Full Arch Dental Implants · All-on-4 / All-on-X

Eat. Smile. Live again.

When your teeth can't be saved, a fixed, natural-looking smile that stays put: designed, guided and finished by a prosthodontist, with a specialist team in Bend.

WATCH NICHOLE'S STORY
From hiding her smile to living again
Three specialistsOral surgeon, anesthesia provider and prosthodontist on one team
Teeth the same dayLeave with a fixed temporary smile while your implants heal
Digitally guidedStraumann Digital Excellence Center: 3D-planned, guided placement
★★★★★ 4.9Rated 4.9 by Central Oregon patients Google
In their words

“When my finals went in, it was: these are my teeth. They’re mine. I feel amazing, to not be in pain anymore, to have teeth again.”

Nichole · Full-arch implants★★★★★
Sound familiar?

You've been managing your teeth instead of living your life.

“I chew on one side, or not at all.”

Steak, apples, corn on the cob: the list of foods you avoid keeps growing.

“My denture slips, clicks or needs glue.”

You've stopped trusting it in restaurants, at weddings, on the phone.

“I cover my mouth when I laugh.”

You skip photos, or smile with your lips closed and hope no one notices.

“My teeth are failing one after another.”

Crowns, root canals, extractions: the patchwork isn't working anymore.

“I was told I'm not a candidate.”

Bone loss or a complex history sent you home without a plan. A specialist may see it differently.

“I'm embarrassed to even come in.”

You're not alone, and there is no judgment here. Most of our patients waited years too.

If any of these sound like you, you are exactly who this treatment was designed for. The first step is a conversation and a 3D scan, not a commitment.

Schedule a Consultation
What "All-on-X" actually means

A full arch of fixed teeth, supported by a handful of implants.

Many people come in asking for an “All-on-4” or “All-on-X” after seeing it in ads. The “X” stands for the number of dental implants used to support a full arch of teeth, a number determined by the size and shape of your mouth and bone. The important things to weigh are the initial cost, the maintenance required over time, and how you hope to function with it.

We provide the full range of solutions, with and without implants, and we'll tell you honestly which fits you.

Fixed · teeth only

“FP1” / All-on-X

Fixed teeth that emerge from your own gums. For patients who have kept enough bone and gum tissue.

Most natural
Fixed · teeth and gums

“FP3” / All-on-4

Fixed teeth with a sculpted gum line, replacing lost tissue as well as teeth. The most common full-arch solution.

Most versatile
Removable · implant-retained

Implant overdenture

A denture that snaps onto implants: far more stable than a traditional denture, and easy to clean.

Removable · no implants

Dentures

Beautifully made conventional dentures, fitted by a specialist, when implants aren't the right path.

This is for you if…

  • Most or all of the teeth in an arch are missing, loose or failing
  • You want teeth that stay in and let you eat normally
  • You're ready for a lasting solution rather than another repair

You may need something else if…

The process

Planned in 3D. Placed with a guide. Finished by hand.

Most full-arch cases take 4–6 months from consultation to final teeth, with a fixed temporary smile for most of that time. Out-of-town patients can often consolidate into 3 trips.

1

Consultation & 3D scan

A conversation first, then a CBCT scan and digital records so we can see bone, nerves and sinuses.

90 min
2

Digital plan

Implant positions and your new smile are designed together on screen, then reviewed with you.

1–3 weeks
3

Surgery day

Guided implant surgery by an oral surgeon, with an anesthesia provider keeping you safely asleep. You leave with a fixed temporary smile the same day.

One visit
4

Healing & refinement

Implants integrate while you live in your temporaries. We fine-tune the bite, shape and shade.

3–4 months
5

Final teeth & lifelong care

Your final handcrafted prosthesis, then annual evaluations to keep everything healthy.

Insert + annual
Why patients travel for this

Three specialists, one smile.

