All-on-X is a full-arch tooth replacement that restores an entire upper or lower jaw with missing or failing teeth using four to six strategically placed dental implants. At our Barrie clinic, many patients receive a fixed set of teeth the same day their old teeth are removed. Unlike removable dentures, the new teeth are anchored to the implants, so there is no adhesive and nothing to take out at night. This guide explains how the treatment works, who qualifies, the technology behind it, the three levels of restoration we offer, what it costs, and the questions patients most often ask us.
Full-arch implant dentistry replaces every tooth on an arch, meaning the whole upper jaw, the whole lower jaw, or both, using a small number of dental implants rather than one implant for every missing tooth. The implants act like new tooth roots. Once they are placed, a fixed bridge of teeth is secured onto them so it stays firmly in position while you eat and speak.
This approach is designed for people who are missing most or all of their teeth on an arch, who are about to lose their remaining teeth to decay or gum disease, or who are tired of dentures that slip, click or feel uncomfortable. Because the final result is fixed in place, it feels and functions much more like natural teeth than a removable plate.
If you are still weighing single-tooth options against a full-arch solution, our overview of dental implants in Barrie explains how individual implants work and when they make sense.
You have probably seen the term All-on-4. It refers to a technique that restores a full arch using exactly four titanium implants, two placed vertically at the front of the jaw and two angled at the back to make the most of the available bone. It was a major advancement because it reduced the number of implants and surgeries needed, and it made fixed same-day teeth possible for many people.
All-on-X takes the same principle and makes it flexible. The X simply stands for a variable number. Some patients do very well with four implants, while others benefit from five or six, depending on their anatomy, bone quality and goals. Rather than forcing every patient into one formula, the treatment plan is customized to the individual, which is one of the biggest advantages of modern digital planning.
“Every patient is different. Some people need four implants; others benefit from five or six. Rather than forcing everyone into the same formula, we customize every treatment plan based on your anatomy, your bone and your goals.” — Dr. Robert Eisen, DDS, Barrie Smile Centre
For decades, replacing a full arch of missing teeth meant treating each gap almost like its own project. A patient might need eight to ten separate implants, one or more bone grafting procedures to build up areas where the jaw has shrunk, and several surgeries spread across many months before the final teeth are ready. It was excellent, dependable treatment, but it asked a great deal of the patient in terms of time, cost, and healing.
Full-arch techniques such as All-on-4 and All-on-X changed that balance. By placing fewer implants in the areas of strongest natural bone and angling the back implants to make the most of what is already there, the same solid foundation can usually be achieved with four to six implants instead of eight to ten. That single change ripples through the entire experience: less surgery, less reliance on grafting, a shorter overall timeline and, for many patients, fixed teeth on the same day. The comparison below shows how the two approaches differ across the factors patients care about most.
| Feature | Traditional Implants (per arch) | All-on-X / All-on-4 |
|---|---|---|
| Number of implants | 8 to 10 or one per tooth | 4 to 6 strategically placed |
| Bone grafting | Often required | Frequently avoided by angling implants |
| Temporary teeth | Placed after months of healing | Often placed the same day |
| Number of surgeries | Multiple in many cases | Usually, one surgical visit |
| Typical treatment time | Up to a year | Fixed teeth are possible in a single day |
| Removable | Sometimes removable | Fixed and non-removable |
The treatment follows a clear, planned sequence. Because so much is mapped out digitally in advance, the surgical day itself is more predictable and efficient. Here is the typical journey from the first visit to the final smile.
The process begins with a consultation and a set of digital scans. A CBCT scan produces a three-dimensional x-ray that shows the details of your jawbone, while an intraoral scanner, such as the iTero, captures a three-dimensional model of your mouth without messy impressions. Together, they give a complete picture of what is possible.
Using those scans, the entire case is planned on screen before any surgery takes place. The position of each implant is mapped against your bone, and your new smile is designed in advance. This is where the number of implants, four, five or six, is decided for your specific case.
