One Plan, Both Jaws
The upper and lower teeth are designed together from one cone-beam scan, so the bite balances rather than being pieced together tooth by tooth.
Full-Mouth Dental Implants in Alexandria, VA
Every tooth, upper and lower, on implants.
When most or all of your teeth are failing or gone, both arches can be rebuilt on implants: a fixed zirconia bridge on four to eight posts per arch, or a denture that clips onto them. Planned and placed by one board-certified prosthodontist, Dr. Esam Abou Nahlah.
Are Full-Mouth Implants Right for Me?
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Which sounds most like you?
Why Full-Mouth Implants
What Full-Mouth Implants Give You
When most of your teeth are failing or gone, rebuilding both arches on implants changes how you eat, speak and smile. These are the advantages, planned by one specialist.
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My smile held me back. That’s behind me now.Melanie · Full-Arch Implant Patient
Teeth That Stay In
A fixed arch is screwed down and stays in at night, unlike a denture that has to come out.
Teeth From Implant Day
With All-on-4, most patients leave surgery wearing fixed provisional teeth, which stay in place while the implants fuse.
Bone Loss Often No Barrier
Many patients have enough bone already, and many others qualify after grafting. Tilted rear implants reach the stronger bone near the front of the jaw.
Keeps the Jawbone Loaded
Implants put a load on the jawbone, something a denture resting on the gums cannot do.
Strong Zirconia Arches
The final arches are zirconia, resistant to decay and to fractures and chips, and they are brushed and flossed like natural teeth.
Full Mouth
What Are Full-Mouth Dental Implants?
A full-mouth case is planned as one job rather than tooth by tooth. The cone-beam scan maps the bone in both jaws, and the upper and lower teeth are designed together so the bite balances. On this site these cases are called double arch.
- Fixed teeth that stay in: screwed down, not taken out at night
- Cared for like natural teeth, with six-monthly cleanings
- Implants load the jawbone, which a denture resting on the gums cannot do
- Zirconia, resistant to decay and to fractures and chips
- Designed and milled in the practice's own laboratory
Your Options
Three ways to replace every tooth.
Your scan, your bone and what you want from the result decide between them.
01Implant-Supported Dentures
A removable denture on each arch, clipped onto two or more implants. Around 60% of natural function at a moderate cost, and it comes out for cleaning.
02All-on-4 Full Arches
A fixed zirconia bridge on four implants per arch, the rear two tilted toward stronger bone. In most cases you leave surgery with fixed provisional teeth.
03Fixed Bridges on More Implants
Where the bone and the bite call for it, each fixed arch is carried on up to eight implants. Over 98% of natural function, and the highest cost of the three.
All three comparedBone
What if I Have Bone Loss?
Years of missing teeth or loose dentures let the jawbone recede. Many patients still have enough bone for implants, and many of the rest qualify after bone grafting or extractions. With All-on-4, the back two implants tilt toward the stronger bone near the front of the jaw, so bone loss often does not rule you out.
Every implant is planned on the scan and placed through a printed guide, at the planned angle and depth, for smaller incisions and a shorter recovery. Where bone has to be rebuilt first, grafting is its own procedure with several months of healing, and it is written into the timeline at the first consultation. How dental implants work
Why Choose Us
Why Choose Dr. Nahlah for Full-Mouth Implants
A full mouth is the largest implant case there is, and the planning decides the result. These are the questions to ask any office, and how our practice answers.
What to askOur practiceOther offices
Who plans itOne board-certified prosthodontist plans and places every implant and designs both archesA surgeon, a dentist and an outside lab each handle a part
ExtractionsThe specialist who removes a tooth is the one who replaces itSome send the extraction to a surgeon and the replacement to someone else
Implants per archFour to eight, chosen from your cone-beam scan rather than a package nameSome offer one package for every mouth
SurgeryEvery implant goes through a computer-generated surgical guideSome place implants freehand and judge by eye
Arch typeWherever the bone allows, thin-arch (FP1) teeth with no thick pink acrylic baseSome use one thick FP3 prosthesis for every case
LabArches designed and milled in the practice's own lab, in our Alexandria officeSome send the work out and wait weeks for it
Hard casesComplex and failed full-arch cases accepted, including work other practices declineSome accept straightforward cases only
WarrantyFive years: any part that fails is replaced free of charge, with six-monthly cleaningsAsk what yours covers, in writing
Dr. Esam Abou NahlahD.D.S., M.S.
