Full Arch Tooth Replacement · All-on-4 Dental Implants Indianapolis
Can I Replace All My Teeth in One Day?
Replace a full arch of missing teeth with just 4 implants in Indianapolis. Permanent, fixed smiles — no dentures. Board-certified surgeons at Oral Surgeons of Indiana.
Scroll through six chapters — from the first phone call to the moment you smile in the mirror that evening.
Chapter 1 · The years before you call
Before — Living With Failing Teeth
You have been chewing on one side for so long you forgot it is not normal. Your partial clicks at dinner. You smile with your lips closed in family photos and find reasons to skip the rest. You tell yourself the next dental visit will be the one with good news, and it never is. One morning a back tooth breaks on toast, and you decide you are done living around your teeth.
1 in 6U.S. adults age 65+ have lost all of their natural teeth
Chapter 2 · 60 to 90 minutes, one visit
Consultation — A 3D Plan, Not a Sales Pitch
Your surgeon takes a low-radiation 3D scan of your jaw and pulls it up on the screen beside you. You see your own bone in color: where it is strong, where it has thinned, where four implants can be anchored. Questions you have been carrying for years get straight answers — what it costs, how long it takes, what you eat for the first month. You leave with a written plan and a number, not a deposit demand.
Chapter 3 · About 4 hours, start to finish
Surgery Day — One Visit, One Recovery
You arrive in the morning with a driver. IV sedation starts and the next thing you are aware of is your surgeon saying it went well. In a single appointment, the failing teeth come out, four titanium implants go in at the angles your scan called for, and a fixed temporary bridge is attached to those implants before you wake up. By lunchtime you are heading home with teeth that do not come out.
Chapter 4 · Days 1 to 3
Immediate Recovery — The First 72 Hours
Plan to do almost nothing. A companion drives you home, you sleep off the sedation, and you live on smoothies, broth, and yogurt for the first few days. Swelling is real and peaks around day two, then fades. Most patients manage discomfort with prescription pain medication for the first 48 hours and switch to over-the-counter pills after that. Your surgeon calls to check on you, and there is a phone line you can reach 24/7 if anything feels off.
5–7 daysMost desk workers are back at their laptop within a week
Chapter 5 · Months 1 to 4
Healing Timeline — Implants Bonding to Bone
While you go back to your life, something quiet and remarkable is happening in your jaw: the titanium implants are fusing directly to your bone in a process called osseointegration. You wear the temporary bridge the whole time. You come in for a couple of brief checks. You eat softer than usual but you eat normally — no soaking dentures overnight, no adhesive, no taking anything out.
Chapter 6 · From month 4 forward
The Result — A Smile You Forget Isn't Your Own
Your final zirconia bridge is delivered after the implants are fully integrated. It is shaped to your face, color-matched to whatever shade you choose, and bolted to the four implants you cannot feel. You eat steak. You bite into an apple. You laugh in a photograph without thinking about your mouth first. A year later you refer the friend you were too embarrassed to talk to about it before.
01 / 06
Chapter 1 · The years before you call
Before — Living With Failing Teeth
You have been chewing on one side for so long you forgot it is not normal. Your partial clicks at dinner. You smile with your lips closed in family photos and find reasons to skip the rest. You tell yourself the next dental visit will be the one with good news, and it never is. One morning a back tooth breaks on toast, and you decide you are done living around your teeth.
1 in 6U.S. adults age 65+ have lost all of their natural teeth
02 / 06
Chapter 2 · 60 to 90 minutes, one visit
Consultation — A 3D Plan, Not a Sales Pitch
Your surgeon takes a low-radiation 3D scan of your jaw and pulls it up on the screen beside you. You see your own bone in color: where it is strong, where it has thinned, where four implants can be anchored. Questions you have been carrying for years get straight answers — what it costs, how long it takes, what you eat for the first month. You leave with a written plan and a number, not a deposit demand.
8:00 AM — Arrival & IV sedation
9:00 AM — Failing teeth removed
10:30 AM — 4 implants placed
11:30 AM — Temporary bridge attached
12:30 PM — You wake up with new teeth
03 / 06
Chapter 3 · About 4 hours, start to finish
Surgery Day — One Visit, One Recovery
You arrive in the morning with a driver. IV sedation starts and the next thing you are aware of is your surgeon saying it went well. In a single appointment, the failing teeth come out, four titanium implants go in at the angles your scan called for, and a fixed temporary bridge is attached to those implants before you wake up. By lunchtime you are heading home with teeth that do not come out.
04 / 06
Chapter 4 · Days 1 to 3
Immediate Recovery — The First 72 Hours
Plan to do almost nothing. A companion drives you home, you sleep off the sedation, and you live on smoothies, broth, and yogurt for the first few days. Swelling is real and peaks around day two, then fades. Most patients manage discomfort with prescription pain medication for the first 48 hours and switch to over-the-counter pills after that. Your surgeon calls to check on you, and there is a phone line you can reach 24/7 if anything feels off.
