All-on-4 Dental Implants in Los Banos, CA
 South Valley Oral and Facial Surgery provides All-on-4 dental implants in Los Banos, CA, including same-day temporary teeth for qualifying patients.
All-on-4 replaces a full upper or lower arch of missing or failing teeth with four strategically placed implants and a fixed prosthesis that does not come out at night. For patients in Merced, Turlock, Gustine, and Hollister who would otherwise drive to the Bay Area for full-arch implant care, our office handles every step locally.
Our office offers many types of dental implants, including single implants, implant bridges, and zygomatic implants for cases with severe bone loss. More on the All-on-4 treatment concept for protocol details; this page focuses on what to expect at the Los Banos office.
If you have been told you are not a candidate for traditional implants because of bone loss, All-on-4 is often a better fit. The protocol uses the densest available bone and angles the back two implants to avoid the maxillary sinus and the inferior alveolar nerve, which means many patients can avoid bone grafting entirely.
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Understanding All-on-4 Dental Implants
 All-on-4 is a full-arch implant protocol that supports an entire upper or lower set of teeth on just four implants. The two front implants are placed vertically; the two back implants are tilted (angled) to engage the densest bone available and avoid the sinus cavity and the lower jaw's main nerve. Once placed, a fixed temporary bridge is often attached the same day, and you leave the office with teeth.
The temporary bridge stays in place for several months while the implants integrate with the bone. After that integration period (typically four to six months), we attach the final fixed bridge, which is custom-made and significantly thinner and lighter than the temporary.
How All-on-4 Differs from Other Implant Options
Compared to traditional implants where each missing tooth gets its own implant, All-on-4 uses fewer implants for the same arch coverage. That keeps the cost lower than implant-per-tooth approaches and often avoids the need for bone grafting. Compared to conventional dentures, the implants are fixed in your mouth and do not need to be removed at night, which means stable chewing, no slipping, and no adhesive.
If you have severe bone loss in the upper jaw and even angled implants cannot find enough bone, zygomatic implants can anchor the prosthesis in the cheekbone instead. We use this option when conventional All-on-4 is not feasible.
Are You a Candidate for All-on-4?
Good candidates have either lost most of their teeth or have remaining teeth that are failing and need extraction. The protocol works for patients who would otherwise need a denture, including those who have already worn dentures and want a more stable solution. Candidacy depends on a few specific factors:
- Available bone volume – we use a CBCT scan at the consultation to measure exactly what is there
- Overall medical health – certain conditions affect healing and may need to be managed first
- Gum and oral hygiene status – active gum disease must be controlled before placement
- Smoking status – smoking slows healing and lowers implant success rates; stopping before and after surgery is important
- Bite forces and grinding habits – severe bruxism is manageable but affects the prosthesis design
The candidacy evaluation is the most important visit of the entire process. More on candidacy for All-on-4.
Your All-on-4 Surgical Team in Los Banos
Dr. Arian Chehrehsa (DDS, ABOMS) is dual board-certified in both oral and maxillofacial surgery and anesthesiology, with particular focus on full-arch implant surgery, including All-on-4 and zygomatic implants. He leads regional study clubs on full-arch implant techniques and is one of the surgeons handling these cases at our Los Banos office. He attended Leland High School and Santa Clara University, completed dental school at NYU, and finished his residency at Montefiore Medical Center in New York. More on his clinical training.
Dr. Joseph McMurray (DMD, MBA, FACOMS) has practiced oral and maxillofacial surgery for more than three decades and founded the practice in 1997. He served 11 years with the U.S. Navy as fleet oral surgeon aboard the USS Nimitz and as clinical department head at U.S. Naval Hospital in Naples, Italy. His full bio covers his credentialing and training.
Full-arch implant work is a different specialty from routine implant placement. The surgical planning involves CBCT-guided implant angulation, anesthesia management for a multi-hour procedure, and same-day prosthesis coordination. Our two-surgeon team handles all of that in-house at the Los Banos office.
What to Expect During Your All-on-4 Treatment
All-on-4 typically takes place over four to six months from consultation to final prosthesis. The day of surgery itself is the most intensive part, but the healing period in between is what determines the long-term result.
Step 1: Consultation and Treatment Planning
At the first visit we take a CBCT (3D scan) of your jaws, review your medical history, and discuss your goals. The scan tells us exactly how much bone is available and at what angle each implant should sit. If extractions are needed, we plan those into the surgical day. We also take impressions of any existing teeth or dentures so the lab can fabricate the temporary bridge in advance.