We provide a multi-specialty approach of three providers: an oral surgeon to perform your surgery, an anesthesia provider to put you to sleep safely, and Dr. Schlam, the prosthodontist, to design your smile, guide your surgery, and then complete your beautiful finished smile.

3D guided-surgery plan on screen beside the patient's smile
Transformations

Real patients. Whole faces, not just teeth.

See the full gallery
Before treatment: upper and lower All-on-XBefore
After treatment: upper and lower All-on-XAfter

Upper & lower All-on-X

Both arches · fixed teeth

Nichole

The result · 0:47
Before treatment: full-arch implant revisionBefore
After treatment: full-arch implant revisionAfter

Full-arch implant revision

Older work renewed
Before treatment: full-arch smile makeover, big smileBefore
After treatment: full-arch smile makeover, big smileAfter

Full-arch smile makeover

Big smile
Before treatment: full-arch smile makeover, natural smileBefore
After treatment: full-arch smile makeover, natural smileAfter

Full-arch smile makeover

Natural smile
Before treatment: full-arch smile makeover, at restBefore
After treatment: full-arch smile makeover, at restAfter

Full-arch smile makeover

At rest
In her words
“When my finals went in, it was: these are my teeth. They’re mine.”
Nichole · full-arch patient

Sjögren’s had broken down her teeth in just a few years, with constant pain and teeth breaking at dinner. Today: “I feel amazing, to not be in pain anymore, to have teeth again, to be able to eat what I want.”

The craft

Every arch is designed and finished for one face.

Tooth shape, gum color, the way light passes through porcelain: the details that make new teeth look like they were always yours.

A full-arch implant prosthesis crafted for a Bend Prosthodontics patient, front view
Upper and lower full-arch implant prostheses, finished in the lab
Full-arch prosthesis, side view
Dr. Kimberly Schlam, prosthodontistDr. Kimberly Schlam
Why Bend Prosthodontics

“I’m a prosthodontist, and I get sent the most challenging patients. My whole goal is to give them predictability and success.”

Full-arch implant treatment is the most demanding work in dentistry, and it is exactly what prosthodontists are trained for. Dr. Schlam's residency research focused on how implant prosthetics change patients' quality of life; that is still the point of every case she takes.

Specialist
Prosthodontist: three additional years of training in replacing teeth, after dental school
Design + guidance
Designs your smile, guides the surgery with your oral surgeon, and completes the final teeth
Digital workflow
Straumann Digital Excellence Center: CBCT, guided surgery, in-house design and 3D printing
Experience
Former U.S. Army prosthodontist; lectures to other clinicians on this workflow
Dr. Schlam presenting to an audience of cliniciansStraumann invited Dr. Schlam to teach full-arch guided surgery and prosthetics to clinicians. Patients get that same expertise in the chair.
Meet Dr. SchlamTour the office
The investment

A clear number, honest options, no surprises.

Full-arch treatment is a significant investment, and one you'll live with every day for decades. At your consultation you'll get an itemized fee for your specific plan, across every specialist involved, so you can compare apples to apples.

We are a private, fee-for-service practice, which lets us prioritize your individual needs without the limitations of insurance-driven fees or treatment decisions. Although we do not bill dental insurance companies directly, we'll help you submit documents for any reimbursement you're entitled to.

How we think about cost
Financing available
Proceed Finance

We offer financing through Proceed Finance to help make your care more accessible. Our Patient Concierge is happy to guide you through financing, payment options and the financial phases of your treatment.

You can apply to check your eligibility without affecting your credit score.

See financingGet your itemized plan
Questions

What people ask before they begin.

Don't see yours? Ask us at your consultation. There are no silly questions about your own mouth.

Call (541) 316-8051

Not in Bend? Start a Virtual Consult with a few photos

Most people who are missing most or all of their teeth in an arch, or whose teeth are failing, are candidates. Bone loss, medical history and previous surgery all matter, but they rarely rule treatment out on their own. A CBCT scan at your consultation gives us a real answer instead of a guess.
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