How Do I Know If I Need All-on-4 Dental Implants in Delray Beach?

All-on-4 is a permanent restorative procedure. Unlike removable dentures, you won't have to take your prosthesis out to clean or rinse it in water. With All-on-4 dental implants in Delray Beach, you will get a permanent set of new teeth that you will clean and brush as if they were your natural teeth. You will be able to perform the basic functions of your mouth such as talk, bite, chew and smile without the fear of unexpected accidents.

How Are All-On-4 Dental Implants Different from Removable Dentures?

All-On-4 dental implants are permanently fixed to your jaw through titanium implants that integrate with your bone, providing stability that removable dentures cannot match. Unlike dentures that sit on your gums and may slip or require adhesives, All-On-4 implants function like natural teeth, allowing you to eat, speak, and smile with complete confidence. Additionally, implants help preserve your jawbone and prevent the bone loss that typically occurs with dentures.

Will My Dental Insurance Cover the Cost of All-On-4?

Coverage for All-On-4 dental implants varies by insurance provider and plan. Ocean Breeze is a fee-for-service practice and can help you submit claims to your insurance for potential out-of-network reimbursement. For patients paying out of pocket, flexible financing options through CareCredit, Cherry, and Alphaeon Credit are available to make treatment more affordable.

How Long Will the All-On-4 Procedure Take?

The surgical placement of All-On-4 implants typically takes 2-3 hours per arch, and you'll leave with temporary teeth the same day. The complete process from initial consultation to final restoration usually spans 3-6 months, allowing time for the implants to fully integrate with your jawbone before your permanent teeth are attached.

Will My Teeth Look Natural?

Yes, your All-On-4 restoration is custom-designed to complement your facial features and match natural tooth appearance. The final prosthesis is crafted with attention to color, shape, and size to create a beautiful, natural-looking smile that suits your individual preferences.

All-on-4 Dental Implants Delray Beach

Replace a full arch of missing or failing teeth with a fixed, permanent solution. All-on-4 dental implants in Delray Beach at Ocean Breeze Prosthodontics are planned and placed by Dr. Nicholas Goetz — a fellowship-trained maxillofacial prosthodontist with specialized training in implant-supported full arch restoration and one of approximately 150 of his specialty in the United States.

A Complete Arch Replacement — Without the Drawbacks of Dentures

Losing a full arch of teeth affects how you eat, speak, and feel daily. All-on-4 uses four titanium implants — rear two angled for maximum bone contact — to anchor a fixed prosthetic directly to the jaw. Most patients qualify without bone grafting.

What Are All-on-4 Dental Implants?

All-on-4 uses four strategically angled titanium implants to support an entire arch of replacement teeth.

All-on-4 Treatment Options We Offer

Every All-on-4 case is customized based on your bone structure, bite, and restoration goals. Dr. Goetz evaluates the full picture before recommending the right approach.

All-on-4 (Full Arch, 4 Implants)

The standard All-on-4 protocol uses four implants per arch — two straight in the front and two angled in the back. This distribution maximizes available bone and allows for immediate loading of a provisional prosthetic the same day as surgery in most cases. The final permanent prosthetic is placed after osseointegration.

All-on-6 (Enhanced Stability)

For patients with good bone volume or those requiring a more complex restoration, All-on-6 uses six implants per arch to distribute load further. This option is appropriate when additional stability is needed or when the prosthetic design benefits from more anchor points.

Implant-Supported Overdentures

For patients who prefer a removable option while still gaining implant stability, overdentures snap onto implants placed in the jaw. Unlike traditional dentures, they don’t rest on the gums — the implants hold them in place and help prevent bone resorption over time.

Immediate Load vs. Staged Protocols

Immediate load protocols allow a temporary prosthetic to be placed the same day as implant surgery. Staged protocols involve a healing period of 3–6 months before the final restoration is attached. Dr. Goetz determines the appropriate protocol based on bone density, implant stability, and your overall health.