Meet the Doctor
Meet Dr. Esam Abou Nahlah
As an award-winning board-certified specialist in prosthodontic dentistry, Dr. Nahlah provides patients with a premier level of dental care using the industry’s most advanced technology. He has been practicing since 2003, in Northern Virginia since 2013, entirely on prosthodontics. Diplomate of the American Board of Prosthodontics and Fellow of the American College of Prosthodontists. In 2013, the American Board of Prosthodontics awarded Dr. Nahlah the most prestigious award in prosthodontics: “Diplomate of American Board of Prosthodontics.”
Adjunct faculty at Virginia Commonwealth University, teaching the residents in its Prosthodontics Postgraduate Program, and lecturing on smile design and implants.
Across that career, over 18,000 implants placed and over 15,000 arches restored.
Credentials & Certifications
- Diplomate, American Board of Prosthodontics
- Fellow, American College of Prosthodontists
- Adjunct Faculty, VCU Prosthodontics Postgraduate Program
- Certificate in Prosthodontics
- M.S., Master of Science in Oral Biology
- Fellow, International Congress of Oral Implantologists
- Associate Fellow, American Academy of Implant Dentistry
The Process
How Does Full-Mouth Treatment Work?
01Scan and plan
An examination and a cone-beam scan of both jaws. Pricing, insurance and financing are discussed at this visit, before you commit to anything.
02Extractions and grafting
Failing teeth come out and thin bone is built up where the plan needs it. The specialist who removes a tooth is the one who replaces it.
Oral surgery
03Implant day
The implants go in at the office under local anesthetic, with nitrous oxide or oral sedation, guided by the scan. With All-on-4, most patients leave wearing fixed provisional teeth.
04Zirconia arches
Three to four months later, once the implants have fused, the final zirconia arches are fitted, shaped and bite-balanced by the specialist who planned them.
Before & After
Double-Arch Results From Our Patients
BeforeAfter
BeforeAfter
Cost
How Much Do Full-Mouth Implants Cost?
The number depends on how many implants each arch needs, whether extractions or grafting come first, and whether the teeth are a removable denture or fixed zirconia. It is set at your consultation, once the scan has been read; two quotes for the same mouth can differ by thousands for exactly those reasons.
Most PPO dental plans are accepted, and claims are filed for you. Financing through Proceed Finance reaches $60,000 with terms of up to 96 months, and a financial coordinator helps you apply.
What Our Patients Say
The Office
Take a Look Inside Our Alexandria Office
Other Options
If Full-Mouth Implants Are Not the Right Fit
01
All-on-4
One arch on four implants, when only the upper or lower jaw needs work.
Explore02
Implant-Supported Dentures
A removable denture clipped onto implants, at a moderate cost.
Explore03
Full-Mouth Reconstruction
Worn, broken or failing teeth rebuilt as one plan, with crowns, bridges, veneers and implants.
Explore04
Dentures
Traditional dentures, compared honestly with teeth on implants.
ExploreQuestions
Questions We Hear About Full-Mouth Implants
Who is a candidate for full-mouth dental implants?
Adults whose teeth are mostly missing or failing, and people tired of loose dentures. Many already have enough bone, and many of the rest qualify after bone grafting or extractions. The cone-beam scan at your consultation answers it for your mouth.
How many implants does a full mouth need?
Per arch: two or more for a removable implant denture, four for an All-on-4 fixed arch, and up to eight for a fixed bridge on more implants. We let your scan decide how many your bone will carry.Implant-supported dentures →
How long does full-mouth treatment take?
With All-on-4, about three to four months from surgery to your final zirconia arches, then a further two to four months for complete healing around them. If you need grafting, that adds several months of healing before the implants go in.
Will I have teeth while the implants heal?
Yes. With All-on-4, in most cases you leave our office wearing fixed provisional teeth, and they stay in place while the implants fuse.All-on-4 in full →
How do I look after full-mouth implants?
You brush and floss a fixed arch like natural teeth, and it stays in at night. Our five-year warranty asks one thing of you: the six-monthly cleanings.The five-year warranty →
Is sedation available for full-mouth surgery?
Yes: nitrous oxide or oral sedation, given at our office by our own team. Those are the two options we offer.Sedation options →
Book Your Consultation and Scan With Us
We will scan both jaws and give you a straight answer before you commit to anything. New patients call (571) 617-7245, or book online for Duke Street.
Alexandria
Dr. Nahlah Implants and Prosthodontics Specialists2855 Duke Street
Alexandria, VA 22314
New patients(571) 617-7245
Current patients(571) 712-8958
DirectionsBook Online