On the day of surgery, any hopeless teeth are removed, and the implants are placed in the planned positions. The two posterior implants are typically angled up to 45 degrees to maximize contact with existing bone and to avoid structures such as sinuses or nerves. If the implants are stable enough, a fixed temporary set of teeth is attached the same day. IV sedation is available to keep you comfortable throughout.
For a deeper look at each surgical stage, see our detailed walkthrough of the All-on-4 dental implant procedure steps .
Over the following months, the implants fuse to the bone in a natural process called osseointegration, which usually takes three to six months. Once healing is complete, the temporary teeth are replaced with your final, custom restoration, designed for strength, appearance and long-term function.
What makes reliable same-day teeth possible today is a fully digital workflow. In the past, replacing an arch often meant eight to ten implants, bone grafting, long healing times and multiple surgeries. It was excellent treatment, but it was very involved. Modern digital tools have changed that.
The result is less time in the chair, more precision, and often better overall value. This same investment in digital dentistry is reflected across the clinic, and you can read more about it on our technology overview.
“Using digital scans, CBCT imaging, computer-guided planning and our in-house 3D printers, we are able to plan your smile before we ever begin treatment. That means more precision, more efficiency, shorter appointments and often lower overall costs.” — Dr. Robert Eisen, DDS, Barrie Smile Centre
This treatment is designed for adults dealing with significant tooth loss or failing teeth. You may be a strong candidate if you recognize yourself in any of the following situations.
Candidacy always depends on a proper clinical and radiographic assessment. Factors such as general health, smoking and bone quality are reviewed during the consultation. This amazing procedure can be performed safely on most patients of many ages, but the only way to know for certain is a personal evaluation.
Every patient has different goals and different budgets. That is why the treatment is offered at three levels. Every patient receives the same careful planning and surgical expertise. The difference comes primarily from the restorative materials and long-term options, not from the quality of care.
| Treatment level | Starting price per arch | What it includes |
|---|---|---|
| Essential | From $19,995 (from $400 per month*) | Digital planning, comprehensive exam, CBCT, in-house printed provisional, PMMA hybrid restoration |
| Core (most popular) | From $24,995 (from $465 per month*) | Everything in Essential, plus a titanium-reinforced restoration, greater durability, same-day provisional and a digital try-in |
| Premium | From $29,995 (from $594 per month*) | Full zirconia ceramic restoration for the highest aesthetics and maximum longevity |
Many patients are surprised at how manageable treatment can be. Because a full arch is restored with a planned number of implants rather than one implant per tooth, the approach is often more cost-effective than replacing every tooth individually. Flexible payment options mean monthly payments can start around $400 per month on approved credit, and the initial consultation is always free, a $100 value.
When you compare options, it helps to think in terms of long-term value. Our All-on-4 dental implants in Barrie page outlines the flexible financing available and how to book a free, no-obligation consultation.
Full-arch immediate loading is a well-documented and predictable technique. A systematic review of the All-on-4 treatment concept reported an implant survival rate exceeding 99 percent over a follow-up period of more than 24 months , confirming the approach's predictability when properly planned and executed.
A separate systematic review of osseointegrated implants placed with immediate loading, which followed more than 5,000 implants for an average of about six years, found a mean implant survival rate of 97.4 percent. These independent findings support what we see in practice: that carefully planned full-arch implants are a dependable long-term solution.
As with natural teeth, long-term success depends heavily on good hygiene and regular professional maintenance. Brushing twice daily, cleaning beneath the prosthesis and keeping regular cleaning appointments all help protect your investment for years to come.
Full-arch implant treatment is a significant decision, and the team's experience matters. Our dental surgeons have been performing Teeth in a Day and All-on-4 procedures since 2004, and more than 100 patients have completed these treatments with us. Cases are led by Dr. Rob Eisen and Dr. Amir Guorgui, who each handle several full-arch reconstructions every year.
Because the surgical phase can involve extractions and implant placement, it is reassuring to know these are handled by the same team. You can learn more about our dental surgery in Barrie on our page.