Step 2: Surgery Day and Immediate Temporary
We perform the surgery under general anesthesia and sedation; the appointment typically takes three to five hours. Our anesthesiology board-certified surgeon manages both your sedation and your surgery, which keeps everything coordinated under one provider. We remove any failing teeth, place the four implants at the planned angles, and secure the pre-made temporary bridge to the implants. You leave with teeth the same day. This same-day capability is what is sometimes called teeth in a day.
Step 3: Healing and Integration
For the next four to six months the implants integrate with your jawbone (osseointegration). During this period you eat softer foods and follow specific hygiene instructions. We schedule periodic check-ins to confirm the implants are healing properly and the temporary is functioning well. Most patients return to a normal diet gradually as healing progresses.
Step 4: Final Prosthesis
Once integration is complete, we take final impressions and the lab fabricates your permanent prosthesis. The final bridge is thinner, lighter, and more refined than the temporary, with porcelain or zirconia teeth designed to match your facial features. We attach the final bridge and verify the bite at one or more fitting appointments.
Benefits of Choosing All-on-4
All-on-4 offers a few advantages that separate it from both conventional dentures and individual implant restoration. Each benefit applies more strongly to some patients than others, which is part of why the candidacy evaluation matters.
Same-day teeth. For most candidates, we attach a fixed temporary bridge to the four implants on the day of surgery. That means you do not leave with gaps or a removable denture during the months of healing. The temporary is functional, not just cosmetic.
Often avoids bone grafting. The angled placement of the back implants engages the densest available bone, which means many patients who would not qualify for traditional implants because of bone loss can still proceed with All-on-4. At your Los Banos consultation we review the CBCT scan to confirm whether bone grafting will be needed.
Fixed in your mouth, not removable. Unlike a conventional or implant-anchored removable denture, the All-on-4 prosthesis stays in. You do not take it out at night, you do not need adhesives, and you do not have it slipping during meals. You clean with a water flosser and special brushes rather than removing the prosthesis.
Lower cost than implant-per-tooth. Replacing every missing tooth in an arch with its own implant means twelve to fourteen implants per arch. All-on-4 uses four. For full-arch patients, that brings the total well below the cost of individual implants while delivering a fixed, fully functional result.
Long-term stability when maintained. When implants integrate successfully and patients keep up with reasonable home hygiene, the implants themselves typically last decades. At our Los Banos office we see patients back for annual check-ups to confirm long-term success and refurbish the prosthesis as needed.
Why Central Valley Patients Choose Our Los Banos Office for All-on-4
 Full-arch implant surgery in the Central Valley is uncommon. Patients have historically traveled to the Bay Area for All-on-4, which meant an hour-and-a-half or longer drive each way for the consultation, the surgical day, every follow-up during the integration period, and the final prosthesis fittings. That can easily add up to a dozen round trips. Our Los Banos office removes that drive.
The two-surgeon team handles every part of an All-on-4 case in-house. Our anesthesiology board-certified surgeon has particular expertise in full-arch cases, which means both the surgical planning and the multi-hour anesthesia happen with the same surgeon you met at the consultation. The practice also accepts Medicare for qualifying patients, which can matter for those covered through Medicare-affiliated supplemental plans.
For Central Valley patients comparing options, the choice is often between driving to a Bay Area specialist multiple times across six months or completing the entire treatment in Los Banos. Patients come to our office from Merced, Turlock, Gustine, and Hollister for exactly this reason.
All-on-4 Cost and Financing
Cost is a big decision with All-on-4 because the total reflects a complete arch replacement, not a single procedure. The actual fee depends on several specific factors: whether you need extractions, whether one or both arches are being treated, whether bone grafting is needed, which sedation level you choose, and the material used for the final prosthesis (acrylic, zirconia, or porcelain). We give you a written treatment plan with the actual fees at the consultation, after we have reviewed your CBCT and discussed your goals.
Most dental insurance plans do not cover the full cost of All-on-4, but many cover a portion, particularly for extractions, sedation, and sometimes individual implants depending on the plan. Medical insurance occasionally covers parts of the surgical procedure as well. We verify your benefits before treatment and give you a written estimate of what you can expect to pay out of pocket. More on our insurance and financing options, including which plans we accept.
For patients who need to spread out the cost, we offer dental implant financing through third-party partners that allow monthly payments over multiple years. More on what affects All-on-4 pricing if you want to read up before your visit.
