Medically Reviewed by Dr. David Peto on September 9, 2026
All-on-X implants can be a permanent solution to loose dentures because the replacement teeth anchor directly to the jawbone through a small number of implants, rather than resting on the gums the way a removable denture does. That difference eliminates the slipping, shifting, and daily removal that make traditional dentures frustrating for so many patients, while also helping preserve jawbone that dentures alone cannot maintain.
At Advanced Periodontics of N.J., we place All-on-X implants for patients dealing with loose or uncomfortable dentures, guiding each patient through candidacy evaluation, treatment planning, and long-term maintenance so the transition to a fixed, implant-supported solution is as predictable as possible.
Why Traditional Dentures Loosen Over Time
Traditional dentures rest on the gum ridge and rely on suction and adhesive to stay in place. Because they do not stimulate the underlying jawbone the way natural tooth roots do, the bone beneath a denture gradually resorbs over time. As that bone shrinks, the denture no longer fits the way it did when it was first made, which is why so many long-term denture wearers describe increasing looseness, discomfort, and difficulty chewing certain foods even when the denture itself has not changed.
How All-on-X Implants Solve the Stability Problem
The All-on-X system anchors a full arch of prosthetic teeth to a small number of strategically placed implants, typically four to six per arch, rather than resting on the gum tissue. Because the implants integrate directly with the jawbone, the replacement teeth stay fixed in place, restoring a biting force much closer to natural teeth and eliminating the slipping associated with removable dentures. The implants also continue to stimulate the jawbone the way natural roots do, which helps preserve bone volume and facial structure over the long term.
What the Research Shows About Long-Term Success
Full-arch implant treatment has a substantial long-term track record. A longitudinal study following patients for three to seventeen years found cumulative implant survival rates ranging from roughly 94 to 99 percent depending on jaw location, according to research published on PubMed Central. Outcomes can vary based on bone quality, oral hygiene, and habits such as smoking, which is why a thorough evaluation before treatment plays such an important role in long-term success.
What the All-on-X Treatment Process Involves
Getting All-on-X implants generally follows a defined sequence, though the exact timeline varies by patient:
- Initial consultation and imaging: 3D imaging assesses jawbone density and structure to plan implant placement.
- Preparatory procedures if needed: Extractions or bone grafting may be required first if there is not enough bone volume to support the implants.
- Implant placement surgery: Implants are placed into the jawbone under local anesthesia or sedation.
- Temporary teeth: A provisional set of teeth is often attached the same day so patients are not without teeth during healing.
- Healing and osseointegration: The implants fuse with the jawbone over several months before the final prosthesis is fabricated.
- Final prosthesis placement: A custom-designed permanent prosthesis is attached once healing is complete.
Because the process spans several months from consultation to final placement, patients benefit from a clear timeline set at the start so expectations match what treatment actually involves.
Comparing All-on-X to Implant-Supported Dentures
All-on-X is one of several implant-based solutions for patients who are tired of removable dentures. Some patients are better candidates for a fixed, non-removable prosthesis like All-on-X, while others may prefer an implant-supported denture that still snaps onto implants but can be removed for cleaning. Bone density, budget, and personal preference for a fixed versus removable option all factor into which approach makes the most sense, and our team walks through these tradeoffs during your consultation.
Advanced Full-Arch Implant Care in New Jersey
Dr. Matei and Dr. Peto bring specialized surgical training in full-arch implant planning and placement, allowing our team to manage complex cases that involve bone grafting, sinus considerations, or prior implant failure alongside straightforward All-on-X placements. We evaluate every patient’s bone density and oral health individually rather than assuming a standard protocol will fit every case.
If loose or uncomfortable dentures are affecting your daily life, All-on-X implants may offer the stable, long-term solution you have been looking for. Contact our office to schedule a consultation and find out whether you are a candidate.
Frequently Asked Questions About All-on-X Implants
How many implants does All-on-X use per arch?
All-on-X typically uses four to six implants per arch, strategically positioned to support a full set of replacement teeth. The exact number depends on your jawbone structure and treatment plan.
Do I need bone grafting before getting All-on-X implants?
Not always. Bone grafting is only needed if imaging shows insufficient bone volume to support the implants. Your periodontist will determine this during your initial evaluation.
Can I get teeth the same day as All-on-X implant surgery?
In many cases, yes. A temporary set of teeth can often be attached the same day as surgery, allowing you to leave with a functional set of teeth while the implants heal.
How long do All-on-X implants typically last?
With proper care and regular maintenance visits, All-on-X implants are designed to last many years, and long-term studies have shown high survival rates over follow-up periods spanning more than a decade.
What is the difference between All-on-X and implant-supported dentures?
All-on-X is a fixed prosthesis that does not come out, while implant-supported dentures snap onto implants but can still be removed for cleaning. The right choice depends on bone density, budget, and personal preference.
About the Author
Dr. David Peto
Periodontist, Advanced Periodontics of N.J.
Dr. Peto and co-founder Dr. Matei lead Advanced Periodontics of N.J., providing individualized periodontal and implant care to patients throughout New Jersey.