Full Arch Solutions

All-on-4 Dental Implants

A full arch of beautiful, fixed teeth. Our goal is to have you leave with a new smile the same day, with a level of planning, technology, and precision that ensures lasting results.

Full arch dental prosthesis crafted by the in-house lab

At a Glance

The Essentials

All-on-4 replaces a full arch of failing or missing teeth with a fixed bridge supported by four or more implants — designed by a prosthodontist, placed with guided surgery, and finished in zirconia by our in-house lab. For most patients, the goal is leaving surgery with fixed provisional teeth the same day.

Designed by
A board-certified specialist in prosthodontics
Surgery by
Our periodontist, prosthodontist, or partner oral surgeons
Same-day teeth
Fixed provisionals before you leave — our goal in most cases
Final prosthesis
Full-arch zirconia from our in-house lab
Investment
Fixed arches from $30,000
Longevity
Implants can last a lifetime; prosthesis typically 10–15 years
Dental specialist holding a completed full arch implant prosthesis

Our Approach

Fixed Teeth, Rebuilt

Full arch implant treatment is one of the most life-changing procedures in dentistry, and one of the most demanding to do well. Our prosthodontist leads the prosthetic design from the start, with implant positions chosen to support the ideal outcome. Surgery is performed by our in-house periodontist or prosthodontist, or by one of our partner oral and maxillofacial surgeons, depending on the complexity of your case.

We use photogrammetry for precise implant position capture, 3D printing for surgical guides, and our in-house lab prepares your same-day provisional prosthesis, so you leave the clinic with fixed teeth rather than a removable denture or nothing at all. They're temporary, but they keep you presentable and confident while your implants heal.

While same-day teeth is always the goal, in some cases staging the treatment produces a better long-term outcome. We'll always recommend the approach that serves your result best.

Your Journey

The Process

1

Consultation & 3D Planning

We assess your bone density, gum health, and overall condition using 3D imaging and digital scans. Our prosthodontist designs the prosthetic outcome first, then works with the surgical team to plan implant positions that support that design.

2

Surgery & Same-Day Teeth

Implants are placed using stackable surgical guides for precision. Sedation options include oral sedation, IV sedation, or general anesthesia at our partner oral surgery offices for patients who prefer it. A fixed provisional prosthesis is attached before you leave, giving you a stable set of teeth while your implants heal.

3

Healing & Integration

Over the following months, your implants integrate with the bone. During this time you'll be on a soft diet to protect the healing process. Your provisionals keep you looking presentable and feeling confident. That's a significant improvement over a removable denture or no teeth at all.

4

Final Zirconia Prosthesis

Once integration is complete, we use photogrammetry to capture your implant positions with precision. Our in-house lab crafts your final full-arch zirconia prosthesis: beautiful, durable, and designed to last.

Technology & Precision

What Sets Our Approach Apart

Every step of the process is guided by advanced technology: from surgical planning to final prosthesis fabrication.

3D-Printed Surgical Guides

Stackable guides printed from your digital plan ensure implants are placed in the right position, angle, and depth, with precision that freehand placement can't match.

Photogrammetry

We capture implant positions with photogrammetric accuracy for your final prosthesis, eliminating the fit issues that come from traditional impression techniques.

Zirconia Full Arch

Your final prosthesis is crafted in zirconia, one of the strongest and most aesthetic materials available, by our in-house lab team for a beautiful, lasting result.

Same-Day Provisionals

Our lab prepares your provisional prosthesis in advance, ready to attach after surgery. Temporary and requiring a soft diet, but you leave with fixed teeth, not a removable denture.

Sedation Options

Oral sedation and IV sedation in-clinic. General anesthesia and deep sedation available at our partner oral surgery offices for patients who prefer it.

Surgical Partnerships

Surgery is performed by our in-house periodontist or prosthodontist, or by one of our partner oral and maxillofacial surgeons, depending on your case, ensuring we always have the right expertise.

Real Results

Full Arch Transformations

All-on-4 Dental Implants before and after — specialist dental care at Transcend Dentistry Vancouver
Upper All-on-4 before and after - All-on-4 implants Vancouver - Transcend Dentistry
Full Arch Implants before and after - All-on-4 implants Vancouver - Transcend Dentistry
Implant Overdentures before and after - All-on-4 implants Vancouver - Transcend Dentistry

Common Questions

Good to Know

Who is this for?

Patients with failing or missing teeth across an entire arch, current denture wearers wanting a fixed alternative, or anyone who's been told they need full extractions.

All-on-4, All-on-6, teeth-in-a-day, 3-on-6 — what's the difference?

All variations of fixed teeth supported by implants. The number refers to how many implants support the arch. 'Teeth-in-a-day' describes the timing. We recommend whichever approach suits your anatomy best.

Will I leave with teeth the same day?

That's the goal, and what we achieve in most cases. A fixed provisional is attached before you leave. It's temporary and requires a soft diet during healing, but far better than a removable denture or no teeth.

How is this different from dentures?

Dentures sit on your gums and are removed daily. Full arch implant prostheses are fixed to your jawbone. They don't move, don't require adhesive, and don't come out. We offer both and can discuss what's right for you.

What if I don't have enough bone?

The angled implant technique often works with less bone than traditional implants require. If additional support is needed, we may recommend bone grafting or a zygomatic approach. 3D imaging tells us exactly what we're working with.

What are the sedation options?

Oral sedation and IV sedation at our clinic. For patients who prefer deeper sedation, general anesthesia is available at our partner oral surgery offices. We'll discuss what's right for you.

How long do full arch implants last?

The implants themselves can last a lifetime with proper care. The zirconia prosthesis on top is built for durability and typically lasts 10 to 15 years before it may need to be refreshed.

What is recovery like?

The first few days involve swelling and soreness, managed with medication — most patients say it's easier than they feared. You'll be on a soft diet while the implants integrate, and most people return to their normal routine within a week. Sedation options make the surgical day itself far more comfortable than most patients imagine.

What's the investment?

Fixed All-on-4 treatment starts at $30,000 per arch, including the surgery and the prosthetics. Removable implant-supported options start at $15,000. Where your case lands depends on the number of implants, the need for extractions or grafting, and the final material. After your consultation, you'll receive one complete plan with a full cost breakdown. No surprises.

Is All-on-4 covered by insurance or the CDCP?

The Canadian Dental Care Plan classifies implant treatment as elective, so it generally does not cover full-arch implants — and our practice is not enrolled in the CDCP. Private plans sometimes contribute toward portions of the treatment. We're a non-assignment office: you pay us directly, and our team helps you submit pre-authorizations and claims so you recover everything your plan allows.

What about getting All-on-4 done abroad for less?

We understand the appeal — the same procedure can be quoted at a fraction of the price in Mexico or Turkey. But All-on-4 isn't a purchase; it's a prosthesis you'll live with for decades, and it needs follow-up, maintenance, and eventually a replacement. Some of the most complex cases we treat are redos of full-arch work done abroad: failed implants, ill-fitting prostheses, and complications managed from ten thousand kilometres away. When your care is here, the specialists who planned your case and the lab that crafted your teeth are in the same building for every adjustment, for years.

Reviewed by Dr. Faraj Edher, Prosthodontist, FRCD(C) · Updated July 2026

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