Schedule Your All-on-4 Consultation in Los Banos
The first step is a consultation with one of our surgeons at the Los Banos office. We take a CBCT scan, walk through the imaging with you, and explain whether All-on-4 fits your situation. Most patients can begin treatment within a few weeks of the consultation.
Call our Los Banos office at 209-270-5361 to set up your consultation. You can also request an appointment online. We're at 1024 9th Street in Los Banos, CA. More on our Los Banos office, including hours, directions, and the surrounding areas we serve.
Frequently Asked Questions
Will I really leave with teeth the same day as surgery?
Yes, for most candidates. We attach the fixed temporary bridge to the four implants at the end of the surgical appointment, and you leave the office with teeth rather than gaps. A small percentage of cases require a delayed prosthesis if initial implant stability is not adequate, and we tell you immediately at the time of surgery if that applies.
How long does All-on-4 last?
The implants themselves typically last decades when integrated successfully and maintained with reasonable home hygiene. The temporary bridge is replaced with a final prosthesis after four to six months of healing. The final prosthesis may need refurbishment or replacement over 10 to 20 years depending on materials and wear, but the underlying implants are designed for long-term use.
Does the All-on-4 procedure hurt?
During the procedure itself you are sedated and do not feel anything. We use general anesthesia or deep IV sedation depending on your medical history and preference. After surgery, expect swelling, bruising, and soreness for about a week. Most patients manage this with prescribed pain medication and find it comparable to a multi-tooth extraction. We adjust the pain management plan if it is not improving on schedule.
Can I get All-on-4 if I already have significant bone loss?
Often yes. The angled back implants in the All-on-4 protocol engage the densest available bone and avoid the sinus and nerve, which means many patients with moderate to severe bone loss can avoid bone grafting. For extreme upper-jaw bone loss where even angled implants cannot find enough bone, zygomatic implants can anchor the prosthesis in the cheekbone instead. The CBCT scan at your consultation tells us which approach fits your case.
How much does All-on-4 cost?
There is no single price for All-on-4 because the total depends on extractions, single vs. dual arch, sedation level, and final prosthesis material. As a rough comparison, a single-arch All-on-4 typically costs less than placing twelve to fourteen individual implants in the same arch but more than a high-quality denture. We give you the actual fee in writing at your consultation. We cover the cost factors in detail on All-on-4 pricing.
Does dental insurance cover All-on-4?
Most dental insurance plans do not cover the full cost of All-on-4, but many cover a portion of specific components: extractions, sedation, and sometimes individual implants up to a plan maximum. Medical insurance occasionally covers parts of the surgical procedure when there is medical necessity. Medicare may apply to qualifying patients for certain elements. We verify all of your coverage options before treatment and give you a written estimate of out-of-pocket costs.
Why choose All-on-4 over traditional dentures?
The biggest difference is that All-on-4 stays fixed in your mouth. You do not take it out at night, you do not need adhesives, and you do not have it slipping when you eat. Bone loss also slows down with implants because the implants stimulate the jawbone the way natural tooth roots would. With conventional dentures, the jawbone continues to shrink over the years, which is why long-term denture wearers often see facial profile changes.
Why choose All-on-4 over individual implants for each tooth?
Cost and bone availability are the two main reasons. Replacing twelve to fourteen teeth in an arch with one implant each requires substantial bone everywhere across the arch, and many full-arch patients do not have that. All-on-4 places fewer implants in the locations with the best bone, which means fewer surgical sites, lower total cost, and a faster treatment timeline. Individual implants make more sense when most of your teeth are still healthy and you have a few specific gaps to fill.
What happens if an implant fails after All-on-4 placement?
Implant failure is uncommon (under 5% in published data) but does occur, particularly in smokers and patients with uncontrolled diabetes. If an implant fails during the integration period, we typically remove it, allow the site to heal, and place a replacement implant. More on failed dental implant repair. The All-on-4 design has built-in redundancy because multiple implants support the prosthesis, which buys time to address a single failure without losing the entire restoration.
How long is the recovery after All-on-4 surgery?
The first week is the most intensive: expect swelling, bruising, and soft-food restrictions. Most patients return to non-physical work within five to seven days. Swelling typically peaks at 48 to 72 hours and resolves over two weeks. The temporary bridge stays in place during the four-to-six-month integration period; during that time you gradually return to a wider range of foods while still avoiding hard, chewy items. We see you for periodic check-ins to confirm healing is on track. |
