All-on-4 Implants · Keene, TX
All-on-4 Dental Implants in Keene, TX — A Full Arch of Fixed Teeth in One Procedure
Tired of dentures that slip, click, and limit what you eat? All-on-4 dental implants replace an entire arch of teeth using just four titanium posts — giving you permanent, fixed teeth that look, feel, and function like your own. Keene Family Dentistry offers the full procedure right here in Keene.
Request ConsultationWhat Are All-on-4 Dental Implants?
All-on-4 is a full-arch implant system that replaces an entire row of missing or failing teeth using just four strategically placed titanium posts in the jawbone. Unlike traditional dentures that rest on the gums, All-on-4 teeth are permanently fixed — you brush them like natural teeth and never take them out.
The technique angles the two back implants to maximize contact with existing bone, which means most patients can receive All-on-4 without bone grafting — even if they've been told they don't have enough bone for traditional implants.
All-on-4 is right for you if:
- You're missing all or most teeth in one or both arches
- You have severely damaged teeth that can't be saved
- You're frustrated with loose, uncomfortable dentures
- You want permanent teeth that function like your own
- You've been told you lack bone for individual implants
All-on-4 Implants vs. Traditional Dentures
If you're choosing between dentures and implants, here's an honest side-by-side comparison of how they differ in daily life.
Traditional Dentures
Removable · Gum-Supported- Rest on gums using suction or adhesive pastes
- Slip and click during eating and speaking
- Must be removed every night for soaking
- Restrict diet to softer foods
- Do not prevent jawbone loss — face shape changes over time
- Need relining or replacement every 5 to 7 years
All-on-4 Implants
Fixed · Implant-Anchored- Permanently anchored by four titanium posts in the jawbone
- No slipping, no adhesives — ever
- Brushed and cared for like natural teeth
- Eat anything — steak, apples, corn on the cob
- Implants stimulate jawbone and prevent bone loss
- Titanium posts can last 20+ years to a lifetime
Already wearing dentures? Read our full comparison: Dentures in Keene, TX — Full, Partial, and Implant-Supported Options →
The All-on-4 Process — Step by Step
Many patients walk out of surgery with a temporary set of functional teeth the same day. Here's what the full process looks like.
Consultation
We evaluate your oral health, take 3D scans, and create a personalized treatment plan tailored to your bone structure.
Implant Placement
Four titanium posts are strategically placed in the jawbone — two straight in front, two angled in back for maximum stability.
Abutments
Connector pieces are attached to the implants to securely hold your new teeth in place.
Temporary Teeth
A custom set of temporary teeth is attached the same day — so you leave with a functional smile immediately.
Final Restoration
After healing (3–6 months), your permanent, high-strength bridge is placed for a beautiful, long-lasting result.
Your Complete Guide to All-on-4 Dental Implants
A visual overview covering benefits, the step-by-step process, candidacy, and what to expect.
Click the infographic to enlarge
Why Patients Choose Keene Family Dentistry for All-on-4
- Full procedure under one roof — consultation, implant placement, temporary teeth, and final restoration all handled by our team
- Dr. Christian Nwokorie brings advanced surgical and prosthodontic training from UPenn and Brookdale, including implant placement and full-arch restoration
- 3D digital planning with iTero scanning and digital X-rays for precise implant positioning
- Same-day temporary teeth — most patients leave surgery day with a functional set of teeth
- Honest candidacy assessment — we'll tell you if All-on-4 is the right option, or if dentures or individual implants would serve you better
- Flexible financing through our patient financing options
- Serving Keene, Burleson, Cleburne, and Alvarado — 428 S. Old Betsy Rd., Suite C, Keene, TX
All-on-4 Dental Implant FAQs
What I wish I knew before getting All-on-4 implants
Patients most often mention three things: the adjustment period to the bulkier feel of the prosthetic arch (it replaces missing bone and gum tissue, not just teeth), the strict soft-food diet required during the 3 to 6 month healing phase, and the rigorous daily hygiene commitment using water flossers and specialized tools to keep the area clean. All manageable — but important to understand upfront.
How long do All-on-4 implants last?
The titanium posts can last 20 years to a lifetime once they fuse with the jawbone. The prosthetic bridge on top experiences daily wear and typically needs maintenance or replacement every 10 to 15 years, depending on the material. Zirconia bridges last longer than acrylic. Consistent oral hygiene and regular dental visits are the biggest factors in longevity.
Is All-on-4 surgery painful?
The procedure is performed under anesthesia, so you shouldn't feel pain during surgery. Most patients report minimal discomfort during recovery — manageable with prescribed medication and over-the-counter pain relievers. Initial swelling and tenderness typically resolve within the first week.
What can go wrong with All-on-4 implants?
Potential complications include implant failure (roughly 2 to 5% of cases, usually from poor bone quality or smoking), peri-implantitis (gum inflammation from inadequate hygiene), mechanical damage to the prosthetic teeth (chipping or fracture, especially with acrylic bridges), and rare nerve irritation or sinus issues. All risks are discussed in detail during your consultation.
Is it hard to eat with All-on-4?
During the healing phase (3 to 6 months), yes — you'll need to stick to a soft-food diet to protect the implants while they fuse with the bone. But once healing is complete and your final bridge is placed, eating becomes remarkably natural. All-on-4 restores nearly full bite force, letting you eat steak, apples, corn on the cob — foods that are impossible with traditional dentures.
What's better than All-on-4?
There isn't a universally better option — it depends on your situation. All-on-6 uses more implants for greater load distribution (ideal for heavy bite forces). Individual implants replace each tooth independently for the most natural feel (but require more bone and more surgery). Removable implant overdentures snap onto 2 to 4 implants and are less expensive but still removable. We'll recommend the option that fits your bone, budget, and lifestyle.
What should I expect 2 months after surgery?
At the 2-month mark, initial swelling and tenderness will have completely resolved. You'll still be on a modified diet to avoid stressing the healing implants. Your dentist will monitor osseointegration (bone fusion) and begin planning for your final permanent bridge, which typically replaces the temporary teeth at 3 to 6 months.
Ready to Leave Dentures Behind?
All-on-4 gives you permanent, fixed teeth that look and function like your own. Schedule a consultation to find out if you're a candidate.