Replace an entire arch of failing or missing teeth with a fixed, implant-supported restoration — no removable dentures, no adhesives. Dr. Nicholas Goetz, a fellowship-trained maxillofacial prosthodontist, plans and delivers full arch implant treatment using CBCT imaging and 3D surgical guides at our Delray Beach practice.
Full arch implant treatment replaces all teeth in an upper or lower arch — or both — with a fixed, implant-supported bridge that functions and feels like natural teeth. Unlike removable dentures, full arch implants are anchored permanently to the jaw, eliminating slippage, adhesives, and the bone loss that accelerates with removable prostheses over time.
At Ocean Breeze Prosthodontics in Delray Beach, full arch treatment is planned and delivered by Dr. Nicholas Goetz — a fellowship-trained maxillofacial prosthodontist with specialized expertise in complex implant reconstruction. Using CBCT imaging and 3D surgical guides, Dr. Goetz positions implants with precision that minimizes surgical trauma and maximizes the likelihood of long-term success. The final restoration is custom-crafted to match your facial structure, bite, and esthetic goals.
Every full arch case is different. The number of implants, restoration material, and whether bone grafting is needed all affect the treatment plan. Dr. Goetz evaluates each case with CBCT imaging and presents the options that give you the best long-term outcome for your anatomy and goals.
| Option | Implants Used | Removable? | Best For |
|---|---|---|---|
| All-on-4 | 4 per arch | No — fixed | Most patients with adequate bone |
| All-on-6 / All-on-X | 5–8 per arch | No — fixed | Greater stability, more implant sites |
| Implant-Supported Overdenture | 2–4 per arch | Yes — removable | Budget-conscious, significant bone loss |
| Full Fixed Bridge on Implants | 6–8+ per arch | No — fixed | Maximum stability, premium result |
Each treatment is custom-planned based on your bone volume, anatomy, and restoration goals — no two full arch cases are the same.
All-on-4 uses four strategically angled implants per arch to support a complete fixed bridge — typically avoiding the need for bone grafting even in patients with some bone loss. Two implants are placed vertically at the front of the jaw; two are angled posteriorly to maximize contact with available bone. This approach allows a full arch restoration to be delivered efficiently and predictably.
For patients where additional implants provide greater stability — due to bone quality, arch shape, or higher bite forces — Dr. Goetz may recommend placing 5, 6, or more implants per arch. More implant support distributes load more evenly across the jaw and can increase the long-term durability of the restoration, particularly for patients who grind their teeth or have demanding functional requirements.
For patients where a fully fixed bridge is not appropriate — due to significant bone loss, medical considerations, or budget — an implant-supported overdenture provides substantially better stability than a conventional removable denture while anchoring to 2–4 implants. The denture snaps onto the implants and can be removed for cleaning, but stays firmly in place during eating and speaking.
Many full arch candidates have experienced significant bone loss over time. Where bone volume is insufficient for direct implant placement, bone grafting rebuilds the foundation needed for long-term implant success. Dr. Goetz evaluates bone volume via CBCT imaging and determines whether grafting is needed before implant placement — and plans the entire treatment sequence accordingly.
Full arch implant reconstruction is among the most technically demanding procedures in dentistry. Dr. Nicholas Goetz brings a UCLA Maxillofacial Prosthodontics Fellowship and extensive experience with complex reconstruction — including civilian work with the U.S. Army and VA Medical Hospital — to every full arch case at our Delray Beach practice.
Every case begins with a CBCT scan and a comprehensive evaluation of your bone, bite, gum tissue, and facial structure. Dr. Goetz designs the final restoration first — working backward to determine optimal implant positions — so the end result looks and functions exactly as planned. 3D surgical guides are fabricated for precise implant placement. You always know the full plan before any surgery begins.
Dr. Goetz is one of approximately 150 maxillofacial prosthodontists in the United States — the most qualified specialist available for full arch implant reconstruction. For patients in Palm Beach County who have delayed this treatment due to fear, complexity, or prior failed treatment, Ocean Breeze is equipped to handle even the most challenging cases.
Dr. Goetz serves full arch implant patients throughout Delray Beach, Boca Raton, Boynton Beach, and the greater Palm Beach County area.
3D cone beam scan maps your bone volume, nerve location, and sinus anatomy. Dr. Goetz designs the final restoration first, then determines exact implant positions. The full plan is reviewed with you before any procedure begins.
Implants are placed under local anesthesia using 3D surgical guides for precision. A temporary provisional restoration may be attached the same day. Healing and osseointegration take 3-6 months before the permanent restoration is placed.
The implant posts fuse with the jawbone over 3-6 months — this biological bond is what makes the restoration permanent and bone-preserving. During healing, the provisional restoration lets you eat and function normally.
The permanent full arch bridge is custom-fabricated, placed, bite-verified, and adjusted until function and esthetics are exactly right. Dr. Goetz does not rush final delivery — this is the result you’ll live with for decades.
We believe financial concerns shouldn’t keep you from treatment that can change your daily life. Ocean Breeze Prosthodontics offers flexible financing options so the path to a complete smile feels manageable from the very first visit.
While we are not in-network with insurance companies, we’ll still help you get the most out of your plan. We file claims on your behalf and assist you in securing any reimbursement your PPO plan allows.
Our gallery features full arch implant cases — fixed bridges, All-on-4 restorations, and comprehensive reconstructions that restored both function and natural-looking esthetics. View our smile gallery to see the outcomes.
Full arch implant treatment typically costs $20,000–$50,000+ per arch depending on the number of implants, restoration material, whether bone grafting is needed, and the complexity of your case. All-on-4 with a fixed bridge runs approximately $25,000–$35,000 per arch. We provide a transparent cost breakdown at consultation and offer flexible financing options. Insurance rarely covers implants but may cover some components.
Total treatment typically spans 6–12 months. The surgical phase takes 1–2 appointments. Osseointegration requires 3–6 months. The final restoration is delivered after healing is confirmed. For patients requiring bone grafting, additional healing time is factored in before implant placement.
Most adults with sufficient bone or who can undergo bone grafting are candidates. Key factors include overall health, absence of uncontrolled diabetes or active smoking (which impairs healing), and adequate bone volume or willingness to undergo grafting. Dr. Goetz evaluates candidacy via CBCT scan and medical history review at your consultation.
Teeth-in-a-day refers to receiving a provisional (temporary) restoration on the day of implant surgery. Not all cases qualify — bone quality, implant stability, and the number of implants placed must meet specific thresholds. Dr. Goetz evaluates this at the planning stage and will tell you honestly whether same-day temporization is appropriate for your case or whether a staged approach is safer.
Dental insurance rarely covers implants, though some plans offer partial coverage for the restoration component. Medical insurance may cover implants in cases involving trauma or certain medical conditions. We file claims on your behalf and offer flexible financing options including CareCredit and Alphaeon. A full cost breakdown and financing review is part of every treatment consultation.
If you’re ready to replace failing or missing teeth with a permanent fixed solution, schedule a consultation at our Delray Beach office. Dr. Goetz will review your CBCT scan, walk you through every option, and build a treatment plan designed for your anatomy, your goals, and your long-term success.
**Requested time is not final until you receive confirmation from our office. Please do not submit any Protected Health Information (PHI).
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