provides the greatest level of support
• Allows placement of second molars when needed
• May be used when additional stabilization is desired before implant integration
4 Implants
• Often easier to clean
• May offer some cost savings
• May slightly shorten the dental arch in certain cases
2. Advanced Implant Options (Graftless Solutions)
In some cases, Zygomatic or Pterygoid implants may be used in the upper jaw to eliminate the need for bone grafting.
• Zygomatic implants anchor into the cheekbone (zygoma) and can support implants even when little bone remains in the upper jaw.
• Pterygoid implants engage the bone in the very back of the upper jaw to provide additional stability.
These techniques often allow patients to receive immediate teeth even when bone volume is limited, avoiding extensive grafting procedures.
3. Final Prosthetic Materials
Modern full-arch prostheses are typically made from advanced ceramic materials, including:
• Zirconia
• E-Max (Lithium Disilicate)
These materials are:
• Highly esthetic and natural-looking
• Extremely durable
• Resistant to staining over time
Your surgeon and restorative dentist will determine the best material based on implant position, function, and long-term durability, which is carefully evaluated during the digital pre-surgical planning process.
Zygomatic Implants (Graftless Surgery)
No Bone? – No problem!
Fortunately, we have excellent solutions for people that have lost most of their bone in their upper jawbone (maxilla).
We utilize the Zygoma to place implants – 1 to 2 per side to facilitate support for your upper prosthesis. This can be done in conjunction with traditional implants or 2 zygomatic implants per side. Sometimes with a more posterior implant (Pterygoid Implant). This allows us to provide immediate implant- supported teeth on the day of your surgery.
Dr. Loetscher is proficient in this advanced technique. Below are some of their patients.
One Zygomatic implant per side:
- 2 zygomatic implants per side (Quad Zygoma)
- 1 Pterygoid implant per side:
Contact us to schedule your dental implant consultation!
