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All-on-X Dental Implants
Full-Arch Implant Placement & Prosthesis

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What is All-on-X?

All-on-X is an advanced full-arch dental implant solution that replaces an entire set of missing or failing teeth using 4–6 strategically placed implants to support a fixed prosthesis. It is designed for patients seeking a permanent, non-removable alternative to dentures with immediate functional and aesthetic restoration.

At Al Bahri Dental & Orthodontic Center, All-on-X treatments are executed using a prosthetically driven, digitally planned workflow, ensuring optimal implant positioning, occlusion, and long-term success.

What Does “X” Mean?

The “X” refers to the number of implants used (typically 4, 5, or 6), depending on:
  • Bone quality and volume
  • Arch anatomy
  • Functional load requirements

Indications for All-on-X

  • Completely edentulous patients (no teeth)
  • Patients with failing dentition requiring full extraction
  • Severe periodontal disease
  • Advanced decay or structural breakdown
  • Patients seeking fixed alternatives to removable dentures

Types of All-on-X Prosthesis

Temporary Prosthesis

  • Acrylic-based fixed bridge
  • Used during healing phase

Final Prosthesis Options

  • Monolithic zirconia (high strength, aesthetic)
  • Zirconia with layered ceramics
  • Hybrid prosthesis (titanium framework with acrylic/composite)

Step-by-Step Clinical Protocol

Step 1

Diagnosis & Digital Planning

1. CBCT imaging for 3D bone assessment

2. Digital smile design and prosthetic planning

3. Determination of implant number and angulation

Step 2

Surgical Phase (Implant Placement)

1. Extraction of failing teeth (if present)

2. Strategic implant placement:

Anterior implants placed axially & Posterior implants angled to maximize bone engagement

3. Primary stability achieved for immediate loading

Step 3

Immediate Loading 

1. Fixed provisional bridge placed within 24 hours

2. Allows patient to leave with functional teeth immediately

Step 4

Healing & Osseointegration

1. 3–6 months for complete integration

2. Soft tissue maturation and contouring

Step 5

Final Prosthesis Delivery

1. High-strength, aesthetic definitive bridge (zirconia or hybrid prosthesis)

2. Occlusal calibration for long-term function

Alternatives to All-on-X

Traditional removable dentures

Lower cost but reduced stability and function

Implant-supported overdentures

Removable but more stable than conventional dentures

Individual implants for each missing tooth

Often not feasible in full-arch cases due to bone limitations

Meet our Doctors

Dr. Rami Albahri

Procedure Duration

  • Surgical Phase : 2–4 hours per arch
  • Immediate Prosthesis : Temporary fixed teeth delivered same day or within 24 hours
  • Final Prosthesis : Delivered after 3–6 months of healing and osseointegration

Is Anesthesia Required?

Yes.

  • Local anesthesia is standard
  • IV sedation is strongly recommended for comfort during full-arch procedures

Advantages of All-on-X

  • Immediate teeth (same-day transformation
  • Fixed, non-removable solution
  • Avoids extensive bone grafting in many cases
  • Restores facial structure and support
  • Improved chewing efficiency and speech
  • High patient satisfaction and quality of life

Disadvantages

  • Higher initial investment
  • Surgical complexity
  • Requires strict maintenance and hygiene
  • Potential complications if improperly planned (implant overload, prosthetic fracture)
  • Temporary prosthesis limitations during healing phase

Clinical Protocol Standards at Al Bahri Dental

Surgical Principles

  • Prosthetically driven implant placement
  • Maximizing anterior bone engagement
  • Use of angled implants to avoid anatomical structures
  • Achieving high primary stability for immediate loading

Prosthodontic Principles

  • Passive fit of prosthesis
  • Controlled occlusion to prevent overload
  • Proper vertical dimension and smile design
  • Long-term material selection based on biomechanics

Post-Operative Care

  • Soft diet during initial healing phase
  • Strict oral hygiene protocol
  • Regular follow-ups and maintenance visits
  • Night guard recommended in parafunctional patients

Longevity & Success Rate

  • Implant success rates: >95%
  • Prosthesis longevity:
  • Temporary: 3–6 months
  • Final: 10–15+ years with proper maintenance
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Why Choose Al Bahri Dental for All-on-X?

Premium patient experience in Abu Dhabi

Harvard-trained, double board-certified prosthodontist leadership

Expertise in complex full-mouth and implant rehabilitation

Fully digital planning and guided surgical workflows

Integration of surgical precision with prosthetic excellence

Focus on long-term function, aesthetics, and biomechanics

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