Carmel, IN — Full Arch Restoration
Replace an entire arch of failing or missing teeth with a fixed, non-removable restoration anchored by just 4 to 6 implants. Walk out with teeth the same day. Eat, speak, and smile with complete confidence — permanently.
What Is All-on-X?
All-on-X is a full arch implant procedure that replaces every tooth in your upper jaw, lower jaw, or both — using just 4 to 6 titanium implants per arch. The implants are strategically angled to maximize contact with available bone, which means most patients do not need bone grafting first.
A temporary arch is attached on the day of surgery. You leave the office with a full set of functional teeth. After osseointegration — the process where implants fuse with your jawbone over 3 to 6 months — your final custom arch is fabricated and permanently attached.
The result is a fixed, non-removable restoration that looks, feels, and functions like natural teeth. You brush it. You floss it. You forget it’s there. And your jawbone stays healthy because the implants stimulate it the way natural roots do.
All-on-X — At a Glance
Your Options
Both procedures replace a full arch of teeth permanently. The difference is the number of implants and the level of stability they provide.
Four implants per arch — two placed straight at the front and two angled posteriorly to maximize bone contact. The angled placement technique was specifically designed to work with reduced bone volume, often eliminating the need for bone grafting. Suitable for most patients.
Six implants per arch for additional stability and load distribution. Recommended for patients with higher bite forces, those who want maximum long-term security, or those with sufficient bone volume to support six implants. Provides a broader foundation for the prosthetic arch.
Replace all upper teeth with a palate-free fixed arch. Unlike traditional upper dentures, the All-on-X upper arch does not cover the roof of your mouth — restoring full taste sensation and natural speech immediately.
Replace all lower teeth with a fixed arch anchored to 4 to 6 implants. The lower jaw typically has excellent bone density, making it an ideal candidate for All-on-X with predictable, long-lasting outcomes.
Replace both upper and lower arches in a coordinated treatment plan. Full mouth All-on-X restores complete bite function, facial structure, and a natural-looking smile — often transforming a patient’s quality of life entirely.
The final prosthetic arch is fabricated from high-strength zirconia — the same material used for individual crowns. Zirconia is stain-resistant, highly durable, and virtually indistinguishable from natural teeth in appearance.
Are You a Candidate?
All-on-X is designed for patients who have lost most or all of their teeth, or whose remaining teeth are failing and need to be replaced.
If you are missing most or all of your teeth in one or both arches, All-on-X provides a complete, permanent replacement in a single procedure.
Teeth that are too damaged, decayed, or periodontally compromised to save are candidates for extraction and immediate All-on-X placement.
If your current dentures slip, require adhesives, or limit what you can eat — All-on-X eliminates all of those problems with a fixed, permanent solution.
The angled implant technique in All-on-4 was designed specifically for patients with reduced bone volume. Many patients who were told they needed bone grafting are candidates for All-on-4 without it.
Candidates should be in generally good health. Certain medical conditions and medications are reviewed at consultation. Most patients with well-controlled health conditions are suitable candidates.
All-on-X is a long-term investment in your health and quality of life. Ideal candidates are committed to the process and to maintaining their restoration with regular dental visits.
Your First Appointment
The consultation is a no-pressure conversation. We take a 3D CBCT scan to assess your bone density and jaw anatomy, review your dental and medical history, and walk you through your All-on-4 or All-on-6 options. You leave with a clear treatment plan, a timeline, and answers to every question you have.
Comprehensive oral health assessment and evaluation of remaining teeth
Advanced cone beam scan to evaluate bone density, anatomy, and implant placement sites
Complete review of your dental and medical background including current medications
Clear explanation of which option is right for your bone structure and goals
We verify your benefits and discuss CareCredit financing options before you leave
Step-by-step plan from consultation to final arch placement — no surprises
Your Journey
Most patients complete the full All-on-X process in 4 to 8 months. You receive a temporary arch on the day of implant placement — you are never without teeth at any stage.
Bone assessment, All-on-4 vs. All-on-6 planning, insurance review, timeline discussion
Remaining failing teeth removed. Often performed on the same day as implant placement
4 to 6 titanium implants placed under local anesthesia or sedation. Guided surgery for precision
A full-arch temporary prosthetic attached the same day. You leave with functional teeth
3 to 6 months for implants to fuse with jawbone. Soft diet during healing period
Custom zirconia arch fabricated and permanently attached. Bite checked and refined
Same-week consultations available. Serving Carmel, Indianapolis, Zionsville, Fishers, Westfield, and Noblesville.
Comparison
Understanding the differences helps you make an informed decision about the right solution for your situation.
| Feature | All-on-X (All-on-4 / All-on-6) | Traditional Removable Dentures | Individual Implants (Full Arch) |
|---|---|---|---|
| Implants Required | ✓ 4–6 per arch | ✗ None | Up to 28 implants |
| Preserves Jawbone | ✓ Yes — stimulates bone | ✗ Accelerates bone loss | ✓ Yes — stimulates bone |
| Removable by Patient | ✓ No — permanently fixed | ✗ Must remove daily | ✓ No — permanently fixed |
| Adhesives Required | ✓ None | ✗ Daily adhesive needed | ✓ None |
| Bite Force Restored | ✓ 80–95% | ✗ 20–25% | ✓ ~100% |
| Same-Day Teeth | ✓ Yes — temporary arch | ✓ Yes | Varies by case |
| Bone Graft Often Needed | ✓ Rarely (angled technique) | ✓ Not applicable | Often required |
| Expected Lifespan | ✓ Implants: Lifetime / Arch: 15–20 yrs | 5–10 years | ✓ Lifetime |
Why Carmel Family Dental
Dr. Stuart and Dr. Schraeder have placed over 800 implants with exceptional outcomes. All-on-X is one of our most performed procedures.
