All-on-4 & All-on-X Full Arch
Implants in Toronto

In many cases, yes. A provisional (temporary) full arch prosthesis is typically attached to the implants on the same day as surgery — this is the "teeth in a day" or "same-day teeth" workflow. However, this provisional is not your final prosthesis. It is a functional, aesthetic temporary arch that you wear during the three-to-six-month osseointegration period. The final, definitive prosthesis is fitted once the implants have fully integrated with the bone. Whether same-day loading is appropriate in your case is confirmed during surgical planning, as it depends on implant stability and bone quality achieved at surgery.

With proper maintenance, the implant fixtures themselves can last a lifetime. The prosthetic arch is subject to normal wear over time — acrylic prostheses may require maintenance, adjustments, or eventual replacement after many years of function, while zirconia prostheses are more wear-resistant but must be replaced rather than repaired if damaged. Regular professional cleanings and annual check-ups are essential to long-term success. Patients who maintain good oral hygiene and attend scheduled review appointments achieve the best long-term outcomes.

Possibly, yes. All-on-X was developed in part specifically for patients with reduced bone volume who were not candidates for conventional implant placement. The angled posterior implants access denser regions of the jaw — in the upper arch, toward the pterygoid or zygomatic bone; in the lower arch, toward the symphysis and parasymphyseal region — where bone tends to be better preserved even after significant resorption. Whether this approach is viable in your specific case depends on your individual anatomy and is assessed by CBCT scan at your consultation.

The surgical procedure is performed under local anaesthesia — the area is fully numb and you should not feel pain during surgery. IV sedation is available for patients who want additional comfort and relaxation throughout. Post-operatively, you should expect swelling, bruising, and soreness for several days to a week, which is managed with prescribed pain medication. Most patients find the post-surgical discomfort manageable. The provisional prosthesis allows you to eat soft foods and return to normal daily activities relatively quickly after surgery.

Traditional removable dentures sit on the gum surface and rely on suction or adhesive for retention. They can slip when eating or speaking, do not stimulate the underlying jawbone — leading to progressive bone resorption and a changing jaw shape over time — and often become increasingly unstable as bone volume reduces. All-on-X implants are fixed permanently to titanium posts anchored in the jawbone. They do not move, restore full chewing function, and the implants actively stimulate the bone — helping to slow or prevent further resorption. The result functions and feels much like natural dentition.

Yes, in selected patients it is possible to perform full arch implant surgery on both the upper and lower jaw in the same surgical appointment — sometimes called full mouth rehabilitation or full mouth reconstruction. Whether this is appropriate depends on your overall health, the complexity of each arch, the total operative time involved, and the recovery demands of bilateral surgery. Dr. Cavus will advise you on the safest and most effective approach at your consultation.

Coverage for implant treatment — including All-on-X — varies significantly by plan. We recommend contacting your insurer before treatment begins and requesting a pre-determination of benefits. We can provide a detailed treatment plan to submit on your behalf.

Prior to surgery, you will need a CBCT scan and a thorough clinical and medical assessment. If you smoke, you will be strongly advised to stop before surgery begins. Medications that may affect surgery — including blood thinners, bisphosphonates, and immunosuppressants — will be reviewed and managed with your prescribing physician as needed. Patients choosing IV sedation must fast for the prescribed period before their appointment and must arrange for a responsible adult to accompany them home. Complete written pre-operative instructions are provided by Dr. Cavus at your planning appointment.