Meet Dr. Nicholas Goetz

All-on-4 full arch restoration requires surgical precision and advanced prosthetic expertise. Dr. Nicholas Goetz holds a DMD and MS from the University of Florida, completed his Prosthodontic Residency at UF, and completed a Maxillofacial Prosthodontics Fellowship at UCLA — training focused on complex oral and facial reconstruction.

He is one of approximately 150 board-certified maxillofacial prosthodontists in the United States, with clinical experience from U.S. Army and VA Medical Hospital settings. For All-on-4 patients, that means every stage of treatment — from implant planning to final prosthetic design — is handled by a specialist trained to manage the most complex cases.

Maxillofacial Prosthodontics, UCLA
DMD, MS, and Prosthodontic Residency at the University of Florida
Civilian Maxillofacial Prosthodontist with the U.S. Army and VA Medical Hospital
Among a select group of 150 maxillofacial prosthodontists in the United States

Your All-on-4 Treatment, Step by Step

Consultation & CBCT Imaging

Dr. Goetz begins with a comprehensive evaluation including CBCT 3D imaging to assess bone volume, density, and anatomy. This determines whether you are a candidate for standard All-on-4, All-on-6, or whether preparatory procedures are needed. You’ll discuss your goals, timeline, and restoration preferences at this stage.

Implant Placement & Provisional Restoration

On surgery day, any remaining failing teeth are extracted and the four (or more) implants are placed. If bone and implant stability allow, a temporary full-arch prosthetic is attached the same day so you leave with functional teeth. You’ll be on a soft diet during the healing phase while osseointegration occurs.

Osseointegration & Healing

Osseointegration — the process by which titanium fuses with your jawbone — takes 3–6 months and cannot be rushed. During this phase you’ll wear the provisional prosthetic. Dr. Goetz monitors healing at follow-up visits to confirm the implants are integrating properly before moving to the final restoration.

Final Prosthetic Placement

Once osseointegration is confirmed, the temporary prosthetic is replaced with your final custom-fabricated restoration. The final prosthesis is designed by Dr. Goetz to match your bite, facial proportions, and esthetic goals — engineered for long-term durability and a natural appearance.

Dental and Prosthodontic Financing Available

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.

Smile Transformations

See the Results for Yourself

Our before and after gallery shows All-on-4 transformations — from failing teeth or dentures to a complete, fixed, natural-looking smile. Each case reflects Dr. Goetz’s commitment to precision planning and high-quality prosthetic fabrication.

FAQs

All-on-4 Dental Implants FAQs

How long will the implant post and crown last?

All-on-4 cost varies based on the number of arches being restored, bone condition, whether extractions are needed, and the type of final prosthetic. Dr. Goetz provides a detailed treatment estimate at your consultation. Financing options are available through third-party lenders to spread the cost over time.

How do I know if I am a candidate for dental implants?

With proper care, the titanium implant posts are designed to last a lifetime. The prosthetic arch typically lasts 15–20+ years before it may need refinishing or replacement due to normal wear. Regular cleanings and annual check-ups are essential to long-term success.

Are dental implants painful?

Good candidates have sufficient bone volume to support four implants, are in generally good health, and have realistic expectations. Patients who have lost significant bone may still qualify — the angled implant placement in All-on-4 often eliminates the need for bone grafting. A CBCT scan at your consultation will confirm candidacy.

What are the downsides of dental implants?

Implant surgery requires a healing period of 3–6 months for osseointegration and a larger upfront investment than bridges or dentures. However, All-on-4 is a permanent, long-term solution — most patients find the durability and quality of life improvement justify the investment compared to ongoing denture costs and adjustments.

Are dental implants covered by dental insurance?

Coverage varies by plan. Ocean Breeze is a fee-for-service practice and we file claims on your behalf so you can maximize any reimbursement your PPO allows. Many plans offer partial coverage for associated procedures like extractions. Financing options are available to bridge any remaining balance.

What Our Patients Say

Transform Your Smile, Transform Your Life

If you’re ready to reclaim your confidence and rediscover the freedom of a complete smile, we’re here for you. Get started by scheduling a consultation or calling our Delray Beach office today.