
If a whole row of teeth is failing, or a denture has never really behaved the way you want it to, full-arch implants give you a fixed set of teeth that stay put: no adhesive, no soaking cup, nothing slipping in the middle of dinner.
This approach, often called All-on-4 or All-on-X, replaces an entire upper or lower arch with a permanent set of teeth anchored to a few carefully placed implants. Dr. Brandon Prior and the team at 100 West Dental in Ballwin start every case with a real diagnostic workup, because who this actually works for comes down to what the imaging shows, not a quick glance in the chair.
Full-arch implants are one of several ways we replace missing teeth. Depending on your goals and your health, we might also talk through single implants or implant-supported dentures, weighing what fits your day-to-day life. We care for patients from across Ballwin and the greater St. Louis area.
If you'd like to know where you stand, call us at (636) 585-0100 or start with a virtual consult from home.

A full-arch case at our Ballwin office generally moves through these stages:
Planning at this level is where Dr. Prior spends much of his focus, and the depth shows in the details: where each implant sits, how your bite spreads force across the arch, and how the final result looks when you smile. He trains and lectures other dentists on implant surgery, so this planning isn't a side task here; it's the whole point.
Most adults who are missing most or all of the teeth in an arch, or who are facing the loss of failing teeth, are worth evaluating for All-on-X.
Age on its own rarely rules anyone out. What matters far more is your bone, your gum health, and how well your body heals. That's why we start with a thorough evaluation before recommending any treatment path.
A few situations call for some groundwork first. Significant bone loss may mean grafting before or alongside implant placement, though modern angled-implant techniques often let us work with less bone than people expect. Active gum disease, uncontrolled diabetes, or heavy smoking can all affect healing and may need attention before surgery. None of these are automatic no's; they're simply reasons to look closely and plan carefully.
If full-arch implants aren't the right fit for you right now, there are other routes, from single implants to implant-supported dentures. We'll walk you through honest options rather than steer you toward one answer.

Most cases run several months from your first appointment to the final arch, and the bulk of that stretch is healing time. Your bone fuses to the implants quietly in the background while you go about your normal life.
If you receive a provisional arch on surgery day, the permanent restoration follows once integration is confirmed. How long that takes depends on your bone health, whether any prep work like bone grafting is needed, and how you heal. We'll lay out realistic windows for your specific case at the consultation.
Here's what the first week or so after surgery usually looks like:
Most people are back to desk work within a day or two. The follow-up visits after that are short and spaced out. If you have questions between appointments, our implant care team in Ballwin is always happy to help.
Preparation is mostly the diagnostic groundwork plus a few practical steps: arranging a ride home from surgery, stocking your fridge with soft foods, and following any pre-op instructions we give you. If we flag gum treatment or other prep work, taking care of that first sets your results up to last.
Afterward, looking after a fixed arch is refreshingly simple. You brush it like natural teeth, clean underneath with the tools we'll show you, and keep up with professional visits so we can check the implants, the fit, and your gum health.
Our hygienists tailor a routine to your specific arch, so you're never left guessing about the long-term upkeep.
Full-arch implants are a meaningful investment, and the truthful answer on price is that it depends on your case. The generic numbers floating around online rarely match what you'll actually need. The things that move the total include:
We go over the full cost with you at your consultation, review any dental insurance benefits that may apply, and talk through payment options.
We accept many major plans, including Aetna, Delta, Cigna, MetLife, and Guardian; for the full list, visit our Be Our Guest page. For patients paying out of pocket, our in-house 100 Club VIP Membership is a prepaid membership plan, not dental insurance, offering a simpler alternative to traditional coverage, with 15% off general treatments and no deductibles, pre-authorizations, yearly maximums, or hidden fees.
Once we've mapped your case, you'll leave with a written estimate you can actually plan around, no surprises later.

Here, the evaluation comes first and the recommendation follows from what we actually find. A few things that set our care apart:
Patients travel to us from Ballwin and across the western St. Louis suburbs for exactly that combination of reasons.
The honest answer comes from an evaluation, not a guess. What matters most is where your bone loss is and how much of it there is, since that shapes whether you're ready now or need some groundwork first. A thorough implant workup is the only reliable way to find out.
All-on-4 is a specific protocol that uses four angled implants to support a full arch. All-on-X is the broader term for the same idea with a flexible implant count, usually four to six, chosen based on your anatomy and bone.
Often, yes. Same-day provisional teeth are a real option for qualifying candidates, with the permanent restoration delivered after healing. Your imaging and bone quality decide whether immediate placement makes sense for you.
Dentures rest on the gum and need refitting as the jaw changes shape over time. Full-arch implants are anchored in bone, which helps preserve that jaw structure and can support a restoration that lasts decades with good care.
It's uncommon, and it's treatable. In most cases the site heals and a replacement implant can be placed. Dr. Prior and Dr. Hartman will explain what monitoring looks like along the way and the path forward if anything ever comes up.
The clearest next step is an evaluation: an honest, thorough look at your bone, gums, and overall candidacy before anything is recommended. You can start from home with a virtual consult or come see us in person, whichever feels easier for you.
Wherever you are around Ballwin and the western St. Louis area, Dr. Prior and Dr. Andrew Hartman would genuinely like to help you sort out your options. Give us a call at (636) 585-0100 and we'll set up your consultation.