Missing or failing teeth affect far more than appearance. They influence what you can eat, how you speak and how confident you feel every single day. All-on-X full-arch implants offer a fixed, natural-feeling solution that can often be delivered in a single day, planned from start to finish with modern digital technology. For many patients, the hardest part is simply deciding to start. If you have been thinking about this for years, there is no need to wait another five. Come in, ask questions and learn your options with no obligation.
Most patients report far less discomfort than they expected. The procedure is performed under local anesthesia, and IV sedation is available so you remain comfortable throughout. Mild soreness during healing is normal and usually manageable.
Age itself is rarely the deciding factor. This procedure can be performed safely on most patients of many ages. What matters most is your overall health and bone quality, both of which are assessed during your consultation.
The surgical placement and fitting of temporary teeth can often be completed in a single day. Full healing, when the implants fuse to the bone, typically takes three to six months, after which your final restoration is fitted.
Moderate bone loss is common and often manageable. By angling the back implants into areas of denser bone, the technique frequently avoids the need for extensive bone grafting. Your CBCT scan shows exactly how much bone is available and guides the plan.
With good care and regular maintenance, dental implants can last many years, and in many cases, a lifetime. The visible restoration may need repair or replacement over time due to normal wear, much like any well-used set of teeth.
Yes. Flexible payment options are available, with monthly payments starting at around $400 on approved credit. A personalized quote and financing details are discussed at your free consultation.
A soft food diet is recommended during the initial healing period. Once healing is complete and your final teeth are in place, most patients can enjoy the foods they had been avoiding, including firmer favourites.
Dentures rest on the gums and can move, click or require adhesive. All-on-X teeth are anchored to implants, so they are fixed in place, do not need to be removed at night and feel much closer to natural teeth.
Yes. Many patients choose to restore both arches. Whether this is done together or in stages depends on your clinical situation and preferences, which are reviewed during planning.
The Barrie Smile Centre is the best dental office I've ever been to. The staff is very friendly,professional and knowledgeable. They take away any anxiety and fear of going for a procedure. I highly recommend them!
Very clean, professional and friendly! They have done lots of work for me including 2 implants. I highly recommend them!
Very clean, professional and helpful. 2 other dentists previously tried to fix my composite veneer and both times it look awful and/or was the wrong colour. One trip here and everything was fixed!
Very friendly, helpful staff. Makes you feel welcome as soon as you enter. I needed a tooth removed and got in the same day I called. When I arrived I didn’t have to wait. I have numerous problem with my teeth and they came up with a solution. Thank you all so much.
Just got home from the Smile Centre and I'm thrilled with my results. Had Zoom whitening, and it was better than I expected. The attendant took the time to explain everything super thoroughly. She warned I may have sensitivity but so far so good. I wish I did it ages ago.
The first thing I noticed upon entering the building was the beautiful design plan and lovely staff. I was greeted at the door and made comfortable throughout my entire experience. Everything was explained to me in detail and the staff always made sure I fully understood. This is an amazing office and I would 10/10 recommend it!!
Amazing fast clean attentive friendly ! Im sold! Thankkk youuuuu guys !!!!!!! Had a wisdom.tooth taken out under sedation! All.went perfect and you guys were awesomee!
Every time I go to the Smile Centre in Barrie it’s an amazing experience! Everyone from the admin staff to the dentists are so helpful. Not only do they tell you your options (in my case options for a missing tooth), but they also explain the pros and cons of every option. I highly recommend the Smile Centre
Barrie Smile Centre is truly amazing I called and had an issue with with some tooth pain they were able to fit me in same day which I was truly grateful for. All the staff are kind and professional they truly care about there patients. Big thank you to Dr.Eisen for being so kind and helping me in this situation. I highly recommend Barrie Smile Centre 😃 Thanks again
Great family dentist, has always been on time for appointments. Doing a great job during these times with cleanliness as well! Very professional staff!