5–7 daysMost desk workers are back at their laptop within a week
Week 2 — Soft tissue healed
Month 2 — Bone integration underway
Month 4 — Fully osseointegrated
05 / 06
Chapter 5 · Months 1 to 4
Healing Timeline — Implants Bonding to Bone
While you go back to your life, something quiet and remarkable is happening in your jaw: the titanium implants are fusing directly to your bone in a process called osseointegration. You wear the temporary bridge the whole time. You come in for a couple of brief checks. You eat softer than usual but you eat normally — no soaking dentures overnight, no adhesive, no taking anything out.
BeforeAfter
06 / 06
Chapter 6 · From month 4 forward
The Result — A Smile You Forget Isn't Your Own
Your final zirconia bridge is delivered after the implants are fully integrated. It is shaped to your face, color-matched to whatever shade you choose, and bolted to the four implants you cannot feel. You eat steak. You bite into an apple. You laugh in a photograph without thinking about your mouth first. A year later you refer the friend you were too embarrassed to talk to about it before.
Ready to take the first step?
A consultation is the only way to know what your specific journey looks like — and there's no obligation.
support a full arch of teeth (compared with 8–14 in traditional full-mouth implants).
— AAOMS, 2023
94–98%
10-year survival rate for All-on-4 implants in published cohorts.
— International Journal of Oral & Maxillofacial Surgery (IJOMS), 2023
$20,000–$35,000
typical per-arch cost in Indianapolis (varies by extractions, sedation, and final prosthesis).
— OSOI internal data, 2025
Same day
temporary fixed teeth can be delivered for many candidates.
— JOMS, 2022
≈70–90%
of natural bite force restored, compared with 25% for conventional dentures.
— JOMS, 2021
Who Needs This Procedure
All-on-4 is for adults who are missing all or most of their teeth in an arch, or who are facing full-arch extraction due to advanced gum disease or failing teeth. Most patients qualify even with significant bone loss, because the angled posterior implants engage solid basal bone.
Risks and Complications
Reported risks include early implant failure (2–5% in the first year), peri-implantitis later in life (5–15% over 10 years), prosthesis fracture (2–5% over 10 years), and rare sinus or nerve involvement. — IJOMS, 2023.
How OSOI Does This Differently
Every All-on-4 case at OSOI is planned with 3D CBCT imaging and performed by a board-certified surgeon experienced in complex implant rehabilitation. We work directly with your restorative dentist or prosthodontist so the surgical plan supports the final prosthesis design — not the other way around.
Full-arch tooth replacement options
Conventional dentures
Implant overdenture (snap-in)
All-on-4 fixed bridge
Full-mouth implants (8–14)
Removable?
Yes (daily)
Yes (daily)
No (fixed)
No (fixed)
Number of implants
0
2–4
4 per arch
8–14 per arch
Bone preservation
No
Partial
Yes
Yes
Bite force vs. natural
~25%
~50%
~70–90%
~90%
Adhesive needed
Often
Sometimes
No
No
Cost per arch
$$
$$$
$$$$
$$$$$
Cost and Insurance
All-on-4 in Indianapolis typically runs $20,000–$35,000 per arch including implants, surgery, sedation, and a temporary prosthesis. Final prosthesis fees vary by material (acrylic hybrid vs. zirconia). We provide a detailed written estimate at consultation. Financing is available through CareCredit, Cherry, and Sunbit — see /oral-surgery-cost-financing.
Procedure Overview
Learn how dental implants work and what the treatment process looks like from consultation through final restoration.
Frequently Asked Questions
Traditional dentures rest on the gums and can slip, require adhesive, and must be removed for cleaning. They also do nothing to stop the bone loss that accelerates after teeth are lost. All-on-4 implants are anchored directly into the jawbone, providing a fixed, permanent set of teeth that you brush like natural teeth — no removal, no adhesive, and no embarrassing slippage.
In many cases, yes. The 'teeth in a day' concept is often achievable with All-on-4. A full arch of temporary prosthetic teeth is attached to the implants on the same day as surgery. These temporaries are replaced with a custom permanent prosthesis after 3–6 months of healing.
All-on-4 treatment typically ranges from $20,000–$35,000 per arch, depending on the complexity of the case, whether extractions are needed, and the type of final prosthesis chosen. We provide a detailed treatment plan and cost estimate at your consultation. Financing is available through CareCredit, Cherry, and Sunbit.
One of the key advantages of All-on-4 is that it is specifically designed to work with available bone — often eliminating the need for bone grafting. The posterior implants are angled at 30–45 degrees to maximize contact with existing bone. However, patients with severe bone loss may still require some grafting.
With proper care, All-on-4 implants can last a lifetime. The implant posts themselves integrate permanently with the jawbone. The prosthetic arch typically lasts 15–20 years before needing replacement due to normal wear.
Most patients experience swelling, bruising, and moderate discomfort for the first 3–5 days, managed with prescribed medication. A soft food diet is required for 6–8 weeks while the implants heal. Most patients return to work within 5–7 days.
Yes — many All-on-4 patients are long-time denture wearers who are tired of slipping, sore spots, and limited diet. Bone loss from years of denture use is usually still compatible with All-on-4 because the angled posterior implants engage stable basal bone. A CBCT scan at consultation confirms candidacy.
An overdenture clips onto 2–4 implants and is removed daily for cleaning. All-on-4 attaches a fixed bridge that you do not remove. Both stop bone loss, but a fixed All-on-4 bridge offers chewing force closer to natural teeth and avoids the daily on/off routine.