Advanced cone beam imaging enables precise implant planning and guided surgical placement — maximizing accuracy and minimizing recovery time.
Nitrous oxide and oral conscious sedation available. Most patients tell us the procedure was far more comfortable than they expected.
From extractions and implant placement to temporary and final arch fabrication — every step of your All-on-X journey in one familiar practice.
CareCredit financing available with flexible monthly payment options. We verify your PPO insurance benefits before your procedure.
Hundreds of five-star reviews from real patients across Carmel, Indianapolis, Zionsville, Fishers, Westfield, and Noblesville.
Patient Reviews
“I had been struggling with failing teeth for years. The All-on-4 changed everything. I walked out with teeth the same day and the final zirconia arch looks completely natural. I can eat anything I want. I genuinely cannot believe how different my life is.”
“Dr. Schraeder was incredibly thorough at the consultation and made sure I understood every step. The surgery itself was much easier than I expected. Six months later I have my final arch and I smile in every photo now. Best decision I ever made.”
“I wore dentures for eight years and hated every day of it. The All-on-6 is permanent, stable, and looks exactly like natural teeth. The team at Carmel Family Dental made the whole process feel manageable. I wish I had done this years ago.”
All-on-X patients consistently describe the same transformation: they stop thinking about their teeth. They eat without restriction. They smile without hesitation. That is the outcome we work toward with every patient.
We serve patients from Carmel, Indianapolis, Zionsville, Fishers, Westfield, Noblesville, and surrounding communities. Our practice is at 3021 E 98th Street, Suite 240, Indianapolis, IN 46280.
Your All-on-X Team
Dr. Stuart specializes in prosthetic and cosmetic dentistry with over 20 years of experience. He has placed hundreds of full arch implant restorations and is known for his precision, artistry, and patient-centered approach.
Dr. Schraeder has placed over 800 implants and has advanced training in All-on-4, All-on-6, and 3D guided implant surgery. His patients appreciate his thorough explanations and calm, reassuring approach throughout the process.
FAQ
All-on-4 uses exactly 4 implants per arch — two placed straight at the front and two angled at the back to maximize contact with available bone. All-on-6 uses 6 implants for additional stability and load distribution. All-on-4 is suitable for most patients; All-on-6 is recommended for those with higher bite forces or who want maximum long-term security. We determine which is right for you based on your bone density and anatomy.
Yes. A temporary arch is attached to the implants on the same day as placement — you leave the office with a full set of teeth. The temporary arch is worn during the 3 to 6 month osseointegration period. Once the implants have fully fused with the jawbone, the final custom zirconia arch is fabricated and permanently attached.
The titanium implant posts are designed to last a lifetime with proper care and regular dental check-ups. The prosthetic arch typically lasts 15 to 20 years before needing replacement due to normal wear. With good oral hygiene and routine monitoring, many patients enjoy their All-on-X restoration for decades.
Possibly, yes. The angled implant placement technique used in All-on-4 was specifically designed to work with reduced bone volume, often eliminating the need for bone grafting. For patients with more significant bone loss, bone grafting may be recommended first. We assess your bone density with a 3D CBCT scan at your consultation and walk you through your options.
All-on-X restorations are cared for like natural teeth — brush twice daily with a soft-bristle brush, use a water flosser or floss threader to clean under the arch, and attend regular dental check-ups every six months. Unlike removable dentures, you do not take them out. Avoid extremely hard foods that could fracture the prosthetic arch.
The procedure is performed under local anesthesia, and sedation options are available for patients who prefer a more relaxed experience. Most patients report that the discomfort during recovery is manageable with over-the-counter pain medication. The first few days involve some swelling and soreness, which typically resolves within a week.
You receive a temporary arch on the day of implant placement. Osseointegration takes 3 to 6 months. The final arch is then fabricated and attached, typically within 4 to 8 months total from your first consultation. If extractions or bone grafting are needed beforehand, the timeline extends accordingly.
Many PPO dental insurance plans cover a portion of the procedure, particularly the prosthetic component. Coverage varies significantly by plan. We verify your benefits before your procedure and provide a detailed, transparent estimate. CareCredit financing is also available with flexible monthly payment options.
Financing & Insurance
We believe that a permanent, healthy smile should be within reach. We work with most major PPO dental insurance plans and offer flexible financing options.
Long-term value: All-on-X has a higher upfront investment than traditional dentures, but the implant posts last a lifetime and the restoration eliminates the ongoing costs of adhesives, relining, and replacement. For most patients, All-on-X is the most cost-effective full arch solution over a 10 to 20 year horizon.
Related Services
Carmel Family Dental | 3021 E 98th Street, Suite 240, Indianapolis, IN 46280
Serving Carmel, Indianapolis, Zionsville, Fishers, Westfield, and Noblesville
