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8038 Rochester Rd. Gasport NY
Dr. Igor Kaplansky, DDS · April 18, 2026 · 5 min read
Medically reviewed by Dr. Igor Kaplansky, DDS — April 18, 2026
Yes, you can replace all your teeth with dental implants. Full-arch and full-mouth implant restorations are not only possible but are among the most predictable procedures in implant dentistry. The approach — and the number of implants required — depends on your bone volume and the anatomy of each arch. What you receive is a fixed, non-removable set of teeth that function and look like natural teeth.
Replacing all teeth with implants is typically done arch by arch — upper and lower — sometimes simultaneously, sometimes in stages. Each arch gets its own set of implants supporting a full-arch prosthesis.
This is not the same as replacing 28 individual teeth with 28 individual implants. Modern full-arch systems use four to eight strategically placed implants per arch to support an entire row of teeth. The geometry — particularly the use of angled posterior implants — allows this with a fraction of the implant count you might expect.
The two main full-arch systems at this practice:
All-on-4: Four implants per arch. Two placed vertically in the front jaw, two angled posteriorly at 30–45 degrees to reach denser bone and often avoid the need for bone grafting. Titanium implants, fixed prosthesis, provisional teeth delivered within 24 hours.
TeethNow: Six to eight zirconia implants per arch. A custom-milled zirconia final prosthesis — fully metal-free. Same-day provisionals. Designed for patients who want the highest-performance full-arch result.
Both deliver fixed teeth that stay in — no removal at night, no adhesives.
Long-term tooth loss and years of wearing dentures accelerate jawbone resorption. Patients who have worn full upper dentures for 10 or more years often have significant posterior maxillary atrophy — the upper back jaw ridge has flattened to the point where even angled All-on-4 implants don’t have adequate bone to anchor into.
For these patients, zygomatic implants provide a solution. Rather than rebuilding the resorbed jaw through bone grafting (which adds months and cost), zygomatic implants anchor in the cheekbone — a dense, stable structure unaffected by tooth loss.
Dr. Igor Kaplansky, DDS — Diplomate ABOI/ID, Fellow AAID/FICOI/FAGD, ZAGA Center certified — is one of only 11 ZAGA-certified zygomatic implant specialists in the United States. Patients with severe upper jaw bone loss who have been told full-arch implants aren’t possible should specifically request zygomatic implant evaluation. The zygomatic implants page explains the procedure and candidacy criteria.
A full-mouth replacement over both arches follows this general pattern:
| Phase | Description | Duration |
|---|---|---|
| Consultation and imaging | CBCT scan, treatment planning, surgical guide fabrication | 1–3 weeks |
| Surgery (per arch) | Extractions (if needed) + implant placement + same-day provisionals | Day of surgery |
| Osseointegration | Passive healing, soft-food diet | 3–5 months |
| Final prosthesis | Permanent zirconia or high-strength arch placed | After integration |
When both arches are treated simultaneously, the total treatment timeline is the same as for a single arch — you’re having more surgery on one day, not doubling the calendar time.
Full-mouth replacement (both arches) ranges from $40,000 to $90,000+ depending on the system, materials, bone preparation required, and whether both arches are treated simultaneously or staged.
Financing is available. The cost page breaks down pricing by system. The only accurate estimate is a specific one based on your imaging and treatment plan — not a website range.
Most adults with full-arch tooth loss or failing dentition are candidates for some form of full-arch implant restoration. The clinical variables that matter are bone volume, overall health, and whether zygomatic implants are needed for the upper arch.
Consultations at Dentistry by Dr. Kaplansky in Gasport, NY are offered at no charge. Patients from Lockport, Niagara Falls, Buffalo, and across Western New York are welcome. Schedule a consultation to find out what full-mouth restoration would look like for your specific anatomy.
Related: TeethNow Full-Arch System · Zygomatic Implants for Bone Loss · Full-Mouth Implant Candidacy · Dental Implant Cost Guide
Schedule a CBCT-based consultation with Dr. Igor Kaplansky — Diplomate ABOI/ID, ZAGA Center certified.
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